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Medical Advisory: Updated Meningococcal Immunization Schedule and Program Changes

This memo is to inform you of changes to Ontario’s publicly funded meningococcal immunization schedule and program.

Men-C-C (monovalent conjugate meningococcal serogroup C) vaccines will no longer be available in Canada once current inventory is depleted. As a result, Ontario is transitioning to the use of Men-C-ACYW (quadrivalent conjugate meningococcal serogroups A, C, Y and W) vaccine for routine childhood immunization.

Routine Immunization Schedule Update

Under the updated publicly funded immunization program, routine Men-C-ACYW vaccine should be administered at:

  • 12 months of age; and
  • When the child reaches Grade 7

Once Health Care Providers’ Men-C-C inventory is depleted, Men-C-ACYW should be used for all routine 12-month doses, and catch-up immunization.

Children who have already received a dose of Men-C-C vaccine at 12 months of age or older do not require revaccination with Men-C-ACYW as a result of this program change. These children will remain eligible for the routine Grade 7 dose of Men-C-ACYW. Please refer to the Publicly Funded Immunization Schedule for information on the High Risk Vaccination program, and vaccine catch-up schedules.

Use During the Transition Period

Any remaining Men-C-C inventory you have on hand should continue to be used prior to transitioning to Men-C-ACYW for routine immunization at 12 months of age.

Health care providers should:

  • Continue to administer remaining Men-C-C vaccine inventory until supply is depleted or expired.
  • Transition to Men-C-ACYW for routine immunization at 12 months of age, and for catch-up immunization as applicable, once the Men-C-C inventory is depleted.

For additional information and relevant vaccine resources, including Q&As for Health Care Providers: Meningococcal Vaccine Transition, please visit Hamilton Public Health’s Health Care Provider resources at www.hamilton.ca/HCP.

To order vaccine, please use the routine vaccine order form available at www.hamilton.ca/Vaccine-HealthCareProfessionals.

If you have any questions, please contact Hamilton Public Health at [email protected].

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