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Catch-up immunisation in refugees

  • Background

    Vaccine preventable diseases (VPD) are endemic and/or epidemic in countries of origin of refugee families, and disruptions to health care may affect vaccine quality and access to vaccination. Information on vaccination coverage, schedules and disease status in country of origin is available from the World Health Organization (WHO) . Ìý Ìý Ìý

    • - has been extended to age 20 years as of June 2025!
    • See the for information on , , the schedule, and guidance on catch-up for Ìý²¹²Ô»å , and .
    • ³§±ð±ðÌý, including ,Ìý,Ìý
    • Abridged catch-up guidelines are available.

    This table has been compiled from Handbook catch-up guidelines, including the NIP for comparison. Please see links to individual for full recommendations, including for special risk groups. .Ìý.

    Table 1. Catch-up vaccination guidelines

    Vaccine type Age,
    Number of doses
    Route and dose Minimum dosing interval (months) Notes

    Ìý
    (DTPa, dTpa)

    : 3-dose primary at 2,4,6 months, booster doses at 18 months, 4 years, 12-13 years.ÌýPregnant women - single dose dTpa each pregnancy.Ìý

    <4 years
    4 or 5 doses DTPa
    IMÌý
    0.5 ml
    1,1*,6** 3 dose primary series then **4th dose at 18 months of age or 6 months after primary course. If 4 doses DTP given before age 18 months, give a 5th dose at 4 years, reflecting the NIP. If the 4th dose is given after the child is 3.5 years the 5th dose isÌýnotÌýrequired, and in this case the next dose is the early adolescent booster. Hexavalent vaccine (DTPa-IPV-Hib-HepB) available all jurisdictions. *Use of hexavalent vaccine in catch-up requires attention to intervals for hepatitis B vaccination (2 months between doses 2 and 3ÌýandÌý4 months between dose 1 and 3).
    4-9 yearsÌý
    4 doses DTPa
    IM
    0.5 ml
    1,1*,6** 3 doses for primary series then **4th dose 6 months after primary course. Hexavalent vaccine as above.
    10 years and olderÌý
    3 doses (dTpa)
    IMÌý
    0.5 ml
    1,1

    Up to 3 doses of dTpa may be used (previously dTpa, dT, dT). dTpa is available combined with IPV (dTpa-IPV).Ìý

    dTpa recommended for pregnant women 20-32 weeks gestation in every pregnancy (can be given any time up to delivery). Tetanus and diphtheria (as dTPa) recommended in adults 50 years and older if last dose more than 10 years ago, dTpa booster recommended in adults 65 years and older if last dose more than 10 years ago. Adults (any age) wanting to reduce their risk of pertussis should have pertussis-containing vaccine.



    (MMR)
    (LAV)

    : 2 doses at 12 months (as MMR) and 18 months (as MMR-V).

    <10 years
    2 doses
    IM or SC*Ìý
    0.5 ml
    1

    2ndÌýdose due at 3.5–4 years if <3.5 years at first dose.
    MMR (*given IM) is now available combined with Varicella Vaccine (VV) as MMR-V (*given SC) – although MMR-V is not recommended as the first dose of MMR containing vaccine in children <4 years, due to increased risk of fever/febrile convulsions in this setting.

    Changes in 2019 lowered the recommended age at which infants can receive MMR in special circumstances - from 9 months to 6 months. Infants 6 months and older can receive MMR as post-exposure prophylaxis, or during outbreaks (or for travel to endemic areas).Ìý

    10 years and older (born 1966/later)Ìý
    2 doses
    IM or SC*Ìý
    0.5 ml
    1

    MMR-VÌý(*given SC)Ìýcan be given as the first dose in children 4 years and older (followed by MMR alone), but is not recommended in those aged 14 years and older.Ìý

    Note: MMR given as part of offshore medical examinations for humanitarian arrivals aged 9 months - 54 years (from 2016). Consider timing in relation to live viral vaccines and TB screening.ÌýWomen of childbearing age who are seronegative for rubella should receive rubella-containing vaccine (MMR contraindicated during pregnancy).

    Inactivated Vaccine (IPV)

    : 4 doses at 2,4,6 months and 4 years.

