After doing my internet research and reading, “What Your Doctor May Not Tell You About Children’s Vaccinations,” by Stephanie Cave, M.D., F.A.A.F.P, I have a better understanding on why certain vaccines are on the mandatory list. Most states require 10 vaccines but your pediatrician may give a few more. By the time your child is five, your child may have had at least 33 doses for the 10 vaccines. That does not include any additional shots your pediatrician decided to give.
Below is a brief description of the illness, questions brought up regarding validity of vaccine, when the Center for Disease Control and Prevention wants your child vaccinated, and finally, when Dr. Cave recommends giving the vaccination. Dr. Cave’s goal is to postpone vaccines as long as possible to reduce adverse reactions, while still following state law.
Please keep in mind, some of these vaccines can come in the form of liquid instead of a shot.
Hepatitis B (HepB)
This is a disease which affects the liver. This disease mostly effects drug users and homosexual men. So why are newborns given this shot when there is little risk of the disease as a child? The CDC recommends that your child get this shot: at birth, one month later and then again at nine months. Three doses are needed. If the mother is negative for Hepatitis B, then it is not necessary for your child to get this vaccination at such an early age. However, to meet state requirements, you will need this completed before your child goes to school. Dr. Cave’s recommendation is to give the first shot the year before school starts, the second shot the following month and the final shot four months after the first dose.
CDC:birth, 1 month, 9 month (Mary Rene has already completed this series of shots.)
Cave: Approximately 3 years, one month later, three months later
Huge difference. I will definately do this shot different with Sweet Pea.
Rotavirus
This is a strain of diarrhea causing virus that mostly effects infants. It is a contagious and highly infective virus. However, this virus mostly effects formula fed babies and those in daycare. I just read an interesting article on Peaceful Parenting (thanks Jamie!) how exclusively breastfeeding reduced rotavirus 90% in Brazil over the vaccine at only 40%. This particular vaccine has been recalled on and off again and was only recently, 2009, added to the mandatory list. It has been recalled, on and off again, because there have been so many side effects to this vaccine. Currently the CDC recommends your child getting this vaccine at two months, four months, and six months. The maximum age to get this vaccine is 14 weeks. Per the CDC, vaccination should not be initiated for infants aged 15 weeks or older. So if you delay this one, well you delay this one. Dr. Cave does not mention this vaccination in her recommendation list since it was not mandatory at the time. Which leads me to believe that she wouldn’t have had it on her “extra” list.
(Mary Rene has already completed this series of shots.)
I really don’t know what to do with this shot. Since it has been recalled so many times I am wondering what the chances of it happening again will be. But then again, this mostly effects infants which concerns me. I plan on breastfeeding Sweet Pea, but there always is that chance and I would hate for her/him to get a diarrhea type virus. So I might consider sticking to the CDC schedule on this one. Or at least postponing the first shot until the three month visit instead of at two months.
Diphtheria, Tetanus, Pertussis (DTaP or DTP)
The DTP vaccine is a three in one shot. It protects the child against Diphtheria, Tetanus, and Pertussis. Diphtheria (effects ages 2-5) is a disease affecting the throat, Tetanus (effects people in their 50s and older) is related to painful muscle spasms and Pertussis (effects all ages but worse in infants) is the formal name for whooping cough. The CDC recommends giving this vaccine at two months, four months, six months and 15-18 months. A booster shot is given again around the age of four or five. Dr. Cave recommends getting these shots separate if possible. She gives these shots at seven months, nine months, 18 months and the booster and four or five months.
CDC: 2 months, 6 months, 15-18 months (Mary Rene has already completed this series of shots.)
Cave: 7 months, 9 months, 18 months.
Again a difference but not as much. I would like to delay this shot a few months and maybe wait until Sweet Pea is closer to five or six months.
Haemophilus influenzae type b (Hib)
The Hib vaccine can protect the child from the flu like symptoms that can eventually lead to meningitis and pneumonia. It is also possible for the child to choke due to the severe throat infection that this organism can cause. This is contagious and you can get this more than once. This is most common in young child. There have not been many reported side effects on this vaccine. The CDC recommends giving this vaccine at two months, four months, six months and the final dose at 15-18 months. Dr. Cave recommends four months, six months, eight months and 17 months. Since this one didn’t have many side effects it was given earlier and with another vaccine, Polio, and the same appointments.
CDC: 2 months, 4 months, 6 months, 15-18 months (Mary Rene has already completed this series of shots.)
Cave: 4 months, 6 months, 8 months, 17 months
Since there are little side effects I am comfortable giving this shot. But I would like to delay the first shot until at least four months with Sweet Pea.
Pneumococcal
The pneumococcal conjugate vaccine fights against a bacteria which tends to cause ear infections in children. The CDC recommends giving this vaccine at two months, four months, six months and again at one year. Dr. Cave recommends waiting until your child is two and only getting one dose.
CDC: 2 months, 4 months, 6 months, 1 year (Mary Rene has already completed this series of shots.)
Cave: 2 years (one dose)
Big difference. I still don’t understand exactly why she postponed this one so long but allowed other shots so early. I’ll have to do further research on this one for Sweet Pea.
Polio
Polio is a viral illness, that in 95% of cases produces no symptoms at all. More serious forms of polio can cause muscle paralysis. Polio was virtually eliminated from the US in the 20th century. (There has not been a reported case since 1991.) The CDC recommends giving this vaccine at two months, four months, six months and a booster at four or five years. Since this vaccine had little side effects or concerns, Dr. Cave recommended giving this at four months, six months, 17 months and the booster at four or five years.
