Version:

02-04-2014 01-09-2018: updated immunisation schedule 04-11-2021: Updated recommendations for COVID-19 Vaccine 01-01-2023: 2023 vaccination calendar 02-02-2024: 2024 version

Footnotes:

1. For more information refer to https://www.vm.gov.lv/lv/vakcinacijas-strategija-pret-covid-19
2. Influenza vaccine is recommended and fully reimbursement by the national healthcare system every year to: children aged 6 -24 months (SD inactivated 4valent) and children aged 24 months to 18 years with certain medical conditions (4 SD inactivated or 4 LAIV since 2023). Fully reimbursement to persons aged 65 years (HD inactivated 4 valent) and over, pregnant women (SD inactivated) and for all adults with certain medical conditions.
3. Children from 1-18 years old shall be vaccinated against tickborne encephalitis: (1) in the territories, in which, according to the epidemiological surveillance data of the Centre for Disease Prevention and Control, the highest morbidity with tickborne encephalitis is observed (in endemic territories of tickborne encephalitis) and (2) orphans and children left without parental care.
4. https://www.vm.gov.lv/lv/vakcinacijas-strategija-pret-covid-19 https://www.vm.gov.lv/lv/aktuala-informacija-par-vakcinaciju-pret-covid-19
5. From 12 hours of life. If the vaccine is given at the age of two months, a tuberculin test is performed prior to vaccination
6. 3rd dose only for pentavalent rotavirus vaccines
7. Six-year-old children may be vaccinated with vaccinations for 7-year-old children, if the child is beginning to study in an educational institution.
8. Subsequent Td boosters every 10 years. For some risk-groups boosters are more frequently recommended.
9. Pertussis antigen during pregnancy
10. Babies born to a mother infected with hepatitis B or unknown immune status will be offered a first dose within 12 hours after birth. Vaccine administered according to indications.
11. If no previous vaccination. Three doses recommended.
12. Catch-up for females not previously vaccinated, with no history of rubella vaccination or disease. 2-dose schedule recommended.
13. Children who have received the first dose of the vaccine against varicella and who have not contracted the illness shall be vaccinated against varicella. Vaccination against varicella for 7-year-old children (second dose) shall be commenced from 1 January 2019. Six-year-old children may be vaccinated with vaccinations for 7-year-old children, if the child is beginning to study in an educational institution.
14. Vaccination against influenza in children aged 2 to 18 years who belong to the following health risk groups: children with chronic lung diseases, chronic cardiovascular diseases regardless of their cause, chronic metabolic diseases, chronic kidney diseases, children with immunodeficiency, children receiving immunosuppressants therapy, who receive long-term therapy with ac. acetylsalicylic acid.
15. Children from endemic areas

More information available at:
https://www.spkc.gov.lv/lv/vakcinacija-0 http://www.likumi.lv/doc.php?id=11215


General comment on catch-up vaccinations:
If a child has not received the vaccine, he or she has the right to receive it until attaining 18 years of age, if it is allowed by the instructions for use of the vaccine and if the particular vaccine was included in the vaccination calendar when the child was of the age corresponding to vaccination. Vaccination until attaining 18 years of age shall be performed in conformity with the vaccination scheme and the number of vaccines indicated in the instructions for use of the vaccine.

Residents, including individuals under guardianship, have the right to choose a vaccination institution or a medical practitioner to receive the vaccination, as well as to refuse the vaccination.

MAJOR HISTORICAL CHANGES
Measles, mumps and rubella:
1968: Measles vaccination introduced in the national childhood vaccination schedule at 18 months of age.
1982: Mumps vaccination introduced in the national childhood vaccination schedule for residents of the city of Riga at 18 months of age.
1983: Mumps vaccination introduced in the national childhood vaccination schedule for all the country at 18 months of age.
1993: MMR introduced in the national childhood vaccination schedule at 15 months, rubella at 12 years and measles (2nd dose) at 12 years.
1994: Hib vaccination introduced in the national childhood vaccination schedule.
2002: Two doses MMR regimen introduced at 15 months (MMR1) and 7 years (MMR2) of age.
Haemophilus influenzae type b:


Hepatitis B:
1997: HepB vaccination introduced in the national childhood vaccination schedule to be given at birth.
2006: HepB catch-up vaccination programme (at 14 years) introduced.

Poliomyelitis:
2001: IPV introduced in the national childhood vaccination schedule at 3–4, 5– 6 months.
2010: Given as a combined DTaP-IPV vaccination from 1st January 2010
2020: 6th dose IPV discontinued at 14 years of age

Pertussis:
2004 - 2006: Acellular pertusis vaccine introduced in the national childhood vaccination schedule.
2005: By February, aP replaced wP throughout the whole country.
2010: The fifth dose of acellular pertussis vaccine at 7 years of age was introduced in the national childhood vaccination schedule on 1 st January 2010.
2010: Given as a combined DTaP-IPV vaccination from 1st January 2010
2022 6th dose acp introduced for adolescents at 14 y, also for pregnant for each pregnancy

Varicella:
2008: Varicella vaccination introduced in the national childhood vaccination schedule at 15 months of age.
2019: second dose together with MMR at 7y or earlier – before entering a school

Pneumococcal vaccine:
2010: Pneumococcal conjugate vaccine introduced in the national childhood vaccination schedule starting at 2 months of age from 1st January 2010.

HPV:
2010: Human papilloma virus vaccine has been introduced in the national childhood vaccination schedule on 1st September 2010 and administered to girls at 12 years of age.
2020: switch to 9 valent,
2022: Gender-neutral vaccination

Rotavirus:
2015: introduction at 2, 4 and 6 months of age

Date of last update: 02 February 2024