Vaccination schedule

Last updated
Example Polish call for vaccination against Diphtheria and Tetanus. Polish call for vaccination.png
Example Polish call for vaccination against Diphtheria and Tetanus.
Global vaccination coverage 1980 to 2019 among one year olds Global-vaccination-coverage.png
Global vaccination coverage 1980 to 2019 among one year olds

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.

Contents

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]

Vaccines used for each infection in each country
  Mandatory to all
  Mandatory to specific people
  Recommended to all
  Recommended to specific people
  Neither mandatory nor recommended to anyone
  1. Category B (i.e. not even recommended but for a personal care only) for the elderly. The public insurance partially covers the vaccination cost.

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]

Vaccine Schedule for Australia: 1 April 2019 [17]
InfectionBirthMonthsYearsPreg
Women
2461218412–<1314–<16>15>5065+70
Rotavirus RV RV
Hepatitis A HepA§ [lower-alpha 1] HepA§ [lower-alpha 1]
Hepatitis B HepB DTaP-HepB-IPV-Hib DTaP-HepB-IPV-Hib DTaP-HepB-IPV-Hib DTaP-HepB-IPV-Hib DTaP-HepB-IPV-Hib DTaP-HepB-IPV-Hib [lower-alpha 2]
Diphtheria Tdap Tdap
Pertussis
Tetanus
Polio DTaP-HepB-IPV-Hib
Haemophilus influenzae
Meningococcus MenACWY MenACWY MenACWY MenACWY [lower-alpha 2]
Pneumococcus PCV13 PCV13 PCV13 # PCV13 PCV13 [lower-alpha 2]
PCV13§ [lower-alpha 1]
PPSV23 # PPSV23 #§ PPSV23§ PPSV23
Measles MMR MMRV MMRV [lower-alpha 2]
Mumps
Rubella
Varicella
Human papillomavirus HPV  x2 HPV  x2 [lower-alpha 2]
Influenza IIV (yearly) IIV (yearly)
IIV (yearly)#
IIV (yearly)§
Herpes Zoster ZVL
  •   † Recommended ages for everyone.
  •   # Recommended ages for certain other high-risk groups.
  •   ‡ Recommended ages for catch-up immunization.
  •   § Recommended range of additional vaccinations for Aboriginals and Torres Strait Islanders.
  1. 1 2 3 Queensland, Northern Territory, Western Australia, South Australia
  2. 1 2 3 4 5 All people aged less than 20 years are eligible for free catch up vaccines.

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.

Brazilian National Vaccination Schedule: 2019 [20]
InfectionGestationBirthMonthsYears
23456912154591110–5960+
Tuberculosis BCG
Leprosy
Hepatitis A HepA
Hepatitis B HepB 5V 5V 5V
Diphtheria DTPa DTP DTP dT
Tetanus
Pertussis
Haemophilus influenzae
Polio IPV IPV IPV OPV OPV
Pneumococcus 10v 10v 10v
Meningococcus MenC MenC MenC MenC
Rotavirus RV RV
Measles MMR MMRV
Mumps
Rubella
Varicella VV
Yellow fever YF
Human papillomavirus HPV  x2 (girls) HPV  x2 (boys)
Flu IIV IIV (yearly) IIV (yearly)

Canada

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

Alberta

Alberta Vaccine Schedule: 2015 [21]
InfectionMonthsYears
2461218410–1315–1765+
Hepatitis B HepB
Diphtheria DTaP DTaP DTaP DTaP DTaP Tdap
Tetanus
Pertussis
Haemophilus influenzae HIB HIB HIB HIB
Pneumococcus PneuC13 PneuC13 PneuC13
Polio IPV IPV IPV IPV IPV
Measles MMRV MMRV
Mumps
Rubella
Varicella
Meningococcus MenC MenC MenC-ACYW
Human papillomavirus HPV HPV (boys)
Flu IIV (yearly)

