Immunisation Catch-up Communicable Disease Control Directorate A quick guide to immunisation catch up recommendations for children living in Western Australia with no previous vaccination Note: Always refer to the current Australian Immunisation Handbook for complete advice on vaccines recommended under the National Immunisation Program. -1– Last Updated – 9/9/13 Department of Health Contents Introduction 3 How to read the tables 4 Medical risk factors 4 Further information 4 Quick catch-up guide tables: • • • • 3 to 11 months 5 12 to 23 months 6 2 to 7 years 7 8 years to 17 years 8 The Western Australian (WA) Department of Health (D0H) would like to acknowledge and thank the Victorian D0H for sharing their Quick Guide to Catch-up Immunisation document with the WA D0H Immunisation program. Dr Paul Effler Medical Coordinator Prevention and Control Program -2– Last Updated – 9/9/13 Department of Health Quick guide for catch-up immunisation for children with no previous immunisation Introduction The quick guide for catch-up immunisation has been developed to assist immunisation providers in Western Australia to create a catch-up immunisation schedule for children with no previous documented vaccine history. Refer to WA immunisation schedule for Australian born children catch up vaccination. The most important requirement for assessment of vaccination status is written documentation of vaccination. When developing a catch-up schedule for children less than 7 years of age, it is important to check if the child has a record on the Australian Childhood Immunisation Register (ACIR). All catch-up vaccinations given to children less than 7 years must be entered into ACIR. When developing a catch-up schedule for vaccines normally administered in the year 8 schoolbased vaccination program, it is important to check the child’s record on the WA year 8 schoolbased vaccination database, and ensure that this database is updated as soon as possible after the vaccine is given. Immunisation service providers (ISPs) who do not have access to the WA year 8 school-based vaccination data-base should contact year8vacc@health.wa.gov.au to obtain information for any queries relating to a student’s vaccination history, In addition, ISPs should forward an updated vaccine administration form to the WA DoH if anomalies are found or if a vaccine is administered, so that the database can be updated. The quick guide provides assistance with creating a catch-up schedule to complete a primary course of vaccination. The number of vaccine doses required can differ depending on the age of the child when they begin the vaccination series (e.g. Hib, and Prevenar13®). -3– Last Updated – 9/09/13 Department of Health Quick guide for catch-up immunisation for people with no previous immunisations How to read the tables The tables are read as follows: ► Age at 1st visit - refers to the age of the person at presentation for the first series of catchup vaccines. ► Visit number - the 1st visit refers to the day the first vaccinations are given as a catch-up. ► Interval dose due - refers to the time interval required between the doses of vaccines. The minimum spacing between doses is one month. Some vaccines require longer spacing between catch-up doses. ► Antigens/vaccine brand - both the antigen and brand names have been used to identify what vaccines are recommended at each age milestone for quick recognition. Each age cohort recommends (where applicable) that the vaccine schedule point be continued with the routine National Immunisation Program following completion of catch-up doses. Combination vaccines such as Infanrix hexa and Menitorix (Men C catch up) can be used for the primary course of catch-up immunisation in children less than 10 years of age. If the recommended intervals between doses are exceeded there is no need to recommence the schedule or give additional doses because the immune response is not impaired by such delay. Medical risk factors Some children with medical risk factors may require extra doses of vaccine, i.e. doses in addition to those recommended in the routine National Immunisation Program schedule. Please see the current edition of the Australian Immunisation Handbook, ‘Groups with special vaccination requirements’ for further information. Further information • Refer to current edition of the