THE criteria for children to be considered fully immunised have been expanded to include two meningitis vaccinations and one for chicken pox.
Most children are up to date with the vaccinations, which have been encouraged for some time, but from July 1 they will be compulsory for family tax benefit Part A and child care payments.
Doctors caution that vigilance is still needed as the meningitis shots, meningococcal C and pneumococcal, do not provide protection against all strains of the serious disease.
The chicken pox vaccine will be included in a new combination shot (MMRV) given at 18 months that includes a booster for measles, mumps and rubella.
Meningococcal disease can appear as meningitis or septicaemia (blood poisoning), or both. It infects up to 250 Australians a year and can cause death within hours if it is not treated promptly.
Winter is the peak season for meningococcal disease, says Leanne Weymark-Cotter of Meningococcal Australia.
"It is vital that parents are aware of the warning signs and go straight to the nearest doctor or hospital if they are concerned."
There is no vaccination in Australia to protect against the most common strain, meningococcal B.
It is quite rare, but people can't be complacent, says Professor Robert Booy, head of clinical research at the National Centre for Immunisation.
"This rapid and aggressive disease continues to kill and leave victims with serious permanent disabilities."
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