1. Influenza Vaccine
• Influenza, flu or ‘trangkaso’, is a contagious disease that can cause high fever, pneumonia, and make existing medical conditions worst.
• The influenza vaccine is recommended for prophylaxis against influenza in adults and children older than 6 months of age. Adults and children over 3 years of age: one dose of 0.5ml.
• Most people need one dose of influenza each year. Children younger than 9 years old getting influenza vaccine for the first time – or who got influenza vaccine for the first time last season but got only one dose – should get 2 doses, at least 4 weeks apart.
• Influenza vaccine may be given at the same time as other vaccines, including pneumococcal vaccine.
• Influenza vaccine virus is grown in eggs. People with severe egg allergy should not get the vaccine.
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2. Hepatitis B Vaccine
• Hepatitis B is a liver infection caused by hepatitis B virus (HBV). HBV is found in the blood, semen and vaginal secretions of an infected person. Hepatitis B Vaccine is for the active immunization against hepatitis B infection in adults and children more than 10 years old.
• Hepatitis B vaccine is usually given as a series of 3 or 4 shots.  0 – 1 – 6 or 0 – 1 – 2 – 12 months.  There is a particular brand of vaccine that can be given  0 – 7 – 21 – 356 days.
• Booster dose after 5 years to increase protection
• Anyone who has life threatening allergy to baker’s yeast should not get the vaccine
• Who should get Hepatits B vaccine:
 Workers exposed to blood and needles
 People who get tattoos or body piercing
 Men who have sex with men
 People who have more than one sex partner
 Infected drug users
 Lives with someone with hepatitis b infection
 Kidney dialysis patients
 People with HIV infection
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3. Human Papilloma Virus Vaccine (bivalent)
• The HPV Vaccine is indicated for the prevention of cervical cancer disease caused by oncogenic human papilloma virus recommended for girls as young as 9 years old or before first sexual contact
• HPV vaccine is given as a 3-dose series:
i. 1st dose : Now
ii. 2nd dose: 1 month after dose 1
iii. 3rd dose: 6 months after dose 1
• Additional bosster doses are not recommended. HPV Vaccine can be given at the same time as other vaccines.
• Anyone who has life threatening allergy to baker’s yeast should not get the vaccine.
• Pregnant women should not get the vaccine.  
 

4. Human Papilloma Virus Vaccine (Quadrivalent)
• The HPV Vaccine is indicated for the prevention of cervical cancer disease caused by oncogenic human papilloma virus types 6, 11, 16 and 18. HPV vaccine is recommended for girls from 9 years of age or before first sexual contact
• Males 9 through 26 years old of age may get HPV vaccine to prevent genital warts. As with females, it is best to be vaccinated before first sexual contact.
•  Each 0.5ml suspension is for intramascular injection in pre filled syringe at the following schedule:
i. 1st dose : Now
ii. 2nd dose: 1-2 months after dose 1
iii. 3rd dose: 6 months after dose 1
• Additional bosster doses are not recommended. HPV Vaccine can be given at the same time as other vaccines.
• Anyone who has life threatening allergy to baker’s yeast should not get the vaccine.
• Pregnant women should not get the vaccine. 

5. Pneumococcal Polysaccharide Vaccine (PPSV 23 serotypes)
• Pneumococcal disease is an infection caused by a type of bacteria calledStreptococcus pneumoniae (pneumococcus). There are different types of pneumococcal disease, such as pneumococcal pneumonia, bacteremia, meningitis, and otitis media.
• PPSV protects against 23 types of pneumococcal bacteria, including those most likely to cause serious disease. PPSV is recommended for adults and children 5 years old and above
• Usually only one dose of PPSV is needed, but under some circumstances a second dose may be given. The second dose of the vaccine should be given 5 years after the first dose.
• People who can get the PPSV vaccine include anyone who:
  has a long term health problem,
 has a condition or disease,  that lowers the body resitance to infection
 taking drugs or treastments, that lowers the body resitance to infection
 has asthma
 smokers
• People with severe allergy to PPSV should not get the vaccine.

