Ma Palani, koi ʻia kekahi mau lāʻau āpau, koi ʻia kekahi poʻe ʻē aʻe. I nā keiki, a ʻoi aku ke kikoʻī i nā pēpē, 11 mau lāʻau āpau i koi ʻia mai Ianuali 1, 2018. 

Ma mua o Ianuali 1, 2018, ʻekolu mau lāʻau lapaʻau i koi ʻia no nā keiki (ʻo ka mea kūʻē i ka diphtheria, ka tetanus a me ka polio) a ʻewalu mau mea i manaʻo ʻia (pertussis, hepatitis B, measles, mumps, rubella, meningococcus C, pneumococcus, hemophilia B). Mai Ianuali 1, 2018, pono kēia mau lāʻau āpau he 11. A laila ua lawe ke Kuhina olakino, ʻo Agnès Buzyn i kēia hoʻoholo me ka manaʻo e hoʻopau i kekahi mau maʻi maʻi (ʻo ia hoʻi ka maʻi ʻula) no ka mea ua manaʻo ʻia ʻaʻole lawa ka uhi ʻana o ka lāʻau lapaʻau i kēlā manawa.

ʻO Diphtheria kahi maʻi lele loa i hoʻokumu ʻia e nā maʻi bacteria e kau i ka ʻāʻī. Hoʻopuka kēia i kahi toxin e kumu i ka angina e ka uhi keʻokeʻo e uhi ana i nā tonsil. He koʻikoʻi paha kēia maʻi ma muli o ka hiki ʻana o ka maʻi puʻuwai a i ʻole neurological, a hiki i ka make. 

Papa kuhikuhi vaccine Diphtheria:

• ʻelua injection i nā pēpē: kahi mua ma ka makahiki o 2 mau mahina a me ka lua ma 4 mau mahina. 
• kahi hoʻomanaʻo ma 11 mau mahina.
• kekahi mau mea hoʻomanaʻo: i ka makahiki 6, ma waena o 11 a me 13 mau makahiki, a laila i nā mākua ma 25 mau makahiki, 45 mau makahiki, 65 mau makahiki, a ma hope o kēlā me kēia 10 mau makahiki. 

He maʻi lele ʻole ʻo Tetanus i hoʻokumu ʻia e nā bacteria e hoʻopuka ana i kahi toxin weliweli. Hoʻokumu kēia toxin i nā kuʻikuʻi koʻikoʻi koʻikoʻi e hiki ai ke hoʻopili i nā mākia hanu a alakaʻi i ka make. ʻO ke kumu nui o ka hoʻohaumia ka hoʻopili ʻana o kahi ʻeha me ka honua (nahu holoholona, ​​ʻeha i ka wā mahi māla). ʻO ka wīwī ke ala hoʻokahi e pale aku ai iā ʻoe iho i ka maʻi no ka mea ʻaʻole ʻae kahi maʻi mua iā ʻoe e ʻike i ka maʻi ʻelua ʻē aʻe i nā maʻi ʻē aʻe. 

ʻO ka papa hana hoʻowalewale Tetanus:

• ʻelua injection i nā pēpē: kahi mua ma ka makahiki o 2 mau mahina a me ka lua ma 4 mau mahina. 
• kahi hoʻomanaʻo ma 11 mau mahina.
• kekahi mau mea hoʻomanaʻo: i ka makahiki 6, ma waena o 11 a me 13 mau makahiki, a laila i nā mākua ma 25 mau makahiki, 45 mau makahiki, 65 mau makahiki, a ma hope o kēlā me kēia 10 mau makahiki. 

ʻO Polio kahi maʻi koʻikoʻi i hoʻokumu ʻia e ka maʻi hoʻomaʻemaʻe ke kumu o ka maʻi lōlō. Pili lākou i ka hōʻino i ka ʻōnaehana hopohopo. Loaʻa ka maʻi ma loko o nā noho o nā mea maʻi. Hoʻouna ʻia ma o ka ʻai ʻana i ka wai lepo a ma o nā kūʻai nui.  

Polokalamu vaccine Polio:

• ʻelua injection i nā pēpē: kahi mua ma ka makahiki o 2 mau mahina a me ka lua ma 4 mau mahina. 
• kahi hoʻomanaʻo ma 11 mau mahina.
• kekahi mau mea hoʻomanaʻo: i ka makahiki 6, ma waena o 11 a me 13 mau makahiki, a laila i nā mākua ma 25 mau makahiki, 45 mau makahiki, 65 mau makahiki, a ma hope o kēlā me kēia 10 mau makahiki. 

ʻO ka maʻi kohō kahi maʻi lele loa i hoʻokumu ʻia e ka bacteria. Hōʻike ʻia ia e ke kika me ka makaʻu nui o nā pilikia i nā pēpē ma lalo o 6 mau mahina. 

ʻO wai ka papa hana hoʻowalewale kohā:

• ʻelua injection i nā pēpē: kahi mua ma ka makahiki o 2 mau mahina a me ka lua ma 4 mau mahina. 
• kahi hoʻomanaʻo ma 11 mau mahina.
• kekahi mau mea hoʻomanaʻo: i ka makahiki 6, ma waena o 11 a me 13 mau makahiki.

ʻO kēia mau maʻi maʻi lele ʻekolu nā virus. 

ʻIke ʻia nā ʻōuli o ka maʻi ʻula mai nā pimples i mua e ka rhinitis, ka conjunctivitis, ka pehu, ke kuni kiʻekiʻe loa a me ka luhi nui. Hiki ke ala aʻe i kahi pilikia kūpilikiʻi koʻikoʻi. 