British Columbia

British Columbia Vaccine Schedule: 2015 [21]
InfectionMonthsYears
2461218410–1315–1765+
Hepatitis B HepB HepB HepB
Rotavirus RV RV
Diphtheria DTaP DTaP DTaP DTaP Tdap
Tetanus
Pertussis
Haemophilus influenzae HIB HIB HIB HIB
Pneumococcus PneuC13 PneuC13 PneuC13
Polio IPV IPV IPV IPV IPV
Measles MMR MMRV
Mumps
Rubella
Varicella VV
Meningococcus MenCCV MenCCV
Human papillomavirus HPV (girls)
Flu IIV (yearly)

New Brunswick

New Brunswick Vaccine Schedule: 2015 [21]
InfectionBirthMonthsYears
2461218410–1315–1765+
Hepatitis B HepB HepB HepB
Diphtheria DTaP DTaP DTaP DTaP DTaP Tdap
Tetanus
Pertussis
Haemophilus influenzae HIB HIB HIB HIB
Pneumococcus PneuC13 PneuC13 PneuC13
Polio IPV IPV IPV IPV IPV
Measles MMRV MMRV
Mumps
Rubella
Varicella
Meningococcus MenCCV MenC-ACYW
Human papillomavirus HPV (girls)
Flu IIV (yearly)

Ontario

Ontario Vaccine Schedule: 2017 [21]
InfectionMonthsYears
246121518410–1315–17
Hepatitis B HepB
Rotavirus RV RV
Diphtheria DTaP DTaP DTaP DTaP DTaP Tdap
Tetanus
Pertussis
Haemophilus influenzae HIB HIB HIB HIB
Pneumococcus PCV13 PCV13 PCV13
Polio IPV IPV IPV IPV IPV
Measles MMRV MMRV
Mumps
Rubella
Varicella VV
Meningococcus MenC MenC-ACYW
Human papillomavirus HPV (girls)

Quebec

Quebec Vaccine Schedule: 2019 [22] [23]
InfectionMonthsYears
24612184–6914–16Adult506575
Hepatitis A HepA
Hepatitis B HepB HepB HepB HepB
Rotavirus RV RV
Diphtheria DTaP DTaP DTaP DTaP Tdap Tdap Tdap Tdap
Tetanus
Pertussis
Haemophilus influenzae HIB HIB HIB HIB
Pneumococcus PCV10 PCV10 PCV10 PPV23
Polio IPV IPV IPV IPV IPV
Measles MMR MMRV
Mumps
Rubella
Varicella VV
Meningococcus MenCC MenCC
Human papillomavirus HPV
Flu IIV IIV IIV IIV (yearly)

Finland

Vaccination Schedule for Finland [24] [25]
InfectionBirthMonthsYears
2356121834611–1214–152565+
Tuberculosis BCG [lower-alpha 1]
Rotavirus RV RV RV
Diphtheria DTaP DTaP DTaP DTaP Tdap Td (10yearly) [lower-alpha 2]
Tetanus
Pertussis
Polio IPV IPV IPV IPV
Haemophilus influenzae HIB HIB HIB
Hepatitis B HepB
Pneumococcus PCV10 [26] PCV10 [26] PCV10 [26] PCV13  + PPSV23 [26] [lower-alpha 3]
Measles MMR [lower-alpha 4] MMRV
Mumps
Rubella
Varicella [lower-alpha 5] VV
Human papillomavirus HPV [27]
Influenza IIV3 [lower-alpha 6] IIV3
Tick-borne encephalitis TBE [lower-alpha 7]
  1. For specific at risk-groups only (to be given at the earliest age))
  2. Thereafter Td booster every 10 years with or without vaccination against poliomyelitis (IPV) in case of travel to endemic areas and when previous IPV dose was given more than 5 years before
  3. Recommended but not free of charge for those over 65 years.
  4. Vaccination can be given from 6 months of age in case of travel abroad. If vaccination starts before 12 months of age, 2 doses are recommended (14–18 months and 6 years) The temporary recommendation of giving measles at 12 months of age was made a permanent recommendation; ie. now MMR should be given from 12–18 months except if travelling abroad to measles infected countries when it can be given from 6 months on. In case MMR is given at 6–11 months, the child needs a second and third dose to complete the series.
  5. Varicella vaccination implemented from 1 September 2017. Catch-up to all those born on 1 January 2006 or after and with no history of varicella.
  6. One or two doses administered depending on previous influenza vaccination history. Annual vaccination. IIV tri-or quadrivalent used as follows: IIV3 for all those 6–35 months. IIV4 with nonpreferential alternative to all those 24–35 months. IIV3 also recommended to medical risk group children from 36 months up.
  7. TBE vaccination for to those living permanently on the island of Åland
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

