travel to, 116 tuberculosis, 408 typhoid, 416, 418 yellow fever, 114, 439–440, 443 agammaglobulinaemia, vaccination recommendations, 166 aged care facility residents, and influenza vaccination, 255 agricultural staff and students, vaccination recommendations, 172 Agrippal, 247, 470–472 vaccine components, 469–472 AIDS, and zoster vaccination, 450–451 albumin, in vaccines, 469 alcoholism, 13 and influenza vaccination, 254 and pneumococcal disease, 327 and tuberculosis (TB), 408 allergies, 32, 131–133, 480–481. see also egg allergies aluminium hydroxide, in vaccines, 19, 469–470, 484–485 aluminium phosphate, in vaccines, 470, 484–485 Americas cholera, 176 hepatitis B, 118, 209 poliomyelitis, 338 rabies and other lyssaviruses (including <strong>Australian</strong> bat lyssavirus), 354, 361 rubella, 390 tuberculosis, 409 yellow fever, 114, 116, 439, 440 anaesthesia, vaccination recommendations before or after, 168 anal cancer, 233 anaphylaxis, 37, 43, 87–91, 92–93, 131–132 adrenaline use, 89–91 and cholera vaccination, 180 clinical features, 88 contraindications to vaccination, 37 and diphtheria vaccination, 187, 190 and Haemophilus influenzae type b (Hib) vaccination, 196, 197 and hepatitis A vaccination, 206 and hepatitis B vaccination, 227, 230 and human papillomavirus vaccination, 241–242 and immunoglobulin injection, 464 an influenza vaccination, 256–257, 258 and Japanese encephalitis vaccination, 265 and measles vaccination, 275, 279 and meningococcal vaccination, 292 and pertussis vaccination, 312 and pneumococcal vaccination, 334 and poliomyelitis vaccination, 343 response kit, 24 502 <strong>The</strong> <strong>Australian</strong> <strong>Immunisation</strong> <strong>Handbook</strong> <strong>10th</strong> edition and rotavirus vaccination, 379 and rubella vaccination, 392 and tetanus vaccination, 404, 405 and tuberculosis vaccination, 414 and typhoid vaccination, 421 vaccination recommendations, 32 and varicella vaccination, 431 and yellow fever vaccination, 443, 444 and zoster vaccination, 453 animals, persons working with influenza vaccination, 255 Q fever vaccination, 346, 348 vaccination recommendations, 172 anogenital warts, 233–234 anterolateral thigh injection site, 79–80 antibiotics, and typhoid vaccination, 421 antiviral medication, and zoster vaccination, 454 armed forces hepatitis B, 223 typhoid, 420 vaccination recommendations, 171 Asia cholera, 176 diphtheria, 187 hepatitis B, 118, 209, 221 influenza, 245 Japanese encephalitis, 113–114, 119, 259–260, 263–264 measles, 268, 269, 487 meningococcal disease, 284 poliomyelitis, 338 rabies and other lyssaviruses (including <strong>Australian</strong> bat lyssavirus), 345, 361 rubella, 390 tick-borne encephalitis, 121 tuberculosis, 408 typhoid, 122, 416 yellow fever, 439 aspirin therapy and influenza vaccination, 254 and measles vaccination, 278 and varicella vaccination, 433, 438 and zoster vaccination, 454 asplenia, persons with, 10 Haemophilus influenzae type b (Hib) vaccination, 195–196, 197 meningococcal vaccination, 52, 136, 137, 153, 283, 290, 291, 294 and pneumococcal disease, 317, 326–327, 332 vaccination recommendations, 35, 62, 161–164, 163–164 <strong>Australian</strong> bat lyssavirus (ABLV), 353, 354. see also rabies and other lyssaviruses (including <strong>Australian</strong> bat lyssavirus)
<strong>Australian</strong> Capital Territory adverse events following immunisation (AEFI) notification, 95, 96 age of consent, 26 <strong>Australian</strong> Red Cross Blood Service, 457 government health authority and communicable disease control contact details, 465–466 pneumococcal vaccination, 52, 56 <strong>Australian</strong> Childhood <strong>Immunisation</strong> Register (ACIR), 39, 89–99, 174, 268, 465 <strong>Australian</strong> Government Department of Health and Ageing, 4, 22, 122, 129, 442, 465, 488 <strong>Australian</strong> Government Department of Immigration and Citizenship (DIAC), information about refugee immunisation, 173 <strong>Australian</strong> Influenza Vaccine Committee, 248 <strong>Australian</strong> Q Fever Register, 102, 349 <strong>Australian</strong> Red Cross Blood Service, 457 <strong>Australian</strong> Technical Advisory Group on <strong>Immunisation</strong>, xi–xii, 1, 3 autism, 94, 280, 483 autoimmune conditions, vaccination recommendations, 165 Avaxim, 199 lower age limits for, 127 recommended doses and schedules, 125, 202 vaccine components, 469–471 B BabyBIG, 461 bacille Calmette-Guérin vaccine. see BCG vaccine bats. see animals, persons working with BCG (bacille Calmette-Guérin vaccine) vaccine, 16, 37, 67, 409–410 adverse events following immunisation (AEFI), 414 contraindications to vaccination, 413 dosage and administration, 410–411 and HIV-infected persons, 159 and immunocompromised persons, 147–148 for Indigenous neonates, 104, 105, 106 precautions, 414 and pregnancy, 139, 142, 413 recipients of, further vaccination recommendations, 32 route of vaccine administration, 68–69, 72 and subsequent live vaccines, 33, 271, 276, 298, 300, 376, 388, 393 transport, storage and handling, 410 and travellers, 121 vaccination procedures, 411 vaccination recommendations, 412–413 variations from product information, 414 bleeding disorders, vaccination recommendations, 35, 168 blood product recipients, 33, 166–167 hepatitis B, 222–223 measles, 276–277 rotavirus, 381 rubella, 393–394 varicella, 432–433 zoster, 454 body-piercers. see skin penetration procedures bone marrow malignancies, and tuberculosis vaccination, 413 Boostrix, 185, 306, 400 doses and route of administration, 123 vaccine components, 470 variations from product information, 189, 190, 315–316, 406–407 Boostrix-IPV, 185, 307, 341, 400 doses and route of administration, 123 variations from product information, 189, 190, 315–316, 344, 