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Protect your child from infectious diseases Dutch National Immunisation Programme Have your child vaccinated In the Netherlands, all children receive a number of injections against infectious diseases. The injections are called vaccinations or inoculations. This is how we protect your child against serious infectious diseases. Children who have not been born in the Netherlands and are coming to live here are also offered these vaccinations, under the same Dutch vaccination programme. Any programme from your country of origin is converted into the Dutch programme, on the basis of which a doctor will assess which vaccinations your child will be offered. This depends on your child’s age and which vaccinations he or she has already received. If you have vaccination records from your country of origin, please show them to the doctor. This brochure is to inform you of the various vaccinations. It also explains what you can do should your child suffer from any symptoms because of a vaccination. It is important that the vaccination programme is completed in its entirety as this will best protect your child against infectious diseases. The vaccinations are free for your children. The Dutch government pays for them. Against which diseases will your child be vaccinated? Some infectious diseases are severe and hard to treat. This is why it makes sense to have your child vaccinated at all times. Your child can be vaccinated against the following diseases: - Diphtheria (D) - Pertussis (whooping cough) (K) - Tetanus (T) - Poliomyelitis (P) - Mumps (B) - Measles (M) - Rubella (German measles) (R) - Infections with HIB bacteria (Hib) - Infection with Streptococcus pneumoniae (Pneu) - Infection with meningococcus C (MenC) - Hepatitis B (HepB) - Cervical cancer (HPV) Has your child been ill or is he or she on medication? Has your child been seriously ill or is he or she on medication? Or has your child been treated by a doctor in the last three months? Do you suspect that your child is ill? You must inform the doctor or nurse prior to the vaccination. Vaccination schedule Children born in the Netherlands are offered vaccinations according to the Dutch programme. If your child comes to live in the Netherlands at a later age, he or she may have had certain vaccinations. The vaccination schedule will be modified accordingly. The doctor will explain which vaccinations your child needs. The doctor or the nurse will perform the injection. Should you have any questions or wish to have further information, you can ask the doctor or nurse. Vaccination schedule* months months months months months Injection 1 DKTP Hib HepB DKTP Hib HepB DKTP Hib HepB DKTP Hib HepB BMR Injection 2 Pneu Pneu Pneu Pneu MenC 4 years 9 years DKTP DTP 12 years HPV 3 times 1 injection BMR * Valid from 1 August 2011 DDiphtheria K Pertussis (whooping cough) T Tetanus P Poliomyelitis Hib Haemophilus influenzae type b HepB Hepatitis B Pneu Streptococcus pneumoniae BMumps Which diseases do the vaccinations protect your child against? Diphtheria Diphtheria is a serious inflammation of the throat. If your child contracts diphtheria he or she may suffocate. In addition, heart and nervous system may become damaged. Pertussis If your child contracts pertussis, he or she will cough a great deal and very fiercely. Pertussis is very common in the Netherlands. It is especially dangerous to babies. They may suffer lasting brain damage or even die. A child that has been vaccinated against pertussis can still contract the disease but he or she will have milder symptoms than when he or she had not been vaccinated. Tetanus If your child contracts tetanus, his or her muscles may tense up. This includes the muscles your child needs to swallow and breathe. Your child may suffocate. A child may contract tetanus if he or she is bitten by an animal, for instance, a rabbit, or if street dirt ends up in a scratch. Polio Polio is short for poliomyelitis and is also called infantile paralysis. If your child contracts polio, he or she may become paralysed. Hib If your child becomes infected with the HIB bacteria, it may contract a number of diseases: meningitis, inflammation of the epiglottis, pneumonia, inflammation of the joints, blood poisoning. Hepatitis B Hepatitis B is an inflammation of the liver. Sometimes this infection does not go away and the patient in question becomes a carrier of the virus. This may severely damage the liver and may cause liver cancer later in life, resulting in death. Hepatitis B is contagious, which means others can also contract it, for instance when they come into contact with contaminated blood. If children become infected with this virus, they run a large risk of becoming carrier of the virus. Are you pregnant and carrier of the hepatitis B virus? In that case, your child will receive additional vaccinations within 48 hours after the birth. Streptococcus pneumoniae If your child becomes infected with MMeasles R Rubella (German measles) MenC Meningococcus C HPV Human Papillomavirus Streptococcus pneumoniae, he or she may contract a number of diseases: meningitis, blood poisoning, pneumonia, bronchitis or inflammation of the middle ear. Your child may suffer permanent damage, such as deafness, epilepsy, mental retardation or growth disorders. Infection of the limbs may sometimes require amputation of an arm or a leg. Your child may even die of an infection with Streptococcus pneumoniae. There are many different types of Streptococcus pneumoniae. The vaccination protects against the main types. Mumps The mumps is a disease of the salivary glands. Your child’s cheek will swell up. Your child can contract meningitis from the mumps. Furthermore, your child may contract inflammation of the testicles or ovaries. Occasionally, this may cause infertility. Measles If your