Vaccination Schedule for France
InfectionMonthsYears
012461112131516–182325611–13254565+
Tuberculosis BCG BCG #
Diphtheria D D D D D d
Tetanus TT TT TT TT TT
Pertussis acP acP acP acP acp
Polio IPV IPV IPV IPV IPV
Haemophilus influenzae Hib Hib Hib
Hepatitis B HepB HepB HepB HepB HepB
Pneumococcus PCV PCV PCV
Meningococcus MenC
Measles MEAS MEAS
Mumps MUMPS MUMPS
Rubella RUMBE RUMBE
Human papillomavirus HPV
Influenza TIV
Herpes Zoster HZ
  † General Recommendation  # Recommended for specific groups only.  ‡ Catch-up

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.

Vaccination Schedule for Germany
InfectionWeeksMonthsYears
6234111214152325–6914151718–4559>60
Rotavirus RV RV RV
Diphtheria D D D D D d d d d
Tetanus TT TT TT TT TT TT TT TT TT
Pertussis acP acP acP acP acP acP acp acp acp
Polio IPV IPV IPV IPV IPV IPV IPV IPV
Haemophilus influenzae Hib Hib Hib Hib Hib Hib
Hepatitis B HepB HepB HepB HepB HepB HepB
Pneumococcus PCV PCV PCV PCV PCV Pnc # PPSV23
Meningococcus MenC MenC
Measles MEAS MEAS MEAS MEAS #
Mumps MUMPS MUMPS MUMPS
Rubella RUMBE RUMBE RUMBE
Varicella VAR VAR VAR
Human papillomavirus HPV HPV
Influenza TIV
Tick-borne Encephalitis TBE #
  † General Recommendation  # Recommended for specific groups only.  ‡ Catch-up

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]

IAP Immunization Timetable: 2016 [30]
InfectionBirthMonthsYears
1.52.53.5699-12121516-181824–610–12
Tuberculosis BCG
Polio OPV OPV OPV OPV
Hepatitis B HepB HepB HepB
Rotavirus RV RV RV
Diphtheria DTwP DTwP DTwP DTwP DTwP Tdap
Tetanus
Pertussis
Haemophilus influenzae HIB HIB HIB HIB
Pneumococcus PCV PCV PCV PCV
Polio IPV IPV IPV IPV
Measles MMR MMR MMR
Mumps
Rubella
Typhoid TCV TCV
Hepatitis A HepA HepA
Varicella VV VV
Human papillomavirus HPV (girls)

Italy

Vaccination Schedule for Italy
InfectionBirthMonthsYears
35–61113155–611–1865+
Diphtheria D D D D d
Tetanus TT TT TT TT TT
Pertussis acP acP acP acP acp
Polio IPV IPV IPV IPV
Haemophilus influenzae Hib Hib Hib
Hepatitis B HepB # HepB HepB HepB
Pneumococcus PCV PCV PCV
Meningococcus MenC MenC
Measles MEAS MEAS MEAS
Mumps MUMPS MUMPS MUMPS
Rubella RUMBE RUMBE RUMBE
Varicella VAR
Human papillomavirus HPV
Influenza TIV
  † General Recommendation  # Recommended for specific groups only.  ‡ Catch-up

