A few days ago, the National Health and Medical Commission released the "2021 version of the Children's Immunization Program Vaccine Procedures and Instructions".
According to the latest version of the program, we have compiled the latest version of the children's vaccination guide. The guide includes free, self-funded vaccination procedures and precautions, don't miss it.
First of all, let's take a look at the four major changes in the new version of the vaccination program:
Increase and clarify the vaccination principles for special children , allergies, children with abnormal immune function, etc., and it is clearly stated that The following conditions are not contraindications to vaccination:
Physiological and breast milk jaundice;
History of simple febrile seizures; Inherited metabolic diseases (congenital hypothyroidism, phenylketonuria, trisomy 21, etc.);
Congenital infections (syphilis, cytomegalovirus and Rubella virus) etc.
Children in the above situations should be vaccinated normally as long as their health is stable.
polio vaccination changes
The polio vaccination program continues the plan adjusted by the National Health Commission at the end of 2019, namely "2+2 (2 doses of IPV + 2 doses of oral bOPV)".
At the same time, the latest version clearly states that if children have completed 4 doses of IPV-containing vaccines according to the immunization program (eg: penta vaccine), The 4-year-old can no longer be vaccinated with bOPV.
Special populationHepatitis B vaccine
Vaccination types and timing of vaccination
For newborns born to mothers who are hepatitis B surface antigen (HBsAg) positive, it is clearly recommended to use 10 micrograms of yeast hepatitis B vaccine or 20 micrograms of CHO (Chinese hamster ovary cell) process Hepatitis B vaccine has not been strictly distinguished before.
If the mother is HBsAg positive or unknown, the first dose of hepatitis B vaccine for newborns has been changed from within 24 hours of birth to within 12 hours of birth.
The BCG vaccination for premature children
is regulated.
In the previous version, there was no special instruction on the BCG vaccination for premature children. The
021 version clearly stipulates that BCG vaccination can be administered when the gestational age is >31 weeks and the clinical condition is stable; even for premature infants with a gestational age of ≤31 weeks, after clinical evaluation, if the health status is stable, it can be administered before discharge. inoculation.
In addition, the age for re-vaccination for children has been raised from 14 to 18 years old, that is, all minors who have not completed the relevant immunization program vaccinations can be re-vaccinated according to the actual situation.
Next, let’s take a look at the latest version of the recommended vaccination program in 2021~
Free vaccine
Free vaccine is provided by the government to citizens for free, and there are no special circumstances must be vaccinated against .It is recommended to arrange vaccination with as soon as possible when the baby reaches the corresponding age. If such vaccines are not vaccinated, it may affect the baby's admission to nursery, kindergarten, school and even going abroad.
A few days ago, the National Health and Medical Commission released the "2021 version of the Children's Immunization Program Vaccine Procedures and Instructions".
According to the latest version of the program, we have compiled the latest version of the children's vaccination guide. The guide includes free, self-funded vaccination procedures and precautions, don't miss it.
First of all, let's take a look at the four major changes in the new version of the vaccination program:
Increase and clarify the vaccination principles for special children , allergies, children with abnormal immune function, etc., and it is clearly stated that The following conditions are not contraindications to vaccination:
Physiological and breast milk jaundice;
History of simple febrile seizures; Inherited metabolic diseases (congenital hypothyroidism, phenylketonuria, trisomy 21, etc.);
Congenital infections (syphilis, cytomegalovirus and Rubella virus) etc.
Children in the above situations should be vaccinated normally as long as their health is stable.
polio vaccination changes
The polio vaccination program continues the plan adjusted by the National Health Commission at the end of 2019, namely "2+2 (2 doses of IPV + 2 doses of oral bOPV)".
At the same time, the latest version clearly states that if children have completed 4 doses of IPV-containing vaccines (such as penta vaccine) according to the immunization program,, bOPV can no longer be vaccinated at age 4.
Special populationHepatitis B vaccine
Vaccination types and timing of vaccination
For newborns born to mothers who are hepatitis B surface antigen (HBsAg) positive, it is clearly recommended to use 10 micrograms of yeast hepatitis B vaccine or 20 micrograms of CHO (Chinese hamster ovary cell) process Hepatitis B vaccine has not been strictly distinguished before.
