Overview
People with Down Syndrome differ from the general population in their response to infection, with an increased susceptibility to infections which may also be more severe or prolonged. Children with Down Syndrome should be offered all the routine immunisations suggested by their local schedule, including COVID-19.
Additional doses of some vaccines may be indicated if the individual is felt to be at particular risk, and/or blood tests suggest they have not responded well to the primary course. Additional immunisations may be recommended, e.g., influenza vaccines (from six months), additionalpneumococcal vaccines and RSV prophylaxis.
There are current discussions about introducing chicken pox vaccine to the routine schedule at 12 and 18 months (as recently recommended by the JCVI) and developing an RSV immunisation programme for all infants and older adults.
Updated March 2024
Dr. Sarah Morris ,Consultant Paediatrician
DSMIG Guidance
Down Syndrome Immunisation Keypoints 2024
Updated March 2024
Immunisation Keypoints: ‘At a glance’ reference sheets on key subject areas. These sheets can be found here.
Presentations at DSMIG Meetings
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Additional Resources
Immunisation.Protecting People with Down’s Syndrome Against Infection
Article in DSA Journal 129 Spring/Summer 2014
Immunisation: Protecting People who have Down’s Syndrome Against Infection
DSA Health Series
Dr Liz Marder, Consultant Paediatrician
Immunisation against infectious disease
NHS England/Department of Health Updated 2024