MINISTRY OF HEALTH
FAMILY HEALTH SERVICES
Immunization Policy Guidelines
- All newborns should be given BCG vaccine at birth unless they are exhibiting obvious signs of HIV Infection.
- Babies confirmed to be HIV infected should not be given OPV. IPV should be given instead.
- Symptomatic HIV Infected children should not be given yellow fever vaccine.
- Patients with cancer or leukemia who have not received chemotherapy or systemic steroids for at least 3 months should be given the usual vaccinations with the exception of OPV. Give IPV instead.
- Premature babies should be given all vaccinations as per the usual schedule unless there are genuine contraindications to any of the vaccines. (Premature babies should be Immunized at the same chronological age as is recommended for full- term babies).
- DPT vaccine (at least the primary schedule and the first booster) should be administered in the anterolateral aspect of the thigh using a needle equal to or greater than 5⁄8 inch in length. The buttocks or deltoid area is not recommended.
The following are not contraindications to vaccination.
- mild acute illness with low grade fever (e.g. Otitis media, URTI)
- mild diarrhoeal illness in an otherwise well child
Recommendations for routine immunization of HIV- Infected children
| Severely immunocompromised HIV-infected paitents should not receive MMR.
|In developing countries it is recommended that BCG be given to HIV-infected patients who are Asymptomatic.