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

 

Vaccine               HIV Infection  

Known
Asymptomatic

Severe
Symptomatic
DTP Yes Yes
OPV No No
IPV Yes Yes
MMR Yes Yes
Severely immunocompromised HIV-infected paitents should not receive MMR.

HIB Yes Yes
Pneumococcal Yes Yes
Influenza Yes Yes
Hepatitis B Yes Yes
BCG No No
In developing countries it is recommended that BCG be given to HIV-infected patients who are Asymptomatic.  

Yellow Fever No No
Chicken Pox Yes Yes
Hepatitis A Yes ---