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The Australian Immunisation Handbook 10th Edition 2013

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greater risk and/or severity of IPD. 1,2,10,11 Indigenous populations in developed<br />

countries, including Aboriginal and Torres Strait Islander people in Australia,<br />

have a disproportionately high burden of IPD. 1,12,13<br />

4.13.3 Epidemiology<br />

<strong>The</strong> highest incidence of IPD is seen at the extremes of age, in young children<br />

and the elderly. 5,7 In Australia, vaccination with 7-valent pneumococcal<br />

conjugate vaccine (7vPCV) was first funded under the NIP from mid-2001, to<br />

5 years of age for Indigenous children living in Central Australia and children<br />

with specified predisposing medical conditions, and to 2 years of age for non-<br />

Indigenous children living in Central Australia and Indigenous children in the<br />

rest of the country. One dose of the 23-valent pneumococcal polysaccharide<br />

vaccine (23vPPV) at 18–24 months of age, as a booster following a primary<br />

7vPCV schedule, was also funded for Indigenous children without predisposing<br />

medical conditions living in jurisdictions with the highest incidence of IPD (the<br />

Northern Territory, Queensland, South Australia and Western Australia). From<br />

January 2005, NIP-funded 7vPCV was extended to all infants nationally, together<br />

with catch-up vaccination for all children aged

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