COVID-19 Primary Care Update 22/07/2022
22 July 2022
Vaccinate post COVID, ICCnetSA, Egg-based v Cell-based Flu Vaccine, SANDAS Workshop, GPIO Recruitment
As you are no doubt are aware, this week in the state sees very high cases of COVID-19 in the community and the acute system experiencing a record high of COVID admissions.
The management of the vast majorities of cases continues to be provided within primary care we would like to thank you for you service and support in managing the health and wellbeing of South Australians.
Webinar – Tuesday 26 July 2022 Vaccination post COVID-19 infection advice
SA PHNs in conjunction with SA Health are providing a COVID-19 update for Primary Health Care providers.
The webinar will be facilitated by Dr Emily Kirkpatrick, Deputy Chief Medical Officer and Dr Melanie Smith, GP Liaison COVID-19 Project & Operations, SA Health. Guest Speaker Dr Eleanor Wilson, Medical Lead of the SALHN COVID Care Centre will join us.
- General COVID-19 update
- Tips, tricks and practical advice for GP’s on managing common COVID presentations via Telehealth and referral pathways for patients needing face to face review.
Vaccination post COVID-19 infection advice
COVID-19 vaccination should be delayed by 3 months after a COVID-19 infection, in accordance with ATAGI advice. A three-month gap between infection and vaccination is likely to lead to a better immune response and result in longer protection from reinfection. In special circumstances a vaccine can be administered earlier in high-risk circumstances, as per ATAGI guidance.
For helpful information, please see:
- Effect of prior infection, vaccination, and hybrid immunity against symptomatic BA.1 and BA.2 Omicron infections and severe COVID-19 in Qatar publication by Altarawneh H, Chemaitelly H, Ayoub HH, et al:
- Commonwealth Government Clinical Recommendations.
Reminder - iCCnetSA: Remote monitoring of COVID-19 patients in the community
Do you have a COVID-19 patient in the community who is clinically unwell or at risk of deterioration, but not currently requiring inpatient admission? If so, consider referral to iCCnetSA for home monitoring during their illness.
For more information please see the attached flyer and the iCCnetSA website.
Egg-based vs cell-based influenza vaccines
All influenza vaccines currently available in Australia are quadrivalent, containing two influenza A subtypes and two influenza B lineages. Of the eight influenza vaccines currently available in Australia, seven are egg-based and one (Flucelvax Quad) is cell-based. All vaccines available on the National Immunisation Program are egg-based. Flucelvax Quad is only available on a private script.
Although there are some theoretical advantages to cell-based influenza vaccines, in terms of diversifying the supply chain and potentially reducing the risk of “antigenic mismatch” (where the influenza strains in the vaccine do not match the strains circulating in the community), in practice, there is no significant clinical difference found between egg-based and cell-based vaccines, in either efficacy or safety.
Anaphylaxis to eggs or egg allergy is not a contraindication to using an egg-based influenza vaccine. Egg-based vaccines are the only vaccines recommended to be administered in pregnancy, due to the lack of data for cell-based vaccines. The major indication for using cell-based vaccines is where a patient requests a cell-based influenza vaccine, for example, where they are vegan or otherwise wish to avoid an egg-based vaccine.
For further information, please see:
- The Australian Immunisation Handbook
- National Centre for Immunisation Research and Surveillance factsheet on influenza vaccines for Australians.
General Practitioner Integration Officer recruitment
Adelaide PHN are seeking professional, motivated and enthusiastic candidates for two positions for General Practitioner Integration Officer (GPIO) to support Adelaide PHN and either CALHN’s or NALHN’s GPIU partnership.
If you are interested in applying for these two positions, please visit the Adelaide PHN website at: Vacancies - Adelaide PHN.
Alcohol and Other Drugs for Rural GPs – online workshop session
On Thursday 28th of July 2022, SANDAS will be holding a free online workshop session for primary health care workers and related workers in rural and regional SA (GPs, practice nurses, hospital staff, AOD service providers etc).
This workshop will explore some of the issues related to working with clients with alcohol and other drug issues and with your local community service and health organisations who provide treatment to these clients.
It is targeted at GPs, practice nurses, practice managers and non-specialist workers in the primary health system seeking a better understanding of working with the non-government AOD sector.
Book a place using this link Please use the following link to book a place: www.trybooking.com/CBCUN.
This free workshop is funded by Country SA PHN. Feel free to share the invitation with colleagues.
Please forward this update to any colleagues who may not have received it and contact us at Health.COVID-19GPLiaison@sa.gov.au to be added to our mailing list or with any other enquiries. If you wish to be removed from this mailing list please reply STOP.
Dr Emily Kirkpatrick
Deputy Chief Public Health Officer, Deputy Chief Medical Officer
Department for Health and Wellbeing