Seasonal Flu Vaccine Distribution and Supply
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For up-to-date information pertaining to flu vaccine distribution and supply (ex: shortages and delays), please refer to the below bulleted information, with the most recent updates provided at the top.
NEW ENHANCED FLU AND PNEU-P-23 VACCINE DISTRIBUTION MODEL
Manitoba is introducing a new, enhanced order and delivery model in 2022/23. Similar to the way physicians and pharmacists currently order their COVID-19 vaccine, the new distribution model is anticipated to increase access to influenza vaccine to all health care providers earlier and also reduce wastage by allowing for increased order frequency throughout the season.
For more information, please refer to the 2022-2023 Seasonal Influenza Immunization Program Plan.
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+ 2022/23 Influenza Season
Nov. 10, 2022 RE: FINAL FLU VACCINE ORDER SURVEY This is a follow up to the email communication sent last October 28, 2022 re: a pause in sending out the flu vaccine order survey. The pause was because almost 90% of the provincial flu vaccine supply had already been shipped out to providers across Manitoba. We are now advising you that a final survey for ordering influenza vaccines is scheduled to go out on Monday, November 14th and close on Wednesday, November 16th at midnight. Shipments will take place starting the week of November 21st. As always, providers will be promptly advised of potential delays. Prior to submitting the order survey, providers are encouraged to take into consideration doses currently on hand and identify anticipated demand for the rest of the season. Please be reminded that you can order pneumococcal vaccines through the usual vaccine ordering process. You do not need to wait for an order survey. Providers who have determined that they have excess flu vaccine doses should notify Manitoba Health by emailing: vaccines@gov.mb.ca. For any questions, please email vaccines@gov.mb.ca. Oct. 28, 2022 RE: FLU VACCINE ORDER SURVEY SCHEDULE CHANGE As of October 28th, almost 90% of the provincial flu vaccine supply has been distributed to health care provider locations across the province. According to PHIMS, the vast majority of flu vaccine remains available for administration to clients across the province. As a result, please be advised that the survey schedule for ordering influenza and pneumococcal vaccines has been paused. At this time, the order survey for Group 1 scheduled to go out today, October 28th, will be cancelled. A new survey will be sent to all registered sites (both Groups 1 & 2 combined) to provide all immunization providers equal opportunity to order from the remaining inventory on hand. Timing of this survey will be communicated in advance. Please, be reminded that providers should take into account anticipated demand as well as doses they currently have available when placing an order. Please, continue to update your vaccine availability on the COVID-19 & Influenza Vaccine Finder Map at www.manitoba.ca/flushotfinder so that the public is aware of where the vaccine is available. Updates pertaining to influenza vaccine distribution including shortages and/or delays are posted online at www.manitoba.ca/fludistribution and emailed to providers at the email address provided at the time of registration. For any questions, please email vaccines@gov.mb.ca. Oct. 27, 2022 Please note – the survey schedule is under review and changes will be posted shortly. Thank you for your patience. Oct. 14, 2022 ATTENTION: CURRENT LEAD TIME FOR ROUTINE VACCINE ORDERS – APPROX 10 DAYS TURNAROUND This is to notify you that due to an increased number of vaccine order requests at this time, the lead time to receive routine vaccine orders has increased to an average of approximately 10 days from order placement to receipt. Please take this into account when ordering all routine immunization products and ensure that you have allotted for the extra time to receive them before they are required for appointments. PLEASE NOTE: Orders for emergency products as well as influenza & COVID vaccines are not affected by this delay. If you have any questions, please email vaccines@gov.mb.ca Sept. 16, 2022 Health care providers who have registered for the flu program have been divided into two distribution groups: Group 1: Priority locations (including Hospitals, Long Term Care and First Nation Communities) and non-priority locations with Holding Point Codes ending in 0-2 The initial survey was sent out on September 6th with a closing date of September 12th at midnight. Providers were asked to order only 2-3 weeks supply of vaccine as order surveys will be available approximately every two weeks throughout the flu season. The first delivery of flu vaccine into Manitoba is anticipated to arrive the week of September 19th. Once product has arrived and has cleared quality inspection, estimated delivery windows will be emailed to distribution groups. August 19, 2022 RE: SEASONAL INFLUENZA 2022/23: REGISTRATION REMINDER In July 2022, Manitoba Health announced a remodelled ordering and delivering process for the 2022/23 influenza season based on an online order survey that will guarantee earlier access to influenza vaccine, increase order frequency throughout the season, and reduce wastage. ALL health care providers need to register by filling out the form available at https://forms.gov.mb.ca/influenza-distribution-registration/. The earlier you register, the sooner your location will be placed in one of the two distribution groups. Providers/facilities will be split based on the last digit of their Holding Point Code (AKA Client ID) and whether or not they are considered a priority location (eg. Hospitals, First Nation Communities, and Long Term Care Homes). Please, note that registration is still required even for those who have administered the influenza vaccines in the previous years or have already registered to receive COVID-19 vaccines. Providers/facilities cannot request vaccine until they have registered. It is therefore critical that every provider register as soon as possible in order for us to implement the distribution groups and for you to be notified about which of the two distribution groups your location will belong to prior to the first survey that will be sent early in September. July 21, 2022 RE: NEW ENHANCED FLU VACCINE DISTRIBUTION MODEL & REGISTRATION PROCESS Manitoba is introducing a new, enhanced order and delivery model for the 2022/23 influenza season. Similar to the way physicians and pharmacists currently