Sun May 26 05:54:40 SGT 2013  
SHIM CLINIC
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6100 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Web: www.ShimClinic.com
Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Last registration: half hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.

Pertussis Vaccine | Shim Clinic, Singapore

Summary

Pertussis Vaccine | Shim Clinic, Singapore: Pertussis vaccine jab/shot/injection schedule, to vaccinate against the Bordetella pertussis, to immunise against Pertussis (whooping cough) clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

All travellers should be up to date with vaccination according to national recommendations. Both whole-cell (wP) and acellular (aP) pertussis vaccines provide excellent protection and are safe apart from minor adverse events. For several decades, wP vaccines have been widely used in national childhood vaccination programmes; aP vaccines, which cause fewer adverse events but are more expensive, are now licensed in many countries. Both wP and aP are usually administered in combination with diphtheria and tetanus toxoids (DTwP or DTaP). WHO recommends a 3-dose primary series, with the first dose administered at the age of 6 weeks; subsequent doses should be given 4–8 weeks apart, at 10–14 weeks and 14–18 weeks. The last dose of the recommended primary series should be completed by the age of 6 months. Protection declines with time and probably lasts only a few years. A booster dose administered 1–6 years after the primary series, preferably during the second year of life. Some countries now offer an adolescent/adult booster, in particular to health care workers and young parents. Previously unvaccinated adolescents/adults should receive 3 doses of wP vaccine or aP vaccine with an interval of 2 months between the first and second, and 6–12 months between the second and third doses.

Vaccine types available for vaccination / immunisation (uk) / immunization (us) :

Vaccine Against Disease Age D
o
s
e
s
Dose schedule Price
per
dose
(SG$)
Live attenuated
MMR vaccine ≥12m 1 $70/=
Measles virus Measles
Mumps virus Mumps
Rubella virus Rubella
Varilrix™ Varicella zoster virus
HHV-3
Varicella Chickenpox 12m-12y 1 $121/=
≥13y 2 6-10w interval
Zostavax™ Herpes zoster Shingles ≥50y 1 $400/=
Stamaril® Yellow fever virus Yellow fever 9m-59y 1 10 yearly $250/=
Inactivated / Whole / Viral & Bacterial
Ixiaro® Japanese encephalitis virus Japanese encephalitis ≥17y 2 2nd: 28d after 1st $386/=
1 Booster: 12-24m after 2nd
Dukoral® Vibrio cholerae Cholera 2-6y 3 1-6w interval $113/=
1 Booster: 6m after 3rd
≥6y 2 1-6w interval
1 Booster: 2y after 2nd
Inactivated / Fractional / Protein
Intanza™ Influenza virus Influenza 18-59y 1 1 yearly $30/=
Fluarix™ Influenza virus Influenza 6-36m ½ 1 yearly $30/=
>3y 1
Tetavax Clostridium tetani Tetanus adults 3 1-2m interval
3rd @ 6-12m
after 2nd
$30/=
booster 1 10 yearly
Boostrix® ≥4y 1 <10 yearly $70/=
Corynebacterium diphtheriae Diphtheria
Clostridium tetani Tetanus
Bordetella pertussis Pertussis
Whooping cough
Inactivated / Fractional / Polysaccharide / Pure
Typhim Vi® Salmonella typhi Typhoid fever >5y 1 3 yearly $40/=
Mencevax® ACWY Neisseria meningitidis
types A, C, W-135
and Y
Meningococcal meningitis >2y 1 $80/=
Inactivated / Fractional / Polysaccharide / Conjugate
Menactra® Neisseria meningitidis
types A, C, W-135
and Y
Meningococcal meningitis 2-55y 1 $220/=
Prevenar 13® (SG) /
Prevnar 13® (US)
Streptococcus pneumoniae
types 1, 3, 4, 5,
6A, 6B, 7F, 9V, 14,
18C, 19A, 19F, 23F
Pneumococcal infection 6w-6m 4 1m interval
4th @ 12-15m
$274/=
7-11m 2 1m interval
12-23m 2 2m interval
2-5y 1
≥50y 1

If the clinic attendance is just for vaccination alone, no additional consultation fees are charged.

