Impact of Switch Options on the Economics of Pneumococcal Conjugate Vaccine (PCV) Introduction in Indonesia
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New Brunswick COVID-19 Vaccine Clinic Guide for Immunizers
New Brunswick COVID-19 Vaccine Clinic Guide for Immunizers Department of Health Public Health New Brunswick September 17, 2021 Public Health New Brunswick New Brunswick Department of Health PO Box 5100 Fredericton, New Brunswick, E3B 5G8 Canada This report is available online: www.gnb.ca/publichealth Ce document est aussi disponible en français sur le titre «Guide sur la vaccination contre la COVID-19 pour les Vaccinateurs du Nouveau-Brunswick ». TABLE OF CONTENTS NEW BRUNSWICK COVID-19 CLINIC GUIDE FOR IMMUNIZERS .......................................................... 1 1.0. PURPOSE ....................................................................................................................................... 1 2.0. VACCINE SOP ON TRANSPORTATION AND RECEIPT ............................................................. 1 Vaccines – storage and handling and maintaining cold chain to prevent temperature excursions (portable freezers and refrigeration) .......................................................... 2 3.0. SCHEDULES, DOSES AND ADMINISTRATION OF COVID-19 VACCINES ............................... 3 Carton Labelling of COVID-19 Vaccines ........................................................................ 4 4.0. REDUCING UNNECESSARY VACCINE WASTAGE .................................................................... 4 Context .............................................................................................................................. 4 Planning and prioritizing individual vaccination over wastage ................................. -
CARPHA COVID-19 Vaccine Update 015 April 19, 2021
CARPHA UPDATE FOR Incident Manager / SITUATION REPORT COVID-19 Vaccines Update Supplement Week of: 19th April, 2021 I. Overview of Development and Regulatory Approvals: • 88 candidate vaccines are in clinical development: 16 in Phase 3 trials, and 4 in Phase 4 trials – see Figure in CARPHA COVID-19 Vaccine Regulatory Tracker (Phases tab). • 15 vaccines have received regulatory approvals in various countries, and 18 vaccines are at various stages of engagement with WHO for emergency use listing (EUL). • One additional AstraZeneca vaccine was approved by the WHO for Emergency Use Listing on 15th April, bringing the total number of listed COVID-19 vaccines by different manufacturers to 5: Pfizer-BioNTech’s vaccine: COMIRNATY®, AstraZeneca-SK Bio, AstraZeneca-SII (Covishield), Janssen-Cilag, AstraZeneca (EU node; Vaxzevria™) • 2 additional vaccines are expected to be approved by WHO in April, and 1 in May: Tables 1 and 3. • There is one additional vaccine being considered by WHO however it is at the stage of submitting expressions of interest: Bayer AG – Germany (CureVAC) • The WHO Global Advisory Committee on Vaccine Safety (GACVS) issued an interim statement indicating that based on current information, a causal relationship between the vaccine and the occurrence of rare blood clots with low platelets is considered plausible but is not confirmed. Specialised studies are needed to fully understand the potential relationship between vaccination and possible risk factors. The WHO maintains that the benefit-risk balance of the vaccine remains favorable. • CARPHA has shared its COVID-19 vaccine regulatory tracker with Member States for viewing as updates are made. • CARPHA-CRS has completed its review of the COVID-19 vaccine by Janssen-Cilag Pharmaceuticals (Johnson & Johnson), which will be finalized and shared with chief medical officers this week. -
Summary of Supportive Science Regarding Thimerosal Removal
