By BEST Childcare Consultancy
In early childhood, health and safety are not abstract ideas—they are lived, visible, and deeply felt in every interaction, routine and decision we make. For service leaders, this responsibility carries significant weight. You are not only guiding practice, but safeguarding the wellbeing of children, supporting families, and ensuring your service meets both legal and ethical obligations.
Immunisation sits at the heart of this responsibility. It is one of the most effective ways to protect children—particularly those who are too young or vulnerable to be fully immunised—from serious and preventable illness. In group care environments, where children learn and play closely together, even a single case of a vaccine-preventable disease can have far-reaching impacts.
This is where strong, informed leadership is essential.
Leaders must confidently understand immunisation requirements, maintain accurate records, respond appropriately to illness or outbreaks, and support educators and families with clear, respectful communication. These moments are not just about compliance—they are about trust. Trust that your service is a safe place. Trust that decisions are guided by children’s best interests. Trust that you will act quickly and responsibly when it matters most.
This article provides practical, up-to-date guidance for leaders in Western Australia, outlining what you need to know about immunisation requirements, managing vaccine-preventable diseases, and supporting unimmunised individuals within your service. When embedded thoughtfully, these practices do more than meet standards—they demonstrate leadership that is proactive, informed and truly committed to protecting every child.
Are immunisations compulsory for children in childcare in Western Australia?
In Western Australia, immunisation is effectively compulsory for enrolment in childcare, kindergarten and pre-kindergarten under the “No Jab, No Play” legislation.
- Children must be up to date with vaccinations to enrol in childcare services
- Services are legally required to check and report immunisation status
- Children who are not fully vaccinated may not be permitted to enrol
Official WA Health source:https://www.health.wa.gov.au/Articles/F_I/Immunisation-requirements-for-child-care-services-kindergarten-and-schools
https://www.healthywa.wa.gov.au/articles/a_e/childhood-immunisations
Important exceptions (allowed under law):
A child can still enrol if they:
- Have a medical exemption
- Have natural immunity
- Are on an approved catch-up schedule
Recommended Immunisation Schedule for Children (Western Australia)
In early childhood settings, children are still developing their immune systems, may not yet be fully immunised, and spend time in close-contact environments where illness can spread quickly. Following the recommended immunisation schedule ensures children are protected at the most critical stages of development, helping to reduce the spread of serious illnesses and supporting safe, healthy learning environments.
The Australian Immunisation Handbook (used by WA Health under the National Immunisation Program) recommends the following schedule for children:
Birth
• Hepatitis B
• Provides early protection against hepatitis B infection
6 Weeks
• Diphtheria, Tetanus, Pertussis (whooping cough)
• Haemophilus influenzae type b (Hib)
• Hepatitis B
• Polio
• Pneumococcal
• Rotavirus
• First major set of vaccines to begin building immunity
4 Months
• Diphtheria, Tetanus, Pertussis
• Hib
• Hepatitis B
• Polio
• Pneumococcal
• Rotavirus
• Continues strengthening protection started at 6 weeks
6 Months
• Diphtheria, Tetanus, Pertussis
• Hib
• Hepatitis B
• Polio
• Additional protection as immunity builds
12 Months
• Measles, Mumps, Rubella (MMR)
• Meningococcal ACWY
• Pneumococcal
• Protects against serious and highly contagious diseases
18 Months
• Diphtheria, Tetanus, Pertussis (booster)
• Hib (booster)
• Measles, Mumps, Rubella, Varicella (MMRV)
• Strengthens long-term immunity
4 Years
• Diphtheria, Tetanus, Pertussis, Polio (booster)
• Final childhood booster before school
Additional Recommendations
Influenza (Flu)
• Recommended every year from 6 months of age
• Free for children aged 6 months to under 5 years in Australia
Where to Get More Information
• WA Health Immunisation: https://www.health.wa.gov.au/immunisation
• National Immunisation Program Schedule: https://www.health.gov.au/health-topics/immunisation/immunisation-throughout-life/national-immunisation-program-schedule
• Australian Immunisation Handbook: https://immunisationhandbook.health.gov.au
Are immunisations compulsory for adults in childcare in Western Australia
For educators and childcare workers:
- Vaccinations are NOT legally mandatory in WA
- However, they are strongly recommended for health and safety
The Australian Immunisation Handbook states that people working with children should be up to date with recommended vaccines such as:
- Influenza
- Pertussis (whooping cough)
- MMR (measles, mumps, rubella)
- Varicella (chickenpox)
Official guideline:
Recommended Immunisations for Childcare Workers
In early childhood settings, children are still developing their immune systems, may not yet be fully immunised, and spend time in close-contact environments where illness can spread quickly. By keeping your vaccinations up to date, you are not only protecting yourself, but also safeguarding vulnerable children, supporting a safe and healthy learning environment, and demonstrating professional responsibility aligned with Quality Areas 2 and 4.
