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Here - Health Promotion Agency

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Illness and accidents<br />

HIB BOOSTER CATCH-<br />

UP CAMPAIGN<br />

Between 10 September<br />

2007 and 3 March 2009<br />

there will be a<br />

Haemophilus influenzae<br />

type B (Hib) booster catchup<br />

campaign for children<br />

born between 13 March<br />

2003 and 3 September<br />

2005. These children are<br />

likely to have missed out on<br />

the Hib booster because they<br />

were too young for the<br />

previous Hib booster<br />

campaign and too old to<br />

receive the Hib/MenC<br />

booster now scheduled at 12<br />

months of age.<br />

Most children will be given<br />

the booster when they are<br />

invited for their pre-school<br />

immunisation, but if they<br />

have already had this then<br />

they will be given a new<br />

appointment where they will<br />

receive a Hib-containing<br />

booster vaccine (Hib/MenC).<br />

Further details are contained<br />

in the leaflet Hib: Does your<br />

child need a Hib booster<br />

immunisation? Available<br />

from your GP surgery or<br />

from the DHSSPS website<br />

www.dhsspsni.gov/phealth<br />

106<br />

and some develop a measles-like<br />

rash and go off their food. (For<br />

advice on treating a fever, see page<br />

103.)<br />

● About one in every 1,000 immunised<br />

children may have a fit caused by a<br />

fever. This is called a ‘febrile<br />

convulsion’ (see page 104). However,<br />

if a child who has not been<br />

immunised gets measles, they are five<br />

times more likely to have a fit.<br />

● Rarely, children may get mumpslike<br />

symptoms (fever and swollen<br />

glands) about three weeks after<br />

their immunisation as the mumps<br />

part of the vaccine starts to work.<br />

● Very rarely, children may get a rash of<br />

small bruise-like spots in the six weeks<br />

after the vaccination. This is usually<br />

caused by the measles or rubella parts<br />

of the vaccine. If you see spots like<br />

these, take your child to the doctor to<br />

be checked. He or she will tell you<br />

how to deal with the problem and<br />

protect your child in the future.<br />

● Fewer than one child in a million<br />

develops encephalitis (swelling of<br />

the brain) after the MMR vaccine,<br />

and there is very little evidence that<br />

it is caused by the vaccine.<br />

However, if a child catches measles,<br />

the chance of developing<br />

encephalitis is between one in 200<br />

and one in 5,000.<br />

Side effects after the second dose are<br />

even less common and usually milder.<br />

PRE-SCHOOL BOOSTERS<br />

Between three years four months and<br />

five years of age (before children start<br />

school), your child needs a booster<br />

dose of the diphtheria, tetanus,<br />

pertussis and polio vaccine. The polio<br />

part is now given in the same<br />

injection rather than by mouth.<br />

Before they start school, they should<br />

also have a booster vaccine of MMR.<br />

If your child has not had their first<br />

dose, they now need two doses three<br />

months apart.<br />

OTHER<br />

IMMUNISATIONS<br />

BCG VACCINE<br />

Protecting against tuberculosis (TB)<br />

The BCG vaccine is not part of the<br />

routine childhood immunisation<br />

programme. The BCG vaccine<br />

is offered to those babies who are more<br />

likely than most to come into contact<br />

with someone with TB. If the<br />

vaccination is offered, it is usually while<br />

you and your baby are still in hospital,<br />

but it can be given later.<br />

What is TB?<br />

TB is an infection that usually affects<br />

the lungs. It can also affect other parts<br />

of the body, such as the lymph glands,<br />

bones, joints and kidneys. It can also<br />

cause a serious form of meningitis.<br />

Most cases can be cured with treatment.<br />

After immunisation<br />

A blister or sore may appear where<br />

the injection is given. If it does<br />

appear, it will heal gradually, and it is<br />

best if you do not cover it up. The<br />

sore may leave a small scar. If you<br />

are worried or think the sore has<br />

become infected, see your doctor.<br />

Although TB is no longer common<br />

in the UK, worldwide it kills around<br />

two million people a year.<br />

HEPATITIS B VACCINE<br />

Protecting babies against hepatitis B<br />

The hepatitis B vaccine is not part of<br />

the routine childhood immunisation<br />

programme. The vaccine is currently<br />

given to babies whose mothers are<br />

hepatitis B positive to prevent the<br />

babies developing the disease.<br />

What is hepatitis?<br />

Hepatitis is an infection of the liver<br />

caused by hepatitis viruses. Hepatitis<br />

B vaccine only protects against the B<br />

type of the virus which is passed<br />

through infected blood from mothers<br />

to their babies, who could then

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