    <4 years
    4 doses*Ìý Ìý Ìý Ìý Ìý
    4 years and olderÌý
    3 dosesÌý

    Varies** 0.5 ml

    1,1, varies*

    1,1

    *4th dose required if aged <4 years for primary course. If 3rd dose given at <3.5 years give 4th dose at 4 years. Different combination vaccines available, including hexavalent vaccines and dTpa-IPV.
    **IPV in combination vaccines given IM, IPV alone given SC. Note: OPV and IPV are considered interchangeable.Ìý

    Note: Polio vaccination (IPV or OPV) also given as part of offshore medical examinations for humanitarian arrivals (from 2016). Also consider OPV in relation to other live vaccines or TB screening.

    : 4 doses at birth, 2,4,6 months.

    <11 years
    3 doses
    IMÌý
    0.5 ml
    1,2** Combination vaccines are available, *minimal intervals: 1 month between dose 1 and 2; 2 months between doses 2 and 3 andÌý4 months between dose 1 and 3.
    11-15 years
    2 doses (adult formulation)
    IMÌý
    1 ml
    4 Alternate regimen is 3 doses paediatric formulation (0.5 ml) as above.
    16 years and olderÌý
    3 doses*
    IMÌý
    varies**
    1,2** *Age 16–19 years 3 doses paediatric formulation (0.5 ml), 20 years and older 3 doses adult formulation (1 ml).ÌýDosing intervals as above.

    Meninogoccal ACWY

    : single dose at 12 months, also funded for single dose at 14-16 years (year 10 equivalent).

    Meningococcal B

    : funded for risk groups only.

    MenACWY Ìý Ìý ÌýÌý Any*Ìý
    1 or 2 doses**Ìý

    IMÌý
    0.5 ml ÌýÌý
    Ìý(2)**

    *MenACWY givenÌýat age 12 months, and year 10 equivalent (14-16 years). Disease has bimodal peaks in incidence (<5 years and 15–24 years). Catch-up dosing reflects routine dosing for age. MenACWY also recommended for any person who wants to reduce their risk of meningococcal disease.

    Consider providing MenACWY if previous vaccination was MenC.Ìý** age 2 years and older one doseÌýNimenrix/Menveo/Menquadfi, . Additional doses MenACWY recommended in Ìý²¹²Ô»å conditions increasing risk of meningococcal disease.

    MenB - not included in catch-up


    IMÌý Ìý Ìý 0.5 ml Ìý 2 or 6*

    MenB recommended for <2 years of age, adolescents 15-19 years and any person from 6 weeks of age who wants to reduce their risk of meningococcal disease.

    *Bexsero = 2 doses, 8 weeks apart (12 months and older) (*3 doses in infants 6 weeks - 11 months see ); or Trumenba = 2 doses, 6 months apart (10 years and older). No preference for type if age 10 years and older, vaccines are not interchangeable.ÌýAdditional doses MenB vaccine recommended in Ìý²¹²Ô»å conditions increasing risk of meningococcal disease.Ìý

    influenzae
    type b (Hib)

    : 4 doses at 2,4,6,18 months.

    2-17 monthsÌý
    1-3 doses then booster*Ìý
    18-59 monthsÌý
    1 doseÌý
    IMÌý
    0.5 ml
    1 or 2*Ìý
    varies*Ìý2 Ìý

    Required in children <5 years of age. Not required 5 years and older, unless special circumstances, including ,ÌýÌýbut may be given as part of combination vaccines. Children <10 years generally receive multiple doses of Hib through the use of combination vaccines (e.g. hexavalent).Ìý

    Refer to – <7 months – 3 doses then booster at 18 months, 7–11 months 2 doses then booster at 18 months, 12–17 months 1 dose then booster at 18 months or 2 months after last dose (whichever is later). If a child has received PRP-OMP Hib vaccine for the first 2 doses, they do not require 3rd dose, but should still have a booster at 18 months.

    : Children - 20vPCV - 3 doses at 2,4,12 months, then single dose at 70 years and older. Additional dosing for specified medical risk conditions.

    : Adults - either 13vPCV, 15vPCV or 20vPCV, currently under review. Additional doses of 23vPPV for specified medical risk conditions

    <12 months
    3 doses* Ìý Ìý Ìý Ìý Ìý ÌýÌý

    12–59 monthsÌý
    1 dose

    70 years Ìý Ìý Ìý Ìý Ìý Ìý Ìý 1 dose

    IM Ìý ÌýÌý 0.5 ml

    VariesÌý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý

    –

    –


    Ìý

    Required in all children <5 years of age, and 5 years and older if . If , give booster dose at 12 months. Children who started the recommended schedule with other PCV (7,10,13,15 valent) can complete with 20vPCV. Also recommended for adults 70 years and older.

