The new vaccination schedule simplifies vaccination against human papillomaviruses and expands vaccination against pertussis and measles.
No major upheaval, but expected changes. The vaccination schedule, presented on April 22, takes into account the latest recommendations from the High Council for Public Health (HCSP). A novelty, however: recommendations specific to specific populations (immunocompromised, asplenic and close relatives) are included in the calendar.
Papillomavirus: vaccinate less
The most anticipated component was undoubtedly that of vaccines against human papillomaviruses (cancer of the cervix, genital warts, etc.). As expected, the vaccination schedule is changed to 2 doses for young girls aged 11 to 14 with Cervarix, and from 11 to 13 with Gardasil. It remains established at 3 doses from 14-15 years old, with a catch-up limited to 19 years old.
Whooping cough: vaccinate more
The vaccination schedule also plays the security card. It reinforces the “cocooning strategy” against whooping cough, which targets broad vaccination of adults in contact with infants under 6 months of age, health professionals and early childhood. Adults planning to conceive, the family during pregnancy, or anyone who may come into contact with an infant under 6 months of age – including babysitters, may be vaccinated. Unvaccinated people will then receive a dose, those already vaccinated will receive a booster dose.
Measles and tetanus: vaccinate earlier
Vaccination against measles can start before 9 months, indicates the vaccination schedule 2014. For children aged 6 to 11 months exposed to a case of measles, a dose of vaccine should be administered within 3 days of suspected exposure. It will be followed by 2 doses (12 months and 16-18 months).
The new schedule also updates the conditions for vaccination against hepatitis B and tetanus. In the first case, an accelerated immunization procedure is possible in patients traveling to endemic countries (3 doses in 20 days and booster at 12 months). In the case of tetanus, up to date patients will not have to be recalled. Those whose vaccination is not up to date should undergo immediate administration. If the wound is large or prone to contamination, human immunoglobulin will be administered to the other arm to prevent tetanus.
Simplified schedule of vaccinations 2014 (source: InVS, Ministry of Social Affairs and Health)
.