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Which vaccines should I give to this child

By Maurice Payne,2014-09-26 18:44
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Which vaccines should I give to this child

    Which vaccines should I give to this child?

    A tool for health workers in Timor-Leste who vaccinate

    Use this guide to decide which vaccines to give to a young child today. Step 1: Find out from the child’s immunization record or from the caregiver:

     1. How old is the child today?

     2. Which vaccines has the child already received?

    Step 2: Use the chart below to make the right decision.

    Vaccines ;;When to give ?;Do NOT give ;

    OPV 0 From birth to 2 weeks After the first two weeks

    BCG As soon as possible after birth After 12 months of age

    OPV 1 As soon as possible after 6 weeks Before 6 weeks

    DPT 1 After 2 years of age

     HepB 1

    OPV 2 As soon as possible after 10 Before 10 weeks

    DPT 2 weeks After 2 years of age

     HepB 2 And at least 4 weeks after dose 1

    OPV 3 As soon as possible after 14 Before 14 weeks

    DPT 3 weeks After 2 years of age

     HepB 3 And at least 4 weeks after dose 2

    Measles As soon as possible after reaching Before 9 months of age

    9 months (39 weeks)

    ?DPT and HepB may be available as separate vaccines or together in a combination vaccine. The schedule is the same.;

    ?Give all the vaccines that a child is eligible to receive today. For example, it is safe and effective to give

    BCG, DPT 1, HepB 1, OPV 1 and measles vaccinations in the same contact to a 9-month old child who

    has never been immunized.

    ?Never repeat dose 1 or dose 2 of DPT, HepB or OPV, even if a long time has passed since the last dose.

The goal of the Ministry of Health is to fully immunize each child in Timor-Leste

    by the child’s first birthday.

    Schedule for tetanus toxoid immunization for women:

    TT1 At first contact, or as soon as possible during pregnancy

    TT2 At least 4 weeks after TT 1

    TT3 At least 6 months after TT 2

    TT4 At least one year after TT 3 or during next pregnancy

    TT5 At least one year after TT 4 or during next pregnancy

    Endorsed by: MdS, WHO, UNICEF, TAIS (add logos} draft: 6 September 2007

    Sites and dose administration

    BCG DTP-HepB Measles OPV

     TT vaccine

    Site Outer upper Outer mid-thigh Outer upper left Oral

    right arm arm

    How given Intradermal Intramuscular Subcutaneous Oral dropper

    injection injection injection

    Dose 0.05 ml 0.5 ml 0.5 ml 2 drops Type Powder+diluent Ready-to-use Powder+diluent Vial with oral

    dropper

    REMEMBER

    1. Diluent are not interchangeable, different vaccines have different diluents; mixing

    and administering the wrong diluent has led to serious adverse events including

    death

    2. Always use diluent from the same manufacturer as the vaccine

    3. Diluent should be cooled before being mixed with the vaccine

    4. Do not reconstitute vaccines until you are ready to immunize

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