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
At birth	Hepatitis B for newborns	Birth Dose
2 months	DaPT (Diphtheria, Pertussis, Tetanus), Hepatitis B, Haemophilus Influenza Type B (Hib) + Inactivated Polio ( as Hexavalent)	1^st Dose
	Pneumococcal Conjugate (PCV)	1^st Dose
	Rota vaccine (oral)	1^st Dose
4 months	DaPT (Diphtheria, Pertussis, Tetanus), Hepatitis B, Haemophilus Influenza Type B (Hib) + Inactivated Polio ( as Hexavalent)	2^nd Dose
	Polio Vaccine (Oral Polio Vaccine)	2^nd Dose
	Pneumococcal Conjugate (PCV)	2^nd Dose
	Rota vaccine (oral)	2^nd Dose
6 months	DPT, Hepatitis B, Hib (Pentavalent)	3^rd Dose
6 months	OPV (Oral Polio Vaccine)	3^rd Dose
12 months	MMR (Measles, Mumps, Rubella)	1^st Dose
12 months	Varicella	1^st Dose
15 months	Pneumococcal Conjugate (PCV)	Booster
15 months	Hepatitis A	1^st Dose
18 months	MMR (Measles, Mumps, Rubella)	2^nd Dose
	DPT, Hib (tetravalent) or Pentavalent according to availability	1^st Booster
	OPV (Oral Polio Vaccine)	1^st Booster
2 years	Meningococcal Conjugate (ACYW)	Single Dose
2 years	Hepatitis A	2^nd Dose
3 years	Varicella	2^nd Dose
4-5 years	DTaP-IPV (Diphtheria, Tetanus, Pertussis, Inactivated Polio)	2^nd Booster
	OPV (Oral Polio Vaccine)	2^nd Booster
	MMR (Measles, Mumps, Rubella) if no document of 2 valid doses of MMR vaccination previously.	2^nd 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 1^st booster
	1 year after Td 1^st booster	Td 2^nd 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
Contacts	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)

Health Info

Immunizations