If the mother is HBsAg positive or unknown, the first dose of hepatitis B vaccine for newborns has been changed from within 24 hours of birth to within 12 hours of birth.
The BCG vaccination for premature children
is regulated.
In the previous version, there was no special instruction on the BCG vaccination for premature children. The
021 version clearly stipulates that BCG vaccination can be administered when the gestational age is >31 weeks and the clinical condition is stable; even for premature infants with a gestational age of ≤31 weeks, after clinical evaluation, if the health status is stable, it can be administered before discharge. inoculation.
In addition, the age for re-vaccination for children has been raised from 14 to 18 years old, that is, all minors who have not completed the relevant immunization program vaccinations can be re-vaccinated according to the actual situation.
Next, let’s take a look at the latest version of the recommended vaccination program in 2021~
Free vaccine
Free vaccine is provided by the government to citizens for free, and there are no special circumstances must be vaccinated against . It is recommended to arrange vaccination with as soon as possible when the baby reaches the corresponding age. If such vaccines are not vaccinated,It may affect the baby's admission to nursery, kindergarten, school or even going abroad.
接种时间
出生时
卡介苗（BCG)
乙肝疫苗（HepB)
Tips：第1 剂，共3 剂
月龄乙肝疫苗（HepB)Tips：第2 剂，共3 剂
月龄
脊灰疫苗（IPV）
Tips：第1 剂，共4 剂注射灭活脊灰疫苗可用自费五联疫苗替代
月龄
脊灰疫苗（IPV）
Tips：第2 剂，共4 剂注射 Inactivated polio vaccine can be replaced by self-funded pentad vaccine
Diphtheria-pertussis vaccine (DTaP)
Tips: The first dose, a total of 4 doses can be replaced by self-paid quadruple/pentad vaccine
months old
polio vaccine (OPV)
Tips: 3rd dose, 4 doses in total 2 doses,共4 剂可用自费四联/ 五联疫苗替代
月龄
百白破疫苗（DTaP）
Tips：第3 剂，共4 剂可用自费四联/ 五联疫苗替代
月龄
乙肝疫苗（HepB)
Tips：第3 剂，共3 剂
A 群流脑多糖疫苗（MPSV-A）
Tips：第1 剂，共2 剂推荐用自费AC 结合流脑疫苗替代
月龄
麻腮风疫苗（MMR )
Tips: 1st dose, 2 doses in total ml0 月龄
A 群流脑多糖疫苗（MPSV-A）
Tips：第2 剂，共2 剂推荐用自费AC 结合流脑疫苗替代
8 月龄
百白破疫苗（DTaP）
Tips：第4 剂, a total of 4 doses can be replaced by self-funded quadruple/pentad vaccine共2 剂
减活甲肝疫苗（HepA-L）
Tips：可用自费灭活甲肝疫苗替代京津沪苏地区不提供减活甲肝疫苗
周岁
减活乙脑疫苗（JE-L)
Tips： The 2nd dose, a total of 2 doses can be replaced by the inactivated Japanese encephalitis vaccine at your own expense
AC 流脑多糖疫苗（MPSV-AC）
Tips：第1 剂，共2 剂推荐用自费ACYW135 多糖流脑疫苗替代
周岁
脊灰疫苗（OPV）
Tips：第4 剂，共4 剂口服Live attenuated polio vaccine if vaccinated 4 剂自费灭活脊灰疫苗或五联疫苗，则此剂不需接种
周岁
白破疫苗（DT）
Tips：接种过百白破疫苗的宝宝，仍需接种白破疫苗
AC 流Brain polysaccharide vaccine (MPSV-AC)
Tips: 2nd dose,A total of 2 doses Recommended Replace
Self-paid Vaccination Program
Self-paid Vaccine is a voluntary choice and self-paid vaccine by children's parentsIt is a more powerful supplement to the free vaccine provided by . Extensive protection . As long as possible, parents should vaccinate their children as much as possible, especially the following vaccines:
Pneumococcal vaccine
3-valent pneumococcal conjugate vaccine (PCV 13) recommended vaccination plan 1 (4 doses in total) imported/domestic PCV 13 :
weeks to 6 months of age, 3 doses, at least 1 month interval between two doses; 12 to 15 months of age, a booster dose. Vaccination regimen 2 (3 doses in total) Domestic PCV 13:
-11 months old, 2 doses, at least 2 months between each dose; 1 booster dose after 12 months of age, at least 2 months between the second dose . Vaccination regimen 3 (2 doses in total) Domestic PCV 13: 2-23 months of age, 2 doses, with an interval of at least 2 months. Vaccination regimen 4 (1 dose in total) Domestic PCV 13: 4 months to 5 years old, 1 dose.
