The bcg immunisation programme the bcg immunisation programme was introduced in the uk in 1953 and has undergone several changes in response to changing trends in tb epidemiology. Bcg vaccine and vaccinator endorsement ministry of health nz. The green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk. Tuberculosis tb service royal liverpool university hospitals. Children and adults who fit the criteria for bcg nice cg117 tuberculosis and green book immunisation against infectious. Read about whether you or your child would be offered this immunisation in the separate leaflet called bcg.
Immunisationvaccine preventable diseases hsc public. Publicly funded hepatitis a, hepatitis b, haemophilus influenzae type b, human papillomavirus, influenza, meningococcal, pertussis tdap, pneumococcal, tuberculosis and varicella vaccines are available for children and adults at high risk of some. This pgd is for the administration of bcg vaccine ajv by registered healthcare. Phe publications gateway number 2018326 pdf, 152kb, 16 pages this file may not be suitable for users of assistive technology. The danish strain of vaccine was administered intradermally and mycobacterium microti, the vole bacillus, was administered percutaneously. The bcg immunisation programme has contributed significantly to the eradication of tb meningitis in. Green book chapter 11 algorithm for vaccinating individuals with uncertain or incomplete immunisation status.
Hepatitis b immunisation is not paid for by the nhs as part of additional services. Bcg vaccination programme from july 2005 an improved targeted neonatal and other at risk based programme replaced the previous schools programme for older children 1999. Bcg vaccine does not contain thiomersal or any other. Rotavirus vaccine rotavirix is advised in hivinfected infants. The bcg vaccine is also recommended for people under the age of 16 who are going to live with local people for more than 3 months in an area with high rates of tb or where the risk of multidrugresistant tb is high. May 11, 2015 immunisation is the most important way of protecting individuals and the population from vaccine preventable infectious diseases. For advice on dosing schedules for missed vaccinations, and the immunisation of individuals coming to the uk, consult chapter 11, the uk immunisation schedule, in immunisation against infectious disease the green book.
Due to the worldwide shortage of bcg vaccine, appointments are limited as the rch only has a limited amount of supply of vaccine. The green book immunisation against infectious disease, hepatitis b for travel is indicated for. Surveillance decision evidence tuberculosis guidance. The green book immunisation against infectious diseases gives information on immunisation for employees in general practice. Children less than five years who will have prolonged greater than three months or frequent travel to a high tb incidence country newborn children of parents with hansens disease leprosy or a family history of hansens disease. The green book recommendations around bcg vaccination of healthcare workers and laboratory staff that were available when nice guideline ng33 was developed were broadly aligned. For advice on bcg vaccination in immunosuppressed individuals, consult chapter 32. Surveillance decision evidence tuberculosis guidance nice. My health, learning and development book green book. For advice on dosing schedules for missed vaccinations, and the immunisation of individuals coming to the uk, consult chapter 11, the uk immunisation schedule, in. Overview of immunisations immunisation programmes are designed to help protect the population from serious vaccinepreventable diseases. The tuberculosis chapter in the green book immunisation against infectious. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity expression, national origin, protected veteran status, or any other characteristic protected under federal, state or local law, where applicable, and those with criminal histories. Further information about the bcg vaccination can be found here and here.
Public health guidelines are set out in the immunisation green book. This was based on early studies with measles and smallpox vaccines, 1. Links in the table above provide more information about the diseases and the vaccines that prevent them. The programme was initially targeted at children of schoolleaving age then 14 years, as the peak incidence of tb was in young, workingage adults. Bcg vaccination should be considered for healthcare workers who are at high risk of exposure to drugresistant tuberculosis and who have a negative tuberculin skin test.
This chapter has been completely updated to reflect the latest evidence on contraindications and special considerations for vaccination. The my health, learning and development green book is given to the parents of every newborn child in victoria. Sep 11, 20 the green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk. Children less than five years who will have prolonged greater than three months or frequent travel to a high tb incidence country. These infants are not routinely vaccinated because of the uncertainty of the risks and benefits. Bcg vaccination is carried out under the expanded programme of immunisation epi. Guidance is provided on the immunisations that may be appropriate for different groups of staff depending on their role and place of work. For example, bcg immunisation at birth elicits comparatively stronger inf that is, t cell than il. It uses a live tb germ that has been modified in the laboratory so that it will not cause disease in a healthy person. Immunisations and chemotherapy cancer treatment cancer.
