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Immunisation

» View Council's Immunisation Blue Print July 2007 - June 2010 (pdf).

The benefits of immunisation

Immunisation is a simple, safe and effective way of protecting against certain diseases.

Immunisation uses the body's natural defence mechanism, the immune response, to build resistance to specific harmful infections. Six diseases can be prevented by the National Immunisation Program Schedule (NIPS):

  • Cervical cancer
  • Chicken pox (Varicella)
  • Diphtheria
  • Gastroenteritis
  • Haemophilias influenza type B (hib meningitis)
  • Hepatitis B
  • Hepatitis A (A&TSI children)
  • Influenza (flu)
  • Measles
  • Mumps
  • Pertussis (whooping cough)
  • Poliomyelitis (polio)
  • Rubella (German measles)
  • Tetanus
  • Pneumococcal (Prevenar and Pneumovax23)
  • Meningococcal C

Also refer to Queensland Health's brochure and facts sheets.

The risks associated with these diseases are far greater than the very small risks associated with immunisation.

Vaccinations available at Council's immunisation clinics

Council's immunisation clinics provide all vaccines that are free on the National Immunisation Program Schedule (NIPS).

Appointments to Council's immunisation clinics are not necessary.

Free Immunisation Clinics are held:

Logan City Council Immunisation Clinic, 150 Wembley Road, Logan Central
Every Thursday
3.30 pm - 7 pm

Jimboomba Library, 18-22 Honora Street, Jimboomba
Last Thursday of each month.
11 am - 12 pm

Beenleigh Library, Crete Street, Beenleigh
Last Thursday of each month.
1 pm - 2 pm

If you have any queries about immunisation please phone 3412 5318.

Additional Logan immunisation contacts include:

  • Your family doctor (refer to the yellow pages for listings)

  • Australian Childhood Immunisation Register (ACIR)
    Ph. 1800 653 809
    http://immunise.health.gov.au/
    Note: The ACIR only provide details for children under 8 years of age.

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National Immunisation Program Schedule (NIPS) (from 1/03/08)

Our program includes vaccines that are free on the National Immunisation Program Schedule (NIPS) (pdf). Vaccines that are not free can be provided for a 'cost' by your family doctor.

Age Disease
Birth
  • Hepatitis B
2 months
  • InfanrixHexa™ - Diphtheria, Tetanus, Pertussis (whooping cough), Hepatitis B, Poliomyelitis (polio) and Haemophilus influenzae type B (Hib)
  • Pneumococcal (Prevenar™)
  • Rotavirus (Rotateq™)
4 months
  • InfanrixHexa™ - Diphtheria, Tetanus, Pertussis (whooping cough), Hepatitis B, Poliomyelitis (polio) and Haemophilus influenzae type B (Hib)
  • Pneumococcal (Prevenar™)
  • Rotavirus (Rotateq™)
6 months
  • InfanrixHexa™ - Diphtheria, Tetanus, Pertussis (whooping cough), Hepatitis B, Poliomyelitis (polio) and Haemophilus influenzae type B (Hib)
  • Pneumococcal (Prevenar™)
  • Rotavirus (Rotateq™)
12 months
  • MMR - Measles, Mumps & Rubella (Priorix™)
  • Hiberix
  • Meningococcal Type C (Meningitec™)
  • Pneumococcal (Prevenar™) (Only for children with Predisposing Medical Conditions)
18 months
  • Chicken pox (Varicella). Only for children without a history of varicella disease or vaccination. Free to children born on or after 1/5/04
  • Hepatitis A - 1st dose. (2nd dose 6 months later) (A&TI only)
2 years
(A&TI only)
  • Pneumococcal (Pneumovax23™)
  • Hepatitis A - 2nd of 2 Doses
4 years
  • DTPa-IPV - Diphtheria, Tetanus, Pertussis & Polio (Quadracel™)
  • MMR- Measles, Mumps & Rubella (Priorix™)
  • Pneumococcal vaccine (Pneumovax23™) (Only for children with Predisposing Medical Conditions)
13 years
  • Chicken pox (Varicella). Only for children without a history of varicella disease or vaccination. Free to children turning 13 years old on or after 1/11/05.
Year 8 School Program Only for children without a previous complete Hepatitis B course eg. 3 paediatric Hepatitis B:
  • Hepatitis B (Adult dose) 1st of 2 Doses.
  • Hepatitis B (Adult dose) 2nd of 2 Doses (4-6 months later)
  • Cervical cancer (3 doses - 0, 2, 6 months)
Year 10 School Program
  • dTpa - Diphtheria Tetanus acellular Pertussis (Boostrix™)
15 - 49 Year
(A&TI people with Risk factors)
  • Pneumococcal (Pneumovax23™) Single revaccination 5 years later.
  • Influenza (Flu) vaccine (every year)
50 years
  • ADT - Adult Diphtheria Tetanus
    (Not a funded vaccine. Contact your Family Doctor)
50 Years and Over
(A&TI people)
  • Pneumococcal (Pneumovax23™) Revaccination 5 years later.
  • Influenza (Flu) vaccine - Annually.
65 years and over
  • Pneumococcal (Pneumovax23™). Single revaccination 5 years later.
  • Influenza (Flu) vaccine - Annually.

