Vaccination_schedule

Vaccination schedule

Vaccination schedule

Series of vaccinations


A vaccination schedule is a series of vaccinations, including the timing of all doses, which may be either recommended or compulsory, depending on the country of residence. A vaccine is an antigenic preparation used to produce active immunity to a disease, in order to prevent or reduce the effects of infection by any natural or "wild" pathogen.[2] Vaccines go through multiple phases of trials to ensure safety and effectiveness.

Example Polish call for vaccination against Diphtheria and Tetanus.
Global vaccination coverage 1980 to 2019 among one year olds[1]

Many vaccines require multiple doses for maximum effectiveness, either to produce sufficient initial immune response or to boost response that fades over time. For example, tetanus vaccine boosters are often recommended every 10 years.[3] Vaccine schedules are developed by governmental agencies or physicians groups to achieve maximum effectiveness using required and recommended vaccines for a locality while minimizing the number of health care system interactions. Over the past two decades, the recommended vaccination schedule has grown rapidly and become more complicated as many new vaccines have been developed.[4]

Some vaccines are recommended only in certain areas (countries, sub national areas, or at-risk populations) where a disease is common. For instance, yellow fever vaccination is on the routine vaccine schedule of French Guiana, is recommended in certain regions of Brazil but in the United States is only given to travelers heading to countries with a history of the disease.[5] In developing countries, vaccine recommendations also take into account the level of health care access, the cost of vaccines and issues with vaccine availability and storage. Sample vaccination schedules discussed by the World Health Organization show a developed country using a schedule which extends over the first five years of a child's life and uses vaccines which cost over $700 including administration costs while a developing country uses a schedule providing vaccines in the first 9 months of life and costing only $25.[6] This difference is due to the lower cost of health care, the lower cost of many vaccines provided to developing nations, and that more expensive vaccines, often for less common diseases, are not utilized.

Worldwide

The World Health Organization monitors vaccination schedules across the world, noting what vaccines are included in each country's program, the coverage rates achieved and various auditing measures.[7] The table below shows the types of vaccines given in example countries. The WHO publishes on its website current vaccination schedules for all WHO member states.[8] Additional vaccines are given to individuals more likely to come into contact with specific diseases through work or travel (e.g. military), or after potentially infectious exposure. Examples include rabies, anthrax, cholera and smallpox.[9][10]

More information Country, Required for school ...

By country

Australia

The Immunise Australia Program implements the National Immunization Program (NIP) Schedule. All vaccines available under the Australian immunization schedule are free of charge under the Pharmaceutical Benefits Scheme.[16]

More information Infection, Birth ...

Austria

Austrian vaccine recommendations are developed by the National Vaccination Board (German: Nationales Impfgremium), which is part of the Federal Ministry of Social Affairs, Health, Care and Consumer Protection.[18]

Children aged 14 and older can be vaccinated without parental consent.[19]

Brazil

All recommended vaccines are provide free of charge by the public health services.

More information Infection, Gestation ...

Canada

In Canada, publicly funded immunization schedules may vary from province or territory.

Alberta

More information Infection, Months ...

British Columbia

More information Infection, Months ...

New Brunswick

More information Infection, Birth ...

Ontario

Quebec

Finland

More information Infection, Birth ...
History
1960: Mumps vaccinations for military recruits.
1975: Measles vaccination for 1 year old children.
1975: Rubella vaccination for 11–13 years old girls and seronegative mothers.
1982: Two doses of MMR vaccination at 14–18 months and 6 years of age were introduced in the national childhood vaccination programme.
2009: Rotavirus vaccine introduced at 2, 3 and 5 months to all children (September 2009)
2010: PCV introduced at 3, 5 and 12 months of age to all children (September 2010).
2013: HPV vaccination of girls introduced
2017: Varicella vaccination introduced (1 September 2017) at 18 months, 6 years + catch-up of all born from 1 January 2006 or after with no history of varicella.
2020: HPV vaccination of boys introduced[28]

France

More information Infection, Months ...

Germany

In Germany, a vaccination schedule is developed by the Standing Committee on Vaccination (STIKO), which operates as part of the Robert Koch Institute. The recommendations are generally adopted by the Federal Joint Committee.

