COVID-19 Vaccination Program - Victorian Update Prof Benjamin Cowie
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COVID-19 Vaccination Program
Victorian Update
OFFICIAL
Prof Benjamin Cowie
Senior Medical Advisor, Executive Director
Engagement and Partnerships
OFFICIAL
A cohesive COVID-19 Response – Administering COVID-19 vaccines for people across
Victoria during community transmission and outbreak
Coordinating and aligning across the Department of
Health, Victorian Government and with all partners
COVID-19 Prevention
activities (Quarantine,
Engaging COVID-19 Borders, Infection Prevention
Vaccination Ambassadors: Communicating and Control, Public Health,
Leading Clinicians and information on vaccines Major Events)
Community Champions and vaccination services
Engagement with
priority populations Scaling the contact centre
(CALD, Aboriginal and and booking functionality
COVID-19 Containment
Torres Straight to meet additional demand
Extended hours of activities (Outbreaks,
Islander, Refugee) Ensuring sufficient for appointments Surveillance, Testing)
vaccination services, pop
supply of vaccines from
Engagement with up vaccination sites,
the Commonwealth Outbound call
high-risk cohorts priority cohort walk up
campaigns for
who are queues at sites
priority cohorts
unvaccinated incl. second dose
Commissioning Ensuring COVID-19 Enablers
Engagement with bespoke sufficient capacity vaccinations (Workforce,
cohorts based on Vaccination to administer Governance,
models to Supporting services
outbreak locations analytics to identify vaccines across Engagement, Data,
vaccinate to scale workforce
priority populations Victoria Systems)
specific with surge, efficiency
and inform the
cohorts and trade-offs
outbreak response
Public Ensuring and enabling safe Working in close partnership with vaccination service
trust & Access & practices including Infection providers including health services, community health
Safety &
PreventionOFFICIAL
and Control (IPC) and General Practice
Confidence Delivery Quality
The COVID-19 vaccination program has
rapidly mobilised a response to the latest outbreak in Victoria
Pillar Domains & Outbreak Objectives
• Increasing access to vaccinations for communities impacted by
the outbreak, through new and existing vaccination sites
Access & • Increasing vaccine supply from the Commonwealth
Delivery
In response to the latest COVID-19
outbreak in Victoria, the COVID-19
• Ensuring safety of vaccinators and those receiving a vaccine,
Vaccination Program rapidly scaled-up to including infection prevention and control
meet unprecedented levels of demand for Safety & • Supporting vaccination providers to scale workforce to meet
vaccination from the community. Quality demand
This impacted on all areas of the program,
requiring a coordinated response to meet • Enabling increased demand for vaccination bookings
Public Trust • Engaging with communities to provide information on
demand in a safe and sustainable manner.
& vaccinations within the context of the outbreak
Confidence
Enabling • Providing technical solutions to enable scaling for demand
teams • Coordinating the response and facilitating governance, including
(PMO, CVMS,
VVCC) across divisions within the Department and Government
OFFICIAL
Vaccination Program Roles and responsibilities
Commonwealth Victorian Government Vaccine Centres
• Secure and purchase vaccines • Commission and support establishment • Establish vaccine centres, outreach and
of vaccine clinics, outreach and mobile mobile models to administer vaccines
• Approve vaccines (TGA)
models
• Manage vaccine product appropriately to
• Allocate, deliver and track vaccine products minimise w aste
• Workforce identification and regulatory
• Fund General Practice, pharmacy and approval • Complete reporting requirements to AIR
ACCHO sectors and into CVMS
• Setting state-based policy positions
• National booking system planned and approaches
• Report adverse events through clinical
• Monitor and ensure safety and quality, pathw ays
• Commission and oversee vaccination of
private residential aged and disability staff manage adverse events • Work w ith DH to communicate w ith priority
and residents cohorts and the community to create and
