Immunisation Horizon Scanning Bulletin Volume 3 Issue 1

January 28, 2011

GPs face losing control of flu jabs programme

January 20, 2011

Source: BBC News

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Date of publication: January 2011

Publication Type: News-Item

In a nutshell: GPs face losing control of managing the flu vaccine programme following supply problems in England this winter, the government’s head of immunisation says.

Length of publication: 1 page news-item


Attitudinal and demographic predictors of measles, mumps and rubella (MMR) vaccine acceptance: Development and validation of an evidence-based measurement instrument

January 18, 2011

Source: Vaccine, 2010 Dec 23. [Epub ahead of print]

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Date of publication: December 2010

Publication Type: Journal Article

In a nutshell: Background and objective: Parents’ attitudes toward MMR vaccine and measles, mumps and rubella infections relate to their child’s MMR status, therefore improving these attitudes is central to improving current suboptimal MMR uptake. However, no study has yet combined evidence-based, comprehensive and psychometrically validated assessment of these attitudes with reliable objective MMR status data, in order to identify through multivariate analyses the strongest attitudinal predictors of MMR uptake for interventions to target. The present study fills this lacuna by developing and testing a robust evidence-based MMR attitudes measurement instrument…  Main outcome measures: Parents’ responses to evidence-based measurement instrument comprising 20 attitude/previous behaviour items (collapsing to 5 scales) and 7 demographic items, and their children’s PCT-recorded 5th birthday status for MMR dose 1 (on-time, late or none) and MMR dose 2 (on-time or none)… Conclusions: The measurement instrument is robust on multiple validity and reliability dimensions, and is appropriate for use in research and practice as a tool for designing and evaluating interventions. Parents appear to act in line with their attitudes toward MMR vaccine, though attitudes toward measles infection bore little relation to MMR uptake. This study indicates populations and attitudes to be prioritised in MMR uptake improvement interventions.

Length of publication: Unknown


Top GP wants flu jab ban for ‘worried well’

January 18, 2011

Source: The Guardian

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Date of publication: January 2011

Publication Type: News-Item

In a nutshell: Chair of Royal College of GPs says healthy individuals buying flu jabs from pharmacies had contributed to shortages in the NHS

Length of publication: 1 page news-item


Most pregnant women have not had flu jab, Andrew Lansley admits

January 18, 2011

Source: The Guardian

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Date of publication: January 2011

Publication Type: News-Item

In a nutshell: Almost three-quarters of Britain’s pregnant women have still not received the flu jab this winter, according to Andrew Lansley, the health secretary.

Length of publication: 1 page news-item


Continued control of pneumococcal disease in the UK – the impact of vaccination

January 18, 2011

Source: Journal of Medical Microbiology, 2011 Jan;60(Pt 1):1-8. Epub 2010 Oct 21.

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Date of publication: January 2011

Publication Type: Journal Article

In a nutshell: Streptococcus pneumoniae, also known as the pneumococcus, is an important cause of morbidity and mortality in the developed and developing world. Pneumococcal conjugate vaccines were first introduced for routine use in the USA in 2000, although the seven-valent pneumococcal conjugate vaccine (PCV7) was not introduced into the UK’s routine childhood immunization programme until September 2006. After its introduction, a marked decrease in the incidence of pneumococcal disease was observed, both in the vaccinated and unvaccinated UK populations. However, pneumococci are highly diverse and serotype prevalence is dynamic. Conversely, PCV7 targets only a limited number of capsular types, which appears to confer a limited lifespan to the observed beneficial effects. Shifts in serotype distribution have been detected for both non-invasive and invasive disease reported since PCV7 introduction, both in the UK and elsewhere. The pneumococcal Haemophilus influenzae protein D conjugate vaccine (PHiD-CV, Synflorix; GlaxoSmithKline) and 13-valent pneumococcal conjugate vaccine (PCV13, Prevenar 13; Pfizer) have been newly licensed. The potential coverage of the 10- and 13-valent conjugate vaccines has also altered alongside serotype shifts. Nonetheless, the mechanism of how PCV7 has influenced serotype shift is not clear-cut as the epidemiology of serotype prevalence is complex. Other factors also influence prevalence and incidence of pneumococcal carriage and disease, such as pneumococcal diversity, levels of antibiotic use and the presence of risk groups. Continued surveillance and identification of factors influencing serotype distribution are essential to allow rational vaccine design, implementation and continued effective control of pneumococcal disease.

Length of publication: Unknown


Flu in 15: a novel 15-minute education program to promote acceptance of the influenza vaccine among health care workers.

January 18, 2011

Source: Jnl of the American Medical Directors Association, 2010 Sep;11(7):523-7.

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Date of publication: September 2010

Publication Type: Journal Article

In a nutshell: INTRODUCTION AND RATIONALE: A performance improvement project was undertaken to increase health care worker (HCW) influenza vaccination acceptance rates in the long-term care setting by using a novel 15-minute education intervention called the “Flu in 15.” As a core principle, we taught that more Americans die from complications of influenza than hepatitis B, yet there remains individual reluctance and barriers to achieve high acceptance rates of influenza vaccination among HCWs…  CONCLUSIONS: The Flu in 15 in-service promoted a better understanding of the importance of the influenza vaccine and demonstrated an associated increase in HCW acceptance of the flu vaccine. Although we cannot claim cause and effect, we noted a decrease in resident mortality in the intervention year compared with the prior year. Now that some medical centers require yearly influenza vaccines among HCWs, the education component remains relevant to provide reason behind the mandate.

Length of publication: 5 page article