Tetanus Toxoid Immunization Schedule for Women[edit]

When given to women of childbearing age, vaccines that contain tetanus toxoid (TT or Td) not only
protect women against tetanus, but also prevent neonatal tetanus in their newborn infants. [17]

Vaccin

Minimum

Age/Interval

TT1

TT2

TT3

TT4

TT5

At 20th weeks
AOG

At least 4 weeks
later

At least 6 months
later

At least 1 year later

At least 1 year later

Percent
Protecte

Duration of Protection

0%

protection for the mother for the first delivery

infants born to the mother will be protected

from neonatal tetanus

80%

gives 3 years protection for the mother

infants born to the mother will be protected

from neonatal tetanus

95%

gives 5 years protection for the mother

infants born to the mother will be protected

from neonatal tetanus

99%

99%

gives 10 years protection for the mother

gives lifetime protection for the mother

all infants born to that mother will be protected

Routine Immunization Schedule for Infants[edit]

The standard routine immunization schedule for infants in the Philippines is adopted to provide
maximum immunity against the seven vaccine preventable diseases in the country before the child's
first birthday. The fully immunized child must have completed BCG 1, DPT 1, DPT 2, DPT 3, OPV 1,
OPV 2, OPV 3, HB 1, HB 2, HB 3 and measles vaccines before the child is 12 months of age. [2]

Vaccine

Minimu

Numbe

m Age

at 1st

of

Dose

Doses

Minimum
Dose

Interval
Between

Route

Site

Reason

Doses

BCG given at
earliest
possible age
Bacillus

Birth or

Calmette-

anytime

Gurin

1 dose

after birth

0.05
mL

none

Intradermal

Right

protects the

deltoid

possibility of

region of TB meningitis
the arm

and other TB
infections in
which infants
are prone[3]

Upper

6
weeks(DPT

DiphtheriaPertussisTetanus

6 weeks
old

3 doses

0.5
mL

Vaccine

1), 10
weeks

Intramuscular

(DPT 2), 14
weeks
(DPT 3)

Oral Polio
Vaccine

6 weeks
old

3 doses

2-3
drop
s

4 weeks

outer

An early start

portion

with DPT

of the

reduces the

thigh,

chance of

Vastus

severe

Lateralis

pertussis.[4]

(L-R-L)

Oral

Mouth

The extent of
protection
against polio
is increased
the earlier the

OPV is given.
Keeps the
Philippines
polio-free.[5]

An early start
of Hepatitis B
vaccine
reduces the
chance of
being infected
and becoming
a carrier.[6]
Upper
outer
portion
Hepatitis B
Vaccine

At birth

3 doses

0.5

4 weeks

mL

interval

Intramuscular

of the
thigh,
Vastus
Lateralis
(R-L-R)

Prevents liver
cirrhosis and
liver cancer
which are
more likely to
develop if
infected with
Hepatitis B
early in life.[7][8]
About 9,000
died of
complications
of Hepatitis B.
10% of
Filipinos have
Hepatitis B
infection[9]

9 months
Measles
Vaccine

old

1 dose

0.5
mL

none

Subcutaneou

Upper

At least 85%

outer

of measles

portion

can be

of the

prevented by

arms,

immunization

(not MMR)

Right
deltiod

at this age.[10]

General Principles in Infants/Children Immunization[edit]

Because measles kills, every infant needs to be vaccinated against measles at the age of 9
months or as soon as possible after 9 months as part of the routine infant vaccination schedule.
It is safe to vaccinate a sick child who is suffering from a minor illness (cough, cold, diarrhea,
fever or malnutrition) or who has already been vaccinated against measles. [11]

If the vaccination schedule is interrupted, it is not necessary to restart. Instead, the schedule
should be resumed using minimal intervals between doses to catch up as quickly as possible. [12]

Vaccine combinations (few exceptions), antibiotics, low-dose steroids (less than 20 mg per
day), minor infections with low fever (below 38.5 Celsius), diarrhea, malnutrition, kidney or liver
disease, heart or lung disease, non-progressive encephalopathy, well controlled epilepsy or
advanced age, are not contraindications to vaccination. Contrary to what the majority of doctors
may think, vaccines against hepatitis B and tetanus can be applied in any period of the
pregnancy.[13]

There are very few true contraindication and precaution conditions. Only two of these
conditions are generally considered to be permanent: severe (anaphylactic) allergic reaction to a
vaccine component or following a prior dose of a vaccine, and encephalopathy not due to
another identifiable cause occurring within 7 days of pertussis vaccination. [14]

Only the diluent supplied by the manufacturer should be used to reconstitute a freeze-dried
vaccine. A sterile needle and sterile syringe must be used for each vial for adding the diluent to
the powder in a single vial or ampoule of freeze-dried vaccine. [15]

The only way to be completely safe from exposure to blood-borne diseases from injections,
particularly hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus
(HIV) is to use one sterile needle, one sterile syringe for each child. [16]