407 borax, in vaccines, 470 Bordetella parapertussis, 302. see also pertussis Bordetella pertussis, 302, 398. see also pertussis botulism antitoxin, 461 availability, 457 brachial neuritis, 93, 489 and diphtheria vaccination, 187–188 and pertussis vaccination, 313 and tetanus vaccination, 405 breast cancer patients, injection sites, 74 breastfeeding and cholera vaccination, 180 and diphtheria vaccination, 187 and Haemophilus influenzae type b (Hib) vaccination, 196 and hepatitis A vaccination, 206 and human papillomavirus (HPV) vaccination, 240 and influenza vaccination, 256 and Japanese encephalitis vaccination, 264–265 and measles vaccination, 275 and meningococcal vaccination, 291–292 and mumps vaccination, 300 and pertussis vaccination, 310–311 and pneumococcal vaccination, 334 and Q fever vaccination, 350–351 and rabies vaccination, 370 and rotavirus vaccination, 379 and rubella vaccination, 391–392 and tetanus vaccination, 402 and tuberculosis vaccination, 413 vaccination recommendations, 142–143 and varicella vaccination, 430–431 and yellow fever vaccination, 443 and zoster vaccination, 453 INDEX 503 INDEX
- Page 1 and 2:
The Australian Immunisation Handboo
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FOREWORD Since 1932, when Governmen
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TABLE OF CONTENTS PART 1 INTRODUCTI
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LIST OF TABLES Table 2.1.1: Pre-vac
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List 4.13.1: Conditions associated
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PREFACE The 10th edition of The Aus
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Secretariat support, Australian Tec
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PART 1 INTRODUCTION TO THE AUSTRALI
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1.2 DEVELOPMENT OF THE 10TH EDITION
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1.3 HOW TO USE THE 10TH EDITION HAN
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1.4 WHAT’S NEW All chapters have
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2.2 Administration of vaccines •
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• The section on vaccination of p
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4.6 Human papillomavirus • HPV va
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• For Aboriginal and Torres Strai
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Part 5 Passive immunisation • Inf
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without the harmful consequences of
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(vaccine failure). Often such infec
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will occur following receipt of a s
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cases, both the doctor issuing the
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Should a child or adolescent refuse
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• check that the correct time int
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Note: Please discuss this informati
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Condition or circumstance of person
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Condition or circumstance of person
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Table 2.1.3: Live attenuated parent
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An online ‘catch-up calculator’
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Use of serological testing to guide
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• For some vaccines, catch-up vac
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Figure 2.1.1: Catch-up worksheet fo
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Vaccine Minimum age for 1st dose in
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Table 2.1.6: Number of vaccine dose
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Catch-up guidelines for individual
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If 13vPCV is not available, and 10v
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Previous vaccination history 2 prev
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PART 2 VACCINATION PROCEDURES 57 Ta
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PART 2 VACCINATION PROCEDURES 59 Ta
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Catch-up schedules for persons ≥1
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For additional details on these rec
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2.2 ADMINISTRATION OF VACCINES 2.2.
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• Never freeze a vaccine after it
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PART 2 VACCINATION PROCEDURES 69 In
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2.2.5 Vaccine injection techniques
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Interruption to a vaccination If th
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2.2.7 Positioning for vaccination I
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Children ≥12 months of age Cuddle
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2.2.8 Identifying the injection sit
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• Place the palm over the greater
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2.2.9 Administering multiple vaccin
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2.3 POST-VACCINATION 2.3.1 Immediat
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Management of an immediate adverse
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Management of anaphylaxis Rapid IM
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Autoinjectors are generally not app