    Catch-up for children with medical risk factors: – 4 doses 20vPCV, Ìý- 2 doses, - single dose 20vPCV. , children should receive their last dose age 12 months and older, and minimum 2 months after previous PCV. Ìý(previously vaccinated for pneumococcal disease) are recommended to have a single dose of 20vPCV (minimum 2 months after previous PCV andÌý12 months after 23vPPV). Otherwise, dosing interval is 1 month for <12 months age or 2 months for 12 months of age and older.Ìý

    People with require extra doses of pneumococcal vaccine, not given during pregnancy. For adults 18 years and older with medical risk factors: dosing is 1 dose of (any) conjugate vaccine, then 1 dose 23vPPV minimum 2 months later and 2nd dose of 23vPPV after 5 years.

    (VV)
    (LAV)

    : single dose at 18 months.

    18 months –
    13 yearsÌý
    1 doseÌý

    14 years and older*Ìý
    2 doses

    SCÌý
    0.5 ml

    –

    Ìý


    1Ìý

    All children <14 years should have at least one dose of VV (and preferably two doses of VV), usually given as either VV or MMR-V. Prior varicella infection isÌýnotÌýa contraindication. If varicella containing vaccine is given <12 months of age, the dose should be repeated at 18 months.ÌýMMR-V not recommended as the first dose of MMR containing vaccine in children <4 years, due to risk of fever/febrile convulsions, and is not recommended age 14 years and older.

    *VV recommended in non-immune adolescents/adults 14 yearsÌý²¹²Ô»å older (no clinical history and negative serology). People 14 years and older with a reliable history of varicella should be considered immune; check serology if no clinical history of varicella infection.

    Ìý(LAV)

    : 2 doses 65 years and older, also funded 18 years and older with moderate/severe immunocompromise.

    50 years and older*
    2 doses**

    SCÌý
    0.5 ml

    Varies with immune status

    *Recommended all people 50 years and older, funded age 65 years and older and 18 years and older if special risk. Shingrix registered age 18 years and older, **2 doses, 2-6 months apart immunocompetent, 1-2 months immunocompromised. Exclude , and check .

    (HPV)

    : single dose at 12-13 years.

    9-25 years (suggestÌý12-25y) Ìý 1 dose*

    IMÌý
    0.5 ml


    *Changed to single dose regimen Feb 2023 for immune competent people aged 9-25 years (reducing lower age and raising upper age for catch-up from 19 years), included at 12-13 years in NIP. Also recommended in (any age - consider past/future exposure, funded to 25y), not recommended adults 26 years and older otherwise. Recommended for immunocompromised (suggest 9 years and older) - 3-dose schedule, 0,2,6 months (also noting licensing below).Ìý See .

    From Feb 2023 - 9-valent HPV funded 9-25 years inclusive. HPV vaccines not recommended during pregnancy, can be given during breastfeeding. Licensed for females age 9–45 years and males 9–26 years.

    (seasonal and annual)

    : annual dose 6 months - <5 years, 2 doses in 1st year of administration age 6 months - 9 years. Annual dose 65 years and older, medical risk factors (all ages) and occupational groups. Also funded forÌý pregnant women.

    <9 years
    1 or 2 doses*

    9 years and older 1 dose

    IM (dose varies)

    1

    Ìý

    –

    Recommended annually for all people 6 months and older, including pregnant women. Victorian funding reflects NIP.

    Dose and formulation vary with age and formulation – 0.5 ml age 6 months and older (Flucelvax Quad, FluQuadri, Influvac tetra, Vaxigrip Tetra), 0.5 ml 5 years and older (previous and also Afluria Quad). Different formulations funded for adults 60 years and older (Fluzone high dose quadrivalent 60y+ and Fluad Quad 0.5 ml 65y+). *If aged <9 years at the time of first administration – 2 doses minimum 1 month apart. Check Ìý²¹²Ô»å .

    Ìý(RSV)

    : pregnant women, 28-36 weeks

    Pregnant women

    Adults 60 years and older*

    ÌýIMÌý1

    Single dose recommended for all pregnant women (28-36 weeks gestation) to protect their infants (only Abrysvo registered for this use). See for recommendations on use of monoclonal antibodies in infants.