order their COVID-19 vaccine, the new distribution model is anticipated to increase access to influenza vaccine to all health care providers earlier and also reduce wastage by allowing for increased order frequency throughout the season. HOW TO REGISTER We kindly ask that you register on or before August 15th to allow for the creation of distribution groups prior to the first delivery of flu vaccine in the fall. If your location is not already signed up to order publicly funded vaccines of any kind, please complete the New Immunization Provider Application Form that can be found at the following link prior to registering to be a part of the influenza program: gov.mb.ca/health/publichealth/cdc/protocol/npaf.pdf NEW PROCESS FOR ORDERING Once approved, registered health care provider locations will be split into two distribution groups based on the last digit of their Holding Point Code (AKA Client ID) and whether or not they are considered a priority location (eg. Hospitals, First Nation Communities and Long Term Care Homes). The two distribution groups will be roughly equal in size; be randomly distributed across the province and have equal proportions of different provider types (i.e. Public Health offices, pharmacists, physicians). A link to an order survey will be sent each week to Group 1 or Group 2 via email, such that all providers have an opportunity to order vaccines every other week on alternating weeks. Providers will be asked to order based on their anticipated usage for the next 2-3 weeks, as opposed to the entire influenza season as in previous years. Orders will be reviewed and may be adjusted based on available vaccines, historical doses administered as well as any shortages or delays that may occur. A confirmation email will be sent which will include a list of all the products to be shipped, the approved quantities, as well as an approximate timeline for when deliveries should be expected. Providers will also be expected to communicate any special hours of operation (eg. Closed for lunch between 12-1, closed on Fridays, etc.) and whether or not they are open for Saturday deliveries. This information is extremely important and will ensure an efficient and timely delivery schedule. COVID-19 & INFLUENZA VACCINE FINDER MAP Manitoba Health requests that health care providers continue to update their vaccine availability on the COVID-19 & Influenza Vaccine Finder Map at manitoba.ca/flushotfinder on a weekly basis, at minimum. This will allow Manitoba Health to identify to the public where the vaccine is available and increase access for Manitobans looking to be immunized. Historically speaking, manufacturers supplying Canada with influenza vaccine have experienced shortages or delays in the delivery of their vaccines for various reasons, which are beyond the control of the provinces and territories, including Manitoba. As in previous years, health care providers are encouraged to start offering influenza vaccine to their patients as soon as they receive the product. Orders will not be expedited due to failure to ensure sufficient product on hand for scheduled appointments/clinics. Please be advised that vaccine administration supplies will not be provided for the influenza vaccine program. Providers should order as they had before the COVID-19 pandemic. Lastly, please take this opportunity to return any unused influenza vaccine from the 2021/22 influenza season to the Provincial Distribution Warehouse using Manitoba Health's Return Policy and Procedure, available at: gov.mb.ca/health/publichealth/cdc/div/docs/vbrpp.pdf. July 5, 2022 NEW ENHANCED FLU VACCINE DISTRIBUTION MODEL Manitoba is introducing a new, enhanced order and delivery model for the 2022/23 influenza season. Similar to the way physicians and pharmacists currently order their COVID-19 vaccine, the new distribution model is anticipated to increase access to influenza vaccine to all health care providers earlier and also reduce wastage by allowing for increased order frequency throughout the season. In lieu of ordering either via fax or email, providers will be sent a link to an online survey where they will be asked to order enough vaccines for a specified period of time (eg. 2-3 week supply). You can expect to place orders for vaccine on a regular schedule, and receive vaccine shipments on a regular schedule (subject to vaccine manufacturer supply). A link to an online registration form, as well as additional information on how the new distribution model will be implemented, will be sent in the coming weeks. Registration will be required even for those who have administered the influenza vaccine before, because it will provide us with the necessary information to implement the survey system. Influenza vaccines are distributed to all Canadian jurisdictions over a period of several weeks to months, starting mid to late September. Any delays from the manufacturers or Health Canada during their regulatory processes can affect the timing of product arriving in Manitoba and shipments to health care providers. We anticipate that the new distribution model, as stated above, will allow for increased efficiency when mitigating delays and shortages of this nature. All providers/facilities are expected to order based on their anticipated usage for the specified time period in each survey and not for the entire season. Failure to reconcile vaccine doses ordered and administered as per Manitoba's Immunization Registry may result in providers/facilities receiving fewer doses than ordered. It is therefore critical that all doses of influenza vaccine that are administered be reported to Manitoba Health. The provincial goal is for influenza vaccine wastage to be less than 5% at the end of the season. Manitoba Health requests that health care providers update their vaccine availability on the COVID-19 & Influenza Vaccine Finder Map (www.manitoba.ca/flushotfinder) on a weekly basis, at minimum. This will allow Manitoba Health to identify to the public where the influenza vaccine is available. Historically speaking, manufacturers supplying Canada with influenza vaccine have experienced shortages or delays in the delivery of their vaccines for various reasons, which are beyond the control of the provinces and territories, including Manitoba. As in previous years, health care providers are encouraged to start offering influenza vaccine to their patients as soon as they receive product. Orders will not be expedited due to failure to ensure sufficient product on hand for scheduled appointments/clinics. + 2021/22 Influenza Season
