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Paediatr Child Health. 1998 Jan-Feb; 3(1): 20.
PMCID: PMC2851258

Routine childhood immunization programs in Canada

The information presented in the following table is based on the 1997 Immunization Survey conducted by the Division of Immunization, Laboratory Centre for Disease Control, Health Canada to review the current schedule for routine childhood immunization in Canadian provinces and territories. All jurisdictions have a recommended childhood immunization schedule similar to that recommended by the National Advisory Committee on Immunization. Differences among jurisdictions are mainly due to the specific vaccine products used.

Routine immunization for infants and children – Provincial and territorial schedules, Canada

Province or territoryDTaP (months)Polio-IPV (months)Hib (months)Td/Td-IPV (years)Hepatitis B (3 doses)MMR (first dose) (months)MMR/MR (2nd dose)
Alberta2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td, 14–16Grade 512MMR, 4–6 years
British Columbia2,4,6,18 and 4–6 years*2,4,6,18 and 4–6 years*2,4,6,18Td, 14–16Grade 612MMR, 18 months
Manitoba2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td, 14–16Not planned12MMR, 5 years
Newfoundland2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td-IPV, 14–16Grade 412MMR, 18 months
New Brunswick2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td-IPV, 14–16Infants 0,2,12 months or grade 4§12MMR, 18 months
Northwest Territories2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td-IPV, 14–16**Infants 0,1,6 months or grade 4††12MMR, 18 months
Nova Scotia2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td-IPV, 14–16Grade 412MMR, 4–6 years
Ontario2,4,6,18 and 4–6 years‡‡2,4,6,18 and 4–6 years‡‡2,4,6,18Td-IPV, 14–16§§Grade 712MMR, 4–6 years
Prince Edward Island2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td-IPV, 14–16Infants 2,4,15 months or grade 3¶¶15MMR, 18 months***
Quebec2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years†††2,4,6,18Td-IPV, 14–16†††Grade 412MMR, 18 months
Saskatchewan2,4,6,18 and 4–6 years‡‡‡2,4,6,18 and 4–6 years‡‡‡2,4,6,18Td, 14–16§§§Grade 612MR, 18 months
Yukon Territory2,4,6,18 and 4–6 years2,4,6,18 and 4–6 years2,4,6,18Td-IPV, 14–16Grade 412MMR, 18 months
*In British Columbia, fifth dose of diphtheria, tetanus and acellular pertussis (DTaP) and inactived polio vaccine (IPV) at four to six years is not necessary if the fourth dose was given after the fourth birthday;
In New Brunswick, whole cell pertussis vaccine was used through 1997;
In New Brunswick, polio vaccine at 14 to 16 years is not required if the child has completed the primary series and received one or more doses of oral polio vaccine (OPV) in the past;
§In New Brunswick, hepatitis B vaccination is currently given to children in grade 4 who have not been vaccinated in infancy;
In Northwest Territories, fifth dose of DTaP and IPV at four to six years is not necessary if the fourth dose was given after the fourth birthday;
**In Northwest Territories, polio vaccine at 14 to 16 years is not required if the child has completed the primary series and received one or more doses of OPV in the past;
††In Northwest Territories, hepatitis b vaccination is currently given to children in grade 4 who have not been vaccinated in infancy;
‡‡In Ontario, fifth dose of DTaP and IPV at four to six years is not necessary if the fourth dose was given after the fourth birthday;
§§In Ontario, polio vaccine at 14 to 16 years is not required if the child has completed the primary series and received one or more doses of OPV in the past (OPV was used routinely from January 1990 through March 1993);
¶¶In Prince Edward Island hepatitis B vaccination is currently given to children in grade 3 who have not been vaccinated in infancy;
***In Prince Edward Island, currently a second measles, mumps and rubella (MMR) vaccine dose is given to children four to six years of age who would not have received their second dose at 18 months;
†††In Quebec, polio vaccine doses at four to six years and at 14 to 16 years are omitted if OPV was used for earlier doses;
‡‡‡In Saskatchewan, fifth dose of DTaP and IPV fifth dose at four to six years is not necessary if the fourth dose was given after the fourth birthday;
§§§In Saskatchewan, polio vaccine at 14 to 16 years is given only if one dose of OPV was not received in the past. Hib Haemophilus influenzae b vaccine. MR Measles and rubella vaccine; Td Tetanus diphtheria toxoid adult-type. Information provided by Division of Immunization, Bureau of Infectious Diseases, Laboratory Centre for Disease Control, Health Canada, Tunney's Pasture, PL0603E1, Ottawa, Ontario K1A 0L2. Telephone 613-957-1340, fax 613-998-6413

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