Seasonal influenza vaccination programme country profile: Ireland

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1 Sesonl influenz vccintion progrmme country profile: Irelnd Seson Bckground informtion Influenz immunistion policy nd generl fcts bout Irelnd Volume indices of GDP per cpit in 2011 nd 2013 (EU- 28=100) Source: Eurostt Helth costs s % of GDP 2011 Source: Eurostt b Totl popultion of the country, 2011 Source: Eurostt c Popultion 65, 2011 Source: Eurostt c Popultion with chronic medicl conditions <65 yers, 2006 Source: ECDC (bsed on methodology by Fleming nd Eliot, 2006) d Number of live births in 2011 e % (11.6% from the totl popultion) (8.3% from the totl popultion) (1.6% from the totl popultion) Ntionl sesonl influenz recommendtions (e.g. ge nd trget group recommendtions nd guidelines) URL link to Immunistion Guidelines for Irelnd Ntionl Action Pln (NAP) s requested by EC URL link to NAP Recommendtions vilble lines/immunistionguidelines.html Adopted EUROSTAT links: GDP per cpit 2013 (ccessed ): b Helth expenditures 2011(ccessed ): c Totl popultion nd those > 65 yers of ge 2011(ccessed ): d Popultion with chronic medicl conditions 2006: on.pdf (Fleming, D.M. nd A.J. Elliot, Estimting the risk popultion in reltion to influenz vccintion policy My 15; 24(20): ) e Number of live births in 2011(ccessed ): 1

2 Sesonl influenz vccintion recommendtions nd pyment mechnism for vccintion Overll popultion Vccintion recommendtions (popultion groups trgeted by vccintion) Helthy children nd dolescents Older popultion groups: 50 yers of ge Chronic medicl conditions No recommendtion No recommendtion : - Pulmonry diseses, - Neurologic diseses, - Crdiovsculr diseses, - Renl diseses, - Heptic diseses, - Hemtologicl disorders, - Metbolic disorders, - Immunosuppressed individuls, - HIV/AIDS, - Morbid obesity, - Long-term spirin use (children <15 yers). Pregnncy-relted vccintion (including post-prtum women) : - For ll pregnnt women t ny stge during pregnncy. Postprtum women if not vccinted during pregnncy recommended only for those with chronic medicl condition. Helthcre workers Other occuptionl groups Popultion groups in closed communities : - For ll helthcre workers : - For those working in veterinry services; - Poultry nd swine industry workers; - For fmilies rising swine, poultry or geese; - Abttoir nd zoo workers. : - For residents of long- term cre fcilities; No recommendtion: - For prisoners; - For children in dy cre centres Household contcts or crer of: No recommendtion: - Infnts <6 months of ge; - Immunosuppressed individuls; - Individuls with chronic medicl conditions; - 65 yers of ge. NITAG recommends vccine for those 50 yers but the ntionl influenz progrmme specifies 65 yers, ntionlly. 2

3 Pyment mechnism for vccine nd its dministrtion for the popultion groups trgeted by sesonl influenz vccine For vccine Overll popultion n n Helthy children nd dolescents n n Older popultion groups ( 50; 65 yers of ge) ; For those ged yers without helth risk or employment recommendtion the individul must py for vccine Chronic medicl conditions groups (by group) Pregnncy-relted vccintion (including postprtum women) Helthcre workers (including stff of long-sty cre fcilities) Other occuptionl groups Popultion groups in closed communities Household contcts or cre givers n: Not pplicble No co-pyment for vccine nd vccine dministrtion. Service Executive) Service Executive) Service Executive) Service Executive) Service Executive) For dministrtion ; For those ged yers without helth risk or employment recommendtion the individul must py for vccine dministrtion Ntionl helth service(helth Out of pocket Ntionl insurnce scheme: helth contributions re pid to the insurnce fund nd then for this contribution there is pckge of services received. It is not by defult tht you receive the services if you do not py the insurnce contributions. Ntionl helth service: txes re pid by citizen or resident of the country nd this person is covered by the helth service. Out of pocket: not reimbursed, pid by receiver of vccine. 3

