Pneumococcal: the green book, chapter 25

Pneumococcal immunisation information for public health professionals, including updates.


Pneumococcal: the green book, chapter 25

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email Please tell us what format you need. It will help us if you say what assistive technology you use.


Chapter 25 update patches

Pneumococcal disease is the term used to describe infections caused by the bacterium Streptococcus pneumoniae (also called pneumococcus). S. pneumoniae is an encapsulated gram-positive coccus.

Published 20 March 2013
Last updated 16 January 2018 + show all updates
  1. The risk group section (pg 8) has been rewritten for clarity and pneumococcal vaccine and supplier information updated.
  2. Updated background information and clarification on the immunisation schedule, and advise for children and adults in at risk groups (version 6).
  3. This chapter has been largely rewritten to bring it into line with the latest advice from Joint Committee on Vaccination and Immunisation (JCVI).
  4. Updated the Body text to include a link to National Archives (chapter update patches) and NHS Choices.
  5. First published.