Information on vaccination against pneumococcus in the elderly
Those who wish to receive the vaccination should understand the effects of vaccination, side reactions, and precautions before receiving the vaccination. Those who have been vaccinated against Streptococcus pneumoniae even once
in the past are not eligible .
What is Streptococcus pneumoniae infection?
Streptococcus pneumoniae infection is a disease caused by a bacterium called Streptococcus pneumoniae. This bacterium is mainly contained in the secretions of the respiratory tract and is transmitted by droplets through saliva. It is said that about 3 to 5% of Japanese elderly people have bacteria resident in the back of their nose and throat. The development of these bacteria for some reason can cause serious complications such as bronchitis, pneumonia, and sepsis.
Effect of vaccination
There are 93 types of serotypes of Streptococcus pneumoniae, and “Pneumobacs NP (23-valent pneumococcal capsule polysaccharide vaccine)” used in regular inoculation is effective for 23 types of serotypes. In addition, there is a research result that these 23 serotypes account for about 70% of the causes of severe pneumococcal infection in adults. This is said to account for about 20% of all pneumonia.
About side reactions
Local pain, warmth, swelling, and redness are observed in more than 5% of those who have been vaccinated. In addition, slight muscle pain, malaise, discomfort, chills, headache, and fever may be observed, but the symptoms are mild and disappear in about 2 to 3 days.
Significant side reactions include anaphylaxis-like reactions, thrombocytopenia, Guillain-Barré syndrome, and cellulitis-like reactions. However, although the pneumococcal vaccine has been used in Japan for more than 20 years, the frequency of local reactions has been reported to be high, but no major safety issues have been observed.
Target person
Persons subject to regular vaccination based on the Immunization Law
- Those who will be 65, 70, 75, 80, 85, 90, 95, 100 years old during the 3rd year of Reiwa
- Those who are 60 to 64 years old on the day of inoculation and who have a first-class impairment in immune function due to heart, kidney, respiratory function, and human immunodeficiency virus
* Those who have been vaccinated against Streptococcus pneumoniae even once in the past are not eligible .
Persons eligible for Chiba City’s own subsidy program
- Those who will be 76 years old or older during the 3rd year of Reiwa and who are not eligible for regular vaccination
- Those who are 65 years old or older as of the date of inoculation and who have impaired immune function due to heart, kidney, respiratory function, human immunodeficiency virus, and who are not eligible for regular inoculation
* Those who have been vaccinated against Streptococcus pneumoniae even once in the past are not eligible .
Target person quick reference table
| age | birthday |
|---|---|
| 65 years old | April 2, 1956-April 1, 1957 |
| 70 years old | April 2, 1951-April 1, 1952 |
| 75 years old | April 2, 1946-April 1, 1947 |
| 80 years old | April 2, 1945-April 1, 1945 |
| 85 years old | April 2, 1945-April 1, 1945 |
| 90 years old | April 2, 1945-April 1, 1945 |
| 95 years old | April 2, 1945-April 1, 1945 |
| 100 years old | April 2, 1918-April 1, 1918 |
Inoculation period
From April 1, 3rd year of Reiwa to March 31st, 4th year of Reiwa.
Inoculation cost
Out-of-pocket amount 3,000 yen.
Those who will be free of inoculation costs
If you are eligible for vaccination and fall under any
of the following, you can receive vaccination free of charge by attaching the exemption target confirmation document . For details on the procedure, please see the following link. (Link: Those who get free vaccinations for the elderly )
- Assistance recipient
- Persons belonging to households exempt from municipal tax
- Recipients of support benefits based on the Act on Promotion of Smooth Return of Japanese Residents in China and Support for Independence of Japanese Residents Resident and Specified Spouse
Belongings
・ Address, age, and name can be confirmed (health insurance card, medical insured card for the elderly, etc.)
・ A copy of the certificate of the physically disabled (2 of the above “Persons eligible for regular vaccination based on the Immunization Law” (Only for those who fall under the category of “Persons who fall under the category of” Chiba City’s own subsidy program “)
* Please use the vaccination card that is available at the medical institution. In addition, you can get a pre-examination slip for pneumococcal vaccination at each ward office area promotion section, health welfare center health section, etc. You can also use the one downloaded from the following. Only the front side should be listed, but be sure to read the notes on the back side as well.
Elderly pneumococcal vaccination pre-examination slip (PDF: 324KB)
* For those who are free of vaccination fee, a confirmation document for exemption is required in addition to the pre-examination slip, and it is necessary to submit it to the medical institution together with the pre-examination slip on the day of vaccination. Please see the following link for details such as the procedure. (Link: Those who get free vaccinations for the elderly )
Precautions for inoculation
As a general rule, vaccinations should be given on a good day. If you are not in good health, consult your doctor before deciding whether or not to inoculate.
In addition, you cannot be vaccinated in the following cases.
- If you have a clear fever (usually above 37.5 degrees)
- Those who have been vaccinated against pneumococcus even once in the past
- When it is clear that you have a serious acute illness
- In addition, when the doctor determines that the condition is inappropriate
About inoculation interval with new corona vaccine
The new corona vaccine and other vaccines cannot be given at the same time. In addition, the new corona vaccine and the other vaccines can be given to each other two weeks after receiving one vaccine.
(Example) If you inoculate the new corona vaccine on October 1, you will be able to inoculate the pneumococcal vaccine after October 15 (the same day two weeks later).
If you are unsure, please contact the Infectious Disease Control Division.
