Leaving no one behind: Progress on Life Course Immunisation Roundtable – alongside the World Health Assembly
Date: Tuesday 23 May 2023
Time: 13.00 – 14.30 (CET), followed by refreshments
Location: Geneva Press Club, Geneva, Switzerland
Leaving no one behind: Progress on Life Course Immunisation Roundtable – alongside the WHA
1. Leaving no one behind
Progress on Life Course Immunisation
Roundtable Discussion
Tuesday 23 May 2023
ilcuk.org.uk
What happens next
International
Longevity Centre UK
2.
3. Leaving no one behind:
Progress on life course immunisation
David Sinclair
Chief Executive, ILC UK
@sinclairda
ilcuk.org.uk
What happens next
Professor David Salisbury
Associate Fellow, Programme for
Global Health, Chatham House
Dr Jane Barratt
Secretary General, International
Federation on Ageing
@IFAgeing
Martha Rebour
Executive Director, UN Shot@Life
@ShotAtLifeExec
Luís Lourenço
Professional Secretary,
International Pharmaceutical
Federation
@FIP_org
Esther McNamara
Senior Health Policy Lead, ILC UK
@ILCUK
Dr Marta Lomazzi
Executive Manager, WFPHA
@WFPHA_FMASP
17. Leaving no one behind
Progress on Life Course Immunisation Roundtable
The contribution of pharmacists
Luís Lourenço, FIP Professional Secretary
18. International Pharmaceutical Federation (FIP)
• The International Pharmaceutical Federation (FIP) is the global
body representing pharmacy, pharmaceutical sciences and
pharmaceutical education, in official relations with the World
Health Organization.
• Through our 151 national organisations, academic institutional
members and individual members, we represent over four
million pharmacists, pharmaceutical scientists and pharmaceutical
educators around the world.
• We work to support the development of the pharmacy profession,
through practice and emerging scientific innovations, and through
developing the pharmacy workforce in order to meet the world’s
health care needs and expectations.
19. Countries and territories with pharmacy-based vaccination
From 2020:
Algeria2
Belgium3
Germany3
Italy3
Jordan3
Latvia4
Lithuania5
Poland3
Romania6,7
Saudi Arabia3
Tunisia8
UAE9
48
Countries and
territories with
pharmacy-based
vaccination in
20221
https://prevention.fip.org/vaccination
20. Pharmacists played a crucial role in vaccination strategies during the pandemic
UK
Over 33 million COVID-19 vaccines were delivered by
community pharmacies by Dec 2022.11
Poland
More than 1.6 million COVID-19 vaccines have been
administered in pharmacies since July 202117
Italy
More than 3 million COVID-19 vaccines were
administered by Italian pharmacists as of May
2022.16
Australia
Pharmacists have administered over 9 million COVID-
19 vaccines by November 2022.13
Canada
Pharmacists in Canada have administered more than
17 million COVID-19 vaccines.14
Ireland
Community pharmacies in Ireland administered over
750,000 COVID-19 vaccines.15
USA
More than 303 million COVID-19 vaccines were
administered in community pharmacies in the US by
11 May 2023.10
France
Pharmacists have administered over 26.3 million
COVID-19 vaccines in France by Dec 2022.12
= Pharmacists had prescribing authority for COVID vaccines
44.7% of all doses
23% of all doses
>52% of all doses
14% of all doses
23. 7. Ability to identify high-risk patients based on their medication and other risk factors
8. Ability to identify individuals who are vaccine hesitant and help them build trust in vaccines.
9. Public’s trust and enthusiastic acceptance
10. Practice guided by nationally adopted standards and guidelines
11. Improves access to health care in rural and medically under-served areas
12. Pharmacies are increasingly gateways to care, with the provision of PHC services
Why community pharmacies? (2/2)
24. Immunisation for All Ages Position Statement
Expanding capacity for immunisation beyond infancy (Sept 2021)19
Recommendations:
1. Expand existing and innovate new infrastructure for immunisation beyond
the traditional pathways to facilitate and increase access to vaccination
services, including but not limited to pharmacies and other appropriate
facilities including primary healthcare.
