​Immunizations

The Health Unit works with local health-care providers to:

  • Supply publicly funded vaccines and obtain immunization records for children 0-17 years.
  • Provide information related to publicly funded vaccines.
  • Investigate adverse events following immunization.
  • Inspect premises where provincially funded vaccines are stored.
  • Respond to reports of cold chain incidents (failure in proper vaccine storage and handling).

The Publicly Funded Immunization Schedule for Ontario was updated in June 2022.

The key updates to this version are: 

  • Addition of maternal Tdap dose
  • Hepatitis B eligibility expansion to Grade 12
  • Rotavirus change: added Rotarix 2-dose series (removed Rotateq 3-dose series)
  • Simplified catch up schedules as a result of:
    • Hep B eligibility to Grade 12, and;
    • All students now eligible for HPV until the end of Gr.12 (no longer the need to differentiate between M/F for HPV as initial cohort of boys have completed Gr.12)
  • Addition of more detailed information in Table 1: Vaccine Administration

Brant County Health Unit has updated our Routine Vaccination Summary document which can be used as a quick reference of the current publicly funded schedule.

The Ministry of Health’s guidance for routine and catch-up immunization services was updated in Jan 2024:

Guidance for Routine & Catch-Up Immunization Services (ontario.ca)

Highlights include program extensions to 2024 for the following vaccines for missed doses:

  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Shingles
  • High risk program vaccines

Extended Eligibility for School-based, grade 7 vaccines

Vaccine

Current eligibility

Impacted cohort

Remains eligible for missed

doses until

Special considerations

Hep B (Recombivax or Engerix)

Grades 7 to 12a

Students who graduated in the 2022/23 school year

(born in 2005b, and 2006)b

Aug 31, 2024

(must complete series)

These vaccines are typically provided through school- based clinics; however, if health care providers have eligible patients requesting a vaccine, contact the local health unit for a special release access to administer the vaccine(s) directly.

HPV-9

(Gardasil 9)

Grades 7 to 12

Students who graduated in the 2019/20c, 2020/21c, 2021/22 and 2022/23 school years

(born in 2002, 2003, or 2004,

2005 and 2006)d

Aug 31, 2024

(must complete series)

Men-C- ACYW135

(Nimenrix)

Grades 7 to 12 and those born in or after

1997

N/A

Remains eligible until vaccine is received

a As of September 2022, all students in grades 7 to end of grade 12 are eligible for the publicly funded Hep B vaccine.

b Individuals aged 16 years and older require a 3-dose Hep B immunization schedule as per the Canadian Immunization Guide

c Females only as per publicly funded program criteria. Males in grade 7 became eligible in 2016. These males were born in 2004.

d Individuals aged 15 years and older require a 3-dose HPV-9 immunization schedule as per the Canadian Immunization Guide

Adult vaccine

Vaccine

Current eligibility

Impacted cohort

Remains eligible for missed doses until

Special considerations

HZ

(Shingrix)

65 to 70 years old Seniors born in 1949, 1950, 1951, 1952 and

1953

Dec 31,

2024

High risk vaccines

Vaccine

Current eligibility

Impacted cohort

Remains eligible for missed

doses until

Special considerations

HPV-9e

(Gardasil)

Males 9 to

26 years

Males born in 1993, 1994, 1995, 1996, and

1997

Dec 31,

2024

4CMenBf (Bexsero) 2 months to

17 years

Individuals born in 2002, 2003, 2004,

2005 and 2006

Dec 31,

2024

Men-C- ACYW135

(Menactra)

(Nimenrix)

9 months to

55 yearsg

Individuals born in 1964h, 1965i, 1966j,

1967 and 1968

Dec 31,

2024

e,f Age of the impacted cohorts falls within the Health Canada product monograph age indications for product use

g Ontario publicly funds a single lifetime dose of Men-C-ACYW135 for individuals

≥56 years of age who meet high risk eligibility criteria listed in Table 3: High Risk Vaccine Programs of the Publicly Funded Schedules for Ontario (2022)

h,i,j Under the program extension high risk individuals born in 1964, 1965 and 1966 are eligible for 2 doses of Men-C-ACYW135, since they would have been 55 years of age in 2020, 2021 and 2022, respectively. Administration of two doses in these cohorts aligns with NACI recommendations based on expert opinion to as the product monographs limits age indication to 55 years of age.