Summary of Supportive Science Regarding Thimerosal Removal Updated December 2012 www.safeminds.org Science Summary on Mercury in Vaccines (Thimerosal Only) SafeMinds Update – December 2012 Contents ENVIRONMENTAL IMPACT ................................................................................................................................. 4 A PILOT SCALE EVALUATION OF REMOVAL OF MERCURY FROM PHARMACEUTICAL WASTEWATER USING GRANULAR ACTIVATED CARBON (CYR 2002) ................................................................................................................................................................. 4 BIODEGRADATION OF THIOMERSAL CONTAINING EFFLUENTS BY A MERCURY RESISTANT PSEUDOMONAS PUTIDA STRAIN (FORTUNATO 2005) ......................................................................................................................................................................... 4 USE OF ADSORPTION PROCESS TO REMOVE ORGANIC MERCURY THIMEROSAL FROM INDUSTRIAL PROCESS WASTEWATER (VELICU 2007)5 HUMAN & INFANT RESEARCH ............................................................................................................................ 5 IATROGENIC EXPOSURE TO MERCURY AFTER HEPATITIS B VACCINATION IN PRETERM INFANTS (STAJICH 2000) .................................. 5 MERCURY CONCENTRATIONS AND METABOLISM IN INFANTS RECEIVING VACCINES CONTAINING THIMEROSAL: A DESCRIPTIVE STUDY (PICHICHERO 2002) ...................................................................................................................................................... -
Supplemental Information and Guidance for Vaccination Providers Regarding Use of 9-Valent HPV Vaccine
Supplemental information and guidance for vaccination providers regarding use of 9-valent HPV A 9-valent human papillomavirus (HPV) vaccine (9vHPV, Gardasil 9, Merck & Co.) was licensed for use in females and males in December 2014.1,2,3,4 The 9vHPV was the third HPV vaccine licensed in the United States by the Food and Drug Administration (FDA); the other vaccines are bivalent HPV vaccine (2vHPV, Cervarix, GlaxoSmithKline), licensed for use in females, and quadrivalent HPV vaccine (4vHPV, Gardasil, Merck & Co.), licensed for use in females and males.5 In February 2015, the Advisory Committee on Immunization Practices (ACIP) recommended 9vHPV as one of three HPV vaccines that can be used for routine vaccination of females and one of two HPV vaccines for routine vaccination of males.6 After the end of 2016, only 9vHPV will be distributed in the United States. In October 2016, ACIP updated HPV vaccination recommendations regarding dosing schedules.7 CDC now recommends two doses of HPV vaccine (0, 6–12 month schedule) for persons starting the vaccination series before the 15th birthday. Three doses of HPV vaccine (0, 1–2, 6 month schedule) continue to be recommended for persons starting the vaccination series on or after the 15th birthday and for persons with certain immunocompromising conditions. Guidance is needed for persons who started the series with 2vHPV or 4vHPV and may be completing the series with 9vHPV. The information below summarizes some of the recommendations included in ACIP Policy Notes and provides additional guidance.5-7 Information about the vaccines What are some of the similarities and differences between the three HPV vaccines? y Each of the three HPV vaccines is a noninfectious, virus-like particle (VLP) vaccine. -
Pediatric Immunizations: Immunization Current Recommended Chedule and Ecommendations Immunization Schedule
Online Continuing Education for Nurses Linking Learning to Performance INSIDE THIS COURSE PEDIATRIC IMMUNIZATIONS: IMMUNIZATION CURRENT RECOMMENDED SCHEDULE AND RECOMMENDATIONS IMMUNIZATION SCHEDULE ................ 1 ROUTINE IMMUNIZATIONS ............. 2 COMBINATION VACCINES .............. 6 2.27 Contact Hours VACCINATION ADMINISTRATION ......... 7 Written By: Erin Azuse, RN, BSN VACCINATION REACTIONS ................ 8 CONTRAINDICATIONS TO OBJECTIVES RECEIVING VACCINATIONS ............... 9 1. List the current recommended schedule of MISCONCEPTIONS ABOUT VACCINATIONS ................................ 9 immunizations per the CDC and discuss how the list is updated. THE FUTURE FOR PEDIATRIC IMMUNIZATIONS ............................. 10 2. Identify 10 preventable diseases for which REFERENCES ................................ 11 children routinely receive immunizations. CE EXAM...................................... 13 3. Discuss symptoms and complications of these EVALUATION ................................. 16 diseases. 4. Be familiar with combination vaccines and their components. 5. Explain the proper nursing procedure for administering vaccinations. 6. Identify the potential reactions that may occur from immunizations. 7. Describe any contraindications to receiving immunizations. 8. Identify common misconceptions about vaccinations and describe the nurse’s role in changing this. CURRENT RECOMMENDED IMMUNIZATION SCHEDULE The Centers for Disease Control and Prevention (CDC) recommends a schedule of routine vaccinations to protect against -