child has contracted measles, he or she will have a high fever and a rash. Your child may be quite ill. He or she may contract an ear infection, bronchitis, pneumonia and brain fever from the measles. In severe cases, a child could even die from the measles. Rubella Rubella is especially dangerous during pregnancy. If your daughter is pregnant later in life and contracts rubella, there is a high risk that her child is born with a birth defect. The baby could be deaf or blind, for instance. Or he or she may have a heart condition or a mental deficiency. Your daughter may also miscarry because of rubella. Meningococcus C If your child is exposed to Meningococcus C, he or she may contract meningitis and blood poisoning. Your child can die from this. He or she may become deaf, become mentally challenged, have learning difficulties or behavioural issues. Infection of the limbs may sometimes require amputation of an arm or a leg. HPV An infection with HPV may cause your daughter to have cervical cancer later in life. HPV is an abbreviation of Human Papillomavirus. There are many different types of HPV. The vaccination protects against the most common types. Vaccinations can have adverse side effects Which adverse side effects can affect your child? The immune system of healthy babies and that of older children can cope well with the vaccinations. They will strengthen the immune system. If your child has been vaccinated, it is possible that he or she does not feel well for a while afterwards. Every child does not respond the same to a vaccination. The following complaints are common: - Fever. - Listlessness. - A red mark, swelling or pain where the child was injected. - Pain when moving the arm or leg that was injected. - Babies may sleep more restlessly or longer than usual. - Children from 4 years and up may faint because of the tension they feel because of the injection. Most adverse side effects start on the day of the injection. They are mostly gone within two days. Side effects from the mumps, measles and rubella (BMR) start a bit later: 5 to 12 days after the injection. Are you worried about your child? Or does the fever and listlessness last longer than two days? Consult your family doctor. Your child will not become more unwell if he or she vaccinated against several diseases at once. What can you do to lessen the adverse side effects? You can lessen the side effects by: • Comfort your child, give him or her attention and distract away from the pain of the injection. • Does your child have a fever? Make sure that he or she stays cool. Dress your child lightly, for instance only a romper suit or vest. Do not have your child with you in the bed. That is far too warm. Let your child be in his or her own bed under a sheet. You can pat your child with a moist face cloth. There is no need to give your child any paracetamol. See to it that he or she drinks enough. • Is your child throwing up? While watching over the child (especially babies and young children), place him or her on his or her stomach with the head towards the side. This prevents any vomit from ending up in the lungs. Despite the risk of vomiting, it is advised to put your child to bed on his or her back. This is an edition by: The National Institute for Public Health and the Environment (RIVM) PO Box 1 | 3720 BA Bilthoven www.rivm.nl/rijksvaccinatieprogramma www.facebook.com/rvp.vaccinaties 005470 This information was drawn up in collaboration with GGD Nederland. • Is the arm or leg that was vaccinated sore? Touch it as little as possible. Touching it may increase the pain. • Never shake your child! Not even if he or she is choking or has stopped breathing for a moment. If you shake your child, you may damage his or her brain. It is therefore better to tap him or her on the cheek or squeeze his or her foot. • Are you worried about your child? Do you feel that your child is very sick from the vaccination? Or does your child have an unusual side effect? Phone your family doctor or visit him or her. Your family doctor may give you advice or examine your child. Is your child crying a lot? Or is your child experiencing pain later in the day of the vaccination? Then you can give your child paracetamol, but preferably not too often. Following the dose recommended for the age and weight of your child. Always read the insert. Always report side effects Does your child have a side effect after a vaccination? Inform the vaccination doctor or nurse upon your next visit. This way, they will know about your child’s specific situation. All vaccination side effects in the Netherlands are recorded and investigated. That is another reason why it is important that you report any side effects. What does the RIVM do? The National Institute for Public Health and the Environment (RIVM) ensures that your child can join the National Immunisation Programme. The RIVM sends the vaccination slips to you. Store them carefully and take them with you when you go in for the vaccinations. The RIVM has your child’s details and will only use them for the National Immunisation Programme. They will also keep track of which vaccinations your child has received in the Netherlands. Where do you go for the vaccinations? The GGD or a Centre for Youth and Family (CJG) ensures the implementation of the vaccinations. You will receive a summons from them for the vaccination. This leaflet has been translated by COA (Central Agency for the Reception of Asylum Seekers) and is intended specifically for asylum seekers. RIVM has taken due care to ensure the accuracy of the translation of the Dutch text into English. However, RIVM accepts no liability for any damage resulting from possible omissions in the translation of this leaflet. The Dutch version of the leaflet will prevail in the event of any conflict or discrepancy with the translation. September 2013