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Vaccination and premature baby with virus infection, cold, cough, bronchiolitis, RSV, flu

Virus Prevention

Protecting our vulnerable little ones

The more premature a baby is born, the more vulnerable it is to infection. Its lungs are less developed, and unlike a full-term baby, its immune system has not benefited from the transfer of antibodies from the placenta during the third trimester of pregnancy.


As a result, premature infants are more at risk of contracting certain viruses and common winter illnesses such as the cold, respiratory syncytial virus (RSV), influenza and so on. Fortunately, infections can be prevented by vaccination and small everyday gestures.


 Find out more on this page:

  • Common Winter Illnesses
  • Understanding the Respiratory Syncytial Virus (RSV)
  • Vaccination, the Best Protection
  • Daily Gestures to Prevent Viruses
  • Frequently Asked Questions about Vaccination

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Common Winter Illnesses

Préma-Québec booklet: winter illnesses, infections, viruses, colds, coughs, RSV, vaccination

How are infections transmitted?

The germs that cause infections are everywhere (toys, floors, doorknobs, etc.). They can also be found in the nose, mouth, stools, or skin, and animals can carry them. 


These germs are often transmitted by hand, through contact with saliva, secretions (kissing, sneezing), or contaminated surfaces and objects. 

What are the symptoms to look out for?

Some symptoms, from colds to bronchiolitis, flu to RSV, can look very similar. However, there are important distinctions to observe in your baby to determine how to relieve him or her and whether his or her condition requires medical attention. Our Common Winter Illnesses brochure detailed these signs and symptoms.

What can you do to help your child?

There are many ways to relieve your little ones' symptoms when they come down with a cold, bronchiolitis, RSV, flu, etc. Generally speaking, it's essential to keep your baby well-hydrated. If your baby has a fever, limit the clothing and blankets he wears so he doesn't get too hot. You can give him acetaminophen or liquid ibuprofen if he's over 6 months old. Be sure to read the label carefully, and check with your pharmacist for the correct dose for your baby's age and weight.


Please refer to this brochure to read our virus-specific advice and find out when to consult a doctor. 

VIEW BROCHURE

Understanding the Respiratory Syncytial Virus (RSV)

Respiratory syncytial virus, better known as RSV, is widespread among young children. Its symptoms are similar to the common cold and can worsen if the virus reaches the lungs. Find out more in this video with Jesse Papenburg,  Pediatric Infectious Disease Specialist and Medical Microbiologist at the Montreal Children's Hospital of the CUSM.


NEW | RSV preventive treatment for all premature babies from autumn 2024. Find out more

Vaccination, the Best Protection

Préma-Quebec Patch Why vaccinate? Premature babies, virus, vaccine, immunization

Premature babies are more vulnerable to infections

As opposed to full-term babies, premature babies do not benefit from the transfer of antibodies from the placenta during the third trimester of pregnancy. For optimum protection against viruses and diseases, premature babies should be vaccinated by the Quebec Immunization Program (which also applies to full-term babies) and the recommendations specific to their medical condition. 


The first vaccine is due at 8 weeks of age (calculated from birth, not the expected delivery date). 

Vaccines stimulate your child's immune system.


Source: Institut national de santé publique du Québec

Infography How does vaccination work? Premature baby, vaccine, microbe, antibody, virus

Regular vaccination schedule for children

Specific recommendations for premature babies

Specific recommendations for premature babies

Vaccination of children and premature babies according to the MSSS vaccination schedule, Quebec gove

Clinically stable premature babies should be vaccinated according to the regular childhood vaccination schedule. Remember: since the immune response varies according to age after birth and not gestational age, the age for receiving vaccines is calculated from birth.

VIEW CALENDAR (IN FRENCH ONLY)

Specific recommendations for premature babies

Specific recommendations for premature babies

Specific recommendations for premature babies

Premature baby in its car seat ready for vaccine, vaccination, against virus

 In addition to the vaccines in the childhood immunization schedule, some additional doses are recommended for premature babies. This protocol is explained to families before the baby is discharged from the hospital (find out more about the EMMIE Program) and aims to provide premature babies with better protection against the risk of infections (viruses and diseases). 

READ THE RECOMMENDATIONS (IN FRENCH ONLY)

Tips to reduce vaccine pain and anxiety

Specific recommendations for premature babies

Tips to reduce vaccine pain and anxiety

Parent with premature baby or child, anxiety, pain, vaccine, vaccination

  Most vaccines are administered with a needle, which can be frightening for children and parents. The good news is that it is possible to reduce children's pain and anxiety before and during vaccinations! Check out these tips to make your child's vaccination experience more positive.

VIEW TIPS (IN FRENCH ONLY)

What you need to know about RSV immunization

A preventive treatment that provides antibodies to babies

The preventive treatment is a monoclonal antibody, nirsevimab, which gives babies already-made antibodies to protect them against serious infections caused by RSV.

All premature babies qualify

During RSV season, all premature babies (under 37 weeks) are entitled to receive the preventive treatment free of charge in the hospital.


For premature babies (less than 37 weeks) born outside the RSV season, parents must make an appointment on Clic Santé during the vaccination season.

SEE ALL THE DETAILS

Other helpful information about vaccination

Vaccination for parents of babies or premature babies

Vaccination for parents of premature babies

Parents of premature babies should also check their immunization history with their healthcare provider to reduce the risk of transmitting infections at home. If you have any questions about vaccination, don't hesitate to talk to a healthcare professional or visit this page.

Myths and beliefs on the risks of vaccination

In addition to being effective, vaccines are very safe. All children should receive the recommended vaccinations, even if they are breast-fed and have a healthy diet. Are you sceptical or hesitant about vaccination? See this list of scientifically proven facts!

EMMIE Program

The EMMIE Program is a provincial vaccination promotion program based on Motivational Maternity Interviewing for Child Immunization. It encourages positive attitudes towards vaccination and compliance with the recommended vaccination schedule. Participation in the program is voluntary. For children born prematurely, it consists of an information session lasting around 20 minutes when the baby is discharged from the neonatal care unit. 

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Daily Gestures to Prevent Viruses

Premature baby, protect against viruses, infections, RSV

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  1. Encourage family members to wash their hands regularly and to cough or sneeze on their elbows.
  2. Clean toys and surfaces as often as possible, including the highchair, play mat, door handles, etc.
  3. Avoid contact with people who  have symptoms. If they are immediate family members, ask them to wear masks and wash their hands often.
  4. Breast-feed if possible. Breast milk is beneficial in preventing infections.
  5. During gatherings, keep your homes well-ventilated.
  6. If necessary, reduce contact outside the family network.

Frequently Asked Questions

it is recommended that all children, including premature babies, start vaccination at 8 weeks of age (2 months). This ensures the best protection when the child needs it most and avoids delays in the vaccination schedule. 


Since the immune response varies according to age after birth and not gestational age, vaccination should be planned according to the child's age. For example, a premature baby born on August 31, 2024, at 34 weeks gestation, should receive the vaccines scheduled for 2 months of age on October 31, 2024 


Vaccines are very safe. In most cases, they cause no unwanted reactions. If you have any questions, talk to a healthcare professional or read everything you need to know about vaccinating children here. 


In Quebec, vaccination is not mandatory, but it is strongly recommended. 


Information booklet: Common winter illnesses

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Fact sheet: What you need to know about RSV

Download PDF
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