This section is part 1 of the phe uk immunisation schedule. The book provides students with useful information about how their body naturally fights flu viruses, as well as how the flu can be prevented and treated. The pages listed below offer public health and health care professionals key information about vaccination, infection control, prevention, treatment, and diagnosis of seasonal influenza. In the handbook immunisation against infectious diseases green book published by hmso in 1996,1 influenza vaccine has been recommended for the following categories in children. Childhood influenza immunisation sharon white, professional officer school and public health nurses association saphna this symposium has been sponsored by astrazeneca uk prescribing information can be found at the end of this presentation. Influenza provides basic facts pertaining to the flu, or influenza including what it is, how it spreads, and how it changes. Mar 20, 2017 national flu immunisation programme for 2019 to 2020. Influenza is an infectious respiratory disease that, in humans, is caused by influenza a and influenza b viruses. Sign in or purchase a subscription to access this content. A series of questions and answers has been developed in response to some frequently asked questions.
Seasonal flu influenza is an infection caused by a virus that can affect your nose, throat and lungs. Published 11 september 20 last updated 2 september 2014. Chapter 23a pandemic influenza ah1n1v 2009 swine flu chapter title. As of 20 september 2009, human infections with the new virus have occurred in 191 countries worldwide including the uk who, 2009.
Public health england gateway number 2018805 pdf, 8kb, 27 pages this file may not be suitable for users of assistive technology. One important indicator is based on reports of new consultations for. The yellow fever chapter contraindications section in the green book. Vaccination should ideally be given before the influenza season october to march but no earlier than 4 months posttransplant. This primer discusses the biological features of influenza viruses, their effects. History and epidemiology of the disease influenza activity is monitored in the uk through a variety of schemes based in primary and secondary care. Phe uk immunisation schedule green book chapter 11 phedh. Since the last edition of immunisation against infectious disease the green book, the immunisation programme has seen a number of changes, to both. The potential costeffectiveness of quadrivalent versus. Influenza vaccine treatment summary bnf content published. Influenza is usually self limiting in healthy individuals, with recovery in 37 days. Health england guidance on influenza immunisation, drawing key points and information from influenza.
The name originated in 15th century italy, from an epidemic of. Hpa guidance on use of antiviral agents for the treatment and prophylaxis of influenza and the uk teratology information service. Chapter 35 this revised chapter updates the vaccine contraindications section page 6 with new wording on thymectomy and incidental thymectomy. Influenza is a highly contagious respiratory disease caused by influenza viruses. Influenza is an acute respiratory illness caused by rna viruses of the family orthomyxoviridae influenza viruses. Influenza april 2019 children with significant asthma and aged under nine years who have not been previously vaccinated against influenza will require a second dose of either laiv or inactivated vaccine as appropriate. Annual national flu programme letter 2019 to 2020 nhs england. The green sections of the bars represent type b viruses.
Looking at the benefits of the national childhood flu. Immunisation against infectious disease, published by public health england, and popularly known as the green book, provides the latest information on vaccinations and vaccination procedures for vaccine preventable infectious diseases in the uk the following are quick links for useful chapters from the green book. More information about administration, contraindications, side effects and storage can be found in the green. Uncomplicated influenza is defined as influenza presenting with fever, coryza, generalised symptoms headache, malaise, myalgia, arthralgia and sometimes gastrointestinal symptoms, but without any features of complicated influenza. Influenza, commonly known as the flu, is an infectious disease caused by an influenza virus. To see the most up to date version of this guideline, see the full guideline on the phe website. All but one of the influenza vaccines available in the uk are inactivated and do not contain live viruses. Further information on influenza infection is included in the green book influenza chapter and on nhs choices. Influenza b viruses are also subject to antigenic drift but with less frequent changes. It covers everything from the very first outbreak which was in a small town in the us to the end which was in 1922 1923. One important indicator is based on reports of new consultations for influenzalike illness from sentinel gp practices, combined with virological surveillance. New evidence emerged following the 2009 h1n1 influenza pandemic that obesity was an independent risk factor for hospitalization, intensive care unit admission and death in laboratory. Egg allergy in all settings providing vaccination, facilities should be available and staff trained to. The yearly influenza vaccine market is a significant business.
Public health england has published updated information and guidance in the green book immunisation against infectious disease. Annual seasonal influenza vaccination is recommended for any person aged 6 months and over who wishes to reduce the likelihood of becoming ill with influenza. Coverage data and past trends of flu vaccination coverage in the u. This is regularly updated, sometimes during the flu season, and can be found at. The uk childhood program could set a new precedent in europe.
