• Vaccine efficacy and side effects (Hib , pediatric pneumococcus , vaccine safety )
• Eligible people/costs (children who cannot be vaccinated)
• Number of inoculations ( Hib, pediatric pneumococcus )
• Inoculation method ( first reservation , on the day of vaccination )

Effects and side effects of vaccines

Hib (Hib, Haemophilus influenzae type b)

• Hib is a bacterium (Haemophilus influenzae) that causes invasive Haemophilus influenzae infections such as bacterial meningitis , otitis media, sinusitis, bronchitis, meningitis,sepsis , and pneumonia.
  Haemophilus influenzae is different from the influenza virus that causes the seasonal influenza epidemics that occur every autumn and winter.
  More than half of bacterial meningitis in infants is said to be caused by Hib.
• The incidence of invasive Haemophilus influenzae infection in Japan is about 1 in 100,000 people under the age of 5, and about 1 in 10 people who develop the disease die (National Institute of Infectious Diseases). Report status of invasive Haemophilus influenzae infection based on the Infectious Diseases Law, 2013-2018 ).

side reaction

• The main side effects of Hib vaccination are rash, swelling, and pain at the injection site, and occasionally a mild fever may be seen.
  Both are temporary and usually disappear within a few days.
• Hib vaccine uses bovine-derived ingredients in the manufacturing process, but there have been no reports of transmissible spongiform encephalopathy caused by the vaccine.

pediatric pneumococcal

• Streptococcus pneumoniae is in the nose and throat of many children and is usually quiet, but when the child's physical strength and resistance drops, it can cause bacterial meningitis , pneumonia, otitis media, sinusitis, bone marrow. It causes invasive pneumococcal infections such as inflammation and arthritis.
  In addition, as pneumococci ( resistant bacteria ) that are resistant to antibiotics are increasing, there are more cases of poor prognosis even if diagnosis and treatment are started early.
• The incidence of invasive pneumococcal infection in Japan is 6 out of 100,000 under the age of 5, and 4 out of 100 who develop the disease have disappeared (National Institute of Infectious Diseases Invasive Pneumococcal Infection disease notification status, week 1 of 2014 to week 35 of 2021 ).
• There are various types of pneumococcal bacteria, and since November 1, 2013, vaccines containing 13 types of pneumococcal components have been used (Ministry of Health, Labor and Welfare, Q&A on switching pediatric pneumococcal vaccines ).

side reaction

• The main side effects of pediatric pneumococcal vaccination are swelling, swelling, and pain at the injection site, and sometimes mild fever may be seen.
  Both are temporary and usually disappear within a few days.

vaccine safety

From the start of sales of the pediatric pneumococcal vaccine to June 30, 2022, and from April 1, 2013 to June 30, 2022 for the Hib vaccine, approximately 3 adverse reactions per 100,000 people vaccinated has been reported.
However, according to the Ministry of Health, Labor and Welfare's expert meeting, ``the reported frequency of fatal cases is 0 to 0.18 per 100,000 vaccinations, which is below the 0.5 per 100,000 vaccinations that require urgent consideration.'' ( 85th Health Science Council Immunization/Vaccine Subcommittee Adverse Reactions Examination Subcommittee ).

Eligible people/Cost

Hib and pediatric pneumococcal immunizations as routine immunizations are eligible for those living in Nakano Ward (including victims of the Great East Japan Earthquake) who are 2 months to 5 years old (60 months). Children up to and including age are free of charge (Reference: How to count ages ).

In addition, if you could not receive routine immunization at the target age due to long-term medical treatment (Article 2-4 of the Ordinance for Enforcement of the Preventive Vaccination Law ) or special circumstances (Article 2-5 of the Ordinance),

1. Hib must be within 2 years of being vaccinated and under the age of 10
2. Pediatric pneumococci are less than 6 years old

If so, you can inoculate it free of charge as a routine vaccination (Article 1-3, Paragraph 2 of the Order for Enforcement of the Preventive Vaccination Law ). If you wish to do so, please contact us using the contact information on this page below.

children who cannot be vaccinated

• Children with a fever of 37.5 degrees Celsius or higher
• Children with serious acute illnesses
• Children who have had anaphylactic shock (severe systemic allergic symptoms such as hives all over the body, vomiting, dyspnea, and low blood pressure) due to vaccine ingredients, etc.
• Children deemed unsuitable by a doctor

Number of inoculations

• The target period for routine immunization is between 2 months and under 5 years of age, but in Nakano Ward, DPT-IPV (diphtheria, pertussis, tetanus, and polio ) can be administered to children who are 3 months old . vaccine) is recommended .
  Hib vaccine, pneumococcal vaccine, and DPT-IPV require several doses at intervals to build immunity.
  Vaccination is a medical practice, and depending on the doctor's judgment, it may not be possible to vaccinate at the statutory vaccination intervals. Make sure there are no leaks.
  In addition, if the doctor deems it necessary, different types of vaccines can be inoculated at the same time (18(2), Overview of Routine Vaccination Implementation Guidelines ).

Hib vaccination ( Immunization Practice Regulations Chapter 6 Immunization against Hib Infection)

1. 4 doses if inoculated between 2 months and 7 months after birth
2. If the vaccination is started between 7 months and 1 year of age, 3 doses
3. 1 dose if the vaccination was started between the ages of 1 and 5

Pneumococcal vaccination for children

1. 4 doses if inoculated between 2 months and 7 months after birth
2. If the vaccination is started between 7 months and 1 year of age, 3 doses
3. 2 doses if inoculated between 1 and 2 years old
4. 1 dose if the vaccination was started between the ages of 2 and 5

Inoculation method

• Every month, at the end of the month before the child turns 2 months old, the ward sends a list of the medical institutions where the child is to be administered, the vaccination schedule, and a vaccination schedule. If you have moved to Nakano Ward after 2 months of age and do not have a vaccination ticket , please apply for issuance or reissuance of a vaccination ticket .
• For precautions before vaccination, please proceed to Precautions when receiving vaccinations .

Book first

• Hib and pediatric pneumococcal vaccinations are individual vaccinations that the individual who wishes to receive them must arrange a time and date with the medical institution and go to that medical institution.
  The days and times of vaccinations differ depending on the medical institution, so be sure to contact each medical institution in advance and make an appointment before going out.
• For details of medical institutions in Nakano Ward where Hib and pediatric pneumococcal vaccines can be administered, please go to List of Medical Institutions Implementing Immunization in Nakano Ward .
• If you wish to have the vaccination at a medical institution other than the one in Nakano Ward, please proceed to To receive vaccination outside Nakano Ward .

On the day of vaccination

• On the day of the vaccination, please bring the maternal and child health handbook and the preliminary examination slip to the medical institution .
• If someone who is familiar with the child's health, such as a grandparent, accompanies the child to the vaccination in place of the guardian, please also bring a power of attorney to the medical institution.
  For more information, go to Minors must be accompanied by a parent or guardian to get immunizations .
• For precautions after vaccination, please proceed to Precautions when receiving vaccinations .