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Australia. 16 This vaccine is no lo
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Any serious or unexpected adverse e
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Consumers and immunisation service
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When relevant, immunisation service
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National Human Papillomavirus Vacci
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Immunisation service providers enro
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PART 3 VACCINATION FOR SPECIAL RISK
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Thus, a vaccine to prevent Hib dise
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3.1.2 Adults Hepatitis B Indigenous
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een low in younger Indigenous adult
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3.2 VACCINATION FOR INTERNATIONAL T
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• vaccination history (including
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departure to allow for the period w
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Selected vaccines based on travel i
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Tick-borne encephalitis Tick-borne
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PART 3 VACCINATION FOR SPECIAL RISK
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PART 3 VACCINATION FOR SPECIAL RISK
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3.2.5 Vaccinating the traveller wit
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• Travel health and quarantine se
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whether the AEFI is likely to recur
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(see Appendix 1 Contact details for
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PART 3 VACCINATION FOR SPECIAL RISK
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PART 3 VACCINATION FOR SPECIAL RISK
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PART 3 VACCINATION FOR SPECIAL RISK
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PART 3 VACCINATION FOR SPECIAL RISK
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avoided, except in situations where
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3.3.3 Vaccination of immunocompromi
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Use of live viral or live bacterial
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Influenza vaccination is recommende
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PART 3 VACCINATION FOR SPECIAL RISK
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PART 3 VACCINATION FOR SPECIAL RISK
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Haematopoietic stem cell transplant
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Vaccine Months after HSCT Comments
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depending on the number of vaccines
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Persons with functional or anatomic
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Table 3.3.5: Recommendations for va
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Persons with autoimmune diseases an
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Table 3.3.6: Recommended intervals
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3.3.7 Vaccination of persons at occ
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Occupation Vaccine Providers of hom
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against certain vaccine-preventable
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3.3.11 Vaccination of persons who i
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waters. All cases of cholera report
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Children aged 2-6 years Three doses
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4.1.11 Adverse events The inactivat
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4.2.4 Vaccines Diphtheria toxoid is
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• Adacel - Sanofi Pasteur Pty Ltd
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antibodies at an age when waning of
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children aged
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4.3 HAEMOPHILUS INFLUENZAE TYPE B 4
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• Hiberix - GlaxoSmithKline (PRP-
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4.3.7 Recommendations Infants A Hib
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4.3.11 Public health management of
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In recent years, hepatitis A notifi
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Inactivated hepatitis A vaccines ar
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Co-administration with other vaccin
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Recommendations for the use of comb
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4.4.10 Adverse events The most comm
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4.5.3 Epidemiology The prevalence o
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4.5.4 Vaccines Monovalent hepatitis
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For older children and young adults
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Vaccine Age of vaccine recipient Do
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Combination hepatitis A/hepatitis B
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Management of infants born to mothe
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Household or other close (household
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with occult hepatitis B infection.