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]

Japan Vaccine Schedule: January 2020 [14] [15]
InfectionAct/
Order
(Category)
BirthMonthsYears
23612243660≧5 [lower-alpha 1] 7> [lower-alpha 1] 7.5
(90 mo)
91112 [lower-alpha 2] 13>16 [lower-alpha 2] 60–64 [lower-alpha 3]
& 65+
Diphtheria Act (A) DTaP-IPV DT
Tetanus Act (A)
Pertussis Act (A)
Polio Act (A)
Measles Act (A) MR (1st) MR (2nd)
Rubella Act (A)
Japanese encephalitis Act (A) Japanese encephalitis (1st) Japanese encephalitis (2nd)
Tuberculosis Act (A) BCG
Haemophilus influenzae Act (A) Hib
Pneumococcus Act (A) Pneumococcal
Order (B) Pneumococcal
Human papillomavirus Act (A) HPV vaccine
Smallpox Order (A)Not specified by the act or the order
Varicella Order (A) Varicella
Hepatitis B Order (A) Hep B
Influenza Order (B) Flu
  1. 1 2 Vaccines for measles and rubella (MR vaccine) can be received anytime from 5 y/o before 7 y/o, AND the time should be also between one year and one day before the first day of schooling (quote: "五歳以上七歳未満の者であって、小学校就学の始期に達する日の一年前の日から当該始期に達する日の前日までの間にあるもの".
  2. 1 2 HPV for female students only. Vaccination can be started from the first day of school year within she turns 12, and until the last day of school year within she turns 16 (quote: "十二歳となる日の属する年度の初日から十六歳となる日の属する年度の末日までの間にある女子").
  3. Age 60–64 with certain diseases: heart, kidney or respitory failures, or with an immune-related disorder due to HIV infection.

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.

Legal age counting system in Japan [33] [34] [35]
RecipientsBirthMonthsYears
23612243660≧5 [lower-alpha 1] 7> [lower-alpha 1] 7.5
(90 mo)
91112 [lower-alpha 2] 13>16 [lower-alpha 2]
Person A [lower-alpha 3] Dec 31, 2019Feb 29, 2020 [lower-alpha 4] Mar 30, 2020Jun 30, 2020Dec 30, 2020Dec 30, 2021Dec 30, 2022Dec 30, 2024Apr 1, 2025Mar 31, 2026Jun 30, 2027Dec 30, 2028Dec 30, 2030Apr 1, 2031Dec 29, 2032Mar 31, 2036
Person B [lower-alpha 3] Jan 1, 2020Feb 29, 2020 [lower-alpha 4] Mar 31, 2020Jun 30, 2020Dec 31, 2020Dec 31, 2021Dec 31, 2022Dec 31, 2024Apr 1, 2025Mar 31, 2026Jun 30, 2027Dec 31, 2028Dec 31, 2030Apr 1, 2031Dec 30, 2032Mar 31, 2036
Person C [lower-alpha 3] Apr 1, 2020May 31, 2020Jun 31, 2020Sep 30, 2020Mar 31, 2021Mar 31, 2022Mar 31, 2023Mar 31, 2025Apr 1, 2025Mar 31, 2026Sep 30, 2027Mar 31, 2029Mar 31, 2031Apr 1, 2031Mar 30, 2033Mar 31, 2036
Person D [lower-alpha 5] Apr 2, 2020Jun 1, 2020Jul 1, 2020Oct 1, 2020Apr 1, 2021Apr 1, 2022Apr 1, 2023Apr 1, 2025Apr 1, 2026Mar 31, 2027Oct 1, 2027Apr 1, 2029Apr 1, 2031Apr 1, 2032Mar 31, 2033Mar 31, 2037
  1. 1 2 Vaccines for measles and rubella (MR vaccine) can be received anytime from 5 y/o before 7 y/o, AND the time should be also between one year and one day before the first day of schooling (quote: "五歳以上七歳未満の者であって、小学校就学の始期に達する日の一年前の日から当該始期に達する日の前日までの間にあるもの".
  2. 1 2 HPV for female students only. Vaccination can be started from the first day of school year within she turns 12, and until the last day of school year within she turns 16 (quote: "十二歳となる日の属する年度の初日から十六歳となる日の属する年度の末日までの間にある女子").
  3. 1 2 3 Starts elementary schooling from April 1, 2026
  4. 1 2 2020 is a leap year. Person B socially turns 2 months old on March 1, 2004. In the legal term, however, Person B's 2-month birthday is the day before March 1, 2004. Thus, It shall be February 29, 2004. There are no February 30 or 31 in 2020. As a result Person A and Person B have the same 2-month birthday.
  5. Starts elementary schooling from April 1, 2027