    Single dose recommended for all people 75 years and older, and people 60 years and older with medical risk factors for severe RSV. Consider in adults 60-74 years.

    : not included

    6 months - 4 years: (3mcg dose) either JN.1 yellow cap or Omicron XBB.1.5 maroon capÌý

    5 -11 years (10mcg dose) either JN.1 or Omicron XBB.1.5 - both light blue capÌý

    12 years and olderÌý(30mcg dose) either JN.1 grey cap or Omicron XBB.1.5 dark grey cap.Ìý


    6 months - 4 years with risk factors*

    5-17 years with risk factors**

    18 years and older - see notes

    IM (dose varies)

    8 weeks

    *6 months - 4 yearsÌýgeneral - not recommended;Ìý consider 2 or 3 doses;Ìý consider 2 doses.ÌýNo booster doses.

    **5-17 yearsÌýgeneral -Ìýnot recommended;ÌýÌýconsider 1-2 doses, consider boosters every 12 months; Ìýconsider 1-2 doses, consider boosters every 12 months.Ìý

    18-64 yearsÌý1 dose primary course, consider booster every 12 months, vaccine can be given during pregnancy or breastfeeding, unvaccinated pregnant women recommended to have a primary dose;Ìý* 2 primary doses, consider 3rd dose, recommend booster every 12 months, consider every 6 months; 1 dose primary, consider booster every 12 monthsÌý

    65-74 years 1 dose primary course, recommend booster every 12 months, consider every 6 months; Ìý- 2 primary doses, consider 3rd dose, recommend booster every 12 months, consider every 6 months;ÌýÌý- 1 dose primary course, recommend booster every 12 months, consider every 6 months

    75 years and olderÌý1 dose primary course, recommend booster every 6 months;ÌýÌý- 2 primary doses, consider 3rd dose, recommend booster every 6 months;ÌýÌý-Ìý1 dose primary course, recommend booster every 6 months


    (LAV)

    : 2 doses at 2 and 4 months

    <6 months,
    2 doses*

    OralÌý Ìý Ìý Ìý1.5 ml

    1 Not usually given as catch-up due to strict age restrictions. Rotarix (1.5 ml): 1st dose must be given <15 weeks, 2nd dose must be given <25 weeks. Ìý

    (BCG)
    (LAV)

    Ìý: not included.

    <5 years with risk factor*,
    1 doseÌýÌý
    ID,Ìý
    varies**
    Ìý – Recommended:Ìý i) children <5 years travelling to high prevalence countries (>40 cases per 100,000 population per year - see ) based on individual risk assessment. BCG should be given at least 3 months prior to travel (also consider cumulative travel); ii) neonates with family history of leprosy. Ìý
    Consider: children <5 years in households with immigrants/unscreened visitors from high prevalence countries.
    Only give if no record/scar, no immunosuppression,Ìýno evidence TB infection (requires TST if previous travel, usually no TST if age <2 years and no travel) and no other contraindications. **Dose is 0.05ml age <12 months, 0.1ml 12 months and older. Only available through RCH and Monash currently.

    IM = intramuscular, SC = subcutaneous, ID = intradermal, LAV = Live Attenuated Vaccine (consider pregnancy, and dosing interactions), MSM = men who have sex with men

    Policy and legislation

    Federal

    • In 2016, the 'No Jab, No Pay'ÌýÌýwas introduced, requiring children and young people (<20 years) to meet for Centrelink family tax benefit part A (FTB-A) and childcare fee assistance.
      • Children/young people need to be up to date for their childhood immunisations OR be on a vaccine catch-up schedule ORÌýhave aÌýÌýto receive:
        • The full amount of Ìý- payments reduce by up to $34.44 per fortnight per child ().
        • Ìý- if a child stops meeting the immunisation requirements, payments stop after 63 days (applies to age <13 years).
      • Centrelink uses the to establish whether vaccinations are 'up to date'.ÌýÌýbecame a 'whole of life' register from 2016. Use of AIR expanded from 2020 with Covid vaccination.Ìý.
        • Early childhood vaccines are linked to Centrelink payments (DTPa, IPV, MMR, HBV, 13vPCV and MenACWY vaccinations) - see .
        • When the 1st dose of vaccines covering all overdue antigens is entered on AIR, the child is recorded as being 'up to date' until the next vaccines becomes overdue (usually 3 months later).Ìý
        • Ìý(i.e., for immunity) can be completed by eligible health professionals (or their HPOS delegate) and included in up to date calculations. Eligible health professionals include GPs/GP registrars, paediatricians, public health/infectious diseases physicians, and clinical immunologists.Ìý
        • Catch-up vaccinations are funded for age 0-19 years (see ) and allÌý.

