There are several types, but our hospital uses the frozen recombinant shingles vaccine "Shingrix for intramuscular injection," which has a high efficacy rate of 98% and a long effective period of 15 years.
"Shingrix" is an inactivated vaccine.

⑤ Japanese encephalitis vaccine: inactivated vaccine
Japanese encephalitis is a disease caused by the Japanese encephalitis virus, and is transmitted through mosquitoes such as Culex tritaeniorhynchus.
After being bitten by a mosquito, the patient suddenly develops a high fever, headache, and vomiting.
According to the National Institute of Infectious Diseases, even if infected with the Japanese encephalitis virus, it is not guaranteed that the patient will develop Japanese encephalitis, and the incidence rate is approximately 1 in 100 to 1,000 people.
However, once the disease develops, it can cause nervous system disorders such as impaired consciousness and convulsions, and severe aftereffects.
★Target population: Children
First stage vaccination
The target age for the first stage vaccination is between 6 months and 90 months of age (7 and a half years old).
In the standard schedule, the first and second vaccinations are administered at the age of 3, with an interval of 6 to 28 days (1 to 4 weeks) between the first and second vaccinations. The third vaccination is then administered about one year after the first vaccination. Our hospital can vaccinate patients who are elementary school age or older.

Second stage vaccination
The target age for the second stage vaccination is 9 years old or older and under 13 years old.

In the standard schedule, the vaccine is administered at the age of 9 (3rd to 4th grade of elementary school).

⑥ Two-in-one vaccine: Toxoid vaccine
The two-in-one vaccine is a combination of two vaccines, diphtheria (D) and tetanus (T). The three-in-one vaccine (vaccine to prevent diphtheria, pertussis, and tetanus) or the four-in-one vaccine (vaccine to prevent diphtheria, pertussis, tetanus, and polio) administered in infancy creates basic immunity through four vaccinations, but immunity weakens over time.
The two-in-one vaccine is administered once as the second instalment of the three-in-one or four-in-one vaccine, and is used to boost immunity against diphtheria and tetanus.
It is administered to children aged 11 to 12 in the fifth or sixth grade of elementary school.
It must be given at least 27 days apart from live vaccines and at least 6 days apart from inactivated vaccines.
★Target population: Boys and girls aged 11 to 12
When receiving the vaccine, please bring (1) your parent-child (mother-child) health handbook and (2) proof of identity (health insurance card, etc.).
⑦ Measles-rubella combined vaccine (MR vaccine): Live vaccine
Measles is caused by the measles virus. It has traditionally been called "measles."
It is transmitted through the air, droplets, and contact.
It is highly contagious, and once infected, almost 100% of people will develop measles.
Therefore, it is an infectious disease that requires caution not only for children but also for adults.
When infected, symptoms of fever and cold start, and after 2-4 days of fever, a high fever of 39°C or higher and a rash of small red spots appear all over the body. Recovery usually takes 7-10 days, but it takes about a month for immunity to recover.
Complications include serious ones such as pneumonia, otitis media, and encephalitis, so care must be taken.
Rubella is an infectious disease caused by the rubella virus, and was previously called "three-day measles."
The main routes of infection are droplet infection and contact infection.
After an incubation period of about 2 weeks, infection causes fever and swelling of lymph nodes behind the ears.
Fever of 38-39°C may also be observed. After that, small red erythematous rash begins on the head and face, and spreads to the trunk and limbs in 2-3 days. It usually disappears in 5-10 days.
The prognosis is generally good.
About 15% to 30% of people who are infected never show symptoms (asymptomatic infection).
And once infected and cured, most people acquire lifelong immunity.
However, infection, especially in adults, can lead to complications such as arthritis and acute encephalitis.
Also, what you need to be most careful about is that if a pregnant woman becomes infected in the early stages of pregnancy, it can affect the baby.
This is called congenital rubella fetal syndrome.
After birth, it can result in congenital disabilities such as hearing impairment, visual impairment, heart defects, and mental retardation.
Prevention is especially important for pregnant women and their partners.