2. Promote the expansion of trained healthcare professionals as vaccination
providers, by eliminating the requirement for a medical prescription for
vaccine administration, when clear eligibility criteria and protocols have been
developed for each vaccine.
3. Ensure healthcare professionals across disciplines are well-trained, informed
and upskilled on the benefits and administration of vaccines to clearly
communicate to hard-to-reach populations.
4. Ensure equity of access to vaccines and vaccination services across all
vaccination pathways, by eliminating the need for out-of-pocket payments by
individuals and ensuring appropriate remuneration models for all vaccination
providers.
IFAA:
26. Pharmacists’ role in vaccine prescribing
Growing number of countries which allow pharmacists to prescribe vaccines
Increase in countries
authorising pharmacists to
prescribe vaccines…
11
Countries
in 2020
18
Countries
in 2022
DTP booster (n=5) COVID-19 (n=11)
Meningococcal
meningitis (n=4)
Other vaccines,
including flu (n=11)
Australia
Canada
South Africa
United Kingdom
United States
Australia
Belgium
Canada
France
Germany
Greece
Ireland
Norway
Switzerland
United Kingdom
United States
Australia
Canada
United Kingdom
United States
Australia
Canada
France
Ireland
Lebanon
Norway
Poland
Sierra Leone
South Africa
United Kingdom
United States
27. FRANCE: A case study
October 2021
Pharmacy
technicians
authorized to
administer flu
vaccines22
March 2021
Pharmacy
authorized to
administer
COVID-19
vaccines21
• BCG;
• HIB;
• MMR;
• Monkeypox;
• Chickenpox;
• Influenza;
• pneumococcus;
• pertussis;
• diphtheria-tetanus-
poliomyelitis;
• human papillomavirus;
• hepatitis b; and,
• meningococci B,C and
ACWY.
*This includes vaccinations for:25-26
Pharmacists’ role in vaccination in France continues to expand; achieving a new paradigm for adult vaccination
>52% of all COVID-19
vaccine doses and 78% of
all flu vaccines were
administered by
pharmacies12
June 2022
HAS recommends that
pharmacists, nurses and
midwives are authorized to
prescribe and administer all
non-live vaccines* on the
vaccinations schedule for
individuals aged 2 and
older.24
Jan 2022
Pharmacists, nurses
and midwives
authorized to
prescribe and
administer COVID-19
vaccines to children
aged 5-11.23
28. The pandemic may no longer be an international emergency. But…
• It demonstrated that the accessibility, convenience, expertise and trustworthiness
of pharmacies to offer vaccination services had a huge impact in terms of
vaccination coverage and to bringing the pandemic under control
• Yet, adult vaccination rates remain suboptimal for several respiratory and other
diseases, such as flu or pneumococcal pneumonia.
• It is vital for health system resilience and improved vaccination coverage to
leverage the network of pharmacies to diversify and simplify vaccination
pathways.
Take-home messages
29. References
1. International Pharmaceutical Federation (FIP). An overview of the impact of pharmacy on immunisation coverage: A global survey. The Hague: International Pharmaceutical Federation; 2020. Available at: https://www.fip.org/file/4751 Accessed September 2022.
2. Press service of Algérie. Covid-19: 1,200 pharmaciens adhèrent à l'opération de vaccination [Internet]. 2021. Updated [accessed: 22 August 2022]. Available at: https://www.aps.dz/sante-science-technologie/127354-covid-19-1-200- pharmaciens-adherent-a-l-operation-de-
vaccination-des-citoyens.
3. International Pharmaceutical Federation. Advocating for an expanded role for pharmacists in immunisation: A focus on diphtheria-tetanus-pertussis booster, COVID-19, and meningitis vaccines. The Hague: [Internet]. 2022. [accessed: 22 August 2022]. Available from:
https://www.fip.org/file/5137
4. Baltic News Network. Latvian government allows pharmacies to carry out Covid-19 vaccination [Internet]. 2021. updated 15 December 2021. [accessed: 22 August 2022]. Available from: https://bnn-news.com/latvian-government-permitspharmacies-to-perform-covid-19-vaccination-
230920.