October 26, 2021 Influenza vaccine delivery to providers in Group 1 (client IDs ending in 0 to 3) the majority of providers in Group 2 (client IDs ending in 4 to 6) is complete. Review and approval of orders for providers in Group 3 (client IDs ending in 7 to 9) started on October 25. Once delivery to Group 3 is complete, delivery to locations who ordered after the Sep 3rd deadline will begin, pending receipt of additional flu vaccine at the warehouse. PLEASE NOTE: The Provincial Vaccine Warehouse is prioritizing flu and COVID vaccine orders so please expect slightly longer than normal turnaround time for all other non-emergency vaccine orders. October 19, 2021 NOTICE OF PRODUCT SUBSTITUTION: at this time, there are no influenza vaccine products available in the pre-filled syringe format. Any orders for this format may be substituted for vials until additional doses come in. Influenza vaccine delivery to the majority of providers in Group 1 (client IDs ending in 0 to 3) is complete and delivery to providers in Group 2 (client IDs ending in 4 to 6) began on October 4 and is expected to continue into next week. Once delivery to the majority of Group 1 & 2 is complete, delivery to Group 3 will begin. October 4, 2021 Influenza vaccine delivery to Group 1 began on September 28th and will continue this week. Group 2 influenza order review is ongoing and distribution to this group began this week and will occur alongside the remaining Group 1 orders. September 22, 2021 Manitoba's first shipment of influenza vaccine has arrived at the Provincial Distribution Warehouse and has passed quality inspection. Influenza vaccine delivery to priority locations began today and is expected to continue into next week. Delivery to Group 1 will begin once the previous group has been completed. Additional doses are expected to arrive on Monday, September 27th. DUE TO THE HIGH VOLUME OF ORDERS BEING SHIPPED DURING THE FLU SEASON AND THE ONGOING SHIPPING OF COVID VACCINES, PROVIDERS MAY EXPERIENCE LONGER THAN NORMAL WAIT TIMES FOR ROUTINE IMMUNIZATION ORDERS. August 18, 2021 REMINDER: 2021/22 Seasonal Influenza and Pneumococcal Ordering Process for locations that currently order vaccines and biologics directly in PHIMS (Please ignore if you do not currently order any vaccines through PHIMS) Please follow the steps below to ensure your influenza order is created successfully: 1. CREATE a requisition in PHIMS *NOTE: Submitted orders will be deleted and will need to be recreated in PHIMS. If you are ordering on behalf of a facility or location that has clients who are eligible for High-Dose influenza vaccine, please add that information within the comments on your requisition for tracking purposes, as described in the above steps. If you have any questions, please email vaccines@gov.mb.caJuly 23, 2021 Flu and Pneu-P-23 Vaccine Ordering Process for 2021/22 All providers/facilities can place their flu and/or Pneu-P-23 vaccine order between August 3 and September 3, 2021. Orders received prior to August 3rd will NOT be accepted and will need to be resubmitted on, or after August 3, 2021. All flu/Pneu-P-23 vaccine orders will be shipped according to the following schedule:
Influenza vaccine will begin shipping based on the above schedule when product arrives in Manitoba. Flu vaccines are distributed to all Canadian jurisdictions over a period of several weeks to months, starting mid to late September. All providers/facilities MUST order based on the amount administered and reported last season to reduce wastage. Failure to reconcile vaccine doses ordered and administered as per Manitoba's Immunization Registry may result in providers/facilities receiving fewer doses than ordered. It is therefore critical that all doses of flu vaccine that are administered be reported to Manitoba Health. Flu vaccine wastage should be less than 10% at the end of the season. Subsequent orders can be placed (at no penalty to the provider/facility), while supplies last. Manitoba Health may request that health care providers submit an update of available influenza vaccine doses each week. This will allow Manitoba Health to identify to the public where influenza vaccine is available. To allow sufficient time to deliver this year's flu vaccine to your facility/clinic, please do not schedule your immunization clinics before November 1, 2021. As in previous years, health care providers are encouraged to start offering flu vaccine to their patients as soon as they receive product, even if prior to November 1st. Lastly, please take this opportunity to return any unused flu vaccine from the 2020/21 flu season to the Provincial Distribution Warehouse using Manitoba Health's Return Policy and Procedure, available at: https://www.gov.mb.ca/health/publichealth/cdc/div/docs/vbrpp.pdf + 2020/21 Influenza Season
December 15, 2020 Additional influenza vaccine has arrived at the Provincial Distribution Warehouse and orders are being reviewed in the order that they were received. REMINDER: if you no longer require additional influenza vaccine and you currently have an order placed with the warehouse, please be sure to call the warehouse to cancel your order. Thank you for your cooperation. PLEASE NOTE: some orders may be substituted with Influsplit Tetra (GSK) in pre-filled syringe format. A letter to health care providers will be included with this product which indicates instructions for use. For pharmacies, please use the Flulaval Tetra DIN# when entering these doses into DPIN. Email vaccines@gov.mb.ca if you have any questions. Don’t forget to update your influenza stock status on the Flu Shot Finder map: www.manitoba.ca/flushotfinder December 4, 2020 REMINDER: MHSC has shipped out all inventory of HD influenza vaccine. There is not any stock remaining in our inventory for reorders. We do not anticipate receiving any additional doses for the 2020/21 season due to availability of supply. Please refer to the following letter to health care providers sent on November 30th, for an update on the Flulaval Tetra lot# KX9F7. November 17, 2020 Please note the following update sent to health care providers on November 14th: Urgent Action Required: FluLaval Tetra Vaccine Lot Number KX9F7 For locations that are now holding their entire stock of flu vaccine while we await the resolution of this issue, please place an order through the normal influenza vaccine ordering process ONLY for doses required up to November 27th and include a note in the “Special Delivery Instructions” field that it is for replacement FluLaval doses. Previous orders will be reviewed to confirm that vaccine is going to locations that received the affected