Communicable Disease Control in Child Care facilities .

1. Communicable Disease Control in Child Care facilities. Professor Paul Van Buynder Public Health Staff Specialist Gold Coast

2. Overview • Why are we here • What is required • Staff vaccination policies and monitoring • Child vaccination policies and monitoring • Disease Recognition • “Staying healthy in child care” • Response plan • Exclusions for affected children and unvaccinated • Staff exclusions

3. Η πρόληψη είναι καλύτερη από τη θεραπεία Hippocrates 468BC

4. Overview • Why are we here • Child care is a virus production and transmission factory

6. childhood flu

7. Impact of Influenza • 300,000 GP consultations per year • 18,000 hospitalisations per year • 1500 - 3000 deaths • CCW more likely to be infected • Infected people spread disease before they are ill themselves • Vaccinated staff are less likely to spread illness • Vaccinated staff protect residents

8. Impact of influenza in 2015 100,569 Australians suffered in 2015 from laboratory confirmed influenza. This is only the tip of the iceberg. Laboratory confirmed cases represent only a small proportion of the overall flu cases in the country. In 2015 children aged less than 15 years accounted for one third of all influenza notifications. Children under 10 represented 25% of all notifications in 2015. (Age-specific incidence varies from year to year) 9% of hospitalised children with laboratory confirmed influenza were admitted directly to ICU in 2015. In Queensland in 2015 children aged less than 20 years accounted for 40% of all influenza notifications and 20% of admissions | Presentation Title | Presenter Name | Date | Subject | Business Use Only

12. Post mortem respiratory virus surveillance. 2006-2015* Influenza Deaths by Age Group (Perth, WA) Surveillance based on Perth city in Western Australia … 12 deaths in 10 years .. Equates to around 10 – 15 deaths a year in Australia

13. Summary Influenza hospitalisations in children are substantial especially in non-H3N2 years Influenza and its complications kill more children each year in the developed world than all other vaccine preventable diseases combined … | Presentation Title | Presenter Name | Date | Subject | Business Use Only

14. Summary Influenza and its complications kill more children each year in the developed world than all other vaccine preventable diseases combined … By around an order of magnitude | Presentation Title | Presenter Name | Date | Subject | Business Use Only

16. carmit's story

17. Pertussis on the Gold Coast 2016

18. Overview • What is required • Staff vaccination policies and monitoring • Child vaccination policies and monitoring

19. CCW Vaccine • Must put children first • Must do no harm • Must protect those who cant protect themselves • Vaccinating staff reduces all cause mortality and hospitalisations

20. Staff Immunisation assistance • What is required • Protection against respiratory diseases • Critical • Measles booster • Pertussis booster • Highly desirable • Influenza vaccine

21. Staff Immunisation assistance • Child care centres should fund the following • Measles booster • Free for all adults if required ..any clinic • Pertussis Booster • Cost price at Public Health and some clinics listed on sheet ($25-26) • Influenza • $12 at Public Health and some clinics and some pharmacies

22. No Jab No Play • What is required • A local vaccination policy • Not accepting legal now • Some still do (?liability) • Some encourage • If accept • Exclusions during outbreaks • Interventions • Dr Paul does not believe unvaccinated children should be in child care

23. Requirements at time of Outbreaks • Child care centres should have available • A Register of staff vaccination status • A register of attendee vaccination status • paul.vanbuynder@health.qld.gov.au • 0414278031