2018 catch-up schedule - ccah-alliance.org

2018 Catch-up Schedule

Steven J. VanTine, Educational Consultant California Department of Public Health Division of Communicable Disease Control UCSF-IGH-Immunization Branch

Version: 06.30.18RS

Disclosures

Speaker has no financial conflict with manufacturers of any product named in this presentation. The use of trade names and commercial sources during this presentation is for identification only, and does not imply endorsement by the U.S. Department of Health and Human Services, the U.S. Public Health Service, the Centers for Disease Control and Prevention or the State of California, Immunization Branch.

Today’s Agenda

• Introductions

• What is the “Catch-up Schedule”

• 2018 ACIP Immunization Recommendations

• Q & A

2018 Immunization

Schedule

2018 Immunization Schedule For Children

2018 Catch-up Pediatric Schedule

What is the “Catch-up Schedule”

• Provides minimum intervals between doses for children whose vaccinations have been delayed

• Some things to note: A vaccine series does not need to be re-started

Use only that section appropriate for a child’s age

Always use the “Catch-up’ schedule in conjunction with 2018 Immunization Schedule

Hepatitis B Vaccine

Hepatitis B Vaccine • Intramuscular (IM) injection

• Routine 3-dose series: birth, 1 to 2 months, 6 months

• 4 doses permissible Birth dose plus combination vaccine (DTaP-IPV-HepB) at 2, 4, and 6

months

http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf

Hepatitis B Vaccine: Catch-up

• Minimum age for first dose: birth

• Minimum interval between dose 1 and dose #2: 4 weeks

• Minimum interval between dose #2 & dose #3: 8 weeks

AND at least 16 weeks after the first dose

• Final dose (3rd or 4th dose) should be given no earlier than age 24 weeks


Rotavirus Vaccine

Rotavirus Vaccine • Oral vaccination

• RotaTeq® (Merck) - RV5

3 dose series, given orally

• 2, 4, and 6 months

• Rotarix® (GSK) – RV1

2 dose series, given orally

• 2 and 4 months

• If any dose in the series was RotaTeq® or unknown, then give a total of 3 doses.


Rotavirus Vaccine: Catch-up

• Minimum age for first dose: 6 weeks Maximum age for the first dose is 14 weeks, 6 days

• Minimum interval between dose #1 and dose #2: 4 weeks


• Maximum age for the final dose is 8 months


DTaP Vaccine

Diphtheria, Tetanus and Acellular Pertussis (DTaP) Vaccine

• Intramuscular (IM) injection

• Routine 5 dose vaccination series:

Doses #1 – #3 at 2, 4, and 6 months, respectively

Dose #4 at 15 through 18 months

Dose #5 at 4 through 6 years


DTaP Vaccine: Catch-up

• Minimum age for first dose: 6 weeks



• Minimum interval between dose #3 & dose #4: 6 months

• Minimum interval between dose #4 & dose #5: 6 months


Combination Vaccines with DTaP • DTaP-IPV-Hep B (Pediarix®, GSK)

Licensed for 6 weeks through 6 years

3 dose series: 2, 4, and 6 months

• DTaP-IPV/Hib (Pentacel®, Sanofi Pasteur) Licensed for 6 weeks through 4 years

4 dose series: 2, 4, 6, and 15-18 months

Combination Vaccines with DTaP

• DTaP-IPV (Quadracel®, Sanofi Pasteur)

Licensed for 4 through 6 years

For the 5th dose of DTaP and 4th dose of IPV

this vaccine is not licensed for use in the primary series

• DTaP-IPV (Kinrix®, GSK)

Licensed for 4 through 6 years

For the 5th dose of DTaP and 4th dose of IPV

this vaccine is not licensed for use in the primary series

Haemophilus Influenzae Type B (Hib) Vaccine

Haemophilus influenzae Type b (Hib) Conjugate Vaccine

• Routine vaccination via intramuscular injection

3-dose primary series plus booster (4-doses) (ActHIB®, MenHibrix®*, Pentacel®)

• 2, 4, 6, and 12 through 15 months

2-dose primary series plus booster (PedvaxHib®) – 3 doses

• 2, 4, and 12 through 15 months

Minimum age 6 weeks (see ACIP recommendations for catch-up, minimum intervals and high-risk recommendations).

