14.02.2018 Views

2017 HCHB_digital

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

CONTINUING OTC EDUCATION<br />

Immunisation<br />

The New Zealand Ministry of Health recommends annual vaccination against influenza. The<br />

following groups are eligible for free influenza vaccination (through a doctor) in <strong>2017</strong> with<br />

Influvac:<br />

••<br />

anyone aged 65 years or over<br />

••<br />

anyone aged less than 65 years with:<br />

»»<br />

cardiovascular disease (ischaemic heart disease, congestive heart failure, rheumatic heart<br />

disease, congenital heart disease and cerebrovascular disease)<br />

»»<br />

chronic respiratory disease (asthma if on regular preventive therapy; other chronic<br />

respiratory disease with impaired lung function)<br />

»»<br />

diabetes<br />

»»<br />

chronic renal disease<br />

»»<br />

any type of cancer, excluding basal and squamous skin cancers if not invasive<br />

»»<br />

other conditions (autoimmune disease, haemaglo binopathies, immune suppression, HIV,<br />

neuromuscular and central nervous system disease, transplant recipients, children on longterm<br />

aspirin)<br />

••<br />

pregnant women<br />

••<br />

children aged four or less who have been hospitalised for a respiratory illness or have a history<br />

of significant respiratory illness.<br />

The <strong>2017</strong> influenza vaccine varies from the 2016 vaccine and provides protection against the<br />

following three virus strains:<br />

••<br />

A/Michigan/45/2015 (H1N1)-like virus (new strain)<br />

••<br />

A/Hong Kong/4801/2014 (H3N2)-like virus<br />

••<br />

B/Brisbane/60/2008-like virus.<br />

Quadrivalent vaccines contain an additional B virus (B/Phuket/3073/2013-like strain).<br />

Pharmacists who have qualified as an authorised vaccinator are able to give privately purchased<br />

influenza immunisations within a community pharmacy setting to individuals aged 13 and older.<br />

Some pharmacists may also be able to vaccinate adults who meet specified eligibility criteria for<br />

funded influenza vaccination.<br />

Useful websites<br />

••<br />

Immunisation Advisory Centre (IMAC) – www.immune.org.nz<br />

»»<br />

Provides independent, factual information about vaccine-preventable diseases and the<br />

benefits and risks of immunisation.<br />

••<br />

National Influenza Specialists Group (NISG) – influenza.org.nz<br />

»»<br />

Not-for-profit group of expert New Zealand doctors, nurses, and pharmacists whose aim is<br />

to promote the benefits of immunisation for those most at risk.<br />

Refer to<br />

PHARMACIST<br />

The following questions aim to identify customers who would<br />

benefit from further input from a pharmacist. Your initial assessment<br />

may have already provided some answers. Decide if any further<br />

questions still need to be asked and refer any “yes” answers to a<br />

pharmacist.<br />

• Does the person have any other health conditions (eg, heart or<br />

lung problems, immunosuppression, diabetes, is pregnant or<br />

breastfeeding)?<br />

• Does the person take any other medication, either prescribed by a<br />

doctor or bought from a shop or supermarket (including herbal/<br />

complementary medications)?<br />

• Is the person under 12 years or elderly?<br />

• Does the person have a fever, rash or a stiff or sore neck (see<br />

Childhood Diseases and Immunisation: Meningococcal<br />

disease).<br />

• Does the person have a high fever that doesn’t reduce?<br />

• Does the person have chills or severe shaking, or a purple or bluish<br />

discolouration of their lips, skin, fingers or toes?<br />

• Does the person have difficulty breathing?<br />

• Does the person appear confused or is their mental functioning<br />

impaired?<br />

• Does the person also have vomiting or diarrhoea?<br />

• Is the person having trouble eating or drinking?<br />

• Have the symptoms continued to get worse or persisted for longer<br />

than a week?<br />

• Does the person have a productive cough?<br />

• Has the person recently travelled overseas?<br />

• Is the person particularly unwell, eg, unable to get out of bed?<br />

• Does the person have any allergies to medicines?<br />

To complete the work book assessment<br />

visit pharmacytoday.co.nz<br />

WIN<br />

ONE OF SEVEN<br />

$500<br />

CASH PRIZES<br />

Page 97

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!