for the Coronavirus Disease 2019 (COVID-19) Vaccination ...

1 doctors Guide for the Coronavirus Disease 2019 (COVID-19) Vaccination Programme at Clinics under the Vaccination Subsidy Scheme (VSS) Produced and Published by Programme Management and Vaccination Division Emergency Response and Programme management Branch Centre for Health Protection Department of Health The Government of hong kong Special Administrative Region Always make sure that you have the latest version on the designated COVID-19 vaccine website h Version Date of Revision 19 25 March 2022 Disclaimer This doctors Guide provides guidance for Coronavirus Disease (COVID-19)

2 Vaccination Programme at Clinics under the Vaccination Subsidy Scheme (VSS). This doctors Guide is provided as a living document which will be updated from time to time according to the latest development. Please always make sure that you have the latest version on the designated COVID-19 vaccine website h We welcome doctors questions, comments or feedback on this Guide so that we can improve on it. If you have any comment or question, please sent to VSS Team, Programme Management and Vaccination Division Centre for Health Protection Department of Health Address: 3/F, Two Harbourfront, 18-22 Tak Fung Street, Hung Hom, Kowloon Fax: 2713 9576 Email: Telephone: 2125 2299 doctors Guide for the COVID-19 Vaccination Programme at Clinics under VSS 3 Contents 1 Introduction.

3 5 2 Vaccine, target groups and reimbursement level .. 6 Vaccines covered .. 6 Target groups .. 9 Reimbursement level .. 10 3 Responsibilities of doctors .. 11 Requirement for doctors .. 11 Medical equipment and consumables .. 11 4 Vaccine ordering, delivery and storage .. 13 Vaccine ordering .. 13 Vaccine delivery .. 13 Vaccine storage .. 14 Cold chain management .. 15 Management of surplus/ expired vaccines .. 16 Broken vaccines .. 17 Defective vaccines .. 17 5 Infection control practice.

4 18 Infection control practice in healthcare setting .. 18 Hand hygiene .. 19 Safe injection practices and sharps handling .. 22 Preventing COVID-19 Vaccine-strain Environmental Contamination .. 23 6 Vaccination procedures .. 24 Flow chart of Vaccination (before Vaccination ) .. 24 Flow chart of Vaccination (after Vaccination ) .. 25 Appointment booking .. 26 Information provision, screening for contraindications, checking identity and target group, and obtaining informed consent .. 26 Vaccination .. 37 Administration by the Intramuscular (IM) Route.

5 38 Documentation .. 40 Observation .. 41 Emergency management .. 42 Vaccination arrangement for persons recovered from previous COVID-19 infection .. 43 Documentary proof for assessing clients with prior COVID-19 infection .. 48 doctors Guide for the COVID-19 Vaccination Programme at Clinics under VSS 4 Co-administration of COVID-19 vaccines with other vaccines50 Non-local Vaccination Declaration .. 51 Vaccination arrangement for adolescents and children .. 51 Vaccination arrangement for third or fourth dose of COVID-19 vaccine.

6 55 7 Waste management .. 60 8 Reporting of adverse events following immunisation .. 62 Adverse events following immunisation (AEFIs) .. 62 Reporting of AEFIs .. 63 9 Management of clinical incident .. 64 10 List of Annexes .. 65 doctors Guide for the COVID-19 Vaccination Programme at Clinics under VSS 5 1 Introduction To protect members of the public against COVID-19, a territory-wide COVID-19 Vaccination Programme free of charge and on a voluntary basis for all hong kong residents is implemented by the Government.

7 This doctors Guide provides guidance for COVID-19 Vaccination at the VSS clinic setting and the Guide is available at the designated website The VSS, administered by the Department of Health (DH), is a scheme that subsidises target groups of hong kong residents to receive vaccinations from private medical doctors enrolled in VSS. The Government would reimburse Vaccination subsidies to enrolled doctors for each dose of Vaccination administered to eligible groups. Resources (a) Designated website: (b) Agreement: (c) Doctor s Guide : (d) doctors Guide for VSS outreach: (e) Guideline for outreach organisers ( community groups, school, etc): ( ): and ( ).

8 (f) User Manual of eHealth System (Subsidies) [eHS(S)] for COVID-19 Vaccination : (g) The link to login the eHS(S) to record the COVID-19 Vaccination : doctors Guide for the COVID-19 Vaccination Programme at Clinics under VSS 6 2 Vaccine, target groups and reimbursement level Vaccines covered COVID-19 vaccines would be supplied to VSS doctors by the Government. The COVID-19 vaccine is authorized under the Prevention and Control of Disease (Use of Vaccines) Regulation (Cap. 599K) for specific purpose of preventing COVID-19 infection.

9 The COVID-19 vaccine has not been registered in hong kong under the Pharmacy and Poisons Ordinance (Cap. 138). The COVID-19 Vaccine (Vero cell), Inactivated; is developed by Sinovac Biotech (Brand name: CoronaVac). The fact sheet is attached in Annex I. Clinic staff should use the latest version available at ). The package insert is in Annex II and is also available at (a) Dosage and interval i. CoronaVac is available in single-dose ( ) vial. Two doses of CoronaVac should be administered for primary immunisation.

10 Please refer to section and for the Vaccination schedules. (b) Route of administration i. The vaccine is administered intramuscularly in the deltoid muscle of non-dominant upper arm after withdrawal from the vial. (c) Contraindications i. People with history of allergic reaction to any component (active or inactive ingredients, or any materials used in the manufacturing process) of the vaccine or similar vaccines (please refer to the component as listed in the package insert (Annex II)). ii. People with previous severe allergic reactions to vaccine ( acute anaphylaxis, angioedema, dyspnea, etc.)