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Standards of yellow fever vaccination and travel medicine practice in the Republic of Ireland: A questionnaire-based evaluation.
Travel Med Infect Dis. 2015 Sep-Oct; 13(5):409-14.TM

Abstract

BACKGROUND

The Department of Health regulates the designation of yellow fever vaccination centres (YFVCs) in the Republic of Ireland to ensure appropriate standards in the safe, effective use of yellow fever vaccine for overseas travellers. The process of designation of YFVCs is delegated to Directors of Public Health who direct Principal Medical Officers. Variation in implementation of specific criteria for designation exists and no formal follow up inspection is carried out. This survey of all designated YFVCs in the Republic of Ireland aimed to assess compliance with standards to ensure the objectives of the national yellow fever vaccination programme were met.

METHODS

A piloted questionnaire devised from a United Kingdom (UK) YFVC survey was developed and tested in five YFVCs. The questionnaire was adapted for the postal survey and captured data on professional training, reference sources, services provided, physical facilities and supplies, and was distributed to 655 YFVCs in a stamped addressed envelope.

RESULTS

During the period 2010-2011, there were 655 designated YFVCs in the Republic of Ireland. Responses were received from 246 centres (38% response rate), 91% of which were in general practice. Deficiencies were identified in respect of vaccine refrigeration protocols, record keeping, attendance at YFVC training sessions, and clinical protocols for adverse events.

CONCLUSIONS

Specific deficiencies in relation to training, vaccine storage, administration and documentation should be addressed to ensure standardised YFVC practices and thus align them with best international practice.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Noone P
Regional Occupational Health Service, Health Service Executive, Ireland.
Hamza M
School of Medicine, National University of Ireland, Galway, Ireland.
Tang J
School of Medicine, National University of Ireland, Galway, Ireland.
Flaherty G
School of Medicine, National University of Ireland, Galway, Ireland; International Medical University, Kuala Lumpur, Malaysia. Electronic address: gerard.flaherty@nuigalway.ie.

MeSH

Cross-Sectional StudiesHumansIrelandSurveys and QuestionnairesTravelVaccinationYellow Fever Vaccine

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26148651

Citation

Noone, Peter, et al. "Standards of Yellow Fever Vaccination and Travel Medicine Practice in the Republic of Ireland: a Questionnaire-based Evaluation." Travel Medicine and Infectious Disease, vol. 13, no. 5, 2015, pp. 409-14.
Noone P, Hamza M, Tang J, et al. Standards of yellow fever vaccination and travel medicine practice in the Republic of Ireland: A questionnaire-based evaluation. Travel Med Infect Dis. 2015;13(5):409-14.
Noone, P., Hamza, M., Tang, J., & Flaherty, G. (2015). Standards of yellow fever vaccination and travel medicine practice in the Republic of Ireland: A questionnaire-based evaluation. Travel Medicine and Infectious Disease, 13(5), 409-14. https://doi.org/10.1016/j.tmaid.2015.06.007
Noone P, et al. Standards of Yellow Fever Vaccination and Travel Medicine Practice in the Republic of Ireland: a Questionnaire-based Evaluation. Travel Med Infect Dis. 2015 Sep-Oct;13(5):409-14. PubMed PMID: 26148651.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Standards of yellow fever vaccination and travel medicine practice in the Republic of Ireland: A questionnaire-based evaluation. AU - Noone,Peter, AU - Hamza,Mohammed, AU - Tang,John, AU - Flaherty,Gerard, Y1 - 2015/06/25/ PY - 2015/04/07/received PY - 2015/06/15/revised PY - 2015/06/17/accepted PY - 2015/7/8/entrez PY - 2015/7/8/pubmed PY - 2016/7/21/medline KW - Regulations KW - Standards KW - Travel medicine practice KW - Vaccination KW - Yellow fever SP - 409 EP - 14 JF - Travel medicine and infectious disease JO - Travel Med Infect Dis VL - 13 IS - 5 N2 - BACKGROUND: The Department of Health regulates the designation of yellow fever vaccination centres (YFVCs) in the Republic of Ireland to ensure appropriate standards in the safe, effective use of yellow fever vaccine for overseas travellers. The process of designation of YFVCs is delegated to Directors of Public Health who direct Principal Medical Officers. Variation in implementation of specific criteria for designation exists and no formal follow up inspection is carried out. This survey of all designated YFVCs in the Republic of Ireland aimed to assess compliance with standards to ensure the objectives of the national yellow fever vaccination programme were met. METHODS: A piloted questionnaire devised from a United Kingdom (UK) YFVC survey was developed and tested in five YFVCs. The questionnaire was adapted for the postal survey and captured data on professional training, reference sources, services provided, physical facilities and supplies, and was distributed to 655 YFVCs in a stamped addressed envelope. RESULTS: During the period 2010-2011, there were 655 designated YFVCs in the Republic of Ireland. Responses were received from 246 centres (38% response rate), 91% of which were in general practice. Deficiencies were identified in respect of vaccine refrigeration protocols, record keeping, attendance at YFVC training sessions, and clinical protocols for adverse events. CONCLUSIONS: Specific deficiencies in relation to training, vaccine storage, administration and documentation should be addressed to ensure standardised YFVC practices and thus align them with best international practice. SN - 1873-0442 UR - https://www.unboundmedicine.com/medline/citation/26148651/Standards_of_yellow_fever_vaccination_and_travel_medicine_practice_in_the_Republic_of_Ireland:_A_questionnaire_based_evaluation_ DB - PRIME DP - Unbound Medicine ER -