Updates to the Handbook
A list of updates made to the Handbook is provided below by the date they were published. The Handbook will be reviewed 3 times per year following ATAGI meetings in February, May and August. Urgent updates to the content will be made as required.
Recently added
This page was added on 06 June 2018.
Updates made
This page was updated on [date-counter-updated-date]. View history of updates
23 January 2026
The following pages were updated:
Meningococcal disease
Removed all information related to NeisVac-C as it is no longer available.
22 January 2026
The following pages were updated:
Hepatitis A
Re-added Avaxim, reverting the previous change which removed it. This error occurred due to conflicting information regarding supply availability.
Preparing for vaccination
Re-added Avaxim, partially reverting elements of the previous change which removed it. This error occurred due to conflicting information regarding supply availability.
19 January 2026
The following pages were updated:
Administration of vaccines
Updated to include ibuprofen for pain relief.
After vaccination
Addition of ibuprofen to the section on managing pain and fever after vaccination.
Addition of epidemiological evidence on rates of GBS after RSV vaccination.
Updated hyperlink for Northern Territory AEFI form.
Catch-up vaccination
Updated pneumococcal catch-up table headings to improve clarity of who is included.
Updated the MMR/MMRV in minimum age catch-up table so that MMRV as a first dose can only be given after 4 years of age.
Updated to include details of how vaccine minimum intervals are described in the handbook and how a month is calculated for this purpose.
HepB, Hib and pneumococcal vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Removal of text describing booster doses for Hib as it was unclear and inconsistent with Hib catch up table.
Hepatitis B
Hepatitis B vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Human papillomavirus (HPV)
HPV vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Japanese encephalitis
Japanese Encephalitis vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Measles
Updated to include ibuprofen for pain relief.
Removed endemic areas to broaden regions of travel for early MMR dose advice for infants.
Updated to specify that infant travellers who receive an early dose of MMR at ≥ 11 months of age but before 12 months may not need a repeat dose, aligning with existing guidance on minimum acceptable age for first dose of MMR.
Mpox (previously known as monkeypox)
Expansion of groups recommended primary vaccination to include humanitarian workers and travellers to a clade I mpox region who might undertake sexual risk activities. Update to post-exposure prophylaxis vaccination to recommend vaccination for both high and medium risk contacts. Restructuring of booster dose guidance following first- and second-generation vaccines to improve clarity.
Mumps
Updated to include ibuprofen for pain relief.
Removed endemic areas to broaden regions of travel for early MMR dose advice for infants.
Updated to specify that infant travellers who receive an early dose of MMR at ≥ 11 months of age but before 12 months may not need a repeat dose, aligning with existing guidance on minimum acceptable age for first dose of MMR.
People with asplenia and hyposplenia
Pneumococcal vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Updated pneumococcal catch-up table headings to improve clarity of who is included. As well as additional text added to align with pneumococcal chapter to explain there is a lifetime limit of 2 doses of 23vPPV.
Pneumococcal disease
Updated to clarify that in transitional scenarios, once a child receives a dose of 20vPCV instead of 23vPPV, then no further doses are required.
Updated to clarify the 20vPCV dose recommended for children aged ≥12 months to 18 years with risk conditions is additional to the recommended routine schedule for non-Indigenous children.
Pneumococcal vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Preparing for vaccination
Updated to include details of how vaccine minimum intervals are described in the handbook and how a month is calculated for this purpose.
Removed Avaxim and NeisVac-C from the list of vaccine components as they are no longer available.
Respiratory syncytial virus (RSV)
Addition of guidance for vaccination of individuals with a history of GBS unrelated to previous vaccination and individuals with a history of GBS following previous vaccination.
Addition of epidemiological evidence on rates of GBS after RSV vaccination.
Rubella
Updated to include ibuprofen for pain relief.
Removed endemic areas to broaden regions of travel for early MMR dose advice for infants.
Updated to specify that infant travellers who receive an early dose of MMR at ≥ 11 months of age but before 12 months may not need a repeat dose, aligning with existing guidance on minimum acceptable age for first dose of MMR.
Secondary (acquired) immunodeficiency due to medical conditions
Pneumococcal, hepatitis B and HPV vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Updated pneumococcal catch-up table headings to improve clarity of who is included.
Secondary (acquired) immunodeficiency due to medical therapies
Pneumococcal vaccine minimum intervals updated to align with language used for other vaccines for consistency across Handbook.
Updated pneumococcal catch-up table headings to improve clarity of who is included.