Immunization : A Guide towards better health

The vaccine calendar 2003

The vaccine calendar is worked out by the technical Committee of vaccinations (CTV), permanent working group of the transmissible section of the diseases of the higher public Council of health of France (CSHPF), which gathers expert of various disciplines (infectiology, pediatry, microbiology, immunology, epidemiology, economy of health, pharmaco-epidemiology…), in accordance with the decree of September 25, 2002.

As of the 1 ^stmonth	Tuberculosea	Early vaccination BCG is reserved to the children living in a medium at the risks. Vaccination by the BCG is obligatory for the entry in community including the guard by a maternal assistant. The tuberculinic test must be practised 3 to 12 months later.
From 2 months	Diphteria, tetanus, whooping-cough, poliomyelitis, invasive infections with Haemophilus influenzae B 3 injections 1 month from interval	The injectable vaccine polio is used for firstly-vaccinations and the recalls, the vaccine polio oral examination only reserved for the epidemic situations. The vaccine whooping-cough with whole germs is recommended, but the vaccine acellulaire can be used.
From 2 months	Hepatitis B 2 injections in one month of interval, 3rd between 5 and 12 months after the 2nd injection	Vaccination against hepatitis B can be started as from 2 months (except for the children born of mother positive HBs antigen, at which her place must be made with the birth). For the parents who wish that their child be vaccinated against hepatitis B at the same time as the other vaccines, the hexavalent combined vaccines can be used (cf general recommendations)
From 12 months	Measles, mumps, rubella	Associated vaccination measles-mump-rubella is recommended for the boys and the girls. Vaccination against measles can be practised earlier, starting from the 9 months age for the children living in community, be followed of a revaccination 6 months later in partnership with the mumps and rubella. In the event of threat of epidemic in a community of children, one can vaccinate all the presumedly receptive subjects, as from 9 months. Immediate vaccination can be effective if it is made less than 3 days after the contact with a case.
From 12 months	Hepatitis B 3rd injection	This 3rd injection can be carried out between 5 and 12 months after the date of the 2nd injection.
16-18 month	Diphteria, tetanus, whooping-cough poliomyelitis, invasive infections with Haemophilus influenzaeB	The vaccine whooping-cough with whole germs or the vaccine acellulaire can be used indifferently.
16-18 month	1st recall	At the time of the 1st recall ' DTPHibCoq' one can, if necessary, to practise in a site of injection separated, associated vaccination measles-mump-rubella.
Between 3 and 6 years	Measles, mumps, rubella 2nd amount	The one second vaccination associating measles, mumps, rubella is recommended for all the children.
Before 6 years	Tuberculosis	Vaccination by the BCG is obligatory for the entry in community, therefore for the entry at the nursery school or in primary education.
6 years	Diphteria, tetanus, poliomyelitis 2nd recall Measles, mumps, rubella	With the occasion of the 2nd recall diphteria, tetanus, polio and/or the BCG, it is recommended to make vaccination associated measles-mump-rubella at the children yet not having been vaccinated or having received only one amount with ROR, possibly the same day.
11-13 years	Diphteria, tetanus, poliomyelitis 3rd recall Whooping-cough 2nd recall	A late recall against the whooping-cough is recommended in all the children, the injection having to be carried out at the same time as the 3rd recall diphteria, tetanus, polio with the coquelucheux vaccine acellulaire.
	Measles, mumps, rubella *correction*	An amount of vaccine triples associated measles, mumps, rubella is recommended for all the children while not having profited, whatever their antecedents with respect to the three diseases.
	Hepatitis B	If vaccination were not practised in childhood, a complete diagram in 3 injections: 2 first in at least a month of interval, 3rd 5 to 12 months after the date of the second injection.
	Tuberculinic test	The subjects with the negative tests tuberculinic, checked by IDR, will be vaccinated or revaccinés
16-18 years	Diphteria, tetanus, poliomyelitis 4th recall	Later recalls tetanus and polio every ten years.
16-18 years	Rubella	The rubella vaccination is recommended for the not vaccinated young women, for example during a consultation of contraception or premarital.
From 18 years	Tetanus, poliomyelitis	Every ten years.
From 18 years	Rubella	For the women not vaccinated in age to procreate. If antenatal serology is negative or unknown, vaccination will have to be practised immediately after the childbirth, before the exit of maternity.
From 65 years	Seize up	Every year.

The vaccine calendar 2003 introduced new recommendations which relate to vaccination against hepatitis A, the invasive infections with pneumococcus, invasive infections with méningocoque.