Vaccination Guidelines 2nd Edition pdf

The document you are searching for now is the National Universal Immunization Program Guidance Document officially issued by the National Administration of Disease Control and Prevention in April 2024. The official pdf can be downloaded for free directly from the official website of the National Administration of Disease Control and Prevention and the column of the Immunization Program Center of the Chinese Center for Disease Control and Prevention. There is no charge for authorization. Authorized channels; compared with the first version in 2021, the core has updated the vaccination rules for 3 key groups, the determination criteria for vaccination contraindications for 12 special health conditions, and the practical specifications for joint vaccination of 7 common vaccines. It is currently the only official basis for implementation at all grassroots vaccination sites in the country.

To be honest, during this period of time while helping at community vaccination sites, I have encountered no less than 10 people asking questions with pirated files downloaded from third-party paid libraries. Either the year is wrong or it is an old version in 2021, or some content has been deleted and the recommended vaccination age for the second-category vaccine has been changed in a mess, which is misleading. Last week, a mother showed up with a tampered PDF, saying that the HPV vaccine is useless after the age of 26. She insists on making an appointment with her daughter who has just entered college for nine prices, and will cry if she doesn’t get an appointment. In fact, the second edition of the guide clearly states that the bivalent, quadrivalent, and nine-valent HPV vaccines have clear protective effects in the age range of 9-45, so there is no need to blindly wait for the nine-price offer.

Oh, by the way, many people still ask whether this guide includes rabies vaccination regulations after animal bites? Yes, the appendix specifically lists the vaccination process for post-exposure prophylaxis. It even clearly states how to treat bites of different degrees and whether to administer immune globulin. I met a young man who was scratched by a cat before and was not sure whether to administer it. After reading the exposure level classification in the guide, I can make a clear decision by myself, saving me the hassle of going to the hospital.

In the first edition, the vaccination requirements for special health conditions were very stuck. I still remember that an old man with type 1 diabetes came to get the herpes zoster vaccine the year before last. At that time, it was required that the fasting blood sugar must be stable below 7mmol/L before he could get the vaccine. After controlling it for half a month, it still reached 8 , I was so anxious that this standard was relaxed in the second edition. As long as there are no acute complications of diabetes (ketoacidosis, hyperosmolar state, etc.) and the blood sugar is stable below 13.9mmol/L, you can get vaccinated. My uncle just got the first shot last month and there were no adverse reactions. He was very happy.

Interestingly, the most discussed rule in the second edition this time is the rule of joint vaccination. There have been two schools of thought in the academic circles before. One school believes that there should be at least 7-14 days between different vaccines to avoid the superposition of adverse reactions and make it difficult to determine responsibility. This guideline clarifies that in addition to some vaccines with special requirements (such as rabies vaccine, immune globulin), both conventional immunization program vaccines and non-immunization program vaccines can be vaccinated at different sites on the same day. However, many grassroots vaccination sites still recommend that everyone should take a seven-day interval because they are afraid of the risk of adverse reactions. In this case, there is no need to argue with the staff. After all, both considerations are reasonable. If you really don’t have time to make two trips, just communicate with the staff with the guide, and most of them will be accommodating.

There is also the issue of vaccination for pregnant women. The second edition clarifies that inactivated vaccines that can be vaccinated during pregnancy include influenza, diphtheria-tetanus pertussis, and hepatitis B. There are no gestational age restrictions. However, when I talked with obstetricians I know, most of them still recommend that the fetus is stable after 12 weeks of pregnancy. Re-vaccination should be done regularly. After all, early pregnancy is a stage where the embryo is unstable. If problems such as threatened miscarriage occur, it can easily be related to vaccination, which will only increase worries. In fact, there is no absolute right or wrong in this situation. Just choose based on your physical condition and the doctor's advice.

By the way, this PDF also comes with a printable color page of the vaccination schedule for all ages. The vaccination time for Category 1 vaccines for children aged 0-6 years old and the corresponding ages for Category 2 vaccines recommended for adults are clearly marked. I downloaded a copy myself and saved it in my mobile phone. When relatives and friends ask questions about vaccination, I can just take it out and read it. It is much more reliable than reading half a day of self-media popularization. Anyway, if you have plans to get vaccinated recently, or have children or elderly people at home who need regular vaccinations, there is no harm in going directly to the official channels to download a genuine PDF and save it. After all, such authoritative free guidance materials are much more reliable than those "vaccination blacklists" and "vaccines are useless" that you randomly find.