The May issue features:
vaccine heroes
PHE research - results of attitudinal survey
healthcare worker flu vaccination programme
MMR and MenACWY vaccination before the holiday season begins
protecting young babies against pertussis by vaccinating pregnant women
vaccine supply - centrally supplied
vaccine supply - non-centrally supplied
latest vaccination uptake figures, for shingles and the pertussis maternal vaccination programme
the EU Falsified Medicines Directive (FMD) and Delegated Regulation
Public Health England (PHE) is calling for all parents to get their children vaccinated against measles, mumps and rubella (MMR) when the vaccine is offered, or for them to take it up now if they didn’t have it at the scheduled time.
In the first quarter of 2019, there were 231 confirmed cases of measles. This figure is slightly lower compared to the same quarter last year. As measles is highly infectious, anyone who has not received 2 doses of MMR vaccine is at risk, particularly unvaccinated people travelling to countries where there are currently large outbreaks of measles.
Latest data published by NHS Digital confirm that in the first quarter of 2019 there were 231 confirmed cases of measles in England.
The Royal College of Paediatrics and Child Health urges parents to ensure their children are fully vaccinated to protect them from the devastating illness.
Emeritus Professor Alan Glasper, University of Southampton, reflects on media coverage of the use of vaccines and discusses a range of initiatives to address public fears around immunisation through vaccination To read the full article, log in using your MPFT NHS OpenAthens details.
Comment. Vaccine hesitancy was recently listed by the World Health Organization as one of the ten current global health threats. Dorothy Lepkowska looks at the reasons behind the movement and why addressing it should be a public health priority. To read the full article, log in using your MPFT NHS OpenAthens details.
Childhood Immunisation Statistics (CBP 8556) by Rachael Harker.
This note reports on vaccinations that are given to children up to five years of age. Data is presented for constituent countries of the UK and at regional and local authority level in England. Where available international comparisons are provided.
As the global epidemic of obesity and type two diabetes in children and adults continues to be a major challenge to public health, an intriguing possible ‘off-target’ effect of the rotavirus vaccine and association with a reduction in the incidence of Type 1 diabetes, has been reported in JAMA Paediatrics. An Australian study from a team in Melbourne, JAMA Pediatr 2019;173(3):280-282. doi: 10.1001/jamapediatrics.2018.4578) and is the first report of epidemiological evidence of this possible and fascinating association.. To read the full article, log in using your MPFT NHS OpenAthens details.
Research from Public Health England shows that health professionals remain the most trusted source of advice on immunisation (93% of parents agreed), while social media and the internet ranked as the least trusted sources of information. Overall, only 9% of parents have seen, read or heard about something that would make them doubt having their child immunised – a historically low proportion and down from a third (33%) in 2002.
An overview of some of the resources on immunisation available to local NHS staff - for help getting any of these resources, get in touch with MPFT library services.
The April issue features:
European Immunization week – 24 to 30 April 2019
The Value of Vaccines
going to a festival, concert or group holiday and up to 25 years of age? Starting university?
MenACWY in school years 9 or 10 – leaflet for schools
update on vaccine coverage data
Green book chapter 11: the UK immunisation schedule has been published
BCG vaccine (AJ Vaccines) for the national BCG programme
update on MMR vaccine ordering restriction
reminder about ordering centrally supplied vaccines
attention to all customers – Easter and May bank holiday deliveries warning notice
reporting expired or unused vaccines
The EU Falsified Medicines Directive (FMD) and Delegated Regulation as applicable to centrally supplied vaccines for the National Immunisation Programme *Vaccine supply for the non routine programme
This leaflet includes:
the MMR booster
the diphtheria, tetanus, pertussis and polio booster
the annual childhood nasal flu programme
revised routine immunisation schedule and selective immunisation schedule from Autumn 2018
The RCPCH highly recommends vaccination and that anyone who has concerns or questions talk to their health visitor, practice nurse or general practitioner (GP).
