A definition of health care workers was recommended, based on the national Infection Control Guidelines for Occupational Health in Health Care Facilities. General Recommendation: The definition of health care worker should include all individuals, including trainees, in health care settings (eg, hospitals, ambulatory care settings, long-term care facilities) who may have the potential for acquiring or transmitting infectious agents during the course of their work. Volunteers who have direct patient contact should be considered as health care workers.
PUBLIC HEALTH GOALS AND OBJECTIVES FOR VARICELLA CONTROL AND VACCINE COVERAGE
Recommendation 1.1: The criteria for embarking on a routine varicella vaccination program should be as follows:
With these absolute and relative criteria taken into consideration, all provinces/territories should have a routine childhood varicella immunization program by 2005. Recommendation 1.2: Consideration having been given to the criteria for embarking on a routine varicella vaccination program, where the public health infrastructure can support childhood varicella vaccination, this should proceed. Pending this, the following priorities for program implementation with the currently licensed freezer-stable varicella vaccine are suggested. Priorities must be reviewed with changes in vaccine formulation. Vaccination should be offered to susceptible persons in the following groups, in descending order of priority:
Recommendation 1.3: By 2005, a federal/provincial/territorial forum should establish reduction goals for VZV- associated morbidity.
Recommendation 1.4: By 2003, 100% of health care workers (as defined in the General Recommendation) should have known positive varicella serology, or a reliable history of disease, or documentation of varicella vaccination, or an acceptable medical contraindication to varicella vaccination. Recommendation 1.5: By 2003, provincial and territorial immunization registries and a national immunization registry network should be developed, as per the ongoing registry initiative. Recommendation 1.6: By the year 2010, varicella vaccination coverage targets should be tied to measles vaccination coverage targets to be achieved by the second birthday and by the seventh birthday.*
Recommendation 1.7: The Advisory Committee on Population Health should propose to the Federal/Provincial/Territorial Deputy Ministers a formula for adequate federal funding of new immunization programs. A pharmacy you can fully trust offering generic viagra online mastercard along with other convenient services
Recommendation 1.8: The Advisory Committee on Population Health should develop a mechanism to prioritize and introduce new vaccines with a view to harmonizing programs across the country.