The acceptance of three simultaneous vaccine injections recommended at 12 months of age

Jeffrey N Hanna1, Ruth C Bullen, Debora E Andrews

  • 1Tropical Public Health Unit, Cairns, Queensland. Jeffrey_hanna@health.qld.gov.au

Insights

Simultaneous vaccination with Meningococcal C conjugate vaccine (MenCCV), measles-mumps-rubella (MMR), and Haemophilus influenzae type b (Hib) vaccines is recommended. Non-simultaneous administration risks delayed or missed MenCCV doses in children.

Area of Science:

  • Pediatric Infectious Diseases
  • Vaccinology
  • Public Health

Background:

  • Meningococcal C conjugate vaccine (MenCCV) is recommended at 12 months alongside MMR and Hib vaccines.
  • Simultaneous vaccination aims to maximize coverage and timely protection.
  • North Queensland implemented MenCCV vaccination in January 2003.

Purpose of the Study:

  • To assess the uptake of MenCCV when co-administered with MMR and Hib vaccines.
  • To identify factors associated with non-simultaneous vaccination.
  • To evaluate the implications for future vaccination programs.

Main Methods:

  • Retrospective cohort study of 751 children born in North Queensland in January 2003.
  • Analysis of vaccination records for MenCCV, MMR, and Hib vaccines.
  • Comparison of median ages for MenCCV receipt based on co-administration status.

Main Results:

  • 83% of children received MenCCV simultaneously with MMR and Hib vaccines.
  • Of those not vaccinated simultaneously, 72% received MenCCV by 18 months.
  • Median age for simultaneous vaccination was 12.3 months versus 14.0 months for non-simultaneous vaccination.

Conclusions:

  • Non-simultaneous vaccination increases the risk of delayed or missed MenCCV doses.
  • Timely administration of MenCCV is crucial for optimal public health outcomes.
  • Findings have implications for the introduction of the universal infant pneumococcal vaccination program.

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