To estimate the potential costeffectiveness of quadrivalent influenza vaccine compared with trivalent influenza vaccine in the uk. In the uk, people usually get seasonal flu between december and march, although outbreaks can happen as early as october and as late as may. While most viruses are antigenically stable, the influenza viruses a and b especially a are constantly altering their antigenic structure as indicated by changes in the haemagglutinins h and neuraminidases n on the surface of the viruses. A lowegg content flu vaccine is available sanofi inactivated quadrivalent influenza vaccine.
Its estimated that about 1 in 18 children, 1 in 38 elderly and 1 in 45 adults 3 who get influenza like illnesses will. The purpose of the influenza vaccination programme is to. Phe green book immunization against infectious diseases. Immunisation policy for the uk is available in immunisation against infectious diseases the green book. Inactivated influenza vaccine information for healthcare. Vaccination is the most effective way to prevent influenza 1. Influenza vaccination formulary recommendations 1819. Value growth of the us flu vaccine market is now entrenched and predicted to continue, but what about elsewhere.
Phe influenza immunisation policy phedhdwp guideline. Immunisation guidance for patients receiving cytotoxic chemotherapy excluding allogeneic bmt patientssee specific guideline annual influenza vaccination patients with cancer are at increased risk of contracting influenza and have higher complication and mortality rates from influenza infection pollyea, 2010 influenza vaccination. This is the most effective vaccine currently available for this group. Influenza vaccination programme the purpose of the influenza vaccination programme is to protect those most at risk of developing severe disease or complications or from dying if they develop the infection. Inactivated influenza vaccine is indicated for the active immunisation of patients for the prevention of influenza infection, in accordance with the national immunisation programme and recommendations given in chapter 19 of the immunisation against infectious disease. Influenza a is commonly associated with widespread epidemics, type b is infrequently associated with regional or widespread epidemics and type c is commonly associated with sporadic cases1,2. The influenza chapter in immunisation against infectious disease the green book, which is updated regularly, gives detailed descriptions of. Jun 06, 2014 to estimate the potential costeffectiveness of quadrivalent influenza vaccine compared with trivalent influenza vaccine in the uk. More detailed information on the characteristics of the available vaccines, including age indications can be found in the influenza chapter of the green book immunisation against infectious disease and the product spcs. Hps website green book chapter on influenza updated. Hib infections used to be a serious health problem in the uk, but the routine immunisation against hib, given.
None of the influenza vaccines for the 201617 season contain thiomersal as an added preservative. Phe uk immunisation schedule green book chapter 11 phe. The green book, the flu plan and the annual flu letter. Governmentfunded influenza vaccines will start to become available from midapril 2019. The updated influenza chapter of immunisation against infectious disease green book should be consulted for current vaccine schedules, routes of administration and dosages. Relevant literature was identified through a search of the online databases medline, embase and the gov. Haemophilus influenzae type b hib is a bacterial infection that can cause a number of serious illnesses, particularly in young children.
Its estimated that about 1 in 18 children, 1 in 38 elderly and 1 in 45 adults 3 who get influenzalike illnesses will. The book also covers alot about future outbreaks of other influenza like the one in 1997 and 2003 which is all related to the one in 1918. The data is shown in the span of the typical flu season. Influenza immunisation has been recommended in the uk since the late 1960s2 1. Influenza information for health care professionals from the american academy of pediatrics updated january 27, 2020 the american academy of pediatrics aap committee on infectious diseases has compiled a comprehensive list of influenza resources to serve as a centralized point of reference for vaccine guidance, prevention, treatment, payment. The immunisation programme in the uk continues to evolve, meeting the demand to improve the control of infectious diseases through vaccination.
Unusual type of flu virus is dominating early start to. Chapter 6 4 contraindications and special considerations having received an allogenic cells from a donor stem cell transplant in the past 24 months and only then if they are demonstrated not to have ongoing immunosuppression or graft versus host disease gvhd. Apr 23, 2019 chapter 19 of the green book, which addresses influenza in the uk for public health professionals, has been updated the recent updates include changes to the asthma and egg allergy sections and added information on newly licensed influenza vaccines. Seqirus is on the front line of influenza protection, helping guard against costly and lifethreatening epidemics and pandemics. Influenza chapter of the green book can be found at. Nov 19, 2015 influenza is an acute respiratory illness due to infection with the influenza virus. Contraindications and special considerations as a precaution, if an individual has a history of severe i.
