Immunisation Schedule 2 months - 1st D.P.T.,Hep. B, Hib,Polio, Pneumococcus 4 months - 2ndD.P.T.,Hep. B, Hib,Polio, Pneumococcus 6 months - 3rdD.P.T.,Hep. B, Hib,Polio, Pneumococcus 12 months - 1stM.M.R.& Chicken Pox 18 months - 1st Booster D.P.T & Polio 3-5 years - 2nd M.M.R. 4 ½ years - 2nd Booster D.P.T& Polio 5 - 6 years - B. C. G (at school) 10 – 11+ years - 3rd Booster D.T. & Polio 11+ years HPV (at school) DOSAGE DPT - 0.5ml given intra-muscularly. Polio - 0.2ml orally. Measles or MMR - 0.5ml subcuta-neously in outer aspect of upper arm.

STORAGE OF VACCINE

Diphtheria, Tetanus, and Pertussis vaccine should be stored between 2 C - 8 C. Should not be frozen. Measles or MMR - Best preserved by storing frozen at a temperature of - 10 C to - 30 C or in refrigerator at temperature between +2C and +8C Precautions should be taken to ensure that such temperatures are observed during transportation of vaccine and storage in order to maintain the cold chain.

CONTRAINDICATIONS

1. Febrile illness.
2. Diarrhoea. (OPV should be postponed). 
3. Convulsion within 1-48 hours following pertussis - omit pertussis at next visit.
4. Rubella should not be given to females when pregnancy is suspected.
5. Children who have leukaemia or who are on immuno-suppresive therapy e.g. antimetabolites, corticosteroids or in cases of primary immunodeficiency states e.g. hypogamma-globulinemia.

ADVERSE REACTIONS

Diphtheria, Tetanus, and Pertussis -

1. Mild local reaction consisting of pain, erythema, tenderness and induration at injection site are common and may be associated with systemic reactions including mild to moderate transient fever, chills, malaise and irritability;
2. more marked reactions such as fever (over 40o C), drowsiness, convulsions, excessive screaming or transient shock-like episodes may occur. Occurence of these features is a CONTRAINDICATION to further injections. Measles Mild fever, rash may occur 5-12 days after vaccine. Omit Measles if child has known allergy to eggs or chicken.