Republic of the Philippines CENTRAL LUZON CENTER FOR HEALTH DEVELOPMENT DEPARTMENT OF HEALTH City of San Fernando, Pampanga wmeetach veh gb alg Vision: ADVISORY NO. 2019- Aketyané Date Issued: May 20, 2019 eae To: Provincial DOH Offices Provincial/City/Municipal Health Offices ‘Mission: And others concerned oes office vey of abit affordable, acewsibl, SUBJECT: School Age Vaccination quite and evant ere A. Background and Rationale eee The Expanded Program on Immunization, now the National Immunization sukeoléer for Program, has increased the number of vaccines available to a wider age group. The oes protection provided by some vaccines will decline over time, such that booster doses Sisfaw are required to ensure high levels of protection, such as tetanus diphtheria vaccines. coloration, Likewise, new vaccines are being developed wherein their efficacy is best if Pigenicy administered at a specific age group, the human papilloma virus (HPV) vaccine for ‘wNGo.forite example. Thus, the implementation of school-based immunizations (SBI) provides an pepleefCotn’ portunity to deliver vaccines and start vaccination for school children and ieottiaeser adolescents. poor diadvndage magnate With the recent declaration of measles outbreak, the next step is to vaccinate the ee same age group and other schoo! age children with measles containing vaccine. Hence, detegty the creation of this advisory to guide health workers in strengthening implementation of ee routine school based immunization program and expansion of measles vaccination to an ‘Compan older population Onfessionofisn = B. Objectives To provide guidelines in the implementation of measles, tetanus, diphtheria and Heth Mew human papilloma virus vaccine immunization in schools and/or community. Ge “Finan Oroection Definition of Terms ater teat ‘ Ge School-based strategy — vaccination of target population in the school, either private or public elementary/secondary school i ser nr Community-based strategy — vaccination of target population in the community, either modified fixed and/or house to house vaccination method Mixed strategy — combination of two strategies (school and community) Ceomennon f Ds Specific Guidelines The following immunization activities may be implemented through a community and/or school-based strategy during May to September 2019, as identified per province and city. “Tel no 048) 861-3425 to 29 / 861-3703 / 455-3297, Emal address: doh_chd3@yahoo.com “ISO tayo...Serbisyongdekalidad at siguraDOH”Republic of the Philippines CENTRAL LUZON CENTER FOR HEALTH DEVELOPMENT DEPARTMENT OF HEALTH City of San Fernando, Pampanga ‘ww.r03.doh.gov.ph = Table 1 List of Identified Strategies by Province and City Vision: PROV/CITY STRATEGY A fiealthy an Aurora School Based ciara Bataan Community Based Bulacan I Mixed Mission: ‘Nueva Ecija Mixed tonne offctioe Pampanga Mixed ine Tarlac | __ Community Based Pees Zambales Mixed anal el [= “Angeles City ‘Community Based ee | Balanga City ‘Community Based _ to dup, omnia [-Cabanatuan City Mixed ent mele ‘Gapan City School Based | rere ‘Malolos City School Based | | Meycauayan City ‘Community Based | eee, [= Mabalacat City Mixed parteentip on | Muttoz City School Based itera Ge Olongapo City | School Based end NGO: forthe Sonat Palayan City ‘Community Based = ‘exzon eerily the City of San Fdo. ao a ‘San Jose City _ SIDM ‘Community Based Core Values: { Tarlac City ‘Community Based Integrity See Note: In school-based strategy, a consent_must be secured before ‘Gaus vaccination. fey. In_any strategy, a thorough screening must be done prior to vaccination. Philippine Health Agenda 1. Vaccination of Measles Containing Vaccine (MCV) Goals Financia Ortecion A. Target Group: 5 to 12 year old OR Kinder to Grade 6 pupils © SELECTIVE immunization to all target populations to ensure that a each child receives two doses of measles containing vaccine. ‘* Give measles containing vaccine if identified to have zero or only ene ‘one dose of MCV. © Simultaneous administration of the mostly widely used live and inactivated vaccines does not result in decreased antibody responses or increased rates of adverse reaction. If two live parenteral vaccines are not administered on the same