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Childhood Vaccination Schedule


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Summary chart

Abbreviations
The Bulgarian Childhood Vaccination Schedule
DTP1 IPV DTaP-IPV HepB MMR BCG dT
At birth     Yes Yes
1 month     Yes
2 months Yes Yes    
3 months Yes Yes    
4 months Yes Yes    
6 months     Yes
7 months   Yes2
13 months   Yes
16 months Yes  
2 years Yes  
6 years   Yes      
7 years         Yes3
11 years   Yes3
12 years Yes Yes Yes
17 years   Yes3 Yes4
The Bulgarian Childhood Vaccination Schedule as on 16 March 2009

1 DTaP or DTwP.
2 Only for children without scar after first shot and Mantoux negative (using Purified Protein Derivative).
3 Only for those Mantoux negative (using Purified Protein Derivative).
4 dT vaccination recommended at 25 years of age and every 10 years thereafter.

Historic changes
Measles:
1969 Measles vaccine introduced in Bulgaria
1969-1971 Catch-up campaigns, targeting all children 1 to 8 years of age without measles history
1972 Measles immunization became universal in Bulgaria
1972-1982 Routine immunization with one dose measles vaccine at 10 or more months of age
1976 & 1981 Follow-up measles immunization campaigns for 2-14 years and 2-6 years old children regardless of their vaccination status
1983 Universal Measles immunization with two doses measles vaccine
1983-1985 Routine immunization with two doses measles vaccine
1st dose at 12 months of age
2nd dose at 4 age of age
1986-1992 Routine immunization with two doses measles vaccine
1st dose at 12 months of age
2nd dose at 24 months of age
1992 Follow-up measles immunization campaign for 12-14 years old children regardless of their vaccination status
1993 Introduction of combined measles-mumps-rubella (MMR) vaccine into national vaccination schedule for the first dose at 13 months of age
1993-2000 Routine immunization with two doses
1st dose (MMR) at 13 months of age
2nd dose (monovalent measles vaccine) at 12 years of age
2000-2001 Introduction of MMR vaccine into national vaccination schedule for the second dose at 12 years of age.
Since 2001 Routine two dose immunization with MMR vaccine
1st dose MMR at 13 months of age
2nd dose MMR at 12 years of age

Rubella:
1988 Monovalent Rubella vaccine introduced in Bulgaria . Selective vaccination program offered for girls 16-18 years of age in a few districts
1989-1991 Routine vaccination of 15-13 yrs old girls with one dose monovalent Rubella vaccine
1992-2000 Routine vaccination of 12 year old girls with monovalent Rubella vaccine
1993 Combined measles-mumps-rubella (MMR) vaccine introduced in Bulgaria for the first dose at 13 months of age to girls and boys
1993-2000 Routine immunization with two doses
1st dose (MMR) at 13 months of age
2nd dose (monovalent rubella vaccine) for girls at 12 years of age
Since 2001 Routine two dose immunization with MMR vaccine
1st dose MMR at 13 months of age
2nd dose MMR at 12 years of age

Mumps:
1972 Monovalent Mumps vaccine introduced in Bulgaria
1972-1975 Gradual coverage with one dose monovalent Mumps vaccine of all 1 – 12 yrs old children without mumps history
1976-1981 Routine one dose immunization with monovalent Mumps vaccine for all children at 12 months of age
1981 Mumps immunization campaign with monovalent Mumps vaccine, targeting 4-12 years old children
1982-1986 Mumps immunization temporarily interrupted
1986-1992 1986-1987: Mumps immunization catch-up campaign with monovalent Mumps vaccine targeting all children up to 5 years of age without mumps history
1987-1992: Routine one dose immunization with monovalent Mumps vaccine for all children at =14 months of age
1993 Introduction of combined measles-mumps-rubella (MMR) vaccine into national vaccination schedule for the first dose at 13 months of age
1993-2000 One dose MMR at 13 months of age
Since 2001 Routine two dose immunization with MMR vaccine
1st dose MMR at 13 months of age
2nd dose MMR at 12 years of age

This summary chart is the national immunisation schedule for Bulgaria based upon "Regulation No.15 for the immunisations in the Republic of Bulgaria", issued in 2005 by Bulgarian Ministry of Health and amended in 2006 and 2007.