More information Infection, Weeks ...

Hong Kong

In Hong Kong, Department of Health is responsible for providing free vaccinations from newborns up to primary school students.

India

In India, the standard vaccination schedule is recommended by the Indian Academy of Paediatrics(IAP).[29] The latest schedule was the one given in 2016.[30]

Italy

More information Infection, Birth ...

Japan

The vaccination schedule in Japan is defined and partially recommended by Immunization Act [ja] (Japanese: 予防接種法) and its related cabinet order [ja] (Japanese: 予防接種法施行令).[14][15] By the combined laws, infections are categorized into two groups: Category A is recommended for vaccination to prevent pandemic whereas Category B is only for a personal care purpose.[31] As of January 2020, fourteen infections are Category A diseases and two are Category B on the legal lists.[14][15] The Act and the Order were enacted for mandatory vaccination in 1948 with punitive clauses, only the clauses were repealed in 1976 and eventually vaccination has become non-mandatory since 1994.[32]

More information Infection, Act/Order (Category) ...

Only in the legal term in Japan, citizens get old one day before their birthdays. If a person was born on January 1, 2020, and Immunization Act specifies vaccine against measles could be received from age 12 months to 24 months, vaccination shall be practiced between December 31, 2020, and December 31, 2021 (not between January 2021 and January 2022.)[33][34] Some vaccinations are scheduled in line with the school year system, which starts from April 1 in Japan.[35] As explained, those who born on April 1 and on April 2 get old legally on March 31 and April 1, respectively. Thus, these two people are in different school years and thereby they may take vaccines in different calendar years.

More information Recipients, Birth ...

New Zealand

More information Infection, Gestation ...
History

Major additions, replacements and removals from the New Zealand Immunization Schedule include:[37]

1958: First Schedule: DTwP and DT
1961: Polio (OPV) added
1971: Measles, rubella and tetanus toxoid added
1979: Rubella changed to girls only
1988: HepB added
1990: MMR replaced measles and rubella
1994: HIB added; Td replaced tetanus toxoid
1996: DT dropped
1997: Influenza added
2000: DTaP replaced DTwP
2002: IPV replaced OPV
2006: MeNZB and Tdap added
2008: MeNZB dropped, PCV7 added, HPV4 added for females only
2011: PCV10 replaced PCV7
2014: RV5 added, PCV13 replaced PCV10
2017: HPV9 replaced HPV4 and extended to males, RV1 replaced RV5, PCV10 replaced PCV13, VV added.
2018: HZ added.
2020: Td dropped.

Nigeria

All recommended vaccines are provide free of charge by the Federal Ministry of Health.

More information Infection, Birth ...

Spain

More information Infection, Birth ...

United Kingdom

The United Kingdom childhood vaccination schedule is recommended by the Department of Health and National Health Service, and uses combination immunisations where available.

More information Infection, Months ...

Non-routine vaccinations

Some children may receive vaccines in addition to those listed in the table:

  • BCG vaccine is given at birth to "children born in areas of the country where there are high numbers of TB cases" and "children whose parents or grandparents were born in a country with many cases of TB."[39]
  • Hepatitis B vaccine is given at birth to "babies born to mothers who have hepatitis B".[39]
  • The injected flu vaccine is offered annually to "children 6 months to 17 years old with long-term health conditions".[39]

Adult vaccinations

The five scheduled childhood tetanus vaccinations are thought to generally confer lifelong immunity; thus, no routine booster doses are given in adulthood. Those adults at risk of contaminated cuts (e.g., gardeners) may have booster tetanus vaccination every ten years.[40] Pneumococcus vaccinations (pneumococcal polysaccharide vaccine/PPV) are recommended for those over 65 and for people without a functional spleen (asplenia), either because the spleen has been removed or does not work properly.[41] Flu vaccine is recommended for anyone who is aged 65 years and over, people with certain long-term medical conditions, health and social care professionals, pregnant women, and poultry workers.[42] The shingles vaccine is recommended for those over 70.[39] Additionally, pregnant women are advised to have the pertussis vaccine.[43]

United States

The most up-to-date schedules are available from CDC's National Center for Immunization and Respiratory Diseases. In the US, the National Childhood Vaccine Injury Act requires all health-care providers to provide parents or patients with copies of Vaccine Information Statements before administering vaccines.[44]

More information Infection, Birth ...

