Legionnaires’ disease alert for Sydney CBD. NSW Health

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Immunisation Weekly Update:

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Register for 2024 Immunisation update event

Join us online for CESPHN’s annual immunisation update presented by NCIRS. This webinar will cover the latest clinical information on RSV (respiratory syncytial virus), influenza, COVID-19, emerging diseases, and more.

  • When: Thursday 14 March 2024
  • Time: 7.00pm to 8.30pm
  • Register

Measles alert

NSW Health is again reminding GPs to be on the alert with several additional infectious measles cases detected in Australia in the past week, including in a person who arrived in Sydney on January 20. Patients could also be exposed to measles if travelling to Brisbane or Melbourne, where other recent cases have been identified.

Measles typically begins with fever, cough, coryza and/or conjunctivitis, followed by a rash a few days later. The maculopapular rash usually starts on the head and progresses to the body and limbs.

Infants not yet vaccinated against measles are most susceptible, but many adults in the 30-60 year age range are also susceptible to measles due to less comprehensive immunisations programs when they were young.

If you suspect measles please:

  • Isolate the patient – if not already in your clinic have them come at the end of the day, or assess them in their car
  • Call the PHU on 1300 066 055 for advice and expediting testing
  • Collect urine & throat swab (viral medium) for PCR

See the measles pathway for full management details: South Eastern Sydney or Sydney HealthPathway.

Excess COVID-19 vaccines?

Any COVID-19 vaccination site with an oversupply of vaccine stock on hand are encouraged to notify CESPHN via the Excess COVID-19 vaccine form. This will help reduce wastage and help facilitate transfer to another site.

Immunisation news: Highlights

In case you missed anything, catch up on all the latest immunisation news:

RSV vaccineRSV vaccine Arexvy approved for use in adults aged 60 years and over against respiratory syncytial virus.
Annual CPR trainingImmunisation nurses and pharmacists are required to obtain a statement of proficiency in cardio-pulmonary resuscitation (CPR) annually.
Measles – second case in NSWThere have been two recent cases of measles in infants, arriving in NSW from overseas.
COVID-19 infections surgeHigh level of COVID-19 transmission in NSW – variants EG.5 and JN.1 appear to be driving most transmission, with JN.1 increasing in prevalence.
Flu vaccine 2024The TGA has accepted the recommended composition of the influenza vaccines for 2024. Advice on when and how to order 2024 NIP influenza vaccines will be circulated in February 2024.
Novavax supply in 2024Novavax is no longer available to order from CVAS with last doses expiring 31 January 2024. A new Novavax XBB.1.5 formulation (Nuvaxovid) is expected to be available in time for the 2024 autumn respiratory season.
NIPVIP program 2024The NIP Vaccinations in Pharmacy (NIPVIP) program commenced on 1 Jan 2024 allowing patients over 5 years of age to access free NIP vaccines in a community pharmacy.
New mandatory AIR fieldsTwo new reporting fields (Vaccine type and Route of administration) will become mandatory from 1 March 2024.


Resources: Immunisation

Access to the most recent information is essential, as immunisation advice is updated regularly:

Following vaccination – what to expect and what to do Dec 2023This resource provides easy-to-read information on common reactions that may occur after vaccinations – updated Dec 2023 to include Vaxelis®.
Whooping Cough Day Nov 2023Whooping Cough Day campaign resources about whooping cough and simple ways that people can remain protected.
Adult vaccinations – NIP Factsheet Nov 2023Consumer factsheet about free adult vaccines available on the NIP.
Adult vaccinations – NIP Brochure Nov 2023Consumer brochure about free adult vaccines available on the NIP.
Shingles – Health professionals’ kit Nov 2023Shingles communication resource kit for health – includes email examples, social media content and talking points for practice staff.
Shield yourself from shingles – Resource collection Nov 2023A collection contains fact sheets, brochures, posters and a health professionals’ kit about shingles vaccinations for eligible people.
NSW Immunisation Schedule Oct 2023The NSW Immunisation Schedule was updated October 2023 to include NIP funded Shingrix®. Order here
Multiple childhood vaccinations Sept 2023NCIRS poster affirming the safety of children receiving more than one vaccine at the same time. Order here
Childhood injection sites poster June 2023Poster for vaccination providers – illustrates recommended sites for childhood vaccinations in NSW. Order here

Resources: COVID-19

COVID-19 vaccination advice is updated regularly, links to the most up-to-date information are listed below:

COVID-19 provider resources collection Jan 2024Clinical guidance and other COVID-19 vaccine resources provided by ATAGI for immunisaion providers.
COVID-19 recommended doses Dec 2023Flowchart outlines ATAGI recommended doses by age and risk factors.  
COVID-19 comparison poster Dec 2023Poster outlines key differences between each COVID-19 vaccine available in Australia.  
VAE reporting form Dec 2023This form is to help vaccine providers report a vaccine administration error (VAE) under the COVID-19 Vaccination Program.
CCB reporting form Dec 2023This form is to help vaccine providers report a potential cold chain breach under the COVID-19 vaccination program.
COVID-19 handbook chapter Nov 2023Chapter for COVID-19 in the Australian Immunisation Handbook was updated 27 Nov 2023 to include the new XBB.1.5 vaccine.
AIR042A COVID-19 report Oct 2023eLearning module and Simulation video for Health Professionals on accessing the AIR042A COVID-19 vaccination report feature from AIR.
COVID-19 Vaccine Reference Guide Oct 2023This guide contains information on storage, handling and administration of COVID-19 vaccines.
COVID-19 Vaccination Training Program (CVTP) Oct 2023This document contains all 18 modules of the former CVTP and their associated resources.