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a vaccination syringes image cbNovember 29 2017

Public Health Wales has written to GPs with advice regarding stock ordering requirements flu vaccination for next year’s season.

The Welsh Health Circular letter, WHC (2017) 052, includes updated advice from the Joint Committee on Vaccination and Immunisation (JCVI) around the cost effectiveness of particular vaccine types, and also the target levels for vaccination coverage among various patient groups.

The JCVI has advised that the:

  • quadrivalent vaccine is cost effective in those aged 6 months to 64 years in clinical risk groups;
  • adjuvanted trivalent vaccine is cost effective when administered to those aged 65 to 74 years;
  • adjuvanted trivalent vaccine is the only clinically effective and cost-effective option for those aged over 75 years.

In terms of vaccine coverage, PHW is asking practices to order stock based on having sufficient vaccines to protect:

  • at least 75% of their patients aged 65 years and older;
  • at least 55% of those under 65 years who are in an at risk group;
  • all pregnant women;
  • the very small number of children aged six months to under two years old who are in an at-risk group;
  • the small number of children aged two to 17 years in an at-risk group but contraindicated for live attenuated influenza vaccine (LAIV);
  • the small number of primary school aged children contraindicated for LAIV;
  • those in other eligible groups.

PHW does not anticipate any additional groups being identified for 2018-19, but does set out anticipated population increases.

In addition, it notes that community pharmacies will be involved in the vaccination campaign, saying: “Health boards should identify and build on examples of good practice where GP practices and community pharmacy partners have worked together to develop a co-ordinated approach that strengthens local arrangements, removes barriers to vaccine access and improves vaccine uptake in eligible groups.”

PHW has also published a new booklet to support health professionals in having a discussion with patients to encourage them to have the flu vaccine. The ‘Have a word … about the influenza scheme’ booklet can be downloaded from the PHW site.

Links:
PHW announcement for 2018-19 ordering            
Welsh Health Circular letter, WHC (2017) 052     
PHW booklet announcement      
PHE ‘Have a word … about the influenza scheme’                 

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