Abstract
The Canadian Immunization Guide (CIG) is a trusted, reader-friendly summary of information and advice on immunization that has been used by health care providers and policy makers for decades. It is continuously updated based on new recommendations from the National Advisory Committee on Immunization (NACI) and the Committee to Advise on Tropical Medicine and Travel (CATMAT), two external advisory bodies to the Public Health Agency of Canada. In September 2016, the CIG moved to a new web platform that has improved navigability and is more mobile friendly. Between April 2015 and October 2016, five new NACI statements were published and are reflected in the CIG. The objective of this article is to provide readers with highlights of recent key changes to active vaccine recommendations in the CIG. For example, for Hepatitis (HA) vaccine, it may now be administered to persons six months of age and older and considered for all individuals receiving repeated replacement of plasma-derived clotting factors. There are now new recommendations for the use of HA immunoglobulin post-exposure prophylaxis. For Human papillomavirus (HPV) vaccine, any of the authorized HPV vaccines in Canada, including HPV9 vaccine, can be used according to the recommended HPV immunization schedules. For influenza vaccine, adults with neurologic or neurodevelopment conditions have been added to the group for whom influenza vaccination is particularly recommended, high-dose influenza vaccine has been approved for use in Canada in adults ≥65 years of age and live attenuated influenza vaccine (LAIV) is no longer a preferentially recommended product for use in children and adolescents. On an individual basis, pneumococcal conjugate 13-valent (PNEU-C-13) vaccine may be recommended to immunocompetent adults aged 65 years and older if not previously immunized against pneumococcal disease. When it is given, it should precede the pneumococcal polysaccharide 23-valent (PNEU-P-23) vaccine. Varicella immune globulin may now be administered up to 10 days since last exposure for the purpose of disease attenuation and there were a number of minor changes to the criteria for assessing varicella immunity.
Highlights
Since 1979, the Canadian Immunization Guide (CIG) has provided a trusted, reader-friendly summary of information on immunization and has been used by health care providers who administer vaccines to their patients and by policy makers for the delivery of immunization programs
Both National Advisory Committee on Immunization (NACI) and CATMAT recommendations are published by Public Health Agency of Canada (PHAC) and summarized in the CIG (2)
It is the part of CIG that is most often updated in relation to new recommendations
Summary
Since 1979, the Canadian Immunization Guide (CIG) has provided a trusted, reader-friendly summary of information on immunization and has been used by health care providers who administer vaccines to their patients and by policy makers for the delivery of immunization programs. The CIG, published by the Public Health Agency of Canada (PHAC), translates recommendations and guidance from the National Advisory Committee on Immunization (NACI) and the Committee to Advise on Tropical Medicine and Travel (CATMAT), into a single resource. CATMAT is an expert advisory body that assists PHAC with travel health-related advice for travellers and health care professionals. Both NACI and CATMAT recommendations are published by PHAC and summarized in the CIG (2). The CIG is divided into five parts, covering key immunization information, vaccine safety, special populations, active vaccines and passive immunization agents. It is the part of CIG that is most often updated in relation to new recommendations
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