The National Vaccine Plan Update: Recent Activities and Next Steps presentation

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Title: The National Vaccine Plan Update: Recent Activities and Next Steps

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The National Vaccine Plan Update Recent
Activities and Next Steps

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Presentation Outline

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Recommendations from 03/20/07 Interagency Meeting
- 1

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Recommendations from 03/20/07 Interagency Meeting
- 2

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Results of Subsequent Discussion with Assistant
Secretary for Health - 1

Purpose of updated Plan
Engage in a process, with govt and non-govt
stakeholders, to define challenges and
opportunities, and thence goals.
Identify steps to achieve the goals
Process should be deliberate and may require 3 or
more budget cycles
Begin that involvement now to define challenges
and priorities, to lead to goals
Look at diseases for which we do not have
vaccines, and ask why not, as well as look for
opportunities to improve current vaccines (e.g.,
what can adjuvants do?), e.g.,
improved bio-defense vaccines
pandemic preparedness
HIV
TB
Malaria
The updated plan should also include reference to
Vaccine research and development
Financing
Safety
Supply and Distribution

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Results of Subsequent Discussion with Assistant
Secretary for Health - 2

Process should reference the Healthy People (HP)
2020 objectives where possible, as well as the HP
2010 objectives
Plans goals should define funding needs, but not
have available funds or budget define possible
goals

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WHO Global Immunization Vision and Strategy
Goals, 2006-2015

Increase, then sustain coverage
Reduce measles mortality by 2010
Reduce morbidity and mortality in children
Ensure access to vaccines of assured quality
Introduce new vaccines (and offer to all eligible
within 5 years of introduction)
Ensure capacity for surveillance and monitoring
Strengthen systems (integrate with other health
services)
Assure sustainability

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Other Countries Priorities Canadas 2003
National Immunization Strategy Goals

Provide high, achievable and measurable coverage
of publicly funded immunization programs for all
Canadians.
Provide complete coverage of all children with
routine childhood vaccines recommended by the
proposed national immunization committee.
Ensure equitable access to these routinely
recommended vaccines - among jurisdictions and in
special populations - while considering
jurisdictional program implementation
differences.
Promote public and professional acceptance of
recommended programs.
Provide optimal program safety, effectiveness and
acceptance.
Improve coordination and efficiency.
Provide optimal cost-effectiveness and
affordability of programs.
Ensure security of vaccine supplies.
Provide national intervention when required.
alludes to Canadas federal system

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Other Countries Priorities Canadas National
Immunization Strategy Components

Immunization program planning to support
collaborative, national assessment and
prioritization of new vaccines, using common
criteria.
Vaccine safety to optimize the vaccine safety
system, maintain professional and public
confidence in the safety of vaccines, and address
growing anti-immunization concerns
Vaccine procurement to ensure the best value for
vaccines, the long-term security of supply for
vaccines, the quality of supply, and improvements
in accountability.
Immunization registry network to
Enhance national surveillance of immunization
coverage rates
Facilitate transfer of and access to individual
immunization records.
Measure progress towards national immunization
goals and objectives.
Facilitate linkage of surveillance data of
vaccine preventable diseases and
vaccine-associated adverse events (VAAEs).

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Other Countries PrioritiesUK 2002 Strategy for
Combating Infectious Diseases

Extending the use of existing vaccines to larger
numbers of people - in particular influenza
vaccine and pneumococcal vaccine
Continuing to maintain high levels of coverage in
the childhood immunisation programmes
Switching from oral polio immunisation to the
injected form when global progress on polio
eradication is at an appropriate point
Introducing available and soon to be available
vaccines according to epidemiological needs and
cost effectiveness, e.g. varicella vaccine,
pneumococcal conjugate vaccine
Stepping up research and investment to bring
forward new vaccines to prevent large or serious
infectious disease problems, in particular
meningococcal Group B vaccine, a vaccine against
respiratory syncitial virus (one of the commonest
causes of chest infection and hospital admission)
and rotavirus gastroenteritis
Contributing to international research to develop
a vaccine against HIV infection
Establishing a system to track vaccines using new
technologies such as bar-coding
Designing new materials for the public and
parents on vaccines which will be address their
needs for information and will be made as widely
accessible as possible through opportunities such
as the internet.

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Other Countries PrioritiesImmunisation in New
Zealand Strategic Directions 2003 - 2006

implement the National Immunisation Register, as
a critical supporting tool for vaccinators, DHBs
and the NIP and as a basis for further
implementation of electronic collection of Well
Child information over time
achieve a significant reduction in meningococcal
B disease, through introduction of the MeNZB
vaccine in 2004/05 (subject to licensure)
improve access to immunisation services in
primary care and outreach settings to reduce
inequalities in immunisation coverage (and thus
the risk of vaccine-preventable disease),
prioritising equitable coverage for Maori and
Pacific peoples
develop an effective communication and promotion
strategy for immunisation as a key component of
child and adult health.

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Interagency Meeting 06/05/07

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Priorities - 1

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Priorities - 2

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Priorities - 3

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Next Steps -- Priorities

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