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Prevention and Management of Infectious Diseases
Vaccination
What is vaccination?
- Vaccination is classified into regular, special, and other vaccinations.
· Regular vaccination is recommended by the state, and the Special Self-Governing Province Governor, the Sejong Special Self-Governing City Mayor or the head of a Si/Gun/Gu must provide regular vaccination services (hereinafter referred to as "regular vaccination services") at public health clinics under his/her jurisdiction for the following (Article 24 paragraph 1 and 2 of the “Infectious Disease Control and Prevention Act”, Article 8 paragraph 3 of the “Special Act on the Establishment, Etc. of Sejong Special Self-Governing City”, and Article 1 of the “Designation, Etc. of Infectious Diseases Requiring Regular Vaccination”).

Target infectious diseases

Required individuals

Time of vaccination

Tuberculosis

(BCG and intradermal inoculation)

All infants

Within 4 weeks of birth

Hepatitis B

All infants

Three doses of primary vaccination 0, 1 and 6 months after birth (however, if the mother is HBsAG-positive for hepatitis B, primary vaccination of immunoglobulin (HBIG) and hepatitis B should be administered to different body parts within 12 hours of birth).

Diphtheria

All infants

- Primary vaccination of three doses 2, 4, and 6 months after birth

- An additional dose is administered 15-18 months after birth and at the age between 4-6

- Tdap or Td vaccine is injected at the age between 11-12

※ A total of three primary doses and the additional dose at the age between 4-6 can be carried out using DTap-IPV combined vaccine.

※ In the case of primary inoculation with DTaP alone or DTaP-IPV combined vaccine, the use of the same manufacturer's vaccine is recommended.

Tetanus

All infants

- Primary vaccination of three doses 2, 4, and 6 months after birth

- An additional dose is administered 15-18 months after birth and at the age between 4-6

- Tdap or Td vaccine is injected at the age between 11-12

※ A total of three primary doses and the additional dose at the age between 4-6 can be carried out using DTap-IPV combined vaccine.

※ In the case of primary inoculation with DTaP alone or DTaP-IPV combined vaccine, the use of the same manufacturer's vaccine is recommended.

Whooping Cough

All infants

- Primary vaccination of three doses 2, 4, and 6 months after birth

- An additional dose is administered 15-18 months after birth and at the age between 4-6

- Tdap or Td vaccine is injected at the age between 11-12

※ A total of three primary doses and the additional dose between 4-6 years of age can be carried out using DTap-IPV combined vaccine.

※ In the case of primary inoculation with DTaP alone or DTaP-IPV combined vaccine, the use of the same manufacturer's vaccine is recommended.

Polio

All infants

- Primary vaccination of three doses 2, 4, and 6 months after birth (third dose injected between 6-18 months after birth)

- An additional dose administered between between 4-6 years of age

※ The polio vaccine can be replaced by DTap-IPV combined vaccine.

※ However, if the primary vaccine is administered using DTap-IPV vaccine, make sure to receive the same vaccine.

Haemophilus influenzae type b

 

- Children aged between 2-59 months

- Children aged 5 or older who carry a high risk of invasive Hib infection (sicklemia, splenectomy, deteriorated immune system due to anticancer therapy, leukemia, HIV infection, humoral immunity deficiency, etc.)

- Where a child under the age of 2 has suffered from an invasive Hib disease

- Primary vaccination of three doses 2, 4, and 6 months after birth

- An additional dose at the age of 12-15 months

Pneumococcus

- Protein conjugate vaccine (PCV10 and PCV13)

·Infants and children aged between 2-59 months

·Children between the ages of 2 months and 18 years old with a high risk of pneumonia infection

Pneumococcal polysaccharide vaccine (PPSV23)

·People between the ages of 2 and 64 years old with a high risk of pneumonia infection

·Adults at the age of 65 or older

- Protein conjugate vaccine (PCV10 and PCV13): Three doses of primary vaccination 2, 4, and 6 months after birth, an additional dose between ages of 12 and 15 months

※ The cross vaccination of PSV10 and PSV13 is not recommended.

