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A A A 03/07/2015
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Recommended Immunization Schedule for the Expanded Program on Immunization, Bahrain

Children
AGE VACCINE DOSE
At birth BCG for newborns born to parents originally from endemic countries Single Dose
Hepatitis B for all newborns Birth Dose
2 months DaPT (Diphtheria, Pertussis, Tetanus), Hepatitis B, Haemophilus Influenza Type B (Hib) + Inactivated Polio ( as Hexavalent) 1st Dose
Pneumococcal Conjugate (PCV) 1st Dose
Rota vaccine (oral) 1st Dose
4 months DaPT (Diphtheria, Pertussis, Tetanus), Hepatitis B, Haemophilus Influenza Type B (Hib) + Inactivated Polio ( as Hexavalent) 2nd Dose
Oral Polio Vaccine (OPV) 2nd Dose
Pneumococcal Conjugate (PCV) 2nd Dose
Rota vaccine (oral) 2nd Dose
6 months DPT, Hepatitis B+ Hib (Pentavalent) 3rd Dose
Oral Polio Vaccine (OPV) 3rd Dose
Pneumococcal Conjugate (PCV) 3rd Dose
12 months MMR (Measles, Mumps, Rubella) 1st Dose
Varicella 1st Dose
15 months Pneumococcal Conjugate (PCV) Booster
Hepatitis A 1st Dose
18 months MMR (Measles, Mumps, Rubella) 2nd Dose
DPT, Hib (tetravalent) or Pentavalent according to availability Booster
Oral Polio Vaccine (OPV) 1st Dose
2 years Meningococcal Conjugate (ACYW) Single Dose
Hepatitis A 2nd Dose
3 years Varicella 2nd Dose
4-5 years DTaP (Diphtheria, Tetanus, Pertussis) 2nd Booster
Oral Polio Vaccine (OPV) 2nd Booster
MMR (Measles, Mumps, Rubella) if no document of 2 valid doses MMR vaccination previously 2nd Dose
ADOLESCENTS
12 years Hepatitis A as catch up for Hep A unvaccinated 1st Dose
13 years Tdap (Tetanus, Diphtheria, Pertussis) Booster
Hepatitis A as catch up for Hep A unvaccinated 2nd Dose
FOR PREVIOUSLY UNIMMUNISED WOMEN
Tetanus diphtheria (Td) At first contact Td1
At least 4 weeks after Td1 Td2
At least 6 months after Td2 Td3
At least 1 year after Td3 Td 1st booster
At least 1 year after Td 1st booster Td 2nd booster
ADULT, ELDERLY AND HIGH RISK GROUPS
Pneumococcal Conjugate (PCV) Single dose for adults ≥ 50 years and single dose for adolescent , adult & elderly from high risk groups.
Pneumococcal Polysaccharide (PPSV23) Single dose for ≥ 65 years and for high risk groups ≥ 2 -64 years single dose. Revaccination dose after 5 years recommended for certain high risk groups (Sickle cell disease/other hemaglobinopathies, Congenital or acquired asplenia, Congenital or acquired immuno-deficiencies, Chronic renal failure, Nephrotic syndrome, malignancy, Leukemia, Lymphoma, Iatrogenic immunosuppression, Solid organ transplant)
Tdap Single dose
Seasonal Influenza Annually for each season for any person (≥6 months of age) requesting the vaccine and highly recommended for >=50 years and high risk groups
Chickenpox (varicella) For high risk group without documented infection or vaccination. Two doses, 3 months apart from 1 -12 years of age. 2 doses 6 weeks apart for ≥ 13 years of age
Meningococcal conjugate ACWY 1-2 doses for sickle cell disease, certain hemoglobinopathies, congenital or acquired asplenia, pre-splenectomy, terminal complement deficiency, post bone marrow transplant & certain cancer after completion of treatment.
Haemophilus Influenza Type B (Hib) Single dose for >5 years for sickle cell disease, anatomical and/or surgical asplenia, post bone marrow transplant & certain cancer after completion of treatment
HAJIIs
Meningococcal conjugate (ACWY) Single dose
Td 3 doses and 2 boosters.
A booster dose every 10 years is recommended after primary series (Tdap might replace one dose of Td)
Seasonal Influenza Annually for each season
OTHER VACCINES
Travellers Yellow Fever Single dose
Typhoid Single dose (repeated after 3 years if indicated)
Hepatitis A 2 doses
Meningococcal conjugate ACWY Single dose for traveler to certain countries
OPV/IPV Booster dose for traveler to certain countries
Post exposure prophylaxis Rabies 4-5 doses plus RIG (single)
Contacts Hepatitis B 3 doses
Hepatitis A 2 doses
Immune-compromised & their household contacts Inactivated Polio(killed polio) 5 doses
* Other vaccines for high risk/ special groups determined by risk category

Note:

  • H1N1 vaccine will be given to high risk groups and then it will be extended to other categories

  • MMR vaccine 2nd dose catch-up campaign was started in 1998 at the age of 12 years to cover the unprotected students with 2 doses of MMR vaccine and this service was stopped in 2007 when all the cohorts received the vaccine during infancy become 12 years old.

  • Hepatitis B vaccine catch-up campaign was started in 2001 at the age of 14 years to cover the unprotected students with 3 doses of Hepatitis B vaccine and this service was stopped in 2008 when all cohorts received the vaccine during infancy become 14 years old.

General vaccine contraindication

  • The vaccine is contraindicated in case of severe allergic reaction to vaccine component or following a prior dose.

  • Immunocompromised and cancer patients should present a certificate from the treating physician prior to vaccine administration.

  • Moderate to sever illness at the time of vaccination.

Forms

  • Defaulters Immunization Form
    If the student was not present during the immunization session at school, please complete the above form and visit the respective Health Center to get vaccinated.

Glossary

HB Hepatitis type B Vaccine
HA Hepatitis type A Vaccine
OPV Oral Polio Vaccine
IPV Inactivated Polio Vaccine
Rota Vaccine Rota Virus Vaccine
Hib Hemophilus Influenza type B Vaccine
Flue Vaccine Influenza Vaccine
MMR Measles, Mumps and Rubella Vaccine
DPT Diphtheria, Pertussis, Tetanus Vaccine
Td Tetanus, diphtheria Vaccine (adult)
DTap Diphtheria, Tetanus acellular Pertussis Vaccine for children
Tdap Tetanus, diphtheria, acellular pertuesis vaccine for adolescents and adults
DT Dipheteria, Tetanus vaccine(Paediatric)
Hexavalent Combined IPV, DPT, HB, Hib
Pentavalent Combined DPT, HB, Hib
BCG Bacillus Calmette-Guerin (vaccine against Tuberculsis)













 
 
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