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Community Corner

From The Nurse's Office: The Choice Is Yours When Getting Shots

Our resident nurse says its important to know the facts when it comes to making immunization decisions.

 Choosing whether or not to immunize your children has become a controversial and emotional subject among parents.

In 1998, a study by Dr. Andrew Wakefield in the British Medical Journal indicated there was a link between vaccines and autism. As a direct result of this study, vaccination rates have fallen dramatically and the incidence of developing a preventable disease has increased dramatically. Recently, this study was declared fraudulent based on falsified data. Dr. Wakefield has, as a result, lost his medical license.

All it took was one falsified study linking immunizations and autism to create a panic and has left our society vulnerable to what once used to be eradicated diseases. Since that study, dozens of studies have been conducted throughout the world showing that there is no correlation between vaccines and autism. Both the Centers for Disease Control and National Institutes of Health are good sources of information to follow those studies.

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Recently, the following information crossed my desk with the request to pass it along. It comes compliments of Laura Kliethermes who is with the Division of Community and Public Health a division of the Missouri Department of Health and Senior Services.

Vaccine Safety: Common Misconceptions:

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Misconception No. 1: Diseases are rare now and vaccinations are not necessary. Certain diseases are rare in the United States because of vaccines, but are much more common in other parts of the world. Because of travel and immigration, many diseases once controlled in the United States are re-emerging. If we stopped using vaccines, diseases would spread very quickly--and many children would become very ill.

Individuals should be vaccinated for two reasons. The first is to protect ourselves. Even if we think our chances of getting any of these vaccine preventable diseases are small, the diseases still exist and can still infect anyone who is not protected. The second reason to get vaccinated is to protect those around us. There is a small number of people who cannot be vaccinated (because of severe allergies to vaccine components), and a small percentage of people who do not respond to vaccines. These people are susceptible to disease, and their only hope of protection is that people around them are immune and cannot pass diseases on to them. A successful vaccination program depends on the cooperation of every individual to ensure the good of all.

Misconception No. 2: My child cannot receive vaccination if she has a cold, fever or is taking antibiotics. Children can still be vaccinated if he or she has a mild illness, a low-grade fever, or is taking antibiotics.

Misconception No. 3: The majority of people who get diseases have been vaccinated.

Most routine childhood vaccines are effective for 87 percent to 95 percent of recipients. In order to make vaccines safer than the disease, the bacteria or virus is killed or weakened. Some vaccinated individuals do not develop immunity, because of reasons specific to the individual, (e.g. those individuals with a genetic pre-disposition that precludes their ability to develop an immune response.)

Misconception No. 4: A lot of children get hurt by vaccines. Vaccines cause Sudden Infant Death Syndrome and autism.

Severe side effects from vaccines are very rare (less than 1 percent) It is a much greater health risk not to get vaccinated. Some children may have mild side effects, such as crankiness, soreness or a slight fever that usually only last a few hours. However, getting the disease can be far more dangerous and painful. There is no known cause of Sudden Infant Death Syndrome (SIDS). The age at which many children die from SIDS is similar to the age when vaccines are first recommended. There is no known connection between vaccines and autism. In some children, signs of autism have appeared around the time routine vaccinations are given. Research has not shown vaccination to be a cause of autism.

Misconception No. 5: It’s dangerous to give so many vaccines at the same time. Studies show that giving several vaccines at one visit is safe and effective. A number of studies have been conducted to examine the effects of giving various combinations of vaccines simultaneously. These studies have shown that the recommended vaccines are as effective in combination as they are individually, and that these combinations carry no greater risk for adverse side effects. There are two reasons for giving a child several vaccinations during the same visit. First, children should be immunized as early as possible to give them protection during the vulnerable early months of their lives. This generally means giving inactivated vaccines beginning at two months and live vaccines at 12 months. That means various vaccine doses tend to be due at the same time. Second, giving several vaccinations at the same time will mean fewer office visits for vaccinations, which saves parent’s time and money, and results in less stress for the child.

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