Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2. Preamble. The National Advisory Committee on Immunization NACI provides the Public Health Agency of Canada hereafter referred to as the Agency with ongoing and timely medical, scientific, and public health advice relating to immunization. The Agency acknowledges that the advice and recommendations set out in this statement are based upon the best current available scientific knowledge and is disseminating this document for information purposes. People administering the vaccine should also be aware of the contents of the relevant product monographs. Recommendations for use and other information set out herein may differ from that set out in the product monographs of the Canadian manufacturers of the vaccines. Manufacturers have sought approval of the vaccines and provided evidence as to its safety and efficacy only when it is used in accordance with the product monographs. NACI members and liaison members conduct themselves within the context of the Agencys Policy on Conflict of Interest, including yearly declaration of potential conflict of interest. Table of Contents. I. Introduction. This document, the National Advisory Committee on Immunization NACI Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2. NACIs recommendations regarding the use of seasonal influenza vaccines. New or updated information for 2. Choice of vaccine product for adults 6. Section V Fluzone High Dose influenza vaccine has been approved for use in Canada in adults 6. Fluzone High Dose is an inactivated trivalent influenza vaccine containing 6. HA per strain compared to 1. HA per strain in a standard dose administered as a 0. L dose by intramuscular injection refer to Appendix A for product characteristics. NACI has reviewed the available evidence and concludes that there is evidence that high dose trivalent inactivated influenza vaccine for older adults should provide superior protection compared with the standard dose intramuscular vaccine. Adults with neurologic or neurodevelopment conditions Based on preliminary review of the literature and expert opinion, and consistent with other countries recommendations, NACI now includes adults with neurologic or neurodevelopment conditions among the groups for whom influenza vaccination is particularly recommended. Background. The World Health Organizations WHO recommendations on the composition of influenza virus vaccines are typically available in February of each year for the upcoming season. The WHO recommends that, where available, seasonal quadrivalent influenza vaccines contain the recommended three viruses for the trivalent vaccine as well as the influenza B virus lineage that is not included in the trivalent vaccine. Annual influenza vaccine recommendations for use in Canada are developed by the Influenza Working Group IWG for consideration by NACI. Death Honour The Chapter Pdf To Word' title='Death Honour The Chapter Pdf To Word' />Recommendation development includes review of a variety of issues, including the burden of influenza illness and the target populations for vaccination safety, immunogenicity, efficacy, and effectiveness of influenza vaccines vaccine schedules and other aspects of influenza immunization. Details regarding NACIs evidence based process for developing a statement are outlined in Evidence Based Recommendations for Immunization Methods of the NACI, January 2. CCDR. Health care providers in Canada may offer the seasonal vaccine when it becomes available, since seasonal influenza activity may start as early as November in the northern hemisphere. Decisions regarding the precise timing of vaccination in a given setting or geographic area should be made according to local epidemiologic factors influenza activity, timing and intensity, opportune moments for vaccination, as well as programmatic considerations. Further advice regarding the timing of influenza vaccination programs may be obtained through consultation with local public health agencies. Although vaccination before the onset of the influenza season is strongly preferred, vaccine may still be administered up until the end of the season, although its utility may be compromised if exposure to influenza already has occurred. Death Honour The Chapter Pdf To ExcelVaccine providers should use every opportunity to give influenza vaccine to individuals at risk who have not been immunized during the current season, even after influenza activity has been documented in the community. More Random Walks In Science Pdf Software. The decision to include specific influenza vaccines as part of publicly funded provincial and territorial programs depends on multiple factors, such as cost benefit evaluation and other programmatic and operational factors, for example shelf life and implementation strategies. Not all products will be made available in all jurisdictions and availability of some products may be limited therefore officials in individual provinces and territories must be consulted regarding the products available in individual jurisdictions. II. Clinical Information for Vaccine Providers Canadian Immunization GuideThe Canadian Immunization Guide, which is written primarily for health care providers front line clinicians, public health practitioners but is also used by policy makers, program planners and the general public, has been a trusted, reader friendly summary of the vaccine statements provided by the National Advisory Committee on Immunization for over 4. The information in this section, Clinical Information for Vaccine Providers, replaces the influenza chapter of the Canadian Immunization Guide and is adapted for inclusion in the revised NACI Statement on Seasonal Influenza Vaccine. Windows Quick Launch on this page. With a new NACI Statement on Seasonal Influenza required each year, the user will have quick access to the information that he or she requires within one document, whether it is the relevant influenza vaccine information that is written primarily for the frontline vaccine providers as is found in this section, or the more detailed technical information that is found in the rest of this Statement, commencing in Section III. Key Information. What Influenza is a respiratory infection caused primarily by influenza A and B viruses. In Canada, influenza generally occurs each year in the late fall and winter months. Symptoms typically include the sudden onset of high fever, chills, sore throat, cough and myalgia. Other common symptoms include headache, loss of appetite, fatigue, and coryza. Nausea, vomiting and diarrhoea may also occur, especially in children. Most people will recover within a week or ten days, but some are at greater risk of more severe complications, such as pneumonia. Both inactivated and live attenuated influenza vaccines are authorized for use in Canada some are trivalent formulations and some are quadrivalent formulations. Influenza vaccine is safe and well tolerated. Influenza vaccine cannot cause influenza illness because the inactivated influenza vaccines do not contain live virus and the viruses in live attenuated influenza vaccines are weakened so that they cannot cause influenza. Influenza vaccination is recommended for all individuals aged 6 months and older noting product specific age indications and contraindications, with particular focus on people at high risk of influenza related complications or hospitalization, including all pregnant women, people capable of transmitting influenza to those at high risk, and others listed in Table 1. Death Honour The Chapter Pdf Merge' title='Death Honour The Chapter Pdf Merge' />Dudo tells us that Rollo seized Rouen in 876. He is supported by the contemporary chronicler Flodoard, who records that Robert of the Breton March waged a campaign. The end of the hymns of Tobit. Tobit died when he was a hundred and twelve years old and received an honourable burial in Nineveh. He had been sixtytwo when he. 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