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French vaccination schedule: 2007 update

The 2007 French vaccination schedule takes into account the latest evidence on epidemiological evolutions.

The September issue of la revue Prescrire reports on the latest update of the French vaccination schedule.

Given the epidemiological evolution of tuberculosis in France, the BCG is now restricted to children the most at risk of tuberculosis: those with links to a country where tuberculosis is endemic through their place of birth or their parents’ origin, or who are planning an extended stay; children with a family history of tuberculosis or who are living in socially precarious conditions; all children living in the Paris Region or in Guiana, where tuberculosis is more frequent than elsewhere in France.

Vaccination against chickenpox is not recommended in infants; it is recommended for adolescents aged 12 to 18 (who have not had chickenpox); women of reproductive age, in particular following a first pregnancy, subject to a negative pregnancy test and effective contraception for 3 months after each dose of vaccine; non-immunised health professionals and non-immunised adults who have been exposed to chickenpox.

Vaccination against papillomavirus infections will be routinely offered to adolescent girls aged 14 with boosters up to the age of 23, for those who have not yet had sexual relations or have been sexually active for less than a year.

The list of compulsory vaccinations for students and health professionals has been simplified. Vaccination against hepatitis B, diphtheria, tetanus and poliomyelitis is no longer obligatory for trainees not in contact with patients or biological liquids.

©Prescrire Septembre 2007

Source: Prescrire Rédaction "Calendrier vaccinal français : mise à jour 2007 " Rev Prescrire 2007 ; 27 (287) : 691.

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