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If you are a physician in Halton Region, access information about ordering, storing, and administering provincially funded vaccines here.

Vaccine Order Update

Changes to Halton Region Public Health Vaccine Ordering
All vaccine orders can now be placed online.

  • As of March 28, 2022, school-based vaccine orders for students in Grade 7 (birth year 2009) and Grade 8 (birth year 2008) will be paused while community immunization clinics are operating into June 2022.
  • Special orders for students outside of Grade 7 and 8 will continue to be processed as usual, although processing time may be longer.
  • Delivery schedule for June 2022 has been updated. Refer to delivery schedule below (under Vaccine Distribution).
  • COVID-19 vaccine orders for on-boarded and approved practices will be delivered on the usual schedule.

Ordering Vaccines

Use the vaccine order form to request routine, school-based, high-risk and COVID-19 vaccines. Four weeks of recorded temperatures up until order submission date must be submitted with all orders.

Manual entry of temperature logs on the online vaccine ordering page is no longer accepted. Halton Region Public Health will only accept scanned PDFs or photos (.jpg format) of temperature logs. Vaccine pick-ups at Halton Regional Centre (HRC) are currently not available. More information will be provided when vaccine pick-ups resume.

Frequently asked questions on ordering vaccines

Receiving all vaccine orders online helps streamline the ordering process, improving the efficiency and accuracy of processing vaccine orders in Halton.

Temperature logs are submitted electronically through the online order form. Public Health will only accept scanned PDFs or photos (jpg format) of temperature logs. Please note that the submission must be for one full month leading up to the order date.

Vaccine orders submitted after 4 p.m. on the Wednesday prior to a scheduled delivery date will be processed and delivered for the next scheduled bi-weekly delivery date.

Please note: If you’ve missed the delivery and will need the vaccines more urgently (e.g. high risk vaccines), please call 311 or email vaccinedepot@halton.ca.

We are requesting that health care providers transition to online vaccine ordering starting immediately. Orders will not be received by fax after November 30, 2020. If you need support in transitioning to online ordering, email vaccinedepot@halton.ca.

Vaccine Distribution

North Halton Delivery

Order by Wednesday before 4 p.m. Milton
Tuesday delivery between 9 a.m. – 4 p.m.
Halton Hills
Wednesday delivery between 9 a.m. – 4 p.m.
Wednesday, April 6, 2022 Tuesday, April 12, 2022 Wednesday, April 13, 2022
Wednesday, April 20, 2022 Tuesday, April 26, 2022 Wednesday, April 27, 2022
Wednesday, May 4, 2022 Tuesday, May 10, 2022 Wednesday, May 11, 2022
Wednesday, May 18, 2022 Tuesday, May 24, 2022 Wednesday, May 25, 2022
Wednesday, June 1, 2022 Tuesday, June 7, 2022 Wednesday, June 8, 2022
Wednesday, June 15, 2022 Tuesday, June 21, 2022 Wednesday, June 22, 2022

South Halton Delivery

Order by Wednesday before 4 p.m. Burlington
Tuesday delivery between 9 a.m. – 4 p.m.
Oakville
Wednesday delivery between 9 a.m. – 4 p.m.
Wednesday, April 13, 2022 Tuesday, April 19, 2022 Wednesday, April 20, 2022
Wednesday, April 27, 2022 Tuesday, May 3, 2022 Wednesday, May 4, 2022
Wednesday, May 11, 2022 Tuesday, May 17, 2022 Wednesday, May 18, 2022
Wednesday, May 25, 2022 Tuesday, May 31, 2022 Wednesday, June 1, 2022
Wednesday, June 8, 2022 Tuesday, June 14, 2022 Wednesday, June 15, 2022
Wednesday, June 22, 2022 Tuesday, June 28, 2022 Wednesday, June 29, 2022

Next delivery schedule will be released mid – June 2022.

Frequently asked questions on vaccine delivery

Public health measures implemented in response to the COVID-19 pandemic have resulted in limited public access to services offered at the Halton Regional Centre - 1151 Bronte Road, Oakville. To ensure continued access to publicly funded vaccines, Halton Region Public Health is implementing a vaccine courier service to minimize the need for health care providers to pick up vaccines at the Halton Regional Centre.

