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Immunisation Weekly Update:

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NIP flu vaccine orders open

Ordering of NIP flu vaccines is now open via the State Vaccine Centre. Approximate delivery time from ordering is 2-3 business days in metropolitan areas.

Key points to consider when placing subsequent orders:

  • Consider how many vaccines your practice and/or pharmacy can feasibly administer each week.
  • Aim to order 2 weeks’ worth of stock, around 2 orders per month (however there is no limit on number of orders).
  • Only order a maximum of4 weeks’ worth of stock.
  • Keep in mind that demand will decrease after the first 4-6 weeks of the flu vaccine program.
  • Avoid over stocking flu vaccines which may lead to wastage, in the event of cold chain breach or decline in demand.

Please see the NSW Health 2025 Influenza Vaccination Provider Toolkit which has useful information for the roll-out influenza vaccination program in 2025.

National measles warning

Letter from the Chief Medical Officer

Following a record number of confirmed measles cases across Australia, the Chief Medical Officer (CMO) has written a letter to healthcare professionals highlighting concerns in unvaccinated and under-vaccinated adults aged 20 to 49 years. 

As of 15 April 2025, there have been 58 cases of measles reported – more cases than in the whole year of 2024. New South Wales accounts for the highest number of cases (20).

The letter highlights key recommendations for immunisation providers, including catch-up vaccination advice and the importance of discussing measles protection with patients.

Further CMO messaging to providers

I encourage providers to assist patients in checking what vaccines have been received in the past 30 years. It is particularly important to check vaccination status before travelling to areas experiencing a measles outbreak. While this information may be available on a patient’s Australian Immunisation Register (AIR) record, historical vaccination data may be limited. This is because the AIR only records vaccines from 1996 onwards and mandatory reporting requirements came into effect in 2021. Individuals can check their Immunisation History Statement for any vaccinations they have received that have been reported to the AIR, by using their Medicare online account, through myGov or the Express Plus Medicare mobile app.

To help determine whether adults should receive a catch-up vaccine, NCIRS has prepared a guide for immunisation providers.

Additional clinical guidance on measles is available in the Australian Immunisation Handbook chapter on measles.

Again, thank you for your assistance in preventing the spread of measles, and in safeguarding the health of our communities.

Warm regards
Tony

Catch-up measles vaccinations

Catch-up measles vaccinations are available for free under the National Immunisation Program for:

  • eligible people up to 20 years
  • humanitarian entrants or refugees of any age

NSW Health also fund measles-containing vaccine for specific cohorts:

  • children aged 6 months to less than 12 months travelling to a country where measles is endemic or outbreaks are occurring
  • adults born during or after 1966

Measles QI activity

Conduct a measles quality improvement activity to recall patients who are not up to date with their measles vaccination. Book a QI session with a PHN support staff, or follow MMR QI guidelines.

Vaccination coverage rates against measles

Australia’s national aspirational vaccination coverage target is 95% – this target provides enough herd immunity to stop the spread of measles and other vaccine-preventable diseases. 

Measles, mumps and rubella (MMR) vaccine is recommended to be given to children at two years old. MMR vaccination coverage data shows that none of the 31 PHNs across Australia have met the aspirational target of 95% for herd immunity.  CESPHN’s two-year-old MMR coverage rate is 92.05%.

Childhood measle QI activity

Register your practice to participate in our Immunisation QI Activity: AIR Overdue Childhood Immunisations to follow up children who are overdue for their measles vaccinations.

Measles alert for Inner West Sydney

On 17 April, NSW Health is advised people to be alert for signs and symptoms of measles after being notified of a confirmed case who was infectious while visiting several locations in Inner West Sydney.

The case recently returned from South East Asia were there are ongoing outbreaks of measles in several countries including Thailand, Vietnam and Indonesia.

People who attended the affected locations should watch for the development of symptoms. These locations do not pose an ongoing risk.