Vaccine Timing of Immunization
Influenza Vaccine is administered yearly to individuals >
Streptococcus pneumoniae Vaccine is usually given once to individuals >/= 65 years of age. A repeat dose may be given 5 years later for those at highest risk. Immunization is also recommended for younger people with chronic medical problems such as heart disease, diabetes, renal failure, and sickle cell anaemia, and for those who work or live with high risk persons.
Use of vaccine in special circumstances.
Pregnancy Routine immunization is best avoided.
Breast feeding Neither killed nor live vaccines affects safety of breast feeding for either mother or infant.
Occupational exposure Hepatitis B / Rubella vaccine recommended for susceptible health care workers. Measles, Varicella and Influenza vaccines also advised in special situations.
HIV infection Live attenuated vaccines such as BCG and OPV are contraindicated.
Post exposure immunization Advised for Measles, Tetanus, Hepatitis A, Hepatitis B and Rabies.
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