Immunization Guidelines - هيئة الصحة بدبي

1 ImmunizationGuidelines Department of Public health & SafetyHealth Policy & Strategy SectorThis guideline may be reproduced in whole or in part for reading or study purposes subject to the inclusion of an acknowledgement of the source. Reproduction for purposes other than those indicated above requires a written permission of the dubai health Reference: HPSS/PHSD/PM001 ImmunizationGuidelinesDubai health AuthorityDepartment of Public health & SafetyHealth Policy & Strategy SectorImmunization Guidelines - Department of Public health & Safety, health Policy & Strategy SectorContentsAbbreviations .. 7 Acknowledgement .. 8 Foreword .. 9 Introduction .. 10 Scope .. 10 Purpose .. 10 Immunization Concept .. 101 Immunization & Vaccination Procedures .. 12 General Principles of Immunization .. 12 Types of Vaccines .. 13 Vaccine Administration.

2 14 Routes of Administration .. 152 Childhood Immunization and National Immunization Program Recommended by DHA .. 17 DHA vaccine schedules .. 18 DHA Catch up Immunization schedule .. 18 Multiple Vaccinations .. 223 Vaccine Management and Cold Chain .. 24 Vaccine Storage and the Cold Chain .. 24 Vaccine Storage Equipments .. 25 Vaccine Cold Chain Monitors .. 28 Key points for handling and storing vaccines .. 344 Immunization Information System 35 General recommendations .. 35 Basic recording 36 Reporting Immunization services .. 385 Immunization Adverse Events .. 39 Vaccine reactions .. 396 Specific Vaccines .. 45 BCG vaccine .. 45 Hepatitis B vaccine .. 46 Diphtheria vaccine .. 47 Pertussis vaccine .. 48 Tetanus vaccine .. 49 Poliomyelitis vaccine.

3 50 Haemophilus Influenza Type b vaccine .. 52 Pneumococcal vaccine .. 53 Measles vaccine .. 54 Mumps vaccine .. 56 Rubella vaccine .. 56 Varicella vaccine .. 57 Hepatitis A vaccine .. 58 Meningococcal 58 Influenza vaccine .. 60 Rotavirus vaccine .. 61 Typhoid vaccine .. 62 HPV vaccine .. 64 Rabies Vaccine .. 65 Yellow fever vaccine .. 667 School health Vaccination .. 68 Routine Immunization Schedule .. 68 Delayed Immunization Schedule .. 68 Delayed schedule for children who had discontinued or interrupted Immunization .. 69 Important notes .. 698 Adult 70 Recommended adults Immunization schedule .. 70 Vaccines for adults with risk factors .. 72 Vaccines for 73 Immunization in post bone marrow transplant patients.

4 73 Immunization Guidelines - Department of Public health & Safety, health Policy & Strategy SectorImmunization Guidelines - Department of Public health & Safety, health Policy & Strategy SectorAbbreviationsDHA : dubai health AuthorityUAE : United Arab EmiratesHPV : Human Papilloma VirusMMR : Measles, Mumps, RubellaVIS : Vaccine Information SystemsTIG : Tetanus Immunoglobuline GlobulineHBIG : Hepatitis B ImmunoglobulinVVM : Vaccine Vial MonitorOPV : Oral Polio VaccineWHO : World health OrganizationUNICEF : United Nations International Children Emergency FundVQC : Vaccine Qualified ClinicAEFI : Adverse Event Following ImmunizationFDA : Food & Drug AdministrationIPV : Inactivated poliovirus vaccineHib : Haemophilus Influenza Type bHAV : Hepatitis A VaccineTB : TuberculosisBCG : Bacillus Calmette-GuerinACLS : Advanced Cardiac Life SupportATLS : Advanced Trauma Life SupportCPR : Cardiopulmonary ResuscitationDHA : dubai health AuthorityDM : dubai MunicipalityMOH : Ministry of HealthPALS : Paediatric Advanced Life Support-7- Immunization Guidelines - Department of Public health & Safety, health Policy & Strategy SectorAcknowledgementThis guideline is the product of a sincere effort of health professionals representing all concerned stakeholders in the Emirate of dubai as well as the Federal Ministry of health .

