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Immunizations

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 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
Polio Vaccine (Oral Polio Vaccine) 2nd Dose
Pneumococcal Conjugate (PCV) 2nd Dose
Rota vaccine (oral) 2nd Dose
6 months DPT, Hepatitis B, Hib (Pentavalent) 3rd Dose
OPV (Oral Polio Vaccine) 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 1st Booster
OPV (Oral Polio Vaccine) 1st Booster
2 years Meningococcal Conjugate (ACYW) Single Dose
Hepatitis A 2nd Dose
3 years Varicella 2nd Dose
4-5 years DTaP-IPV (Diphtheria, Tetanus, Pertussis, Inactivated Polio) 2nd Booster
OPV (Oral Polio Vaccine) 2nd Booster
MMR (Measles, Mumps, Rubella) if no document of 2 valid doses of MMR vaccination previously. 2nd Dose (if not completed)
ADOLESCENTS
13 years Tdap (Tetanus, Diphtheria, Pertussis) Booster
FOR PREVIOUSLY UNIMMUNISED WOMEN AT REPRODUCTIVE AGE GROUP
Tetanus diphtheria (Td) At first contact Td1
At least 4 weeks after Td1 Td2
At least 6 months after Td2 Td3
1 year after Td3 Td 1st booster
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. Revaccination dose after 5 years is 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 might be given to those at risk of infection.
Seasonal Influenza Annually for each season from age of ≥ 6 months . It is recommended for children, adults ≥ 50 years and for 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 and as 2 doses 4 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. Also it is given to traveler to Holly places, meningitis belt countries and countries reporting outbreak.
Haemophilus Influenza Type B (Hib) Single dose for >5 years of age having any of the following conditions: sickle cell disease, anatomical and/or surgical asplenia, post bone marrow transplant and certain cancer after completion of treatment.
HAJIIs
Meningococcal conjugate (ACWY) Single dose
Seasonal Influenza Annually for each season
OTHER VACCINES
Travelers (according to travel destination) Yellow Fever Single dose
Typhoid Single dose (repeated after 3 years if indicated)
Hepatitis A 2 doses (if not vaccinated previously)
Meningococcal conjugate ACWY Single dose for traveler to certain countries
OPV/IPV Booster dose for traveler to Polio endemic/ Polio reporting 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) 4-5 doses
* Other vaccines for high risk/ special groups determined by risk category

What parents should know about vaccination and diseases targeted by them.

Note:

  • Parents and caregivers of children are advised to ensure completion of routine vaccination of their children prior to their enrolment in school.
  • Patients with chronic diseases conditions and other high risk categories are advised to ensure completion of the recommended vaccination.
  • Travelers are advised to visit their health center enough time prior to their travel to complete the recommended vaccination according to their travel destination.

General vaccine contraindication

  • The vaccine is contraindicated in case of severe allergic reaction to vaccine component or following a prior dose.
  • Fitness certificate from treating physician is recommended for immunocompromised and cancer patients.
  • Moderate to severe 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)