Volume: 23S4 - May 1997

Canadian National Report on Immunization, 1996

Table of Contents

Preface

1. Immunization in Canada

2. The Development of National Goals for Vaccine-Preventable Diseases of Infants and Children

3. General National Goals and Targets

   1. Diphtheria
   2. Invasive Haemophilus influenzae type b infections
   3. Hepatitis B
   4. Measles
   5. Mumps
   6. Pertussis
   7. Poliomyelitis
   8. Rubella
   9. Tetanus
      
      

4. National Advisory Committee on Immunization - Recommended Childhood Vaccination Schedule, Canada

5. Measles Elimination in Canada

6. Epidemiology of Selected Vaccine-Preventable Diseases

   1. Diphtheria
   2. Haemophilus influenzae type b
   3. Hepatitis B
   4. Measles
   5. Mumps
   6. Pertussis
   7. Poliomyelitis
   8. Rubella
   9. Tetanus
      
      

7. Canadian Paediatric Surveillance Program

8. Vaccine Coverage

9. Surveillance of Adverse Events Temporally Associated with Vaccine Administration

   1. Background
   2. Surveillance systems
   3. Trends in vaccine safety
   4. Discussion
      
      

10. Current Immunization Programs in Canada

    1. Routine childhood immunization programs
    2. Special immunization programs
    3. Vaccine cold-chain monitoring
    4. Hepatitis B screening in pregnancy
    5. Rubella screening
    6. The acceptability of multiple injections and perceptions of parental preferences
       
       

11. Activities Related to the Elimination of Polio and the Report of Working Group on Polio Elimination

    1. Activities leading to polio elimination
    2. Report of the Working Group on Polio Elimination
       
       

12. Working Group on Measles Elimination

13. New Vaccines on the Horizon

    1. Acellular pertussis vaccines
    2. Varicella vaccines
    3. Rotavirus vaccines
       
       

14. Report from the 1996 Canadian National Immunization Conference: "Immunizing for Health - Achieving our National Goals"

15. Cost-Benefit Analyses of Immunization Programs for Vaccine-Preventable Diseases

    1. Haemophilus influenzae type b
    2. Hepatitis B
    3. Measles, mumps, and rubella
    4. Pertussis
    5. Invasive pneumococcal diseases
       
       

16. Addressing Concerns Regarding Immunization and Vaccines

    1. Preamble
    2. Misconceptions

References

Selected Reading List

Our mission is to help the people of Canada maintain and improve their health.

Health Canada

The artwork on the cover, an original drawing by Connor Mulvihill, a grade 6 student at Georges Vanier School in Belleville, Ontario, was selected as the winning design in a poster competition organized in conjunction with the second Canadian National Immunization Conference held in Toronto in December 1996.

Mission of the Division of Immunization

Recognizing the role of the provinces and territories in the delivery of immunization programs, and that the mission of Health Canada is to help the people of Canada maintain and improve their health, the mission of the Division of Immunization is to help reduce the incidence of vaccine-preventable diseases in Canada.

Acknowledgements

The following individuals participated in deciding the content of this report: Dr. F Boucher, Canadian Peadiatric Society, Ste-Foy, QC; Dr. J Dollin, College of Family Physicians, Dollard-des-Ormeaux, QC; Dr. J Guilfoyle, Chief Medical Officer of Health, Manitoba Health, Winnipeg, MB; Ms. C Guthrie, UNICEF Canada, Toronto, ON; Dr. M Landry, Médecin conseil, Régie régionale de la santé, Laval, QC; Mr. J Laycock, Canadian Rotary Committee for International Development, St. Stephen, NB; Dr.  L Palkonyay, Bureau of Biologics, Ottawa, ON; and all members of the Division of Immunization Steering Committee; as well as Dr. M Douville-Fradet, Chair of the Advisory Committee on Epidemiology Subcommittee on Infectious Diseases, Québec, QC; Dr. B Law, National Advisory Committee on Immunization, Winnipeg, MB; Dr. D Avard, Canadian Institute of Child Health, Ottawa, ON; Ms. C Lundy, UNICEF Canada, Toronto, ON; Dr. J Millar, British Columbia Provincial Health Officer and member of the Advisory Committee on Population Health, Victoria, BC; Dr. C Palacios, Laboratory Centre for Disease Control, Ottawa, ON; and Dr. J Waters, Chairman of the Advisory Committee on Epidemiology, Edmonton, AB.

The following provincial and territorial epidemiologists and persons in charge of immunization programs completed a questionnaire in the summer of 1996, and provided up-to-date information in time for this report: Ms. K Blinco, Fredericton, NB; Dr. P Daly, Vancouver, BC; Dr. B Duval, Beauport, QC; Dr. D Horne, Winnipeg, MB; Ms. C McDermott, Edmonton, AB; Ms. C O'Keefe, St. John's, NF; Dr. H Robinson, Whitehorse, YT; Dr. J  Scott, Halifax, NS; Ms. M Scott, Regina, SK; Dr. L Sweet, Charlottetown, PE; and Ms. W White, Yellowknife,  NT.

Dr. J Carlson, Ontario Ministry of Health, North York and the following staff members of the Bureau of Infectious Diseases, Ottawa, ON, helped to put this report together by taking the lead in writing and providing content for its various chapters: Dr. A Bentsi-Enchill, Dr. P Duclos, Dr. L Pelletier, Dr. R  Pless, Dr. P Varughese, Division of Immunization, Dr. M Tepper, Division of Blood-borne Pathogens, and Dr. P Sockett, Disease Surveillance Division.

[Table of Contents] [Next]