lot. For all other locations, please note that regular orders for influenza vaccine will be on hold while we work through these replacement orders. Please do not submit any additional regular influenza orders at this time. November 9, 2020 FLU SHOT FINDER TOOL LAUNCHED TO HELP MANITOBANS ACCESS FLU VACCINE ACROSS PROVINCE CLICK HERE to see the media release. The Flu Shot Finder, developed in collaboration with GeoManitoba, uses an interactive map to show where people can find their flu vaccine. People can enter an address, or choose ‘my location’ and the map will populate with nearby locations, including physicians' offices, pharmacies and public health offices, that are offering the vaccine. Other filters include walk-in locations or any age limitations. FOR IMMUNIZATION PROVIDERS: to update your influenza vaccine availability on our new Flu Shot Finder Map CLICK HERE. (Please note: the survey works best when opened using Mozilla Firefox, Safari or Google Chrome web browsers; please ensure that you are using one of these before attempting to fill out the survey). November 6, 2020 All initial orders to priority locations as well as Groups 1, 2 & 3 have been shipped. Review and approval of second orders (and those that were placed after the September 11th deadline) is underway. Orders placed by providers for additional vaccine exceeds what is currently available at the Provincial Vaccine Warehouse. Additional vaccine is expected to be available in the coming weeks but the overall quantity has not been confirmed. Therefore, orders may be reduced at this time, based on number of doses administered last year while taking into account an increase in public demand this season. 2nd orders to priority locations (Hospitals, Personal Care Homes and First Nation Communities) are currently being processed and then all other provider orders will follow in the order that they were received. There are hundreds of thousands of doses currently available for Manitobans who want to be immunized at providers throughout the province. Our priority is to provide the broadest access possible to flu vaccines for all Manitobans. October 23, 2020 Influenza vaccine delivery to the majority of providers in Group 1 (client IDs ending in 4 to 6) is complete and delivery to providers in Group 2 (client IDs ending in 7 to 9) began on October 21. Review and approval of orders for providers in Group 3 (client IDs ending in 0 to 3) started on October 23. Delivery to the majority of providers in Group 2 & 3 is expected to be complete by October 30th. Once delivery to Group 2 & 3 is complete, delivery to locations who ordered after the Sep 11th deadline will begin. PLEASE NOTE: The Provincial Vaccine Warehouse is prioritizing flu vaccine orders so please expect slightly longer than normal turnaround time for all other non-emergency vaccine orders. October 19, 2020 NOTICE OF PRODUCT SUBSTITUTION: at this time, there are no additional doses of the High-Dose Influenza vaccine available for order. Any orders for this product may be substituted for the standard dose vaccine at this time. October 16, 2020 Influenza vaccine delivery to priority locations and providers in Group 1 is ongoing and delivery to immunization providers in Group 2 will begin next week. The Provincial Vaccine Warehouse is prioritizing flu vaccine orders so please expect slightly longer than normal turnaround time for all other non-emergency vaccine orders. PLEASE NOTE: all pre-filled syringes have now been assigned to orders and we do not anticipate receiving any more of this format until December. Any orders for pre-filled syringes will automatically be substituted for the multi-dose vial format. We apologize for the inconvenience. October 7, 2020 Influenza vaccine delivery to priority locations is ongoing and delivery to immunization providers in Group 1 will begin on October 8 and continue into next week. Delivery to Group 2 will begin once the previous group has been completed. The Provincial Vaccine Warehouse is prioritizing flu vaccine orders so please expect slightly longer than normal turnaround time for all other non-emergency vaccine orders. September 24, 2020 Manitoba’s first shipment of influenza vaccine has arrived at the Provincial Distribution Warehouse and has passed quality inspection. Influenza vaccine delivery to priority locations began on September 23 and is expected to continue into next week. Delivery to Group 1 will begin once the previous group has been completed. Additional doses are expected to arrive on Friday, September 25th. DUE TO THE HIGH VOLUME OF ORDERS BEING SHIPPED DURING THE FLU SEASON, PROVIDERS MAY EXPERIENCE LONGER THAN NORMAL WAIT TIMES FOR ROUTINE IMMUNIZATION ORDERS. August 25, 2020 NEW ELIGIBILITY CRITERIA FOR HIGH-DOSE INFLUENZA VACCINE AND UPDATES TO THE INFLUENZA PROGRAM IN 2020/21 Please note that the eligibility criteria for High-Dose Influenza vaccine have been expanded and now include the following eligible clients: Individuals who are 65 years of age or older, AND
High-dose influenza vaccine will only be shipped to immunization providers who will provide on-site clinics to eligible facilities as listed above OR those providing services to eligible homecare clients, individuals living in First Nation or remote/isolated communities and those living north of the 53rd parallel. Assisted Living: Also referred to as Independent Living or Retirement Residence with services. They are private seniors living building where tenants rent suites. The residence may offer various services such as housekeeping, meals, and recreation. It is not associated with the health care system and is not an insured service. Nurses may be on site but their responsibilities at each location may vary. Supportive Housing: They are facilities for people who require access to 24 hour supervision and some assistance managing with physical limitations, or ongoing health conditions such as dementia. Residents receive support with activities of daily living such as bathing, dressing, and medication reminders. The rent and services components are paid by the resident. The support component of this service is funded through the Regional Health Authorities of Manitoba. You may now place your order for influenza vaccine. Please use the new combined 2020/21 MHSC Influenza and Pneumococcal Vaccine Order Form July 15, 2020 Flu and Pneu-P-23 Vaccine Ordering Process All providers/facilities can place their flu and/or Pneu-P-23 vaccine order between August 17 and September 11, 2020, using the 2020/21 Influenza and Pneumococcal Vaccine Order Form (above). Orders received prior