5 The insight and depth of experience of participants has enriched the process and improved the quality of the final dubai health Authority wishes to express sincere gratitude to following for their contribution to the development of this guideline; Central Preventive Medicine Dept & Office of the NFP-IHR MOH; dubai Police; American Hospital dubai ; Medcare DHA would like also to acknowledge the contribution of the Committee members for their commitment and patience which provided a best practice model for intra-sector and inter-sector collaboration for health committee members:Dr. Ali Hassan Al Marzooqi - Former Director, Public health & Safety DepartmentDr. Aizeldin El Gak Ibrahim - Head of Preventive Medicine SectionDr. Hisham Al Khatib - Senior Public health Specialist -DHADr. Fatma Al Olama - Head of Child health - DHADr.

6 Mhd. Oussama Kayali - Head of health Regulation Section - DHADr. Fathia Hatim - Head of health Promotion Section - DHADr. Abeer Khayat - Chief of Pediatrics - American HospitalDr. Moeena Zain - Specialist Infectious Disease - American HospitalDr. Jyoti Joshi - Specialist Community Medicine - Central Preventive Medicine Dept & Office of the NFP IHR - MOHDr. Emad Abdulkarim - Consultant Community Medicine & Vaccinology MOHDr. S. M Anees - Chief Paediatrics -Medcare HospitalMs. Noora Al Saadi - Head of Nursing Dept - dubai Police-8- Immunization Guidelines - Department of Public health & Safety, health Policy & Strategy SectorForewordImmunization is one of the most cost-effective health interventions known to mankind. With Immunization , smallpox has been eradicated and polio eradication is also in sightDubai health Authority announced the first Immunization policy in the Emirate of dubai as part of the initiatives of the dubai health Strategy that aims to reduce the burden of vaccine preventable introduction of this policy will pledge the improvement of Immunization services as well as provision of technical guidance to healthcare providers to ensure that they follow best practices in terms of administering and storing document was developed within this policy is the culmination of a one-year process that brought together a task force set by the department of Public health and Safety at the health Policy and Strategy sector within dubai health

7 Authority; and includes experts from government and private health care approach adopted in the document has been inspired mainly by the guiding principles of the World health Organization and by the National Program of Immunization in the United Arab process of developing this document provides a model for the kind of collaboration across professionals that are essential to assure the provision of unified Immunization services, in addition to its significant for the commitment it reflects to harmonize and coordinate data collection, improving reporting and data sharing, and fostering new levels and modes of is hoped that these comprehensive and updated Immunization Guidelines will give the technical support that required standardizing and regulating the Immunization services at health care facilities in the Emirate of dubai .

8 Complying with these Guidelines by health care professionals will ensure unified Immunization services at both public and private health Al Jassmi CEO health Policy and Strategy Sector /DHA-9- Immunization Guidelines - Department of Public health & Safety, health Policy & Strategy SectorIntroductionScopeThis regulation applies to every hospital licensed under the dubai health Authority (DHA) establishment law, including government, semi government, and private hospitals, and hospitals operating in free zone DHA is the sole responsible entity ensuring that all healthcare facilities and professionals in the Emirate of dubai provide the highest level of safety and quality Immunization services at all times, through the development, establishment, and enforcement of minimum required standards for vaccine qualified clinics (VQCs).

9 Based on the DHA objective of better health with focus on prevention as well as cure, and based on the UAE Federal law number (27) of 1981 concerning prevention of communicable diseases. dubai health Authority along with other concerned sectors developed this vaccination service requirement with aim to regulate Immunization practice and vaccination against the communicable diseases in the Emirate of DubaiThe assessment, licensure, control, and surveillance of human vaccines are major challenges for any health regulatory authorities in the world as confronted by a steadily increasing number of novel products, complex quality concerns, and new technical issues arising from rapid scientific advances. Because vaccines are given to healthy individuals, they undergo a more rigorous approval process than drugs which are given to cure sick ConceptImmunization is one of the most successful and cost-effective public health interventions.

10 Globally, it prevents an estimated million child deaths every year in all age groups from diphtheria, tetanus, pertussis, and measles. Small pox has already been eradicated and Polio is the next disease targeted for eradication using vaccines and is to be followed by as an effective preventive intervention is intended to support the body immune defense against infections. Its aim is to protect individuals and communities from infectious contain the same antigens or parts of antigens that cause diseases, but the antigens in vaccines are either killed or greatly weakened. When they are injected into fatty tissue or muscle, vaccine antigens are not strong enough to produce the symptoms and signs of the disease but are strong enough for the immune system to produce antibodies against them.