Immunisation overview

ST1 Sept 09Dr Ulla Trend

The two public health interventions with the greatest

impact are clean water and immunisation

(World Health Organisation)

The “Green Book” 2006

( Google “Immunisation Green Book UK”)

Within the hospital

• Children

• Vulnerable adults

• Staff

Children 1

• Universal programme starts at 2 months and continues till 15 years

• 7 points in schedule for boys, 10 for girls

• Should be recorded in the “Red Book” held by parents

Children 2

• Targeted vaccines for those in need:

• Neonatal BCG

• Neonatal Hepatitis B

• Influenza

• Pnemococcus

Vulnerable adults 1

• Influenza ( annual)

• Over 65 years

• Chronic respiratory disease

• Chronic heart disease

• Chronic renal disease

• Chronic liver disease

• Diabetes mellitus

• Immunosuppression

Vulnerable adults 2

• Pneumococcus

• Over 65 years

• Asplenia / splenic dysfunction. N. B. This includes coeliac disease

• Chronic respiratory disease

• Chronic heart disease

• Chronic renal disease

• Chronic liver disease

• Diabetes mellitus

• Immunosuppression

• ( +few rarer indications)

Vulnerable adults 3

• Hepatitis B

• Chronic renal failure• Chronic liver disease• Receiving regular blood/blood products• Close family contacts of a case or individual with chronic Hepatitis B infection

• IVDU• Frequent change of sexual partner,esp. MSM and male and female commercial sex

workers

• Foster carers• Prison inmates and staff• People with learning difficulties living in residential care, and their carers• Morticians/embalmers

Staff involved in direct patient care

• Routine immunisations up to date

• MMR (2 doses or immunity)

• BCG

• Hepatitis B

• Influenza

• Varicella – test if no definite history of disease