to August 17th will NOT be accepted and will need to be resubmitted on, or after, August 17, 2020. All flu/Pneu-P-23 vaccine orders will be shipped according to the following schedule: Influenza vaccine will begin shipping based on the above schedule when product arrives in Manitoba. Flu vaccines are distributed to all Canadian jurisdictions over a period of several weeks to months, starting mid to late September. Any delays from the manufacturers or Health Canada during their regulatory processes can affect the timing of product arriving in Manitoba and shipments to health care providers. All providers/facilities MUST order based on the amount administered and reported last season to reduce wastage. Failure to reconcile vaccine doses ordered and administered as per Manitoba’s Immunization Registry may result in providers/facilities receiving fewer doses than ordered. It is therefore critical that all doses of flu vaccine that are administered be reported to MHSC. Flu vaccine wastage should be less than 10% at the end of the season. Subsequent orders can be placed (at no penalty to the provider/facility), while supplies last. Manitoba Health may request that health care providers submit an update of available influenza vaccine doses each week. This will allow MHSC to identify to the public where influenza vaccine is available. Influenza Product Updates for 2020/21: NEW: Afluria® Tetra - available in pre-filled syringes as well as multi-dose vial format. Age indication is 5 years of age and older. As such, please indicate on the order form what percentage of your total doses you are able to accept with this age indication in the space provided. FluMist® Nasal Spray – for the 2020/21 influenza season, Manitoba will not be offering influenza nasal spray vaccine as part of Manitoba’s Seasonal Influenza Program. Supply may be available in the private market where a prescription would be required. May 27, 2020 Historically speaking, manufacturers supplying Canada with flu vaccine have experienced shortages or delays in the delivery of their vaccines for various reasons, which are beyond the control of the provinces and territories, including Manitoba. To allow for sufficient time to deliver this year’s flu vaccine to your facility/clinic, do not schedule your immunization clinics before November 1, 2020. As in previous years, health care providers are encouraged to start offering flu vaccine to their patients as soon as they receive product, even if prior to November 1. Please take this opportunity to return any unused flu vaccine from the 2019/20 flu season to the Provincial Distribution Warehouse using MHSC’s Return Policy and Procedure, available at: https://www.gov.mb.ca/health/publichealth/cdc/div/docs/vbrpp.pdf. + 2019/20 Influenza Season
December 16, 2019
Clinicians are encouraged to continue to offer the flu vaccine to all Manitobans aged six months and older. An annual flu vaccine is especially important for those at increased risk of serious illness from the flu, their caregivers and close contacts. Please be advised that flu vaccine is no longer available for order through the provincial distribution warehouse for this flu season. However, there is ample flu vaccine supply available across the province to continue to meet public demand. If your facility/clinic’s flu vaccine supply is depleted, please encourage your clients to contact a nearby doctor’s office, pharmacy and/or public health office/nursing station. October 30, 2019 Influenza vaccine delivery to immunization providers in Group 2 (client IDs ending in 0 to 3) will continue and is expected to be completed by Friday. To ensure that orders are being sent out at max capacity, delivery to Group 3 (client IDs ending in 4 to 6) has also started and is expected to be complete by Friday, November 8. REMINDER: the Provincial Vaccine Warehouse is prioritizing flu vaccine orders so please expect slightly longer than normal turnaround time for all other non-emergency vaccine orders. October 22, 2019 Influenza vaccine delivery to immunization providers in Group 2 began on October 21 and is expected to continue into next week. Delivery to Group 3 will begin once the previous group has been completed. The Provincial Vaccine Warehouse is prioritizing flu vaccine orders so please expect slightly longer than normal turnaround time for all other non-emergency vaccine orders. October 16, 2019 Due to power outages experienced across the province last week and into this week, MHSC is anticipates an increased number of cold chain breaks in refrigerators that lost power for extended periods of time. If your location experienced a cold chain break (vaccine was exposed to temperatures outside of the normal 2 to 8 degrees Celsius), please refer to Manitoba Health's Adverse Storage Condition Form and Procedure, fill out the form at the end and return it to MHSC at 204-948-2190. Please keep any affected vaccines refrigerated until you have called the manufacturers and received a recommendation. The Provincial Vaccine Warehouse is currently working on delivery to Group 1 (Client ID's ending in 7 to 9) and the majority should be delivered by the end of the week, provided there are no additional delays due to weather. Shipping to Group 2 (Client ID's ending in 0 to 3) will begin once the previous group has been completed. Thank you for your understanding. October 2, 2019 RE: Reduction of Influenza Vaccine Orders All manufacturers supplying Canada with influenza vaccine are experiencing shortages or delays in the delivery of their vaccines for various reasons. This will result in delays of vaccine delivery to Manitoba and may also impact the volume of influenza vaccines that were anticipated in Manitoba. All provinces and territories are impacted by this situation, and it is beyond the control of the provinces and territories, including Manitoba. As a result, all health care provider orders are being reduced, in order to ensure that as many health care provider locations as possible receive vaccine as quickly as possible. Additional health care provider orders will depend on vaccine availability. Product substitutions will occur depending on the products that are available. Due to uncertainty around the volume of doses that will be received by Manitoba and the date when these doses will arrive in Manitoba, the shipping schedule is not known at this time. Manitoba Health will update the distribution timelines online at www.Manitoba.ca/fludistribution when more information becomes available. Thank-you for your co-operation in this matterSeptember 26, 2019 Manitoba Health was notified