New Zealand

New Zealand Immunization Schedule: 1 October 2020 [36]
InfectionGestationWeeksMonthsYears
6351215411–124565+
Rotavirus RV RV
Diphtheria Tdap DTaP-HepB-IPV-Hib DTaP-HepB-IPV-Hib DTaP-HepB-IPV-Hib DTaP-IPV Tdap Tdap Tdap
Tetanus
Pertussis
Polio
Hepatitis B
Haemophilus influenzae Hib
Pneumococcus PCV10 PCV10 PCV10
Measles MMR MMR
Mumps
Rubella
Varicella VV VV [lower-alpha 1]
Human papillomavirus HPV9
Herpes Zoster HZ
Influenza IIV IIV (yearly)
  1. Only if the person has not previously received the varicella vaccine or had a varicella infection
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.

Nigerian National Vaccination Schedule: [38]
InfectionBirthMonthsYears
234691845
Tuberculosis BCG
Leprosy
Hepatitis B HepB 5V 5V 5V
Diphtheria DTP
Tetanus
Pertussis
Haemophilus influenzae
Polio OPV OPV OPV OPV OPV OPV
Pneumococcus PCV PCV PCV PCV
Meningococcus MCV MCV
Yellow fever YF

Spain

Vaccination Schedule for Spain
InfectionBirthMonthsYears
24612183–46121465+
Diphtheria D D D D d d d
Tetanus TT TT TT TT TT TT TT
Pertussis acP acP acP acP acp
Polio IPV IPV IPV IPV
Haemophilus influenzae Hib Hib Hib Hib
Hepatitis B HepB HepB HepB
Pneumococcus PCV PCV PCV PPSV23
Meningococcus MenC MenC MenC
Measles MEAS MEAS
Mumps MUMPS MUMPS
Rubella RUMBE RUMBE
Varicella VAR
Human papillomavirus HPV
Influenza TIV
  † General Recommendation  # Recommended for specific groups only.  ‡ Catch-up

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.

United Kingdom Vaccine Schedule: 2020 [39]
InfectionMonthsYears
234122–103–412–1313–1516–18
Diphtheria DTaP DTaP DTaP DTaP Td
Tetanus
Pertussis
Polio IPV IPV IPV IPV IPV
Haemophilus influenzae HIB HIB HIB HIB
Meningococcus MenB MenB MenB/C MenACWY
Rotavirus RV RV
Pneumococcus PCV PCV
Hepatitis B HepB HepB HepB
Measles MMR MMR
Mumps
Rubella
Influenza LAIV
HPV HPV x2

    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]

