The National Institute for Public Health Surveillance is winding to publish the new 2009 vaccination schedule and vaccine recommendations, according to the opinion of the High Council for Public Health.
As explained by Prof. Daniel Floret, Chairman of the Technical Committee on Vaccinations, this 2009 vaccination calendar brings some innovations.
“The endemic hepatitis A in France is maintained by the importation of viruses from high incidence countries. The new recommendations aim to limit this fact by vaccination, from the age of one year, of children from countries with high endemicity and likely to return there. The recommendation to vaccinate around cases in families and in communities living in precarious conditions of hygiene also tends to limit the spread of the virus. ”
Vaccination schedule : 1 injection
Reminder: 6 to 12 months later. This second dose can be administered for up to 36 months or 5 years, depending on the specialty, after the first injection.
There is now a clear desire to relaunch hepatitis B vaccination and improve worrying vaccination coverage. “After reimbursement of the hexavalent vaccine, two new measures should contribute: the extension (up to 15 years) of the catch-up age and the possibility of using in this context a simplified two-dose vaccination schedule.” In addition, the High Authority for Health The HCSP / CTV recommends that vaccination against hepatitis B continues to apply as a priority to all infants. And any child or adolescent under the age of 16, not previously vaccinated, should be offered vaccination against hepatitis B during a medical or preventive consultation.
Vaccine schedules
In the general population: a preferential regimen in three injections, which respects an interval of at least one month between the first and the
second injection, and an interval of between five and twelve months between the second and third injection, is recommended (eg schedule 0, 1, 6 months).
For adolescents aged 11 to 15 years, not previously vaccinated, the vaccination is carried out by following:
either the classic three-dose regimen or a two-dose regimen, with one of the two vaccines having Marketing Authorization for this indication, respecting an interval of six months between the two doses, and in the absence of a high risk of infection with hepatitis B virus within six months of the two injections.
For newborns of mothers carrying the HBs antigen, vaccination must be carried out at birth, according to a
three-injection regimen (one dose at 0, 1 and 6 months). A 4-dose regimen (one dose at 0, 1, 2 and 6 months) is recommended for premature infants under 32 weeks or weighing less than 2 kg30.