• Provision of COVID vaccine management
system (CVMS) and 1800 phone bookings manage demand
• Partner w ith jurisdictions to enable
localisation and scale up support • Establish Specialist Immunisation Services
• Communicate and engage at a state level
OFFICIAL
Prioritisation schedule (supply dependent)
Phase 1a: up to 1.4m doses Com m enced 22 February 2021, ongoing
Quarantine and border
70,000
workers Phase 1b: up to 14.8m doses Com m enced 22 March 2021
Frontline health care worker
100,000
sub-groups for prioritisation
Elderly adults aged 80
1,045,000
Aged care and disability care
years and over Phase 2a: up to 15.8m doses
318,000
staff
Elderly adults aged 70-79
1,858,000
Aged care and disability care years
190,000
residents
Adults aged 50 years 5,730,000
Other health care workers 953,000
Phase 2b: up to 16m doses
Total 678,000
Aboriginal and Torres Strait
Islander people 387,000
Aboriginal and Torres 18- 54
87,000
Strait Islander people > 55 Balance of adult
population
6,643,000 Phase 3: up to 13.6m doses
Other critical and high risk
453,000
workers
Catch up any
Younger adults with an unvaccinated
underlying medical Total 6,570,000 Australians from
2,000,000 < 18 if recommended* 5,670,000
condition, including those previous phases
with a disability
Critical and high-risk
workers including defence,
police, fire, emergency 196,000
services and meat
processing
Commenced 3 May at state run vaccination clinics
and 17 May in general practice clinics
Total 6,139,000
OFFICIAL
Who is currently eligible within 1A & 1B?
1b non- Residents All people
1a 1b workforce
of high risk Transport aged 40
workforce workforce groups at
accommod
risk due to workers years and
groups groups ation
age or health older
Under 50 years 50 years and over
The Pfizer COVID-19
vaccine is preferred
The AstraZeneca COVID-19 People under 50 years who People aged 50 years and over will
vaccine is approved for people received their first dose of likely receive the AstraZeneca COVID-
under 50 years where the AstraZeneca COVID-19 vaccine 19 vaccine unless they have a specific
benefits of protection without serious adverse medical condition identified
outweigh the risk of adverse events may receive their
events second dose
OFFICIAL
ATAGI advice on AstraZeneca vaccine - 8 April 2021
Australian Technical Advisory Group on Immunisation (ATAGI) recommends
the Pfizer vaccine is preferred over AstraZeneca in adults aged under 50
years.
This is based on the increasing risk of severe outcomes from COVID-19 in older adults (and
greater benefit from vaccination) as well as a potentially increased risk of thrombosis with
thrombocytopenia syndrome (TTS) following AstraZeneca vaccine in those under 50 years.
COVID-19 Vaccine AstraZeneca can be used in adults aged under 50 years where the
benefits are likely to outweigh the risks for that individual and the person has made an
informed decision based on an understanding of the risks and benefits.
https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/learn-about-
covid-19-vaccines/about-the-astrazeneca-covid-19-vaccine
OFFICIAL
Victorian COVID-19 Vaccination Program
Response to ATAGI advice on AstraZeneca vaccine
People aged under 50 years People aged 50 years and over
Pfizer vaccine preferred Eligible to receive AstraZeneca vaccine
Further sub-prioritisation of phase 1 priority Eligible for 2nd dose of Pfizer vaccine if
groups due to limited Pfizer availability, in line already received first dose
with public health advice
Very limited exceptions on medical grounds
People aged under 50 years who have had eligible for Pfizer access – cerebral venous
the first dose AstraZeneca vaccine able to sinus thrombosis, splanchnic vein thrombosis,
receive second dose heparin-induced thrombocytopenia (HIT),
thrombosis with thrombocytopenia (TTS),
People who choose to receive AstraZeneca
anaphylactic or other severe immediate
following individual risk-benefit consideration
reaction to AstraZeneca vaccine or
and informed consent discussion able to
component of AstraZeneca
receive AstraZeneca vaccine
vaccine (e.g. polysorbate 80)
OFFICIAL
Access to AstraZeneca
• All people aged 50 years and older are eligible to receive the AstraZeneca vaccine.