day, the vaccines must be separated by at least 4 weeks. Inactivated Ses vaccines may be given at the same time or at any time before or afier a live vaccine. Inactivated antigens are generally not affected by circulating antibody. (Epidemiology and Prevention of Vaccine- Preventable Diseases, The Pink Book: Course Textbook - 13th Edition, 2015). Tel no (088) 861-3425 to 29 / 851-3703 / 485-32 97, Ema address: doh_eha3@yahoo.com “ISO tayo...Serbisyongdekalidad at siguraDOH”Republic of the Philippines CENTRAL LUZON CENTER FOR HEALTH DEVELOPMENT DEPARTMENT OF HEALTH City of San Femando, Pampanga wow.108.doh.gou. ph ‘An estimated target from the Department of Education is used, computed Vision: as 55% of Kinder to Grade 6 enrollees in private and public schools, as follows: A ay end ee ‘Table 2 Enrollment in Public and Private (DEPED) Elementary feos School, School Year 2018-2019 Mission: Grand Total : | @ublic and ree cene een ey Province and City Grand Total | private) Target jb tbe (Public and Private) | i evr St octet, | using 55% sei TOTAL 1,676,786 922,232 a ~_ Angeles City 66,839 36,761 nei Aurora 36.247 19.936 | eelgietes for Balanga City 15,222 8,372 | enc [Bataan 101,535 35,846 | -iofater Bulacan 343,233, __188,778 en, Cabanatuan City 44,110 24.261 get ox Gapan City 17,605 Sete ‘Mabalacat City Ee 34,475 natin Malolos City 32,917 | pr dang Meycauayan City ROA SEAE || | Serene ‘Munoz Science City 12.776 Core Values: ‘Nueva Ecija (including Palayan City) 216.913 119,302 a (Olongapo City 35,058 19,282 Saline Pampanga 228,542 125,698 estar ‘San Fernando City 45,062 24.784 —— San Jose City (ie zar0. 12,496 Stevanlip San Jose del Monte City 92,812 31,047___| ee Tarlac 153,725 84,549 ilippine Tarlac City 54,668 30,067 Health Agenda Zambales 93,085 51,197 Goals Finance Picton B. Target Group: Individuals above 12 years of age ‘© Give one (1) dose of measles containing vaccine for those without Satersk eee ‘Outcomes ‘measles vaccination Segonivees ‘An estimated target from DOH Central Office is used, computed as 2.03908 % of the total population, as follows: ‘Table 3 Population above 12 Years of Age for Measles Vaccination Province and City Above 12 Years of Age TOTAL 246,715, ‘Aurora 4,581 Bataan 14,612 Bulacan 50,262 Nueva Ecija 32,332 Pampanga 36,283 | Tarl 21,993 ‘ambale: 12.850 — Tel no (045) B61-2425 to 29 / 861-3703 / 455-3257, Email address doh _chdB@yahoo.com “ISO tayo...Serbisyongdekalidad at siguraDOH™Republic of the Philippines (CENTRAL LUZON CENTER FOR HEALTH DEVELOPMENT DEPARTMENT OF HEALTH City of San Fernando, Pampanga wor r03.doh.gou ph SS aie “Angeles City Vision: Balanga City A ay nd Cabanatuan City eae Gapan City 5 Malolos City E Mission Meycauayan City semen ofctine Mabalacat City ver of lity Mufoz City oer Olongapo City i sutainale fe Palayan City — City of San Fado. are | ‘San Jose City | ned eb I ‘SJDM i Se Tarlae City E Sar cee 2, Vaccination of Measles Containing Vaccine (MCV) _and_Tetanus ae Diphteria (Ta) vaccine Fnkaps wth oe Se ‘Target Group: Grade | and Grade 7 pupils ason eel the «Implemented simultaneously with measles vaccination of school Fe eee aged children, in accordance to the strategy identified for the . provincelcity Core Values: «For community-based strategy, children must be masterlisted to oe identify the current grade level (see Annex 1: Masterlist of School Sieline Age Children), Commitment = ‘© For school-based strategy, the same protocol of masterlisting (in coordination with Department of Education) and vaccination by ee health workers in the school will be implemented. « SELECTIVE IMMUNIZATION will also apply and be Philippine implemented simultaneously with MCV vaccination of Grade 1 Health Agenda and Grade 7. Goals ‘* All identified Grade 1 and Grade 7 pupils must be given one (1) Financial tection dose of Td. pecrest 3. Vaccination of Human Papillomavirus Vaccine Responsive Target Group: Grade 4 pupils, 9-14 years of age in selected areas: (Nueva Ecija, Pampanga and Zambales) ‘* Give second dose of HPV to female pupils of school year 2018- 2019 through the identified strategy of the province/city from May 10 July 2019, * Give first dose of HPV to female pupils of school year 2019-2020 in August 2019 (school-based strategy) and in June to August 2019 (community-based strategy) All administered doses must be recorded in the routine immunization card and/or Mother Baby Book, or MR Td/ HPV immunization card. Tel no (045) 861-3425 to 29 / 861-3701 / 485-3207, mal address: dah_chd3@yahoo.com “ISO tayo...Serbisyongdekalldad at siguraDOH™Republic of the Philippines CENTRAL LUZON CENTER FOR HEALTH DEVELOPMENT DEPARTMENT OF HEALTH City of San Fernando, Pampanga www £08.d0h.gou ph Vision: A softcopy of the reporting template will be given to respective offices, and cumulative reports will be submitted weekly using the prescribed template A hay nd cae send to chd3epi@gmail.com. ‘Mission: SUMMARY to ensure effective hiner of galty SCHOOL BASED STRATEGY ee Biaeeers ‘Antigen Immunization Target Date cai Method series Measles Containing | Selective (ensure | Kinder to Grade 7 May to ees Vaccine 2 doses of MCV) September oe 2019 salgbolder for Tetanus Diphtheria | Non-selective | Grade 1 AND Grade7 | May to ae: | (one dose) September -tofoster | 2019 ee ‘Human Non-selective | Grade 4 female pupils, i . aomics Papillomavirus 9-14 years of age nif Vaccine one | (2! dose to pupils of | May to July | Lepr SY 2018-2019) 2019 | maniacal and | (1 dose to pupils of | June to eee SY 2019-2020) ‘August aes 2019 ‘Euvellence . Commitment Compasion COMMUNITY BASED STRATEGY a ‘Antigen Immunization Target Date Tamer, Method zi " s Measles Containing | Selective (ensure | 5to 12 years of age | May to V) s a a | Vaccine 2 doses of MCV) September Goal Tetanus Diphtheria | Non-selective | Grade 1 AND Grade 7 | May to Geemaleeeie (one dose) (based on masterlist) | September Wetter Health 2019 Ontomes Human Non-selective | Grade 4 female pupils, Papillomavirus 9-14 years of age ce Vaccine | (based on masterlist) (2 dose to pupils of | May to July | SY 2018-2019) 2019 and | (1* dose to pupils of | June to CERTIFICATION SY 2019-2020) | August 2019 Telno (088) 861-3425 to 29 / 861-3701 / 455-3207, mal address: doh_chd3®@yahoo.com “ISO tayo...Serbisyongdekalidad at siguraDOH”A hea and responsive comity in Central Cxzon. Mission: sacar flats ler of lity affordable, accessible, ‘equitable, and inl es Sg ogee eatuctite stkghlben for fea ont tafser ‘ellbortion partner and finkgges wit Ge ent NGOs forthe people of Cental Cason pei the Pow maniac Core Values: Integy Euelince commitment Compassion @rofessonatisn Stewarlokip Teamwork, ae Health Agenda Goals Financial Protection etter Heath Outcomes Responscenee Republic of the Philippines CENTRAL LUZON CENTER FOR HEALTH DEVELOPMENT DEPARTMENT OF HEALTH City of San Fernando, Pampanga wown.r03.doh.gov.ph MEASLES VACCINATION OF ABOVE 12 YEARS OF AGE ‘Antigen Immunization | Target Date | Method | | Measles Containing | Selective (give | Above 12 years of Mayto | Vaccine only one dose) Age December | 2019 | For your information and compliance. eee CESAR C. CASSION, MD, MPH, CESO IV Director 1V elo (085) 861-3425 to 29 / 861-3701 / 455-3297, mal address: doh_chdB@yahoo.com “ISO tayo...Serbisyongdekalidad at siguraDOH™ANNEX 1: Masters of Schoo! Ag Chiléren IMR Vaccination i Grade| in school| Fase | Immunization status me 1d Remarks .| ° Name sex} day | “#8! ‘Complete Address pine aacoaecar _ yw] y |u| Pe Complete | (date given) | [date given) dose only)Annex 2: Agreements during Consultative Meeting with EPI Program Coordinators, May 9 to 10, 2019 a | & Zambales | San Jose City - Community | | Angeles City - community | Mabalacat City - community Person aoa Lore} slot 0) Agreements 4 aia iat Responsible Selective measles | Aurora - SBI | Prov/City Prog. / May 14- | _vaccination(5-12 or | Beige Che canenunty | Coord. And [last week | _kinder- grade 6) and | gulacan- Community | PDOHO | of August i _MR-Td SBI | Malolos City - Community | 12019 | And | Meycauayan City - Community | i | HPV Vaccination f San Jose del Monte - Community i | ,HPV Vaccination for | Cabanatuan City - Mixed i | Nueva Ecija, Pamanga | Palayan City - Community | I | Pampanga - ask municipalities (next week) i i | San Fernando - for verification w/ DMO | | | Tarlac - Community | | | Tarlac City - Community | | | Zambales - Community i | Olongapo City - SBI JONAL IMMUNIZATION PROGRAM. Le elt