- Pneumococcal polysaccharide vaccine (PPSV23)

- One-time vaccination for those aged 65 or older

- If possible, inoculate at least 2 weeks before lienectomy, cochlear implant, anticancer therapy, or immunosuppressive therapy

Measles

All infants

One dose each at the age of 12-15 months and 4-6 years old

Epidemic mumps

All infants

One dose each at the age of 12-15 months and 4-6 years old

Rubella

All infants

One dose each at the age of 12-15 months and 4-6 years old

Chicken pox

All infants

One dose at the age of 12-15 months

Japanese encephalitis

(Inactivated vaccine)

All infants

- Two doses with an interval of 7-30 days at the age of 12-23 months old, and the third dose after 12 months of the second dose

- One dose each at the age of 6 and 12

※ The inactivated vaccine for Japanese encephalitis is classified into an inactivated mouse brain-derived vaccine and an inactivated vero cell-derived vaccine, and the cross vaccination of the two is not recommended.

Japanese encephalitis

(attenuated vaccine)

All infants

The primary vaccination 12-23 months after birth, and the secondary vaccination 12 months later

※ The cross vaccination of the inactivated vaccine and attenuated vaccine is not recommended for Japanese encephalitis.

Influenza

- Patients with chronic lung disease and chronic heart disease

- Those who are being treated, recuperated, and housed in a collective facility such as social welfare facilities due to chronic diseases

- Patients with chronic liver disease, chronic renal disease, neuromuscular disease, hematologic tumor disease, diabetes, immunodeficiency disorder (immunosuppressant intaker) and children aged 6 months to 18 years old who are taking aspirin

- Senior citizens over 65 years of age

- Medical personnel

- Those with chronic disease, pregnant women, and those who live with people over 65 years of age

- Caretakers of infants under 6 months old.

- Pregnant women

- Population 50-64 years of age

- Population 6-59 years of age

- Workers in agencies dealing with SARS and avian influenza

- Workers in chicken, duck, and pig farms and related industries

October-December

Typhoid fever

- A person who is closely inoculated with typhoid carriers (family member, etc.)

- A person who travels to or stays in the typhoid epidemic area

- An agent handling typhoid bacillus

Single dose in children over 5 years of age. An additional dose every three years

(Decided considering the epidemiological background and the risk of exposure to typhoid fever for infants under the age of 2 to 5)

Hemorrhagic fever related renal syndrome

- A group that is at high risk of occupational exposure to the Hemorrhagic fever related renal syndrome virus, such as soldiers and farmers

- A lab researcher who deals with the Hemorrhagic fever related renal syndrome virus or conducts experiments on mice

- Those who are deemed to carry a high risk of individual exposure, such as people who are frequently engaged in outdoor activities

Two doses with an interval of one month and another dose 12 months later

Hepatitis A

- Adults in their 20s and 30s who have not received hepatitis A vaccines or suffered from hepatitis A

- Those traveling to countries (regions) with a high incidence of hepatitis A

- A person in contact with a hepatitis A patient

- A lab worker who handles hepatitis A virus

- Soldiers, medical personnel and food service workers

- Patients with blood clotting disorder

- Patients with chronic liver disease

- People suffering from drug addiction

- Homosexual males

The primary dose at 12-23 months of age and the secondary dose at 6-12 months of age (or 6-18 months of age)

Papillomavirus

- 12-year-old females

Two doses at an interval of 6 months

Group A Rotavirus Infection

- Infants aged between 2-6 months old

First vaccination before 15 weeks of age (All vaccinations before 8 months of age)

