[Year] Dr. Peter Mangas [A GUIDE TO VACCINATIONS] Provided by Hilltop Family Practice Hilltop Family Practices Page 1 Immunization Basics Welcome to the Hilltop Family Practice immunization program. “Today, children in the United States routinely get vaccines that protect them from more than a dozen diseases such as measles, polio and tetanus. Most of these diseases are now at their lowest levels in history, thanks to years of immunization.” This document has been prepared by our office to help you understand the necessity for vaccines to ensure the health of your child and the health of others with whom your child comes into contact. What is a vaccine? A vaccine is administered to help prevent your child getting a particular type of disease. The vaccine is a preparation containing weakened or dead microbes that cause disease. When it is Hilltop Family Practices Page 2 administered, it stimulates your child’s immune system to produce antibodies. These antibodies protect aggainst the disease. Are vaccines safe for my child? Generally vaccines are safe. There is a small risk, but the protection vaccines provide far outweighs this small risk. If your child has had a reaction to a first shot in a series, Dr. Mangus will discuss the pros and cons of continuing with the rest of the shots in the series. Please talk to Dr. Mangas if you have any questions or concerns. What side effects could my child experience? We will discuss possible side effects of each vaccine as it is administered and will inform you of ways you can help lessen these side effects. Possible side effects are temporary and may include slight fever, soreness at the site where a shot is given, or redness or swelling where the shot was given. When should my child be vaccinated? The timetable for your child’s vaccines will depend on your child’s health, the type of vaccine, and the vaccines available. Section 3 of this document contains two tables with suggested vaccination times. Hilltop Family Practices Page 3 Recommended Vaccinations HBV (Hepatitis B Vaccine) The HBV vaccine helps prevent hepatitis B virus (HBV), a disease affecting the liver. It can lead to liver cancer and death. The vaccine is given as a series of three shots beginning at birth. The HBV vaccine will protect your child from childhood and into their adult years. Rotavirus Rotavirus is one of the most common causes of dehydration and diarrhea in infants and young children. It is extremely contagious and is particularly a problem in child-care centers and children’s hospitals. It’s recommended that the vaccine be given in three doses by mouth at 2, 4, and 6 months of age. IPV (Inactivated Poliovirus) Polio is a viral infection that can result in permanent paralysis. Until recently the oral poliovirus was given in the United States, but there was a very small risk of developing polio after receiving the live oral vaccine. Now, however, the inactivated poliovirus vaccine is Hilltop Family Practices Page 4 recommended. It should be given at 2, 4, 6 to 18 months, and 4 to 6 years. PCV (Pneumococcal Conjugate Vaccine) The pneumococcal conjugate vaccine (PVC) protects your child against the bacterium that is the leading cause of infections including pneumonia, blood infection, and bacterial meningitis. The vaccine is given as a series of four shots starting at 2 months of age. DTaP (Diphtheria, Tetanus, Acellular Pertussis) The DTaP vaccine is given in a series of shots administered between the ages of 2 months and 4 to 6 years. The vaccine is a combination inoculation against three diseases/infections which are: Diphtheria, Tetanus, and Pertussis. Diphtheria Diphtheria is a highly contagious disease but exceptionally rare. Diphtheria is an infection that occurs in the throat, nose, and mouth. The symptoms include a cough as well as a sore throat. Diphtheria can lead to pneumonia, heart failure and paralysis if left untreated. Hilltop Family Practices Page 5 Pertussis Pertussis is a life threatening disease especially children under a year old. It is also commonly referred to as whooping cough. Tetanus Tetanus is an infecion that can occur from bacteria that is associated with dirt, gravel, or rusty metals. The baceria enter the body through a cut. The infection usually results in lock jaw. Hib (Meningitis) The Hib vaccine protects against the Haemophilus influenzae type b bacteria, the leading cause of meningitis before the vaccine was developed. The Hib vaccines is administered as a series of three shots beginning at 2 months with a booster shot at 12 to 15 months. Influenza The influenza vaccine gives your child a chance to build up immunity to an influenza “flu” virus before the flu season. Because flu viruses constantly change, the vaccine is updated each year. If your child is between 6 and 59 months old, you should have your child vaccinated Hilltop Family Practices Page 6 every fall. If your child—or you—have a chronic medical condition such as asthma or diabetes, the flu shot should be given every year. MMR Vaccine The MMR vaccine is an immunization against the following: Measles, Mumps, and Rubella. All three of these diseases are highly contagious and occur during childhood. Measles Measles is a virus which causes a rash on the body. Symptoms include a cough, runny nose, fever, and eye irritation. This virus can cause pneumonia, seizures, brain damage and in rare cases death. Mumps The symptoms of the mumps virus include fever, headache, and swollen glands. It can also cause deafness, meningitis, and death in some cases. Rubella Rubella is also known as the German Measles. This is the mildest disease of the three. This disease may cause serious birth defects of a baby if the woman is pregnant and becomes infected. Hilltop Family Practices Page 7 Varicella (Chickenpox) The varicella vaccine protects your child against the highly contagious and common chickenpox viral illness that can cover your child with an itchy rash of spots and is accompanied by flu-like symptoms. The vaccine is given between the ages of 12 to 15 months with a booster shot at 4 to 6 years old. MCV4 (Bacterial Meningitis) Bacterial meningitis is an inflammation of the membrane that protects the brain. While rare, it is highly contagious. The MCV4 vaccine protects against the disease and should be given to your child between ages 11 or 12 years, before high school, or before entering college and living in a dorm. Hepatitis A The hepatitis A vaccine protects your child against the fever, nausea, vomiting, and jaundice caused by hepatitis A. This disease can be epidemic in a community. The vaccination is a series of two shots administered between the ages of 12 to 23 months. Hilltop Family Practices Page 8 Suggested Schedules Recommended Immunization Schedule for Children 0-6 Years Old Vaccine Age Comments HBV (Hepatitis B Birth, between 1 and 2 vaccine) months, and between 6 to 18 months PCV 2 months, 4 months, 6 (Pneumococcal months, and between 12 groups Conjugate to 15 months Vaccine) High-risk booster between 2 to 6 years old DTaP Hilltop Family Practices 2 months, 4 months, 6 Page 9 (Diphtheria, months, between 15 to Tetanus, 18 months of age, and Acellular final dose between ages Pertussis) 4 to 6 years Hib (Meningitis) 2 months, 4 months, 6 months, between 12 to 15 months Influenza Annually between 6 High-risk months to 59 months groups continue annually MMR Vaccine 12 to 15 months. (Measles, Mumps, Second dose between 4 Rubella) Hilltop Family Practices and 6 years Page 10 Varicella 12 to 15 months. (Chickenpox) Second dose between 4 and 6 years of age MCV4 (Bacterial Between 2 to 6 years Meningitis) old Hepatitis A Two doses six months High-risk apart between 12 and groups 23 months booster between 2 to 6 years old Hilltop Family Practices Page 11 PPV (Pneumococcal Vaccine)1 dose between 7 to 18 years old Administer to certain high-risk groups Tdap (Diphtheria, Tetanus, Acellular Pertussis) 1 dose between 11 to 12 years for those who have completed the recommended DTP/DTaP vaccination series Influenza 1 dose annually Administer to certain high-risk groups annually MCV4 (Bacterial Meningitis) Hepatitis A 1 dose between 11 to 12 years old 2 doses between 7 to 18 years old Administer to certain high-risk groups HPV (Human Papillomavirus 3 doses between 11 and 12 years Females only Hilltop Family Practices Page 12