If you have an existing arrangement with a courier service, you can continue to use it. However, if you wish to transition to Halton Region’s courier service, please contact the vaccine depot at vaccinedepot@halton.ca for more information or to be added to our courier schedule.

If you have been picking up your vaccine orders at Joseph Brant, Georgetown, or Milton District hospitals, this option will no longer be available after October 30, 2020, and your vaccine orders will be delivered directly to your office.

Each municipality will receive bi-weekly vaccine deliveries. Routine and/or special/high-risk vaccine orders must be ordered online by 4 p.m. on the Wednesday prior to scheduled delivery dates. A detailed schedule is posted at halton.ca/physicians.

  • Burlington – starting Tuesday, November 3 (and then bi-weekly)
  • Oakville – starting Wednesday, November 4 (and then bi-weekly)
  • Milton – starting Tuesday, November 10 (and then bi-weekly)
  • Halton Hills – starting Wednesday, November 11 (and then bi-weekly)

Vaccine orders submitted after 4 p.m. on the Wednesday prior to a scheduled delivery date will be processed and delivered for the next scheduled bi-weekly delivery date.

Please note: If the vaccines are required more urgently before the next scheduled delivery date (e.g. missed delivery or high risk vaccines), please call 311 or email vaccinedepot@halton.ca for options.

Vaccine Storage and Handling Guidelines (PDF file) require that health care providers storing publicly funded vaccines meet specific requirements, including appropriately monitored refrigeration and cold chain maintenance. If bi-weekly delivery of vaccine orders will cause issues related to appropriate storage and inventory practices, please contact vaccinedepot@halton.ca to discuss options.

If you are unable to receive your vaccine on the scheduled delivery date for your municipality, please email vaccinedepot@halton.ca for options.

Due to COVID-19 disruptions, Halton Region Public Health will be offering complementary vaccine deliveries until March 31, 2021 for influenza, routine and special/high-risk vaccine orders. In the future, the cost to continue to delivery vaccines will be reassessed.

Vaccines will be delivered on your scheduled delivery date listed on “Halton Region Public Health vaccine delivery schedule.” Vaccines will be delivered between 9 a.m. and 4 p.m. by Critical Path Courier. We are unable to provide a specific time for each office as the courier plans their route based on the number of deliveries in the area and what the most efficient route is.

Please ensure there is a staff member to receive the vaccines between 9 a.m. and 4 p.m. If there is no staff member present to receive the delivery, vaccines will be returned to Halton Regional Centre (HRC) and will be delivered again on your next scheduled bi-weekly delivery date. Pick-ups at HRC are not permitted at this time.

No. Couriers are not permitted to drop off vaccines to another office or house. Vaccines are only permitted to be dropped off to the office on the address label and stored in a Public Health approved and inspected fridge.

School Based Vaccines

Halton Region Public Health provides school-based vaccines for Grade 7 students at public, private, Catholic and French school boards. School based vaccines include Hepatitis B (ENGERIX®-B/Recombivax HB®), HPV-9 (GARDASIL®9), and Meningococcal ACYW-135 (NIMENRIX®).

Special orders for school-based vaccines for Grade 7 (birth year 2009) and Grade 8 (birth year 2008) students remain paused and will resume mid July 2022. Please either refer your patients to halton.ca/immunize for a community clinic appointment or defer appointment until the summer.

Community-based clinics are now open and will be running through the summer. Appointments can be booked online for all eligible students who have missed school-based immunizations due to the impacts of COVID-19. Please note these clinics are available by appointment only. Visit Halton’s Grade 7 School-Based Immunization webpage for more information. Halton physicians can order school based vaccines for eligible students outside of Grade 7 and 8 through the online Vaccine Order Form (Special Vaccine Order).

Frequently asked questions on School Based Vaccines

Eligibility criteria has been extended for select age groups that may have missed an opportunity to receive school-based vaccines due to the COVID-19 pandemic.

Learn who is currently eligible for school-based vaccines.

At this time, Public Health is unable to release school-based vaccines to physicians in bulk. All school-based vaccines released from Public Health are required to be associated with an eligible student. This information needs to be reported back to the Ministry of Health. In addition, Public Health must complete an immunization record assessment on the Provincial Immunization Database (Panorama) for each student prior to release of vaccines.