Young children who will be travelling to settings with high tuberculosis incidence are recommended to receive bcg vaccine, based on a risk assessment. The vaccine is 70 to 80% effective against the most severe forms of tb, such as tb. Jan, 2016 tb immunisation information for health professionals is provided by phes tuberculosis. Sixtyfour of 94 68% pcts use a combination of reliable parental recall, documentary evidence and presence of a scar as evidence of previous bcg vaccination. This includes administering vaccinations included in the childhood immunisation programme and those recommended for adults, including travel vaccines and the annual influenza vaccination. New zealand immunisation schedule ministry of health nz. Bcg vaccination is recommended for newborn babies of parents with leprosy or with a family history of leprosy. Welcome to the new online location for information about immunisation and vaccines in scotland. For many years, immunisation against infectious disease the green book has contained a recommendation that when two live vaccines are required in the same individual, then the vaccines should either be given on the same day, or separated by an interval of at least four weeks. For your convenience, these archived publications can be used for historical and research purposes. Children and adults who fit the criteria for bcg nice tuberculosis and green book immunisation against infectious diseases. Useful websites for information on immunisation and. The bcg vaccination is thought to protect up to 80% of people against the most severe forms of tb for at least 15 years, perhaps even up to 60 years. Immunisation policy for the uk is available in immunisation against infectious diseases the green book.
As one of the largest supplier to the nhs, pam has vast experience of providing various and complex immunisation solutions for employees in line with the. The timetable for immunisations against various pathogens, as jointly recommended by the nhs and the uk department of health. Tuberculosis is rare in infants and young children born in australia. The department of healths immunisation against infectious disease the green book requires employers to vaccinate their staff where potential exposure to certain diseases exist. Patients remain eligible for the vaccination until their 80 th birthday.
Newborn children of parents with hansens disease leprosy or a family history of hansens disease. Tuberculosis, mantoux skin testing and bcg vaccinator update online course. Introduction of menc into childhood vaccination schedule adult immunisation programme source. Feb 18, 2020 immunisation against tuberculosis tb the bcg vaccine. Find out why immunisations important, when to immunise, what vaccines are available and what they protect against. The 6in1 vaccine used to be given as the 3in1 vaccine dtap along with the polio vaccine which was given by mouth, but has gradually. Green book of immunisation chapter 11 the uk immunisation. Human papillomavirus vaccine and demyelinatingf diseases. A general practitioner or specialist referral is required to attend this clinic. Injection technique with the exception of bcg, immunisations should be given in either the. The bcg vaccine is made from a weakened strain of tb bacteria. Depending on the risk of acquiring tb, there may be benefits to vaccinating older children. Tuberculosis the green book, public health england see useful resources. These recommendations are based on routine childhood immunisations, and the chapter the uk immunisation schedule in the public health england phe document immunisation against infectious disease green book to include hpv vaccination in all children aged 12 years and flu vaccination in children aged 210 years.
The shingles vaccination programme provides a free vaccine that is offered to those who are currently 70 or 78 years old as well as those previously eligible but who missed the immunisation, e. Revised recommendations for the administration of more. Although parental consent is required, acceptance has been high and close to 100% of children has been vaccinated in the last decade table 7. All pcts offering vaccination outside infancy reported assessing previous bcg immunisation in eligible children using at least one of the criteria recommended by the green book. Bcg immunisation began in mid1950s as part of the ncip. Vaccinations for all staff in contact with patients. Immunisation policy in scotland is set by the scottish government health directorates on the advice of the joint committee of vaccinations and immunisations jcvi external site and other appropriate bodies. Contraindications and special considerations in addition, immunisation with live vaccines should be delayed until 6 months of age in children born to mothers who received immunosuppressive biological therapy during pregnancy.
The advisory committee on immunization practices acip provides advice and guidance to the director of the cdc regarding use of vaccines and related agents for control of vaccinepreventable diseases in the civilian population of the united states. Because the bacteria in the vaccine is weak, it triggers the immune system to protect against the disease. All vaccinators must at all times adhere to best practice as outlined in the immunisation standards for vaccinators in appendix 3 of the immunisation handbook. Follow up was comprehensive 1,2,3,4 and cases suggestive of tb were assessed by an independent researcher. Nhs england and nhs improvement london immunisations. Where the mother is coinfected with hepatitis b hbv, immunization against hbv infection should be as per the green book and does not differ from management of the hivunexposed infant. However, chapter 32 of the green book was updated in. The childhood vaccination programme has been a tremendous success in northern ireland over recent years. Children over 6 months of age or with prior tb exposure are required to have a tuberculin skin test. Immunisation of healthcare and laboratory staff immunisation of healthcare and laboratory staff immunisation of healthcar e and laboratory staff any vaccinepreventable disease that is transmissible from person to person poses a risk to both healthcare professionals and their patients. Consult the tb website for current tb and bcg information. The bcg vaccine contains a weakened strain of tb bacteria, which builds up immunity and encourages the body to fight tb if infected with it, without causing the disease itself. General contraindications to vaccination public health england, august 2017.