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6. Cholera (Capsule Form) Vaccine
• Cholera is an acute, diarrheal illness caused by infection of the intestine with the bacteriumVibrio cholerae. The infection is often mild or without symptoms, but can sometimes be severe. Approximately one in 20 (5%) infected persons will have severe disease characterized by profuse watery diarrhea, vomiting, and leg cramps. Without treatment, death can occur within hours.
• The vaccines is indicated for active immunization against cholera and/or travelers’ diarrhea caused by ETEC in adults and children >11 years old in high-risk work and residential environment.
• Fo those to be immunizaed for the first time,take one capsule each day on day 0, 7 and 28. It is recommended to take the dirst dose at least 2 weeks before visiting an endemic country.
• Booster dose: for those who had previous immunization, take 3 capsules the same as primary immunization before the prevalent season
 

7. Cholera (Buffer Solution Form) Vaccine
• Cholera is an acute, diarrheal illness caused by infection of the intestine with the bacteriumVibrio cholerae. The infection is often mild or without symptoms, but can sometimes be severe. Approximately one in 20 (5%) infected persons will have severe disease characterized by profuse watery diarrhea, vomiting, and leg cramps. Without treatment, death can occur within hours.
• The vaccine is indicated for active immunization against disease caused by Vibrio cholerae serogroup O1 in adults and children from 2 years of age who will be visiting endemic/epidemic areas.
• Basic immunization comprises two doses of vaccine for adults and children over the age of 6. Children from 2 to 6 years old should receive 3 doses. Doses are to be administered with an interval of 1-6 weeks.
• For optimum long term protection, a booster dose is recommended for adult after 2 years.
• Food and drink should be avoided 2 hours before and 1 hour after vaccination. Oral administration of other medicinal products should be avoided within 1 hour before and after administration

8. Typhoid Vaccine
• Typhoid is caused by a bacteria called Salmonella Typhi which can cause high fever, weakness, stomach pains, headache, loss of appetite and sometimes rash. Generally, people get typhoid from contaminated food and water.
• The vaccine is indicated in the prevention of typhoid fever in adults and in children over 2 years of age especially for travellers to endemic areas, migrants, healthcare professionals and military personnel.
• One dose provides protection. It should be given at least 2 weeks before travel.
• Subjects who remain at risk of typhoid fever should be revaccinated using single dose of vaccine every 2 years.

9. Meningococcal ACWY Vaccine
• Meningococcal disease is a serious bacterial illness which causes blood infections and meningitis. Meningitis is an infection of the fluid surrounding the brain and spinal cord.
• The vaccine is indicated for the active immunization of children from two years of age, adolescents and adults against menigococal disease particularly recommended for subjects at risk, for example those living in or visiting areas where the disease is epidemic or highly endemic.
• In adults and children  over 5 years of age, immunity will persist up to 3 years.
 

10. Hepatitis A Vaccine (live)
• Hepatitis A is a serious liver disease caused by the hepatitis A virus (HAV). HAV is found in the stool of persons with hepatitis A usually spread by close personal contact and sometimes by eating food and drinking water containing HAV.
• The vaccine is indicated for active immunization against infection caused by HAV in persons over 18 months of age.
• The formulation is re-dissolved in vial to form 1ml solution (one single dose). The vaccine is then injected subcutaneously over the deltoid muscle of the upper arm. No booster is usually required.
• Who should get Hepatits A vaccine:
 Men who have sex with men
 Infected drug users
 Lives with someone with hepatitis A infection
 Chronic liver disease patients
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11. Chicken Pox (Varicella) Vaccine
• The chickenpox virus can be spread from person to person through the air or by contact with fluid from chicken pox blisters. A person who had chickenpox can get a painful rash called shingles years later.
• The vaccine is a Live attenuated varicella virus vaccine indicated for prophylaxis against varicella in individuals aged 12months or older. People 13 years of age and older (who have never had chickenpox vaccine) should ge two doses at least 28 days apart.
• Most people who get chickenpox vaccine will not get chickenpox. But if someone who hsa been vaccinated does get chickenpox, it is usally very mild. They will have fewer blisters, are less likely to have a fever and will recover faster.
• Pregnant women should wait to get chickenpox vaccine until after they have given birth. Women should not get pregnant for 1 month afte getting chickenpox vaccine.