Testing for immunity against the following is available:

Virus Antibody Test Price
Varicella zoster virus Varicella Zoster IgG Antibody $44/=
Rubella virus Rubella IgG Antibody $24/=
Hepatitis A virus Hepatitis A IgG Antibody $30/=
Hepatitis B virus Hepatitis B surface Antibody $10/=

Other vaccines not stocked

References Vaccine Classification References Hajj vaccine / Haj vaccine / Umrah vaccine requirements for travel to Mecca, Saudi Arabia: References STD vaccine / hepatitis vaccine shot/jab/injection to prevent some STDs

Vaccine Against Disease Age D
o
s
e
s
Dose schedule Price
per
dose
(SG$)
Havrix™ 1440 Adult Hepatitis A virus Hepatitis A ≥19y 2 m 0 & 6-12 $90/=
Twinrix® Hepatitis A virus
Hepatitis B virus
Hepatitis A
Hepatitis B
1-15y 2 m 0, 6-12 $120/=
≥16y 3 m 0, 1, 6
4 d 0, 7, 21 & m 12
Inactivated / Fractional / Protein / Subunit / Recombinant
Engerix™-B 20 μg Hepatitis B virus Hepatitis B 11-15y 2 m 0, & 6 $50/=
≥20y 3 m 0, 1, & 6
4 m 0, 1, 2, & 12 or
d 0, 7, 21 & m 12
Gardasil® HPV
types 6, 11, 16, & 18
Genital warts
Cervical cancer
9-26y 3 m 0, 2, & 6 or
m 0, 1, & 4
$195/=
Cervarix® HPV
types 16, & 18
(31, 33, & 45)
10-25y 3 m 0, 1, & 6
m 0, 1, & 5
m 0, 2½, 12
$195/=
V503 HPV
types 6, 11, 16, 18,
31, 33, 45,
52, & 58
3 m 0, 2, & 6 or
m 0, 1, & 4
$???/=

Vaccine schedule / vaccination schedule / immunisation schedule / immunization schedule :

Annex A

National Childhood and Adolescent Immunisation Schedule, Singapore
For persons aged 0 to <18 years

Vaccination against Birth 1 month 3 months 4 months 5 months 6 months 12 months 15 months 18 months 6-7 years^ 10-11 years^^
Tuberculosis BCG
Hepatitis B HepB (D1) HepB (D2) HepB (D3)#
Diphtheria, Tetanus, Pertussis DTaP (D1) DTaP (D2) DTaP (D3) DTaP (B1) Tdap (B2)
Poliovirus OPV (D1) OPV (D2) OPV (D3) OPV (B1) OPV (B2) OPV (B3)
Measles, Mumps, Rubella MMR (D1) MMR (D2)##
Pneumococcal Disease PCV (D1) PCV (D2) PCV (B1)
Human Papillomavirus Recommended for females 9 to 26 years; three doses are required at intervals of 0, 2, 6 months
Influenza Recommended annually for all children aged 6 months to <5 years and children aged 6 months to <18 years in high-risk groups

 
Notes:
BCG Bacillus Calmette-Guérin
HepB Hepatitis B vaccine
DTaP Paediatric diphtheria and tetanus toxoid and acellular pertussis vaccine
Tdap Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine
MMR Measles, mumps, and rubella vaccine
OPV Oral polio vaccine
PCV Pneumococcal conjugate vaccine
D1/D2/D3 1st dose, 2nd dose, 3rd dose
B1/B2/B3 1st booster, 2nd booster, 3rd booster
^ Primary 1
^^ Primary 5
 
# 3rd dose of HepB can be given with the 3rd dose of DTaP and OPV for the convenience of parents.
## 2nd dose of MMR can be given between 15-18 months
 

References:

We offer teenage, adult and travel vaccination. Vaccines from the above list that we have are: References
Latest News

Optimization of a human IgG B-cell ELISpot assay for the analysis of vaccine-induced B-cell responses.
Fri, 24 May 2013 14:25:25 +0100 | Journal of Immunological Methods
Authors: Jahnmatz M, Kesa G, Netterlid E, Buisman AM, Thorstensson R, Ahlborg N

