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Licensing Standards for Family DayCare
IMMUNIZATION SCHEDULESDIVISION OF PUBLIC HEALTH BUREAU OF DISEASE PREVENTION
The following schedules for the immunization of infants and children are adapted from the American Academy of Pediatrics, Committee on Infectious Diseases (AAP) and the Advisory Committee on Immunization Practice of the United States Public Health Service (ACIP). The recommendations presented are designed to achieve a uniform and predictable vaccine response; however, the Division of Public Health recognizes that individual circumstances may warrant decisions differing from the recommendations given here.
A. Children Beginning Immunizations In Infancy
TABLE 1. Recommended schedule for active immunization of normal infants and children.
Age
Vaccine
Optional Vaccines
Birth
DTP
TOPV
MMR
HbCV(1)
EIPV(2)
DT (3)
TB
2 months
X
X
X*
X
X
4 months
X
X
X*
X
X
6 months
X
X
X
X
12 months
X
*
X(4)
15 months
X
X
X
X
4 thru 6 yrs
X
X
X
X
X
X HbOC (Hibtiter) is given at 2, 4, 6, & 15 months
* PRP-OMP (Pedvax HIB) is given at 2, 4 & 12 months
B. Children not starting immunization in the first year of life.
By virtue of the fact that a child has received no immunization at this point in his or her life, efforts should be made to bring the child's schedule up to date as quickly as possible; therefore, it is recommended that the simultaneous administration of giving certain vaccines at the same time can safely and effectively be done, especially since the return of these patients to the clinics cannot be guaranteed (see guidelines for live and killed antigen administration, page 6).
TABLE 2.Recommended immunization schedule for infants and children up to the seventh birthday not immunized in early infancy.
Visit
Time interval
Vaccine
Optional Vaccines
1
DTP
TOPV
MMR
HbCV(1)
EIPV(2)
DT
TB
2
Child is 15 mo. of age
X
X
X
X*
X
X
X
3
2 mos after 1st DTP/OPV/MMR
X
X
X
X
4
2 mos. After 2nd DTP
X
5
6-12 mos. after 3rd DTP
X
6
4-6 yrs. (before school entry)
X(7)
X(6)
X
X
X
X* HbOC (Hibtiter)
TABLE 3.Recommended immunization schedule for persons at 7 years not immunized at the recommended time in early infancy.
Visit
Time interval
Vaccine
Optional Vaccines
TD
TOPV
MMR
IPV
TB
1
Child is 7 years or older
X
X
X
X*
X
2
2 mos after 1st TD/OPV/MMR
X
X
X
3
6-12 mos. after 2nd TD/OPV
X
X(5)
X
4
Add'l 10 year interval visit
X
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