by Health Canada that a portion of influenza vaccine doses destined for Canada has not yet been approved for distribution. As a result, a new national allocation plan has been developed. **MHSC will receive approximately 65% of the entire Flu zone High-Dose order by Sep 30th, 10% by October 15th and the remaining 25% in November. As such, delivery to Long Term Care facilities will be staggered and will be completed according to the sequence that orders were received. RE: High Dose Influenza (Fluzone® HD) supply update Manitoba Health was notified early this week that Sanofi Pasteur, the manufacturer of High Dose Influenza Vaccine (Fluzone® HD), was experiencing delays in the delivery of Fluzone® HD to Canadian jurisdictions. Although the majority of the Fluzone® HD doses ordered by Manitoba will be received on time, based on the most current data approximately 25% of doses will be delayed, arriving in Manitoba in late November. Each location that orders Fluzone® HD based on the current eligibility criteria will receive 75-80% of their initial Fluzone® HD order on schedule and this should be administered to residents/patients as soon as possible. Facilities requiring additional doses are asked to place a second order after October 15th. Thank-you for your co-operation in this matter. If you have any further questions please email MHSC at Vaccines@gov.mb.ca. Updates pertaining to flu vaccine distribution/supply, including shortages and delays will be posted on this page. August 20, 2019 School & Routine Immunization Order Cut-Off Date: September 6, 2019 In an effort to deliver influenza vaccine to immunization providers as early as possible, MHSC requests that orders for all other non-emergency routine immunizations needed in September and October be placed prior to September 6, 2019 so that orders may be shipped out prior to influenza vaccine arrival. This includes orders for school immunization programs. PLEASE NOTE: Delivery of routine immunization orders (with the exception of emergency products such as Rabies vaccine and immune globulins) will be put on hold temporarily once influenza vaccine has arrived in Manitoba and will resume shipping as determined by MHSC. Please see the following letter for additional information: www.gov.mb.ca/health/publichealth/cdc/docs/hcp/2019/082019.pdf July 15, 2019 Influenza Product Updates for 2019/20: PLEASE NOTE: FluMist® Quadrivalent (AstraZeneca) will not be available in Canada for the 2019/20 influenza season. NEW: Afluria® Tetra - available in pre-filled syringe format. Age indication is 5 years of age and older. As such, this product will be used to fill pharmacy orders for pre-filled syringes, while supplies last. 2019/20 Flu and Pneu-P-23 Vaccine Ordering Process: Providers/facilities can place their flu and/or Pneu-P-23 vaccine order between August 15 and September 13, 2019, using the 2019/20 Influenza and Pneumococcal Vaccine Order Form (www.manitoba.ca/health/flu/distribution.html). Orders received prior to August 15th will NOT be accepted and will need to be resubmitted on, or after, August 15, 2019. All flu/Pneu-P-23 vaccine orders will be shipped according to the following schedule: 1.hospitals, long-term care facilities and First Nations communities Did you know you could place your order via email? Influenza vaccine will begin shipping based on the above schedule when product arrives in Manitoba. Vaccine is expected to arrive around the end of September. Any delays from the manufacturer can affect the timing of product arriving in Manitoba and shipments to health care providers. All providers/facilities MUST order based on the amount administered and reported last season to reduce wastage. Failure to reconcile vaccine doses ordered with administered as per Manitoba’s Immunization Registry may result in providers/facilities receiving fewer doses than ordered. It is therefore critical that all doses of flu vaccine that are administered be reported to MHSC. Flu vaccine wastage should be less than 10% at the end of the season. Subsequent orders can be placed (at no penalty to the provider/facility), while supplies last. In the event that increased demand is seen, MHSC may require health care providers to complete an inventory count each week of available influenza vaccine doses. This will allow MHSC to identify to the public where influenza vaccine is available. For more information please see the following letter sent to health care providers on June 20, 2019: https://www.gov.mb.ca/health/publichealth/cdc/docs/hcp/2019/062019.pdf + 2018/19 Influenza Season
November 1, 2018 PLEASE NOTE: FLUZONE QUADRIVALENT IN PRE-FILLED SYRINGE FORMAT IS NOW OUT OF STOCK. ORDERS FOR PRE-FILLED SYRINGES WILL BE SUBSTITUTED FOR MULTI-DOSE VIALS UNTIL FURTHER NOTICE. Please see the following table for estimated shipping timelines for each distribution group for influenza vaccine orders in 2018/19:
Manitoba’s second shipment of Flumist QLAIV is not scheduled to arrive until November 13. Therefore, any order for Flumist that is being processed prior to the product release at the Provincial Distribution Warehouse will be placed on backorder and will ship at a later date. October 3, 2018 Please see the following table for estimated shipping timelines for each distribution group for influenza vaccine orders in 2018/19:
*These dates are APPROXIMATE. Immunization providers should expect to receive their orders AFTER the dates indicated above, not before. Any delays in receiving products from manufacturers or disruptions due to other unforeseen circumstances may result in changes to the above estimates. Flumist QLAIV is not scheduled to arrive until October 9th. Therefore, any order for Flumist that is being processed prior to the product release at the Provincial Distribution Warehouse will be placed on backorder and will ship at a later date. September 20, 2018 Manitoba's first shipment of influenza vaccine in pre-filled syringe format was delayed and has now arrived and been released at the Provincial Distribution Warehouse. Orders which include pre-filled syringes are now being filled for priority locations and will continue into next week. All other delivery timelines are expected to stay the same. September 13, 2018 Please see the following table for estimated shipping timelines for each distribution group for influenza vaccine orders in 2018/19:
