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This section is part five of the Public Health England UK immunisation schedule, which was last updated by PHE in January 2020. View the full range of schedule documents here.

Premature infants

  • It is important that premature infants have their immunisations at the appropriate chronological age (counted from their date of birth), in accordance with the national routine immunisation schedule.
  • As the benefit of vaccination is high in this group of infants, vaccination should not be withheld or delayed.
  • As the occurrence of apnoea following vaccination is especially increased in infants who were born very prematurely, specific guidance on the immunisation of premature infants in Chapter 7 and the disease specific chapters should be followed.

Selective immunisation programmes

  • There are a number of selective immunisation programmes that target children and adults at particular risk of serious infections, such as hepatitis B, hepatitis A, influenza, Hib, meningococcal and pneumococcal infection.
  • Other vaccines, including BCG, HPV, hepatitis B and hepatitis A, are also recommended for individuals at higher risk of exposure to infection, due to lifestyle factors, close contact or recent outbreaks in their community.
  • Individuals at risk of exposure through their work should be advised about any required vaccinations by their employer or their occupational health service (Chapter 12).
  • For more information, please see Chapter 7 and the disease specific chapters.


Full guideline: www.gov.uk/government/publications/immunisation-schedule-the-green-book-chapter-11

Public Health England. UK immunisation schedule: the green book, chapter 11. January 2020.
Contains public sector information licensed under the Open Government Licence v3.0.

Published date: January 2020.