The March issue features:
National Immunisation Network (NIN) Meeting May 2019
the EU Falsified Medicines Directive (FMD) and Delegated Regulation as applicable to centrally supplied vaccines for the National Immunisation Programme
revised rash in pregnancy guidance
annual flu letter published
new improved edition of the core leaflets published
vaccine supply for the routine programme
vaccine supply for the non routine programme
How do you use information for your work and CPD? What do you think of MPFT library services? Tell us here and you could win £25 vouchers: https://www.surveymonkey.co.uk/r/B2JVNPR
Public Health England's latest round of flu vaccination uptake figures show 70.3 per cent of all eligible frontline healthcare workers have received their flu vaccination so far this season - the highest uptake to date.
Annual influenza vaccination is recommended for all healthcare workers (HCWs) to help reduce the risk of contracting the virus and transmitting it to vulnerable people, especially older adults in residential care facilities. Vaccination uptake among HCWs remains low. Aim: To investigate HCWs’ attitudes towards, and beliefs about, seasonal influenza vaccination in a residential care facility. To read the full article, log in using your MPFT NHS OpenAthens details.
Although maternal tetanus immunisation has been effectively implemented for many years in the developing world,1 there has been a renewed global interest in maternal immunisation programmes over the past several years.2–5 This has been driven partly by the severity of the 2009 H1N1 influenza pandemic in pregnant women and the safety provided by the widespread maternal immunisation programme implemented in response to the pandemic.6 7 It has also been increasingly appreciated that maternal immunisations are an excellent way to provide protection to young infants before their own primary immunisation series would begin. There are several reasons that immunising pregnant women is an attractive vaccination strategy...... To read the full article, log in using your NHS OpenAthens details.
This study supports earlier studies that the MMR vaccine has no link with the risk of autism.
It follows a 2014 review that pooled the results of 10 observational studies on childhood vaccine and found no evidence of any link between the MMR vaccine and autism.
The strength of this study is that it follows a large number of children. This makes the findings more reliable when assessing a fairly rare outcome like autism, and reduces the possibility that the findings are down to chance.
Public Health England (PHE) has published mid-season data on the effectiveness of this year’s flu vaccines, alongside data from other countries, in Eurosurveillance. The data suggest that the nasal spray flu vaccine is 87% effective in children aged 2 to 17 years against the main circulating strain, influenza A(H1N1)pmd09.
The January issue features:
the Falsified Medicines Directive (FMD) as it applies to centrally supplied vaccines for the national immunisation programme
flu vaccine information and availability 2018 to 2019 for the children’s national immunisation programme
BCG vaccine (AJ Vaccines) for the national BCG programme
update on MMR vaccine ordering restriction
fundamentals of immunisation course
The NHS Cervical Screening Programme (NHSCSP) considers these high-risk HPV tests acceptable for use, in primary HPV screening, HPV triage and test of cure.
Subacute sclerosing panencephalitis (SSPE) is a preventable condition reported in 6.5 to 11 per 100 000 cases of measles, and highest in children who contracted measles infection when they were less than 5 years of age. Children residing in areas with poor vaccination coverage and high prevalence of human immunodeficiency virus are at increased risk of developing SSPE. SSPE is life‐threatening in most affected children. This report documents current data relating to the clinical phenotype, epidemiology, and understanding of SSPE, inclusive of preventive interventions.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This document is for healthcare professionals administering or providing advice about the rotavirus vaccine. It includes the vaccination programme recommendations, contraindications, precautions and examples of scenarios that staff may experience when immunising.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
Immunity is the ability of the human body to protect itself from infectious disease. The defence mechanisms of the body are complex and include innate (non-specific, non-adaptive) mechanisms and acquired (specific, adaptive) systems.
The Vaccine Damage Payment Scheme (VDPS) provides a single, tax-free payment. A decision to offer vaccine should be based upon the recommendations in the Green Book and should not be influenced by a vaccine’s eligibility for a VDPS settlement.
The December issue features:
herpes zoster (shingles) immunisation programme 2017 to 2018: evaluation report
Pertussis vaccination programme for pregnant women update
human papillomavirus (HPV) vaccination coverage in adolescent females in England: 2017to 2018 report
The Falsified Medicines Directive (FMD) as it applies to centrally supplied vaccines for the national immunisation programme
Fluenz Tetra ordering in England
supply of UK-licensed BCG vaccine manufactured by AJ Vaccines (formerly the Statens Serum Institut (SSI)) for the national BCG programme
fundamentals of Immunisation - places still available
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
A new large-scale study looks at the link between infant immunisation and developmental checks attendance, and emergency hospital admissions in childhood. Dorothy Lepkowska shares the research's findings. To read the full article, log in using your MPFT NHS OpenAthens details
The risk of all-cause and cardiovascular death in patients with heart failure is reduced by almost one fifth in those having annual flu vaccinations compared with non-vaccinated patients, a Danish cohort study has found. To read the full article, log in using your NHS OpenAthens details.
