Immunizations:
While vaccination does carry some risks, the chances experiencing a
serious reaction to a vaccine are extremely small. Aside from a few rare
exceptions, the advantages of immunization far outweigh the risks
involved. Without vaccinations, fatal disease such as diptheria,
pertusiss, and hepatitis would be widespread in our society.
Immunizations are most effective if everyone (except those who are
determined by their physician to be at extreme risk for infection from
the vaccine) in a population gets vaccinated. Some people believe that
if everyone around them is immunized then they do not need to receive
the immunization themselves. This idea, referred to as "herd
immunity", is a false sense of security. It is true that if people
around you are not infected by, and therefore don't carry the disease
the chances of you contracting the disease are very slim.
However, the more people who chose not rely on herd immunity and not
become vaccinated or do not vaccinate their children, the smaller the
"herd" becomes and the more likely the disease is to reappear
among the population. It is also often the case that ardent believers in
non-vaccination tend to form associations and communities among
themselves, removing them from the immunized "herd", thereby
undermining their strategy for vicarious protection from disease.
Despite the very occurrence of such diseases as polio, measles, and
pertusiss since the introduction of the vaccines, the pathogens that
cause these diseases are still present in the environment and can still
effectively cause disease in unprotected individuals. This is proven by
the fact that theses diseases are still common in those parts of the
world in which people are not vaccinated.
Childhood Immunization Schedule
| Age |
Immunization |
| 2 months |
1st Hepatitis B1st DTaP
1st IPV (Polio)
1st Pneumococcal
1st HIB |
| 4 months |
2nd Hepatitis B2nd DTaP
2nd IPV (Polio)
2nd Pneumococcal
2nd HIB |
| 6 months |
3rd Hepatitis B3rd DTaP
3rd IPV (Polio)
3rd Pneumococcal
3rd HIB |
| 12 months |
Varicella
4th Pneumococcal |
| 15 months |
1st MMR4th HIB |
| 18 months |
4th DTaP4th IPV (Polio) |
| 4 years |
5th DTaP5th IPV (Polio) |
| 5 years |
MMR Booster |
About the Vaccines and Diseases
Hepatitis B:
Hepatitis B is primarily a liver disease. It is caused by a virus and
transmitted through blood and other bodily fluids. The disease mostly
infects at-risk adults (i.e. health care workers, injection drug users,
sexually active individuals), however infants can contract the disease
from their infected mothers. Hepatitis is sometimes asymptomatic yet it
kills close to 1 million people each year and infects 4000 American
children. The following is a list of available Hepatitis b vaccines and
their manufacturers. Ask your doctors which is right for you and your
child.
DTaP
The DTaP vaccine protects against Diptheria, Tetanus, and Pertussis (the
little “a” stands for acellular which means the vaccine does not
contain a live organism).
Diptheria causes a film to form on the
back of the throat and can lead to difficulty in breathing, heart failure
and paralysis. Diptheria is passed person to person and is fatal in
approximately 10% of patients. Tetanus is contracted through deep wounds
and cuts. Also known as lockjaw, it causes paralysis of the mouth and
prevents the patient from swallowing. It also can cause sever muscle
spasms. Approximately 30% of those infected with tetanus die from the
disease.Pertussis, or Whooping Cough, is a very serious disease,
especially for children under one year of age. As its name suggests,
Pertussis causes a severe cough and choking that can last from a few weeks
to a few months. In the most serious cases the cough can lead to oxygen
loss and brain damage. Pertussis is passed through human contact and kills
1 of every 200 infected individuals.While some patients experience mild
side effects to the vaccine, such as redness, soreness, or low-grade
fever, the benefits to the vaccine far outweigh the risks. The shots give
70-90% protection against Pertussis, 85% protection against Diptheria, and
95% protection against Tetanus compared to the only 0.1-1.0% of patients
who experience serious reactions to the vaccines.
HIB
The HIB vaccine protects against Haemophilus Influenza type B. The
Haemophilus influenza bacterium can cause severe disease including
epiglottitis, pneumonia, skin and bone infections, and meningitis.
Meningitis caused by Haemophilus is extremely dangerous and kills 5% of
infected children leaving another 25% with serious neurological problems.
The HIB vaccine has proven very safe and effective with only a rare
occurrence of very mild side effects.
Polio
Polio is a disease that cause severe muscle pains and can result in paralysis
of the legs. Polio has no known cure and the extent to which the disease
affects patients depends on the individual. The Polio vaccine is offered
as a live vaccine (OPV) or as an inactivated vaccine (IPV). The OPV
contains a weakened, live virus and is taken orally. The IPV contains an
inactivated form of the virus and is administered as a shot. Approximately
90% of those who receive either type of the Polio vaccine are effectively
protected from the disease. In contrast, only 1 in 1.5 million people who
are vaccinated become paralyzed from the vaccine.
Pneumococcal
The Pneumococcal conjugate vaccine protects against diseases caused by
Streptococcus pneumoniae. This bacterium causes severe diseases such as
bacterial meningitis and bacteremia (i.e. blood infection). These diseases
can be extremely debilitating if not fatal. While antibiotics can
sometimes be used to treat pneumococcal diseases, there is a growing
concern about the threat of bacterial resistance, which will leave
antibiotics ineffective against these life-threatening diseases. The risks
associated with this vaccine are very low and the possible side effects
are very mild, similar to those of other childhood vaccines.
MMR
The MMR vaccine protects against the diseases Measles, Mumps and Rubella.
Since these diseases are viral, not bacterial, they cannot be treated with
antibiotics. All three of these diseases are highly contagious and spread
through airborne particles. Measles generally manifests with a rash,
fever, cough, runny nose, and possible eye irritation. It can progress to
more serious symptoms such as pneumonia, ear infection, and seizures. In
some cases it can lead to brain damage and death. Mumps causes headaches,
swollen glands and fevers. Although it rarely leads to death, it can
result in meningitis, swollen ovaries or testicles, or deafness. Rubella,
or German Measles, produces a rash with mild fever and possible arthritis.
Rubella is especially dangerous to pregnant women as it can lead to
serious birth defects or miscarriage of the fetus.
As with other vaccines, the risks
involved in contracting any of these diseases is far greater than the
risks involved in getting vaccinated.
Varicella The Varicella vaccine protects against the Varicella-zoster
virus (VZV) which causes Chiken Pox. While chicken pox is commonly known
as a childhood disease, and is relatively mild in children, it can also
cause sever disease in adults and neonates. Chicken pox manifests as a red
rash spread all over the body and face, sometimes accompanied by mild
fever. In adults and immunocompromized individuals it can reoccur after a
latent period in the more serious from of shingles. While most patients
fully recover from chicken pox and shingles, it can at times be fatal or
lead to more serious complications from secondary infections.
Before introduction of the vaccine,
there were approximately 4 million cases of chicken pox a year in the
United States. Since the Varicella vaccine was first marketed in 1974,
studies have shown that 90% of individuals receiving the vaccine remain
immune to Varicella for up to 20 years. While Varicella diseases are not
as dangerous as those prevented by other vaccines, since is it highly
contagious and there is no direct cure being that antibiotics are
ineffective against viral infection, this vaccine is considered extremely
important in maintaining the health of the population.
The Center for Disease control provides
more detailed information about all of these vaccines and the diseases
they prevent. Visit the CDC website at http://www.cdc.gov/node.do/id/0900f3ec8005df1f
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