Post00366 INTRODUCTION OF NEW VACCINES 6August 2001
CONTENTS
1. TECHNICAL SUPPORT TO COUNTRIES NEEDED FOR INTRODUCTION OF NEW VACCINES
Robert Steinglass, BASICS, raises the need for technical support to
countries to enable them to anticipate and deal with the operational issues
that will inevitable be faced when they introduce new vaccines in
immunization programs.
Robert also asks that we discuss this key current and future issue in
Technet Forum and at the late August 2001 TECHNET meeting.
Michel Zaffran, Umit Kartoglu, and Jay Wenger, (WHO/V&B), add to the
discussion, and confirm the importance and relevance of this discussion.
Contributions to: [[email protected]][email protected][/email] or use your reply button!
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These files are discussed below and are available for download:
gavinewvaccineWeeks_ug.PDF
Proposed operational plan for replacing DPT with the pentavalent vaccine
DPT/Hep B/Hib, UNEPI/MOH, July 2001
newvacWORKSHOPannex3.PDF
Main Issues Of The Workshop To Review And Revise Action Plans For
Strengthening Routine Immunization And Introduction Of New Vaccines , 10 -
13 July, Abuja, Nigeria
Go to the website
ftp://ftp.acithn.uq.edu.au/Technet/1-ClickHereForTECHNETfiles/NewVaxIntro
or Send an email to: [[email protected]][email protected][/email]
with the message:
get technet gavinewvaccineWeeks_ug.PDF
get technet newvacWORKSHOPannex3.PDF
* These files were scanned with the latest Norton AntiVirus update and
converted to Adobe Acrobat portable document format.
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Date: Fri, 03 Aug 2001
From: "Robert Steinglass"
To: [[email protected]][email protected][/email]
Subject: technical support to countries is badly needed for smooth
introduction of new vaccines
Dear Allan,
It is our distinct impression from discussions with field staff in many
countries (mostly in Africa) that many countries would benefit from
technical support to anticipate the many operational issues, so as to permit
a smooth introduction of a new vaccine. To me, this is a topic which still
needs a lot of discussion NOW among the technical partners regarding who is
prepared to and has the finances to actually provide the needed technical
support. I am directing this to just a few of the technical people who I
know are aware of the technical and operational requirements, but frankly I
am no longer sure who makes the decisions on such matters of technical
support to countries in this area.
I direct this to you because I believe that a moderated discussion to engage
the readers of TECHNET Forum together with WHO and other technical agency
staff could contribute to systematically thinking about what is needed, by
whom and when. Maybe such a discussion is already taking place elsewhere,
but I am not aware and would be happy to learn more (as most probably would
others) about what is being planned/done to prepare countries for new
vaccine arrivals. (The upcoming TECHNET meeting might also help to define
the needs better.)
By the way, I don't recall if I sent this simple checklist to you recently,
but it might be of interest as just one example (I hope there are others) to
other countries contemplating the introduction of new vaccines. It was
prepared by BASICS staff member Mark Weeks on a recent trip to Africa.
Best regards.
Robert
Robert Steinglass
Immunization Team Leader
BASICS
1600 Wilson Blvd., Suite 300
Arlington, VA. 22209
USA
voice: 1-703-312-6800
fax: 1-703-312-6900
e-mail: [[email protected]][email protected][/email]
---
From: [[email protected]][email protected][/email]
Sent: Thursday, 2 August 2001
To: [[email protected]][email protected][/email]
Subject: TECHNET agenda
Hi.
With so many countries, including some that are not very strong, now
planning to introduce new combo vaccines, maybe there could be a session at
TECHNET on the concrete operational steps that are being taken to ensure
smooth introduction. It should be of wide interest and is very topical.
Maybe someone from a new vaccine country could be invited to present? I
think this is the Achilles heel and I have some inputs that introduction
needs more attention. What do you think?
I am copying Michel, too, given his current GAVI and (former) TECHNET
perspectives. Attached is something which long-time EPI veteran Mark Weeks
put together quickly a couple of weeks ago in Uganda to help them get
serious about what it takes to plan for a smooth introduction.
Robert
---
From: zaffranm
Sent: Saturday, August 04, 2001
To: [[email protected]][email protected][/email]; [[email protected]][email protected][/email]
Subject: RE: TECHNET agenda
I strongly support Robert's suggestion which I think is very relevant.
Can the Agenda accommodate this?
Who would you suggest to present on good and poor planning perspectives?
michel
---
From: [[email protected]][email protected][/email]
To: [[email protected]][email protected][/email], [[email protected]][email protected][/email]
Subject: RE: technical support to countries is badly needed for smooth
introduction of new vaccines
Date: Sun, 5 Aug 2001
Dear Robert and Allan,
What Robert is raising here is extremely important and we agreed to include
a session for discussion on this subject in the TECHNET meeting.
Thanks Robert
... UMIT
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Date: Mon, 06 Aug 2001
From: "Robert Steinglass"
To: [[email protected]][email protected][/email]
Subject: Re: RE: TECHNET agenda
Hi, I see a lot of e-mail traffic about this. I am very impressed with
your last-minute flexibility to put this on the agenda.
I think it could be useful for TECHNET to come up with a recommendation
regarding the operational process to be followed in introducing new
vaccines. I could be wrong, and I know that various documents exist here
and there on related topics, but I do not recall any which try to bring
together the steps and the practical field experience into a single brief
set of guidelines. Just as Polio has a field guide with steps, does such a
thing exist for new vaccine intro?
All the best,
Robert
---
From: [[email protected]][email protected][/email]
To: [[email protected]][email protected][/email], [[email protected]][email protected][/email]
Subject: RE: technical support to countries is badly needed for smooth int
roduction of new vaccines
Date: Mon, 6 Aug 2001
Dear All:
I will not be back in Geneva till end of this week, and will comment more
fully later, but I did want to note the following, and hope others can fill
in. As below, a lot of African countries will be launching into new
vaccines introduction in the next 12 months. As Robert notes, there is
need for technical assistance for many of these introductions. Several
steps have been taken, including:
1. Preparation of guidelines for introduction of hepatitis b and Hib
vaccines, which have been distributed to countries introducing the
respective vaccines, as well as a brief checklist (similar, but not
identical to the one Robert had attached).
[Mark Weeks file: gavinewvaccineWeeks_ug.PDF]
2. Meetings with countries planning to introduce new vaccines, to discuss
critical issues and assess need for technical support. One of these was
held in Abuja, in conjunction with the midlevel managers course, July 10-13
(brief summary attached - there is more, but I don't have it here).
[newvacWORKSHOPannex3.PDF]
3. Development of funds to support technical input, as well as followup
visits to countries to evaluate introduction and its impact on disease and
immunization programs. Some of these funds reside in regional offices,
through the TFCC or WHO/Geneva.
We clearly need to clarify which countries need urgent assistance, and for
AFRO, a start has been made on this, but I do not have the latest
information on this.
Jay
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