Child Immunisations Quiz

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Which group is offered the seasonal influenza vaccine in the UK under the national immunisation programme?

A Prison officers and prison staff
B Hospital catering and administrative staff who have no direct patient contact
C Teachers and school support staff who work directly with children
D Police officers and community support officers
E Frontline health and social care workers, and eligible main carers of older or disabled people ✓

The answer is E: Frontline health and social care workers, and eligible main carers of older or disabled people

Explanation

Why E is correct

See Specific Additional Vaccinations. Option E is correct because frontline health and social care workers and carers are offered the seasonal influenza vaccine both to protect themselves and to protect the vulnerable people they look after. Influenza (flu) is much more dangerous for older people and for people with long-term illnesses, so a carer or worker who catches it can pass it to someone who is at high risk of becoming seriously ill. On the NHS in England the free vaccine is offered to people who are 65 or over, adults aged 18 to 64 with certain long-term health conditions, pregnant women, care home residents, people who live with someone who has a weakened immune system and anyone who is the main carer for an older or disabled person or receives carer's allowance. Frontline health and social care workers can also get it through their employer. The inactivated influenza vaccine is offered every year, because the virus mutates often and so the short-term immunity it gives suits that winter's strain.

Who is offered it: frontline health and social care workers and carers are offered the seasonal flu vaccine.
Reason: to protect themselves and the vulnerable people they look after.
Frequency: every year, because the virus mutates often.

Why the other options are incorrect

A. Prison officers and prison staff: Prison officers and prison staff are not an eligible occupational group for the seasonal flu vaccine; although they may work with people in close contact, the national programme does not offer it to them for that role.
B. Hospital catering and administrative staff who have no direct patient contact: Hospital catering and administrative staff without direct patient contact are not classed as frontline health or social care workers, so the national flu programme does not offer the vaccine to them as an occupational group; patient-facing clinical staff are the occupational group covered.
C. Teachers and school support staff who work directly with children: Teachers are not an occupational group offered the seasonal flu vaccine under the national programme; an individual teacher may still be eligible for other reasons, such as being aged 65 or over or having a long-term condition.
D. Police officers and community support officers: Police officers and community support officers are not included as an occupational group in the UK influenza programme; the vaccine is offered to frontline health and social care workers, not to this group by virtue of their job.

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1
Which statement best describes a key community level benefit of vaccination programmes?
2
A 7-year-old child with newly diagnosed acute lymphoblastic leukaemia is about to start chemotherapy. The parents ask about routine childhood immunisations. Which type of vaccine should be avoided because it contains weakened pathogens capable of limited replication?

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