Vaccines

Children
The immunisation schedule introduced several years ago. Many changes have been implemented and modified.

The most recent changes include the inclusion universal pneumococcal vaccination and chickenpox vaccination at 18 months. Hepatitis A is also provided for all indigenous children. From 1st July the schedule for Rotavirus has changed.

Golden Grove Health Centre provides a full immunisation service, a doctor appointment is necessary on each occasion. We have an Immunisation Clinic on Tuesdays 2.00 – 3.00pm with Dr Brownbill.

At Birth (less than 7 days)
Hepatitis B

2 Months
Diphtheria, Tetanus, Pertussis, Hib, Hepatitis B and Polio (Infanrix Hexa)
Pneumococcal (Prevenar)
Rotavirus (Rotarix)

4 Months
Diphtheria, Tetanus, Pertussis,Hib, Hepatitis B and Polio (Infanrix Hexa)
Pneumococcal (Prevenar)
Rotavirus (Rotarix)

6 Months
Diphtheria, Tetanus, Pertussis,Hib, Hepatitis B and Polio (Infanrix Hexa)
Pneumococcal (Prevenar)
Rotavirus (Rotarix)

12 Months
Measles, Mumps and Rubella (Priorix of MMR II)
HiB (Menitorix)
Meningococcal C
Indigenous Australians
+ Hepatitis A (VAQTA)
+ Pneumococcus

18 Months
Chickenpox (Varicella) Measles (Priorix-Tetra or ProQuad)
Diphtheria, Tetanus, Pertussis
Indigenous Australians
+ Hepatitis A (VAQTA)

4 Years (prior to school entry) - not to be given before 4 years of age
Diphtheria, Tetanus, Pertussis and Polio (Infanrix/IPV)

Year 8 students
Human Papilloma Virus (genital warts) (3 doses) (Gardasil) boys and girls
Chickenpox (Varicella) required if not previously vaccinated or had chicken pox
Diphtheria, Tetanus and Pertussis (Boostrix)

Adults
Over 15 Years ( Aboriginal and Torres Strait Islanders)
Influenza (repeated every year)

Ante natal
Adacel ( whooping cough)
From 28 weeks at ach pregnancy
All adults in contact with newborn babies

Post Partum ( for non immune women )
Measles, Mumps and Rubella

From 50 Years
Diphtheria and Tetanus
Pneumococcal

Over 65 Years
Pneumococcal (now single dose for most people)
Influenza (repeated every year)

Aged 70 - 79yrs
Zostavax

Indigenous Australians
Pneumococcal (Pneumovax 23) at ages 50 and 65 years

Zostavax
Herpes-zoster (Shingles)is a painful blistering rash caused by reactivation of the varicella zoster virus – the same virus that causes chickenpox. The shingles rash occurs when the dormant chickenpox virus is reactivated in the nerve tissue, causing inflammation of the nerves. This results in pain and a blistery rash. Sometimes pain in the affected region can be severe and prolonged and can result in “post herpetic neuralgia”. This is especially common for people over 70. Other less common complications may include scarring, skin infections, loss of vision or hearing, pneumonia, or neurological complications.

97% of people carry the virus that causes shingles. 1 in 3 people will develop shingles in their life time.
ZOSTAVAX is a live vaccination.​

It is administered as a single subcutaneous injection into the upper arm.

The vaccination can decrease the incidence of Post Herpetic neuralgia by 67% in adults over the age of 60yrs

Protection from vaccination tends to decline with older age at vaccination, and the time since vaccination. Currently a booster is not recommended.

As ZOSTAVAX contains a weakened live chickenpox virus, tell your doctor if you will be in close contact with newborn infants, someone who may be pregnant and has not had chickenpox or been vaccinated against chickenpox, or someone who has problems with their immune system.

Recommended for adults 50 yrs and older.

You should NOT have the vaccination if you have:
• previously had a reaction to any component of the vaccination including gelatine or neomycin
• a primary or an acquired immunodeficiency syndrome such as leukaemia, lymphoma or HIV
• been taking immunosuppressant’s such as high dose corticosteroids, methotrexate or are on chemotherapy.
• Active and untreated TB
• Pregnant (including 3 month post vaccination) or breast feeding
• a fever > 38.5deg C

Please advise your doctor if you have been diagnosed with shingles in the last 12 months.

Zostavax can be given at the same time as influenza and / or pneumococcal vaccine.

Adverse Reactions:
The vaccination is generally well tolerated. The most common side effects include redness, pain and tenderness, swelling and itch at the injection site.
Less than 6% of patients may also experience headaches, muscle aches, fever and a rash.
Serious side effects are uncommon

Influenza
The Influenza vaccination is recommended and free for:
• All people over 65 years of age
• All pregnant women
• Aboriginal and Torres Strait Islander people 15 years and over
• Residents, nursing homes and residential facilities.
• Children between 6 months and 10 years on long term aspirin therapy.

Adults and children over 6 months of age with a chronic illness:
• heart disease
• renal or metabolic disease (diabetes, blood disorders, kidney failure etc.)
• respiratory illness such as asthma, emphysema and other lung diseases
• immuno-suppressed people (malignancy, chemotherapy, HIV etc.)
• chronic neurological disorders including epilepsy and multiple sclerosis and
• other chronic illness which increase risk

• If you do not meet the above criteria and you wish to reduce your risk of contracting influenza you can purchase the vaccine for $15.00 from our Practice

Influenza vaccine should not be given if:
• allergic to eggs, feathers, or neomycin
• allergic to previous influenza vaccine
• has a history of Guillane- Barre Syndrome
• Has a fever over 38.5 C

Complications are rare:
up to 10% of people may feel a bit off colour and have local redness and soreness at the injection site
very rarely ( possibly 1 in a million vaccinations) vaccination may be associated with Guillane-Barre Syndrome – an inflammation of nerves which causes variable degrees of usually reversible paralysis.

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