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immune memory persists and is thoug
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to suggest that a higher proportion
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Table 4.5.3: Post-exposure prophyla
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4.6 HUMAN PAPILLOMAVIRUS 4.6.1 Viro
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women. The prevalence of high-risk
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• Gardasil - CSL Limited/Merck &
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If scheduled doses have been missed
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However, some adult males may gain
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4.6.9 Contraindications The only ab
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4.7 INFLUENZA 4.7.1 Virology The in
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Figure 4.7.1: Influenza notificatio
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Always check annual seasonal influe
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7.5 µg of viral haemagglutinin (in
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Table 4.7.1: Recommended doses of i
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• Chronic respiratory conditions,
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Residents of residential aged care
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influenza vaccine prior to administ
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4.8 JAPANESE ENCEPHALITIS 4.8.1 Vir
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28 days following vaccination with
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When using JEspect in children aged
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4.8.8 Pregnancy and breastfeeding I
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4.9 MEASLES 4.9.1 Virology Measles
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4.9.4 Vaccines Monovalent measles v
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4.9.6 Dosage and administration The
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Table 4.9.1: Recommendations for me
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increase in adverse events from vac
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Immunoglobulin or blood product adm
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approximately 5%. 2,25 There is als
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Table 4.9.2: Post-exposure prophyla
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4.10 MENINGOCOCCAL DISEASE 4.10.1 B
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4.10.4 Vaccines There are different
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Polysaccharide vaccines Quadrivalen
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Interchangeability of meningococcal
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• Children (aged ≥9 months) and
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Appendix 1 Contact details for Aust
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4.11 MUMPS 4.11.1 Virology Mumps is
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Trivalent measles-mumps-rubella (MM
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4.11.7 Recommendations Infants aged
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Vaccination with other live attenua
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acquired from healthcare workers. 1
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demonstrated a more rapid decline,
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• Boostrix-IPV - GlaxoSmithKline
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in the previous 10 years. 19,45 Adu
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(see ‘Women who are planning preg
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an HHE. An HHE may last from a few
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The product information for Quadrac
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4.13 PNEUMOCOCCAL DISEASE 4.13.1 Ba
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non-Indigenous children (88%). 19,2
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10-valent pneumococcal conjugate va
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lesser antibody responses to 2nd or
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Table 4.13.1: Recommendations for p
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Category B: Conditions associated w
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Children aged >5 years to 15 years)
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Non-Indigenous adults A single dose
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Adults who have a condition listed
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4.13.11 Adverse events 10-valent pn
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5 years with a condition(s) associa
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virtually eradicated in India, but
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formaldehyde, glutaraldehyde, polys
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4.14.8 Pregnancy and breastfeeding
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4.15 Q FEVER 4.15.1 Bacteriology Q
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4.15.4 Vaccine • Q-Vax - CSL Limi
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individuals, which can be accessed
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Refer to 3.3 Groups with special va
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4.16 RABIES AND OTHER LYSSAVIRUSES
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4.16.4 Rabies vaccines • Mérieux
- Page 371 and 372:
of an even more accelerated schedul
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Pre-exposure prophylaxis for rabies
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The relevant state/territory health
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Although data are limited on the ef
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Table 4.16.2: Post-exposure prophyl
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Figure 4.16.2: Post-exposure prophy
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Figure 4.16.3: Booster algorithm fo
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allergic reaction occurs following
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age group11,12 and affecting 3.8% o
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of age, the risk of IS was increase
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Interchangeability of rotavirus vac
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gestational age; median 34 weeks) w
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Infants living in households with p
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4.17.12 Variations from product inf
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2003, rubella notifications in Aust
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zoster virus [Oka strain]). Lyophil
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children
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A number of commercial assays for t
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Germany indicates that no case of v
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case. Seronegative women of child-b
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4.19 TETANUS 4.19.1 Bacteriology Te
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Formulations for children aged
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4.19.5 Transport, storage and handl
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foreign bodies (especially wood spl
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studies indicate that the adverse r
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The product information for Adacel
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of MDR-TB cases identified has incr
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BCG vaccination procedures BCG vacc
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Occupational groups There is some e
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4.20.13 Variations from product inf
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In developed countries, typhoid fev
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A 4th capsule taken on day 7 has be
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4.21.8 Pregnancy and breastfeeding
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4.22 VARICELLA 4.22.1 Virology Vari
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as a case of wild-type varicella oc
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Reconstituted Varivax Refrigerated
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adequate protection from varicella.
