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Immunisation Handbook 2011 Copyright Any part of this document may be reproduced (without addition or deletion) and distributed, provided acknowledgement is given to the Ministry of Health. Copyright remains with the Ministry of Health. Disclaimer This publication, which has been prepared for, and is published by, the Ministry of Health, is for the assistance of those involved in providing immunisation services in New Zealand. While the information and advice included in this publication is b
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    Immunisation Handbook 2011      Copyright Any part of this document may be reproduced (without addition or deletion) and distributed, provided acknowledgement is given to the Ministry of Health. Copyright remains with the Ministry of Health. Disclaimer This publication, which has been prepared for, and is published by, the Ministry of Health, is for the assistance of those involved in providing immunisation services in New Zealand. While the information and advice included in this publication is believed to be correct, no liability is accepted for any incorrect statement or advice. No person proposing to administer a vaccine to any other person should rely on the advice given in this publication without first exercising his or her professional judgement as to the appropriateness of administering that vaccine to another person. Feedback Comments on this book and suggestions for future editions are invited to enhance the usefulness of future editions. These should be sent to the Manager Immunisation, Ministry of Health at the address below. Additional copies of this publication can be ordered from the Ministry of Health, phone (04) 496 2277. Citation: Ministry of Health. 2011.  Immunisation Handbook 2011.   Wellington: Ministry of Health.   Published in May 2011 by the Ministry of Health PO Box 5013, Wellington 6145, New Zealand   ISBN: 978-0-478-37457-5 (Book) ISBN: 978-0-478-37458-2 (Online) HP 5325   This document is available on the Ministry of Health’s website: http://www.moh.govt.nz   –     Foreword It is appropriate to begin this handbook by extending the Ministry’s thanks to everyone involved in supporting, promoting or delivering immunisations to the people of New Zealand. This handbook has been designed as a comprehensive source of information on immunisation, to support you in the work you do. The World Health Organization (WHO) estimates that each year between two million and three million lives are saved by immunisation, and notes that: Vaccines – which protect against disease by inducing immunity – are widely and routinely administered around the world based on the common-sense principle that it is better to keep people from falling ill than to treat them once they are ill. At a population level the effects of increasing immunisation coverage are already clearly discernable, with fewer cases of vaccine preventable diseases as coverage increases. In New Zealand, we have seen significant decline in hepatitis B, Haemophilus influenzae  type b, genital warts and pneumococcal diseases since the introduction of vaccines. Additionally, while outbreaks of illnesses such as measles do still occur from time to time, they are noticeably smaller in scale than was the case in the past. We have also made significant progress in immunisation coverage since it became a national Health Target. As at December 2010, 88 percent of two year olds were fully immunised. Large gains have been made for Màori children in this age group, with an increase from 68 percent in 2007 to 85 percent in December 2010. And in the HPV Immunisation Programme equity has been achieved for young Màori and Pacific women. The health community deserves praise for this improvement, but at the same time must continue with its efforts to increase coverage toward the point where herd immunity against the most infectious diseases can be achieved. I congratulate you on these past achievements, and encourage your ongoing commitment to improving immunisation coverage and reducing vaccine-preventable disease in New Zealand. Immunisation is an important opportunity for health professionals to interact with people from all walks of life: mothers with newborns, school-age children, and adults either working or retired. Your attitude and the conversations you have with people affect their attitudes toward immunisation and their engagement with the health care system in general. We hope this handbook will help your interactions with your patients and their families/whànau. Immunisation Handbook 2011 iii  In closing I would like to thank the members of the Immunisation Technical Forum who updated the handbook - and also all the peer reviewers. I trust this edition, like its predecessors, will prove a valuable resource for health professionals. Kevin Woods Director-General of Health Immunisation Handbook 2011 iv
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