*MenHibrix®—protection against invasive Hib disease and meningococcal serogroups C and Y (Hib-MenCY) #Pentacel®--DTaP-IPV/Hib


Hib Conjugate Vaccine: Catch-up


• Minimum interval between dose #1 and dose #2: 4 weeks If 1st dose was given before the 1st birthday . . . OR

8 weeks (as final dose) if the 1st dose was given between 12 to 14 months

• Minimum interval between dose #2 & dose #3: 4 weeks If current age is ≤ 12 months AND 1st dose was given younger than 7 months of

age . . . OR

8 weeks and age is 12 through 59 months (as final dose)

• Minimum interval between dose #3 & dose #4: 8 Weeks


Pneumococcal Conjugate (PCV13) Vaccine

Pneumococcal Conjugate Vaccine (PCV13)


• Routine 4 dose vaccination:

2, 4, 6, and 12 through 15 months


http://www.cdc.gov/mmwr/pdf/rr/rr5911.pdf

http://www.cdc.gov/mmwr/pdf/wk/mm6225.pdf

http://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/pneumo.html


http://www.cdc.gov/mmwr/pdf/wk/mm6225.pdf

Pneumococcal Conjugate Vaccine: Catch-up


• Minimum interval between dose #1 and dose #2: 4 weeks If 1st dose was given before the 1st birthday . . . OR

8 weeks (as final dose for healthy children) if the 1st dose was given at the 1st birthday or after

• Minimum interval between dose #2 & dose #3: 4 weeks If current age is ≤ 12 months AND 1st dose was given younger than 7 months of

age . . . OR

If the current age is ≥ 12 months or older and at least 1 dose was given before age 12 months

• Minimum interval between dose #3 & dose #4: 8 Weeks


Inactivated Polio Virus Vaccine

Inactivated Polio Vaccine (IPV)

• Intramuscular (IM injection)

• Routine 4 dose vaccination series:

2 months, 4 months, 6 through 18 months, and 4 through 6 years

Minimum age for first dose: 6 weeks

Final dose should be administered on or after the 4th birthday

• Special situations:

If 4 or more doses are administered before age 4 years, an additional dose should be administered at age 4 through 6 years and at least 6 months after the previous dose

http://www.cdc.gov/mmwr/PDF/wk/mm5830.pdf

Polio Vaccine: Catch-up • Minimum age for first dose: 6 weeks


• Minimum interval between dose #2 & dose #3: 4 weeks If current age is ≤ 4 years of age

6 months (as final dose) if current age is ≥ 4 years or older

• Minimum interval between dose #3 & dose #4: 6 months Minimum age is 4 years old for final dose


Mumps, Measles and Rubella Vaccine

Measles, Mumps, and Rubella Vaccine

• Subcutaneous (SQ) injection:

• Routine vaccination: 2 dose series: 1st dose: 12 through 15 months

2nd dose: 4 through 6 years

• Ensure all school-aged children and adolescents have had 2 doses of MMR vaccine.


MMR Vaccine: Catch-up • Minimum age for first dose: 12 months



Varicella Vaccine

Varicella Vaccine

• Subcutaneous (SQ) injection

• Routine 2-dose series,

Dose #1 given at 12 – 15 months of age

Dose #2 given at 4 through 6 years of age

• Ensure all persons without evidence of immunity to chickenpox have received 2 doses of the varicella vaccine


Varicella Vaccine: Catch-up • Minimum age for first dose: 12 months

• Minimum interval between dose #1 and dose #2: 3 months 2nd dose valid if at least 4 weeks after 1st dose

• Ages 1 through 12 years: 3 months

• Ages ≥ 13 years: 4 weeks


Hepatitis A Vaccine

Hepatitis A Vaccine


• Routine 2-dose series Given between 12 through 23 months

Minimum interval of 6 months

• Catch-up immunization through age 18 years with 2 doses

• See full ACIP recommendations for high-risk and post-exposure prophylaxis recommendations


Hepatitis A Vaccine: Catch-up

• Minimum age for first dose: 12 months Minimum age if traveling to an endemic area: 6 months

• Minimum interval between dose #1 and dose #2: 6 months


Meningococcal Conjugate (MCV4) Vaccine

Meningococcal Conjugate Vaccine

• Intramuscular (IM) injection • MCV4-CRM (Menveo®)

vaccine licensed down to 2 months of age Routine 4 dose series: 2, 4, 6, and 12 months

• MenACYW-D (Menactra®) Vaccine licensed for ages 9 through 23 months Routine 2 dose series: 9 and 12 months


Meningococcal Conjugate Vaccine: Catch-up

• MCV4-CRM (Menveo®) Minimum age for first dose: 8 weeks

1st dose at 7-23 months; 2nd dose at least 12 weeks after the 1st dose and after the first birthday

• Men ACYW-D (Menactra®) 2nd dose may be given as early as 8 weeks after the first dose in travelers


Immunization Coordinators/Contacts

Merced County Department of Public Health:

• Dana Brantley, LVN: #209-381-1030

County of Monterey Health Department:

• Angela Gladstone, RN, PHN: #831-755-4683

County of Santa Cruz – Health Services Agency (HSA):

• Naomi Lobell, PHN: #831-454-4646

Questions?

2018 catch-up schedule - ccah-alliance.org

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