Catch-up schedules:

  • Measles Mumps Rubella (MMR) vaccine is available to person over 18 years of age, who were born on or after 1/1/1966 that have not had 2 doses of Measles, Mumps or Rubella vaccines.
  • Aboriginal and Torres Strait Islander children - Two Hepatitis A vaccines (6 months apart) available to A&TSI children aged 19 months to 5 years will be offered until 2007.
  • Various catch-up schedules as per the Australian Immunisation Handbook.

Information was sourced from the current edition NH&MRC Australian Immunisation Handbook and Queensland Health.

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Parent advice sheet - commonly observed reactions

Vaccine Commonly observed adverse events (conditions) following specific vaccines used in the National Immunisation Program Schedule (NIPS)

DTPa-containing vaccines and dTpa

  • Diphtheria, Tetanus, Pertussis and IPV (also refer to IPV)
  • dTpa, Boostrix™ Diphtheria, Tetanus, Pertussis
  • Irritable, crying, unsettled and generally unhappy.
  • Drowsiness or tiredness.
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).
Hib, Pedvax™ vaccine - Haemophilus Influenza Type B
  • Localised pain, redness and swelling at the injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).
Inactive Polio Vaccine (IPV) or IPV containing vaccines
  • Muscles aches
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).

MMR, Priorix™ vaccine - Measles, Mumps, Rubella

  • Occasionally injection site nodule - may last many weeks (no treatment needed).

Seen 7 - 10 days after vaccination:

  • Low grade temperature (fever) lasting 2-3 days, faint red rash (not infectious), head cold and/or runny nose, cough and/or puffy eyes.
  • Drowsiness or tiredness.
  • Swelling of salivary glands.
Td vaccine
ADT - Adult Diphtheria Tetanus
  • Low grade temperature (fever).
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
Hepatitis B vaccines &
Hepatitis A vaccines.
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).
Pneumococcal disease
Prevenar™ (7vPCV)
  • Pain at the injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
Pneumococcal disease
Pneumovax23™ (23vPPV)
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).
Influenza (Flu) vaccine
  • Drowsiness or tiredness.
  • Muscle aches
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).
Meningococcal Type C (Conjugate vaccine) - Neisvac™ and Meningitec™
  • Irritable, crying, unsettled and generally unhappy.
  • Loss of appetite.
  • Headache (usually observed in adolescent /adult)
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).
Varicella VZV - Chickenpox
  • Localised pain, redness and swelling at injection site.
  • Occasionally injection site nodule - may last many weeks (no treatment needed).
  • Low grade temperature (fever).

Seen 7 - 26 days after vaccination:
Pustular rash (2-5 lesions), usually at injection site, which occasionally covers other parts of the body.

Managing injection site discomfort

Many vaccine injections may result in soreness, redness, itching, swelling or burning at the injection site for 1 to 2 days. Paracetamol might be required to ease the discomfort.

Sometimes a small, hard lump may persist for some weeks or months. This should not be of concern and requires no treatment.

Managing fever after immunisation

Give extra fluids to drink. Do not overdress the baby if hot. Although the routine use of paracetamol at the time of vaccination is no longer necessary, it may be required if, for example, an infant or child has a high fever following vaccination. The dose of paracetamol is 15mg/kg of paracetamol liquid, up to a maximum daily dose of 90mg/kg/day.

References

The reference for this material is from the 8th edition of the NH&MRC Australian Immunisation Handbook (refer to section 1.6 'Adverse events following immunisation' (AEFI) for more information).

If adverse events following immunisation are severe and persistent or if you are worried about your child, please contact your family doctor or hospital.

Logan Hospital
Ph. 3299 8899 or 000

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Comparison of effects of vaccine and diseases