Vaccine Hesitancy
WHY CHILDREN WORKSHOP ON IMMUNIZATIONS ARE NOT VACCINATED? VACCINE HESITANCY José Esparza MD, PhD - Adjunct Professor, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA - Robert Koch Fellow, Robert Koch Institute, Berlin, Germany - Senior Advisor, Global Virus Network, Baltimore, MD, USA. Formerly: - Bill & Melinda Gates Foundation, Seattle, WA, USA - World Health Organization, Geneva, Switzerland The value of vaccination “The impact of vaccination on the health of the world’s people is hard to exaggerate. With the exception of safe water, no other modality has had such a major effect on mortality reduction and population growth” Stanley Plotkin (2013) VACCINES VAILABLE TO PROTECT AGAINST MORE DISEASES (US) BASIC VACCINES RECOMMENDED BY WHO For all: BCG, hepatitis B, polio, DTP, Hib, Pneumococcal (conjugated), rotavirus, measles, rubella, HPV. For certain regions: Japanese encephalitis, yellow fever, tick-borne encephalitis. For some high-risk populations: typhoid, cholera, meningococcal, hepatitis A, rabies. For certain immunization programs: mumps, influenza Vaccines save millions of lives annually, worldwide WHAT THE WORLD HAS ACHIEVED: 40 YEARS OF INCREASING REACH OF BASIC VACCINES “Bill Gates Chart” 17 M GAVI 5.6 M 4.2 M Today (ca 2015): <5% of children in GAVI countries fully immunised with the 11 WHO- recommended vaccines Seth Berkley (GAVI) The goal: 50% of children in GAVI countries fully immunised by 2020 Seth Berkley (GAVI) The current world immunization efforts are achieving: • Equity between high and low-income countries • Bringing the power of vaccines to even the world’s poorest countries • Reducing morbidity and mortality in developing countries • Eliminating and eradicating disease WHY CHILDREN ARE NOT VACCINATED? •Vaccines are not available •Deficient health care systems •Poverty •Vaccine hesitancy (reticencia a la vacunacion) VACCINE HESITANCE: WHO DEFINITION “Vaccine hesitancy refers to delay in acceptance or refusal of vaccines despite availability of vaccination services. -
Hepatitis B Vaccination Schedule and PVS Guidance for Infants Born to Hepatitis B Positive Women
Hepatitis B Vaccination Schedule and PVS Guidance for Infants Born to Hepatitis B Positive Women Pediatric Hepatitis B Vaccination Schedule and Product Options Following the birth dose of hepatitis B vaccine and HBIG, the infant needs either two doses of monovalent hepatitis B vaccine or three doses of a hepatitis B-containing combination vaccine to complete the hepatitis B vaccine series. In particular, please note: . Pediarix should not be administered before 6 weeks of age. The final dose of hepatitis B vaccine (either the third or fourth dose) should be given on or after 6 months of age. Do not give it before 24 weeks of age. Comvax is not approved for use in infants born to hepatitis B positive women OPTION 1: Monovalent hepatitis B vaccine schedule (Energix or Recombivax) Dose Timing Dose 1 (given with HBIG) Within 12 hours after birth Dose 2 1-2 months of age Dose 3 6 months of age Post-vaccination serology (HBsAg and anti-HBs) 1-2 months after last dose, but not before 9 months of age OPTION 2: Pediarix vaccine schedule Dose Timing Dose of monovalent hep B vaccine (given with HBIG) Within 12 hours after birth Dose 2 6 weeks to 2 months of age (do not administer before 6 weeks of age) Dose 3 4 months of age Dose 4 6 months of age Post-vaccination serology (HBsAg and anti-HBs) 1-2 months after last dose, but not before 9 months of age Post-vaccination Serology (PVS) Results and Recommended Follow-up Serology result Follow-up needed HBsAg negative None. -
Recommended Adult Immunization Schedule
