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TELEPHONE OUTAGE - TUES 21st MAY

Due to building works at The Bell Surgery, electricity to our telephone system will be off between about 1 and 3pm today. Our phone system will divert to our mobile, the number for which is below, but if you can hold off calling until after 3pm it will be much appreciated. You can always email us on thehartsurgery@nhs.net. Note that after 3pm this mobile will be no longer be in use.

07498 836444

Family Health

Planning Your Pregnancy

Child Health 0 - 6 Years

<h3>Children's Immunisation Schedule</h3> <p>Here's a checklist of the vaccines that are routinely offered to everyone in the UK for free on the NHS, and the age at which you should ideally have them.</p> <h2>Routine childhood immunisations&nbsp;</h2> <table style="width: 90%;" cellspacing="3" cellpadding="3" align="center" border="0"> <tbody> <tr> <td> <h4>When to immunise</h4> </td> <td> <h4>Diseases protected against</h4> </td> <td> <h4>Vaccine given</h4> </td> <td> <h4>Site**</h4> </td> </tr> <tr> <td rowspan="4"><strong>Two months old</strong></td> <td>Diphtheria, tetanus, pertussis, polio and Haemophilus influenzae type b (Hib)</td> <td>DTaP/IPV/Hib (Pediacel)</td> <td>Thigh</td> </tr> <tr> <td>Pneumococcal disease</td> <td>PCV (Prevenar 13)</td> <td>Thigh</td> </tr> <tr> <td>Rotavirus</td> <td>Rotavirus (Rotarix)</td> <td>By mouth</td> </tr> <tr> <td>Meningococcal group B (MenB)</td> <td>MenB</td> <td>Left thigh</td> </tr> <tr> <td rowspan="3"><strong>Three months old</strong></td> <td>Diphtheria, tetanus, pertussis, polio and Hib</td> <td>DTaP/IPV/Hib (Pediacel)</td> <td>Thigh</td> </tr> <tr> <td>Meningococcal group C disease (MenC)</td> <td>Men C (NeisVac-C or Menjugate)</td> <td>Thigh</td> </tr> <tr> <td>Rotavirus</td> <td>Rotavirus (Rotarix)</td> <td>By mouth</td> </tr> <tr> <td rowspan="3"><strong>Four months old</strong></td> <td>Diphtheria, tetanus, pertussis, polio and Hib</td> <td>DTaP/IPV/Hib (Pediacel)</td> <td>Thigh</td> </tr> <tr> <td>Pneumococcal disease</td> <td>PCV (Prevenar 13)</td> <td>Thigh</td> </tr> <tr> <td><span>Meningococcal group B (MenB)</span></td> <td>Men B</td> <td>Left thigh</td> </tr> <tr> <td rowspan="4"><strong>One year old</strong></td> <td>Hib/MenC</td> <td>Hib/MenC (Menitorix)</td> <td>Upper arm/thigh</td> </tr> <tr> <td>Pneumococcal disease</td> <td>PCV (Prevenar 13)</td> <td>Upper arm/thigh</td> </tr> <tr> <td>Measles, mumpsand rubella (German measles)</td> <td>MMR(Priorix or MMR VaxPRO)</td> <td>Upper arm/thigh</td> </tr> <tr> <td>MenB</td> <td>MenB booster</td> <td>Left thigh</td> </tr> <tr> <td><strong>Two to six years old</strong><br /><strong>(including children in</strong><br /><strong>school years 1 and 2)</strong></td> <td>Influenza (each year from September)</td> <td>Live attenuated influenza<br />vaccine LAIV4</td> <td>Both nostrils</td> </tr> </tbody> </table> <p></p> <table cellspacing="3" cellpadding="3" align="center" border="0" style="width: 90%;"> <tbody> <tr> <td rowspan="2"><strong>Three years four months old or soon after</strong></td> <td>Diphtheria, tetanus, pertussis and polio</td> <td>dTaP/IPV (Repevax) or DTaP/IPV(Infanrix-IPV)</td> <td>Upper arm</td> </tr> <tr> <td>Measles, mumpsand rubella</td> <td>MMR (Priorix or MMR VaxPRO)(check first dose has been given)</td> <td>Upper arm</td> </tr> </tbody> </table> <p>&nbsp;</p> <h4>Please note</h4> <p>** Where two or more injections are required at once, these should ideally be given in different limbs. Where this is not possible, injections in the same limb should be given 2.5cm apart.</p> <h3>Immunisations for at-risk children&nbsp;</h3> <table width="450" height="233"> <tbody> <tr> <td><strong>Target Group</strong></td> <td><strong>Age &amp; Schedule</strong></td> <td><strong>Disease</strong></td> <td><strong>Vaccines required</strong></td> </tr> <tr> <td><strong>Babies born to hepatitis B infected</strong><br /><strong>mothers</strong></td> <td>At birth, four weeks, eight weeks<br />and Boost at one year1</td> <td>Hepatitis B</td> <td>Hepatitis B vaccine<br />(Engerix B / HBvaxPRO)</td> </tr> <tr> <td> <p><strong>Infants in areas of the country with</strong><br /><strong>TB incidence &gt;= 40/100,000</strong></p> <p></p> </td> <td>At birth</td> <td>Tuberculosis</td> <td>BCG</td> </tr> <tr> <td><strong>Infants with a parent or grandparent</strong><br /><strong>born in a high incidence country</strong></td> <td>At birth</td> <td>Tuberculosis</td> <td>BCG</td> </tr> </tbody> </table> <p></p> <p></p> <hr /> <h3>Childrens Health</h3> <p>There is a good guide on the NHS website which describes various conditions affecting children. There is advice on how to diagnose them, how to treat them and if further advice should be consulted.</p> <p><a href="http://www.nhs.uk/Tools/Pages/Childhoodillness.aspx" rel="nofollow" target="_blank" linkindex="54"> <span color="#964646" style="color: #964646;">NHS childhood illness slideshow</span> </a></p> <hr /> <h3>When Should I Worry?</h3> <p>Having an ill child can be a very scary experience for parents. If you understand more about the illness it can help you to feel more in control. This booklet is for parents (and older children) and deals with common infections in children who are normally healthy.</p> <p><a href="http://www.whenshouldiworry.com/resources/When%20should%20I%20worry-Booklet_England-with%20111%20service_2016.pdf" target="_blank"> <img style="height: 30px; width: 30px; vertical-align: middle; float: none;" src="/images/pdf.jpg" />Download the booklet</a></p> <hr /> <h3>Conditions and Treatments</h3> <p>See the <a href="http://www.nhs.uk/Conditions/Pages/hub.aspx" target="_blank">NHS Conditions and Treatments browser</a> for an in-depth description of many common health issues.</p> <hr /> <p><em>These links all come from trusted resources but if you are unsure about these or any other medical matters please contact your doctor or pharmacist for advice</em></p>

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