All currently used live vaccines bcg, rotavirus, live attenuated influenza vaccine. However, infants born in australia to parents from countries with a high tuberculosis incidence 40 cases per 100,000 population per year may have a higher risk of tuberculosis exposure in their early life. Immunisation helps protect against serious diseases such as flu, measles, mumps, whooping cough, meningitis, and polio. The hepatitis b vaccination there are two classes of products available for immunisation against hepatitis b. Children over 6 months of age or with prior tb exposure are required to have a tuberculin skin test before they can have the bcg vaccine. The bcg vaccine bcg stands for bacillus calmetteguerin is offered to people in the uk considered to be at higher risk only. The bcg vaccination is not part of the wa routine vaccination program. Revised recommendations for the administration of more than. For more details see chapters 4 and 11 in the green book. Therefore bcg vaccine should ideally be given 3 months prior to travel to a high tb incidence country. However, the regulations do not say when the immunisation should be given on the nhs or as a private service. Bcg was given to all newborns between 1955 and 1982.
Immunisation by nurses and other health professionals. Rch runs an outpatient clinic once a week that provides bcg vaccine to infants less than 12 months. Sep 01, 2019 bcg vaccine for percutaneous use is an attenuated, live culture preparation of the bacillus of calmette and guerin bcg strain of mycobacterium bovis. Guidance is provided on the immunisations that may be appropriate for different groups of staff depending on their role and place. Immunisation schedule definition of immunisation schedule.
May 02, 2018 the 6in1 vaccine protects your baby against six different serious illnesses. Exclusion criteria foreign students entering the country from high risk countries. The bcg vaccine is no longer offered to everyone in the uk. Vaccines not given by the im route include bacillus calmetteguerin bcg vaccine, which is given by intradermal injection, green cross japanese encephalitis and varicella vaccines, which are given by deep subcutaneous sc injection, and cholera vaccine, which is given by mouth. Immunisation by nurses and other healthcare professionals 35. Since the last edition of immunisation against infectious disease the green book, the immunisation programme has seen a number of changes, to both. Vaccines offered to older adults including the shingles, pneumococcal and flu vaccinations. Vaccines offered to your child from 3 years 4 months old, including the 4in1 and mmr vaccines. A list of courses, conferences and study days of relevance to uk health professionals working, or wishing to. National immunisation office we provide trusted, uptodate information about hse immunisation programmes for children, adults and healthcare professionals in ireland. The recommendation from public health is to vaccinate those who may have an increased risk of exposure to tb or of developing tb. Bcg endorsement is valid for up to two years from the completion of the bcg vaccinator training.
Tb incidence 40100,0003 at birth tuberculosis bcg infants with a parent or grandparent. Phe uk immunisation schedule green book chapter 11. It contains information about early childhood development and services and can be kept as a record of your childs health, growth, development, immunisations and. Tb immunisation information for health professionals is provided by phes tuberculosis. May 02, 2019 in nsw bcg vaccine is only recommended for.
Vaccination with the bacillus calmetteguerin bcg is among the most important tb control strategies in iran 2. Immunisation public health royal college of nursing. Overview of immunisations immunisation health topics. Phe vaccination intervals phedhdwp guideline guidelines. The 6in1 vaccine protects your baby against six different serious illnesses. Bcg vaccine fda prescribing information, side effects and uses. Mantoux testing should not be done routinely before bcg vaccination in. Immunisation schedule treatment summary bnfc content. The green book has the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the uk. The bcg vaccination is not part of the wa routine vaccination program it is only given in restricted circumstances.
Who should have it and why public health england, winter 201920. Immunisation schedule green book, uk bcg vaccination bordetella pertussis whooping cough vaccination diphtheria vaccination hepatitis b vaccination and prevention hib. Vaccination schedule immunisations in scotland nhs inform. Bacillus calmetteguerin vaccine treatment summary bnf. Vaccines offered to young people including the tdipv, menacwy and hpv vaccines. The green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases. Boston consulting group is an equal opportunity employer.
308 1559 1416 921 1540 23 264 79 868 627 222 1544 613 264 676 18 357 233 817 557 1468 224 1165 227 171 1000 1199 1006 1172 305 1343 829 105 526 1433 770 1260 553 1114 1104 349 1322 1146 1395 1498 1012 1467