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We sometimes lose sight of and take for granted the benefits of
immunisation. It's a bit like insurance - we only think about it when we
need to make a claim and by then it is often too late. Immunisation is
similar in that it is primarily designed to provide protection from
rather than a cure for disease. Immunisation is still vitally important
to offer the levels of protection from disease that is ever present in
what, with the advances of travel, can only be described as a shrinking
world.
In recent years there have been outbreaks of polio and diphtheria in
countries like Russia and some of the poorer former eastern block
countries and of course there is the ever present threat in areas of the
world suffering from natural disasters like famine or floods.
In many cases the outbreaks have been due to poor immunisation
programmes and/or a poor uptake of the immunisation offered.
In response to these problems and risks the Department of Health
changed the Mid-Teens booster to include a booster for diphtheria.
At the Spinney we hold special clinics for childhood immunisations
with the exception of the 15-16 year old boosters. These are held on
Thursday afternoons with immunisations administered by our Practice
Nursing Team. You will automatically receive appointments to attend
the clinic as your child reaches the appropriate age. If your child is
unwell or unable to attend the appointment for any reason then please
let us know by telephone on 0844 477 3603 when arrangements will be made
to attend a future appointment. You will also be reminded if your child
is within the 15 - 16 year old category when you will be invited to
telephone to make an appointment for the appropriate vaccinations to be
administered.
All travel related vaccinations are by way of appointment and you
should telephone 0844 477 3603 in good time relative to your intended
travel destination and timetable. See our web page Travel
Advice for more information or visit any of the travel related web
links featured on our Healthcare Links
web page.
If you have any questions about the various immunisations and
vaccinations then please contact your health visitor on 01480 356238 /
01480 356275 or visit the immunisation website featured on our Healthcare
Links web page.
Childhood Immunisation Schedule
8 weeks: First
- Diphtheria
- Pertussis (Whooping Cough)
- Tetanus (DPT)
- Polio (inactivated vaccine)
- Haemophilia Influenza B (HIB)
The above vaccines are all given in one vaccination, so the child
only has two vaccinations on the day.
- New pneumoccocal vaccination
12 weeks: Second
- Diphtheria
- Pertussis (Whooping Cough)
- Tetanus (DPT)
- Polio (inactivated vaccine)
- Meningitis (Men C)
- Haemophilia Influenza B (HIB)
The above vaccines are all given in one vaccination, so the child
only has two vaccinations on the day.
- Meningitis (Men C)
16 weeks: Third
- Diphtheria
- Pertussis (Whooping Cough)
- Tetanus (DPT)
- Polio (inactivated vaccine)
- Meningitis (Men C)
- Haemophilia Influenza B (HIB)
The above vaccines are all given in one vaccination, so the child
only has two vaccinations on the day.
- Meningitis (Men C)
- New Pneumococcal vaccination
12 - 18 months:First
- Haemophilia Influenza B (HIB)
- Meningitis (Men C)
13 months
- Measles, Mumps and Rubella (MMR)
- New Pneumococcal vaccination
3½ - 4½ years: Pre School Booster
- Diphtheria
- Pertussis (Whooping Cough)
- Tetanus (DPT)
- Polio (inactivated vaccine)
- Measles, Mumps and Rubella (MMR)
As before two vaccinations given on the day.
15 - 16 years: Booster
- Diphtheria
- Tetanus (DPT)
- Polio (inactivated vaccine)
Adult / Travel Vaccinations
Tetanus: 'Once every 5 years'? 'Once every 10 years'? NEITHER!
The Department of Health guidelines recommend 5 documented tetanus jabs in your
lifetime. Most young adults are covered for life, 3 jabs as a baby, one
when starting school and another when leaving school. The only exception
is in the event of a nasty dirty injury or travelling to an area where
medical attention may be inaccessible and your last dose was more than
10 years ago. Please ask us about your
tetanus status.
Polio: Child immunisation is detailed above. All adults are
usually immunised in childhood. The only adults needing polio protection
are those who have never had a polio immunisation course (ask us to
check your polio status) or those patients travelling to countries where
polio immunisation is recommended. Grandparents of children who have had
polio immunisation are advised to contact our Health
Visitors on 01480 356238 / 01480 356275 for advice. There is no need to boost previously
immunised adults who are not travelling abroad.
Hepatitis A: Travellers to many countries are advised to have
Hepatitis A immunisation. The first dose lasts 1 year, then a
further vaccination booster after the first dose at 6 - 12 months extends the
immunisation for 10 years. Sewage workers and Water-board workers should
have both Hepatitis A and B immunisation. See our Travel
Advice web page for more information.
Hepatitis B: This immunisation is recommended for all health
workers and other allied professions. The schedule for immunisation is:-
- First dose
- Second dose - 1 month after first dose
- Third dose - 5 months after second dose
- Blood Test - 6/8 weeks after third dose to check on uptake of
vaccination
- Depending upon how many antibodies are present (identified by the
blood test) a further booster may or may not be required. If a booster is
required you will be recalled by the surgery
- A further booster will be required 5 years after the immunisation
course to maintain protection
There are also more rapid courses for travel if required. See the Practice
Nurse for information.
If travelling abroad, and the department of health recommend
vaccination with Hepatitis B this will be provided on the NHS. However,
the NHS does not fund it if it is required for employment purposes –
therefore the patient’s employer is required to pay. If this is not
possible, or the patient wishes to fund this vaccine themselves, then we
are not permitted to provide the vaccination however we can provide
information as to where this vaccine can be administered locally. All
patients are advised to check with the surgery on 0844 477 3603 as soon
as their travel plans are known giving due regard to the immunisation
timetable outlined above.
Diptheria: This is required in certain conditions and is
often given with the tetanus injection. See the Practice Nurse for
details.
BCG: Did you have this as a child? If not discuss with your
GP or Practice Nurse.
Yellow Fever: One dose lasts for ten years. Because the yellow
fever is a live vaccine, if you are having oral polio this must be given
at the same time or with a break of three weeks between each
vaccination. This vaccine has to be supported by a certificate which
only becomes valid ten days after the vaccine has been administered. The
vaccine therefore must be administered at least ten days before the
intended date of travel. This vaccine is not available under the NHS and
a charge is made for the vaccine and certificate. Details of the current
charges are available by reference to the Non-NHS
Fees page on this website.
Other vaccinations include Japanese Encephalitis and Rabies which are
obtainable at the Surgery. If they are recommended by the Practice
Nurse, please contact MASTA 01223 313969 for more information
Typhoid: this injection lasts three years and is only boosted
when needed.
Mengivac A & C: is needed for certain countries - Ask
Practice Nurse for Advice.
MEN.VAX ACWY: is needed for MECCA, please see the Practice
Nurse.
Influenza: In 1999-2000 there was a flu epidemic. All patients
who had had the flu jab had a high degree of protection. As a result it
is now recommended that the following groups of patients should be
immunised:
- All patients over 65 years of age
- All diabetic patients
- All patients with coronary heart, lung or kidney problems
- All asthmaticsand patients with respiratory disease
- All immunosuppressed patients or carers of such patients
- All care and health workers.
- All poultry workers
Immunisations are administered via special clinics usually held in
October. Details of clinics will be announced via the noticeboard at the
surgery and in the Newsletter.
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