Immunization 1-30

Question 1

Which immunization(s) is typically provided at birth?

Answer 1

One: HepB(a)

Question 2

Which immunization(s) is typically provided at 2mo, 4mo, and 6mo?

Answer 2

Six: HepB, DTPa (diphtheria, tetanus, and pertussis acellular), Hib, Polio (inactive), Pneumococcal conjugate, Rotavirus

Question 3

Which immunization(s) is typically provided at 12mo?

Answer 3

Three: Hib, MMR, Meningococcal C

Question 4

Which immunization(s) is typically provided at 18mo?

Answer 4

One: VZV (chickenpox)

Question 5

Which immunization(s) is typically provided at 4 years?

Answer 5

Three: DTPa, Polio (inactive), MMR

Question 6

Which immunization(s) is typically provided at school beyond the age of 10?

Answer 6

HepB(c), VZVd, HPVe, DTPa

Question 7

On a global scale, which immunizations are typically the focus of universal childhood immunization efforts?

Answer 7

BCG, OPV (oral polio), DTP, and measles

Question 8

what are some more common local and generalized adverse reactions to vaccines?

Answer 8

local: redness, swelling, pain, small hard lump at site
generalized: mild fever, irritable/crying, drowsiness, muscle aches, fainting

Question 9

what are some rare adverse reactions to vaccines?

Answer 9

convulsion or pale/limp unresponsive baby, anaphylaxis, intussusception (rotavirus)

Question 10

what are some absolute contraindication to receiving vaccines?

*What can be done in these cases to reduce risk?

Answer 10

• unexplained encephalopathy (post pertussis containing vaccine)
• anaphylaxis to any component of a vaccine

Live vaccines:

• immunosuppression
• Pregnancy
• previous live vaccine or immunoglobulin

*Can provide MMR to close contacts. All close contact should have varicella vaccine. Very low risk of transmitting a live attenuated vaccine to an immunocompromised individual..

Question 11

What are some relative contraindications to receiving a vaccine?

Answer 11

• Temp >38.5 (paeds with minor cough and cold can still be immunized)
• evolving undiagnosed neurological illness

Question 12

immunosuppressed child receiving has just finished chemotherapy. when can they be revaccinated?

Answer 12

6 months after finishing chemo

Question 13

which disease has been eradicated on a global scale thanks to vaccination efforts?

Answer 13

smallpox

Question 14

describe the prevalence of pertussis cases in Victoria over last 6 years? are the majority of cases adult or children?

Answer 14

incidence of cases has more than tripled, and more prevalent among adults (66% of cases) than children.

Question 15

In australia, which age groups are most commonly afflicted with measles? gender skew?

Answer 15

5-19 yrs. Males