5. European Observatory on Health Systems and Policies. COVID-19 vaccine roll-out [Internet]. 2021. updated 14 December 2021. [accessed: 22 August 2022]. Available at: https://eurohealthobservatory.who.int/monitors/hsrm/allupdates/hsrm/lithuania/covid-19-vaccine-deployment.
6. Romanian Ministry of Health. ORDIN nr. 2.382 din 4 noiembrie 2021 [Internet]. 2021. updated [accessed: Available at: https://legislatie.just.ro/Public/DetaliiDocument/248262.
7. Birsanu S-E, Banu O-G, NANU C-A. ASSESSMENT OF LEGAL LIABILITY IN ROMANIAN PHARMACY PRACTICE. PHARMACY. 2022;70(3):557-64. [accessed: 1 September 2022]. Available at: https://farmaciajournal.com/wpcontent/uploads/art-24-Birsanu_Banu_Nanu_557-564.pdf.
8. Tunisian Union of Office Pharmacists. Guide de la vaccination dans les officine [Internet]. 2021. Updated 12 August 2021. [accessed: 22 August 2022]. Available from: https://spot.tn/?mayor=articles&id=975.
9. Pharmacies in the United Arab Emirates will soon offer Covid-19 and influenza vaccines. 2022. https://www.khaleejtimes.com/uae/uae-pharmacies-to-soon-provide-covid-19-and-influenza-vaccines?_refresh=true
10. CDC (2022). Vaccines and immunizations. https://www.cdc.gov/vaccines/covid-19/retail-pharmacy-program/index.html. Accessed 15 May 2023
10. Pharmacies in England administer 33m COVID-19 jabs. https://www.chemistanddruggist.co.uk/CD136688/Pharmacies-in-England-administer-33m-COVID-19-jabs.
11. L'Assurance Maladie (2022). Vaccination data by injector category, https://datavaccin-covid.ameli.fr/explore/dataset/donnees-de-vaccination-type-dinjecteur/export/?sort=-date. Accessed 15 May 2023
12. The Pharmacy Guild of Australia (2022). COVID-19 vaccinations delivered through community pharmacies hit 9 million. https://www.guild.org.au/news-events/news/2022/covid-19-vaccinations-delivered-through-community-pharmacies-hit-9-million. Accessed 15 May 2023. +
13. Australian Government, COVID-19 Vaccine rollout: https://www.health.gov.au/sites/default/files/2022-11/covid-19-vaccine-rollout-update-24-november-2022.pdf Accessed 15 May 2023
14. Canadian Pharmacists Association (2022). Pharmacy Appreciation Month - Celebrating the pharmacy teams that helped us overcome the pandemic. https://www.pharmacists.ca/news-events/news/pharmacy-appreciation-month-celebrating-the-pharmacy-teams-who-have-helped-
carry-us-through-the-pandemic/. Accessed August 2022.
15. @IrishPharmacy. Community pharmacists have administered over 750,000 COVID-19 vaccinations to members of the Irish public. We are proud to be playing such a prominent role in this vital public health initiative. Posted January 27, 2022.
https://twitter.com/IrishPharmacy/status/1486737095494361090?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Etweet. Accessed August 2022.
16. QuotidianoSanita.it (2022). Fofi: "Italians trust pharmacist to get vaccinated". https://www.quotidianosanita.it/lavoro-e-professioni/articolo.php?articolo_id=104810. Accessed August 2022.
17. Puls Medycyny (2022). Pharmacists vaccinate not only in France or Poland. More and more countries are turning to this solution. https://pulsmedycyny.pl/farmaceuci-szczepia-juz-nie-tylko-we-francji-czy-w-polsce-coraz-wiecej-krajow-siega-po-to-rozwiazanie-1141201. Accessed
August 2022.
18. J. Goad, M. Taitel, L. Fensterheim and A. Cannon, Vaccinations administered during off-clinic hours at a national community pharmacy: implications for increasing patient access and convenience, The Annals of Family Medicine, 2013, 11(5), p429-436.
