In Sweden, children are offered protection against eleven diseases through the national vaccination programme for children. Additional vaccinations are recommended for children and adults at risk.
Vaccination programme for children
The vaccinations that are offered to all children protect against eleven diseases: rotavirus infection, diphtheria, tetanus, whooping cough, polio, infections caused by Haemophilus influenzae type b, measles, mumps, rubella, serious diseases caused by pneumococcus and human papillomavirus (HPV). (See table below.) Since 2016, all regions additionally offer all infants vaccinations against hepatitis B.
Most vaccines that are part of the Swedish child vaccination programme are given as combination vaccines, i.e. vaccines against several diseases are given in the same shot in order to minimize the number of injections.
All vaccinations within the vaccination programme for children are voluntary and offered free of charge.
Before starting school, children are offered vaccinations within the framework of the child health services, usually at well-baby clinics ("Barnavårdscentral", BVC). Vaccinations offered during school-age are the responsibility of the school health services ("Elevhälsan").
Children who have missed vaccinations or arrived in Sweden later than the scheduled time of vaccination are eligible for catch-up vaccinations.
The Swedish child vaccination programme is governed by the Communicable Diseases Act and regulations issued by the Public Health Agency of Sweden.
|Age||Year of school|
|dose 1||dose 2||dose 3||dose 4||dose 5|
|Polio||dose 1||dose 2||dose 3||dose 4|
|Hib (Haemophilus influenzae type b)||dose 1||dose 2||dose 3|
|Pneumococcal disease||dose 1||dose 2||dose 3|
|dose 1||dose 2|
|HPV (human papillomavirus)||dose 1+2|
* for vaccine given with three doses
Selective programmes recommended for at-risk children
Children with an increased risk of being infected or of becoming severely ill following an infection are recommended vaccinations against certain diseases. The regions can choose whether or not to follow the recommendations, and if the individual has to pay for the vaccinations or not.
- Tuberculosis - The vaccine is normally administered after 6 months of age to children with increased risk of being infected with tuberculosis. It may be administered earlier if the child is to visit a high incidence country.
- Hepatitis B - The vaccine is currently recommended for all infants, and since 2016 it is offered by the regions at 3, 5 and 12 months of age. Babies born to hepatitis B-infected mothers follow a special vaccination schedule. Previously, vaccine against hepatitis B was mainly administered to children with increased risk of the disease.
- Influenza - Children who are at risk of severe illness are recommended yearly vaccinations against influenza.
- Invasive pneumococcal disease - Children who are at risk of severe illness are recommended vaccination against pneumococci.
Adults can also benefit from vaccinations. Persons over 65 years old, pregnant women and persons with certain underlying diseases are recommended annual influenza vaccination. Vaccinations against pneumococcal infections are also recommended for certain risk groups. There are furthermore recommendations for persons with increased risk of infection to be vaccinated against hepatitis B and tuberculosis and all adults should take a booster dose vaccine against diphtheria and tetanus every 20 years. Vaccinations against tick-borne encephalitis (TBE) could be applicable for residents of and persons who spend time in risk areas.