On December 13, 2007 Merck announced a voluntary recall of certain lots of Hib vaccine. This recall has now resulted in a nationwide shortage of Hib. Consequently, the Centers for Disease Control & Prevention (CDC) recommended that physicians defer the booster Hib vaccine dose usually given at 12-15 months. This recommendation directly affects child care immunization requirements here in California. Please see below for more information about the Special Schedule that is expected to stay in effect throughout 2008.

Providers
Letter to Providers
Information from the CDPH Immunization Branch about the Special Schedule and how it affects local doctors.

If you have any questions or concerns please contact the San Diego Immunization Branch at 619.692.8661.

Child Care
The Special Schedule will change the Hib requirements for children 15 months - 4 years, 6 months only. The current requirement reads "1 dose of Hib on or after the first birthday" but is now changed to "1 dose of Hib at any age".

Letter to Child Care Facilities
Information from the CDPH Immunization Branch about the Special Schedule and how it changes the immunization requirements.

Child Care Requirements Table - Special Schedule (English) (Spanish)
This is a table showing all of the immunization requirements including the changes with the Special Schedule. This is also different from the Blue Book and should be used until further notice.

If you have questions or would like to attend a training session, please contact Kimberly Ralston at 619.692.8601 or kimberly.ralston@sdcounty.ca.gov.

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The information on this website should not be used as a substitute for the medical care and advice of your healthcare provider. Your healthcare provider may recommend variations in treatment based on individual facts and circumstances.