Transcript Module 6 – Rotavirus vaccine AEFI monitoring ppt, 578kb

Training for rotavirus vaccine introduction
Module 6
Rotavirus vaccine AEFI
monitoring
Learning objectives
 At the end of the module, the participants will be
able to:
– Identify adverse events following immunization
(AEFIs), including intussusception (IS)
– Explain how to report AEFIs
 Duration
– 15’
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Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
Key issues
1 What is an AEFI?
2 What is intussusception (IS)?
3 How to report an AEFI?
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Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
What is an AEFI?
 At the end AEFI = Adverse event following immunization
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A medical incident
Takes place after an immunization
Causes concern
Is believed to be caused by immunization
 AEFI can be categorized into
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Vaccine reaction
Programme error
Coincidental
Injection reaction
Unknown
Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
What about Intussusception (IS)? (1/2)
 In the past, the first rotavirus vaccines (RotashieldTM)
caused IS, a serious but very rare bowel obstruction
 With the new rotavirus vaccines, there seems to be a very
small increased risk of IS in infants following rotavirus
vaccination
 The increased risk appears to occur mainly in the first 1- 7
days following the first dose of rotavirus vaccine
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Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
Risk of IS against risk of rotavirus
infection
 Whether the new rotavirus vaccine affects the overall
incidence of IS has not yet been established
 The risk of IS after rotavirus vaccination is much lower than
the risk of severe rotavirus disease in unvaccinated
children!
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Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
How to report a AEFI? (1/2)
 Report the identified AEFI through existing AEFI reporting
systems established by national immunization programs
Suspected signs
or symptoms
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Community, district, and
regional levels
Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
National
authorities
How to report an AEFI? (2/2)
 AEFI report should contain
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Client information
Immunization event(s) description
Adverse event(s) description
Relevant medical and treatment
history
– Associated event(s)
– Reporter details
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Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
Key messages
 The current safety profile of rotavirus vaccines is good
 Many infants who get the rotavirus vaccine do not
experience any side effects
 The risk of IS after rotavirus vaccination is much lower
than the risk of severe rotavirus disease in unvaccinated
children
 AEFIs should be reported through the existing AEFI
reporting systems/forms
 Reassure the caretaker- Admit uncertainty, investigate
fully, and keep the community informed
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Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016
End of module
Thank you
for your attention!
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Rotavirus vaccine AEFI monitoring, Module 6 I 24 July 2016