Vaccinations for Children from Birth to 12 Years Old

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Vaccinations are a key part of keeping children healthy, especially during their first few years of life. In South Africa, the Expanded Programme on Immunisation (EPI) ensures that children receive essential vaccines for free to protect them from serious diseases like polio, tuberculosis (TB), and measles. Here’s a guide to the important vaccinations your child needs from birth to 12 years old, based on the South African immunisation schedule.

Vaccinations from Birth to 6 Weeks

Birth:

    • BCG (Bacillus Calmette-Guérin) Vaccine: This vaccine protects against tuberculosis (TB), a disease that affects the lungs. TB is still common in South Africa, so this vaccine is given to all newborns at birth¹.
    • Oral Polio Vaccine (OPV-0): This first dose of the oral polio vaccine helps protect against poliovirus, which can cause paralysis and even death².

At 6 Weeks:

    • Hexavalent Vaccine (DTP-IPV-Hib-HepB): This combination vaccine protects against six diseases: diphtheria, tetanus, pertussis (whooping cough), polio, Haemophilus influenzae type b (Hib), and hepatitis B. It’s one of the most important vaccines your baby will receive³.
    • Rotavirus Vaccine: Protects against rotavirus, which causes severe diarrhoea and can be dangerous, especially in babies.
    • Pneumococcal Conjugate Vaccine (PCV): Protects against pneumococcal bacteria, which can cause pneumonia, meningitis, and ear infections.
    • OPV given at 6 weeks of age
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Vaccinations at 10 and 14 Weeks

At 10 Weeks:

    • Hexavalent Vaccine: The second dose to boost your baby’s protection against diphtheria, tetanus, pertussis, polio, Hib, and hepatitis B.

At 14 Weeks:

    • Hexavalent Vaccine: The third dose of this combination vaccine.
    • Pneumococcal Conjugate Vaccine (PCV): The second dose to protect against pneumococcal infections.
    • Rotavirus vaccine: The second dose is given at 14 weeks of age as per EPI.
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Vaccinations at 6 Months

At 6 Months:

    • Measles-rubella vaccine is used in EPI first dose: Protects against measles and rubella. Measles is a highly contagious disease that can lead to complications like pneumonia, diarrhoea, and brain swelling. Measles outbreaks still happen in South Africa, so it’s vital to get this vaccine⁴.
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Vaccinations at 9 Months

At 9 Months:

    • Pneumococcal Conjugate Vaccine (PCV): The third dose to ensure protection from pneumococcal infections, which can cause serious illnesses like meningitis and pneumonia.
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Vaccinations at 12 to 18 Months

At 12 Months:

    • Second MR vaccine is given at 12 months of age as per EPI

At 18 Months:

    • Forth Hexavalent Vaccine is given at 18 months of age: This booster shot strengthens the protection your child received from the earlier doses.
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Vaccinations at 6 and 12 Years

At 6 Years:

    • Tdap: A booster dose to maintain protection against tetanus, diphtheria and whooping cough as your child grows older.

At 12 years of age another Tdap is recommended as per EPI

    • Human Papillomavirus (HPV) Vaccine: This vaccine is recommended for girls and protects against HPV, which can lead to cervical cancer later in life. The South African government has rolled out an HPV vaccination programme in schools for girls aged 9 through 14 years of age⁵.
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Why Vaccinations Are Important

Vaccinations help your child’s immune system fight off infections before they can cause serious harm. In South Africa, we’ve seen diseases like measles and polio greatly reduced thanks to vaccinations. However, if people stop vaccinating their children, these diseases could come back.

 

Herd immunity also plays a vital role in protecting vulnerable members of the community, like babies and people with weakened immune systems. The more children vaccinated, the harder it is for diseases to spread⁶.

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Where Can I Get My Child Vaccinated?

Vaccinations for children are available for free at public health clinics across South Africa through the **Expanded Programme on Immunisation (EPI)**¹. Private doctors and pharmacies also offer vaccinations but may charge a fee. Always check with your healthcare provider about the best time to bring your child in for their vaccines.

 

You can view the full South African vaccination schedule and learn more about where to get vaccines on the Department of Health’s website⁷.

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  1. Expanded Programme on Immunisation (EPI) – South Africa Western Cape Government – EPI
  2. Polio Vaccine Information NICD – Polio
  3. Hexavalent Vaccine Details Gauteng Health – Immunisation Schedule
  4. Measles Outbreak and Prevention
    NICD – Measles
  5. HPV Vaccination Programme in Schools
    South African Department of Health – HPV Vaccination
  6. Herd Immunity and Vaccines
    NICD – Vaccine-Preventable Diseases
  7. Full South African Vaccination Schedule
    Department of Health – Vaccination Schedule

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