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Immunization Record for Children

Similar to most countries in the world, Malaysia through Ministry of Health (MOH) has time scheduled for every child to obtain immunization shots to be protected against the typical childhood diseases such as measles, mumps, whooping cough, polio and a few notorious viruses. In some countries, immunization shots are optional but some vaccination are made compulsory in Malaysia - in the sense that this immunization record might be screened through as a requirement for entry into school, college or university. Whether your child obtains the immunization shots in public (government) or private hospital/clinic, it doesn't matter as long as the immunization record of your children is tracked or documented.
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Baby Immunization Schedule in Malaysia

The following are the children's immunization schedule shots provided by Ministry Of Health in Malaysia. You can opt for all these shots at no cost even your child was delivered at private hospital. The newborn jab such as BCG could be had been given immediately after the baby was born, however the subsequence follow-up immunization shots at 1 month-old can be continued on with the government clinic and you can stick to it. Child and Mom Clinic or better known as Klinik Ibu dan Anak is a sub health center or public clinic in the neighborhood that is specializing in the child and mother care. Their nurses are well-trained and we are pleased with their services, in general is efficient, prompt and above par.

Baby's age Immunization offered Administration
Birth  BCG 1 injection (IM)
Hepatitis B (1st Dose) 1 injection (IM)
1 mo Hepatitis B (2nd Dose) 1 injection (IM)
2 mo Dtap - Diphtheria, tetanus, pertussis/whooping cough (1st Dose) 1 injection (IM)
Hib - Haemophilus influenzae type b (1st Dose)
IPV - polio (1st Dose)
3 mo Dtap - Diphtheria, tetanus, pertussis/whooping cough (2nd Dose) 1 injection (IM)
Hib - Haemophilus influenzae type b (2nd Dose)
IPV - polio (2nd Dose)
5 mo Dtap - Diphtheria, tetanus, pertussis/whooping cough (3rd Dose) 1 injection (IM)
Hib - Haemophilus influenzae type b (3rd Dose)
IPV - polio (3rd Dose)
6 mo Hepatitis B (3rd Dose) 1 injection (IM)
Measles (Sabah only) 1 injection (IM)
9 mo Japanese encephalitis (Sarawak only) - 1st Dose 1 injection (IM)
10 mo Japanese encephalitis (Sarawak only) – 2nd Dose 1 injection (IM)
12 mo MMR - Measles, mumps and rubella (1st Dose) 1 injection (IM)
18 mo Dtap - Diphtheria, tetanus, pertussis/whooping cough (B) 1 injection (IM)
Hib - Haemophilus influenzae type b (B)
IPV - polio (B)
Japanese encephalitis (Sarawak only) - 3rd Dose 1 injection (IM)
4-5 yo Japanese encephalitis (Sarawak only) - 4th Dose 1 injection (IM)
7 yo Measles, mumps and rubella (booster) (MMR) 1 injection (IM)
Diphtheria & tetanus / polio (before starting school) (DT/IPV) 1 injection (IM)
15 yo Tetanus (ATT) 1 injection (IM)

If your child continues the health follow-up program at government clinic through the developmental milestones, at the age of 24 month-old, he/she will be given Albendazole suspension usp 200mg/5ml (Ubat Cacing in Malaysian term). Indicated for prevention against single or mixed worm infestations, the nurse advised me to administer 5 ml at once, preferably when my child is generally in good shape, without any concomitant administration of other drugs.

There are additional children immunization schedule in Malaysia that is made available, such as:
Pneumococcal (PCV) - first dose at 2 month-old.
Rotavirus - first dose at around 2 month-old.
Hepatitis A - first dose at 24 month-old.
Meningococcal - at 24 month-old.
Variella (Chicken Pox) - between 12-15 month-old.
Japanese Encephalitis (JE) - first dose at 15-24 month-old.
Flu shots - may be given to baby after 6 months on annual basis until the children reach 5 to 6 years old.

Apart from convenience, short waiting time, the ultimate thing that explains our preference for the jabs in public over the private hospital is the former organization tends to be more conservative in term of listing their vaccines. There could be many types of vaccines for one immunizations, promoting by a few different drug manufacturers. You may have heard of insufficient clinical data, serious adverse reaction cases on new vaccinations in the market, so opting for something that a huge population have tried sounds safer though this is not an absolute if a mishap were to happen. At least, we push down the probability to the lowest we can!

Some of us may have heard of traces of heavy metal in the preparation of the immunization or vaccination jabs. Being someone who is trained tertiary in chemistry-pharmacy, I personally know how bad it is once these notorious chemicals got into our blood stream. There is no turning back, they stay there as long as our live. Think of it from another perspective though. Most of us are consuming marine products such as salmon, shark, tuna, these are large fishes that possibly are contaminated with heavy metal as well. So, what was our stand as first-time parents? No doubt, the shots are prevention and protection program for the child, at the same time there is a risk. We chose a path of moderation - somewhere in between. Taking up only the required jabs and leave out the rest to be further evaluated. We will cross the bridge when we reach there :).

Always consult medical experts before going for an immunization shot. Ask for the advantages and the flip sides. Though there are pediatricians that tend to pro 'prevention being better than cure' but that doesn't mean our child shall be risked for every vaccination that comes within reach. This is only a subject on children immunization schedule shots but I believe you are like us, had put down a lot of thought because this decision is a one-way ticket :). We are keen to hear your voices, tell us if you have such an experience.

Reference:
Ministry of Health Malaysia - Health Book Record for Children 0-6 year-old.


 

Comments  

 
0 #2 Lowe 2013-06-20 14:49
Soo, would you rather your child gets injected at 3-5 different sites for his vaccination or one single jab combined? Some vaccination are needed by the WHO guidelines, and some are optional. DTaP-HiB-IPV is mandatory.
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0 #1 Soo 2013-04-01 01:02
Yes, I absolutely despise paeds who tried to push the various other cocktails of vaccines. Sigh, our poor babes, taking those 5-in1 shots at such early age of their lives.
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