Preventive exams are planned to assess the growth, development, nutritional  status and general health condition of children and to evaluate their risk of illnesses from birth to their teens. In the Czech Republic, the preventive care of children living in international communities follows the recommendation of the WHO. The schedule of usual preventive check-up and immunisation is the following: Birth  - tuberculosis and screening for metabolic diseases done at the hospital
48 hrs from discharge	1st pediatric exam
2 Weeks	Well Check	No Immunization
1 Month	Well Check	No Immunization
6 Weeks	Well Check	Optional exam
2 Months	Well Check	No Immunization
3 Months	Well Check	I. INFANRIX HEXA (Diphtheria, tetanus, Acellular pertussis, Haemophillus infl.B, polio, hepatitis B)
4 Months	Well Check	II.  INFANRIX HEXA
5 Months	Well Check	Optional exam
6 Months	Well Check	III.  INFANRIX HEXA
8 Months	Well Check	I. NeisVacC (Meningocc. Meningitis C)
10 Months	Well Check	II. NeisVac C
12 Months	Well Check	I.Havrix (hepatitisA)
15 Months	Well Check	I. MMR (Measles, Mumps, Rubella)
18 Months	Well Check	IV.  INFANRIX HEXA
24 Months	Well Check	II. Havrix
3 Year	Well Check	No Immunization
4 Year	Well Check	II. MMR,Infanrix-HIB (Diphtheria, Tetanus, Pertussis, Haemophillus B, Polio)
5 Year	Well Check	Engerix Booster (Hepatitis B)
Since the age of 5 years - annual check-up might include:		Tuberculosis skin test at age 11
		Polio at age of 13
		Tetanus at age of 14 and every 10 years
Other immunisations according to regional concerns eg. Tick borne encephalitis,Pneumococcus
Please note that the price of the preventive exam does not include the price of vaccines.

What do you need to know about the vaccinations for your children?

Immunization is a simple, safe and effective way of protecting children against various diseases. It is important to know, that vaccines rank among the safest and most effective devices to prevent infectious diseases. The risks resulting from delaying or not vaccinating your child are far greater than the risk of an adverse event. All forms of immunization work in the same way. The vaccination is leading to immune response of the body resulting into production of antibodies against the illness. This response is very similar to that which would follow exposure to infection but without development of the disease. If the vaccinated person comes into contact with the infection in the future, the body is able to create an immune response quickly enough to prevent the person getting sick. The vaccination schedule recommended at Unicare Medical Center is on the previous page. This can be adapted according to the personal needs of the patient. Tuberculosis vaccination of all newborns in Czech Republic provided in Hospital. The examination by pediatrician before any vaccination is essential. The schedule of preventive examinations is on previous page. The price of comprehensive examination is 2250 CZK, in case that the child is regularly followed at Unicare Medical Center, the minimal fee for evaluation before vaccination is 600 CZK.

Vaccinations at Unicare Medical Center-this is a general overview, your doctor will indicate what is best for your child:

1. INFANRIX HEXA is a combined vaccine against 6 major diseases: Diphtheria, Tetanus, Pertussis, Polio, Hemophillus influensae type B, Hepatitis B. This vaccine was developed in order to reduce the number of shots. The vaccination consists of 4 sessions within the first 18 months of age. The price of a single dose is 450 CZK.
2. MMR is a vaccination against Measles, Mumps and Rubella, which are potentially dangerous viral infections. The vaccination consists of 2 sessions at 15 months and 4 years of age. The price of the application is 450 CZK.
3. Menjugate is immunization against Meningococcal Meningitis caused by Meningococcus type C. The price of a single dose is 1250 CZK. Children before 1 year receive 2 doses, above 1 year 1 dose is sufficient.
4. Meningococcal Polysacharide Vaccine A+C. This vaccine can prevent infection caused by Meningococcus type A and C. The price of a single dose is 1000 CZK.
5. Vacination against Hepatitis A and B is possible at one session using vaccine Twinrix in 3 doses (day 0, month 1, month 6). The price of a single dose is 1750 CZK (pediatric), 2250 CZK (adult).
6. The vaccination against Hepatitis can be done separately against Hepatitis A (vaccine Havrix in 1 or 2 sessions, the price of single dose is 1250 CZK (pediatric), 1750 CZK (adult). and Hepatitis B (vaccine Engerix in 3 sessions, the price of single dose is 450 CZK (pediatric), 1250 CZK (adult).
7. Encepur is vaccination against Tick borne Meningo-encephalitis. This vaccination consists of 3 doses. The price of single dose is 850 CZK. If you pay the first two doses at once, you get the third one free!
8. Vaccination against Influenza is recommended before an epidemy of flu is expected, usually in autumn and winter. The price of a single dose is 500 CZK.
9. Vaccinations before traveling abroad should be a subject for evaluation of previous vaccinations and risk of exposure during the trip.

Dr. Jan Hrdlička, Ph.D.
Pediatrician