Hoʻokumu ka puʻupuʻu i ka huhū o nā aʻa salivary, nā parotids. ʻAʻole koʻikoʻi kēia maʻi i nā keiki ʻōpio akā hiki ke koʻikoʻi i nā ʻōpio a me nā mākua. 

Hōʻike ʻia ʻo Rubella e ke kuni a me ka hū. He maikaʻi kēia koe wale nō i nā wahine hāpai hāpai ʻole ʻia, i nā mahina mua o ka hāpai ʻana, no ka mea hiki ke hana i nā malformations fetal. Kōkua ka lāʻau lapaʻau i ka ʻike ʻana i kēia mau pilikia. 

Ka papa hana hoʻāla MMR:

• ka pahu kui o hoʻokahi mahele ma 12 mau mahina a laila ka lua o ka mahele ma waena o 16 a me 18 mau mahina. 

ʻO ka haemophilus influenzae type B kahi maʻi bacteria e hiki ai i ka meningitis a me ka niumonia. Loaʻa ia i ka ihu a me ka ʻāʻī a hāhola ʻia ma o ka ʻū a me nā postilion. ʻO ka pilikia o ka maʻi ʻino e pili nui i nā keiki ʻōpio.

Hoʻomākaukau hoʻomaʻamaʻa no Haemophilus influenza ʻano B:

• ʻelua injection i loko o ka pēpē: hoʻokahi ma 2 mau mahina a ʻo kekahi ma 4 mau mahina.
• kahi hoʻomanaʻo ma 11 mau mahina. 
• inā ʻaʻole i loaʻa i ke keiki kēia mau injection mua, hiki ke hana i kahi lāʻau hoʻomaʻamaʻa hopu a hiki i ka makahiki o 5 mau makahiki. Hoʻonohonoho ʻia penei: ʻelua mau kaha a me kahi booster ma waena o 6 a me 12 mau mahina; kahi mahele lāʻau ma mua o 12 mau mahina a hiki i 5 mau makahiki. 

ʻO ka Hepatitis B kahi maʻi maʻi e pili ana i ke akepaʻa a hiki ke lilo i maʻi mau. Hoʻolahalaha ʻia ia ma o ke koko haumia a me ka moekolohe. 

Hōʻike hōʻoki Hepatitis B:

• hoʻokahi injection ma 2 mau mahina o ka makahiki a ʻo kekahi ma 4 mau mahina.
• kahi hoʻomanaʻo ma 11 mau mahina. 
• inā ʻaʻole i loaʻa i ke keiki kēia mau injection mua, hiki ke hana i kahi lāʻau hoʻomaʻamaʻa hopu a hiki i ka makahiki o 15 mau makahiki. Hiki i nā hoʻolālā ʻelua: ke kiʻina hana ʻekolu o ka mahele lāʻau a i ʻole ʻelua injection ʻeono mau mahina ke kaʻawale. 

Hana ʻia ka maʻi kūpaʻa me ka hepatitis B me kahi lāʻau āpau hoʻohui ʻia (diphtheria, tetanus, pertussis, polio, Hæmophilus influenzæ type B maʻi a me hepatitis B). 

ʻO Pneumococcus kahi koʻohune kuleana no ka niumonia hiki ke koʻikoʻi i ka poʻe nāwaliwali, nā maʻi pepeiao a me ka meningitis (ʻo ia hoʻi i nā keiki ʻōpio). Hoʻouna ʻia ia e nā postilions a me nā ʻūhā. Kūpaʻa i nā lāʻau ʻino he nui, pneumococcus ke kumu o nā maʻi i paʻakikī e mālama. 

ʻO ka papa hana hoʻokiwikā Pneumococcal:

• hoʻokahi injection ma 2 mau mahina o ka makahiki a ʻo kekahi ma 4 mau mahina.
• kahi hoʻomanaʻo ma 11 mau mahina. 
• i nā pēpē āpau a me nā pēpē i ka nui o ka maʻi o ka maʻi ʻaʻai, ʻekolu mau injection a me kahi booster e paipai ʻia. 

Paipai ʻia ka lāʻau kūʻē kūʻē iā pneumococcus ma hope o ka piha ʻana o nā makahiki he ʻelua no nā keiki a me nā mākua i loaʻa ka maʻi pale maʻi a i ʻole kahi maʻi e hoʻonui ai i ka maʻi o ka maʻi pneumococcal e like me ka maʻi kōkō a i ʻole COPD.

Loaʻa i loko o ka ihu a me ka puʻu, ʻo ka meningococcus kahi bacteria e hiki ke hoʻoulu i ka meningitis i nā keiki a me nā ʻōpio makua. 

ʻO ka papa hana vaccine type C ʻo Meningococcal:

• he ʻume i ka makahiki o 5 mau mahina.
• kahi booster ma 12 mau mahina (hiki ke hāʻawi ʻia kēia mahele me ka lāʻau MMR).
• hāʻawi ʻia kahi mahele lāʻau hoʻokahi i ka poʻe ma mua o 12 mau makahiki (a hiki i ka makahiki 24) ʻaʻole i loaʻa ka lāʻau lapaʻau mua. 

E hoʻomaopopo he koi ʻia ka lāʻau ākea kuni melemele no nā kamaʻāina o Guiana Palani, mai ka makahiki hoʻokahi.