Disease Effects of Disease Side Effects of Vaccination
Diphtheria – contagious bacteria spread by droplets, causes severe throat and breathing difficulties. About 1 in 15 patients dies. The bacteria release a toxin, which can produce nerve paralysis and heart failure. DTPa vaccine – about 1 in 10 have local inflammation or fever. Serious adverse events are very rare, and much less common than DTPw.
Hepatitis B – contagious virus spread mainly by blood, sexual contact or from mother to newborn baby; causes acute hepatitis or chronic carriage. About 1 in 3 chronic carriers will develop cirrhosis or liver cancer. About 1 in 15 to 1 in 100 have pain and fever. Anaphylaxis occurs in about 1 in 600,000.
Hib– contagious bacteria spread by droplets, causes meningitis, epiglottitis (respiratory obstruction), septicaemia, osteomyelitis. About 1 in 20 meningitis patients dies about 1 in 4 survivors has permanent brain or nerve damage. About 1 in 100 epiglottis patients dies. About 1 in 20 have discomfort or local inflammation. About 1 in 50 have fever.
Influenza – contagious virus spread by droplets, causes fever, muscle and joint pains, pneumonia. Causes increased hospitalisation in the elderly. High risk groups include the elderly, diabetics, alcoholics, etc. About 1 in 10 have local reactions, Guillain-Barre syndrome occurs in about 1 in 1 million.
Measles - highly infectious virus spread by droplets, causes fever, cough, rash. 1 in 25 children with measles develops pneumonia and 1 in 2,000 develops encephalitis (brain inflammation). For every 10 children who develop measles encephalitis, 1 dies and up to 4 have permanent brain damage. About 1 in 25,000 develops SSPE (brain degeneration), which is always fatal. About 1 in 10 have discomfort, local inflammation or fever. About 1 in 100 develops a rash, which is non-infectious. 1 in 1 million recipients may develop encephalitis (inflammation of the brain).
Meningococcal infections – bacteria spread by respiratory droplets. Cause sepsis and meningitis. About 1 in 10 patients die. Of those who survive I in 30 has severe skin scarring or loss of limbs, and 1 in 30 has severe brain damage. Polysaccharide vaccine: Local reactions common. Mild fever, headache, malaise in 1 in 30. Conjugate vaccine: about 1 in 10 has local inflammation, fever, irritability, anorexia or headaches.
Mumps - contagious virus spread by saliva, causes swollen neck glands, and fever. 1 in 200 children develops encephalitis (brain inflammation). 1 in 5 males past puberty develops inflammation of the testicles. Occasionally mumps causes infertility or deafness. 1 in 100 recipients may develop swelling of the salivary glands. 1 in 3 million recipients develop mild encephalitis (inflammation of the brain).
Pertussis – contagious bacteria spread by droplets, causes whooping cough and vomiting, lasting up to 3 months. About 1 in 200 whooping cough patients under the age of 6 months dies from pneumonia or brain damage. As for DTPa vaccine (see diphtheria).
Pneumococcal Infections- bacteria spread by droplets; cause fever, pneumonia, septicaemia, meningitis. About 1 in 10 meningitis patients die. Polysaccharide vaccine: Less than 1 in 20 has pain or local reaction. Conjugate vaccine: About 1 in 10 local reaction or fever.
Polio – contagious virus spread by faeces and saliva, causes fever, headache, vomiting and may progress to paralysis. About 1 in 20 hospitalised patients dies and 1 in 2 patients who survive is permanently paralysed. IPV - Local redness (1 in 3), pain (1 in 7), and swelling (1 in 10). Up to 1 in 10 has fever, crying, and decreased appetite.
Rubella – contagious virus spread by droplets, causes rash, fever, swollen glands, but causes malformations to babies of infected pregnant women. About 5 in 10 patients develop a rash and painful swollen glands, 5 in 10 adolescents and adults have painful joints, 1 in 3,000 develops thrombocytopenia (bruising or bleeding). 1 in 6,000 develops inflammation of the brain, 9 in 10 babies infected during the first 10 weeks after conception will have a major congenital abnormality (deafness, blindness, brain damage, heart defects). About 1 in 10 have discomfort, local inflammation, or fever. About 1 in 20 have swollen glands, stiff neck, or joint pains. About 1 in 100 have a rash, which is non-infectious. Thrombocytopenia (bruising or bleeding) occurs after a first dose of MMR at a rate of 1 in 30,500.
Tetanus – caused by toxin of bacteria in soil; causes painful muscle spasms, convulsions, lockjaw. About 1 in 10 patients dies. The risk is greatest for the very young or old. As for DTPa vaccine (see diphtheria).
Varicella (chickenpox)– caused by highly contagious virus, causes low grade fever and vesicular rash. Reactivation of the virus later in life causes herpes zoster. 1 in 5000 patients develop encephalitis. About 3 in 100,000 patients die. Infection during pregnancy can result in congenital malformations in the baby. Onset of infection in the mother from 5 days before to 2 days after the delivery results in severe infections in the newborn in up to one-third of cases. About 1 in 5 has local reaction or fever. A mild varicella-like rash may develop in 3-5 per hundred recipients.

Reference: Current edition of the NH&MRC Australian Immunisation Handbook.

Also refer to the National Immunisation Program Schedule (NIPS) (pdf).

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Free Chickenpox (Varicella) vaccine

The chicken pox (Varicella) vaccine is available free to children without a history of Varicella disease (chicken pox) or vaccination at:

  • 18 months of age (born on or after 1/5/04)
  • 13 year old children (born on or after 1/11/05)

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PH: (07) 3412 3412, Email: council@logan.qld.gov.au
© 2002 Logan City Council - Last updated on Thursday, March 27, 2008
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