• Available at all state vaccination centres.
Visit www.coronavirus.vic.gov.au/vaccination-centres or call 1800 675 398 for locations and bookings.
• Also available at general practices and GP respiratory clinics.
Visit the eligibility checker for locations and bookings.
OFFICIAL
More people aged under 50 years now eligible for
Pfizer vaccine in Victoria
Currently eligible for Pfizer vaccine
• All healthcare workers, ambulance Health conditions:
workers and paramedics • Specified underlying medical condition
• Residential aged care and • Severe mental health conditions
disability care workers (public and Critical and high-risk workers
private) • Emergency services personnel (police, fire and rescue workers, and CFA and SES volunteers)
• Hotel quarantine, airport and • Australian Defence Force personnel
marine ports workers • Manufacture and distribution of COVID-19 vaccines
• Household contacts of hotel • Licensed meat and seafood processing businesses and associated cold chain transport workers
quarantine staff and border People requiring or providing disability care or aged care
workers • Those living with significant disability requiring frequent assistance with activities of daily living, including people
• Corrections and detention staff living with disability attending centre-based services
and clients • Carers (paid and unpaid) of some individuals eligible under Phase 1a and 1b, or of children with specified medical
• Those identified by a state- conditions
commissioned provider as being • Some disability and aged care support volunteers
vulnerable and at high risk of
contracting or developing serious Travellers
illness from COVID-19 • Travellers (under 50 years old) who have received a travel restriction exemption from the Australian Government to
• Residents and staff of high-risk leave Australia
accommodation settings
Public-facing transport workers
• Public transport workers
• Commercial passenger vehicle drivers
OFFICIALVaccine delivery models
Hospital Hubs COVID Vaccine
Clinics
Community Health Victoria’s High Volume
Vaccine Network COVID Vaccine Vaccine Centres
System
Mobile COVID General Practice,
Vaccine Teams ACCHOs, other
OFFICIALVaccination clinic locations
• Over 30 open-access vaccination clinics and high-volume centres across Melbourne and regional Victoria
• Community health and mobile options via localised health response (C-19 Collaborative)
• Local GP or GP respiratory clinics (AstraZeneca – some Pfizer vaccine in future)
• In-reach at supported residential services and specific accommodation settings
• For bookings, call 1800 675 398 www.coronavirus.vic.gov.au/vaccination-centres
OFFICIALVictorian open access sites including
high volume vaccination centres
Walk-ins are allowed at some high-volume vaccination centres although
you are encouraged to book ahead by calling 1800 675 398
Find more information: www.coronavirus.vic.gov.au/vaccination-centres
OFFICIAL
Images: Royal Exhibition Building - supplied by St Vincent’s Hospital MelbourneLocal Public Health Units – catchment areas
COVID-19 vaccination from 22 February
• Barwon LPHU
• North Eastern LPHU
• South Eastern LPHU
• Western LPHU
COVID-19 vaccination from 1 March
• Grampians LPHU
• Bendigo LPHU
COVID-19 vaccination from 9 March
• Goulburn Valley LPHU
• Albury Wodonga LPHU
• Gippsland LPHU
OFFICIALLocal Public Health Units - Supporting the response
The local model is designed to A network of 9 LPHUs The LPHUs strengthen our
support the Victorian (3 metro and 6 regional) with public health response to
Government and health sufficient expertise and COVID-19, support
providers to respond to and experience is ready to act engagement with the
prevent future waves of immediately and leverage community, enable better
coronavirus (COVID-19) existing community integration of care and public
transmission. connections. health functions, and improve
the ability to rapidly respond to
new cases and outbreaks.