During pregnancy

The CDC recommends pregnant women receive some vaccines, such as the measles, mumps, rubella (MMR) vaccine a month or more before pregnancy. The Tdap vaccine (to help protect against whooping cough) is recommended during pregnancy. Other vaccines, like the flu shot, can be given before or during pregnancy, depending on whether or not it is flu season. Vaccination is safe right after giving birth, even while breastfeeding.[47][48][49][50]

History

In 1900, the smallpox vaccine was the only one administered to children. By the early 1950s, children routinely received three vaccines, for protection against diphtheria, pertussis, tetanus, and smallpox, and as many as five shots by two years of age.[4] Since the mid-1980s, many vaccines have been added to the schedule. In 2009, the U.S. Centers for Disease Control and Prevention (CDC) recommended vaccination against at least fourteen diseases. By two years of age, U.S. children receive as many as 24 vaccine injections, and might receive up to five shots during one visit to the doctor.[4] The use of combination vaccine products means that, as of 2013, the United Kingdom's immunization program consists of nine injections by the age of two, rather than 22 if vaccination for each disease was given as a separate injection.[51]

See also


References

  1. "Global vaccination coverage". Our World in Data. Retrieved 5 March 2020.
  2. "What Is a Vaccine". NIAID. Retrieved 2010-05-04.
  3. "Tetanus: Prevention". Mayo Clinic. 2006-09-21. Retrieved 2008-07-17.
  4. Update on Yellow Fever in the Americas, http://www.paho.org/english/SHA/be_v21n2-yellowfever.htm, the Epidemiological Bulletin, Vol. 21 No. 2, June 2000, Pan American Health Organization, accessed July 18, 2007
  5. "WHO Vaccine Preventable Diseases Monitoring System". World Health Organization. 22 December 2006. Archived from the original on July 7, 2005. Retrieved 2007-01-02.
  6. "Immunization schedules by diseases". apps.who.int. Retrieved 2019-11-27.
  7. "Vaccine Scheduler | ECDC". vaccine-schedule.ecdc.europa.eu. Retrieved 2019-10-08.
  8. "Schedule of Hong Kong Childhood Immunisation Programme". Family Health Service, Department of Health, Government of Hong Kong Special Administrative Region. Retrieved 2020-12-12.
  9. "Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 Tahun 2017 Tentang Penyelanggaraan Imunisasi" (PDF) (in Indonesian). Kemenkes. 6 February 2017. Retrieved 4 December 2019.
  10. "予防接種法 (法令番号:昭和二十三年法律第六十八号); Immunization Act (Law number: Act No. 68 of 1948)". Japanese Law Translation (日本法令外国語訳データベースシステム). Ministry of Justice (Japan). 2016-11-07. Retrieved 2020-02-24The translated law from Japanese to English is the latest version as of February 2020, followed by 平成二十五年法律第百三号 改正 (Amendment of Act No. 103 of 2013).{{cite web}}: CS1 maint: postscript (link)[permanent dead link]
  11. "予防接種法施行令(昭和二十三年政令第百九十七号)第1条: 政令で定めるA類疾病、第1条の2: 政令で定めるB類疾病、第1条の3: 市町村長が予防接種を行う疾病及びその対象者" [Immunization Act Implementation Order (Law number: Order No. 197 of 1948) | Article 1: Category A diseases under the Order; Article 1-2: Category B diseases under the Order; Article 1-3: vaccine recipients and vaccination schedule under city mayors' initiatives]. e-Gov Law Database (in Japanese). Administrative Management Bureau, the Ministry of Internal Affairs and Communications. 2018-03-30. Retrieved 2020-02-24. 平成三十年政令第百六号改正、2018年4月1日施行分 (version information: Amendment of Order No. 106 of 2018)
