2018 catch-up schedule - ccah-alliance.org
TRANSCRIPT
![Page 1: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/1.jpg)
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
![Page 2: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/2.jpg)
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.
![Page 3: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/3.jpg)
Today’s Agenda
• Introductions
• What is the “Catch-up Schedule”
• 2018 ACIP Immunization Recommendations
• Q & A
![Page 4: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/4.jpg)
2018 Immunization
Schedule
![Page 5: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/5.jpg)
2018 Immunization Schedule For Children
![Page 6: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/6.jpg)
2018 Catch-up Pediatric Schedule
![Page 7: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/7.jpg)
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
![Page 8: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/8.jpg)
Hepatitis B Vaccine
![Page 9: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/9.jpg)
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
![Page 10: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/10.jpg)
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
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 11: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/11.jpg)
Rotavirus Vaccine
![Page 12: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/12.jpg)
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.
http://www.cdc.gov/mmwr/PDF/rr/rr5802.pdf
![Page 13: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/13.jpg)
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
• Minimum interval between dose #2 & dose #3: 4 weeks
• Maximum age for the final dose is 8 months
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 14: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/14.jpg)
DTaP Vaccine
![Page 15: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/15.jpg)
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
http://www.cdc.gov/mmwr/PDF/rr/rr4607.pdf
![Page 16: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/16.jpg)
DTaP Vaccine: Catch-up
• Minimum age for first dose: 6 weeks
• Minimum interval between dose #1 and dose #2: 4 weeks
• Minimum interval between dose #2 & dose #3: 4 weeks
• Minimum interval between dose #3 & dose #4: 6 months
• Minimum interval between dose #4 & dose #5: 6 months
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 17: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/17.jpg)
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
![Page 18: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/18.jpg)
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
![Page 19: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/19.jpg)
Haemophilus Influenzae Type B (Hib) Vaccine
![Page 20: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/20.jpg)
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
http://www.cdc.gov/mmwr/PDF/rr/rr6301.pdf
![Page 21: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/21.jpg)
Hib Conjugate Vaccine: Catch-up
• Minimum age for first dose: 6 weeks
• 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
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 22: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/22.jpg)
Pneumococcal Conjugate (PCV13) Vaccine
![Page 23: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/23.jpg)
Pneumococcal Conjugate Vaccine (PCV13)
• Intramuscular (IM) injection
• Routine 4 dose vaccination:
2, 4, 6, and 12 through 15 months
• Minimum age for first dose: 6 weeks
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
![Page 24: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/24.jpg)
Pneumococcal Conjugate Vaccine: Catch-up
• Minimum age for first dose: 6 weeks
• 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
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 25: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/25.jpg)
Inactivated Polio Virus Vaccine
![Page 26: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/26.jpg)
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
![Page 27: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/27.jpg)
Polio Vaccine: Catch-up • Minimum age for first dose: 6 weeks
• Minimum interval between dose #1 and dose #2: 4 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
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 28: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/28.jpg)
Mumps, Measles and Rubella Vaccine
![Page 29: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/29.jpg)
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.
http://www.cdc.gov/mmwr/pdf/rr/rr6204.pdf
![Page 30: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/30.jpg)
MMR Vaccine: Catch-up • Minimum age for first dose: 12 months
• Minimum interval between dose #1 and dose #2: 4 weeks
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 31: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/31.jpg)
Varicella Vaccine
![Page 32: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/32.jpg)
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
http://www.cdc.gov/mmwr/pdf/rr/rr5604.pdf
![Page 33: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/33.jpg)
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
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 34: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/34.jpg)
Hepatitis A Vaccine
![Page 35: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/35.jpg)
Hepatitis A Vaccine
• Intramuscular (IM) injection
• 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
http://www.cdc.gov/mmwr/PDF/rr/rr5507.pdf
![Page 36: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/36.jpg)
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
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 37: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/37.jpg)
Meningococcal Conjugate (MCV4) Vaccine
![Page 38: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/38.jpg)
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
http://www.cdc.gov/mmwr/pdf/rr/rr6202.pdf
![Page 39: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/39.jpg)
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
http://www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
![Page 40: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/40.jpg)
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
![Page 41: 2018 Catch-up Schedule - ccah-alliance.org](https://reader034.vdocuments.site/reader034/viewer/2022042614/6263c5bbacd0155e20569b12/html5/thumbnails/41.jpg)
Questions?