You might have read the news in 2020 that the pneumococcal vaccine has been added to our National Immunisation Programme or Schedule.1 And as parents, we usually are given a child health book with all of our child’s details in it when they are born. The book also comes with a list of vaccines that your child should get at different stages of their life. The pneumococcal vaccine in Malaysia was recently added to that list.
But this list can be pretty long and is often abbreviated. To a normal parent like you and me, we would look at all these different alphabets like “DTaP” or “MMR” and it would look completely foreign to us.
Most of us don’t know what they stand for, what they do, what the different diseases are, and so on. All we know is that the doctor or nurse gave us this book and the appointments. So we just show up for them and our child is protected against these illnesses.
Today, we’re going to take an in-depth look into the newest addition to the list - the pneumococcal vaccine in Malaysia.
Pneumococcal Vaccine in Malaysia: Understanding Pneumococcal Disease
Firstly, let’s understand what pneumococcal disease is, which is a potentially serious infection that affects children due to a bacteria called Streptococcus pneumoniae. We won’t go too much into the scientific terms here.
Parents just need to know that this bacteria is commonly found in the nose and throat2 . People who carry this bacteria can spread it to others when they cough or sneeze or even breathe!
Since we won’t know exactly who carries the bacteria and before the pandemic, most of us never wore a mask when going out, it could potentially be widely spread.
But (not-so) fun fact: Young children have the highest carrier rate for this bacteria and are the primary source for its spread within a community3.
Is it serious?
In short, the answer is yes. This bacteria can infect your child’s organs - ranging from their ears to their lungs to their brains and bloodstream.
In less serious cases, your child might suffer from sinus infections.
But if it affects your child’s lungs, the infection is called pneumonia, which can lead to coughing, fever, and difficulty breathing4. In the most severe cases, death is the result. To put this into a local context, in 2016, pneumonia was the 3rd leading cause of death in children under five in Malaysia, accounting for 3.8% of under-five deaths5.
Another infection that this bacteria can cause is Otitis media (middle ear infection), which happens in the middle ear that can cause pain, swelling, sleeplessness, fever, and irritability.
In severe cases, it can cause bacterial meningitis, which infects a part of the brain and spinal cord. This can possibly cause confusion, blindness, deafness, put the patient in a coma, or even lead to death.
Bacteraemia, a dangerous infection of the bloodstream, can also occur4.
Basically, this is not a bacteria you want your child to pick up because it could lead to any one of these outcomes.
As parents, we want to protect our children. The instinct is strong from the day we become pregnant with them and we want to make sure nothing bad happens to them. There are many ways to protect our children from these potentially serious infections. We can teach them to cover their mouth when sneezing or coughing, ask them to wash their hands regularly6, make sure we follow up with their vaccination7 and ensure their environment is clean and smoke-free.
When the doctors or nurses tell us to vaccinate, we usually say okay. But the purpose of this article here is so you really understand what you’re protecting your child against. So when our children have to take the jab and cry for 5-10 minutes, we know that the tears are worth it.
So let’s talk about the vaccine itself.
Pneumococcal Vaccine in Malaysia: Everything You Need To Know
We know that this disease is actually preventable when children are given the vaccine5.
The pneumococcal vaccine is given in three doses: the first two primer doses are given at age four months and six months, then the course is completed with a booster shot at age 15 months.
There are actually a few types of vaccines that protect against this disease and the vaccine that Malaysia has chosen to include in the immunisation schedule is classified as PCV108.
This vaccine protects against the Streptococcus pneumoniae we mentioned earlier, more specifically, against serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F. The PCV10 also induces antibody response to serotypes 6A and 19A9.
The pneumococcal vaccine will be injected into your child’s arm or leg and once it is administered, it encourages your child’s body to produce the mentioned antibodies against the pneumococcal bacteria.
Antibodies, as we know, are proteins produced by the body to cancel out or stop the disease-carrying organisms and toxins from reproducing or spreading.
In fact, the PCV10 vaccine is expected to provide a substantially greater reduction in acute otitis media3.
