Generally, immune systems of infants are weak and need time to develop.1 Moreover, they are exposed to thousands of germs everyday in their environment.2 Timely childhood vaccination is thus important to build immunity against vaccine-preventable diseases before infants are exposed.3,4 The Infectious Diseases Act requires every child in Singapore to be vaccinated against diphtheria and measles.5
Vaccination
Bacillus Calmette-Guérin (BCG) Vaccine6 Ɨ
• 1 dose given at birth
Diphtheria, Tetanus and Acellular Pertussis (paediatric) Vaccine (DTaP)6 Ɨ
• 3 doses given at 2, 4 and 6 months respectively
• 1 booster given at 18 months
Haemophilus influenzae type b (Hib) Vaccine6 Ɨ
• 3 doses given at 2, 4 and 6 months respectively
• 1 booster given at 18 months
Hepatitis B Vaccine6 Ɨ
• 3 doses given at birth, 2 and 6 months respectively
• Doses 2 and 3 are recommended to be given as part of the 6-in-1 vaccine at 2 and 6 months, respectively
Inactivated Poliovirus (IPV) Vaccine6 Ɨ
• 3 doses given at 2, 4 and 6 months respectively
• 2 boosters given at 18 months and 10-11 years respectively
Influenza (INF) Vaccine6 Ɨ
• Annual vaccination or per season for all children age 6 months to <5 years (6-59 months)
• Annual vaccination or per season for children and adolescents age 5-17 years with specific medical condition or indication
Measles, Mumps and Rubella (MMR) Vaccine6 Ɨ
• 2 doses given at 12 and 15 months respectively
• Only the dose 2 is recommended to be given as part of the MMRV vaccine
Pneumococcal conjugate (PCV10 or PCV13) Vaccine6 Ɨ
• 2 doses given at 4 and 6 months respectively
• 1 booster given at 12 months
Varicella (Chickenpox) Vaccine6 Ɨ
• 2 doses given at 12 and 15 months respectively
Everyday Protection
Other than vaccinations, it is also important for caregivers to practise good hygiene habits to protect infants from the risk of diseases. Good hygiene habits include:7
ƗAvailable vaccines are recommended in the National Children Immunisation Schedule (NCIS).6 These vaccinations are fully or partially subsidized for eligible Singaporean Citizens (SCs) and Permanent Residents (PRs) at polyclinics and/or CHAS GP clinics.8,9