School-based vaccines for Grade 7 (birth year 2009) and Grade 8 (birth year 2008) students will be paused beginning March 28, 2022 and continuing while in-school immunization clinics are operating. This guarantees that a complete record assessment is done by Public Health prior to vaccine administration. If your practice has already ordered and received school-based vaccines for a Grade 7/8 student, please encourage the parents to make an appointment for the student to receive the vaccines already allocated to them in your practice.

Released school-based vaccines are assigned to be administered only to the student it was approved for. There are situations where a student is no longer eligible, has received the vaccine elsewhere or has refused the vaccine. This school-based vaccine will have to be re-allocated within your practice.

If you have a student in your practice, whom you believe is eligible to receive a re-allocated school-based vaccine; Public Health (311) must be contacted first. Public Health will ensure a complete record and eligibility assessment is done and prior to re-allocating the vaccine.

This step must be done for all possible re-allocations as all school-based vaccines are required to be associated with an eligible student—this information is reported back to the Ministry of Health.

Similarly, when placing a new special order for school-based vaccines, please review your inventory first to determine if there is a dose available to be re-allocated. Public Health (311) must be contacted prior to administering dose.

Vaccine Storage

Recent inspections of refrigerators in health care provider premises have shown that improper storage of vaccines is a significant problem in Ontario. Under the authority of the Health Protection and Promotion Act, public health units must inspect storage locations of provincially funded vaccines.

The purpose of annual inspections is to:

  • Ensure the proper management of vaccine inventories (store in temperatures of 2-8 degrees Celsius)
  • Provide education strategies to minimize vaccine wastage
  • Promote vaccine safety and effectiveness

If you are a health care provider storing provincially funded vaccines, ensure all staff familiarize themselves with proper vaccine storage and handling guidelines (external PDF)

Resources

Proper Vaccine Storage procedures

  1. Read, record and clear the min/max thermometer twice per day in the temperature log book.
  2. Post the Ministry cold chain material on the fridge door.
  3. Close and secure fridge door after each use.
  4. Place water bottles on inside of fridge door to maintain proper temperatures.
  5. Ensure no ice has built up in the freezer.
  6. Place thermometer probe in the center of the fridge in an empty vaccine box.
  7. Store vaccines on the middle shelf.
  8. Date all opened multi-dose vials.
  9. Protect all vaccine from light.
  10. Keep refrigerator plugged in at all times.

NOTE: Do not store food or specimens in the vaccine fridge.

What to Do With Spoiled or Expired Vaccines

  • Report all fridge temperatures outside the 2-8 degrees Celcius range to the Health Department immediately
  • Return all expired/exposed vaccine to the Health Department
  • Prior to moving or changing vaccine fridges, notify the Health Department

Report a vaccine storage failure by calling 311 and fill out the applicable form(s) below.

Influenza Vaccine

The Ministry of health has released the 2022/2023 Universal Influenza Immunization Program (UIIP) (external link) information. Ontario’s Universal Influenza Immunization Program (UIIP) provides publicly funded influenza vaccine for individuals aged 6 months or older who live, work or attend school in Ontario.

Organizations interested in becoming a vaccine provider for the UIIP are required to complete an annual application process for approval to store, handle, and administer publicly funded influenza vaccine unless they are in receipt of other publicly funded vaccines (excluding COVID-19 vaccine).

Resources

2021/2022 Influenza Vaccine Return Process

To minimize vaccine wastage and ensure influenza vaccine availability for Ontarians, health care providers are encouraged to maintain minimal stock of influenza vaccine in cold chain to accommodate individuals who still are seeking influenza immunization between April and August.

Non-reusable vaccines are vaccines that have expired or are deemed no longer usable by Public Health should be returned as soon as possible. Returned vaccines must be whole, un-punctured vials. Multi-dose vials that have been punctured must be disposed of in your premise’s biomedical waste container; however, the wastage must be documented on the Non-Reusable Vaccine Return Record (PDF file) (remaining doses) and returned to Public Health.

Steps for vaccine return

  1. Place non-reusable influenza vaccines in a secure bag, labelled with your premise name, Holding Point Code (HAL_OK_XXXXX), and mark as “WASTE.” Vaccines do not have to be in cold chain.
  2. Complete a Non-Reusable Vaccine Return Record (PDF file) and include in bag. Partial vials must be recorded as wastage however, are disposed of as biomedical waste at your premise.
  3. Return vaccines with your bi-weekly courier delivery.

