Immunisation Schedules

Question 1

Main symptoms of rubella?

Why do we immunise against Rubella?

What is Congenital Rubella Syndrome?

Answer 1

Red/pink spotty rash that appears 2-3 weeks after initially getting rubella. Give fluids, analgesia and rest.

Rubella can cause serious birth defects if a pregnant woman is infected.

The rubivirus can be spread from a pregnant mother to her fetus through the bloodstream. Can cause cardiac, vision, intellectual disabilities, hepatomegaly, splenomegaly

Question 2

When to vaccinate babies <1 yr?

Answer 2

8 weeks
6-in-1 vaccine
Rotavirus vaccine
MenB

12 weeks
6-in-1 vaccine (2nd dose)
Pneumococcal (PCV) vaccine
Rotavirus vaccine (2nd dose)

16 weeks
6-in-1 vaccine (3rd dose)
MenB (2nd dose)

Question 3

When to vaccinate children 1-15yrs?

When is the 6in1 vaccine?
What’s in it?

Answer 3

1 year	
Hib/MenC (1st dose)
MMR (1st dose)
Pneumococcal (PCV) vaccine (2nd dose)
MenB (3rd dose)

2 to 10 years	
Flu vaccine (every year)

3 years and 4 months
MMR (2nd dose)
4-in-1 pre-school booster

12 to 13 years
HPV vaccine

14 years
3-in-1 teenage booster
MenACWY

Question 4

When to vaccinate adults?

Answer 4

65 years
Pneumococcal (PPV) vaccine

65 years (and every year after)	
Flu vaccine

70 years
Shingles vaccine

Question 5

What is the 6-in-1 vaccine?

Answer 5

Protection against:

• diphtheria
• hepatitis B
• Hib (Haemophilus influenzae type b)
• polio
• tetanus
• whooping cough (pertussis)

Question 6

MMR vaccine debate

Answer 6

Parents may ask for MMR separately
Single vaccines are less safe than MMR because they leave children vulnerable to dangerous diseases for longer. Giving 3 separate doses at spaced out intervals would mean that, after the first injection, the child still has no immunity to the other 2 diseases.