The Australian Immunisation Handbook (used by WA Health) recommends the following immunisations for childcare workers:
Whooping Cough (Pertussis)
- A booster dose every 10 years
- Especially important as infants are most at risk of severe illness
- Usually given as a combined vaccine (dTpa)
Measles, Mumps, Rubella (MMR)
- Ensure two documented doses or proven immunity
- Measles outbreaks can spread quickly in early childhood settings
Influenza (Flu)
- Annual vaccination recommended
- Helps reduce spread during peak flu season and protects vulnerable children
Hepatitis A
- Recommended for those working with young children, particularly in settings with nappy changing
- Spread can occur through close contact and hygiene-related exposure
Hepatitis B
- Recommended if not previously vaccinated
- Particularly relevant if there is potential exposure to blood or bodily fluids
Varicella (Chickenpox)
- Recommended if you have not had chickenpox or been vaccinated
- Can be serious for pregnant women and immunocompromised individuals
COVID-19
- Follow current Australian Government and workplace guidelines
- Requirements may vary depending on policy and public health advice
Where to Get More Information
- WA Health Immunisation: https://www.health.wa.gov.au/immunisation
- Australian Immunisation Handbook: https://immunisationhandbook.health.gov.au
What about flu vaccines?
The flu (influenza) vaccine is recommended every year for everyone aged 6 months and over, with the best time to be vaccinated in Australia from April onwards, before the peak season between June and September. Protection is strongest in the first 3–4 months after vaccination, and it takes around two weeks to become fully effective, making timing important. The flu vaccine is one of the simplest ways to protect yourself, the children in your care, and vulnerable members of the community—it’s not just about avoiding illness, but reducing its severity, preventing spread, and supporting healthier environments, especially in early childhood settings.
Why the Flu Vaccine Is Important for Adults
For adults, the flu is often underestimated—but it can lead to serious illness, hospitalisation, and even death, especially during severe seasons.
The flu vaccine is important because it:
- Reduces the risk of serious illness and complications
- Helps prevent spreading the virus to others, including vulnerable children and older adults
- Supports workplaces (like early childhood settings) to stay healthy and reduce outbreaks
- Protects the wider community—not just the individual
Even healthy adults can spread the flu before they know they are sick, which is why vaccination plays a key role in community protection.
Why the Flu Vaccine Is Important for Children
For children, especially those under 5, the flu can be much more serious than a common cold.
The flu vaccine is important because it:
- Helps protect children from severe illness and hospitalisation
- Supports developing immune systems
- Reduces the spread of illness in childcare and school settings
- Builds early habits around health and prevention
Flu vaccination is strongly recommended for all children from 6 months of age, and is free in Australia for children aged 6 months to under 5 years
Why It’s Needed Every Year
Unlike many other vaccines, the flu vaccine must be given annually because:
- Flu viruses change constantly (new strains circulate each year)
- The vaccine is updated each year to match these new strains
- Immunity from the vaccine reduces over time, especially after a few months
This means last year’s vaccine will not fully protect you this year.
What if I have concerns or questions?
If you’re in Western Australia and have concerns about immunisations, there are several trusted, appropriate people and services you can speak to—depending on your situation. You are never expected to figure it out alone—there are trusted professionals ready to support you with clear, respectful information so you can make the best decisions for your child.
