Children are to be offered a booster dose of vaccine to provide added
protection against potentially fatal Hib disease.
The move, announced by Department of Health on Tuesday, follows an
increase in cases of the disease, which can cause a number of serious
illnesses in children, including a form of meningitis.
 Our advanced disease
surveillance programme has identified a small but significant
increase in cases of Hib recently.
Sir Liam Donaldson
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The new jab will be offered to all children aged between six months and
four years on 1 April 2003.
It was recommended by experts from the Joint Committee on Vaccination
and Immunisation (JCVI).
Successful campaign
Since 1992, all children have been routinely immunised at two, three
and four months against the disease.
This campaign has been a success with cases of Hib falling
dramatically, almost disappearing in young children.
However, there has been a very small but gradual increase in the number
of cases of Hib disease reported since 1998.
Although this number is small (122 cases in 2002) and much lower than
the levels seen before the introduction of Hib vaccine (around 800 every
year) it is still significant.
The Chief Medical Officer, Sir Liam Donaldson, has written to GPs and
other health professionals informing them of the planned campaign which it
is anticipated will start in Spring of this year.
Sir Liam said: "Vaccinating children against Hib disease has proved
very successful in cutting rates of this disease.
"Over the last ten years this vaccination has prevented about 7,300
cases of Hib disease and approximately 270 deaths in children aged under
four.
"However, our advanced disease surveillance programme has identified a
small but significant increase in cases of Hib recently.
"In order to halt and reverse this increase, a Hib vaccination catch-up
campaign is being planned."
Infection
Julia Warren, of the Meningitis Research Foundation, told BBC News
Online: "Anything that can continue to keep cases of Hib disease down we
would certainly welcome - we don't want to see young children getting
meningitis."
A spokesperson for the Meningitis Trust urged parents to take up the
offer of the one-off vaccine if their children were of the appropriate
age.
Parents will be invited to bring their children for immunisation in the
same way as other childhood vaccines.
Hib is the term commonly used to describe a disease caused by the
bacteria Haemophilus influenzae type b.
As well as meningitis, it can cause infection in joints, pneumonia and
epiglottitis (causing swelling of part of the windpipe causing noisy,
painful breathing and even blockage of the airway).
The disease is most common in children under four years of age (with
the exception of children aged under 3 months where it is rare).