· The Special Self-Governing Province Governor, the Sejong Special Self-Governing City Mayor or the head of a Si/Gun/Gu shall provide special vaccination services at public health clinics under his/her jurisdiction in any of the following cases (Article 25 paragraph 1 of the “Infectious Disease Control and Prevention Act” and Article 8 paragraph 3 of the “Special Act on the Establishment, Etc. of Sejong Special Self-Governing City”).
√ Where the Commissioner of the Korea Disease Control and Prevention Agency requests the Special Self-Governing Province Governor, the Sejong Special Self-Governing City Mayor, or the head of a Si/Gun/Gu to provide vaccination services for preventing infectious diseases;
√ Where the Special Self-Governing Province Governor, the Sejong Special Self-Governing City Mayor, or the head of a Si/Gun/Gu deems vaccinations necessary for preventing infectious diseases.
· Other vaccinations are those that can be received from medical institutions in addition to those subject to state aid, such as tuberculosis (BCG, percutaneous vaccination), rotavirus, meningococcus, and shingles.
- Record keeping and reporting of vaccination
· Where the Special Self-Governing Province Governor, Sejong Special Self-Governing City Mayor, or the head of a Si/Gun/Gu provides regular or special vaccination services, he/she shall prepare and keep records on vaccinations, and report the details thereof to the competent Special Self-Governing Province Governor, Special Self-Governing City Mayor, Mayor/Do Governor and the Commissioner of the Korea Disease Control and Prevention Agency, respectively (Article 28(1) of the Infectious Disease Control and Prevention Act, Article 23(1) of the Enforcement Regulation of the Infectious Disease Control and Prevention Act, and Article 8(3) of the Special Act on the Establishment, Etc. of Sejong Special Self-Governing City).
· Where a person, other than the Special Self-Governing Province Governor, Sejong Special Self-Governing City Mayor, or the head of a Si/Gun/Gu, provides vaccination services, he/she must prepare the records on vaccinations in the Record and Report on Vaccinations and submit the form to the Special Self-Governing Province Governor or the head of a Si/Gun/Gu (Article 28 paragraph 2 of the “Infectious Disease Control and Prevention Act”, Article 23 paragraph 2, annexed Form No. 17 of the “Enforcement Rule on the Infectious Disease Control and Prevention Act”, and Article 8 paragraph 3 of the “Special Act on the Establishment, Etc. of Sejong Special Self-Governing City”.
Ascertainment as to completion of vaccination
- The Special Self-Governing Province Governor, the Sejong Special Self-Governing City Mayor or the head of a Si/Gun/Gu (referring to the head of an autonomous Gu) may request the principal of an elementary school and the principal of a middle school to submit inspection records on whether vaccination has been completed under Article 10 of the “School Health Act” (Article 31 paragraph 1 of the “Infectious Disease Control and Prevention Act” and Article 8 paragraph 3 of the “Special Act on the Establishment, Etc. of Sejong Special Self-Governing City”).
· The head of an elementary school and the head of a secondary school must receive certificates of vaccination from the Jeju Special Self-Governing Province Governor, the Sejong Special Self-Governing City Mayor, head of a Si/Gun, or the head of a Gu (referring to the head of an autonomous Gu) within 90 days from the date when the students enter a school and inspect whether the students have received all their vaccinations, and then record them in the educational information system (Article 10 paragraph 1 of the “School Health Act”, Article 8 paragraph 3 of the “Special Act on the Establishment, Etc. of Sejong Special Self-Governing City and Article 9 paragraph 3 of the “Special Act on the Establishment of Jeju Special Self-Governing Province and the Development of Free International City”).
· The head of an elementary school and the head of a secondary school must guide new students who, it turns out, after inspection, haven’t received all their vaccinations, as a result of the inspections above to have necessary vaccinations, and if necessary, may ask the head of a relevant public health center for necessary cooperation, such as assistance for vaccinations (Article 10 paragraph 2 of the “School Health Act”).
- The Special Self-Governing Province Governor, the Sejong Special Self-Governing City Mayor, or the head of a Si/Gun/Gu may request the head of a kindergarten defined under the “Early Childhood Education Act” and the head of a daycare center defined under the “Infant Care Act” to verify the certificates of vaccination to ascertain whether infants have been vaccinated (Article 31 paragraph 2 of the “Infectious Disease Control and Prevention Act”, Article 25 of the “Enforcement Rule of the Infectious Disease Control and Prevention Act”, and Article 8 paragraph 3 of the “Special Act on the Establishment, Etc. of Sejong Special Self-Governing City”).
· Principals of child care centers may confirm whether an infant or young child has periodically received protective inoculations based on the integrated vaccination control system each year under Article 33-4 of the “Infectious Disease Control and Prevention Act” (Main provision of Article 31-3 paragraph 1 of the “Child Care Act”).
※ However, the confirmation must be made within 30 days from the date he/she first starts to care for the infant or young child (Article 31-3 paragraph 1 of the “Child Care Act”).
· The principal of a child care center may guide the guardians of infants and young children found to have failed to be vaccinated as a result of confirmation as provided above for vaccination, and when necessary, request the head of the competent public health center to render cooperation in terms of protective inoculation, etc. (Article 31-3 paragraph 2 of the “Child Care Act”).
· For the confirmation and management of vaccination of infants and young children, principals of child care centers must record and manage matters concerning protective inoculation and details thereof in the records of life in the child care center (Article 31-3 paragraph 3 of the “Child Care Act”).
- If the Special Self-Governing Province Governor or the head of a Si/Gun/Gu finds that some infants, students, etc. have not been vaccinated after verifying records on whether vaccination has been completed and results of ascertainment on whether infants have been vaccinated, he/she must vaccinate such infants, students, etc.(Article 31 paragraph 3 of the “Infectious Disease Control and Prevention Act” and Article 8 paragraph 3 of the “Special Act on the Establishment, Etc. of Sejong Special Self-Governing City”).