The list of diseases that are a contraindication to vaccinations for epidemiological indications is determined by the Ministry of Health and Social Development of the Russian Federation.
Individuals subject to routine vaccination should be pre-examined by a physician with mandatory thermometry.
When carrying out routine vaccinations to persons working with variola viruses, vaccines and smallpox animals that are pathogenic to humans, the following contraindications should be observed.
Nosological form | Admissibility of vaccinations |
1. Primary immunodeficiencies | Contraindicated |
2. Acute diseases (infectious, non-infectious), including the period of convalescence | Not earlier than 2 months after recovery |
Viral hepatitis | Not earlier than 6 months after recovery |
Meningococcal infection | Not earlier than 6 months after recovery |
Infectious diseases with prolonged and chronic course (sepsis, dysentery) | Not earlier than 6 months after recovery |
Note: contact with infectious patients in the family, institution, etc. vaccinations are carried out at the end of the quarantine period or the maximum period of the incubation period for the disease. |
3. Treatment with steroids, antimetabolites, X-ray therapy | Not earlier than 12 months after the end of therapy |
4. Tuberculosis (pulmonary and extrapulmonary) | At the end of the active phase |
5. Chronic pneumonia | Not earlier than 12 months after the remission |
b. Allergic diseases: | |
- bronchial asthma; | Not earlier than 12 months after the remission |
- asthmatic bronchitis, asthmatic syndrome (against respiratory infection) | Not earlier than 6 months after recovery |
7. Allergic reactions in the anamnesis: | |
- severe anaphylactic reactions (shock, angioedema of the larynx, etc.) on food, medicinal and other allergens; | Contraindicated |
- Allergic reactions to individual allergens (rashes, clinical disorders, etc.) | Not earlier than 6 months after the reaction on the conclusion of an allergist |
8. Skin diseases: | |
- chronic common dermatoses with frequent exacerbations (pemphigus, psoriasis, eczema, neurodermatitis); | Contraindicated |
- pustular diseases; | Not earlier than 2 months after recovery |
- burns | After recovery |
9. Nervous and mental diseases: | |
- traumas of the central nervous system with pronounced residual effects, postvaccinal encephalitis in history, epilepsy with constant seizures, chronic and recurrent progeny encephalitis, demyelinating and degenerative lesions of the nervous system (muscular degeneration, progressive muscular dystrophy, etc.), stroke; | Contraindicated |
- epilepsy with rare seizures, febrile convulsions, CNS trauma without residual effects; | Not earlier than 12 months after the last seizure or recovery on the background of anticonvulsant therapy |
- infectious diseases of the central nervous system in the form of meningitis, encephalitis of polyradiculoneuritis of any etiology (including meningococcal) | Not earlier than 2 years after recovery |
Note: Inoculations of this contingent are conducted after examination by a neuropathologist. |
10. Diseases of the mouth, ear, throat and nose: | |
- Diseases of the mouth, nasal cavity (rhinitis, periodontal disease, stomatitis, sinusitis),pharynx and larynx (sore throats, pharyngitis and laryngitis); | Not earlier than 2 months (after surgery or sanitation) |
- chronic tonsillitis and adenoiditis, requiring surgical treatment; | Not earlier than 2 months (after surgery or sanitation) |
- chronic otitis media | Not earlier than 3 months after the remission |
11. Diseases of the cardiovascular system: | |
- Decompensated heart defects, subacute septic endocarditis, hypertensive disease of 3 st, severe forms of angina and myocardial infarction; | Contraindicated |
- rheumatism; | Not earlier than 3 years from the date of remission on the conclusion of a rheumatologist |
- myocarditis, vasculitis, myocardial infarction and angina (mild forms), hypertension 1 and 2 items, heart defects in the stage of compensation | Not earlier than 6 months after recovery (remission) at the conclusion of a specialist |
12. Diseases of the liver and pancreas: | |
- cirrhosis of the liver, chronic hepatitis, hepatocellular dystrophy, acute and chronic pancreatitis; | Contraindicated |
- bile duct disease | Not earlier than 6 months after recovery (under condition of sanation of bile) |
13. Peptic ulcer of stomach and duodenum, ulcerative colitis | In remission |
14. Kidney Diseases: | |
- glomerulonephritis, nephropathy, chronic renal failure; | Contraindicated |
- pyelonephritis: | Not earlier than 1 year from the moment of clinical and laboratory remission |
-toxic nephropathies (transient) | Not earlier than 6 months after recovery |
15. Diseases of the endocrine system: | |
diabetes mellitus, severe forms of thyrotoxicosis and insufficiency (or dysfunction) of the adrenal glands, myxedema, thymomegaly | Contraindicated |
16. Diseases of the blood: | |
leukemia, lymphogranulomatosis, aplastic anemia, hemophilia, Verlhof disease; | Contraindicated |
- hemorrhagic vasculitis (capillarotoxicosis), hemolytic conditions; | Not earlier than 2 years from the moment of complete clinical and laboratory remission on the conclusion of a specialist |
- deficiency anemia; | After recovery |
- secondary immunodeficiencies | After recovery |
17. Systemic diseases of connective tissue | Contraindicated |
18. Pregnancy (all terms) | Contraindicated |
19. Surgery | Not earlier than 2 months after recovery |
20. Malignant neoplasms | Contraindicated |