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Childhood Vaccination Schedule


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Summary chart

Abbreviations
The Latvian Childhood Vaccination Schedule
DTaP IPV Hib HepB MMR Var DT dT BCG
At birth Yes1
4-5 days Yes
1 month Yes
3 months Yes Yes Yes
4½ months Yes Yes Yes
6 months Yes Yes Yes
6-8 months Yes
15 months Yes Yes
18 months Yes Yes  
7 years Yes Yes   Yes
12 years Yes2  
14 years Yes3 Yes4   Yes3
The Latvian Childhood Vaccination Schedule as on 23 May 2008

1 Given 0-12 hours after birth.
2 Vaccination to all previously unvaccinated girls and re-vaccination of girls who have only been vaccinated once before.
3 Given as a combined dT-IPV vaccination.
4 A course of 3 doses given to all non-vaccinated adolescents.

Additional comments
All school-age children who have not been infected and not re-vaccinated against measles and mumps have to be re-vaccinated once more against measles and mumps. Moreover completion of vaccination courses against diphtheria, pertussis, poliomyelitis, and for girls - against rubella, is recommended.

Historic changes

Measles, mumps and rubella:
1968: Measles vaccination introduced in the national childhood vaccination schedule at 18 months of age.
1982: Mumps vaccination introduced in the national childhood vaccination schedule for residents of the city of Riga at 18 months of age.
1983: Mumps vaccination introduced in the national childhood vaccination schedule for all the country at 18 months of age.
1993: MMR introduced in the national childhood vaccination schedule at 15 months, rubella at 12 years and measles (2nd dose) at 12 years.
2002: Two doses MMR regimen introduced at 15 months (MMR1) and 7 years (MMR2) of age.

Haemophilus influenzae type b:
1994: Hib vaccination introduced in the national childhood vaccination schedule.

Hepatitis B:
1997: HepB vaccination introduced in the national childhood vaccination schedule at birth.
2006: HepB catch-up vaccination program (at 14 years) introduced.

Poliomyelitis:
2001: IPV introduced in the national childhood vaccination schedule at 3 – 4,5 – 6 months

Pertussis:
2004 - 2006: Acellular pertusis vaccine introduced in the national childhood vaccination schedule.
2005. By February, aP replaced wP throughout the whole country.

Varicella:
2008: Varicella vaccination introduced in the national childhood vaccination schedule at 15 months of age.

This summary chart is adapted from the Cabinet Regulation No. 330 "Vaccination Regulations" adopted 26 September 2000 with correspondent amendment. More information on the childhood vaccination schedule in Latvia can be obtained from the State Agency "Public Health Agency", Department of Epidemiological Surveillance of Infectious Diseases, 7 Klijanu Street, Riga, LV -1012, Latvia, tel.: +371 67081521, fax: +371 67339006, e-mail: jurijs.perevoscikovs@sva.gov.lv.