The Health Unit partners with local health care providers to supply publicly funded vaccines.

Orders can be placed using the Vaccine/Supply order form linked below:

REQUIREMENTS FOR THE ORDER TO BE PROCESSED:

  • Ensure “# of DOSES Currently in Fridge” column is completed for total current vaccine inventory, not just vaccines being requested. Note: Orders may be reduced to maintain appropriate inventory levels.
  • Submit order with copy of current 4-week temperature log (up to and including current date) demonstrating temperatures maintained between 2-8 degrees.
  • Note: Incomplete orders will NOT be processed.

VACCINE ORDER AND PICK UP PROCESS (updated July, 2024):

  • Orders can be submitted by email to VaccineandSupplyOrders@bchu.org or fax 519-753-2140
  • Orders to be submitted by Thursday at 4:30pm for pick up the following week on Tuesdays or Thursdays between 8:30am-4:30pm
    • If you have an urgent order need, please contact the Vaccine Preventable Disease Program Support Staff to review – 519-753-4937 ext. 452, this can be considered on a case by base basis and is dependent on urgency or need and program capacity.
  • Note: We would encourage you to order monthly, however you can order more or less frequently based on your need.
  • All orders will continue to be packed for pick up at the Brant County Health Unit reception – 194 Terrace Hill Street, Brantford ON, N3R 1G7
  • A temperature monitored cooler (with min/max thermometer) that is maintained between 2-8oC is required for vaccine transport as per MOH Vaccine Storage and Handling Guidelines (Pgs. 15-17 detail requirements for vaccine transport and how to prep a temperature monitored cooler for vaccine pick up)

NOTE ON SPECIAL ORDER VACCINES:

  • Special Order Vaccine Requests will be reviewed for approval by VPD Nurse to confirm vaccine is publicly funded for client.
  • These vaccines are distributed per client – If not used, these cannot be returned to the health unit or used for another client
  • Please ensure you have an appt booked with your client for vaccine administration before ordering. Please ensure that you are following up with your client to ensure vaccine administration to avoid vaccine wastage.

Please contact the Vaccine Preventable Diseases Program at 519-753-4937 ext. 452 with any questions or concerns.

Resources

Please report all publicly funded vaccines administered to children 0-17 years to the Health Unit, to assist with ensuring all school aged children are on schedule for routine vaccinations. This can be done by submitting a printout of the vaccines that have been administered or use the following reporting form.

Forms can be faxed to the Health Unit or picked up by Health Unit staff during vaccine delivery.

Physicians, nurses and pharmacists must report Adverse Events Following Immunization (AEFI) to their local Medical Officer of Health under Section 38(3) of the Health Protection and Promotion Act (HPPA).

AEFIs are to be reported to the Health Unit within 7 days of the suspected adverse event, using the Reporting Form. Once complete, please fax it to us at 519-753-2140.

Once a report is received, a Public Health Nurse investigates the adverse event and reports to the Medical Officer of Health.

If you have any questions about reporting an AEFI, please call us at 519-753-4937 ext. 454.

Resources

Report all cold chain failures immediately to the Health Unit.

  • During regular business hours (M-F, 8:30 a.m. to 4:30 p.m.)
    • 519-753-4937 ext. 445
  • After hours:
    • 519-753-4937 (stay on the line to speak to an operator and ask for the on-call public health investigator to be notified)

Public health units are required under the Ontario Public Health Standards, issued under the authority of the Health Protection and Promotion Act, to:

  • Respond to reports of cold chain incidents.
  • Inspect premises where provincially funded vaccines are stored

Resources

Ontario’s Universal Influenza Immunization Program (UIIP) provides publicly funded influenza vaccine for all individuals aged 6 months or older.

Licensed and injection-trained pharmacists may only administer publicly funded influenza vaccine to individuals 5 years of age or older.

You can learn more about the UIIP on the Ontario Ministry of Health website.

Resources