Immunization Readiness of a Deploying Emergency Medical Team. Issue Volume 34:Issue s1(2019) (May 2019)

• Record Type: Journal Article
• Authors: Morrow, Melanie; Sekulich, Hollie; Trewin, Abigail; Archer, Peter
• Is Part Of: Prehospital and disaster medicine. Volume 34:Issue s1(2019)
• Page Start: s137
• Page End: s138
• Publication Date: 2019-05
• Subjects: Emergency medical services -- Periodicals; Emergency medicine -- Periodicals; Disaster medicine -- Periodicals; 616.025
• DOI: 10.1017/S1049023X19003030
• Languages: English
• ISSNs: 1049-023X

Abstract

Abstract : Introduction: It is a requirement for a World Health Organization verified Emergency Medical Team (EMT) that all members be immunized against common diseases in the deploying region. Most jurisdictions use private suppliers such as travel doctors for immunization services. When a deployment is announced, members are nominated by their jurisdiction under the condition they are fully immunized. It is up to the individual to monitor their immunization status. Aim: To determine how many members nominated for deployment were fully immunized. Methods: Nominated members sent their completed vaccination record to a central location for assessment of their immunization status. The following data were recorded: vaccination status, last-minute booster doses required, and the number of emails sent by the assessor in processing the records. The number of phone calls made and received were not recorded. Results: To complete the skills matrix for a field hospital containing an emergency department and operating theater (an EMT type 2), 61 members were nominated. At the time of assessment, 32 (52%) were fully immunized, requiring no further booster doses (vaccinations or serology tests). Three members were removed from the deployment as they were not fully immunized. Last-minute booster doses were required by 27 (44%) members, with a total of 74 booster doses administered (range 0-5). 19 of the booster doses administered were immunizations required to work in any health facility in Australia. The most common vaccines requiring booster doses were rabies (n=21) and typhoid (n=15). 58 emails were sent over a period of 5 days to 24 members to clarify vaccination status. Discussion: This deployment highlighted a gap in members' perception of their immunization status, leading to delays in deployment readiness for the team. A new electronic system where vaccine status tracking occurs in real time should address this issue.