
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) |