Recommended Adult Immunization Schedule UNITED STATES for ages 19 years or older 2021 Recommended by the Advisory Committee on Immunization Practices How to use the adult immunization schedule (www.cdc.gov/vaccines/acip) and approved by the Centers for Disease Determine recommended Assess need for additional Review vaccine types, Control and Prevention (www.cdc.gov), American College of Physicians 1 vaccinations by age 2 recommended vaccinations 3 frequencies, and intervals (www.acponline.org), American Academy of Family Physicians (www.aafp. (Table 1) by medical condition and and considerations for org), American College of Obstetricians and Gynecologists (www.acog.org), other indications (Table 2) special situations (Notes) American College of Nurse-Midwives (www.midwife.org), and American Academy of Physician Assistants (www.aapa.org). Vaccines in the Adult Immunization Schedule* Report y Vaccines Abbreviations Trade names Suspected cases of reportable vaccine-preventable diseases or outbreaks to the local or state health department Haemophilus influenzae type b vaccine Hib ActHIB® y Clinically significant postvaccination reactions to the Vaccine Adverse Event Hiberix® Reporting System at www.vaers.hhs.gov or 800-822-7967 PedvaxHIB® Hepatitis A vaccine HepA Havrix® Injury claims Vaqta® All vaccines included in the adult immunization schedule except pneumococcal 23-valent polysaccharide (PPSV23) and zoster (RZV) vaccines are covered by the Hepatitis A and hepatitis B vaccine HepA-HepB Twinrix® Vaccine Injury Compensation Program. Information on how to file a vaccine injury Hepatitis B vaccine HepB Engerix-B® claim is available at www.hrsa.gov/vaccinecompensation. Recombivax HB® Heplisav-B® Questions or comments Contact www.cdc.gov/cdc-info or 800-CDC-INFO (800-232-4636), in English or Human papillomavirus vaccine HPV Gardasil 9® Spanish, 8 a.m.–8 p.m. -
Overview of the Implementation of COVID-19 Vaccination Strategies and Deployment Plans in the EU/EEA
[Type here] TECHNICAL REPORT Overview of the implementation of COVID-19 vaccination strategies and deployment plans in the EU/EEA 14 June 2021 Key messages This report provides an updated overview of the progress of national COVID-19 vaccination strategies in EU/EEA countries, including updates on: • overall vaccine uptake and uptake by target group; • current vaccination phases and priority groups, including adjustments made to priority groups during the rollout; • vaccination strategies and policies; • the use of vaccination certificates; • vaccine acceptance and hesitancy; and • challenges and good practice with the rollout. Vaccine COVID-19 rollout overview • As of 11 June 2021, a total of 333 678 903 COVID-19 vaccine doses have been distributed by manufacturers to European Union/European Economic Area (EU/EEA) countries, including over 39 million in the last week. Comirnaty (BNT162b2), developed by BioNTech/Pfizer, represents 67.3% of all doses distributed to EU/EEA countries via the European Commission’s Vaccine Strategy, followed by Vaxzevria (AZD1222), previously called COVID-19 Vaccine AstraZeneca (19.5%), COVID-19 Vaccine Moderna (9.6%), and COVID-19 Vaccine Janssen (3.3%). • A total of 284 124 689 vaccine doses have been administered in the EU/EEA, including over 25 million in the last week. Based on data available from 29 countries, 85% of the doses distributed in the EU/EEA since the beginning of the rollout have been administered. • Since the start of COVID-19 vaccine deployment in the EU/EEA in December 2020, the cumulative vaccine uptake in the adult population (aged 18 years and older) in the EU/EEA has progressed, reaching 51.2% for at least one vaccine dose (range: 14.9-67.7%) and 26.8% for the full vaccination course (range: 11.8-55.1%) (30 reporting countries). -
Responsive COVID-19 Vaccines for Recovery Project Under the Asia Pacific Vaccine Access Facility (Guaranteed by the Republic of Indonesia)
Report and Recommendation of the President to the Board of Directors Project Number: 54425-001 March 2021 Proposed Loan PT Bio Farma (Persero) Responsive COVID-19 Vaccines for Recovery Project under the Asia Pacific Vaccine Access Facility (Guaranteed by the Republic of Indonesia) Distribution of this document is restricted until it has been approved by the Board of Directors. Following such approval, ADB will disclose the document to the public in accordance with ADB’s Access to Information Policy. CURRENCY EQUIVALENTS (as of 5 March 2021) Currency unit – rupiah (Rp) Rp1.00 = $0.0000697 $1.00 = Rp14,349 ABBREVIATIONS ADB – Asian Development Bank AEFI – adverse event following immunization APVAX – Asia Pacific Vaccine Access Facility Bio Farma – PT Bio Farma (Persero) COVID-19 – coronavirus disease Indofarma – PT Indofarma Tbk LIBOR – London interbank offered rate M&E – monitoring and