Letter. We report an infant case of meningococcal group W meningitis presenting within 24 hours of receiving group B meningococcal vaccine (4CMenB), illustrating the dilemma clinicians face in interpreting advice for management of post-immunisation fever and the National Institute for Health and Care Excellence (NICE) fever guidelines, and highlighting the need for sustained vigilance for bacterial infections in infants with post-4CMenB fever.. To read the full article, log in using your NHS OpenAthens details.
Provisional monthly seasonal flu vaccine uptake data in children of school years reception to year 5.
The most recent monthly data collection covers cumulative flu vaccinations administered from 1 September to 31 October 2018.
Human papillomavirus (HPV) vaccine coverage data for vaccinations received by Year 8 and Year 9 females to 31 August 2018 by local authority and local team.
To assess the effectiveness and potential side effects of formula feeding to reduce pain during vaccination among infants.. To read the full article, log in using your NHS OpenAthens details.
This document reviews equality issues related to human papillomavirus (HPV) vaccination in England, to support consideration of the Joint Committee on Vaccination and Immunisation’s advice on extending HPV vaccination to adolescent boys.
The document also covers equality issues around the current HPV vaccination programme for adolescent girls and men who have sex with men (MSM). The analysis was used to support a ministerial decision on whether or not to extend the existing HPV vaccination programme to adolescent boys.
The November issue features:
meningococcal disease
latest update on Adjuvinated Trivalent Influenza Vaccine (aTIV)
recently published tetanus guidance
information on vaccines and porcine gelatine (new translations available)
supply of UK-licensed BCG vaccine
ordering reminder for Fluenz Tetra vaccine
ordering reminder for MMR vaccine
update on Pneumococcal Polysaccharide Vaccine (PPV)
information on Christmas and New Year deliveries
details of Fundamentals of Immunisation course
The issue of some vaccines that contain ingredients derived from pigs (in this case gelatine – known as ‘porcine’ gelatine) has concerned some faith groups. This leaflet provides information about vaccines that contain porcine gelatine and any alternatives that are available.
Health chiefs have today united to urge people aged 65 and over to take advantage of the NHS’s biggest ever flu vaccination programme.
Older people across the country are being offered the most effective vaccine in the world as part of the programme which is providing a record 8.5 million doses, free of charge.
And this week sees the launch of a campaign to promote flu vaccines to the over 65s, as part of the annual campaign to encourage the public to stay well before the winter period.
This letter is intended to give providers of seasonal flu immunisation and other stakeholders, preliminary information on the recommended vaccines for the 2019 to 2020 seasonal flu vaccination programme.
PHE is reminding travellers to avoid coming into contact with animals when travelling to rabies affected countries due to the risk of catching the disease.
A recent study by Stead et al (2018) has found that trusts who incorporated the seven elements for a successful flu campaign resource, developed by NHS Employers, in their local flu campaign achieved a higher flu vaccination uptake compared to trusts who did not.
In a guest blog anticipating the start of 'flu season, RCPCH immunisation experts, Professor Helen Bedford and Dr David Elliman share their thoughts on improving rates of vaccination among children, some misconceptions around the flu vaccination and the role of the paediatrician.
This poster is aimed at healthcare professionals administering the Bacillus Calmette-Guérin (BCG) vaccine in all healthcare and pharmacy settings.
Please download, print it and display it close to the vaccine fridge and preparation area prominently.
The October issue features:
flu vaccination – new information leaflet for those aged 65 years of age or older - download or order now!
Plutopox outbreak simulation
New resources - pull up banners for hospitals, social media banners for flu, vaccine packaging poster and a visual guide to vaccines poster
revised inactivated influenza vaccine information for healthcare practitioners
flu vaccine availability and eligibility – 2018 to 2019 children’s programme
adrenaline auto-injector supply issues
ordering restriction on BCG vaccine has been removed
reminder about MMR vaccine ordering restriction
vaccine supply for non routine programmes
This year the Infection Prevention team held a 22-hour jabathon and have seen a massive increase in uptake for the flu jab in just week one of their campaign. Already more than 2,400 members of staff have had their jab. This just goes to show how keen our staff are to protect our patients.
