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Immunisation Handbook 2020

Version 23 of the Immunisation Handbook 2020, released 27 June 2023

Published online: 
25 September 2020
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Last updated: 27 June 2023

The Immunisation Handbook 2020 provides clinical guidelines for health professionals on the safest and most effective use of vaccines in their practice. These guidelines are based on the best scientific evidence available at the time of publication, from published and unpublished literature.

Notice of changes to the current published version of the Immunisation Handbook 2020 version 23

The Immunisation Handbook is currently being transitioned from the Manatū Hauora website to the new Te Whatu Ora website. During this transition period no changes can be made to the Handbook. Please note the following changes are current and will be included in the Te Whatu Ora version.

  1. Chapter 4, Immunisation of Special Groups and Chapter 13, Meningococcal:
    1. MenQuadfi is replacing Menactra, as is no longer available and has been delisted. MenQuadfi is available for all the same indications (including for special groups) Menactra was used for, from the age of 12 months only. 
    2. PCV13 and MenQuadfi can be administered at the same time (from age 12 months), there is no longer a spacing precaution.
  2. Chapter 15, Pertussis:
    1. Edits to Tdap recommendations related to unfunded booster doses. Household members and others who have regular close contact with a newborn are recommended to have a Tdap booster if they have not had a dose in the previous 10 years.  This helps to reduce the chances of a newborn coming in to contact with Pertussis. Those under 18 who are incompletely immunised for their age, or unimmunised, can receive funded Pertussis vaccine.  The vaccine is currently unfunded for others recommended to have a Tdap booster to protect newborns.
    2. For health professionals and students, boosters are recommended (not funded) 10 yearly depending on employment requirements.
  3. Intravenous Immunoglobulin (IVIG)
    1. Removal of brand names and information, and refers to NZ Blood for information.
  4. Appendix 8:
    1. Updates to some website links and organisational names.
  5. Appendix 4:
    1. Update to the Vaccinating Health Worker (VHW) role. Only the Assessment Section of the Preparation Workbook needs to be uploaded as evidence of meeting the authorisation requirements for Stage 2 Preparation.
  6. Throughout the Handbook:
    1. Removed references to National Immunisation Register (NIR) and replaced with Aotearoa Immunisation Register (AIR).

Please contact 0800 IMMUNE for further clinical advice as required.

Read the handbook

To read the Immunisation Handbook you can:

Refer to the Pharmaceutical Schedule (on the Pharmac website) for the number of funded doses, eligibility criteria and any subsequent changes to the funding decisions.

Individual chapters

Publishing information

  • Date of publication:
    25 September 2020
  • ISBN:
    978-1-99-002923-3 (online); 978-1-99-002924-0 (epub)
  • HP number:
  • Citation:
    Ministry of Health. 2020. Immunisation Handbook. Wellington: Ministry of Health.
  • Ordering information:
    Only soft copy available to download
  • Copyright status:

    Owned by the Ministry of Health and licensed for reuse under a Creative Commons Attribution 4.0 International Licence.

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