In Kumamoto City, rubella is publicly subsidized.
The vaccine administered is the MR vaccine, which also has a preventive effect against measles.
If you have never had a rubella antibody test, you will need to have an antibody test for the rubella virus before getting vaccinated.
There is also a subsidy system in place for antibody tests from Kumamoto City.
First, please refer to the Kumamoto City website for information on "Rubella antibody tests are available free of charge."
This system is for women who wish to become pregnant and their partners or other cohabitants who are deemed to require vaccination based on the results of a rubella antibody test, and for the purpose of preventing the occurrence of congenital rubella syndrome, Kumamoto City will subsidize part of the vaccination cost.

★　People eligible to apply for vaccination cost subsidies for adults (Kumamoto City)

People who are registered residents of Kumamoto City and meet any of the following requirements.
(However, this does not include pregnant women or women who may be pregnant.)
Women who wish to become pregnant and whose rubella antibody titer is 16 times or less by the HI method or less than 8.0 by the EIA method
Cohabitants of women who wish to become pregnant, such as partners, whose rubella antibody titer is 16 times or less by the HI method or less than 8.0 by the EIA method
Cohabitants of pregnant women, such as partners, whose rubella antibody titer is 16 times or less by the HI method or less than 8.0 by the EIA method
★People for whom vaccination is recommended
・Routine vaccination: The next period after "routine vaccination" where measles vaccine can be administered at public expense (free vaccination)
1st period: At 1 year of age (12 months to 24 months old)
2nd period: One year before entering elementary school (under 5 to 7 years old) It is recommended that stages 1 and 2 be vaccinated at a pediatric clinic.
・People of all ages who have not received two doses of the vaccine
⇒Trends in routine measles and rubella vaccinations by date of birth and gender
People born before September 30, 1972 were not vaccinated with the measles vaccine.
People born after that, up to April 2, 2000, were only vaccinated once.
Men born before 1979 were not vaccinated with the rubella vaccine.
Women began receiving only one dose in 1962.
After that, from April 2000, both men and women were vaccinated twice.
As a result, those who have not been vaccinated or have only received one dose are likely to have low antibody levels, and we recommend that they get vaccinated.
We also recommend that you measure your own antibody titer before vaccination and decide whether or not to get vaccinated.
・Men and women involved in pregnancy.
・Vaccination within 72 hours of contact with a measles patient may prevent onset of the disease.
⇒If you have only had one vaccination in the past or your vaccination history is unknown, vaccinate so that you have two vaccinations in total.

★Contraception period:
After receiving live vaccines such as rubella, MR, measles, mumps, and chickenpox vaccines, women need to use contraception for two months after vaccination.

⑧ Hepatitis B vaccine (Bimugen) Inactivated vaccine
Hepatitis B is a liver disease caused by the hepatitis B virus transmitted through blood and body fluids.
The main routes of infection are blood transfusions before virus testing begins, sharing illegal drug syringes, sexual intercourse with infected people, childbirth by infected people, and infection during medical treatment by medical professionals.
The hepatitis B virus is highly contagious and is said to be more contagious than the AIDS virus and hepatitis C virus. HBV is also found in saliva, so it can be transmitted through kissing and oral sex.

In order to prevent infection through unexpected contact with bodily fluids in the course of work, vaccination is especially recommended for medical workers.

The basic Hepatitis B vaccination for adults is three doses: the initial vaccination, one month later, and six months later.

It is said that the acquired immunity lasts for about 15 years.

The effectiveness of the Hepatitis B vaccine decreases with age, so a booster vaccination may be necessary.

In addition, there are a certain number of people whose constitution does not produce antibodies even after three vaccinations.

For this reason, an antibody test is performed one to two months after the third vaccination (not necessary if you work at another medical institution and have antibody tests performed regularly), and if the result is negative, a booster vaccination is administered.

If the antibody titer is sufficiently positive, there is no need for a booster vaccination.

★People who are recommended to get vaccinated

People with family members who are hepatitis B virus carriers

People whose jobs involve frequent contact with blood or body fluids

(Medical workers, emergency personnel, police officers, childcare workers, caregivers, etc.)

All sexually active people

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Cooperation between medical care and nursing care

We have staff and nurses with experience working in elderly care facilities, ensuring close coordination at the on-site level between medical care and nursing care.

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Providing comprehensive medical services

We ensure ample consultation time and provide the kind of thorough medical services that are only possible as a small clinic, with a patient-centered approach.

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