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Information for Health Care Providers


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999 Balmoral Street
Thunder Bay, ON
P7B 6E7
Phone: (807) 625-5900
Toll-Free: (888) 294-6630
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Information for Health Care Providers

*NEW - 2014 Influenza Vaccine Order Form for the Universal Influenza Immunization Program

Click here to download a copy of the influenza vaccine order form.

 

*NEW - Statement on Seasonal Influenza Vaccine for 2014-2015

Click here to read "An Advisory Committee Statement (ACS) National Advisory Committee on Immunization (NACI) - Statement on Seasonal Influenza Vaccine for 2014-2015.

 

2014/2015 Universal Influenza Immunization Program (UIIP)

Information for providers - click here

 

Immunization of School Pupils Act

New vaccines required as of July 1, 2014 - click here for more information on the changes to the ISPA.

 

Measles Update - April 2014

 

Vaccine Cold Chain Incident Exposure/Wastage Report

 

Changes to vaccine ordering process - click here

 

Click on the links below for more information about topics and issues specific to health care professionals:

Immunization of School Pupils Act (ISPA) - changes as of July 1, 2014

Please note that changes to Ontario’s Immunization of School Pupils Act (ISPA) will come into effect on July 1, 2014 and will be applicable for the 2014-2015 school year. The ISPA requires that children and adolescents attending primary or secondary school be immunized against designated diseases, unless they have a valid exemption.

For the 2014-2015 school year:

  • Children and adolescents will require proof of immunization against meningococcal disease, pertussis (whooping cough), and – for children born in 2010 or later – varicella (chickenpox) to attend school. This is in addition to the existing requirements for proof of immunization against tetanus, diphtheria, polio, measles, mumps, and rubella.
  • The number of required doses of tetanus, diphtheria, polio, and mumps vaccines has been updated to align with current clinical guidelines.

Click here for a FACT SHEET.

Click here for a list of FREQUENTLY ASKED QUESTIONS & ANSWERS.

NOTE: All immunization requirements for school attendance align with Ontario’s publicly funded immunization schedule, available by clicking here

Click here for a Medical Exemption Form

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Changes to Vaccine Ordering Process

Due to the overwhelming response to the Universal Influenza Immunization Program (UIIP) and the current uptake for other publicly funded vaccines, changes to  the current practices for vaccine orders will be implemented. 

Effective Friday, October 25, 2013, orders must be placed by 4:30pm on Monday for the following week’s clinics.  Orders can then be picked up  the same week on Thursdays and Fridays between 9:00am and 4:00pm. Please ensure your cooler is pre-conditioned between 2-8 °C in preparation for picking up the vaccine order.  

These changes are required to meet the increased demand and to decrease wait times for all vaccine users. Please fax your order to:

  • (807) 625-4828
  • Attention: Nicole O’Quinn

Thank you for your consideration in this matter. Please direct any questions to Diana Gowanlock, Manager, at 625-5925 or toll-free at 1-888-294-6630, ext. 5925.

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Proof of Immunization Card

Download this file and make copies of cards you can provide to clients as proof of immunization.

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Tdap-IPV replaces DTap-IPV for the 4-6 year booster

Click on the links below for more information:

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Ontario's Publicly Funded Immunization Schedule (2011)

The following resources are available to provide important information to health care providers (e.g. family physicians, family health teams, nurse practitioners, pediatricians, midwives).

Click here to access a Question and Answer fact sheet regarding the Publicly Funded Immunization Schedules for Ontario.

Click here to access a chart outlining the recommended and minimum ages and intervals between vaccine doses of publicly funded routine childhood vaccines.

Click here to access a copy of the new Immunization Schedules.

Click here to access a brochure for parents; Giving Your Child More Than One Vaccine at a Time.

 

Copies of other important documents can be found below:

1. Rotavirus

2. Measles-Mumps-Rubella-Varicella (MMRV)

3. Two dose varicella

4. Adult dose of tetanus-diphtheria-pertussis (Tdap) vaccine

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Statement on Pregnancy and Travel (PHAC)

This document from the Public Health Agency of Canada (PHAC),  as advsied by the Committee to Advise on Tropical Medicine and Travel (CATMAT), outlines the risks to the pregnant traveller and the current recommendations based upon the existing body of literature.

The information is available on the PHAC website.  You can also click here to access the document.

