*HKMA Vaccination Advicefor Young Children

Dr. Alvin Yee Shing CHANMBBS (HK), MRCP (UK), DCH (GLASG), FHKCPaed,FHKAM (Paediatrics), MRCPCH, FRCP (Edin)

Vice-President, The Hong Kong Medical AssociationChairman, Task Force on Vaccination PPICo-Chairman, Health Education CommitteeCentral Coordinator, HKMA Community NetworkCo-Chairman, International Affairs Committee

HKMA Vaccination Advice for young children aged 2 and 6 2-62011829*

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The Government provides free vaccinations to children in Hong Kong against ten infectious diseases under Childhood Immunization Programme and subsidizes seasonal influenza vaccination to children under Childhood Influenza Vaccination Subsidy SchemeA few safe and effective vaccines are not covered by the Government programmes.

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HKMA provides the Vaccination Advice for young children aged between 2 and 6 with the vaccines recommended by the World Health Organization and the US Centres for Disease Control and Prevention though not provided free by the Government*

Vaccines that could be given to children between 2 and 6 years oldChickenpox VaccinePneumococcal Vaccine (13-valent)Influenza Vaccine (Injection annually)Hepatitis A Vaccine*

*Recommended Immunizations for Children from Birth through 6 Years Old (extracted from CDC)

VaccinesVaccines have made a tremendous impact on the health of children, Daniel Salmon, PhD, MPH, Director of National Vaccine Program Office, US Department of Health and Human Services in Washington, D. C.*

VaccinesVaccination Programs have led to 93% to 100% elimination of many childhood diseases in the United States.*

Impact of VaccinesDr. Salmon pointed out a direct overlap between countries with:higher rates of vaccine refusal and outbreaks of pertussis, a childhood disease that has seen resurgence in recent years.*

Good Reports on VaccinesJuly 2011 Chickenpox deaths in the US have been nearly eliminated due to wide spread use of the varicella vaccines, according to a new CDC study;Researchers have found that chickenpox deaths have dropped by 88% overall and by 97% among children and adolescents since 1995.Before the varicella vaccine became available, chickenpox was responsible for about 100 deaths and 11,000 hospitalization each year.

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VARICELLA VACCINE

First dose : From 1 year of age onward.Second dose : at least 1 month later, usually 3 months to 3 years later.Allergy to EGG : Avoid.

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HEPATITIS A VACCINEFROM 12 MONTHS ONWARD2 DOSES AT LEAST 6 MONTHS APARTRecommended for children living in high risk areas, like China.Endemic regions : high risk populations, children whose immunity against Hepatitis A is desired. *

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***Department of Health http://www.dh.gov.hk/tc_chi/press/2011/110415.html accessed on 29August 2011

13 10 6 5 6 2 (FDA) 13 1036A19A

* 93% 47%

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PNEUMOCOCCAL VACCINEPNEUMOCOCCAL CONJUGATE VACCINE (PCV)Recommended for ALL children younger than 5 years old(from 6 weeks on)PCV series:1dose at 2,4,6 months & 1+year oldGive 1 dose of PCV to all healthy children aged 24 to 59 months who are not completely vaccinated for their age.PCV series begun with 7-valent PCV(PCV7) should be completed with 13-valent PCV(PCV13)*

PNEUMOCOCCAL VACCINE A supplemental dose of PCV13 is recommended for all children aged14 to 59 months who have received an age-appropriate series of PCV7, andFor all children aged60 to 71 months with underlying medical illnesses who have received an age-appropriate series of PCV7.The supplemental dose of PCV7 should be at least 8 weeks after the previous dose of PCV7.

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PNEUMOCOCCAL VACCINEGive Pneumococcal polysaccharide vaccine (PPSV) at least 8 weeks after the previous dose of PCV to children 2 years or older with certain underlying medical conditions including Cochlear implant .No study so far to document efficacy of one dose of PCV 13 after a series of PCV10.*

US Advisory Committee on Immunization Practices (ACIP)- recommended schedule for PCV13 amongst infants and children13*

1~31~37~8 :

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INFLUENZA VACCINESEASONALTIV(Trivalent inactivated influenza vaccine) Injection: at least 6 months old. 2 doses 4 weeks apart for first timer LAIV(Live attenuated influenza vaccine) intranasal rout: at least 2 years old. NOT for patients with asthma

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INFLUENZA VACCINEGIVE 2 DOSES (separated by at least 4weeks) to children aged 6months through 8 years who are receiving seasonal influenza vaccine for the first time, or who were vaccinated for the first time during the previous influenza season but only received 1 dose.Children aged 6 months to 8 years who received no doses of monovalent 2009 H1N1 vaccine should receive 2 doses of 2011 seasonal influenza vaccine*

Rotavirus vaccine(RV)Hemophilus Influenza type b conjugate vaccine(Hib)Meningococcal conjugate vaccine, quadrivalent(MCV4)6 in 1 Combined vaccine: Hepatitis B, Hib, Diphtheria, tetanus toxoids, acellular pertussis, Inactivated poliovirus vaccine(IPV), Measles, rubella, mumps(MMR)Japanese B Encephalitis vaccineHuman Papillo-virus vaccine*

(WHO)*

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THANK YOU!*

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