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 Pregnancy Live vaccines should not be routinely given to pregnant women because of possible harm to the unborn child. However, where there is a significant risk of exposure (e.g. yellow fever) the need for vaccination may outweigh the risk of any possible harm to the unborn child. Inactivated vaccines should only be administered to pregnant women when the need for vaccination outweighs the risk of possible harm to the unborn child. Breast Feeding Most vaccines can be administered safely to breast feeding women. However, it is important to note that immunity does not pass to the child through its mother's milk. Acute illness If someone is suffering from an acute illness, immunisation should be postponed until they have recovered. However, for minor conditions with no fever or systemic upset, there is no need to postpone the vaccination schedule. Immunocompromised patients HIV infection: The Department of Health has advised that HIV positive patients can safely receive certain inactivated vaccines e.g. Polio, Diphtheria, Tetanus, Typhoid, and Hepatitis B. However they may have a sub-optimum immune response. Re-immunisation may be necessary in some cases and specialist advice should be obtained. Live virus vaccines should not be routinely administered to patients with HIV infection. HIV infected patients who will be at risk of exposure to Yellow Fever should seek specialist medical advice regarding Yellow Fever vaccination. The Department of Health also advise that HIV positive patients travelling to a country where there is no risk of exposure to Yellow Fever but a Yellow Fever certificate is required for entry, should obtain a letter of exemption from their doctor or specialist. It would be prudent to ascertain beforehand that this would be acceptable to the country they are planning to visit. Immunosuppression: Live virus vaccines should not be administered to immunosuppressed patients, such as those who have recently undergone radio or chemotherapy, or are receiving immuno-suppressant drugs such as corticosteroids. Inactivated vaccines are not dangerous to these patients but may be ineffective. |
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