ADOLESCENT IMMUNIZATION
Many children remain unimmunized/ partly immunized till they reach adolescence. Adolescent immunization offers another opportunity to fulfill these immunization gaps. It also aims to: (a) protect against diseases with higher morbidity during adolescence, e.g.
Hepatitis A, varicella, (b) boost the waning immunity of early childhood vaccines, (c) counter upward shift of age-epidemiology following expanding childhood immunizations, and (d) provide vaccines more relevant in adolescent age groups, e.g. HPV or vaccines for travellers going abroad for studies.Catch-up vaccination of adolescent girls also offers some protection to their prospective off-springs from diseases like pertussis and congenital rubella.
Table 9.6 provides a guiding schedule for adolescent immunization, though needs to be individualized.
9.4
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