Australian Immunisation Handbook • Vaccine orders should be placed via the on line ordering system vaccineorders@health.wa.gov.au . at the website http://colors@csldirect.com.au , or alternatively contact the Prevention and Control Program at 08 9388 4835 • Australian Childhood Immunisation Register on telephone 1800 653 809 -4– Last Updated – 9/09/13 Department of Health Quick guide for catch-up immunisation for children with no previous immunisation AGE: 3 TO 11 MONTHS Antigens and vaccine brands Age at 1st visit 3 months Visit number 1st visit 1st visit 2nd visit 4-6 months 3rd visit 4th visit 1st visit 7-9 months 2nd visit 3rd visit 1st visit 10-11 months 2nd visit 3rd visit Interval dose due DTPa HepB IPV Hib Infranrix hexa® Rotavirus 13vPCV Rotateq® Prevenar® MMR Priorix® or MMR11 If <13 weeks of Give age today otherwise no catchup Continue vaccine schedule at 4 months of age Give today 1 month after 1st visit 1 month after 2nd visit 2 month after 2nd visit Continue vaccine schedule at 12 months of age Give today 1 month Due at after 1st 12 visit months 2 month of age after 2nd visit Continue vaccine schedule at 12 months of age Give today 1 month Due at st after 1 12 visit months 2 month of age after 2nd visit Continue vaccine schedule at 18 months of age MenC/Hib MENITORIX® Due at 12 months of age Due at 12 months of age -5– Last Updated – 9/09/13 Department of Health Quick guide for catch-up immunisation for children with no previous immunisation AGE: 12 TO 23 MONTHS Antigens and vaccine brands Age at 1st visit Visit number Interval dose due DTPa HepB IPV Hib Infranrix hexa® 1st visit Give today 2nd visit 12-13 months 3rd visit 4th visit 1 month after 1st visit 2 month after 2nd visit 1 month after 3rd visit 13vPCV MMR MenC/Hib Prevenar® Priorix® MMR11 MENITORIX® VZV Varilrix PriorixTetra Hepatitis A Aboriginal Children Continue vaccine schedule at 18 months of age 1st visit 2nd visit 14-17 months 3rd visit 4th visit Give today 1 month after 1st visit 1 month after 2nd visit 1 month after 3rd visit Continue vaccine schedule 1st visit 18-23 months 2 nd visit 3rd visit Give today 1 month after 1st MMR vaccine 4 month after 2nd visit MMR or MMR11 MMRV Priorix -Tetra as 2nd dose Aboriginal Children PriorixTetra 4th visit Continue vaccine schedule at 4 years of age -6– Last Updated – 9/9/13 Department of Health Quick guide for catch-up immunisation for people with no previous immunisation AGE: 2 TO 7 YEARS Antigens and vaccine brands Age at 1st visit Visit number 1st visit 2-3 years 2nd visit 3rd visit Interval dose due DTPa IPV Infranrix hexa® Give today 1 month after 1st visit 2 month after 2nd visit DTPa Hep B IPV Hib Infranrix hexa® MMR MenC/Hib Priorix® or MMR11 MENITORIX® PriorixTetra VZV Varilrix Pneumovax 23 Continue vaccine schedule at 4 years of age 1 visit st 2nd visit 4-7 years 3rd visit 4th visit Give today 1 month after 1st visit 2 month after 2nd visit 6month after 3rd visit PriorixTetra Medically at risk children 4 5 years Catch up vaccinations as appropriate for age -7– Last Updated – 9/09/13 Department of Health AGE: 8 TO 17 YEARS Age at 1st visit 8-11 years (Before Year 8 in school) These doses are state funded Visit number 1st visit 2nd visit 3rd visit Year 8 in School Age at 1st visit Visit number 2nd visit 3rd visit 4th visit These doses are state funded IPOL Give today 1 month after 1st visit 2 months after 2nd visit dTpa1 ADT Priorix-Tetra 4 weeks later 4 months after 2nd dose ADT Hepatitis B Vaccines given as per routine school-based Year 7 immunisation protocol 1st visit 13-17 years & no Year 8 school vaccinations Interval dose due Antigens and vaccine brands dTpa/ADT MMR Priorix®or Adacel MMR11 Polio 5th visit 6th visit Interval dose due Give today 1 months after 1st visit 2 months after 2nd visit 1 month after 3rd visit 1 month after 4th visit 3 months after 5th visit MMR Priorix® or MMR11 Polio dTpa/ADT IPOL Adacel dTpa ADT ADT MenC NeisVacC® HPV Females Gardasil® Hepatitis B 2 This child should not receive dTpa booster later in the Year 8 school program because of increased likelihood of reactions. This Hep B vaccine dose can be skipped if child is aged 11-15 years and receives the other two doses as the adult vaccine formulation; otherwise three doses of the pediatric formulation should be given. 1 2 -8– Last Updated – 9/09/13 Department of Health