Eurosurveillance

ECDC

Ukraine

Comments:

(1) Vaccination against hepatitis B is mandatory for newborns weighing less than 2000 g. born to HBsAg positive mothers. Vaccination starts at birth following the scheme of 0-1-2-7 (at 1 day, 1 month, 2 months and 7 months).

(2) For vaccination against tuberculosis of premature infants weighing ≥2000 g. tuberculosis vaccine with reduced antigen (BCG-m) is used.

If the newborn has not been vaccinated in the hospital at birth due to medical contraindications then the BCG-m is used, in other cases a regular BCG vaccine is used.

Infants below 2 months of age are vaccinated without Matoux test. Children older than 2 months must test negative for Mantoux test prior to vaccination with BCG.

For the purpose of early detection of tuberculosis all children older than 12 months are tested once a year with Mantoux test (with 2 units of tuberculin), regardless the previous result.

Children 7 years old are re-vaccinated with BCG only if tested negative for Mantoux test.

Immunization with BCG may affect sensitivity to tuberculin; therefore test with tuberculin should be performed prior to vaccination, in other case the test should be carried out not earlier than one month after the vaccination.

(3) Inactivated polio vaccine (IPV) is used for the first two doses and for all subsequent vaccinations only if oral polio vaccine (OPV) is contraindicated. IPV for subsequent 3rd, 4th,5th and 6th doses can be used alone or in combination with other vaccines.

Children who live in a family with HIV-infected persons or with persons to whom OPV vaccine is contraindicated are given only IPV vaccine.

After vaccination with OPV all injections and elective surgery should be avoided for 40 days, including avoidance of contact with persons to whom OPV is contraindicated.

(4) Vaccination against Haemophilus influenza type b infection (Hib) can be given as a monovalent or in combination with other vaccines. For primary vaccination combined vaccines with Hib component should be prioritised.

At the age of five years and older only persons belonging to risk groups are vaccinated against Hib.

(5) Children who have not been vaccinated against measles, mumps and rubella at the age of 12 months and 6 years, can be vaccinated at any age up to 18 years. In this case the child should receive 2 doses of compliance with the minimum interval between doses.

The national vaccination programme

[28.11.12]
 Age Vaccine
 1 day Vaccine against hepatitis B (HepB) (1)
 3 - 5 days Vaccine against tuberculosis (BCG or BCG-m) (2)
 1 month HepB (1)
 3 months Diphtheria, Tetanus, (acellular) Pertussis vaccine (DTP or DTaP), Inactivated  polio vaccine (IPV) (3), Haemophilus influenzae type b vaccine (Hib) (4)
 4 months DTP or DTaP, IPV (3), Hib (4)
 5 months DTP or DTaP, oral polio vaccine (OPV) (3)
 6 months HepB (1)
 12 months        Vaccine against measles, mumps and rubella (MMR) (5)
 18 months DTP, OPV (3), Hib (4)
 6 years Diphtheria and Tetanus vaccine (DT), OPV (3), Hib (4), MMR (5)
 7 years BCG (2)
 14 years Vaccine against Diphteria and Tetanus with reduced antigen (dT), OPV (2)
 18 years dT
adults 23 years old and every 10 years dT


Source: Ministry of Health of Ukraine, 2012