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Flu for under 65
kitkat

221 Posts

Posted:  09-Oct-2018 23:11
Hi

Which flu vaccine do we offer to the “healthy” 64 yr olds who are turning 65 before end of March? Tri or quad?
Thanks

kk
tiredandemotional

4479 Posts



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Posted:  10-Oct-2018 02:21
aTIV

This is just my opinion and not an instruction. T&E x
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Flower

1336 Posts



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Posted:  10-Oct-2018 20:31
Fluad
sract08

1577 Posts

Posted:  11-Oct-2018 10:55
Fluad

This is my interpretation of the available information but not the law!
busby

570 Posts

Posted:  11-Oct-2018 14:15
I am wondering why fluad as our PGD does not cover under 65s for this vaccine and also the product licence is for over 65s only.



busby
mika

531 Posts

Posted:  11-Oct-2018 14:21 Log in to like this post
Our PHE PGD states Fluad for those 65 before 31.3.19 as per all PHE guidance.
busby

570 Posts

Posted:  11-Oct-2018 16:19
Thanks Mika, I am unable to find anything that says this - do you have a link?

Below is from the PHE flu letter for this current season.

the adjuvanted trivalent vaccine (aTIV) for all 65s and over. NHS England has recommended that the adjuvanted trivalent influenza vaccine (aTIV) be made available to all those aged 65 and over in 2018/19. This is the most effective vaccine currently available for this group. This reflects current JCVI advice and Green Book guidance published in December 2017 by Public Health England (PHE). Note: JCVI considers aTIV to be more effective and cost-effective than the non adjuvanted vaccines currently in use in the elderly (including quadrivalent vaccine (QIV)).

busby
tiredandemotional

4479 Posts



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Posted:  11-Oct-2018 16:47
I think it says in our PGD. I’ll have a look for other references when I get a chance

This is just my opinion and not an instruction. T&E x
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tiredandemotional

4479 Posts



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Posted:  11-Oct-2018 17:08
https://www.nhs.uk/conditions/vaccinations/who-should-have-flu-vaccine/
 

This is just my opinion and not an instruction. T&E x
busby

570 Posts

Posted:  11-Oct-2018 17:15
Thank you -

I still cannot see why folk of 64 who will be 65 should have fluad and not QIV, am I missing something?

•a quadrivalent injected vaccine. This is for adults aged 18 and over but below the age of 65 who are at increased risk from flu because of a long-term health condition and for children 6 months and above in an eligible group who cannot receive the live vaccine
•an adjuvanted trivalent injected vaccine. This is for people aged 65 and over as it has been shown to be more effective in this age group


busby
tiredandemotional

4479 Posts



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Posted:  11-Oct-2018 17:20 Log in to like this post
In a nutshell, they turn 65 during the current flu season which runs until the end of March.


Or, to put it another way, from my link:
 

65s and over and the flu vaccine

You are eligible for the flu vaccine this year (2018/19) if you are aged 65 and over on March 31 2019 – that is, you were born on or before March 31 1954. So, if you are currently 64 but will be 65 on March 31 2019, you do qualify.



This is just my opinion and not an instruction. T&E x
busby

570 Posts

Posted:  12-Oct-2018 08:05
Thank you. I agree they are eligible for a flu vaccine if 65 in current season, the original question was about which vaccine to use, I am trying to understand why folk would use fluad if the patient is UNDER 64 but eligible.


They would not be covered by our pgd or the product licence.

busby
tiredandemotional

4479 Posts



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Posted:  12-Oct-2018 10:30 Log in to like this post
It is stated on P10 of the PGD

This is just my opinion and not an instruction. T&E x
tiredandemotional

4479 Posts



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Posted:  12-Oct-2018 11:00 Log in to like this post
https://www.england.nhs.uk/south-east/wp-content/uploads/sites/45/2018/08/pgd-im-influenza-v06.pdf
 
busby

570 Posts

Posted:  12-Oct-2018 16:14
we have the same PGD and this is what it says, so I remain puzzled as to why anyone under 65 is getting TIV.

18 years to under 65 years
Offer QIV.
Note: LAIV (Fluenz Tetra®▼) and aTIV (Fluad®) are not licensed in this age group.



busby
tiredandemotional

4479 Posts



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Posted:  12-Oct-2018 17:42
In the margin underneath the part you have quoted.

'65 years and over (including 64 year olds turning 65 years by 31 March 2019) and goes on with 3 paragraphs about aTIV.

If you still have concerns I would suggest you discuss this with PHE.
busby

570 Posts

Posted:  14-Oct-2018 12:55
Thank you so much, I have poured over this document and just could not find it.

I suspect many have not seen it.

Went for my flu jab yest with my daughter, segregated into 2 queues, over 65 or under 65.

[:)][:)][:)]


busby
tigha

802 Posts

Posted:  31-Oct-2018 13:15
Interesting
but yes it all depends on what your pgd says, which may not all be the same
as I have just checked and our says if turning 65y before 31/3/19 give FLUAD- off label page 10
Flower

1336 Posts



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Posted:  31-Oct-2018 20:15
ours same a tigha's. I am North East
Flower

1336 Posts



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Posted:  31-Oct-2018 20:15
ours same a tigha's. I am North East
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