The acceptance of three simultaneous vaccine injections recommended at 12 months of age
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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.
Abstract:
Since January 2003, vaccination with Meningococcal C conjugate vaccine (MenCCV) is recommended at 12 months of age, at the same time as the measles-mumps-rubella (MMR) and Haemophilus influenzae type b (Hib) vaccines. Most (83%) of a cohort of 751 children in north Queensland born in January 2003 received the three injectable vaccines simultaneously. Of the 122 children who had not received MenCCV with the other two vaccines, 88 (72%) had received it by 18 months of age. The median age of receipt of MenCCV in the children who had received the three vaccines simultaneously was 12.3 months, whereas the median age in the children who had not received it at the same time as the other two vaccines was 14.0 months. This study suggests that non-simultaneous vaccination puts children at-risk of receiving MenCCV late, or not at all, and has implications for the introduction of universal infant pneumococcal vaccination program, starting in January 2005.
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