    All children and young people (<20 years of age) need an assessment of their immunisation status to: clarify their immunisation history, enter information into AIR if it has not been recorded, check 'catch-up' on AIR, and provide catch-up vaccines if needed.ÌýAIR information needs to be up to date or children/families may lose Centrelink payments.Ìý

    State

    • In 2016, the Ìý(2015) came into effect in Victoria –Ìýchildren need to be up to date with vaccinations OR have commenced an immunisation catch-up plan to enrol in childcare or kindergarten in Victoria . In practice, loss of Centrelink childcare fee assistance (i.e., No Jab, No Pay) is the more immediate barrier.
      • Refugee and asylum seeker children (and certain other groups) are eligible for a to start catch-up vaccinations after they enrol in childcare.Ìý
      • AIR records are the only accepted evidence of immunisation for childcare/kindergarten enrolment, which may be difficult for people without Medicare, recent arrivals, or children waiting for overseas records to be entered onto AIR.

    General principles

    No-one arriving as a refugee or seeking asylum will be vaccinated and up to dateÌýby the Australian , due to differences in Ìý²¹²Ô»å/or issues with health service access.ÌýAll refugees and asylum seekers will require catch-up vaccinations – they should be vaccinated so they are up to date according to the Australian NIP schedule; equivalent to an Australian-born person of the same age.

    1. Assess any existing immunisation records

    • Written records are considered reliable evidence of vaccination status; however many refugees do not have immunisation documentation.ÌýThere is often a clear verbal history of vaccinations, although there is debate on the validity of parental/self recall of vaccination status. If there is no written documentation, full age appropriate catch-upÌý is recommended.
      • Ask about any overseas recordsÌýandÌýcheck the Immigration Medical Examination (IME) using the HAPlite portal.ÌýFrom 2024, most overseas records are included in the IME. If overseas written records are in other languages,Ìý for new migrants (up to 10 documents in the first 2 years).Ìý
      • Offshore humanitarian arrivals have vaccines as part of their IME,ÌýincludingÌýMMR (9 months – 54 years), OPV or IPV, hexa- or pentavalent vaccines (<10y) and yellow fever vaccine (YF) depending on port of departure. Check available information (e.g. HAPlite, case worker, refugee nurse) and ensure these vaccines (and any other overseas vaccines) are entered on AIR.Ìý
      • Asylum seekers who spent time in detention should have had vaccinations in detention, although in practice, immunisation provision has been/is variable.ÌýCheck available information.
    • Clarify vaccinations given in Australia and check AIR (all ages). Check 'catch-up plan in place' on AIRÌý- this allows 6-months before Centrelink paymentsÌý reduce.

    2. Consider relevant clinical information

    • Serology
      • Hepatitis B serology is part of post arrival refugee health screening. If there is documented immunity (sAb >10 mIU/mL) record a medical exemption on AIR (or by ) and HBV vaccination is not required.
      • Rubella serology is recommended in women of childbearing age (<18 years usually more practical to vaccinate with MMR).
      • Varicella serology should be checked in those aged 14 years and older with no clinical history of varicella infection.Ìý
      • The ÌýRefugee guidelines do not recommend routine serology for MMR (due to cost, delays/extra steps, lack of combination vaccines overseas and use of combination vaccines in Australia).
    • Assess for any contraindications to vaccination, completing the .Ìý
      • Consider recent vaccines (including offshore vaccines) and/or tuberculosis (TB) screening. Offshore vaccines include LAV, there should be a minimum 4-week interval between vaccine dosing, and TB screening should be administered before, or 4 weeks after LAV.
      • Consider pregnancy in all females of child bearing age,Ìýincluding adolescents. LAV (MMR, MMR-V, VV) and HPV are contraindicated during pregnancy, and should not be given for 28 days prior to pregnancy.
    • Consider medical conditions requiring extra vaccine protection including asplenia, HIV infection/other immunosuppression, severe/chronic medical conditions, hepatitis B or hepatitis C (where hepatitis A vaccination is recommended in the absence of immunity).
    • Consider other/occupational risk factors requiring extra vaccine protectionÌý(e.g. healthcare workers (hepatitis B, influenza, covid), childcare workers (hepatitis A, influenza, covid), aged care workers (influenza, covid), disability support workers (hepatitis A, hepatitis B, influenza, covid)Ìý occupational animal exposure/abattoir workers (Q fever, influenza), men who have sex with men (MenACWY, HPV, hepatitis B, hepatitis A, Mpox), people who have injected drugs (hepatitis A, hepatitis B) – use the HALO approach (health, age, lifestyle, occupation).

