Change description : 2025-08-06 10:20:00: The previous PDF version of this chapter has been removed following the cessation of the 12-month Hib/MenC vaccine dose from 1 July 2025. [Guidance and regulation]
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Pneumococcal disease is the term used to describe infections caused by the bacterium Streptococcus pneumoniae (also called pneumococcus). S. pneumoniae is an encapsulated gram-positive coccus.
The previous PDF version of this chapter has been removed following the cessation of the 12-month Hib/MenC vaccine dose from 1 July 2025.
14 August 2023
Updated to include new conjugate vaccines, latest IPD incidence data, new section on recommendations for the routine use of pneumococcal vaccines.Updated information for individuals with cochlear implants.
15 June 2022
Removed the Pneumococcal: the green book, chapter 25 (for infants born up to and including 31 December 2019).
13 January 2020
Added the revised chapter for infants born on or after 1 January 2020.
16 January 2018
The risk group section (pg 8) has been rewritten for clarity and pneumococcal vaccine and supplier information updated.
3 March 2017
Updated background information and clarification on the immunisation schedule, and advise for children and adults in at risk groups (version 6).
4 December 2013
This chapter has been largely rewritten to bring it into line with the latest advice from Joint Committee on Vaccination and Immunisation (JCVI).
19 April 2013
Updated the Body text to include a link to National Archives (chapter update patches) and NHS Choices.