2015 Influenza Immunisation Programme Review

Presentation to the 2nd New Zealand Influenza Symposium

11 November 2015

Diana Murfitt, Senior Advisor, Ministry of Health

2015 Influenza Immunisation Programme

Programme Goals

• Improve influenza immunisation coverage for those:

- at high risk under 65 years (including pregnant women)

- 65 years and over

• Improve healthcare worker influenza immunisation coverage

• Achieve 1.2 million doses distributed annually

2015 Influenza Immunisation Programme

• Two new influenza strains added to the vaccine

- A/Switzerland/9715293/2013 (H3N2)-like virus

- B/Phuket/3073/2013-like virus

- A/California/7/2009 (H1N1)-like virus

• Programme started late on 26 March 2015

• Ministry of Health Communications Strategy included:

- informing the health and government sectors

- advising DHBs/PHOs to:

- consider the impact of H3N2 on their winter planning

- review their vaccinator capacity

New promotional campaign

Influenza Immunisation Programme extensions

…to 31 August

Source: ESR https://surv.esr.cri.nz/virology/influenza_weekly_update.php

…to 11 September

Weekly consultation rates for ILI 2009 - 2015

Source: https://surv.esr.cri.nz/PDF_surveillance/Virology/FluWeekRpt/2015/FluWeekRpt201539.pdf

Total influenza viruses from sentinel surveillance by type/week and the total % positive from the swabs received

Source: https://surv.esr.cri.nz/PDF_surveillance/Virology/FluWeekRpt/2015/FluWeekRpt201539.pdf

Cumulative laboratory-confirmed viruses by DHB from week 1 to week 39, 27 September 2015

Source: https://surv.esr.cri.nz/PDF_surveillance/Virology/FluWeekRpt/2015/FluWeekRpt201539.pdf

Improving immunisation coverage - 2015 total claims and 65+ years (provisional)

Source: Ministry of Health, Sector Services , October 2015

-

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

2012 2013 2014 2015

65+ Elderly

Total Claims

2015 DHB healthcare workers influenza immunisation coverage by occupational group

Source: DHB healthcare worker influenza immunisation coverage data

66%

71%

59%65% 65% 66%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Nurses* Doctors** Midwives*** Allied staff**** Other Employees Total Coverage

DHB healthcare workers influenza immunisation coverage by occupational group 2012 – 2015

Source: DHB healthcare worker influenza immunisation coverage data

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Nurses Doctors Midwives Allied Staff Other employees Total Coverage

2012

2013

2014

2015

DHB healthcare worker influenza immunisation coverage by DHB 2012 -2015

Source: DHB Healthcare worker influenza immunisation coverage data

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012

2013

2014

2015

Influenza vaccine distribution 2008 - 2015

Source: PHARMAC

2016 Planning

• Vaccine strain changes

• Anticipated start date

• Role of pharmacist vaccinators

• Working closely with IMAC on the promotional campaign

• Monthly DHB teleconferences commence at the end of the month