19. Immunisation For All Ages, 2021. Position Statement on Expanding capacity for immunisation beyond infancy. Available from: https://t.ly/3i94
20. International Pharmaceutical Federation (FIP), 2022. Advocating expansion of the pharmacist’s role in immunisation: A focus on diphtheria-tetanus-pertussis booster, COVID-19 and meningitis vaccinations. Available from: https://www.fip.org/file/5137
21. République française (2021). Decree No. 2021-248 of March 4, 2021 amending Decrees No. 2020-1262 of October 16, 2020 and No. 2020-1310 of October 29, 2020 prescribing the general measures necessary to deal with the covid-19 epidemic in the framework of the state of health
emergency. https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000043216584. Accessed August 2022.
22. National Order of Pharmacists (2021). Influenza vaccination: HAS in favor of extending the skills of community pharmacists and pharmacy assistants. http://www.ordre.pharmacien.fr/Communications/Les-actualites/Vaccination-antigrippale-la-HAS-favorable-a-une-extension-des-
competences-des-pharmaciens-d-officine-et-des-preparateurs-en-pharmacie. Accessed August 2022.
23. République française (2022). Order of January 26, 2022 amending the order of June 1, 2021 prescribing the general measures necessary for managing the end of the health crisis. https://www.legifrance.gouv.fr/jorf/id/JORFARTI000045076545. Accessed August 2022
24. République française (2020). Decree No. 2020-1262 of October 16, 2020 prescribing the general measures necessary to deal with the covid-19 epidemic in the context of the state of health emergency. https://www.legifrance.gouv.fr/loda/id/JORFTEXT000042430554/. Accessed August
2022.
25. Haute Autorité de Santé (2022). Opinion in favor of expanding vaccination skills in children. https://www.has-sante.fr/jcms/p_3349250/fr/avis-favorable-a-un-elargissement-des-competences-vaccinales-chez-les-enfants. Accessed August 2022.
26. Ordre National Des Pharmaciens (2022). FAQ vaccination contre la variole du singe : expérimentation à l’officine. Available at: https://www.ordre.pharmacien.fr/Les-pharmaciens/Champs-d-activites/Vaccination-contre-la-variole-du-singe. Accessed: September 2022
33. The value of immunisation
• Personal costs to
individuals of being
avoidably unwell
• Reduced cost to health
services: fewer
appointments and
hospitalisations due
to preventable disease
• Reduced cost to
employers for sick pay
and missed days of work
• Short-term economic
gains if people work and
spend as normal
• Long-term economic
gains if people
participate in society:
regular activities that
add up over time
34. $47,479 per
confirmed
case
(n=72)
$2.3 million: public
health response
$1 million:
productivity losses
$76,000: direct
medical costs
Healthcare costs for vaccine preventative diseases are a drop
in the ocean when we see the whole picture
Estimated costs of a measles outbreak in 2018 in
Washington DC, USA, totalled
$3.4 million Source: Pike et al, 2021
35. Life course vaccination can play a
key role in supporting the wider
economy
€1 invested in
vaccination
=
€4.02 future revenue
37. Questions for discussion
• What else do we need to consider when advocating for
life course immunisation?
• What are the barriers for national governments to act
on this?
• What examples of good practice are there in
implementing a life course approach to immunisation?
38. Global Launch of Healthy Ageing
and Prevention Index
You are invited to return to this venue at 3:30pm for the launch event.
Speakers include:
• Honourable Carolyn Bennett, M.D., Canada’s Minister of Mental Health
and Addictions and Associate Minister of Health
• Ong Ye Kung, Minister for Health of Singapore
• Arunima Himawan, Senior Health Research Lead, ILC-UK
• Dr Julia Tainijoki-Seyer, Senior Medical and Advocacy Advisor of the
World Medical Association
ilcuk.org.uk
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39. Thank you for joining us!
Please be sure to remove all belongings from tables and
chairs, so staff can set up for the next event.
ilcuk.org.uk
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