4 Vccintion coverge (%) Vccintion coverge rtes Vccintion coverge (%) in popultion groups trgeted by sesonl influenz vccintion the from to the influenz seson by method of dt collection (dministrtive nd /or survey) Popultion group Influenz seson Admin. Surv. Admin. Surv. Admin. Surv. Admin. Surv. Admin. Surv. Overll popultion n n n n n n n n n n Children/dolescents n n n n n n n n n n Older popultion groups: 65 yers of ge Chronic medicl conditions groups (ged 18-64yers) 70.1 NA NA 56.3 NA NA NA NA 28.9 NA NA NA NA NA 28.4 Pregnnt women NA NA NA NA NA 22 Helthcre workers NA NA NA 26.5 NA NA 18 NA NA 28 Stff in long-sty cre NA 15 NA fcilities b Residents in long sty cre fcilities b n: Not pplicble NA: Not vilble NA 73 NA VENICE strted to collect vccintion coverge dt for pregnnt women fter the A(H1N1)pdm09 ( influenz seson). b VENICE strted to collect vccintion coverge dt for stff nd residents in long-sty cre fcilities for the influenz seson Figure 1. Sesonl influenz vccintion coverge mong those 65 yers of ge from the to the influenz seson Influenz seson Irelnd EU trget (75%) 4

5 Vccintion coverge (%) Vccintion coverge (%) Vccintion coverge (%) Figure 2. Sesonl influenz vccintion coverge mong those with chronic medicl conditions in the nd the influenz sesons Influenz seson Irelnd EU trget (75%) Figure 3. Sesonl influenz vccintion coverge mong pregnnt women in the influenz seson Influenz seson Note: VENICE strted to collect vccintion coverge dt for pregnnt women fter the A(H1N1)pdm09 ( influenz seson). Figure 4. Sesonl influenz vccintion coverge mong helthcre workers in the , nd the influenz sesons Influenz seson 5

6 Vccintion coverge (%) Figure 5. Sesonl influenz vccintion coverge mong residents nd stff of long-sty cre fcilities, nd influenz sesons Residents Stff Note: VENICE strted to collect vccintion coverge dt for stff nd residents in long sty cre fcilities for the influenz seson. Methods to monitor vccintion coverge, sfety nd effectiveness Monitoring of vccintion coverge during the influenz seson Method used to monitor influenz vccintion coverge Combintion of dministrtive nd survey methods used Method used (dministrtive, survey) to monitor vccintion coverge by popultion group Administrtive Adults ged >65 yers old; Helthcre workers; Residents of long term cre institutions. Survey Adults ged >65 yers old; Individuls with medicl/risk conditions; Pregnnt women; Helthcre workers. Detils on dministrtive method used (medicl records vs. immunistion registry; mnul vs. electronic) by popultion group Medicl records Immunistion registry Mnul Electronic Mnul Electronic Helth cre workers; Residents of long term cre institutions; Helth cre workers : some No hospitls/fcilities my hve own system for HCWs /residents- but not t regionl or ntionl level; Adults ged >65 yers old. No Numertor ssessment Phrmceuticl dt Administrtive dt Frequency of numertor ssessment Aggregte collection of number of vccines distributed (ntionl purchser); Pyment/ reimbursement clims For HCWs nd residents in long term cre it ws collected twice during influenz seson in seson; for elderly the dt is requested t monthly intervls from ntionl pyment gency for those entitled to this service. 6

7 Denomintor ssessment by popultion groups nd dt source Popultion group Helth cre workers Residents of long term cre institutions Entire popultion Children nd dolescents Dt source for popultion group Bsed on denomintor dt provided from units providing dt on numertor Bsed on denomintor dt provided from units providing dt on numertor n n Adults Individuls with medicl/risk conditions (clinicl risk groups) Pregnnt women Essentil public sector workers Prisoners Eductionl institutions Other n: Not pplicble Detils for survey method used for the influenz seson Type of the survey Survey mode Smpling strtegy Smple size Household By telephone Non probbility smpling; Quots Scientific studies conducted for vccintion coverge; vccine sfety nd vccine effectiveness Z/Respirtory/Influenz/SesonlInfluenz/Publictions/InfluenzVccintionPublictions/File,4511,en.pdf Dt collected t the ntionl nd t the regionl level Vccine sfety monitoring (dverse events following immunistion AEFV) Dt linkge with immunistion registry Yes No Cse bsed dt including ge, sex nd suspected symptoms should be reported Mndtory Detils collected Sttus of reporting AEFV reported to Helth Products Regultory Authority (HPRA) Monitoring of influenz vccine brek-through infections in vccinted individuls Dt collected There is no such system Dt linkge with immunistion registry Detils collected Brek-through infection is defined s lbortory-confirmed influenz infection >14 dys fter sesonl influenz vccintion in the current seson (i.e. vccine filure). 7

