GUIDELINES IN SURVEILLANCE &

RESPONSE TO THE ADVERSE EVENTS

FOLLOWING IMMUNIZATION (A.O. #

2010 – 0017-A)

SCOPE & COVERAGE

applies to health professionals private & public providing vaccination nationwide

DOH offices & attached agencies private and government facilities epidemiology and surveillance units Local government units

SCOPE & COVERAGE

Community involved in surveillance and management of AEFI

All vaccines under EPI and vaccines given by DOH

OBJECTIVE

To guide concerned stakeholders on the

early detectionappropriate and quick response

IMPLEMENTING GUIDELINES

SurveillanceDetection

Reportable AEFIsAll serious AEFIsUnusual eventsMinor AEFIsClustering

IMPLEMENTING GUIDELINES Surveillance

DetectionResponsibility of reporting

All health workers providing immunization and clinical treatment of AEFI

Individuals who received the vaccines, parents or guardian for minors

Researchers and research labsVaccine manufacturers or distributors

IMPLEMENTING GUIDELINES Timing & flow of reporting

be reported within 24 hoursserious AEFIsdeathsunusual AEFIs

IMPLEMENTING GUIDELINES

InvestigationCausality assessment

Diseases Surveillance Coordinator of the facility

Using PIDSR FormDone within 48 hrs

IMPLEMENTING GUIDELINES Investigation

Causality assessmentSerious AEFIs & clustering –

investigated by next higher level Regional AEFI Committee will

conduct causality assessment upon receipt of complete AEFI report from the field

IMPLEMENTING GUIDELINES Investigation

Causality AssessmentRegional AEFI Committee will

conduct causality assessment upon receipt of complete AEFI report from the field

Final causality assessment of serious AEFIs shall be conducted by ISB

Assessment should be completed within 48 hours afterr each investigation

IMPLEMENTING GUIDELINES

Response LGU level

Response based on the AEFI committee

ASSISTANCE TO AEFI CASES LGU shall ensure all serious AEFI cases

are provided with immediate assistance

If post mortem exam is required, DOH shall provide necessary assistance

DOH retained and other government hospital shall not charge the patient any fee

If no existing /accessible government facility, it can be managed in a private facilty and assistance shall be provided by LGU with support from DOH

ASSISTANCE TO HEALTH WORKERS Concerned public health professional

shall not held liable as long as DOH standard operating procedures are complied as per assessment of local, regional AEFI committe or NAEFIC

DOH shall collaborate with PAO, OSG,IBP in providing appropriate legal assistance

Local police force shall provide assistance for any threats received

ASSISTANCE TO HEALTH WORKERS In case of physical Injury, they will be

provided with free medical assistance in government facility. If referral is needed to a private facility, expenses incurred will be reimbursed by the LGU/DOH

HW will be given due process for any administrative, civil or criminal sanctions filed. Assistance will be given by LGU for any expenses incurred