Pneumococcal: the green book, chapter 25
Pneumococcal immunisation information for public health professionals.
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Pneumococcal disease is the term used to describe infections caused by the bacterium Streptococcus pneumoniae (also called pneumococcus). S. pneumoniae is an encapsulated gram-positive coccus.
Updates to this page
Published 20 March 2013Last updated 14 August 2023 + show all updates
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Updated to include new conjugate vaccines, latest IPD incidence data, new section on recommendations for the routine use of pneumococcal vaccines.Updated information for individuals with cochlear implants.
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Removed the Pneumococcal: the green book, chapter 25 (for infants born up to and including 31 December 2019).
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Added the revised chapter for infants born on or after 1 January 2020.
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The risk group section (pg 8) has been rewritten for clarity and pneumococcal vaccine and supplier information updated.
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Updated background information and clarification on the immunisation schedule, and advise for children and adults in at risk groups (version 6).
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This chapter has been largely rewritten to bring it into line with the latest advice from Joint Committee on Vaccination and Immunisation (JCVI).
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Updated the Body text to include a link to National Archives (chapter update patches) and NHS Choices.
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First published.