COVID Bulletin - 21 February 2022



National news


COVID Bulletin

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These bulletins contain the latest updates on COVID-19 and the national rollout of COVID-19 vaccines in Australia.

These updates are current as at Tuesday 21 February 2022.

The RACGP’s COVID-19 vaccine information for GPs and COVID-19 information for GPs webpages are updated as new information becomes available.

National updates

New resource: Oral antiviral treatments for COVID-19

Pre-placement of the new COVID-19 antiviral medicines Paxlovid (nirmatrelvir plus ritonavir) and Lagevrio (molnupiravir) has begun in high-priority settings for the treatment of COVID-19 in eligible patients.

Initially, supply is limited to state/territory health departments, residential aged care facilities (RACFs), and Aboriginal Controlled Community Health Organisations (ACCHOs). The Federal Government has allocated Lagevrio for pre-placement in all RACFs across Australia. States/territories and ACCHOs will receive both Paxlovid and Lagevrio.

You may be asked to prescribe these medicines for your eligible patients in these settings, so to support safe and appropriate prescribing, the RACGP has developed a factsheet for GPs.

    Read the factsheet    

 

COVID-19 taskforce updates

The National COVID-19 Clinical Evidence Taskforce (of which the RACGP is a member) has released new recommendations for the use of remdesivir in adults with mild COVID-19 and two new recommendations on the use of Lagevrio and Paxlovid in children and adolescents:

  • Do not routinely use molnupiravir [Lagevrio] for the treatment of COVID-19 in children and adolescents.
  • Do not use nirmatrelvir plus ritonavir [Paxlovid] in children and adolescents outside of randomised trials with appropriate ethical approval.

The taskforce has also released a new summary flowchart for all disease-modifying treatment recommendations for children and adolescents and an updated the flowchart for disease-modifying treatments for adults with COVID-19.

    Access all living guidelines and flowcharts    

 

Ordering PPE and pulse oximeters

To streamline distribution of PPE to general practices, a national distributor has been engaged to deliver supplies direct to practices rather than via Primary Health Networks (PHNs). The new process will allow you to track your order once approved.

Your PHN will provide you with a new general practice ‘PPE and pulse oximeter order form’ and will be your point of contact for submitting orders.

The Department of Health (DoH) has published information on the new process, which also outlines the eligibility criteria for accessing the different PPE bundles and pulse oximeters.

 

Communication materials for culturally and linguistically diverse communities

The DoH has released an updated stakeholder pack to help you communicate and share COVID-19 vaccine information with culturally and linguistically diverse communities.

The pack contains in-language communications resources – videos, audio files, posters, factsheets and social media assets – on:

  • COVID-19 vaccine booster doses
  • COVID-19 vaccines for children aged 5–11
  • getting tested for COVID-19 and what to do if you test positive
  • living with COVID-19 and how to care for yourself and others.

    Access the pack    

 

Novavax rollout officially begins

The rollout of the Novavax COVID-19 vaccine officially began on 21 February 2022, with 1690 primary care sites administering the vaccine this week and an additional 572 to start the following week.

A standing expression of interest is open to all general practices that wish to administer Novavax (and other COVID-19 vaccines). Contact your PHN for more details.

 

Moderna COVID-19 vaccine provisionally approved for children aged 6–11 years

The TGA has provisionally approved the Moderna COVID-19 vaccine for children aged 6–11 years. ATAGI is still to provide final recommendations on use of the Moderna vaccine in this age group.

The dose for this age group is 0.25mL (50mcg) (compared to 0.5mL for people aged 12 years and older), with two doses to be administered 28 days apart.

 

Providing a COVID-19 vaccine and flu vaccine during the same consultation

ATAGI has advised it is no longer necessary to wait two weeks between a COVID-19 vaccination and an influenza vaccination; you can provide these services during the same consultation.

Although you are under no obligation to bulk bill a patient receiving a flu vaccination, a patient who also receives a COVID-19 vaccination during the same appointment must be bulk billed for the MBS COVID-19 vaccine suitability assessment component.

If another attendance is provided on the same day as the vaccine suitability assessment service, which is separate and/or unrelated to the vaccine service, the patient’s invoice/account or Medicare claim should be annotated (‘additional service [MBS item] is clinically relevant but not related to the vaccine suitability assessment service [MBS item]’) to help with the assessment of the claim.

For more information on the MBS COVID-19 vaccine suitability assessment items, visit MBS Online.

 

Vaccine Clinic Finder Connect: Second on-demand webinar now live

The RACGP’s COVID vaccine booking program education series has released a new webinar recording with fresh updates to help you use the Vaccine Clinic Finder Connect. The on-demand webinar is your key to ensuring patients can seamlessly connect with your practice to book their COVID-19 vaccinations, including booster doses.

This resource is part of an education kit that you and your team can work through as a self-directed learning activity to familiarise yourselves with:

  • the Vaccine Clinic Finder (VCF) and its role in improving access to COVID-19 vaccines and booster doses
  • the VCF patient journey
  • integrating online appointment booking systems
  • updating your practice’s VCF information in real time with Vaccine Clinic Finder Connect.

    Watch the webinar    

Victoria updates

Resumption of elective surgery

All elective surgery across Victorian private and public hospitals can resume by the end of February.

From 21 February, public hospitals in metropolitan Melbourne can perform category 2 surgery and private hospitals in metropolitan Melbourne can undertake up to 75% of any elective surgery, increasing from the current 50%.

In regional Victoria, the cap for private hospitals increased from the current 75% to up to 100%, while regional public hospitals continue to deliver any elective surgery based on their individual capacity.

You can find more information about these changes at Final steps to resume all elective surgery.

 

Budesonide treatment for COVID-positive patients

Budesonide is an inhaled corticosteroid, usually used in asthma management. Recent studies from the UK suggest this inhaler may reduce inflammation in the lungs of patients with COVID-19 infection. It may reduce risk of hospitalisation, decrease the need for supplemental oxygenation and improve clinical recover.

The National COVID-19 Clinical Evidence Taskforce recommends considering starting inhaled budesonide within 14 days of symptom onset in adults with COVID-19 who do not require oxygen and have more than one risk factor for disease progression.

The RACGP does not accept any responsibility for any loss or damage that may result from reliance on, or the use of, any information contained in this newsletter.

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