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Adult Pneumococcal vaccination rules:

Please refer to the Australian Immunisation Handbook for full details and clinical recommendations.

Indigenous:

  • if first dose ≥50 years, 1 revaccination after 5 years
  • if first dose <50 years (at-risk condition), 1 revaccination after 5 years and another at the later of 50 years of age / 5 years
  • All Indigenous NT residents, first dose at 15 years, revaccination after 5 years and again at the later of 50 years of age / 5 years.

Non-Indigenous:

  • if first dose ≥65 years, no revaccination. If a risk condition develops, 1 revaccination 5 years after first dose
  • if first dose <65 years (at risk condition), 1 revaccination 5 years later, then another at the later of 65 years of age / 5years

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The changes introduced in July 2020 have been implemented in CAT4 V4.27.

The following changes have been made to recommendations for people with risk conditions:

  • Category A and Category B conditions have been consolidated into a single list of risk conditions for pneumococcal disease.
  • The recommended vaccines and number of doses — 1 extra dose of 13vPCV and 2 doses of 23vPPV — are now the same for all people with risk conditions.
  • The number of lifetime doses of 23vPPV recommended for people with risk conditions is now limited to 2 doses.


The following changes have been made to recommendations for Aboriginal and Torres Strait Islander people:

  • Aboriginal and Torres Strait Islander children in the Northern Territory, Queensland, South Australia and Western Australia are now recommended to receive 2 doses of 23vPPV in addition to the 4 doses of 13vPCV.
  • Aboriginal and Torres Strait Islander adults without risk conditions for pneumococcal disease are now recommended to receive 1 dose of 13vPCV and 2 doses of 23vPPV at age ≥50 years.
  • Aboriginal and Torres Strait Islander adults <50 years with risk conditions for pneumococcal disease are to receive vaccines as per recommendations for people with risk conditions.


The following changes have been made to recommendations for healthy non-Indigenous adults:

  • Healthy non-Indigenous adults are now recommended to receive a single dose of 13vPCV at age ≥70 years. Healthy non-Indigenous adults who do not have risk conditions for pneumococcal disease are no longer recommended to receive 23vPPV.


Pertussis graph

This graph needs to be filtered for the population of risk - please refer to the relevant immunisation guidelines to determine the filters to  be used. By default all patients are shown in the report.

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