Any influenza vaccine that is returned to Public Health is considered wasted and will not be re-used.

Health care providers who receive vaccine deliveries through private couriers can drop off non-reusable influenza vaccines returns to Halton Regional Centre at the main entrance (1151 Bronte Rd, Oakville, L6M 3L1) Monday through Friday, 8:30 a.m. to 3 p.m. Vaccines will be accepted by Halton Region security/front desk staff. Vaccines will not be accepted if Steps 1 and 2 above are not met.

Vaccine Exemptions

Important information regarding vaccine education sessions

Due to the unforeseen circumstances brought on by COVID-19 over the last two years, school suspensions under the Immunization of School Pupils Act (ISPA) will not be enforced during the 2022/2023 school year. Vaccine education sessions are not available at this time, and therefore Halton Region Public Health is not currently accepting submissions for non-medical exemptions. Please check regularly for updates.

A parent or guardian may decide against vaccinating their child for medical or personal reasons. Choose the necessary exemption form for your patient from the list below.

Please remind patients that by law, parents wishing to exempt their children from vaccines because of personal choice, must attend an in-person education session on vaccines at the Health Department.

Updated Eligibility for Routine Vaccines

As of April 1, Tdap (tetanus, diphtheria, and pertussis) is now publicly funded and may be routinely offered to pregnant people.

The National Advisory Committee on Immunization strongly recommends Tdap vaccination during every pregnancy (external link), regardless of previous Tdap vaccination history to protect the infant from pertussis.

Infants less than 2 months of age are at the greatest risk of severe pertussis infection and hospitalization. Vaccination in pregnancy is safe and effective at preventing neonatal infection.

Immunization should ideally be offered at 27-32 weeks of gestation, which is supported by the strongest safety and effectiveness data. Immunization between 13 and 26 weeks of gestation may also be considered in some situations (for example, pregnancies with an increased risk of pre-term delivery).

Ontario has transitioned from the pentavalent rotavirus vaccine RotaTeq® (Rot-5) to the monovalent rotavirus vaccine, Rotarix® (Rot-1) in the infant rotavirus immunization program.

It is recommended that Rotarix® (Rot-1) be administered between 2 months to 15 weeks of age. If the first dose is administered after 15 weeks of age, the series should be completed with a minimum of four weeks between doses. All doses should be completed on or before 25 weeks of age.

If the second dose of Rotarix® (Rot-1) is unable to be completed on or before 25 weeks of age, the second dose can be administered up to 32 weeks of age. This extended eligibility interval will still be publicly funded, however this interval is not routinely recommended.

Timing of vaccine administration: Canadian Immunization Guide (external link).

Eligibility criteria has been extended for select age groups (external PDF) that may have missed an opportunity to receive school-based vaccines due to the COVID-19 pandemic.

Grade 9 & 10 students in the 2020/21 and 2021/22 school years (born in 2006* or 2007) remain eligible for missed doses of HB until August 31, 2023.

*Individuals aged 16 years and older require a 3-dose Hep B 0.5 mL (pediatric) immunization schedule as per the Canadian Immunization Guide (external link).

Individuals who have not completed the HB series prior to age 16 must follow Table 7: Publicly Funded Immunization Schedule (external PDF) recommended intervals for remaining doses using the HB pediatric (0.5 mL) formulation.

Eligibility criteria has been extended for select age groups (external PDF) that may have missed an opportunity to receive school-based vaccines due to the COVID-19 pandemic.

Female students who graduated in the 2019/20 and 2020/21 school years (born in 2002 or 2003)* remain eligible for missed doses of HPV-9 until August 31, 2022.

*Individuals aged 15 years and older require a 3-dose HPV-9 immunization schedule as per the Canadian Immunization Guide (external link).

Eligibility criteria has been extended for select age groups (external PDF) that may have missed an opportunity to receive routine vaccines due to the COVID-19 pandemic.

Currently 65-70 year olds are able to receive publicly funded Shingrix®. Seniors born 1949, 1950 or 1951 now remain eligible to complete the 2-dose series by December 31, 2022.

