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Vaccination Programme

Dáil Éireann Debate, Tuesday - 29 January 2019

Tuesday, 29 January 2019

Questions (351, 426, 428)

Jackie Cahill

Question:

351. Deputy Jackie Cahill asked the Minister for Health if the vaccine for meningitis will be provided to young children (details supplied); and if he will make a statement on the matter. [3997/19]

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Michael Healy-Rae

Question:

426. Deputy Michael Healy-Rae asked the Minister for Health the status of the talks and proposals regarding the catch-up programme on Meningitis B vaccines; and if he will make a statement on the matter. [4294/19]

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John Curran

Question:

428. Deputy John Curran asked the Minister for Health if his attention has been drawn to the high cost for persons from low-income backgrounds in accessing the Meningitis B vaccine for children born before 2016; his plans to address the matter; and if he will make a statement on the matter. [4300/19]

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Written answers

I propose to take Questions Nos. 351, 426 and 428 together.

The National Immunisation Advisory Committee, NIAC, is an independent committee of the Royal College of Physicians of Ireland which is comprised of experts in a number of specialties, including infectious diseases, paediatrics, and public health, which makes recommendations to my Department on vaccination policy in Ireland. Its recommendations are based on the prevalence of the relevant disease in Ireland and international best practice in relation to immunisation. NIAC continues to revise recommendations so as to allow for the introduction of new vaccines in Ireland and to keep abreast of changes in the patterns of disease.

On foot of a recommendation by NIAC, the Primary Childhood Immunisation Schedule was amended in 2016 to include the introduction of the Meningitis B vaccine for all babies born on or after 1 October 2016. This change to the immunisation schedule took effect from 1 December 2016. The first dose of the vaccine is administered to children when they reach two months of age; a second dose is administered at four months and a third and final dose at 12 months. Meningitis B disease is most common in babies under one year of age, and the scheduling of the administration of the vaccine under the immunisation programme as recommended by NIAC takes this into account.

All vaccines administered through the Primary Childhood Immunisation Schedule are provided free of charge. Ireland is the second country in Europe to make the Meningitis B vaccine available free of charge as part of its national immunisation programme.

There are no plans to introduce a catch-up programme for the Meningitis B vaccine to older children. Those who have a medical card are eligible to have the vaccine administered by their GP free of charge. However, the purchase of the vaccine is not covered by the medical card scheme.

In Ireland, the following meningitis vaccines are provided to children born on or after 1 October 2016 as part of the Primary Childhood Immunisation Schedule:

- 2 months - 6-in-1, pneumococcal vaccine, PCV, and Meningitis B;

- 4 months - 6-in-1 and Meningitis B (Meningococcal B);

- 6 months - 6-in-1, PCV and Meningitis C (Meningococcal C);

- 12 months - Meningitis B;

- 13 months - Hib/Meningitis C and PCV.

Note that the 6-in-1 vaccine contains Hib (Haemophilus influenzae B).

Adolescents are also given a Meningitis C booster vaccine in the first year of secondary school against meningitis as part of the School Immunisation Programme.

It is important to note that, although some of the recent notified cases are related to Meningitis B, none of the deaths have been attributed to this strain of the disease.

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