8 Vccine procurement nd delivery Influenz vccine procurement nd delivery, influenz seson Number of doses Purchsed Distributed Used Type of vccine/product Nme Trget groups Used GlxoSmithKline; Snofi Psteur Trivlent inctivted non-djuvnted vccines (TIV) Older dults (e.g. 60/65 yers); Those with medicl condition/s; Pregnnt women; Residents of long sty cre fcilities; Helth Cre Workers; Other occuptionl groups; Other trget group: GSK product ws procured by phrmcies for privte ptients (we re informed) Trivlent inctivted djuvnted vccines (TIV) Trivlent live ttenuted nsl vccine (LAIV) Qudrivlent ttenuted nsl vccine (LAIV) Qudrivlent inctivted non-djuvnted vccine (QIV) Snofi Psteur product procured by ntionl gency; we believe tht GSK (Flurix) ws procured privtely by some phrmcies for privte ptients. Promoting sesonl influenz vccintion Promoting sesonl influenz vccintion during the influenz seson Promotion ctivities with the generl public nd helthcre workers Generl public Source of informtion (if yes) No Yes Yes Yes Yes Popultion over 65 Pregnnt women Chronic medicl conditions Helthcre workers Rdio; TV; Newsppers; Leflets; Posters; Website Rdio; TV; Newsppers; Leflets; Posters; Website Rdio; TV; Newsppers; Leflets; Posters; Website Rdio; TV; Newsppers; Leflets; Posters; Website; Professionl medicl societies; Ntionl medicl publictions 8

9 Use of ntivirl gents for tretment nd chemoprophylxis of influenz Recommendtions vilble Recommendtions nd/or guidelines (policy document) on ntivirl use Use of ntivirl gents for tretment nd chemoprophylxis of influenz during the influenz seson Use of ntivirls for tretment for in-ptients nd out-ptients who re t higher risk of developing influenz complictions For in-ptients who: - hve severe, complicted influenz-like illness (ILI); - hve progressive influenz-like illness; - require hospitlistion due to influenz-like illness. For out-ptients who re t higher risk of developing influenz complictions on the bsis of their ge or underlying medicl conditions: - Children < 2 yers; - Adults ged 65 yers; - Individuls belonging to risk groups. - Women who re pregnnt or postprtum (within 6 weeks fter delivery). - Residents of nursing homes nd other chronic-cre fcilities. - Children < 5 yers; No Recommendtion Use of ntivirls for post-exposure prophylxis For fmily or other close contcts of person t higher risk for influenz complictions who hve not been vccinted with influenz vccine t the time of exposure; For unvccinted helthcre workers with occuptionl exposure nd who did not use personl protective equipment t the time of exposure Use of ntivirls for pre-exposure prophylxis For individuls who re t high risk (e.g. severely immunosuppressed ptients) for influenz-relted complictions who cnnot otherwise be protected during times when high risk for exposure exists Use of ntivirls for control of influenz outbreks For individuls in long-term cre fcilities/cre for immunocompromised individuls if not vccinted or if the circulting influenz strin does not mtch the vccine strins For unvccinted helthcre stff who provide cre to individuls t high risk of developing complictions in long-term cre fcilities/ cre for immunocompromised ptients if not vccinted or if the circulting influenz strin does not mtch the vccine strins For ll helth cre stff regrdless of whether they received n influenz vccintion if the circulting influenz strin does not mtch the vccine strins Prisoners No recommendtion Eductionl institutions Antivirl resistnce surveillnce system Existence of ntivirl resistnce surveillnce system No recommendtion There is n ntivirl resistnce surveillnce system in plce 9

10 Country profiles re bsed on the Sesonl Influenz Vccintion in Europe report produced by the Europen Centre for Disese Prevention nd Control (ECDC) nd the Vccine Europen New Integrted Collbortion Effort III (VENICE III). The dt re from the sesonl influenz vccintion survey for seson in EU/EEA countries. During the vlidtion process in June 2015, minor chnges were introduced in some country profiles. Therefore, dt my be different to those vilble in the report. 10

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