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					                                          Sóttvarnalæknir
                                          Chief Epidemiologist for Iceland




      DIRECTORATE
                                          EPI-ICE
       OF HEALTH
                                          Volume 2. Issue 10. October 2006.



                                   CHANGES IN THE NATIONAL
CONTENTS:
                                   CHILDHOOD VACCININATION
                            p. 1
                                   P R O G R A M M E A S O F 1 J A N UA R Y 2 0 0 7
Changes in the
National Vaccina-
tion Programme                     A tender for vaccines used in the National    • A pertussis booster vaccination will be
as of 1 Jan. 2007                  Childhood Vaccination Programme was              introduced at 14 years of age, when one
                                   last issued in 1999 and since the year 2000      injection containing dTaP, IPV
Contracts on        p. 2
                                   the present vaccination programme has            (Boosterix Polio) will be administered.
emergency stock-                   remained largely unchanged. According to         This is done in order to maintain
piles of protective                the 1999 tender documents, a tender for          immunity against pertussis in the society,
equipment                          vaccination programme vaccines is sup-           minimize the risk of pertussis infection
                                   posed to be issued every few years, there-       among the elderly and to prevent its
                                   fore a new tender is due.                        transmission to young children.
                                   Last summer a tender for these vaccines       As of 1 January 2007, the organisation of
                                   was issued in Iceland and on 1 January        the National Childhood Vaccination Pro-
                                   2007 a new arrangement of the immun-          gramme will be as shown in the table
                                   isation programme will enter into force.      below.
                                   The following changes will be made to the     The primary health-care service is en-
                                   National Childhood Vaccination Pro-           couraged to obtain supplies of the older
Editorial Board
                                   gramme as of 1 January 2007:                  vaccines (Pentavac, diTekiBooster, Difta-
Dr H. Briem,                       • Many of the vaccines will have new          vax and Imovax Polio) before the close of
Chief Epidemiologist                                                             2006 and to finish the supplies currently
Ms A. St. Atladottir
                                       names even though their contents and
Ms G. Sigmundsdottir                   efficacy will remain practically un-      available in Iceland in the first months of
Ms S.Hauksdottir                       changed.                                  2007.
Mr TH. Gudnason
                                   • There will be no thiomersal in the          As of 1 January 2007, it will only be possi-
Editor
                                       pentavalent vaccine to be used for        ble to order the new vaccines (from
Ms J. M. Gudnadottir
                                       vaccinating children at the ages of       Parlogis) in accordance with the vaccination
                                       three, five and twelve months. Penta-     scheme below.
                                       vac, the vaccine used up until now,
                                       however, does contain traces of thio-
                                       mersal.
DIRECTORATE OF HEALTH
CHIEF EPIDEMIOLOGIST
                                        Age                     Contents            Name                   Producer
FOR ICELAND
                                        3, 5, 12 months         DTaP, Hib, IPV      Infanrix Polio Hib     GSK
Austurströnd 5
170 Seltjarnarnes
Tel: +354 510 1900                      6, 8 months             MCC                 NeisVac-C              Baxter
Fax: +354 510 1920
E-mail: mottaka@landlaeknir.is
                                        18 months, 12 yrs.      MMR                 Priorix                GSK
Website: www.landlaeknir.is

                                        5 years                 dTaP                Boosterix              GSK

The contents of this newsletter         14 years                dTaP, IPV           Boosterix Polio        GSK
may be reproduced provided that
the source is quoted.
                                                                                                           EPI - ICE
Directorate of Health – Chief Epidemiologist for Iceland                                                  October 2006

                                                                                                                  Page 2




                            CONTRACTS ON EMERGENCY STOCKPILES
                            OF PROTECTIVE EQUIPMENT

                            Earlier this year a group of specialists was     aprons. This protective equipment is in-
                            appointed to outline specifications concern-     tended for use by health-care workers and
                            ing a tender for personal protective equip-      others who provide care for patients suf-
                            ment for use in an influenza pandemic. The       fering from influenza or by people working
                            group was composed of representatives            with animals infected by avian influenza, e.g.
                            from the Agricultural Authority in Iceland,      birds.
                            the University of Iceland Institute for Ex-      Medical gloves were not a part of the tender
                            perimental Pathology, the Landspitali Uni-       in question since a framework contract on
                            versity Hospial and the Chief Epidemiologist     medical gloves is already in force. It is ex-
                            for Iceland.                                     pected that a tender for medical gloves will
                            Subsequent to the tender, contracts have         be issued when the current contracts expire
                            been signed with nine importers on the           next year.
                            purchase and stockpiling of, among other         The Chief Epidemiologist is responsible for
  Contracts have been       things, 630,000 isolation gowns, particulate     monitoring these emergency stocks and will
    signed with nine        respirators, safety goggles and protective       be in charge of their allocation in accordance
                                                                             with a special evaluation procedure when
importers on the purchase                                                    needed. At present, guidelines on the alloca-
   and stockpiling of                                                        tion are being prepared.
        630,000
    isolation gowns,
 particulate respirators,
   safety goggles and
   protective aprons.




                             When appropriate, personal protective equip-
                             ment, covering the body from head to toe,
                             is used. In an influenza pandemic, however,          Personal protective equipment is in-
                             health-care workers will only rarely need            tended for use by those caring for
                             such extensive protection.                           patients suffering from influenza and
                                                                                  by people working with animals in-
                                                                                  fected by avian influenza, e.g. birds.




                             In an influenza pandemic the most important thing is to protect oneself against aerosol trans-
                             mission. Particulate respirators, as shown on the left, can be used by people taking care of
                             influenza patients. Under certain circumstances it may also be advisable to protect the whole
                             face with a face shield or use safety goggles, as shown in the pictures on the right.

				
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