    3. Develop a catch-up vaccination plan

    • Determine which vaccines have already been given and if there is immunity to hepatitis B or varicella. Complete, but do not restart, immunisation schedules if there is written documentation of previous vaccine doses.ÌýClarify if there is a plan in place; in which case opportunistic immunisation is not appropriate unless specifically requested by the primary care provider.
    • Aim for minimum number of visits and minimum dosing schedules, consider abridged catch-up in adolescents. In general, catch-up can be provided over 3 visits across 4 months in adolescents/adults (i.e. by giving the 3rd doses of dTpa-containing and HBV vaccine at the same visit). Children 4-9 years will require a 4th dose 6 months after the primary course. Younger children will also require 4 or 5 doses, but will often then slot into the routine early childhood visit schedule.
      • Give combination vaccines where possible (to reduce the number of needles).ÌýConsider formulations and age restrictions.
      • See table 1 for dose number, interval and practice points.ÌýAnÌý, also seeÌý.
      • Be opportunistic. For most vaccines, there are no adverse events associated with additional doses in immune individuals, and the benefits of immunisation are substantial.ÌýExtra doses of DT (or dT) containing vaccines and pneumococcal polysaccharide vaccines may be associated with increased local reactions.

    4. Document vaccinations that have been given (in Australia and overseas)

    • Provide a written record and a clear plan for ongoing immunisation. It is often useful to document which dose of vaccine has been given (e.g. MMR dose 1 of 2).
    • Vaccination information for all ages should be entered into theÌý, including any previous (overseas or in Australia) or current vaccines - either usingÌýAIR online or by completing an .
      • Document medical exemptions where relevant (i.e. medical contraindication or natural immunity) – either using , or aÌý.

    5. Ensure catch-up vaccination is completed

    • Make sure children/families/adults understand they will need 3-4 visits for vaccination.
    • Where possible, immunise family members simultaneously to reduce the total number of visits.
    • Provide information about immunisation and family assistance payments.Ìý is available.
    • Use a recall and reminder system to support completion of immunisation schedules.

    For families outside the initial stage of settlement – remind them toÌýplan early for travel immunisations. Many families subsequently travel and may be at increased risk when visiting friends/relatives in their area of origin.Ìý

    Additional notes

    VaccinesÌýfor refugees/asylum seekers are supplied though several government immunisation initiatives:

    • Catch-up immunisation arrangements in relation to 'No Jab, No Pay'.
    • BCG vaccineÌýis provided to authorised providers for use in children <5 years travelling to high incidence areas. See information on .
    • HBV vaccineÌýis provided free for 'at-risk' groups in Victoria, including household contacts – see .

    Pharmacies in Victoria can now provide most vaccinations from age 5 years (not varicella, only specified pilot pharmacies for HBV), although often an extra cost is involved. ThisÌýprogram expanded from 2020 and was used for covid vaccination – see .Ìý Vaccines include:Ìý

    • 5 years and older - Covid, Influenza, DTP, MMR, MenACWY, Pneumococcal, JE (also lists others that are not licensed or recommended in this age).
    • Other vaccines - HPV, Mpox, zoster.

    Resources

    Commonwealth

    • Ìý–Ìý,Ìý,Ìý,Ìý,Ìý
    • , including
    • (excellent!)
    • Ìý(catch-up schedules for <20 years)

    Victorian

    • and
    • Ìý(includes translations)
    • Department of Health:
    • - which includes vaccination information and reminders
    • Ìý(Health translations)

    • Ìý²¹²Ô»å

    Other

    • Abridged catch-up guidelinesÌý(used at RCH Immigrant health clinic)
    • Ìý(includingÌý)Ìý Ìý
    • Ìý– to identify routine vaccines in a countryÌýselect the country

    Immigrant health clinic resources. Initial: Georgie Paxton and Jim Buttery. Revisions: Georgie Paxton. Updated Oct 2025. Contact:Ìýgeorgia.paxton@rch.org.au