*These dates are APPROXIMATE. Immunization providers should expect to receive their orders AFTER the dates indicated above, not before. Any delays in receiving products from manufacturers or disruptions due to other unforeseen circumstances may result in changes to the above estimates. **MHSC will receive approximately 50% of the entire Fluzone High-Dose order on September 17th and the remainder on October 1st. As such, delivery to Long Term Care facilities will be staggered and will be completed according to the sequence that orders were received. Flumist QLAIV is not scheduled to arrive until October 9th. Therefore, any order for Flumist that is being processed prior to the product release at the Provincial Distribution Warehouse will be placed on backorder and will ship at a later date. September 12, 2018 The first shipment of influenza vaccine is scheduled to arrive at the Provincial Distribution Warehouse on September 17, 2018. After product has passed quality inspection and has been received into the system, orders for priority locations (Hospitals, Long Term Care Homes and First Nation Communities) will commence. A preliminary distribution timeline will be posted later this week with estimated dates shipments are expected to begin for each distribution group. *****All dates approximate. Providers can expect to receive vaccine AFTER the date indicated for their distribution group. Delivery to your distribution group will begin once shipping to the previous group has been completed. Expected shipment dates will be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed.***** DUE TO THE HIGH VOLUME OF ORDERS BEING SHIPPED DURING THE FLU SEASON, PROVIDERS MAY EXPERIENCE LONGER THAN NORMAL WAIT TIMES FOR ROUTINE IMMUNIZATION ORDERS. August 1, 2018 2018/19 Seasonal Influenza (Flu) and Pneumococcal Orders Providers/facilities can start placing their flu and/or Pneu-P-23 vaccine order between August 15 and September 14, 2018, using The Influenza and Pneumococcal Vaccine Order Form: www.gov.mb.ca/health/publichealth/cdc/protocol/influpnevcorderform.pdf Orders received prior to August 15 will NOT be accepted and will need to be resubmitted on, or after, August 15, 2018. All flu/Pneu-P-23 vaccine orders will be shipped according to the following schedule:
All providers/facilities MUST order based on the amount administered last year to reduce wastage. Failure to reconcile vaccine doses ordered with administered may result in providers/facilities receiving fewer doses than ordered. It is therefore paramount that all flu vaccine doses administered be reported to MHSC. Flu vaccine wastage should be less than 10% at the end of the season. Additional information was sent out on June 14, 2018. See full communication here: www.gov.mb.ca/health/publichealth/cdc/docs/hcp/2018/061418.pdf + 2017/18 Influenza Season
November 8, 2017 Shipping of influenza vaccine orders received prior to the October 31st, 2017 deadline has begun. All orders are being reviewed and reductions/substitutions are being made where necessary to ensure equitable distribution of the remaining supply on hand. Manitoba's second delivery of Flumist® Quadrivalent Nasal Spray is expected to arrive at the end of November. Any requests for this product that were received prior to October 31st, 2017 are being placed on backorder and will be shipped to health care providers once the product has been received. October 24, 2017 Please be advised that the deadline to submit all second seasonal influenza (flu) vaccine orders is Tuesday, October 31st 2017 at 4:00 pm. Please ensure all flu vaccine doses are recorded in the Manitoba Immunization Registry (via direct entry into Panorama, Physician Billings or DPIN OR by submitting the immunization inputting form available online at www.gov.mb.ca/health/publichealth/cdc/div/docs/iifhcp.pdf Estimated delivery timelines for second orders will be posted after the October 31st deadline. October 24, 2017
**All dates approximate. Providers can expect to receive vaccine ON OR AFTER the date indicated for their distribution group. Delivery to your distribution group will begin once shipping to the previous group has been completed. Expected shipment dates will continue to be updated as information becomes available. October 18, 2017 NOTICE OF PRODUCT SUBSTITUTION Supply of the influenza vaccine Flumist® Quadrivalent Nasal Spray has now been depleted at Manitoba's Provincial Distribution Warehouse. Any orders for this product will be substituted with an injectable influenza vaccine in the multi-dose vial or pre-filled syringe format to ensure timely delivery of vaccine orders while we await our next shipment in November. October 10, 2017
**All dates approximate. Providers can expect to receive vaccine ON OR AFTER the date indicated for their distribution group. Delivery to your distribution group will begin once shipping to the previous group has been completed. Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups. October 6, 2017 Manitoba's Provincial Distribution Warehouse (MDA) has received the first shipment of Fluzone High-Dose and it has passed internal quality inspections. Shipping of orders to Long Term Care Facilities has now started. Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same. October 3, 2017
**All dates approximate. Providers can expect to receive vaccine ON OR AFTER the date indicated for their distribution group. Delivery to your distribution group will begin once shipping to the previous group has been completed. Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups. September 28, 2017 Manitoba's Provincial Distribution Warehouse (MDA) has received the first shipment of Flumist Quadrivalent and it has passed internal quality inspections. Shipping of orders containing Flumist has now started. Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same. September 18, 2017 Manitoba's Provincial Distribution Warehouse (MDA) has received the first shipment of Fluzone (Quadrivalent Influenza Vaccine) and it has passed internal quality inspections. Shipping of multi-dose vials and pre-filled syringes to priority locations is expected to begin tomorrow. Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same. September 8, 2017
*Delivery to Long Term Care Facilities will commence once the Influenza High Dose vaccine arrives at the Provincial Distribution Warehouse, which is expected to be prior to October 6th, 2017 but will be after the receipt of the quadrivalent influenza vaccine. June 21, 2017 Quadrivalent Influenza vaccine products available for order by healthcare providers for the 2017/18 influenza season are as follows:
Please use the MHSC Influenza and Pneumococcal Vaccine Order Form (www.gov.mb.ca/health/publichealth/cdc/protocol/influpnevcorderform.pdf) to place your orders between August 14th, 2017 and 4:00pm on September 15th, 2017.