OFFICIALVaccination roll out for high-risk accommodation
• Targeted engagement and vaccination access support for people living in High Risk
Accommodation
• Vaccination is currently being offered to residents as part of Phase 1a
• A schedule of in reach and temporary pop up hubs in underway and is being scaled up in
high rise towers as priority response to the current outbreak
• Access to State vaccination centres and GPs is also encouraged
• Models for support and transport being developed to ensure all Victorians can access
their vaccination appointment with minimal barriers
OFFICIALFuture developments
• 1800 675 398 – the call centre is currently able to accept bookings made on behalf of
another individual.
• A model for larger group bookings is under development. This recognises the need for
groups travelling together to receive vaccination at the same time at participating
centres, thus reducing overall time at the centre.
• Group bookings will need to be made in advance to ensure vaccination centres are set
up to accommodate predicted numbers including other public bookings.
• Further information on group bookings, including participating venues and available
times will be provided soon.
OFFICIALTransport support options
Models for support and transport being developed to ensure all Victorians
can access their vaccination appointment with minimal barriers
• State-wide solutions to be offered through call centre bookings (eligibility criteria)
• Residents of High Risk Accommodation to be offered transport to GPs, temporary sites
and open access clinics through engagement programs
OFFICIALLocal Engagement
Services such as Neighbourhood Houses, Community Centres and Men’s Sheds have a
key role in the vaccination program:
• Providing accurate and current information
• Addressing hesitancy and building readiness
• Supporting bookings and getting prepared
OFFICIALHaving open conversations
Don't jump to Have open-minded Acknowledge Address Act as a You’re not expected to
conclusions conversations concerns misinformation role model have all the answers!
It is normal to feel
irritated when Simple ways of addressing
someone you Establish a misconceptions include
know believes If a person is passionate connection with We listen to
misinformation against vaccination, let your community Is the vaccine safe? friends and Advocate reputable
them believe what they and show "The vaccines went through the
people we sources of information
Do not suppress or try to want to believe empathy trust
same safety checks as other
change their thoughts – vaccines, the funding and
this will not change their administrative processes were
point of view fast-tracked, not the science"
Show respect for your Why do I need it?
Try not to assume community, even if you do Department
"Getting vaccinated protects you
- a question does not agree of Health
against severe COVID-19
not mean the Focus
symptoms, and you are less If you decide
person disagrees on conversations likely to pass it on to others" to get World Health
with vaccination where people
Be Don't I'm scared of the side vaccinated, Organisation
are unsure or are
curious judge effects tell your loved
open to others
ones why
Before providing an point of view "It is normal to experience GP or
answer, take a deep Don't minor side effect, severe
Listen reactions to vaccines are very
health
breath and listen condescend clinic
rare, the vaccines are safe"
Source: Olivia Willis (2021) - How to talk to friends and family feeling unsure about COVID-19 vaccines - https://www.abc.net.au/news/health/2021-03-29/coronavirus-vaccines-concernes-conversation-guide/100018588
*Information from the Victorian Department of Health - current at 22 April 2021 – for most current information please visit coronavirus.vic.gov.au/vaccine
OFFICIALCOVID-19 Vaccine Ambassadors Program – local partners
Aim to support promotion, education and There are 137 Grant funded Ambassador organisations:
capacity building efforts – informing, building
trust and confidence, and supporting • Aboriginal Community Controlled Health Organisations
vaccination participation across communities. • Community Health Organisations
• Local Government
• GenVic (peak body for women’s health)
• Carers Vic
• Victorian Healthcare Association
• Victorian Council of Social Services
• Women’s Health Services
• Youth Advisory Council
OFFICIALProgress update
Note This data does not encompass vaccine doses administered by the Australian Government. All national data can be found on the Australian Government's
Department of Health w ebsite. Two doses of the vaccine are required. For more information, see our COVID-19 vaccines information hub.
OFFICIALChallenges
Information:
Victorian
Perception: Logistics:
implementation of
Pfizer V AstraZeneca Vaccine supply
Commonwealth
program
OFFICIALThank you
To make a booking, call 1800 675 398
www.coronavirus.vic.gov.au/vaccine
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