Updated Eligibility for High-Risk Vaccines

Currently, males 9 to 26 years of age who meet the high-risk criteria (Table 3: Publicly Funded Immunization Schedule (external PDF)) are eligible for 2-3 doses of Gardasil 9®.

Males born in 1993, 1994 or 1995 now remain eligible to complete the 3-dose series by December 31, 2022. Age of the impacted cohorts falls within the Health Canada product monograph age indications for product use.

Currently 2 months to 17 year olds who meet the high-risk criteria (Table 3: Publicly Funded Immunization Schedule (external PDF)) are eligible for 2-4 doses of Bexsero®.

Individuals born in 2002, 2003, or 2004 now remain eligible to complete the 2-dose series by December 31, 2022. Age of the impacted cohorts falls within the Health Canada product monograph age indications for product use.

Currently 9 months to 55 year olds who meet the high-risk criteria (Table 3: Publicly Funded Immunization Schedule (external PDF)) are eligible for 2-4 doses.

Immunization Clinics

Important information regarding Halton Public Health school programs

Community-based clinics are now open and will be running through the summer. Appointments can be booked online for all eligible students who have missed school-based immunizations due to the impacts of COVID-19. Please note these clinics are available by appointment only. Visit Halton’s Grade 7 School-Based Immunization webpage for more information.

COVID-19 Vaccine Onboarding Program

Working together is critical to protect our community from COVID-19. As Public Health’s capacity to vaccinate against COVID-19 lessens, primary care, specialty practices, and pharmacies will become increasingly important in providing COVID-19 vaccines.

Onboarding your practice now will ensure you are ready to receive and provide COVID-19 vaccine to prevent any unnecessary delay in COVID-19 vaccination. Once your practice has been onboarded, you can choose to start administering the vaccine at a later date.

Eligibility Criteria

*Practices that have an existing holding point code for ordering publicly funded vaccines will be prioritized

Any questions about the COVID-19 vaccine onboarding program should be directed to pharmacists@halton.ca.

Physician practices that meet the above criteria must complete the following steps to enroll in Halton Region’s COVID-19 vaccine program.

Eligible physician practices must submit a completed Readiness Checklist (PDF file) and signed Memorandum of Understanding (PDF file) to pharmacists@halton.ca to enroll in the COVID-19 vaccine program.

Note:

  • If practicing in association, in a cost sharing arrangement or as individuals, all physicians must sign the MOU.
  • If practicing through a corporation or partnership, one physician can sign the MOU on behalf of the corporation or partnership.

The Health Department will contact your practice directly to confirm eligibility and proceed with the onboarding process.

All staff who will be involved with COVID-19 vaccine at the physician practice must attend Halton Region’s COVID-19 Vaccine Online Onboarding Session.

  • 1 hour sessions will be offered over zoom on various dates and times. The first session will be held on Tuesday October 26th, 5 - 6 p.m.
  • For upcoming session dates and times, please email pharmacists@halton.ca.

Once all required clinic staff have completed the OntarioMD COVax training and Halton Online Onboarding session, the Health Department will proceed with setting up COVax accounts and provide all necessary resources.

Physician practices will be notified by the Health Department when they can begin ordering COVID-19 vaccine. Orders for COVID-19 vaccine must be submitted online using the Vaccine Order Form.

  • COVID-19 vaccines are delivered to primary care on Thursdays.
  • Orders must be submitted by 4:00pm on Friday to receive vaccine the following Thursday.
  • A minimum of one week (5 consecutive days) of vaccine fridge temps must be submitted with the vaccine order.

Note: COVID-19 vaccines cannot be ordered until Steps 1-4 have been completed.

Halton Region COVID-19 Vaccine Onboarding Resources

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Reporting an Adverse Event Following Immunization

As a health care provider, the law requires you to report an adverse event following an immunization. Do your part to monitor adverse events by following these three easy steps:

  1. Advise patients to contact you if they experience an unwanted and unexpected health effect after receiving a vaccine.
  2. Report adverse events to your local public health unit. Use the Report of Adverse Event Following Immunization Reporting Form. (external PDF)
  3. If you have questions, contact your local public health unit.

Once you have completed the reporting form, fax it to 905-465-3403.

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