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