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Recommended Vaccines and Immunization Schedule in Bahrain

Immunization is a global health and development success story, saving millions of lives every year. Vaccines reduce risks of getting a disease by working with your body’s natural defences to build protection. When you get a vaccine, your immune system responds.

Immunization is a key component of primary health care and an indisputable human right. It’s also one of the best health investments money can buy. Vaccines are also critical to the prevention and control of infectious-disease outbreaks. They underpin global health security and will be a vital tool in the battle against antimicrobial resistance.

Here is the recommended immunization schedule for citizens and residents in the country.

CHILDREN

AGEVACCINEDOSE
At birthBCG for newborns born to parents originally from endemic countriesSingle Dose
 Hepatitis B for newbornsBirth Dose
2 monthsDaPT (Diphtheria, Pertussis, Tetanus), Hepatitis B, Haemophilus Influenza Type B (Hib) + Inactivated Polio ( as Hexavalent)1st Dose
 Pneumococcal Conjugate (PCV)1st Dose
 Rota vaccine (oral)1st Dose
4 monthsDaPT (Diphtheria, Pertussis, Tetanus), Hepatitis B, Haemophilus Influenza Type B (Hib) + Inactivated Polio ( as Hexavalent)2nd Dose
 Polio Vaccine (Oral Polio Vaccine)2nd Dose
 Pneumococcal Conjugate (PCV)2nd Dose
 Rota vaccine (oral)2nd Dose
6 monthsDPT, Hepatitis B, Hib (Pentavalent)3rd Dose
 OPV (Oral Polio Vaccine)3rd Dose
12 monthsMMR (Measles, Mumps, Rubella)1st Dose
 Varicella1st Dose
15 monthsPneumococcal Conjugate (PCV)Booster
 Hepatitis A1st Dose
18 monthsMMR (Measles, Mumps, Rubella)2nd Dose
 DPT, Hib (tetravalent) or Pentavalent according to availability1st Booster
 OPV (Oral Polio Vaccine)1st Booster
2 yearsMeningococcal Conjugate (ACYW)Single Dose
 Hepatitis A2nd Dose
3 yearsVaricella2nd Dose
4-5 yearsDTaP-IPV (Diphtheria, Tetanus, Pertussis, Inactivated Polio)2nd Booster
 OPV (Oral Polio Vaccine)2nd Booster
 MMR (Measles, Mumps, Rubella) if no document of 2 valid doses of MMR vaccination previously.2nd Dose (if not completed)

ADOLESCENTS

13 yearsTdap (Tetanus, Diphtheria, Pertussis)Booster

FOR PREVIOUSLY UNIMMUNISED WOMEN AT REPRODUCTIVE AGE GROUP

Tetanus diphtheria (Td)At first contactTd1
 At least 4 weeks after Td1Td2
 At least 6 months after Td2Td3
 1 year after Td3Td 1st booster
 1 year after Td 1st boosterTd 2nd booster

ADULT, ELDERLY AND HIGH-RISK GROUPS

Pneumococcal Conjugate (PCV)Single dose for adults ≥ 50 years and single dose for adolescent, adult & elderly from high risk groups.
Pneumococcal Polysaccharide (PPSV23)Single-dose for ≥ 65 years and for high-risk groups ≥ 2 -64 years. Revaccination dose after 5 years is recommended for certain high-risk groups (Sickle cell disease/other hemoglobinopathies, congenital or acquired asplenia, congenital or acquired immunodeficiencies, chronic renal failure, nephrotic syndrome, malignancy, leukemia, lymphoma, iatrogenic immunosuppression, solid organ transplant).
TdapSingle dose might be given to those at risk of infection.
Seasonal InfluenzaAnnually for each season from age of ≥ 6 months. It is recommended for children, adults ≥ 50 years and for high-risk groups.
Chickenpox (varicella)For high risk group without documented infection or vaccination. Two doses, 3 months apart from 1 -12 years of age and as 2 doses 4 weeks apart for ≥ 13 years of age.
Meningococcal conjugate ACWY1-2 doses for sickle cell disease, certain hemoglobinopathies, congenital or acquired asplenia, pre-splenectomy, terminal complement deficiency, post bone marrow transplant & certain cancer after completion of treatment. Also, it is given to traveler to Holly places, meningitis belt countries and countries reporting outbreaks.
Haemophilus Influenza Type B (Hib)Single dose for >5 years of age having any of the following conditions: sickle cell disease, anatomical and/or surgical asplenia, post bone marrow transplant and certain cancer after completion of treatment.

HAJIIs

Meningococcal conjugate (ACWY)Single dose
Seasonal InfluenzaAnnually for each season

OTHER VACCINES

Travelers (according to travel destination)Yellow FeverSingle dose
 TyphoidSingle-dose (repeated after 3 years if indicated)
 Hepatitis A2 doses (if not vaccinated previously)
 Meningococcal conjugate ACWYSingle-dose for traveler to certain countries
 OPV/IPVBooster dose for traveler to Polio endemic/ Polio reporting countries
Post exposure prophylaxisRabies4-5 doses plus RIG (single)
ContactsHepatitis B3 doses
 Hepatitis A2 doses
Immune-compromised & their household contactsInactivated Polio(killed polio)4-5 doses

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