Two 'green book' chapters updated

The consent and vaccine safety and adverse events chapters have recently been updated in the 'green book' (Immunisation against infectious disease)
Two 'green book' chapters updated

UK Health Security Agency (UKHSA) have published two updated chapters (2 and 8) in the 'green book' (Immunisation against infectious disease).

Chapter 2; Consent [1]

Key updates in this revised chapter include:

  • Changes to the section on disagreement between parents and the role of Gillick competency in such situations.

Chapter 8; Vaccine safety and adverse events following immunisation [2]

Key updates in this revised chapter include:

  • Updates to the WHO definitions of adverse events following immunisation
  • Updates to immunisation error and vaccine adverse event sections
  • New paragraphs defining anxiety related adverse events and vaccine product quality adverse events
  • Changes to managing common vaccine-induced adverse events to include management of fever following (Bexsero) 4CMenB vaccine administration
  • Changes to the section on thiomersal to clarify that this is no longer used in vaccines routinely administered to children
  • New section on hypotonic-hyporesponsive episodes following vaccination
  • Updates to the section on recognition and management of anaphylaxis
  • References updated

Search by


Explore more

Professional Diploma in Travel Health (online), LSTM

The next Professional Diploma in Travel Health run by the Liverpool School of Tropical Medicine, begins on 22 September 2025

Updated: 18 September 2025

Cyclospora travel reminder

Remember – follow good food and water hygiene advice abroad to protect yourself from a parasite called Cyclospora

Updated: 10 September 2025

Invasive meningococcal disease reported in Umrah pilgrims in 2025

If you are planning to visit Saudi Arabia for Umrah in 2025, make sure you are vaccinated

Updated: 10 September 2025

UKHSA publishes travel-associated infections report

Case numbers of selected travel-associated infections reported in England, Wales and Northern Ireland: January to June 2025

Updated: 28 August 2025

NaTHNaC team updates

NaTHNaC is pleased to share a number of important staff announcements

Updated: 22 August 2025