All providers must review their previous flu/pneumo vaccine usage and wastage to order accordingly; repeat orders will be processed after all initial orders have been filled. This approach worked well the previous two years; shipping sequence by client ID/holding point # continues to rotate every year to ensure all providers have equitable access. Please see the following letter to health care providers for more detailed information on this year's program. + 2016/17 Influenza Season
October 21, 2016 All influenza vaccine currently in stock at Manitoba’s Provincial Vaccine Warehouse has been allocated to orders that will be shipped out shortly. The next shipment of FLUZONE Quadrivalent (multi-dose vials) from the manufacturer is expected to arrive on Monday, October 24 . The next shipment of FLUMIST Intranasal influenza vaccine is expected to arrive on Wednesday, October 26 at which point shipping of backorders will commence. October 20, 2016 Please see the newly updated table below for estimated shipping dates.
ALL INFLUENZA ORDERS SUBMITTED FROM THIS POINT FORWARD WILL BE PLACED IN THE QUEUE BASED ON DATE RECEIVED AND SHIPPED OUT ACCORDINGLY ALONGSIDE ORDERS FOR ROUTINE IMMUNIZATIONS. October 13, 2016 NOTICE OF PRODUCT SUBSTITUTION – Supply of the influenza vaccine FLUZONE® Pre-Filled Syringe Format has now been depleted at Manitoba’s Provincial Vaccine Warehouse. Any orders for this product will be substituted with an equivalent influenza vaccine in the multi-dose vial format. October 12, 2016 Manitoba’s Provincial Vaccine Warehouse continues to work through the third distribution group this week as well as fill all outstanding backorders for Flumist that resulted from a delay in receiving the product from the manufacturer. Please see the newly updated table below for estimated shipping dates.
***All dates approximate. Providers can expect to receive vaccine on or after the date indicated for their distribution group. Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.*** October 3, 2016 Manitoba’s Provincial Vaccine Warehouse has received the first shipment of FLUMIST Quadrivalent Nasal Spray today and filling of backorders is expected to begin later this week. Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same.
***All dates approximate. Providers can expect to receive vaccine on or after the date indicated for their distribution group. Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.*** *Shipping to these groups is complete, minus any Flumist orders, as the first shipment of this product has just arrived in the warehouse.* September 12, 2016
***All dates approximate. Providers can expect to receive vaccine on or after the date indicated for their distribution group. Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.*** September 1, 2016
***All dates approximate. Providers can expect to receive vaccine on or after the date indicated for their distribution group. Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.*** August 18, 2016 Manitoba Health has received estimated delivery dates for Influenza Vaccine for the 2016/17 season.
July 13, 2016 + 2015/16 Influenza Season
December 3, 2015
October 23, 2015 MHSC has received a portion of its order of FluMist® Quadrivalent earlier this week and has started shipping doses to providers in the same priority order used to distribute Fluzone® Quadrivalent, Manitoba’s other allotted flu vaccine. All initial provider orders have nearly been filled of Fluzone® Quadrivalent (multi-dose vials). MHSC continues to expect arrival of Fluzone® Quadrivalent (pre-filled syringes) to Manitoba next week; processing and shipping of all backorders will begin at that time. October 6, 2015
* All dates approximate. Providers can expect to receive vaccine on or after the date indicated for their distribution group. Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.
September 18, 2015
* All dates approximate. Shipping to each distribution group will be completed before shipping to the next group begins. Providers can expect to receive vaccine on or after the date indicated for their distribution group. Expected shipment dates will continue to be updated as information becomes available. Last updated: September 18, 2015. September 15, 2015
September 1, 2015
August 21, 2015 Manitoba has been provided the following delivery schedule of when Influenza vaccine is expected to be delivered throughout Canada, the product to be delivered in Manitoba, and the percentage of Manitoba’s total annual order. The exact date of delivery to Manitoba may be different.
August 20, 2015 July 15, 2015
July 14, 2015
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between August 17, 2020 and September 11, 2020 (4pm) to be placed in your respective distribution group.
