Prefered Immunization

Preferred immunization is another immunization that is not included in compulsory immunization, but it is important to be given to infants, children and adults in Indonesia given the burden of the disease from each disease

Included in this prefered immunization are :

  1. Measles, Mumps, Rubella Vaccine :

    MMR vaccine aims to prevent Measles, Mumps and Rubella is a dry vaccine that contains a live virus, must be stored at 2–80C or cooler and protected from light.

  2. Haemophilllus influenzae type b (Hib)

    Hib vaccine is a conjugated polysaccharide vaccine in liquid form, which can be given separately or in combination with the DpaT (tetravalent) or DpaT / HB (pentavalent) or DpaT / HB / IPV (hexavalent) vaccines.

  3. Typhoid Vaccine
    a. Oral typhoid vaccine
    b. Parenteral polysaccharide typhoid vaccine
  4. Varicella Vaccine
  5. Hepatitis A Vaccine

    Vaccines are made from inactivated vaccines. Co-administration of other vaccines does not interfere with the immune response of each vaccine and does not increase the frequency of side effects.

  6. Pneumococcal Vaccine
    There are two kinds of pneumococcal vaccines namely pneumococcal polysaccharide vaccine (PPV) and pneumococcal conjugate vaccine (PCV) pneumococcal polysaccharide vaccine.
  7. Rotavirus Vaccine

    There are two types of Rotavirus Vaccines (RV) on the market, namely monovalent and pentavalent vaccines.

  8. Influenza Vaccine
    a. Influenza vaccine contains inactivated influenza virus. B. Influenza vaccine contains antigens from two influenza A virus subtypes and one influenza B virus subtype, each year the subtype is recommended by the WHO based on worldwide epidemiological surveillance. C. To maintain continuous protection, it is necessary to vaccinate regularly every year, using vaccines containing the latest strains. Inactive influenza vaccine is safe and has high immunogenicity. Influenza vaccine must be stored in a refrigerator with a temperature of 2º - 8ºC. Can not be frozen.

Recommendation:

  1. All people aged ≥ 65 years
  2. Children with chronic diseases such as asthma, diabetes, kidney disease and immune system weakness
  3. Children and adults who suffer from chronic metabolic diseases, including diabetes, kidney dysfunction, hemoglobinopathy and immunodeficiency
  4. People who can transmit the influenza virus to someone who is at high risk of getting complications related to influenza, such as health workers and officers in the care place and the people around them, all people who are at home contact, caregivers of children aged 6-23 months, and people people who serve or are close to people who are at high risk
  5. Influenza immunization can be given to healthy children aged 6-23 months

Counter Indications

  • Individuals with anaphylactic hypersensitivity to previous influenza vaccine administration and egg protein should not be given influenza vaccination
  • Included in this group someone who after eating eggs experiences swelling of the lips or tongue, or experiences acute respiratory distress or fainting
  • Influenza vaccine should not be given to someone who is suffering from severe acute febrile illness

Schedule and Dosage

  • The dose for children aged less than 2 years is 0.25 ml and the age of more than 2 years is 0.5 ml

  • For children who first get the influenza vaccine at the age of ≤ 8 years, the vaccine is given 2 doses with a minimum interval of 4 weeks, then immunization is repeated every year
  • Influenza vaccine is given by intra-muscular injection in the deltoid muscle in older adults and children, while for infants given on the anterolateral thigh
  • In children or adults with immune disorders, two (2) doses are given with a minimum interval of 4 weeks, to obtain satisfactory antibodies

  • If children aged ≥ 9 years are given only once, regularly, once a year