    Vaccine Schedule for the United States: 2020 [45] [46]
    InfectionBirthMonthsYears
    1246912151819–232–34–67–1011–1213–151617–1819–2627–4950–6465+
    Hepatitis B HepB HepB HepB HepB HepB HepB  x2–3#
    Rotavirus RV RV RV
    Diphtheria DTaP DTaP DTaP DTaP DTaP DTaP DTaP Tdap Tdap Tdap Td or Tdap (every 10 years)
    Tetanus
    Pertussis
    Haemophilus influenzae Hib Hib Hib Hib Hib Hib Hib # Hib  x1–3#
    Polio IPV IPV IPV IPV IPV IPV
    Pneumococcus PCV13 PCV13 PCV13 PCV13 PCV13 PCV13 PCV13 # PCV13 # PCV13§
    PPSV23 # PPSV23  x1–2# PPSV23
    Influenza IIV (yearly) IIV or LAIV (yearly)
    Measles MMR # MMR MMR MMR MMR MMR  x1–2
    Mumps
    Rubella
    Varicella VAR VAR VAR VAR VAR  x1–2 VAR  2x#
    Hepatitis A HepA # HepA  x2 HepA HepA  x2–3#
    Meningococcus MenACWY # MenACWY MenACWY MenACWY MenACWY MenACWY  x1–2#
    MenB  x2–3#
    MenB§
    Human papillomavirus HPV # HPV  x2–3 HPV HPV HPV§
    Herpes Zoster RZV or ZVL
    •   † Range of recommended ages for everyone. See references for more details.
    •   # Range of recommended ages for certain high-risk groups. See references for more details.
    •   ‡ Range of recommended ages for catch-up immunization or for people who lack evidence of immunity (e.g., lack documentation of vaccination or have no evidence of prior infection). [lower-alpha 1]
    •   § Recommended vaccination based on shared clinical decision-making.
    1. CDC provides more detailed information in catch-up immunizations.

    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

    Related Research Articles

    <span class="mw-page-title-main">Vaccination</span> Administration of a vaccine to protect against disease

    Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating the body's adaptive immunity, they help prevent sickness from an infectious disease. When a sufficiently large percentage of a population has been vaccinated, herd immunity results. Herd immunity protects those who may be immunocompromised and cannot get a vaccine because even a weakened version would harm them. The effectiveness of vaccination has been widely studied and verified. Vaccination is the most effective method of preventing infectious diseases; widespread immunity due to vaccination is largely responsible for the worldwide eradication of smallpox and the elimination of diseases such as polio and tetanus from much of the world. However, some diseases, such as measles outbreaks in America, have seen rising cases due to relatively low vaccination rates in the 2010s – attributed, in part, to vaccine hesitancy. According to the World Health Organization, vaccination prevents 3.5–5 million deaths per year.

    <span class="mw-page-title-main">MMR vaccine</span> Any of several combined vaccines against measles, mumps, and rubella

    The MMR vaccine is a vaccine against measles, mumps, and rubella, abbreviated as MMR. The first dose is generally given to children around 9 months to 15 months of age, with a second dose at 15 months to 6 years of age, with at least four weeks between the doses. After two doses, 97% of people are protected against measles, 88% against mumps, and at least 97% against rubella. The vaccine is also recommended for those who do not have evidence of immunity, those with well-controlled HIV/AIDS, and within 72 hours of exposure to measles among those who are incompletely immunized. It is given by injection.

    <span class="mw-page-title-main">Rubella</span> Human viral disease

    Rubella, also known as German measles or three-day measles, is an infection caused by the rubella virus. This disease is often mild, with half of people not realizing that they are infected. A rash may start around two weeks after exposure and last for three days. It usually starts on the face and spreads to the rest of the body. The rash is sometimes itchy and is not as bright as that of measles. Swollen lymph nodes are common and may last a few weeks. A fever, sore throat, and fatigue may also occur. Joint pain is common in adults. Complications may include bleeding problems, testicular swelling, encephalitis, and inflammation of nerves. Infection during early pregnancy may result in a miscarriage or a child born with congenital rubella syndrome (CRS). Symptoms of CRS manifest as problems with the eyes such as cataracts, deafness, as well as affecting the heart and brain. Problems are rare after the 20th week of pregnancy.

