1. Department of Health – Immunisation Update November 2014 Michael Batchelor Manager, Immunisation Health Protection Branch

2. Australian Childhood Immunisation Register (ACIR) coverage data Victoria, 30 September 2014 Age in months Total State coverage State Indigenous Total Australia coverage Vic Ranking 12 - <15 91.7%88.6%91.5%3 24 - <27 93.3%93.9%92.8%3 60 - <63 (5 years) 92.6%92.2% 3 72 - <75 (6 years) 94.1%95.8%93.5%2 Provider split GP 56% Local council 42% Other 2% From 31 December 2013, cohort 1 coverage assessment includes Pneumococcal dose 3 for ‘fully immunised’

3. Vic Aboriginal population coverage compared to total Vic population coverage 12>-15 months (2009-13)

4. Vic Aboriginal population coverage compared to total Vic population coverage 24>-27 months (2009-13)

5. Vic Aboriginal population coverage compared to total Vic population coverage 60>-63 months (2009-13)

6. Improving Childhood Coverage State coverage for Cohort 1 in March 2014 fell below 90% for the first time since March 2000 Minister for Health sets a new childhood coverage target of 95%. What is being done? School entry immunisation status certificate (SEIC) Evaluation of barriers to presenting SEIC Strategies with education sectors to improve presentation Working group forum – 2 October 2014 To identify barriers to increasing immunisation coverage in the Victorian Childhood immunisation program. Brainstormed issues, analysed and prioritised strategies to improve coverage to Ministerial target of 95% for childhood coverage Action Plan for the Minister

7. AHA delivered final report October 2014 Findings covered : Data review & analysis, scan of school websites, interviews with key stakeholders, school staff, parents/guardians & immunisation providers. Synthesis and presentation of key findings. Recommendations & conclusions: Wider promotion of effective key messages Development of a toolkit of resources for schools Audit tool & exclusion plan template Consider other options for transfer of information (schools accessing ACIR) Report of ‘Barriers to presentation of SEIC’

8. 2008-13 comparison of state-wide immunisation coverage: Childhood and adolescent programs ~ 20% gap

9. The Victorian Regional Immunisation Initiatives Resource Development Development of consistent models of practice Education provision Capacity building Goal To increase immunisation participation and coverage rates amongst Victorian adolescents Objectives Raise awareness (providers, students, parents, teachers) Build capacity amongst immunisation providers to enhance service delivery Improve delivery of school-based immunisation program (providers, schools) Improve access for hard-to-reach adolescent communities

10. 3 changes to 2015 school vaccine program 1.Changes to the PHWA Regulations Principals are authorised to release student/parent contact details to councils 2.dTpa moving to Year 7 only from 2016; Year 7,8,9 &10 to be immunised in 2015 Letter to CEOs/MAV for support sent March & April 2014 Letter to education sectors for support sent March 2014 Emails to all councils with CEO letters attached May 2014 Upfront administrative bonus payment in July 2014 3.Cease Year 9 HPV boys Time limited program for Year 9 (14-15 boys) ends 31 December 2014 No catch-up program in 2015

11. Communication to councils Factsheet: ‘Changes to the 2015 secondary school vaccine program’ AND School Implementation Kit emailed to all councils mid August 2014 Instructions and training for collection of data from schools & upload to ImPS 30/31 October 2014 Cc’d to Regions

12. Communication to schools School Implementation Kit CHO/PMA letter to principals Factsheet: ‘Three big changes to the vaccine program in 2015’ Newsletter inserts Collection statement for parents emailed to all secondary schools 2 September 2014 (incl. home- school/distance ed. Instructions for data extraction / transfer late 2014

13. Immune Hero – School Extract Tool

14. Adolescent poster

15. VRHN: Needs analysis of immunisation in refugee and asylum seeker communities Determine issues regarding access to vaccines, catch-up immunisation programs and service delivery for people of refugee background in Vic Final report July 2014 highlighted –public health significance due to pre and post arrival risk factors –eligibility and access to funded vaccine –service delivery and access to immunisation services Key recommendations –Secure funding for vaccines to comprehensively provide catch-up schedule –Pilot improved service delivery models – local council program in ELS –Improve surveillance data for immunisation register and coverage for refugee and asylum seeker populations –Improve/develop resources for community –Improve strategies for personal vaccine record use –Increase capacity of providers (guidelines, training, clinical practice) Next step… DH consideration and funding determined

18. Other bits and pieces PBAC November 2014 meeting – considered submissions for Zostavax® (cohort of 70 year olds, with a proposed catch up for 71-79 year olds) and Infanrix® (booster dose of pertussis on the NIP for children aged 18 months of age). Outcomes made available on 19 December 2014 NIP schedule to include annual trivalent influenza vaccine for all Aboriginal and Torres Strait Islander children aged 6 months to 5 years 2 strain changes to 2015 seasonal influenza vaccine – may lead to a late start New NPA on Essential Vaccines Review of HPV Register Review of Guidelines for immunisation education for nurses and midwives

19. 29 November…..who knows

20. Questions? Immunisation Section T: 1300 882 008 M - F 9am – Noon and 2pm - 3pm E: immunisation@health.vic.gov.auimmunisation@health.vic.gov.au W: www.health.vic.gov.au/immunisation