3-valent pneumococcal polysaccharide vaccination programhtmlOne dose after the age of 12; if there is a higher risk of infection, a booster dose can be given after five years. No more vaccinations after that. Applicable object years old and above high-risk and susceptible population of pneumococcus,People over 50 years old.
Pentatvalent vaccine
Vaccination regimen 1 (4 doses in total) months, 3 months, 4 months and 18 months, 1 dose each. Vaccination regimen 2 (total of 4 doses) months, 4 months, 5 months and 18 months, 1 dose each.
Tips: The penta vaccine contains three vaccine components: DTP, inactivated polio, and Haemophilus influenzae (Hib) .
Quadruple vaccine
Vaccination regimen (4 doses in total) months, 4 months, 5 months and 18 months, 1 dose each.
Tips: The quadruple vaccine contains two vaccine components: DTP and Haemophilus influenzae (Hib) .
Haemophilus influenzae (Hib) vaccine
Inoculation plan 1 (4 doses in total) ~ 6 months of age to start the vaccination, a total of 3 doses of the basic needle, and a booster dose of 18 months of age. Vaccination regimen 2 (3 doses in total)
to 11 months of age to start the vaccination, a total of 2 doses of the basic needle, and a booster dose of 18 months of age. Vaccination regimen 3 (1 dose in total) 1 dose from 112 to 71 months of age.
Tips: Can be replaced by penta vaccine / quadruple vaccine.
Influenza vaccine
Vaccination regimenhtmlChildren and adults over 16 months of age, should be vaccinated annually.
Tips: For specific vaccination procedures, please refer to the instructions of different brands of vaccines.
Mencephalitis vaccine
AC Meningococcal combined vaccination program or 2 doses starting at 6 months of age (different brands)
dose : In some areas, the 6-year-old meningitis vaccine will be given after school.
Inactivated Japanese Encephalitis Vaccine (JE-I)
Vaccination regimen (4 doses in total)htmlAt 18 months of age, start 2 doses, with an interval of 7 to 10 days, and 2 doses and 1 dose each at 6 years old.
Inactivated Hepatitis A Vaccine (HepA-I)
Vaccination regimen (2 doses in total) doses from age 11, with an interval of ≥6 months.
Tips: Some areas (such as Beijing, Tianjin, Shanghai and Suzhou) have been included in free vaccines.
EV71 (hand, foot, and mouth disease) vaccine
Vaccination schedule
months to 5 years of age, 2 doses, at least 1 month apart.
Chickenpox vaccine
Vaccination regimen (2 doses)htmlAfter age 11, 1st dose,A second dose is recommended after age 4.
Tips: Some provinces and cities have included vaccines in immunization planning; 2 doses are recommended.
Mumps vaccine
Vaccination regimen (2 doses in total) dose after 18 months of age
Rotavirus vaccine (choose one of two vaccinations)
Monovalent rotavirus vaccine (domestic) vaccination program months to 3 years of age vaccination, 1 dose per year.
Pentavalent Rotavirus Vaccine (Imported) Vaccination Program (3 doses in total)The first dose is administered at 6-12 weeks of age, and every two doses after that should be administered at an interval of 4-10 weeks, and the third dose must be completed before 32 weeks of age .
Tips: Pentavalent rotavirus vaccine, if one dose is overdue, this dose and the remaining doses cannot be vaccinated.
