Table 33Primary vaccination schedule for infants recommended in the Expanded Programme of Immunization

VaccineAge
Birth6 weeks10 weeks14 weeks9 months
BCGX
PolioOral polio vaccineXaXXX
Inactivated polio vaccine8 weeksX5 months
DPTXXX
Hepatitis BOption 1bXXX
Option 2bXXXX
H. influenzae type bXXX
PneumococcalOption 1XXX
Option 2XXX
RotavirusRotarixXX
Rota TeqXXX
Yellow feverXc
MeaslesXd
RubellaX
a

In polio-endemic countries

b

Option 1 is recommended in areas where perinatal transmission of hepatitis B virus is frequent (e.g. in South-East Asia). Option 2 may be used in areas where perinatal transmission is less frequent (e.g. in sub-Saharan Africa).

c

In countries where yellow fever poses a risk

d

In exceptional situations, where measles morbidity and mortality in infants < 9 months of age represent more than 15% of cases and deaths, give an extra dose of measles vaccine at 6 months of age. The scheduled dose should also be given as soon as possible after 9 months of age. The extra measles dose is also recommended for groups at high risk for death from measles, such as infants in refugee camps, infants admitted to hospitals, HIV-positive infants and infants affected by disasters and during outbreaks of measles.

A second opportunity to receive a dose of measles vaccine should be provided for all children. This may be done either as part of the routine schedule or in a campaign.

From: 12, Counselling and discharge from hospital

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Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Childhood Illnesses. 2nd edition.
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