  12. "Immunise – About the Program". Archived from the original on 2015-05-04. Retrieved 2010-05-05.
  13. "National Immunisation Program Schedule". 1 April 2019. Retrieved 29 May 2020.
  14. "Impfung: Kinder ab 14 können selbst entscheiden" [Vaccination: Children can decide for themselves at 14]. Kurier (in German). 1 June 2021. Retrieved 1 August 2021.
  15. "Immunization schedule tool". Public Health Agency of Canada. Retrieved 2015-02-01.
  16. "Les garçons désormais vaccinés contre le VPH au Québec". ICI Quebec / Radio-Canada, 1 Sept. 2016. Retrieved 2019-03-12.
  17. "Vaccine Scheduler| ECDC". vaccine-schedule.ecdc.europa.eu. Retrieved 2019-11-07.
  18. "Rokotusohjelman historia – Rokottaminen – THL". Terveyden ja hyvinvoinnin laitos (in Finnish). Retrieved 2019-11-07.
  19. "Pneumokokkikonjugaattirokote eli PCV-rokote – Rokottaminen – THL". Terveyden ja hyvinvoinnin laitos (in Finnish). Retrieved 2019-11-14.
  20. "Vaccinating boys against HPV (human papillomavirus) has started - Press release - THL". Finnish Institute for Health and Welfare (THL), Finland. Retrieved 3 December 2021.
  21. Vashishtha, Vipin M.; Choudhury, Panna; Kalra, Ajay; Bose, Anuradha; Thacker, Naveen; Yewale, Vijay N.; Bansal, C. P.; Mehta, Pravin J.; Indian Academy of Pediatrics (October 2014). "Indian Academy of Pediatrics (IAP) recommended immunization schedule for children aged 0 through 18 years – India, 2014 and updates on immunization". Indian Pediatrics. 51 (10): 785–800. doi:10.1007/s13312-014-0504-y. ISSN 0974-7559. PMID 25362009. S2CID 40329033.
  22. "Indian Academy of Pediatrics (IAP)". www.iapindia.org. Retrieved 2017-07-21.
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  24. "日本のワクチン政策の変遷" [History of vaccination policy in Japan] (PDF). The Value of VACCINE (in Japanese) (改訂版 (revised version)). Pharmaceutical Research and Manufacturers of America (PhRMA): 14–19. 2014.
  25. "予防接種を受けるときの注意" [Legal notice for vaccination] (in Japanese). 東京都中野区 (Nakano City Hall, Tokyo). 2019-11-06. Retrieved 2020-02-27.
  26. "定期の予防接種における対象者の解釈について(事務連絡)" [Legal age counting system for the routine vaccination (operational notice)] (PDF) (in Japanese). 厚生労働省健康局結核感染症課 (Ministry of Health, Labour and Welfare). 2014-03-11. Retrieved 2020-02-27.
  27. "Q 4月1日生まれの児童生徒の学年についてどうなるのでしょうか。" [Q: In which academic year is a schoolchild born on April 1?] (in Japanese). 文部科学省 (Ministry of Education, Culture, Sports, Science and Technology). Retrieved 2020-03-01.
  28. "New Zealand Immunisation Schedule". Ministry of Health (New Zealand). Retrieved 27 May 2020.
  29. "Appendix 1: The history of immunisation in New Zealand". Ministry of Health NZ. Retrieved 2021-03-18.
  30. "Immunization in Nigeria". Archived from the original on 2018-10-29. Retrieved 2018-10-28.
  31. "NHS vaccinations and when to have them". nhs.uk. 2019-07-31. Retrieved 2020-12-19.
  32. "Immunisation – FAQs – Will I need more boosters in the future?". Archived from the original on January 14, 2010. Retrieved 2010-05-05.
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  34. "Whooping cough vaccination in pregnancy". nhs.uk. 2020-12-03. Retrieved 2020-12-19.
  35. "Pregnancy and Vaccination | Vaccines for Pregnant Women | CDC". www.cdc.gov. 2017-07-20. Retrieved 2018-02-28.Public Domain This article incorporates text from this source, which is in the public domain.
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  37. "Immunisation schedule". National Health Service. Retrieved 2013-03-22.

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