Since this vaccine is still fairly new to the wider population in Malaysia, data has yet to be collected on its overall effect on the death rates or infection rates.
What we know is this: according to former Minister Datuk Seri Dr Adham Baba, the number of cases of children with pneumococcal disease increased from 17,446 in 2017 to 19,773 in 2018, making the introduction of the vaccine very timely and necessary1.
Around the globe, countries such as New Zealand, Austria, Brazil, Kenya and Pakistan have introduced the vaccine into their NIP, and they have seen a large reduction in pneumococcal disease10.
We can expect to see the same happen in Malaysia as we improve vaccination rates and the disease is less widespread.
Even if your child is previously unvaccinated against pneumococcal disease, it is still possible to give them the vaccine up to the age of 511. Though children born before 1 January 2020 are not eligible to receive the vaccine at government hospitals or clinics as part of the free immunisation list, you can still get it at private clinics or hospitals.
It is important that you take steps to help prevent invasive pneumococcal disease. So, parents, please take this small, but important step in protecting your children.
Reference:
1) Malay Mail. (2020, December 1). Health Minister: Free PNEUMOCOCCAL vaccination for children at health clinics STARTS today: Malay Mail. Malaysia | Malay Mail. www.malaymail.com/news/malaysia/2020/12/01/health-minister-free-pneumococcal-vaccination-for-children-at-health-clinic/1927749.
2) Department of Health Services. (n.d.). Streptococcus pneumoniae, Invasive. WISCONSIN DIVISION OF PUBLIC HEALTH. www.dhs.wisconsin.gov/publications/p4/p42093.pdf.
3) Darus, N. M., Akmal, S. B., & Redzuan, A. M. (n.d.). Pneumococcal Conjugate Vaccine For Children Below Five Years Old. www.moh.gov.my/moh/resources/auto%20download%20images/587f11568fcaa.pdf.
4) Saling, J. (n.d.). Pneumococcal vaccine schedule and side effects. WebMD. www.webmd.com/children/vaccines/pneumococcal-vaccine-1.
5) Shafie, A. A., Ahmad, N., Naidoo, J., Foo, C. Y., Wong, C., Pugh, S., & Tan, K. K. (2020, July 2). Estimating the population health and economic impacts of introducing a pneumococcal conjugate vaccine in Malaysia- an economic evaluation. Human vaccines & immunotherapeutics. doi.org/10.1080/21645515.2019.1701911
6) Burton M, et al. (2011). The effect of handwashing with water or soap on bacterial contamination of hands. www.mdpi.com/1660-4601/8/1/97
7) (n.d.) Jadual Imunisasi. Kementerian Kesihatan Malaysia. www.myhealth.gov.my/jadual-imunisasi/
8) Malaysia chooses pcv10 PNEUMOCOCCAL Vaccine, Immunisation Starts December. CodeBlue. (2020, November 24). codeblue.galencentre.org/2020/11/24/malaysia-chooses-pcv10-pneumococcal-vaccine-immunisation-starts-december/.
9) Soon, R. (2020, December 5). Hexavalent, pneumococcal vaccine update included in national immunisation schedule: Latest news for doctors, nurses and pharmacists: Infectious diseases. MIMS News. Available: specialty.mims.com/topic/hexavalent--pneumococcal-vaccine-update-included-in-national-immunisation-schedule
10) Lecrenier, N., Marijam, A., Olbrecht, J., Soumahoro, L., Nieto Guevara, J., & Mungall, B. (2020). Ten years of experience with the pneumococcal non-typeable Haemophilus influenzae protein D-conjugate vaccine (Synflorix) in children. Expert Review of Vaccines, 19(3), 247-265. doi:10.1080/14760584.2020.1738226
11) Gunaratham, C. A. (2019, March 21). Pneumococcal vaccine. PORTAL MyHEALTH. https://www.myhealth.gov.my/en/pneumococcal-vaccine/.
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- GlaxoSmithKline Pharmaceutical Sdn Bhd (3277-U)
- NP-MY-SYN-JRNA-210003 11/2021
- ©2021 GSK group of companies or its licensor
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