This article was reviewed by Wang Xi, director of the Beijing Biological Products Research Association, well-known health blogger, stewed vaccine, and physician in charge of public health at the CDC
As long as possible, parents should vaccinate their children as much as possible, especially the following vaccines:
Pneumococcal vaccine
3-valent pneumococcal conjugate vaccine (PCV 13) recommended vaccination plan 1 (4 doses in total) imported/domestic PCV 13 :
weeks to 6 months of age, 3 doses, at least 1 month interval between two doses; 12 to 15 months of age, a booster dose. Vaccination regimen 2 (3 doses in total) Domestic PCV 13:
-11 months old, 2 doses, at least 2 months between each dose; 1 booster dose after 12 months of age, at least 2 months between the second dose . Vaccination regimen 3 (2 doses in total) Domestic PCV 13: 2-23 months of age, 2 doses, with an interval of at least 2 months. Vaccination regimen 4 (1 dose in total) Domestic PCV 13: 4 months to 5 years old, 1 dose.
3-valent pneumococcal polysaccharide vaccination programhtmlOne dose after the age of 12; if there is a higher risk of infection, a booster dose can be given after five years. No more vaccinations after that. Applicable object years old and above people with high risk of pneumococcus and susceptible people, people above 50 years old.
Pentatvalent vaccine
Vaccination regimen 1 (4 doses in total) months, 3 months, 4 months and 18 months, 1 dose each. Vaccination regimen 2 (total of 4 doses) months, 4 months, 5 months and 18 months, 1 dose each.
Tips: The penta vaccine contains three vaccine components: DTP, inactivated polio, and Haemophilus influenzae (Hib) .
Quadruple vaccine
Vaccination regimen (4 doses in total) months, 4 months, 5 months and 18 months, 1 dose each.
Tips: The quadruple vaccine contains two vaccine components: DTP and Haemophilus influenzae (Hib) .
Haemophilus influenzae (Hib) vaccine
Inoculation plan 1 (4 doses in total) ~ 6 months of age to start the vaccination, a total of 3 doses of the basic needle, and a booster dose of 18 months of age. Vaccination regimen 2 (3 doses in total)
to 11 months of age to start the vaccination, a total of 2 doses of the basic needle, and a booster dose of 18 months of age. Vaccination regimen 3 (1 dose in total) 1 dose from 112 to 71 months of age.
Tips: Can be replaced by penta vaccine / quadruple vaccine.
Influenza vaccine
Vaccination schedulehtmlChildren and adults over the age of 16 months, should be vaccinated annually.
Tips: For specific vaccination procedures, please refer to the instructions of different brands of vaccines.
Mencephalitis vaccine
AC Meningococcal combined vaccination program or 2 doses starting at 6 months of age (different brands)
dose : In some areas, the 6-year-old meningitis vaccine will be given after school.
Inactivated Japanese Encephalitis Vaccine (JE-I)
Vaccination regimen (4 doses in total)htmlAt 18 months of age, start 2 doses, with an interval of 7 to 10 days, and 2 doses and 1 dose each at 6 years old.
Inactivated Hepatitis A Vaccine (HepA-I)
Vaccination regimen (2 doses in total) doses from age 11, with an interval of ≥6 months.
Tips: Some areas (such as Beijing, Tianjin, Shanghai and Suzhou) have been included in free vaccines.
EV71 (hand, foot, and mouth disease) vaccine
Vaccination schedule
months to 5 years of age, 2 doses, at least 1 month apart.
Chickenpox vaccine
Vaccination regimen (2 doses in total)htmlThe first dose is given after the age of 11, and the second dose is recommended after the age of 4.
Tips: Some provinces and cities have included vaccines in immunization planning; 2 doses are recommended.
Mumps vaccine
Vaccination regimen (2 doses in total) dose after 18 months of age
Rotavirus vaccine (choose one of two vaccinations)
Monovalent rotavirus vaccine (domestic) vaccination program months to 3 years of age vaccination, 1 dose per year.
Pentavalent Rotavirus Vaccine (Imported) Vaccination Program (3 doses in total)The first dose is administered at 6-12 weeks of age, and every two doses after that should be administered at an interval of 4-10 weeks, and the third dose must be completed before 32 weeks of age .
Tips: Pentavalent rotavirus vaccine, if one dose is overdue, this dose and the remaining doses cannot be vaccinated.
This article was reviewed by Wang Xi, director of the Beijing Biological Products Research Association, well-known health blogger, stewed vaccine, and physician in charge of public health at the CDC