Chapter 19 of the green book, which addresses influenza in the uk for public health professionals, has been updated. Data on longterm antibody levels in asplenic patients are limited. The section on egg allergy in chapter 6 of the green book contraindications and. Immunisation guidance for patients receiving cytotoxic. Nhs england has recommended that the adjuvanted trivalent influenza vaccine fluad be made available to all those aged 65 and over in 201819. Vaccination during pregnancy protects pregnant women from influenza and its complications in pregnancy, and is the best way to protect newborns against influenza. Overview and map of current influenza activity in the u. The objectives of the influenza immunisation programme are to protect those who are most at risk of serious illness or death should they develop influenza and to reduce transmission of the infection, thereby contributing to the protection of vulnerable patients who may have a suboptimal response to their own. This depends very much on how unwell your partner is with lupus, so it would be sensible to discuss this with your gp. Influenza is an acute viral infection of the respiratory tract that spreads easily from person to person.
Influenza august 2018 uptake of influenza vaccination in those aged 65 years or over and in those aged under 65 years in a clinical risk group excluding data on pregnant women in the uk is shown in table 19. Nhs education for scotland, in partnership with health protection scotland, has produced educational resources for registered healthcare practitioners. A lifetime, multicohort, static markov model was constructed, with nine age groups each divided into healthy and atrisk. The reason for giving influenza vaccine is that influenza can cause considerable morbidity and mortality in the above mentioned categories. Influenza is highly infectious with a usual incubation period of one to three days. This new edition has been completely revised and reflects the integration of disciplines concerning the emergence, evolution. We use cookies to collect information about how you use gov. The flu vaccine is available free of charge to everyone with lupus in the uk in order to protect you from the flu and any potential complications. Elderly people, children under 6 months old, pregnant women, and people with chronic conditions or immunosuppression are at increased risk of complications. Sep 11, 20 the green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk. The nasal influenza vaccine uses a weakened influenza virus, which stimulates the immune system to produce a protective response against influenza, but does not cause influenza infection. This file may not be suitable for users of assistive technology. Seasonal influenza vaccination 2020 immunisation programs.
Vaccination therefore protects the woman herself and provides passive immunity to the infant following birth. Influenza april 2019 19 influenza the disease influenza is an acute viral infection of the respiratory tract. Influenza activity is monitored in the uk through a variety of schemes based in primary and secondary care. This treatment summary topic describes influenza vaccine. Influenza immunisation information including updates for public health professionals. Directed enhanced service specification seasonal influenza. These symptoms typically begin two days after exposure to the virus and most last less than a week. This includes administering vaccinations included in the childhood immunisation programme and those recommended for adults, including travel vaccines and the annual influenza vaccination. Chapter 19 of the green book, which addresses influenza in the uk for public health professionals, has been updated the recent updates include changes to the asthma and egg allergy sections and added information on newly licensed influenza vaccines.
September 2011 revised to include updated guidance from the department of healths immunization against infectious disease the green book chapter 19, influenza updated in july 2011 for the 20112012 seasonal influenza vaccination programme, and new recommendations from the chief medical officer 2011. Public health england updated the uk immunisation schedule the green book chapter 11 in january 2020. In 2010, routine influenza immunisation of individuals was extended to include all pregnant women. Green book chapter on influenza for advice on vaccinations for those with egg allergies available here. Influenza vaccine archives of disease in childhood.
The flu chapter of the green book has been updated to reflect the latest guidance from the joint committee on vaccination and immunisation in readiness. People tend to get it around the same time every year. This was based on evidence of the increased risk from influenza to the mother and to infants in the first few months of life. Immunisation schedule for autologous and allogeneic blood.
Influenzapositive tests from public health labs by week. The green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk. Immunisation public health royal college of nursing. Investigating obesity as a risk factor for influenza. Oseltamivir, amantadine and zanamivir for the prophylaxis of influenza 2. Influenza vaccination during pregnancy has been shown to be safe and effective. Phe influenza immunisation guideline phedhdwp guideline. Immunisation of individuals with underlying medical. Public health england has published updated information and. The textbook of influenza is a comprehensive resource covering all aspects of influenza, from the genetic and molecular biology of the virus through to clinical aspects of the disease and the latest drug developments and treatments.
See immunisation against infectious disease the green book influenza chapter for further information on indications for influenza vaccine. This reflects current jcvi advice and green book guidance published by public health england. Where green book advice differs from spc, the green book should be followed. The green book, the annual flu letter and subsequent correspondence publications from phe andor nhs england. Information on the use of yellow fever vaccine, influenza vaccines and mmr vaccine for people with egg allergy has been updated.
The evidence from australia has provided an estimated reporting frequency of febrile convulsions in the range of. Further information on influenza infection is included in the green book influenza chapter and on nhs. Influenza a and influenza b are responsible for most clinical illness. In the uk influenza activity is monitored through weekly reports of new consultations for influenzalike illness from. Uk online publications library using a number of keywords e. The green book chapter on influenza contains detailed advice on the vaccine and associated contraindications and is available here. This vaccine can be ordered by calling the om movianto customer services team on 01234 248 623.
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