In adulthood it is important to ensure on-going protection against vaccine preventable diseases. The following information provides advice on specific diseases that are important to be protected against in adulthood.
Shingles is a painful blistering rash caused by reactivation of the varicella zoster virus – the same virus that causes chickenpox.
A single dose of shingles vaccine is recommended and funded for adults at 70 years of age. Adults 71-79 years of age are also eligible under a five-year catch up program until 31 October 2021.
Detailed information is available on Shingles vaccination.
Measles, Mumps, Rubella (MMR)
Measles outbreaks occur in some communities mainly as a result of unvaccinated travellers and visitors importing the disease from overseas. It is therefore important to ensure that you are adequately protected and the following should be considered:
- most people born before 1966 will have been exposed to wild measles virus and therefore do not require vaccination
- people born after 1966 require two doses of MMR vaccine (at least one month apart).
Detailed information is available on Measles, Mumps and Rubella.
Whooping cough (Pertussis)
It is important that adults are vaccinated against whooping cough to ensure adequate protection against this disease. Despite whooping cough immunisation programs being in place, epidemics can occur every three to four years, but in vaccinated populations the outbreaks are smaller.
Whooping cough vaccination in adults also offers protection for babies who are too young to be immunised in their first few weeks of life. Anyone can be affected but it is more severe (and can be fatal) in small babies.
A history of having this disease does not mean life-long immunity, therefore vaccination is still necessary. All persons who have received a course of diphtheria, tetanus and whooping cough vaccine as a baby (usually given at 6-8 weeks, 4 months and 6 months of age) require booster doses at 18 months, 4 years, 12 years (in the NSW School Vaccination Program) and 50 years of age. All adults aged over 65 years of age require a booster dose if 10 years have passed since their last dose. If you are unsure, please discuss your vaccination needs with your doctor.
Whooping cough vaccination during pregnancy
Free whooping cough vaccine is available for pregnant women. The vaccine is usually given to pregnant women at 28 weeks (can be given anytime between 20-32 weeks) of each pregnancy and should be given as early as possible (from 20 weeks) to women who have been identified as being at high risk of early delivery. It is available through antenatal clinics, general practitioners (GPs) and Aboriginal Medical Services (AMSs).
International studies have found that whooping cough vaccination during pregnancy is safe and effective for both the mother and baby. Vaccination is best given at 20-32 weeks to provide time for antibodies to be produced and passed on to the baby to provide protection until it is able to have its own vaccinations from 6 weeks of age.
Family members and carers who will have close contact with babies in their first weeks of life should receive a whooping cough vaccine, either from an appropriately trained pharmacist or on prescription from a GP, at least two weeks before having contact with the baby unless they have received a dose in the previous 10 years and all children should be up to date with their vaccinations.
For more information, please see Protect Your Newborn From Whooping Cough.
A single dose of pneumococcal vaccine is recommended for adults ≥70 years of age. Adults who have not received a dose at 65 years of age should have a single catch-up dose as soon as possible. Adults who have a medical condition (for example, cardiac, liver and congenital diseases) are at risk of catching this disease and should discuss this with their doctor as soon as possible as they may require additional vaccinations to ensure that they are adequately protected.
For more information refer to Pneumococcal disease.
Annual seasonal influenza vaccination is recommended for any person aged 6 months and over who wishes to reduce the likelihood of becoming ill with influenza. Fact sheets about influenza disease and influenza vaccination and frequently asked questions (FAQs) about influenza vaccines are available. Australian Government advice and recommendations on the National Influenza Vaccination Program are available from the Australian Government's Immunisation website , as are links to Australian Government resources (including factsheets, posters and brochures). NSW Health and the Royal Australian College of General Practitioners (RACGP) have prepared a webinar on influenza.
Q Fever is caused by a bacterium, Coxiella burnetii, that can be spread to humans from cattle, sheep and goats. Workers in the meat and livestock industries are most at risk of Q Fever.
More information about Q Fever is available on the Q Fever Facts website, including a dedicated section for health professionals with links to educational resources. Please contact Seqirus Pty Ltd on 1800 008 275 for log-in details to access these resources if you are a health professional.
The Australian Q Fever Register holds information on the Q Fever immune status of individuals, accessible to registered organisations (primarily meat processors and medical practitioners). The register holds details of Q Fever vaccination providers in a number of Australian states.
To find contact details for Q Fever vaccination providers in NSW, contact your local Public Health Unit on 1300 066 055, or the customer service line of the manufacturer/distributor, Seqirus Pty Ltd, on 1800 008 275.