General precautions after vaccination
- Keep in touch with your doctor for 30 minutes after you have been vaccinated. Sudden side reactions may occur during this time.
- Watch out for side reactions for a week.
- Keep the inoculation site clean. You can take a bath, but do not rub the inoculation site.
- You can live as usual on the day of vaccination, but avoid strenuous exercise and heavy drinking.
- If you experience any abnormal reactions or changes in your physical condition at the site of inoculation after inoculation, see a doctor immediately.
Inoculation medical institution
You can receive it at a medical institution that cooperates with the city designated by Chiba City. In the list of links below, you can inoculate at medical institutions with a circle for “Pneumococcus in the elderly”.
List of city cooperation medical institutions designated by Chiba City (PDF: 402KB)
* You may need to make a reservation by phone to a medical institution in advance.
About health damage relief system by vaccination
Prevention of serious adverse reactions caused by vaccination against elderly pneumonia, which may require medical treatment or leave a disability that may interfere with life. You can receive compensation based on the Vaccination Law or the Chiba Prefecture Municipal Vaccination Accident Compensation Ordinance.
There are categories of medical expenses, medical allowances, disability pensions, disability pensions, lump-sum death allowances, and funeral fees according to the degree of health damage, and the amount stipulated by law or ordinance is paid. Except for the lump-sum death allowance and funeral fee, payment will be made until the treatment is completed or the disability is healed.
However, the examination committee will discuss the causal relationship between whether the health hazard was caused by vaccination or another factor (infectious disease or another cause that was mixed in before or after vaccination). However, you can get compensation if you are found to have been vaccinated.
When you wish to receive vaccination at a medical institution outside the city of Chiba Prefecture
* Please note that Chiba City’s unique subsidy program is only for those who have been vaccinated at a vaccination cooperation medical institution in the city .
In Chiba prefecture, we carry out “mutual immunization business in Chiba prefecture”. Under the vaccination cooperating doctor of the medical institution cooperating with this project, you can inoculate at public expense using the pre-examination slip of Chiba City. (Please note that the types of vaccinations that can be inoculated differ depending on the vaccination cooperating doctor.)
Please use the pre-examination slip at the Infectious Disease Control Division or the Health Division of the Health and Welfare Center of each ward. You can also use the one printed from the Infectious Disease Control Division website or a copy of the unused pre-examination slip.
* Click here for a list of medical institutions that cooperate with the mutual vaccination business in Chiba Prefecture.(Link to external site)(Link to external site)
When you wish to inoculate at a medical institution outside Chiba Prefecture
* Please note that Chiba City’s unique subsidy program is only for those who have been vaccinated at a vaccination cooperation medical institution in the city .
If you are staying outside the prefecture for a long time, such as being admitted to a facility outside the prefecture or being hospitalized at a medical institution outside the prefecture, and wish to receive routine immunization at a medical institution near the facility or at a hospital outside the prefecture, Chiba It is necessary to submit the “vaccination implementation request form” issued by the city to the medical institution to inoculate. The “Vaccination Implementation Request Form” states, “This vaccination is carried out as a routine vaccination, and if the vaccination causes health damage, the mayor of the municipality with resident registration will take responsibility.” It will be a document to show that to the medical institution to inoculate. Therefore, without this document, you will be treated as a voluntary vaccination, and you will not be able to receive a relief system based on the provisions of the Immunization Law if health damage occurs due to routine vaccination. In addition, inoculation costs are not subject to reimbursement and are at your own expense.
* The procedure for applying for the vaccination request form is as follows (please contact the Infectious Disease Control Division for details).
・ Fill out the application form and send it to the Infectious Disease Control Division.
Call the Infectious Disease Control Division (043-238-9941) and tell us that you will be vaccinated outside the prefecture. After confirming that the “Vaccination Implementation Request Form” is issued, we will send you the application form by mail or fax. When you receive the form, fill in the required items and send it to the Infectious Disease Control Division by mail or fax. If you send it by fax, please call the Infectious Disease Control Division to confirm your arrival.
You can also download the vaccination application form (for elderly pneumococcus) from the link below.
After applying, the Infectious Disease Control Division will prepare a vaccination implementation request form and send it to you, your relatives, or the facility you are in.
It takes about 10 days (excluding weekends and holidays, year-end and New Year holidays) after receiving the application before the vaccination implementation request is issued, so please apply with plenty of time.
* About vaccination costs (reimbursement payment) For the costs of
routine vaccinations inoculated outside the prefecture, pay the full amount of the vaccination costs at the inoculated medical institution, etc., and then apply to the Infectious Disease Control Division with the necessary documents 1 to 3 below. By doing so, we will refund (reimbursement) within the maximum amount of Chiba City at a later date. However, if you exceed the upper limit of Chiba City, you will be responsible for the excess amount. In addition, the amount to be refunded will vary depending on whether or not there is a self-pay amount. In addition, only those who apply for the issuance of “Vaccination Implementation Request Form” before vaccination and submit the “Vaccination Implementation Request Form” to the medical institution to inoculate are eligible for reimbursement.
[Documents required to apply for reimbursement]
1. Vaccination fee reimbursement invoice (sent together with vaccination request form)
2. Original receipt paid for vaccination (copy not allowed)
3. Preliminary examination Copy
of the invoice Please mail the above 3 points to the Inoculation Control Division.
For details on the procedure for applying for reimbursement, please contact the Infectious Disease Control Division.