- Supply Under the National Blood Arrangements
- Ordering or Requesting Access to NHIg
- Access to Other Immunoglobulin Products
Normal human immunoglobulin (NHIg) may be supplied under the national blood arrangements for two purposes:
1. Public health disease control activities, to treat susceptible contacts of an indicated infectious disease (hepatitis A, measles, poliomyelitis or rubella), where directed by the public health units in each state and territory.
Advice and guidance to public health units in responding to a notifiable disease event can be found in the Series of National Guidelines (SoNGs) which have been developed by the Department of Health in consultation with the Communicable Diseases Network Australia (CDNA) and endorsed by the Australian Health Protection Principal Committee (AHPPC).
Instructions on ordering NHIg are available below: How to order NHIg for public health control activities.
Eligibility requirements for accessing immunoglobulin are defined in the Criteria for the Clinical Use of Immunoglobulin in Australia. NHIg must be ordered through the online system BloodSTAR. The following conditions apply:
- the authorisation of NHIg must use the same diagnostic, qualifying, exclusion and review criteria as would apply for authorisation of intravenous immunoglobulin (IVIg) or subcutaneous immunoglobulin (SCIg) for the same condition
- at the time of seeking authorisation, the prescribing specialist clinician must confirm in writing the specific clinical reason why treatment with IVIg and SCIg are both contraindicated, and
- the governing requirements for SCIg must be applied where NHIg is proposed to be used outside of the hospital setting.
Ongoing access to NHIg may cease if the required review and supporting documentation demonstrating clinical effectiveness against the review criteria have not been met.
Instructions on ordering NHIg for immunodeficiency purposes are available below: How to order NHIg for specified conditions.
NHIg will not be routinely provided for any other purpose, including travel prophylaxis for hepatitis A. Advice in relation to prophylaxis for hepatitis A can be found in The Australian Immunisation Handbook, on the Department of Health’s website.
Ordering NHIg for Public Health Control Activities
To order NHIg for public health disease post-exposure prophylaxis, please complete the relevant form below and submit it to the Australian Red Cross Lifeblood in your your state or territory contact (contact details are provided on the form). You will need to provide details of the public health unit that provided advice in relation to your request for NHIg.
Normal Human Immunoglobulin (NHIg) Order Form
Requesting NHIg for Specified Conditions within the Criteria (where IVIg and SCIg are both contraindicated)
The Blood System for Tracking Authorisations and Reviews (BloodSTAR) must be used to request, manage and review NHIg for all other eligible conditions (as described above). For more information: see BloodSTAR – Ig product authorisation & review. BloodSTAR is accessed through BloodPortal - the central gateway to the NBA’s ICT systems.
Keep up to date
To keep up to date with the latest Immunoglobulin Governance Program Updates, create a BloodPortal account and from the home page click on ‘My Subscriptions’ and ‘Subscribe’ to Immunoglobulin. The latest update is available at Ig Program Updates.
For further information
Please contact the National Blood Authority on 13 000 BLOOD (13 000 25 663) or email IgGovernance@blood.gov.au.