This short statement summarises Joint Committee on Vaccination and Immunisation’s (JCVI) most recent review of the UK meningococcal vaccination programme.
The JCVI has identified specific actions that may help to improve control of meningococcal disease.
The House of Commons Science and Technology Committee was shocked by survey results which showed that the flu vaccination uptake in social care settings was at best around 25%.
A 4-month-old baby girl with Down syndrome (DS) attended the General Paediatric clinic for routine follow-up. She had commenced her routine vaccination schedule. The Registrar asked, as children with DS are at increased risk of infections, should this baby have any extra vaccinations?. To read the full article, log in using your NHS OpenAthens details.
The poster features the current vaccine trade name and abbreviations, the diseases they protect against and the packaging and product presentation. This poster compliments the routine vaccination schedule.
Jo Keal and Gail Beckett discuss measles in light of the recent rise in the number of cases in the UK and Europe, leading to outbreaks in vulnerable populations, and explore how practice nurses are in a unique position to influence the health of the wider population. To read the full article, log in using your MPFT NHS OpenAthens details.
This edition features articles on:
the 5 year anniversary of the shingles programme;
the selective neonatal hepatitis B immunisation: new resources for primary care staff and patients;
World rabies day – 28 September 2018;
Stay Well This Winter – Help us to help you campaign.;
supply of UK licensed BCG vaccine for the national BCG programme;
reminder about the MMR ordering restriction;
flu vaccine eligibility for the children’s programme in 2018 to 2019;
flu vaccine ordering;
vaccine supply for the non-routine programmes
shingles and PPV coverage report published;
annual childhood vaccination statistics;
As well as a range of new resources for primary and secondary schools.
Editorial. It is 50 years since measles vaccine was introduced in the UK and 20 years since it was replaced with the highly effective measles, mumps, and rubella (MMR) vaccine. In 2017, the World Health Organization declared that measles had been eliminated from the UK; this means that measles is no longer endemic, not that it has disappeared. To read the full article, log in using your NHS OpenAthens details
The new Immform guidance from Public Health England has been released detailing how trusts should report their vaccination uptake for frontline healthcare workers.
This document informs local NHS England teams and NHS trusts on:
how to collect data on flu vaccine uptake among frontline healthcare workers
how to upload it to the ImmForm website
Letter. We read with interest recently published articles regarding fever post-immunisation following the introduction of the four-component meningococcal B vaccine (4CMenB).1–3
In retrospective1 and prospective2 audits, Nainani et al (n=38) and Kapur et al (n=35) demonstrated significant increases in emergency department (ED) attendances (0.8% of the local vaccinated population2), investigations (venepuncture in 38%1 and 62%,2 lumbar puncture (LP) in 22%1 and 17%2) and hospitalisations (72%1 and 51%2 (for post-immunisation fever). Murdoch et al’s3 self-controlled case series estimated an additional 1440 hospital admissions per year in the UK following 4CMenB introduction.. To read the full article, log in using your NHS OpenAthens details.
Coverage has declined in nine of 12 vaccinations given routinely to children in England, latest figures show.
The report from NHS Digital shows that coverage of the measles, mumps, and rubella (MMR) vaccine for children reaching their 2nd birthday fell for the fourth successive year. Uptake was 91.2% in England in 2017-18, down from 91.6% in 2016-17 and the lowest level since 2011-12. To read the full article, log in using your NHS OpenAthens details.
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NHS Digital have released the childhood vaccination coverage statistics for 2017-18. Dr David Elliman looks at the possible factors that might be influencing uptake in routine vaccinations.
Today, senior leaders in the NHS published a letter that was sent to all chief executives of NHS trusts highlighting the importance of healthcare workers protecting their patients, colleagues and families by getting vaccinated against flu.
NHS England will again provide free flu vaccinations for social care staff who offer direct patient care this flu season. This year, the free jab will also be extended to include health and care staff in the voluntary managed hospice sector who offer direct patient care.