PH: Vaccination

Question 1

Outline the routine childhood vaccination schedule

Answer 1

• 2 months = diphtheria/tetanus/pertussis/polio/Hib/hepatitis B and, pneumococcus, rotavirus (orally) and menB
• 3 months = diphtheria/tetanus/pertussis/polio/Hib/hepatitis B and rotavirus (orally))
• 4 months = diphtheria/tetanus/pertussis/polio/Hib/hepatitis B ad pneumococcus and men B
• 12 months = Hib/menC and MMR, pneumococcus and MenB
• 40 months = diphtheria/tetanus/pertussis/polio and MMR
• 12-13 years (girls) = HPV vaccine
• 14 years = diphtheria/tetanus/polio and Men ACWY

Question 2

What forms of HPV cause cervical cancer?

Answer 2

16 and 18

Question 3

What forms of HPV cause genital warts?

Answer 3

6 and 11

Question 4

What are the benefits of using live vs killed vaccines?

Answer 4

• Less doses required for a live vaccine (just one)
• A live vaccine required no adjuvant
• Live vaccinations produce IgG and IgA antibodies, whereas attenuated/killed vaccines only produce IgG
• Live vaccines stimulate better cell-mediated immunity
• Live vaccines may cause the disease in a mild form whereas killed vaccines cannot.

Question 5

Which routine vaccinations do not provide life-long immunity?

Answer 5

influenza (1 year) and pneumococcal (5 years)

Question 6

What vaccinations are given to pregnant women?

Answer 6

Pertussis vacine (28+ weeks), influenza vaccine (NO OTHERS)

Question 7

What vaccinations are used routinely in the elderly

Answer 7

• Age 65 – pneumococcal (once)
• Age 65+ - influenza (annually)
• Age 70 – shingles (once)