The Australian Immunisation Handbook 10th Edition 2013

• The section on vaccination of persons with bleeding disorders has been
updated to include new recommendations for when IM injections should be
deferred and advice regarding vaccination of persons with haemophilia.
• The table of recommended vaccinations for persons at risk of occupationally
acquired vaccine-preventable diseases (Table 3.3.7) has been updated to
include new occupational groups and recommendations.
• The section on vaccination of migrants to Australia has been expanded.
• A new section has been added to provide recommendations for vaccination
for sex industry workers.
Part 4 Vaccine-preventable diseases
4.1 Cholera
• If the interval between primary immunisation and booster dose is more
than 6 months in children aged 2–6 years, or more than 2 years in adults and
children aged >6 years, primary immunisation must be repeated.
4.2 Diphtheria, 4.19 Tetanus and 4.12 Pertussis
• The 1st dose of DTPa-containing vaccines due at 2 months of age can be
given as early as 6 weeks of age.
• Advice is provided that an additional dose of pertussis-containing vaccine
can be given in the 2nd year of life (e.g. at 18 months of age) if parents wish
to minimise the likelihood of their child developing pertussis.
• The booster dose of DTPa-containing vaccine recommended at 4 years of age
can be given as early as 3.5 years.
• DTPa-containing vaccines can be used for primary or booster doses in
children aged