First Point of Contact
1. Your GP (Doctor) or Child Health Nurse
Your local doctor or child health nurse is always the best first step
They can:
- Review your child’s immunisation history
- Answer questions or concerns
- Provide personalised, medical advice
WA Health specifically recommends: “See your doctor” for immunisation questions
Free Health Advice (24/7 Support)
2. Healthdirect Australia
📞 1800 022 222
Available 24 hours a day
Speak to a registered nurse for advice about:
- Symptoms after vaccination
- Whether you need to see a doctor
- General immunisation questions
Recommended for immediate guidance when unsure what to do
Government Immunisation Support
3. WA Department of Health
📞 (08) 9321 1312
Provides:
- General immunisation advice
- Information about schedules and requirements
Contact your state health service for support and information
If You Have Concerns After a Vaccine (Side Effects)
4. Western Australian Vaccine Safety Surveillance
📞 (08) 6456 0208
For:
- Reporting side effects
- Getting advice about reactions
WA-specific service for vaccine safety concerns
General Information & Support
5. Immunisation Information Line
📞 1800 671 811
Provides national advice and information about vaccines. Recommended by WA Health as an additional support line
Where Else You Can Ask Questions
- Local community immunisation clinics
- Public health units in your area
- Your early childhood service (for policy and enrolment requirements)
These services can provide guidance or refer you to the right support
What to Do: Vaccine-Preventable Disease in Childcare (WA)
If a vaccine-preventable disease occurs in your service, it is essential to act quickly and follow clear procedures. Contact Public Health immediately, exclude both the infected person and any unimmunised individuals as directed, check immunisation records, inform families and staff, and increase hygiene practices in line with official guidance. Unimmunised children and staff are at higher risk during outbreaks, which is why exclusion rules are strict—these measures are not punitive, but are in place to protect vulnerable individuals and prevent the spread of illness across the service and wider community.
1. Notify Public Health Immediately
If a vaccine-preventable disease is suspected or confirmed, services must contact their local Public Health Unit for advice and direction.
WA Health requires notification of certain infectious diseases
https://www.health.wa.gov.au/Articles/A_E/Contact-public-health-units
Notifiable diseases information:
https://www.health.wa.gov.au/Articles/J_M/Notifiable-infectious-diseases
Why this matters:
Public Health will guide you on exclusions, contact tracing, and outbreak management.
2. Follow Exclusion Periods (Mandatory)
You must exclude:
- The infected child/staff member
- Unimmunised children or staff, depending on the disease
Use the official exclusion table:
National Health and Medical Research Council – Staying Healthy: Preventing infectious diseases in early childhood education and care services
https://www.nhmrc.gov.au/about-us/publications/staying-healthy
Quick exclusion table (PDF):
https://www.nhmrc.gov.au/sites/default/files/documents/reports/clinical%20guidelines/attachment-a-exclusion-table.pdf
Key point:
Unimmunised individuals are often required to stay home for the full incubation period, even if they are not sick.
3. Identify and Manage Unimmunised Individuals
You must:
- Check immunisation records (AIR statements)
- Identify children/staff who are:
- Not immunised
- Not fully immunised
- On a catch-up schedule
Under WA legislation:
Important:
Unimmunised children may be excluded during outbreaks to protect them and others.
4. Inform Families and Staff
Communicate clearly and promptly:
- What illness has been identified
- Symptoms to watch for
- Exclusion requirements
- When it is safe to return
Parent fact sheets (WA Health):
https://www.healthywa.wa.gov.au/Articles/A_E/Infectious-diseases
5. Implement Infection Control Measures
Increase hygiene and cleaning practices:
- Frequent handwashing
- Cleaning high-touch surfaces
- Minimising group mixing if required
Infection control guidance:
https://www.healthywa.wa.gov.au/Articles/A_E/Infection-control
6. Follow Public Health Directions for the Specific Disease
Each disease (e.g. measles, whooping cough, chickenpox) has different rules.
Public Health may require:
- Extended exclusion for unimmunised individuals
- Emergency vaccination (post-exposure prophylaxis)
- Monitoring for symptoms
Disease-specific guidance:
https://www.health.wa.gov.au/Articles/A_E/Infectious-diseases
7. Document and Review (QIP Requirement)
- Record actions taken
- Review policies and procedures
- Reflect on:
- Immunisation record management
- Communication processes
- Infection control practices
This supports:
QA2 – Children’s Health and Safety
QA7 – Governance and Leadership
Immunisation Documentation Required in Childcare (Western Australia)
In early childhood services, accurate and up-to-date immunisation documentation is essential for enrolment, compliance and protecting children’s health. Services have a legal responsibility to collect, record and maintain this information to meet “No Jab, No Play” requirements and support effective responses to illness or outbreaks. Strong systems in this area support compliance, protect children’s health, and enable services to respond quickly and confidently to illness or outbreaks.
