Germ Illustration

Recommended Immunizations


  • To be adequately immunized against tetanus, diphtheria and pertussis, a person must have a primary series of immunizations which consist of three doses of DTaP. An adult booster (Tdap) is also recommended which would ensure adequate protection against all three diseases. A Tetanus/Diptheria (Td) booster is then required every 10 years.

Measles, Mumps, Rubella

  • Adults born before 1970 are assumed to have naturally acquired immunity to measles and mumps. Adults born in 1970 or later without evidence of immunity to measles or mumps should receive one dose of MMR. A second dose of MMR is recommended for young adults (18-25 years), post secondary students, persons who received killed measles vaccine (1967-1970), health care workers and those who plan to travel internationally. All women of reproductive age should have at least one documented dose of rubella vaccine or serologic evidence of immunity.

Chicken Pox (Varicella)

  • Staff known to have had chicken pox are considered immune. Those who have not had or are unsure of previous illness may have a blood test to assess whether or not they are immune. Staff who are not immune should have two doses of Varicella vaccine at least 6 weeks apart. The chicken pox vaccine should not be given during pregnancy. Pregnancy should be avoided for at least one month after immunization.


  • Annual influenza vaccination is strongly recommended for all child care providers. Influenza is a respiratory disease caused by a virus. The virus spreads easily through coughing and sneezing. It can also be picked up through direct contact with surfaces and objects, like unwashed hands and toys. Infants and young children are considered to be a high risk group for complications of influenza which may lead to hospitalization. Staff caring for infants and children should receive the annual influenza immunization to protect themselves, their families and the children in child care. The vaccine is considered to be safe during pregnancy and breastfeeding.

Last modified: February 19, 2020