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Immunisation
DESCRIPTION:
Immunisation/vaccination protects adults and children from dangerous but preventable diseases. The World Health Organization says immunisation saves three million lives a year.

WHAT IS IMMUNISATION?

Extended Programme on  Immunisation, Provincial Government of the Western Cape The Department of Health strongly advises mothers to protect their children from infectious diseases by getting them vaccinated from birth to when they are five years old. Vaccination is free of charge at all health facilities. The Department also runs immunisation campaigns and health workers are sent to primary schools to immunise the children.

Immunisations are safe. Although side effects following immunisations do occur, they are usually mild and clear up quickly. Contact your clinic for advice if you are concerned.

WHAT DISEASES DO CHILDREN GET VACCINATED AGAINST?

Polio is caused by germs (polioviruses), which attack nerves, causing weakness or paralysis of the leg and/or arm and if severe, may involve respiratory or breathing muscles.

Measles causes high fever and a rash and can lead to diarrhoea and dehydration, deafness, eye complications, pneumonia, brain damage and even death.

Haemophilus Influenza Type B (Hib) is a serious illness that affects mainly children under the age of 5 years, and death from Hib disease is common in children under the age of one. Some die of the child mage or paralysis.

Hepatitis B is an infection of the liver, which can cause liver damage, liver cancer and death.

Pertussis (whooping cough) starts with a headache, fever and cough. The strenuous coughing bouts make it hard for a child to eat, drink or even breathe.

Tetanus (lock jaw) occurs when a toxin produced by a tetanus germ from the soil enters a cut or wound. The germ can cause muscle spasms, breathing and heart problems, and death. The chances of dying from this condition are very high.

Diphtheria is a dangerous bacterial disease, which makes it difficult to breathe. Children who survive Hib disease suffer permanent damage such as blindness, deafness and brain damage.

Tuberculosis (TB) Meningitis is a serious disease that can affect people of all ages. Those that get TB suffer from coughing for a long period of time, chest pain, sweating at night, weight loss and even death if left untreated. In young children the TB germ may infect the brain and cause meningitis, or it could also enter the blood and spread to other parts of the body. TB can kill young people. The best protection for young children for diseases caused by the TB germ is the BCG vaccine.

Usually babies who were not given the BCG vaccine at birth will be immunised when they are taken to the clinic for the next immunisation visit, at six weeks of age. Any baby under one year who did not get the BCG vaccine at birth must be taken to the nearest clinic, where the vaccine will be given. Babies infected with HIV, who are sick and showing sign of Aids must NOT get the BCG vaccine.

WHEN MUST CHILDREN BE VACCINATED?

The immunisation schedule below shows the ages for each immunisation. It is important to complete the full course of immunisations as described in the table.

AgeVaccineHow?
At birthBCG (vaccine against TB)
Polio vaccine
Vaccination upper right arm
Drops by mouth
6 weeks oldPolio vaccine
DTP* vacc + Hib# vacc
Hepatitis B vaccine
Drops by mouth
Injection in left thigh
Injection in right thigh
10 weeks oldPolio vaccine
DTP* vacc + Hib# vacc
Hepatitis B vaccine
Drops by mouth
Injection in left thigh
Injection in right thigh
14 weeks oldPolio vaccine
DTP* vacc + Hib# vacc
Hepatitis B vaccine
Drops by mouth
Injection in left thigh
Injection in right thigh
9 months oldMeasles vaccineInjection in right thigh
18 months oldPolio vaccine
DTP* vaccine
Measles vaccine
Drops by mouth
Injection in left arm
Injection in right arm
5 years oldPolio vaccine
DT** vaccine
Drops by mouth
Injection in left arm

DTP* = vaccine against diphteria, pertussis (whooping cough) and tetanus

DT** = vaccine against diphteria and tetanus (lock jaw) only

Hib# = vaccine against Haemophilus influenza type b
INSTRUCTIONS:
Immunisation is available at all primary health care clinics and centres as well as secondary and tertiary level health care facilities.

Always take your child's Road to Health Chart /Card to the clinic with every visit to ensure that all the immunisations are up to date.
PROVIDED AT:
These facility categories:
PROVIDED BY:
GOVERNMENT BODY:
Department of Health (Provincial Government of the Western Cape)
PRICE:
All the vaccines in the routine schedule are free of charge at all primary health care facilities and centres.
The content on this page was last updated on 22 January 2007
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