Good Practice for Exceeding Services
- Maintain a tracking system or spreadsheet for immunisation status
- Set reminders to request updated AIR statements
- Ensure all educators understand where records are stored
- Link immunisation records to health and illness management procedures
1. AIR Immunisation History Statement (Mandatory)
An official record from the Australian Immunisation Register (AIR)
Must be provided at enrolment
Shows whether a child is:
- Up to date
- Not up to date
- On a catch-up schedule
This is the only accepted document for confirming immunisation status
2. Immunisation Status Record (Service Requirement)
Services must:
- Record each child’s immunisation status in their enrolment record
- Keep documentation current and accessible
- Monitor and update records as required
Required under education and care regulations
3. Updates at Key Ages
Services must request updated AIR statements when children reach:
- 6 months
- 12 months
- 18 months
- 4 years
Ensures children remain compliant with the schedule
4. Approved Exemptions (If Applicable)
If a child is not fully immunised, documentation must show:
- Medical exemption (approved by a doctor and recorded on AIR)
- Catch-up schedule (evidence the child is in progress)
- Natural immunity (documented on AIR where applicable)
If a child is not fully immunised, documentation must show they are either on a recognised catch-up schedule or have a valid medical exemption, both recorded on the Australian Immunisation Register (AIR). Personal or conscientious objection is not accepted under Western Australian legislation.
Public Health Act 2016
https://www.legislation.wa.gov.au/legislation/statutes.nsf/main_mrtitle_13792_homepage.html
5. Outbreak / Illness Management Records
Services should also maintain:
- A list of children who are:
- Not immunised
- Partially immunised
- Records to support:
- Rapid identification during outbreaks
- Exclusion decisions if required
Where to Get Official Documentation
Services Australia – Access AIR statement via Medicare:
https://www.servicesaustralia.gov.au/australian-immunisation-register
WA Health – Immunisation requirements for childcare:
https://www.health.wa.gov.au/Articles/F_I/Immunisation-requirements-for-child-care-services-kindergarten-and-schools
Links and Resources
Western Australia Health & Legal Requirements
Immunisation requirements for childcare, kindergarten and schools (WA Health):
https://www.health.wa.gov.au/Articles/F_I/Immunisation-requirements-for-child-care-services-kindergarten-and-schools
Contact Public Health Units (WA):
https://www.health.wa.gov.au/Articles/A_E/Contact-public-health-units
Notifiable infectious diseases (WA):
https://www.health.wa.gov.au/Articles/J_M/Notifiable-infectious-diseases
National Guidelines
National Health and Medical Research Council – Staying Healthy: Preventing infectious diseases in early childhood education and care services:
https://www.nhmrc.gov.au/about-us/publications/staying-healthy
Exclusion Table (NHMRC):
https://www.nhmrc.gov.au/sites/default/files/documents/reports/clinical%20guidelines/attachment-a-exclusion-table.pdf
Australian Immunisation Handbook:
https://immunisationhandbook.health.gov.au
Health Information for Families & Services
HealthyWA – Infectious diseases:
https://www.healthywa.wa.gov.au/Articles/A_E/Infectious-diseases
HealthyWA – Infection control:
https://www.healthywa.wa.gov.au/Articles/A_E/Infection-control
Healthdirect Australia:
https://www.healthdirect.gov.au
BEST Childcare Consultancy
At the heart of every early childhood service is a commitment to keeping children safe, healthy and able to thrive. Immunisation and effective illness management are not just compliance requirements—they are a reflection of strong, informed leadership and a shared responsibility to protect our communities.
By staying informed, maintaining clear systems, and responding with confidence and care, leaders set the tone for safe practice across the entire service. These are the moments where Exceeding practice is not just demonstrated, but lived—through consistency, collaboration and a genuine commitment to children’s wellbeing.
As always, use these insights to strengthen your service across everyday practice and lead with confidence toward an Exceeding rating.
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