Natural Immunity History

Natural Immunity is a type of immunisation medical exemption on the AIR. A laboratory test or physician based clinical diagnosis confirms natural immunity to a disease.

A natural immunity has no end date and can only be recorded on the AIR for hepatitis B, measles, mumps, rubella and varicella.

A natural immunity to a disease means that the individual is not required to receive that disease component of a vaccine in order to be considered up to date with immunisations for the purposes of:  child care enrolments  overdue reminder letters  overdue reporting for providers, and  meeting requirements for family assistance payments

However, the Department of Health considers the individual is still due/overdue for any remaining elements in the vaccine. For example, if an individual has a recorded natural immunity to mumps, they are still due/overdue for measles and rubella. This shows in their immunisation status on the AIR.

Immunisation History

Following the positive identification of an individual and using their individual identifier, this service will:

 Retrieve the individual’s immunisation history as recorded on the AIR,

 Return the individual’s vaccine Due Details,

 Return the individual’s Immunisation History, and

 Return whether any encounters and episodes are editable (able to be updated by the provider)

Due Details If there is a due vaccine for an individual returned; then the vaccine due details for each will consist of: o Disease (Name of the antigen), o Vaccine dose, and o Due date

If there is no list of vaccines due for an individual returned, then derive your own message to display using the text ‘There are no vaccinations due for this individual’ @see section 5.3 – NOI testing requirements.

Immunisation History Details

If there is an immunisation history for an individual returned; then the encounters list will consist details of: o each encounter, o episode/s within each encounter, and o any relevant information for each episode.

Medical Contraindication History

Medical contraindication is a type of immunisation medical exemption on the AIR, which are recorded for vaccines and their components.

Medical contraindications recorded on the AIR for a vaccine can be:  permanent – there is no end date  temporary – the end date is in the future This means that the individual is not required to be vaccinated with that vaccine, or equivalents, during the recorded contraindication period. The Department of Health may also consider them up to date with immunisations for the purposes of:  child care enrolments  overdue reminder letters  overdue reporting for providers, and  meeting requirements for family assistance payments

Valid reasons for a permanent immunisation medical exemption on the AIR due to a medical contraindication are:  previous anaphylaxis (to vaccine/vaccine component)  significant immunocompromise (for live attenuated vaccines only)

Valid reasons for temporary immunisation medical exemption on the AIR due to a medical contraindication are:  acute major medical illness  significant immunocompromise of short duration (live attenuated vaccines only)  the individual is pregnant (live attenuated vaccines only)

Vaccine Trial History

Vaccine trial is a type of immunisation exemption on the AIR.

To prevent vaccine trial participants from being disadvantaged, the AIR is required to exclude vaccine trial participants, from the National due and overdue rules assessment for Family Assistance (Family Tax Benefit and Child Care Subsidy) purposes, during the duration of a vaccine trial period.

The exclusion will only be implemented for individuals participating in a vaccine trial that has been approved by a Department of Health and only for the duration of the trial period. These individuals will be considered ‘fully immunised’ for the antigen which they are a vaccine trial participant.

History Statement

Immunisation history statements produced by the AIR shows all the immunisations an individual has had that are recorded on the AIR. Immunisation history statements are used to allow individuals to:  keep track of their or their child’s immunisations  see if any immunisations are overdue or will be due soon  see if any immunisation medical exemptions are recorded  see if their child is on an active catch up schedule for family assistance purposes  prove their immunisations are up-to-date for education, employment and travel purposes.