Contents Chapter Topic Page Neonatology Respiratory Cardiology

Immunisation
1. Immunisation schedule for Malaysia
Immunisation
Table 1: The current Immunisation Schedule
Age (months)
Age (Years)
0 1 2 3 5 6 12 18 6 12 15
BCG* 1 if no scar
Hep B 1 2 3
DPT 1 2 3 4 DT T
OPV* 1 2 3 4 5
Hib 1 2 3
Measles* Sabah
MMR* 1 2
1.1 Vaccine/s available in KKM but not listed in the above schedule
1.1.1 Pneumococcal vaccine : Pneumococcal polysaccharide vaccine -
Protective efficacy ranges from 56 - 81%. Not recommended for children <
2 years old as vaccine is not effective in this group (conjugate vaccine is
immunogenic in these infants but currently not widely available). Single
dose. Booster 3 - 5 years only for high risk persons.
Category A (specialist prescription)
1.1.2 Meningococcal A , C, Y & W-135 (Does not cover B).
Polysaccharide vaccine : Immunogenic in children 2 years or older.
Single dose. Immunity up to 3 years.
Category C (medical officers)
1.1.3 Cholera : Killed whole cell vaccine : 2 doses 4 weeks apart (minimum 1
week). Booster every 6 months. Not highly effective & short duration of
protection < 6 months.
First dose given SC/IM; second dose and boosters given ID to reduce
systemic side effects. Protects only 50% of vaccines (for 3 – 6 months).
Vaccine is not recommended for infants < 6 months of age.
Category B (MO)
1.1.4 Japanese B encephalitis vaccine. 3 doses. Dose 1 and 2 at 2 – 4 weeks
interval then Dose 3 at 1 year after that. This vaccine is given in Sarawak
as part of the MOH vaccination program at 9, 10 and 18 months of age. A
booster is then given at 4 year of age.
1.1.5 Rabies: IM/SC (available in KKM as HDC~ human diploid cell vaccine)
Pre-exposure immunisation: 3 doses at Day 0, 7 and 28. Then
boosters every 2-3 years.
Post-exposure treatment:
o Fully immunised: 2 doses at Day 0 and Day 3 or 7. Rabies
specific Ig unnecessary.
o Unimmunised: 6 doses at Day 0, 3, 7, 14 and 30. Rabies
specific Ig (20 IU/kg given half around the wound and the rest
IM).
Category B