CDC: 2 months, 4 months, 6 months (Mary Rene has already completed this series of shots.)
Cave: 4 months, 6 months, 17 months
Not much a difference. I honestly think I will postpone this one further than Cave proposed. Since there hasn’t been a case of Polio in the US since 1991, I don’t see this one as a life threatening disease. I need to do furthe research before I decide when I will get this done for Sweet Pea.
Measles, Mumps, Rubella (MMR)
The MMR vaccine is a three in one protector against three different diseases.
Measles can start as a bad cold with a rash and then become far more serious if not immediately treated. It is highly contagious but nearly gone in the US. Unfortunately, this vaccine is starting to develop resistance and not working as effectively as it used to. (Why is it given then?)
Mumps is a viral infection which is very contagious. This vaccine was developed for males but is also given to females. (Why do females get this vaccination then?)
Rubella results in high fever, swollen glands and even rashes. This is common in preschool children. This vaccine was originally made to protect unborn children. (Why do children get this vaccination then?)
This is one of the most debated vaccinations and has been linked to autism, other neurological problems and Crohn’s disease. The reason it is so debated is because of the trio vaccine and so many children having negative side effects around the time the shot was given.
The CDC recommends giving this trio shot at 12 months, no earlier, and a second shot at age four. Dr. Cave recommends separate shots: Measles at 15 months, Rubella 12 months after the Measles shot, Mumps 12 months after the Rubella shot. Then giving the preschool booster at age four or five. However, it was recently reported that Merck, the main vaccine manufacturer for the MMR will no longer be working on making separate vaccines. Of course, this can eventually change.
CDC: 12 months, 4 years (Mary Rene got the first dose. I can’t postpone the second because she will need it in order to get into school.)
Cave: separate shots. Measles: 15 months, Rubella; 12 months later, Mumps: 12 months later
Since there is not a separate vaccination at this time, and not sure when there will be, I’m not sure how I will handle this. Regardless, I will be delaying this with Sweet Pea until before school.
Varicella (chickenpox)
Need I say more? Chickenpox. Did you get it as a kid? I didn’t and I never got the vaccine either. This is not a life threatening disease but only an inconvenience that last approximately 10 to 20 days. The vaccine may wear off as time goes on and it may not be effective when your child reaches adulthood. Getting chickenpox as an adult is a million times worse then getting it as a child. The funny thing is, this vaccine was developed to help the economy back in the early 1990s. Many mothers had to take off work for an extended amount of time until their child got over chickenpox. Employers were losing money because of mothers being at home for such a long time. This is when the government stepped in and a vaccine was created. Chickenpox mostly effects school-aged children. The CDC recommends giving this vaccine at one year and then again around four. Dr. Cave recommends waiting until your child is ready to enter school and doing a ‘titer” to see if your child is immune.
CDC: 1 year, 4 years (Mary Rene got the first dose. I can’t postpone the second because she will need it in order to get into school.)
Cave: Wait until ready for school
I have to side completely with Cave on this one. I don’t see the necessity in getting the shot until it is needed. Plus, if they think it is going to wear off anyways, it seems kind of pointless. But, I have to follow state law to get Sweet Pea into school.
Hepatitis A (HepA)
This is a liver infection that is common in children but more serious in adults. In mostly effects people in western states. The CDC recommends giving this at 15 months and again at four years. Dr. Cave does not have this on her list as recommended vaccines.
CDC: 15 months, 4 years (Mary Rene got the first dose. I can’t postpone the second because she will need it in order to get into school.)
This is a shot I will delay for Sweet Pea. There doesn’t seem to be a huge concern or chance of her/him getting this so I think it will be safe to postpone. I’m not sure exactly when though.
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Regarding the booster shot, you can have the pediatrician check your child’s ‘titer’ to measure the amount in child’s blood to see if a further dose is needed or not. You might be able to opt out of the booster later in life.
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I still don’t know exactly what vaccination schedule I will follow with Sweet Pea. One thing is for sure, I will not be following the 2010 CDC guidelines completely. I also don’t think I will follow Dr. Cave’s schedule either. She has some vaccinations listed early and I’m not certain if they need to be that early. I still want to read Dr. Sears’ “The Vaccine Book” before I make any final determination.
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WOOH! That was a mouth full. And that was only the current nine recommended vaccinations (really 13 when you break the trio shots up.) There are also shots for the flu, H1N1, Lyme Disease, Menningococcal, etc. But as the book pointed out, what does the future hold for vaccinations? Will there be shots for STDS (some are already in the works,) what about shots for HIV/AIDS? Reproductive vaccine? What else will we allow the government to MAKE our children get vaccinated against?
What I found most interesting was that many of these illness are for diseases that effect older children and adults. But why are we giving these to babies? Is it really true that we are giving these to babies because the government has the best chance of making sure children are vaccinate due to the many wellness visits? If that is the case, then can’t we be given the responsibility to make sure our child gets vaccinated before school, when they are older?
Okay, this is not the last post on vaccines. I still have another post about the different ingredients they use (very disturbing) and some other side issues. I haven’t started constructing those post, and well, I’m busy this week, so they might not be until the following week. Stay posted and thanks for reading!