Infants and children must receive vaccines from the first day of life up to the age of 14 included in the National Vaccination Calendar compiled by the Ministry of Health. The vaccines included in the calendar are only recommended, as there is no law in Romania that provides for mandatory vaccination. However, there are schools and kindergartens that also require a child’s vaccination card at the time of registration. See in the material what the National vaccination calendar looks like this year and at what age you need to be vaccinated.

The cost of all vaccines listed in the National Vaccination Calendar is theoretically borne by the Romanian state. However, practically in our country, there were also cases when some of these vaccines were temporarily unavailable in maternity hospitals or at family doctors, and parents of children had to buy them.

In Romania, vaccination is carried out according to the National Vaccination Calendar developed by the Ministry of Health:

1. Vaccine against hepatitis B (Hep B)

where

It is carried out in the maternity ward

When?

In the first first 24 hours of life.

2. Calmette Guerrein (BCG) vaccine.

where

in the decree

When?

In the first 2-7 days of life.

3. Hexavalent vaccine against diphtheria, tetanus, pertussis, acellular poliomyelitis, hemophilic infection B and liver B (DTPa-VPI-Hib-Hep. B) and pneumococcal vaccine

where

It is carried out by a family doctor

When?

At the age of 2 months

The hexavalent vaccine is provided by the state, while the pneumococcal conjugate vaccine will be included in the National Immunization Schedule subject to availability of funds.

4. Hexavalent vaccine against diphtheria, tetanus, pertussis, acellular poliomyelitis, hemophilic infection B and liver B (DTPa-VPI-Hib-Hep. B) and pneumococcal vaccine

where

To the family doctor

When?

At the age of 4 months.

The hexavalent vaccine is provided by the state, while the pneumococcal conjugate vaccine will be included in the National Immunization Schedule subject to availability of funds.

4. Hexavalent vaccine against diphtheria, tetanus, pertussis, acellular poliomyelitis, hemophilic infection B and liver B (DTPa-VPI-Hib-Hep. B) and pneumococcal vaccine

where

To the family doctor

When?

At the age of 11 months.

The hexavalent vaccine is provided by the state, while the pneumococcal conjugate vaccine will be included in the National Immunization Schedule subject to availability of funds.

5. Vaccine against measles-rubella-urella, live attenuated (MRT)

where

to the family doctor

When?

At the age of 12 months.

6. Vaccine against measles-rubella-urella, live attenuated (MRT)

where

To the family doctor

When?

At the age of 5-7 years.

7. Quadrivalent vaccine against diphtheria, tetanus, pertussis, acellular poliomyelitis (DTPa-VPI) / VPI

where

to the family doctor

When?

At 6 years old.

Children aged 6 years and older who have a DTP dose at 4 years will be vaccinated with IPV, and those without a DTP vaccination history will be vaccinated with DTP-SPI.

8. Polio vaccine (inactivated) IPV

where

To the family doctor

When?

At 8 years old

Children aged 8 years and older who have a history of DTP vaccination at age 4 will be vaccinated with IPV (children who did not study in the preparatory class).

9. DTP acellular vaccine against diphtheria, tetanus and pertussis for adults

where

to the family doctor

When?

At 14 years old

Pupils at school / Photo: Agerpres

What medical certificates are required in nurseries, kindergartens and schools: vaccination letter, including

Medical certificates for children – a medical certificate on enrollment in the team, an epidemiological report and a vaccination book – are required only when entering a new cycle of education in nursery school, kindergarten, preparatory class and ninth grade. All other children are not required to present medical certificates or epidemiological certificates at the beginning of the new academic year, according to the Ministry of Health.

Medical certificates, which are required by schools, nurseries and kindergartens at the beginning of the new academic year, are issued free of charge in the offices of family doctors, the National Health Service of Ukraine reported on Friday.

The list of medical documents required for enrollment/transfer to educational institutions can be found in the Methodology for providing medical assistance to preschoolers, preschoolers, students of preschool educational institutions and students of higher educational institutions for the purpose of preserving the health of communities and promoting a healthy lifestyle from July 27, 2023 approved by the joint order of the Ministry of Health and the Ministry of Education and Culture No. 2508/4493 of 2023, the Ministry of Health informs.

According to the Association of Family Doctors of Bucharest – Ilfov, the following documents are required to enroll in a nursery/kindergarten:

• medical certificate of registration with the community, sample in appendix no. 16.1 (together with an epidemiological report and confirmation of the child’s vaccination – appendix 16.2) – issued by a family doctor.

When enrolling in a preparatory class:

• if the child attended a kindergarten where there is a school medical office: a medical book from the kindergarten and a medical certificate according to the sample given in Appendix No. 1. 16.3 – issued by the school doctor of the attended kindergarten;

• if the child attended a kindergarten where there is no school medical office: a medical certificate of enrollment in the community (together with confirmation of the child’s vaccination) – issued by the family doctor.

When entering the 9th grade:

• if the student studied at a school where there is a school medical office: a medical book from the school and a medical certificate according to the sample given in appendix no. 16.3 – issued by the doctor of the school where he studied;

• if the student studied at a school where there is no school medical office: a medical certificate on enrollment in the community (together with confirmation of the child’s vaccination) – issued by the family doctor.

In case of transition between different educational units:

• if the preschooler/preschooler/pupil attended an educational institution with its own medical office: a medical record from the educational institution from which he transfers, issued by the school doctor;

• if a preschooler/preschooler/pupil attended a nursery school/kindergarten/school without its own doctor’s office: a medical certificate of enrollment in the community (together with a certificate of vaccination of the child) issued by the family doctor.

When returning from the holidays, preschoolers, preschoolers and students will not be required to have an epidemiological report.

Also, in rural areas, where there are no medical offices and dental offices in pre-university educational institutions, medical assistance provided for in para. (1) is carried out by doctors of family/general medicine and dentists from the relevant or nearby settlements in accordance with the provisions of Art. 12 para. (3) Emergency Government Order No. 162/2008 regarding the transfer of all powers and authorities of the Ministry of Health to local government bodies, approved by Law No. 162/2008. 174/2011 with subsequent changes and additions.

Photo: Dreamstime.com.