4. National Advisory Committee on Immunization - Recommended Childhood Vaccination Schedule, Canada - Canadian National Report on Immunization, 1996

[Table of Contents]

Volume: 23S4 - May 1997

Canadian National Report on Immunization, 1996

4. National Advisory Committee on Immunization - Recommended Childhood Vaccination Schedule, Canada

Immunization carried out as recommended in the following schedule (Table 1) will provide good protection for most children against the diseases shown. Modifications may be necessary because of missed appointments or concurrent illness. For details, see the Canadian Immunization Guide⁽⁵⁾ or revised NACI statements published in 1997 as updates in the CCDR. The guide also contains alternate schedules for children who have not been immunized on time, as well as for adults and specifically targeted vaccinations. The NACI-recommended schedule is consistent with achieving the previously mentioned national goals and targets. Table 1 presents the recommendations at the time of publication and will be updated according to changes in the epidemiologic situation of vaccine-preventable diseases and new vaccine developments.

Table 1 NACI-Recommended Immunization Schedules for Infants and Children

Vaccine	Months					Years
Vaccine	2	4	6	12	18	4 to 6	9 to 13	14 to 16
Hepatitis B^*	3 doses	3 doses	3 doses	3 doses	3 doses	3 doses	3 doses
Diphtheria, Pertussis, and Tetanus (DPT)	DPT	DPT	DPT		DPT	DPT		Td ^**
Haemophilus influenzae type b^*** (Hib)	Hib	Hib	Hib		Hib
Polio (inactivated polio vaccine/oral polio vaccine)	Polio	Polio	Polio ^****		Polio	Polio		Polio ^****
Measles, Mumps, and Rubella^***** (MMR)				MMR	MMR ^*****	MMR ^*****
^* Adolescents who have not received hepatitis B vaccine in infancy should receive it through school programs according to the provincial and territorial policies. ^ Td (tetanus and diphtheria toxoids, adult formulation). ^* Recommended schedule for both Hib-TITER® and ActHIB®. ^** If oral polio vaccine is used exclusively, boosters at 6 months and 14 to 16 years of age may be omitted. ^*** The second dose of MMR is routinely recommended at either 18 months or at 4 to 6 years of age. It should be given any time before school entry provided that there is at least a 1-month interval between receipt of the first and second doses.

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