5%), and access to a website containing travel health information

5%), and access to a website containing travel health information (61.3%) were important training and resource needs (Table 4). YFVCs were asked about their adherence to some key points of the Code of Practice (Table 1), and to evaluate aspects of the NaTHNaC program to assess the impact of the program on their practice. Nearly all YFVCs used a dedicated vaccine refrigerator

(either with or without an internal thermometer) (96.6%). Only 3.4% of YFVCs stored vaccines in a domestic refrigerator. This was an improvement from 2005 where 10.7% of centers used a domestic refrigerator. Nearly all YFVCs recorded the temperature of their fridges at least every working day (98.7%), a required standard. DZNeP molecular weight In the 2005 survey 94.6% recorded the temperature at least daily. YFVCs also kept temperature records (99.4%), with 48.3% of them keeping them for at least 10 years (Table 5). Patient records on general vaccinations were usually recorded in an electronic

patient database (64.4 %), and most YFVCs kept the records permanently (75.6%). In contrast, YF vaccination records were usually recorded in patient notes with separate YF records also being kept (75.3%). YF vaccine records were kept by 94.2% of centers for at least 10 years, the required standard (Table 5). In 2005, 82.2% of centers kept records for at least 10 years. Respondents were asked to evaluate a selection of NaTHNaC resources: the national telephone advice PLX4032 research buy line, and website items including country information pages, TM and disease information sheets, information on travel health developments (Clinical Updates),

and global disease outbreaks (Outbreak Surveillance Database). Between 77.0 and 86.6% of respondents rated each resource as either “useful” or “very useful,” the two highest ratings on a 5-point scale. When asked to evaluate the NaTHNaC training program, 95.8% of those who attended either a full or half day YF training session (n = 1,326), stated that the Temsirolimus research buy training improved their confidence regarding issues surrounding YF vaccine. In addition, 68.5% (CI 65.9%–71.0%) of YFVCs reported making changes to their practice following training. This survey of YFVCs in EWNI was performed 4 years after the initiation of the NaTHNaC program of registration, training, clinical standards, and audit for YFVCs. It provides an update on the clinical practice of YFVCs, identifies ongoing needs of YFVCs, and assesses the impact of NaTHNaC’s program on centers. The number of YFVCs in EWNI has remained steady at 3,400 to 3,500 since implementation of the program (data not shown). With the institution of registration and training requirements and their associated fees, plus the requirement to adhere to the 12-point Code of Practice (Table 1),11 there has been no decline in the number of practices.

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