The Immunisation Handbook 2017
The Immunisation Handbook 2017 is available as a PDF file on the Ministry of Health website. A printed copy of the Handbook will be sent to providers in late-June. Additional copies will also be available to order via the Ministry of Health Immunisation Handbook 2017 webpage at www.health.govt.nz/publication/immunisation-handbook-2017.
National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017
This document defines the National Standards for Vaccine Storage and Transportation for all immunisation providers in New Zealand and outlines the requirements for providers to achieve the standards. These standards supersede the National Guidelines for Vaccine Storage and Distribution 2012 (Ministry of Health 2012). Download a copy of the National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017.
COOL Project: Stakeholder summary report & chilly bin packing protocol for offsite immunisations *NEW*
The COOL Project: Stakeholder summary report & chilly bin packing protocol for offsite immunisations explains how School-Based Immunisation Programmes manage the cold chain and provides information and results from tests of currrent and alternative cold chain equipment and processes used for mobile/offsite immunisations. The packing protocol details best practice guidelines arising from the products tested as part of the COOL Project. Providers using alternative packing methods and equipment can continue to do so provided that the National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017 are adhered to.
Initial steps in a cold chain breach
The Initial steps in a cold chain breach fact sheet outlines the initial actions immunisation providers should take when the vaccine refrigerator temperature goes outside of the recommended +2°C–+8°C temperature range.
The essential cold chain
The essential cold chain - updated June 2017 fact sheet sumarises the most important requirements for maintenance of the vaccine cold chain. More information is available through the document links on this webpage, Ministry of Health National Immunisation Programme cold chain management webpage, current Immunisation Handbook and Cold Chain Management Policy for your service.
The essential data logger
The essential data logger - updated May 2017 fact sheet provides an introduction to the use of data loggers to ensure optimal cold chain maintenance. The vaccine refrigerator must be monitored by a digital minimum/maximum thermometer and a data logger.
2017 Annual Cold Chain Management Record
The 2017 Annual Cold Chain Management Record is available to download from the Ministry of Health website. Alternatively, download a copy of the 2017 Annual cold chain management record from this link. No hard copies of the resource are available.
The 2017 guide replaces the previous versions of the Annual Cold Chain Management Guide and Record.
The Annual Cold Chain Management Record is a tool for immunisation providers. The information recorded in the Record is based on the requirements in the National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017. Providers who are still using old hard copies of the Guide and Record should ensure that they refer to the current Standards for any cold chain reference information.
Cold chain management policy template
The Ministry of Health has created a Cold Chain Management Policy template to assist immunisation providers and clinics develop their individualised policy, an essential requirement for Cold Chain Accreditation.
Download a copy of the Cold Chain Management Policy Template 2017
Download a template for an easy to use Vaccine Register.
Cold chain accreditation
Cold chain accreditation (CCA) is a Ministry of Health initiative for practices/providers to demonstrate effective management of vaccine stocks in the cold chain, as required by existing national standards.
The CCA provider self-assessment form and CCA immunisation provider review form are available on the Ministry of Health National Immunisation Programme cold chain management webpage.
Cold chain compliance for community pharmacies
From 1 February 2018, cold chain management in pharmacies is regulated as part of the pharmacy licensing framework administered by Medicines Control. The Ministry of Health has provided a fact sheet for pharmacists FAQs on vaccine Cold Chain Compliance for community pharmacies fact sheet and a fact sheet for Immunisation Coordinators FAQs for immunisation coordinators on vaccine Cold Chain Compliance for community pharmacies. Community pharmacies who are offering or who plan to offer vaccination services are responsible for complying with all requirements within the Standards (including appropriate equipment, monitoring, recording, and policies and procedures) outlined in the National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017.
Immunisation Coordinators will continue to provide community pharmacies with:
- Cold chain advice (e.g. when purchasing new cold chain equipment)
- Assistance with cold chain breaches or failures
- Clinical assessments for pharmacists who have completed their vaccination training course
- Three yearly spatial logging of pharmaceutical refrigerators.
National cold chain audit
The National Cold Chain Audit (NCCA) monitors the cold chain of National Immunisation Schedule vaccines from the ProPharma regional stores until immunisation providers have administered all doses in the vaccine box or for up to two weeks, whichever occurs first. IMAC is now responsible for the management of the NCCA on behalf of the Ministry of Health. The yellow temperature logger is attached to a box of vaccines in about 10% of vaccine orders from ProPharma.
See below for a quick overview of the vaccine cold chain in NZ