    <span class="mw-page-title-main">Immunization</span> Process by which an individuals immune system becomes fortified against an infectious agent

    Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent.

    <span class="mw-page-title-main">DPT vaccine</span> Combination vaccine

    The DPT vaccine or DTP vaccine is a class of combination vaccines against three infectious diseases in humans: diphtheria, pertussis, and tetanus (lockjaw). The vaccine components include diphtheria and tetanus toxoids, and either killed whole cells of the bacterium that causes pertussis or pertussis antigens. The term toxoid refers to vaccines which use an inactivated toxin produced by the pathogen which they are targeted against to generate an immune response. In this way, the toxoid vaccine generates an immune response which is targeted against the toxin which is produced by the pathogen and causes disease, rather than a vaccine which is targeted against the pathogen itself. The whole cells or antigens will be depicted as either "DTwP" or "DTaP", where the lower-case "w" indicates whole-cell inactivated pertussis and the lower-case "a" stands for "acellular". In comparison to alternative vaccine types, such as live attenuated vaccines, the DTP vaccine does not contain any live pathogen, but rather uses inactivated toxoid to generate an immune response; therefore, there is not a risk of use in populations that are immune compromised since there is not any known risk of causing the disease itself. As a result, the DTP vaccine is considered a safe vaccine to use in anyone and it generates a much more targeted immune response specific for the pathogen of interest.

    The MMRV vaccine combines the attenuated virus MMR vaccine with the addition of the varicella (chickenpox) vaccine. The MMRV vaccine is typically given to children between one and two years of age.

    <span class="mw-page-title-main">Mumps vaccine</span> Vaccine which prevents mumps

    Mumps vaccines are vaccines which prevent mumps. When given to a majority of the population they decrease complications at the population level. Effectiveness when 90% of a population is vaccinated is estimated at 85%. Two doses are required for long term prevention. The initial dose is recommended between 12 and 18 months of age. The second dose is then typically given between two years and six years of age. Usage after exposure in those not already immune may be useful.

    Immunization during pregnancy is the administration of a vaccine to a pregnant individual. This may be done either to protect the individual from disease or to induce an antibody response, such that the antibodies cross the placenta and provide passive immunity to the infant after birth. In many countries, including the US, Canada, UK, Australia and New Zealand, vaccination against influenza, COVID-19 and whooping cough is routinely offered during pregnancy.

    The Expanded Program on Immunization(EPI) in the Philippines began in 1976 through Presidential Decree No. 996 signed by President Ferdinand Marcos. And, in 1986, made a response to the Universal Child Immunization goal. The four major strategies include:

    1. sustaining high routine Full Immunized Child (FIC) coverage of at least 90% in all provinces and cities;
    2. sustaining the polio-free country for global certification;
    3. eliminating measles by 2008; and
    4. eliminating neonatal tetanus by 2008.
    <span class="mw-page-title-main">Hepatitis B vaccine</span> Vaccine against hepatitis B

    Hepatitis B vaccine is a vaccine that prevents hepatitis B. The first dose is recommended within 24 hours of birth with either two or three more doses given after that. This includes those with poor immune function such as from HIV/AIDS and those born premature. It is also recommended that health-care workers be vaccinated. In healthy people, routine immunization results in more than 95% of people being protected.

    A vaccination policy is a health policy adopted in order to prevent the spread of infectious disease. These policies are generally put into place by state or local governments, but may also be set by private facilities, such as workplaces or schools. Many policies have been developed and implemented since vaccines were first made widely available.

    The Expanded Program on Immunization is a World Health Organization program with the goal to make vaccines available to all children.

    <span class="mw-page-title-main">Pertussis vaccine</span> Vaccine protecting against whooping cough

    Pertussis vaccine is a vaccine that protects against whooping cough (pertussis). There are two main types: whole-cell vaccines and acellular vaccines. The whole-cell vaccine is about 78% effective while the acellular vaccine is 71–85% effective. The effectiveness of the vaccines appears to decrease by between 2 and 10% per year after vaccination with a more rapid decrease with the acellular vaccines. The vaccine is only available in combination with tetanus and diphtheria vaccines. Pertussis vaccine is estimated to have saved over 500,000 lives in 2002.