evaluation MOH – Ministry of Health PAM – project administration manual RRC – rapid response component TA – technical assistance UNICEF – United Nations Children’s Fund VAP – Vaccination Allocation Plan VIRAT – Vaccination Introduction Readiness Assessment Tool WHO – World Health Organization NOTE In this report, “$” refers to United States dollars. Vice-President Ahmed M. Saeed, Operations 2 Director General Ramesh Subramaniam, Southeast Asia Department (SERD) Directors Ayako Inagaki, Human and Social Development Division (SEHS), SERD Winfried Wicklein, Country Director, Indonesia Resident Mission (IRM), SERD Said Zaidansyah, Deputy Country Director, IRM, -
Optimal SARS-Cov-2 Vaccine Allocation Using Real-Time Seroprevalence Estimates in Rhode Island and Massachusetts
medRxiv preprint doi: https://doi.org/10.1101/2021.01.12.21249694; this version posted January 15, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY 4.0 International license . Optimal SARS-CoV-2 vaccine allocation using real-time seroprevalence estimates in Rhode Island and Massachusetts Thu Nguyen-Anh Tran1, Nathan Wikle2, Joseph Albert3, Haider Inam4, Emily Strong2, Karel Brinda5;6, Scott M Leighow4, Fuhan Yang1, Sajid Hossain7, Justin R Pritchard4, Philip Chan8, William P Hanage5, Ephraim M Hanks2, Maciej F Boni1 1 Center for Infectious Disease Dynamics, Department of Biology, Pennsylvania State University, University Park, PA 2 Center for Infectious Disease Dynamics, Department of Statistics, Pennsylvania State University, University Park, PA 3 Department of Physics, Pennsylvania State University, University Park, PA 4 Center for Infectious Disease Dynamics, Department of Bioengineering, Pennsylvania State University, University Park, PA 5 Center for Communicable Disease Dynamics, Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA 6 Department of Biomedical Informatics, Harvard Medical School, Boston, MA 7 Yale School of Medicine, Yale University, New Haven, CT 8 Department of Medicine, Brown University, Providence, RI Running Title: SARS-CoV-2 vaccination in RI and MA Keywords: SARS-CoV-2, vaccination, optimal vaccine allocation, mathematical modeling, real-time seroprevalence Date of this draft : January 12, 2021 ?Manuscript Correspondence: Maciej F. Boni Center for Infectious Disease Dynamics Department of Biology Pennsylvania State University University Park, PA tel +1 814 867 4651 email: [email protected] 1 NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice. -
Documentation of Vaccine Wastage in Two Different Geographic Contexts Under the Universal Immunization Program in India
Documentation of vaccine wastage in two different geographic contexts under the universal immunization program in India Manoja Kumar Das ( [email protected] ) The INCLEN Trust International https://orcid.org/0000-0002-8559-5837 Mangla Sood Indira Gandhi Medical College Muralidhar Tambe BJ Medical College Thakur Dutt Sharma The INCLEN Trust International M A Parande BJ Medical College Jitendra B Surwade BJ Medical College N M Salunke BJ Medical College S S Patil BJ Medical College Bhagwan Pawar Ministry of Health and Family Welfare Rajesh Guleri Ministry of Health and Family Welfare Chitra Kaushal Ministry of Health and Family Welfare Monica Sindhu The INCLEN Trust International Research article Keywords: rotavirus vaccine, pneumococcal vaccine, routine immunization, outreach, vial size, vaccine wastage Posted Date: November 26th, 2019 DOI: https://doi.org/10.21203/rs.2.17806/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Version of Record: A version of this preprint was published at BMC Public Health on April 25th, 2020. See the published version at https://doi.org/10.1186/s12889-020-08637-1. Page 1/10 Abstract Background Government of India is introducing new and relatively costly vaccines under immunization program. Monitoring of vaccine wastage is needed to guide the program implementation and forecasting. Under pilot introduction of rotavirus vaccine in two districts both 5- and 10-doses vials were used, which was considered as an opportunity for documenting the wastage. Methods A survey conducted in two districts (Kangra, Himachal Pradesh and Pune, Maharashtra) covered 49 vaccine stores, 34 sub-centres and 34 outreach sessions collected vaccine receipt, distribution and usage data for two complete years 2016 and 2017.