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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 BCG PCV7
At birth Yes4
2-5 days Yes  
2 months Yes1 Yes1 Yes1 Yes1 Yes
4 months Yes1 Yes1 Yes1 Yes1 Yes
6 months Yes1 Yes1 Yes1 Yes1 Yes
12-15 months Yes1 Yes1 Yes1 Yes1 Yes6 Yes6 Yes
7 years Yes2 Yes2 Yes    
12 years Yes7  
14 years Yes3 Yes5   Yes3  
The Latvian Childhood Vaccination Schedule as on 23 April 2010
1 Given as a combined DTaP-Hib-IPV-HepB vaccination.
2 Given as a combined DTaP-IPV vaccination.
3 Given as a combined dT-IPV vaccination.
4 HepB is administered as a monovaccine at 0-12 hours after birth only to newborns of HbsAg-positive mothers or to mothers with an unknown HbsAg status.
5 A course of 3 doses is recommeded to all non-vaccinated adolescents ("catch-up" vaccination).
6 Given as a combined MMR-Var vaccination.
7 MMR is given to all previously unvaccinated girls. Girls who have been vaccinated only once before are re-vaccinated ("catch-up" vaccination).
Planned changes
Human papiloma virus:
2010: Human papilloma virus vaccine will be introduced in the national childhood vaccination schedule on 1st September 2010 and administerd to girls at 12 years of age.

Rotavirus:
2011: Rotavirus vaccine will be introduced in the national childhood vaccination schedule on 1st January 2011 and administered at 2, 4, and 6 months, or at 2 and 4 months of age depending on vaccine used.

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 to be given at birth.
2006: HepB catch-up vaccination programme (at 14 years) introduced.

Poliomyelitis:
2001: IPV introduced in the national childhood vaccination schedule at 3–4, 5– 6 months.
2010: Given as a combined DTaP-IPV vaccination from 1st January 2010

Pertussis:
2004 - 2006: Acellular pertusis vaccine introduced in the national childhood vaccination schedule.
2005: By February, aP replaced wP throughout the whole country.
2010: The fifth dose of acellular pertussis vaccine at 7 years of age was introduced in the national childhood vaccination schedule on 1 st January 2010.
2010: Given as a combined DTaP-IPV vaccination from 1st January 2010

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

Pneumococcal vaccine:
2010: Pneumococcal conjugate vaccine introduced in the national childhood vaccination schedule starting at 2 months of age from 1st January 2010.

This summary chart is adapted from the Cabinet Regulation No. 330 "Vaccination Regulations" 26 September 2000 with the corresponding amendment . The last revision was on 1st February 2010 . More information on the childhood vaccination schedule in Latvia can be obtained from the State Agency "Infectology Centre of Latvia", Department of Epidemiological Surveillance of Infectious Diseases and Immunization, 7 Klijanu Street, Riga, LV -1012, Latvia, tel.: +371 67081521, fax: +371 67270665, e-mail : jurijs.perevoscikovs@sva.gov.lv.