    <span class="mw-page-title-main">Measles vaccine</span> Vaccine used to prevent measles

    Measles vaccine protects against becoming infected with measles. Nearly all of those who do not develop immunity after a single dose develop it after a second dose. When the rate of vaccination within a population is greater than 92%, outbreaks of measles typically no longer occur; however, they may occur again if the rate of vaccination decreases. The vaccine's effectiveness lasts many years. It is unclear if it becomes less effective over time. The vaccine may also protect against measles if given within a couple of days after exposure to measles.

    <span class="mw-page-title-main">Rubella vaccine</span> Vaccine used to prevent rubella

    Rubella vaccine is a vaccine used to prevent rubella. Effectiveness begins about two weeks after a single dose and around 95% of people become immune. Countries with high rates of immunization no longer see cases of rubella or congenital rubella syndrome. When there is a low level of childhood immunization in a population it is possible for rates of congenital rubella to increase as more women make it to child-bearing age without either vaccination or exposure to the disease. Therefore, it is important for more than 80% of people to be vaccinated. By introducing rubella containing vaccines, rubella has been eradicated in 81 nations, as of mid-2020.

    A vaccine-preventable disease is an infectious disease for which an effective preventive vaccine exists. If a person acquires a vaccine-preventable disease and dies from it, the death is considered a vaccine-preventable death.

    <span class="mw-page-title-main">Tetanus vaccine</span> Vaccines used to prevent tetanus

    Tetanus vaccine, also known as tetanus toxoid (TT), is a toxoid vaccine used to prevent tetanus. During childhood, five doses are recommended, with a sixth given during adolescence.

    Universal Immunisation Programme (UIP) is a vaccination programme launched by the Government of India in 1985. It became a part of Child Survival and Safe Motherhood Programme in 1992 and is currently one of the key areas under the National Health Mission since 2005. The programme now consists of vaccination for 12 diseases- tuberculosis, diphtheria, pertussis, tetanus, poliomyelitis, measles, hepatitis B, rotaviral gastroenteritis, Japanese encephalitis, rubella, pneumonia and Pneumococcal diseases. Hepatitis B and Pneumococcal diseases were added to the UIP in 2007 and 2017 respectively. The cost of all the vaccines are borne entirely by the Government of India and is funded through taxes with a budget of 7,234 crore (US$910 million) in 2022 and the program covers all residents of India, including foreign residents.

    <span class="mw-page-title-main">Mission Indradhanush</span> Health mission of the government of India

    Mission Indradhanush is a health mission of the Government of India. It was launched by Union Health Minister J. P. Nadda on 25 December 2014. The scheme this seeks to drive towards 90% full immunisation coverage of India and sustain the same by year 2022. Vaccination is being provided against eight vaccine-preventable diseases nationally, i.e. Diphtheria, Whooping Cough, Tetanus, Polio, Measles, severe form of Childhood Tuberculosis and Hepatitis B and meningitis & pneumonia caused by Haemophilus influenza type B; and against Rotavirus Diarrhea and Japanese Encephalitis in selected states and districts respectively.

    <span class="mw-page-title-main">Vaccination policy of the United States</span> Overview of the vaccination policy in the United States of America

    Vaccination policy of the United States is the subset of U.S. federal health policy that deals with immunization against infectious disease. It is decided at various levels of the government, including the individual states. This policy has been developed over the approximately two centuries since the invention of vaccination with the purpose of eradicating disease from the U.S. population, or creating a herd immunity. Policies intended to encourage vaccination impact numerous areas of law, including regulation of vaccine safety, funding of vaccination programs, vaccine mandates, adverse event reporting requirements, and compensation for injuries asserted to be associated with vaccination.

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