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Many potentially fatal childhood diseases have been virtually eradicated in the UK due to the availability of vaccination. It is nonetheless very important that babies and children are fully immunised. Reminders are sent out by the practice.

HIB (Haemophilus influenzae type B) can cause:

a type of meningitis a severe form of croup (epiglottitis)  
blood poisoning (septicaemia) joint and bone infections pneumonia

Each year about 1,300 children in the UK are infected by HIB and over half of these children develop HIB meningitis. HIB immunisation is now offered to all babies and children up to four years old. We strongly recommend that all children under four receive this immunisation.

Current recommendations are:

The routine immunisation schedule from Autumn 2017
Age Due Diseases Protected Against Vaccine Given and Trade Name Usual Site†
Eight weeks old Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) DTaP/IPV/Hib Infanrix hexa Thigh
Pneumococcal (13 serotypes) Pneumococcal conjugate vaccine (PCV) Prevenar 13 Thigh
Meningococcal group B (MenB) MenB Bexsero Left thigh
Rotavirus gastroenteritis Rotavirus Rotarix By mouth
Twelve weeks

Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B DTaP/IPV/Hib/HepB Infanrix hexa Thigh
Rotavirus Rotavirus Rotarix By mouth
Sixteen weeks old Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B DTaP/IPV/Hib/HepB Infanrix hexa Thigh
MenB MenB Bexsero Left thigh
Pneumococcal (13 serotypes) PCV Prevenar 13 Thigh
One year old (on or after the child’s first birthday)
Hib and MenC Hib/MenC Menitorix Upper arm/thigh
Pneumococcal PCV Prevenar 13 Upper arm/thigh
Measles, mumps and rubella (German measles) MMR MMR VaxPRO‡ or Priorix Upper arm/thigh
MenB MenB booster Bexsero Left thigh
Two to eight* years old (including children in reception class and school years 1-4) Influenza (each year from September) Live attenuated influenza vaccine LAIV+ Fluenz Tetra‡ Both nostrils
Three years four months old or soon after
Diphtheria, tetanus, pertussis and polio DTaP/IPV Infanrix IPV or Repevax Upper arm
Measles, mumps and rubella MMR (check first dose given) MMR VaxPRO‡ or Priorix Upper arm
Girls aged 12 to 13 years Cervical cancer caused by human papillomavirus (HPV) types 16 and 18 (and genital warts caused by types 6 and 11) HPV (two doses 6-24 months apart) Gardasil Upper arm
Fourteen years old (school year 9) Tetanus, diphtheria and polio Td/IPV (check MMR status) Revaxis Upper arm
Meningococcal groups A, C, W and Y disease MenACWY Nimenrix or Menveo Upper arm
65 years old Pneumococcal (23 serotypes) Pneumococcal polysaccharide vaccine (PPV) Pneumococcal
Upper arm
65 years of age and older Influenza (each year from September) Inactivated influenza vaccine Multiple Upper arm
70 years old Shingles Shingles Zostavax‡ Upper arm

† Where two or more injections are required at once, these should ideally be given in different limbs. Where this is not possible, injections in the same limb should be given 2.5cm apart. For more details see Chapters 4 and 11 in the Green Book. All injected vaccines are given intramuscularly unless stated otherwise.

‡ Contains porcine gelatine

* Age on 31 August 2017

+ If LAIV (live attenuated influenza vaccine) is contraindicated and child is in a clinical risk group, use inactivated flu vaccine

Click here for the routine immunisation schedule (EXTERNAL LINK).

Tetanus Infection

Tetanus infection may be picked up from wounds occurring in the garden or street. We recommend that everyone has a booster every 10 years.

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