About this release

This release by Public Health Scotland (PHS) provides an annual update on teenage booster immunisation coverage rates for pupils in their third and fourth years of secondary school (S3 and S4). There are two teenage booster immunisations: the Td/IPV booster, which completes the course of childhood vaccines providing protection against tetanus, diphtheria and polio; and the MenACWY immunisation, which protects against meningitis and septicaemia (blood poisoning) caused by four strains of meningococcal bacteria – groups A, C, W and Y.

Main points

  • Among S3 pupils who were eligible for the vaccines in 2022/23, coverage of Td/IPV vaccine was 68.6% (71.6% in 2021/22), and MenACWY vaccine coverage was 68.7% (71.7% in 2021/22).
  • Pupils who miss the routine teenage booster immunisation sessions in S3 are offered the vaccines in S4. In 2022/23 an additional 6% of pupils received these vaccines when they were in S4, taking immunisation rates to over 77% by the end of S4 (Td/IPV 77.3%, MenACWY 77.4%).
Image caption Td/IPV and MenACWY immunisation coverage rates by the end of the school years 2011/12 to 2022/23 in Scotland; Pupils in S3 and S4
Charts showing percentage coverage of Td/IPV and MenACWY immunisations by school years S3 and S4. Details are provided in the accompanying text.
  • Pupils in more deprived areas were less likely to receive the Td/IPV and MenACWY vaccines. By the end of S4, 66.9% of pupils from the most deprived areas were immunised for both vaccinations, compared with 88.0% and 88.1% from the least deprived areas (Td/IPV vaccine and MenACWY vaccines respectively).
  • Male pupils were less likely to receive the Td/IPV and MenACWY vaccines compared to female pupils. By the end of S4, 75.7% and 75.9% of male pupils were immunised, compared to 79.0% and 79.1% of female pupils (Td/IPV vaccine and MenACWY vaccines respectively).


Vaccination programmes aim to protect the individual from many serious infectious diseases and to prevent their spread within the wider population.

In Scotland, teenage booster immunisations are routinely offered to pupils in S3 at around 14 years of age. Pupils not immunised in S3 are re-offered the vaccine(s) in S4. Pupils not fully immunised as part of the routine cohort can also be offered the teenage booster immunisations in S5 and S6.

Further information for the teenage booster immunisations can be found online at NHS Inform: Td/IPV and MenACWY.

Further information

The next release of this publication will be November 2024.

General enquiries

If you have an enquiry relating to this publication, please email phs.childhealthstats@phs.scot.

Media enquiries

If you have a media enquiry relating to this publication, please contact the Communications and Engagement team.

Requesting other formats and reporting issues

If you require publications or documents in other formats, please email phs.otherformats@phs.scot.

To report any issues with a publication, please email phs.generalpublications@phs.scot.

Older versions of this publication

Versions of this publication released before 16 March 2020 may be found on the Data and Intelligence, Health Protection Scotland or Improving Health websites.

Last updated: 21 March 2024
Was this page helpful?