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High Risk Pneumococcal Immunization Program, 2009/2010

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Hepatitis A and B Vaccine

The Ontario Ministry of Health provides publicly funded Hepatitis A  and Hepatitis B  vaccine for eligible individuals.  Physicians can order the publicly funded vaccines by completing the correct order form and fax it to 625- 4828.  Please click here to learn more about ordering vaccines

Click on the links below to access the correct order forms:

The vaccine is only available for the high-risk groups as listed on the order form. Please call 625-8810 or 1-888-294-6630, ext. 8810 with any questions.

You will be required to pick up your vaccine order at the Health Unit (999 Balmoral).

The public can get both vaccines at the Health Unit's weekly appointment-based immunization clinic every Wednesday at 999 Balmoral Street from 1:00-6:00 PM. Click here for more information.

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All serious adverse events associated with vaccination should be reported to the Health Unit at 625-5971 or 1-888-294-6630, ext. 5971.

Click here to access the reporting form.

Local or systemic adverse vaccine reactions may occur after immunizations.

Local reactions usually consist of tenderness, swelling and redness at the injection site. Systemic reactions may include fever, rash, joint or muscle pain, fainting and seizures.

Allergic reactions rarely occur. These reactions may include severe edema, abscess formation, or anaphylaxis.

Parents or guardians should be aware of the possibility of potential reactions occurring after any immunizations. Some may occur immediately and others may be delayed. Fainting immediately after immunizations may be due to apprehension.

Parents and clients are encouraged to inform their physician about any adverse reaction.

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Becoming a Vaccine Provider

Ministry of Health and Long-Term Care funded vaccines are available from the Heatlh Unit at no cost to physicians, hospitals, clinics, correctional centres, colleges and universities.

To become a vaccine provider, please contact the Health Unit at 625-8810 or 1-888-294-6630, ext. 8810.  Facilities must meet certain criteria before they can become a vaccine provider.

Effective Friday, October 25, 2013, orders must be placed by 4:30pm on Monday for the following week’s clinics.  Orders can then be picked up  the same week on Thursdays and Fridays between 9:00am and 4:00pm. Please ensure your cooler is pre-conditioned between 2-8 °C in preparation for picking up the vaccine order.  

These changes are required to meet the increased demand and to decrease wait times for all vaccine users. Please fax your order to:

  • (807) 625-4828
  • Attention: Nicole O’Quinn

Each vaccine order must be accompanied by a temperature log book that includes  readings from the last time an order was placed. Maximum, minimum and current temperatures must be taken twice a day while your office is open. 

Temperatures outside of the range of 2°C  to 8°C , must be reported immediately to the Health Unit by calling 625-8810 or 1-888-294-6630, ext. 8810

For more information, please call 625-8810 or 1-888-294-6630, ext. 8810

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Vaccine Storage and Handling

To ensure the efficacy of vaccines, the cold chain must be maintained.

A copy of the Ontario Ministry of Health and Long-Term Care's Vaccine Storage and Handling Guidelines can be downloaded by clicking here.

The "cold chain" includes all the equipment, materials and procedures used to maintain vaccines in the temperature range of 2°C  to 8°C from the time of manufacture until the vaccine is administered. The vaccine will be compromised if the cold chain is broken, even for short periods of time.

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Vaccine Storage Tips

  • Keep vaccines refrigerated between 2°C  to 8°C
  • Check the current maximum and minimum refrigerator temperature twice daily to ensure that the vaccines you will be using have not been exposed to temperatures below 2°C or above 8°C.
  • Store vaccine on the middle shelf of the refrigerator.  Vaccines stored on the door or in vegetable crispers will be exposed to warm temperatures every time the door is opened. 
  • Check vaccine expiry dates regularly, and only order the amount of each vaccine that you can use in a one month period.
  • Take vaccine out of the refrigerator only when ready to administer.  Put vaccines back in the refrigerator immediately after you have finished using them.
  • Return expired vaccine to the Health Unit for disposal and inventory management.
  • Call the Health Unit immediately at 625-8810 or 1-888-294-6630, ext. 8810 if temperatures have gone below 2°C or above 8°C.  Follow the directions provided by the Health Unit.

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"Immunization: What Parents Want to Know": A Resource for Parents

The Health Unit's booklet "Immunization: What Parents Want to Know" is being revised. The revision was necessary due to changes in the Ontario immunization schedule which came into effect in June of 2011.

The updated booklet is now available. 

To download a copy, please click here.

Copies will be available at the Health Unit's office at 999 Balmoral Street.

Medical offices and other community organizations will be able to order copies in mid-February.

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Last Updated: 10/2/2014

Our other sites: ThunderBayFlu.caFairStart.ca | HealthyThunderBayDistrict.ca