Module 6 – Rotavirus vaccine AEFI monitoring ppt, 578kb
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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