Pertussis Vaccines: Whole-Cell More Durable Than Acellular Pertussis Vaccines: Whole-Cell More Durable Than Acellular
Thu, 23 May 2013 02:34:29 +0100 | Medscape Medical News Headlines
The risk of contracting pertussis was 6 times higher in teenagers who received 4 acellular pertussis vaccines than teenagers who received 4 whole-cell pertussis vaccines. Medscape Medical News (Source: Medscape Medical News Headlines)

DTaP Vaccine Supplies Will Be Limited for Summer 2013
Wed, 22 May 2013 19:40:00 +0100 | AAFP Health of the Public
For the second consecutive summer, the CDC is issuing guidance on immunizing children during an ongoing shortage of certain combination vaccines. According to a notice on the CDC website, Sanofi Pasteur's diphtheria and tetanus toxoids and acellular pertussis adsorbed, inactivated poliovirus and Haemophilus influenzae (Source: AAFP Health of the Public)

In The Resurgence Of Whooping Cough, Leading Explanations Don't Stand Up To Scrutiny
Wed, 22 May 2013 07:00:00 +0100 | Health News from Medical News Today
Whooping cough has exploded in the United States and some other developed countries in recent decades, and many experts suspect ineffective childhood vaccines for the alarming resurgence. Some say the vaccine wears off quicker than public health officials had previously believed. Others suggest that the vaccine protects against illness but does not prevent transmission of the bacterial disease, which is also known as pertussis... (Source: Health News from Medical News Today)

Recommended Pertussis Vaccine is Less Effective
Wed, 22 May 2013 05:00:00 +0100 | Medical Headlines From Ivanhoe.com
(Ivanhoe Newswire) -- Whole-cell vaccines for pertussis have been found to be up to four times as effective as the acellular vaccine, the recommended vaccine since the late 1990s. (Source: Medical Headlines From Ivanhoe.com)

During CA Pertussis Outbreak, Whole-Cell Vaccine More Effective Than Acellular Vaccine
Tue, 21 May 2013 08:00:00 +0100 | Health News from Medical News Today
Whole-cell pertussis vaccines were more effective at protecting against pertussis than acellular pertussis vaccines during a large recent outbreak, according to a new Kaiser Permanente study published in Pediatrics. Whole-cell pertussis vaccines, also called DTwP, were available from the 1940s to 1990s, but were associated with safety concerns that ultimately led to the development of acellular pertussis vaccines, which are also called DTaP. By the late 1990s, the United States had switched from whole-cell to acellular vaccines for all five recommended infant and childhood doses... (Source: Health News from Medical News Today)

Study Shows Whole-Cell Vaccine Was More Effective Than Acellular Vaccine During California Pertussis Outbreak
Tue, 21 May 2013 08:00:00 +0100 | Health News from Medical News Today
Whole-cell pertussis vaccines were more effective at protecting against pertussis than acellular pertussis vaccines during a large recent outbreak, according to a new Kaiser Permanente study published in Pediatrics. Whole-cell pertussis vaccines, also called DTwP, were available from the 1940s to 1990s, but were associated with safety concerns that ultimately led to the development of acellular pertussis vaccines, which are also called DTaP. By the late 1990s, the United States had switched from whole-cell to acellular vaccines for all five recommended infant and childhood doses... (Source: Health News from Medical News Today)

Study: Older Whooping Cough Vaccine More Effective
Mon, 20 May 2013 17:33:50 +0100 | WebMD Health
But it was phased out because of side effects; newer version works, study notes (Source: WebMD Health)

Newer whopping cough vaccines less effective than older shots, says study
Mon, 20 May 2013 14:56:03 +0100 | Health News: CBSNews.com
Older vaccines for whooping cough were phased out in 1990s due to side effects (Source: Health News: CBSNews.com)

Newer whooping cough vaccines less effective than older shots, says study
Mon, 20 May 2013 14:56:03 +0100 | Health News: CBSNews.com
Older vaccines for whooping cough were phased out in 1990s due to side effects (Source: Health News: CBSNews.com)


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