Armenia launches revised immunization schedule and catch-up campaign

6 November 2023

The National Centre for Disease Control (NCDC) of Armenia has developed an updated national routine immunization schedule endorsed by the Ministry of Health and in accordance with WHO’s latest guidelines.

The revised schedule now includes catch-up opportunities for children, adolescents and adults. A national catch-up campaign launched this month aims to reach out to individuals who missed vaccination in the past and to increase uptake among population groups most affected by the overall dip in routine vaccination coverage due to the COVID-19 pandemic. The impact of this decreased routine immunization coverage is evident from an increasing number of measles cases reported in Armenia in 2023. Catch-up vaccination will also be available to the over 100 000 refugees from the Karabakh region who recently fled to Armenia.

Immunization schedules recommend the administration of vaccines at certain intervals and ages when they are most effective. A detailed calendar of the revised schedule incorporates various visual aids, including age-specific charts, summary tables and additional explanatory paragraphs for easy comprehension. The primary objective of this calendar is to ensure that health professionals and parents can readily understand and access the information. With support from the European Union (EU), the calendar has been disseminated by WHO and the Ministry of Health to all health-care centres and polyclinics, and it has been made accessible in many kindergartens and schools across the country as well.

The initiative is part of the EU-funded project “Vaccination saves lives – Supporting the deployment of COVID-19 vaccines and strengthening routine vaccination systems in the Eastern Partnership countries”.

 

WHO / Nazik Armenakyan
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One-year-old Gagik has come to the polyclinic with his mother and grandfather.

He is here to receive his measles, mumps and rubella (MMR) vaccine. Meanwhile, his grandfather, also named Gagik, is here to receive his COVID-19 booster shot.

WHO / Nazik Armenakyan
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Liana, 4 years old, receives her second dose of the MMR vaccine.

In 2023, the WHO European Region has observed increases in measles cases, including in Armenia, where cases are predominantly affecting unimmunized children and young adults. While measles is typically considered a childhood infection, adults can also suffer from serious complications. Vaccination is the only way to stop transmission and prevent measles. Two doses of measles vaccine provide nearly 100% protection against measles.

WHO / Nazik Armenakyan
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Anastasia, 14 years old, has just received her first dose of the human papillomavirus (HPV) vaccine.

She is in the first target age group, which is 13–14-year-olds, according to the national vaccination schedule. In 6 months, she will receive the second dose for full protection. “I learned about the HPV vaccine at school,” says Anastasia. “My paediatrician called and reminded my mum that it was time to get the vaccine. I know it protects me from several types of cancers, so I don’t mind the injection.”

WHO / Nazik Armenakyan
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Zara, 36 years old, is receiving her first dose of the HPV vaccine as part of the catch-up programme.

The newly introduced national catch-up immunization schedule allows individuals to receive vaccinations they missed earlier, so they can still benefit from the protection the vaccines offer. Because the HPV vaccine was introduced in Armenia only in 2017, teenagers and women up to 45 years old can now receive a catch-up vaccination consisting of a 3-dose series.

WHO / Nazik Armenakyan
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The new immunization calendar also provides schedules for different epidemiological and seasonal contexts. When influenza is circulating, the existing immunization programme for influenza is extended to include everyone over 6 months of age.

This aims to reduce the impact of highly contagious infectious respiratory illnesses on public health. Lusine is at the polyclinic for her regular prenatal care appointment, and to receive the seasonal influenza vaccine. The inactivated influenza vaccines given to pregnant women have proven to be effective in preventing laboratory-confirmed influenza in 35–70% of mothers.

WHO / Nazik Armenakyan
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Alongside the new immunization calendar, WHO and the NCDC are working on the digitization of immunization records.

The digital immunization records will be aligned with the updated schedules and will allow parents to easily track their child’s vaccination schedule, ensuring they stay up to date with recommended vaccines to be protected against various infectious diseases.

WHO / Nazik Armenakyan
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Eva, 3 months old, receives her second dose of the rotavirus vaccine. The rotavirus vaccine protects against rotavirus infections, which are the leading cause of severe diarrhoea among young children.

WHO / Nazik Armenakyan
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Rafael, 2 months old, with his paediatrician, Dr Lusine Sargsyan.

“Vaccines are the world’s most effective way to prevent infectious diseases; their success hinges on the conscientious implementation of the immunization schedule,” says Dr Sargsyan.

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