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eceived varicella vaccine while bre
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immunoglobulin and other blood prod
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eported in a 9-year follow-up of 70
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high-dose intravenous NHIG are like
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4.23 YELLOW FEVER 4.23.1 Virology Y
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Co-administration with other vaccin
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4.23.8 Pregnancy and breastfeeding
- Page 459 and 460:
Vaccine-associated neurotropic adve
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1000 cases per 100 000 population i
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administration of Zostavax with 23-
- Page 465 and 466: diagnosis. In addition, the risk of
- Page 467 and 468: Laboratory testing to check for an
- Page 469 and 470: 4.24.12 Variations from product inf
- Page 471 and 472: the immunoglobulin preparations con
- Page 473 and 474: Prevention of measles Measles vacci
- Page 475 and 476: who are being treated with immunosu
- Page 477 and 478: limb with a separate syringe, and a
- Page 479 and 480: APPENDIX 1: CONTACT DETAILS FOR AUS
- Page 481 and 482: APPENDIX 2: LITERATURE SEARCH STRAT
- Page 483 and 484: APPENDIX 3: COMPONENTS OF VACCINES
- Page 485 and 486: Vaccine component* Vaccine brand
- Page 487 and 488: APPENDIX 4: COMMONLY ASKED QUESTION
- Page 489 and 490: When should preterm infants be vacc
- Page 491 and 492: If a parent decides not to have a c
- Page 493 and 494: Should vaccines be given to persons
- Page 495 and 496: eason not to vaccinate. Asthma, ecz
- Page 497 and 498: Does MMR vaccine cause inflammatory
- Page 499 and 500: (either alone or in combination) fo
- Page 501 and 502: A4.5 Questions about the need for i
- Page 503 and 504: APPENDIX 5: GLOSSARY OF TECHNICAL T
- Page 505 and 506: Enzootic enzootic infections are pr
- Page 507 and 508: Rotavirus a virus that is a common
- Page 509 and 510: APPENDIX 6: COMMONLY USED ABBREVIAT
- Page 511 and 512: OPV oral poliomyelitis vaccine PCEC
- Page 513 and 514: Year Vaccine 2003 Varicella 2003 Me
- Page 515: identifying the injection site, 79-
- Page 519 and 520: and travellers, 119 vaccines, 177-1
- Page 521 and 522: abies and other lyssaviruses (inclu
- Page 523 and 524: HPV Vaccination Program, 234 human
- Page 525 and 526: interferon-gamma release assays (IG
- Page 527 and 528: mercury, in vaccines. see thiomersa
- Page 529 and 530: Northern Territory ACIR reporting,
- Page 531 and 532: and Haemophilus influenzae type b (
- Page 533 and 534: espiratory syncytial virus monoclon
- Page 535 and 536: Therapeutic Goods Administration (T
- Page 537 and 538: varicella-zoster immunoglobulin, 45
- Page 539 and 540: INDEX 525 INDEX