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Catch-up immunisation in newcomer child — MCCQE Part 1 MCQ

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ModerateVaccinationCatch-up immunisation in newcomer childMCCQE Part 1

A 7-year-old child recently arrived in Canada with no reliable immunisation records. She is well and attends primary care for school forms. The parents are willing to vaccinate but are unsure what she received previously. What is the most appropriate screening/prevention?

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Correct answer: A — Begin age-appropriate catch-up vaccination using Canadian immunisation guidance

When immunisation records are absent or unreliable, Canadian guidance supports providing age-appropriate catch-up vaccines rather than delaying protection. Serology may help for selected antigens but is not required for every vaccine. Extra doses of many routine vaccines are generally preferable to leaving a child susceptible.

Reference: NACI Canadian Immunization Guide