Deciding whether or not to vaccinate your child is a decision that some parents struggle with.
It
can be hard to find a balanced discussion. The internet is full of one
sided rhetoric (both pro vaccine and the anti vaccine factions are
guilty of this). Can vaccinations have some side effects? Absolutely. Do
they always work? Of course not. That being said, I personally believe
that vaccinations save lives and that the benefits overwhelmingly
outweigh the concerns.
Our office puts an enormous amount of thought into the vaccination schedule that we follow.
We
don't just blindly follow the rules. In past years there were times
that we were doing our schedule a little differently than other offices
as we tried to minimize the amount of shots during one visit.
When
the Pentacel combination vaccine was introduced, our schedule finally
shifted around and now we follow the standard immunization
recommendations. It appears that Dr. Sears seems comfortable with this
vaccine schedule as well; so many of the parents who were trying to
spread things around no longer feel the need to do so.
The
first immunization that is given to many babies is the Hepatitis B
vaccine. There are different forms of Hepatitis. The B strain is mostly contracted through blood exposure or sexual activity.
Hepatitis
B is no joke. It is 100 times more contagious than HIV. It can lead to
liver cancer and death. In Britain where babies currently do not
routinely get the Hep B at birth, the cases of Hepatitis B have doubled
in the last decade. The Hepatitis B vaccine was approved in 1981 and has
over 30 years of proven safety. It was actually the first cancer
preventing vaccine.
In
this country, most hospitals will automatically give this within a day
or so of birth unless you tell them otherwise. If mom is Hepatitis B
positive (It is important to know your Hepatitis B status, check with
your OB if you don't) it is essential for the baby to get the protection
as soon as possible.
If
mom is not a Hepatitis B carrier, then I am perfectly comfortable if
you decide to hold off from getting it before you leave the hospital.
The official recommendation is to get that first one over with in the
hospital and there is no down side, but if you are feeling overwhelmed
with things and want a bit more time before jumping into the
immunization program, I have no issues with my patients delaying that
hospital dose, but don't delay too long. I would suggest getting started
with it at the one month visit if you put off that immediate new-born
dose.
Is
your young child high risk? Probably not. But before you decide to
waive the protection altogether please consider this. Hepatitis B can
survive outside of the body for at least several hours.
I
know of more than one case in this city where an unsuspecting child
found a syringe in a playground. Living in an urban environment means it
is not zero risk for exposure. Currently most day-cares and schools
require the series before admission so most likely (unless you sign a
vaccine waiver) your child will get need to get the Hep B series within
the first few years of life. It is much easier on your child to get
this shot added to the rounds of shots that we give that first year of
life. A few extra shots makes no difference to them. Once they are over
18 months they are much more aware of every poke and trust me, you will
be glad that you got these over with. Certainly all children should get
the Hepatitis B series before they are teenagers, even if you sign a
waiver to delay it when they are young. This vaccination is a three part
series.
The
Hepatitis vaccine seems to be quite safe and I usually do not see any
obvious vaccine reaction to it. For more information, the CDC Hepatitis B
vaccine information sheet can be viewed at the following link:
