Dr. Sears and HIB vac

[Lollicup]

On page 228 of Dr. Sears "The Vaccination Book", he writes about "Parents who delay or decline vaccination".

He states: For the polysaccharide vaccines, HIB and Pc, you would only need 3 doses if starting between six months and twelve months, 2 doses if starting between twelve and eighteen months, and only 1 dose if you don;'t get any until after eighteen months.

What does he mean by this exactly? My LO got her first HIB shot at 9 months, then her second HIB shot just before 12 months. According to Dr. Sears, does this mean she is done or needs one more? I don't understand his quote. Can someone help me?

[kiara7]

need 3 doses if starting between six months and twelve months

She would need one more, since she received her first on at 9 mos.

[Marnica]

I'd love to know the rational for this schedule.

[it's just apples]

I believe that on the Hib packaging, if it is given after 12 months (not 18) you only need to give one dose.

[Mirzam]

Originally Posted by it's just apples

I believe that on the Hib packaging, if it is given after 12 months (not 18) you only need to give one dose.

This was the case with DD#1 who had one Hib shot at 15 months but that was 17 years ago. Also, the ped wouldn't give her the MMR at the same time.

[MsElle07]

I think it has to do with the fact that the Hib vax isn't given to people older than two, as the illness isn't considered dangerous after that point. So, if you don't get the first dose until close to two, there's no reason to continue on getting the three doses, because they don't give the shots past age two.

[MsElle07]

In other words, if you're following Dr. Sears' advice, your LO would need one more shot.

[nia82]

I have a Pediatrics book (university literature) from 1991 (Germany). It states that all babies between 2-24 months only need 2 doses of HiB for protection, and that only "endangered" individuals should get it (they list bottlefed, in daycare, poor living conditions).

[Friday13th]

The information on dosage according to the CDC Pink Book is actually different from what Dr. Sears says.
This is what it says for ActHib: Previously unvaccinated infants aged 2–6 months should receive three doses of vaccine administered 2 months apart, followed by a booster dose at age 12–15 months, administered at least 2 months after the last dose. Unvaccinated children aged 7–11 months should receive two doses of vaccine 2 months apart, followed by a booster dose at age 12–15 months, administered at least 2 months after the last dose. Unvaccinated children aged 12–14 months should receive two doses of vaccine, at least 2 months apart. Any previously unvaccinated child aged 15–59 months should receive a single dose of vaccine.
PedVax is similar. Here is the link to the Pink Book, you can look up Hib and PC under Chapter Download and it will give you detailed schedules:
http://www.cdc.gov/vaccines/pubs/pin...k-chapters.htm

[Lollicup]

Thanks Ladies for your replies and I'll research this further. Trust me, I want to be done with Hib. I only did 1 DTaP at 6 months and these 2 HIB. After recently reading outbreak scares about Hib, I am considering finishing the Hib series.

[alegna]

You didn't have the hib vax- ever worry about it?

-Angela

[Lollicup]

Oh, I just wanted to note that my LO is 14 months old now.

[curlyfry]

Originally Posted by alegna

You didn't have the hib vax- ever worry about it?

-Angela

:

[Lollicup]

Originally Posted by curlyfry

:

No, I never did, but then again I didn't do research in 1965 for babies infected with Hib. Before the mid 1980's when the Hib vax was available, there were 20,000 serious cases per year. Does anyone know about 1965?

Let's just say I was lucky I didn't get hib.

[mountainsun]

No, I never did, but then again I didn't do research in 1965 for babies infected with Hib. Before the mid 1980's when the Hib vax was available, there were 20,000 serious cases per year. Does anyone know about 1965?

Let's just say I was lucky I didn't get hib

Are you vaxed for it now?

Do you have a source for 20,000 serious cases? And, what exactly is a serious case? How many deaths? And the population of the US in the 1980s was about 244 MILLION people.

http://en.wikipedia.org/wiki/United_States_Census,_1980

If your lo is breastfeeding, she is greatly protected, and will be for a long time

[alegna]

Originally Posted by Lollicup

No, I never did, but then again I didn't do research in 1965 for babies infected with Hib. Before the mid 1980's when the Hib vax was available, there were 20,000 serious cases per year. Does anyone know about 1965?

Let's just say I was lucky I didn't get hib.

No there were NEVER that many cases. That number is totally unsubstantiated.

-Angela

[tanyalynn]

Originally Posted by Lollicup

No, I never did, but then again I didn't do research in 1965 for babies infected with Hib. Before the mid 1980's when the Hib vax was available, there were 20,000 serious cases per year. Does anyone know about 1965?

Let's just say I was lucky I didn't get hib.

But that's the worst thing--you and I were almost certainly infected with Hib, just like everyone else. Serious illness in kids with Hib infection has always been rare. And the 20,000 cases included, in fact was mostly, old people. This vaccine isn't avoiding serious illness in 20,000 kids each year the way the CDC deliberately tries to make _parents_ think.

If they were straightforward about it--that this vaccine, like several others, is significantly for the benefit of adults, and that the numbers of ill people were coming down before the vaccine was in widespread use, and that there are economic factors in people (the adults) getting sick that were significantly weighed in deciding to recommend it, and that exclusively breastfeeding your baby provides a high level of protection (along with a lot of other benefits), then that would be one thing (oh, and that meningitis cases aren't coming down despite widespread use of the Hib vaccine). But they don't mention that, they deliberately leave out a lot of it. But they make half-true statements to coerce parents. It's not right that they treat parents like this. I think their job requires a higher level of honesty and openness than this.

[kiara7]

Epidemiology of Haemophilus influenzae serotype a, North American Arctic

invasive H. influenzae in Alaska and northern Canada from 2000-2005; 138 cases were reported. Among 88 typeable isolates, 48% were H. influenzae type a (Hia); 83% occurred in indigenous peoples. Common clinical manifestations included meningitis, pneumonia, and septic arthritis. Overall annual incidence was 0.9 cases per 100,000 population. Serotype a is now the most common H. influenzae serotype in the North American Arctic

http://http://www.ncbi.nlm.nih.gov/p...t=AbstractPlus

Conjugate vaccines are a major advance in the control of diseases caused by two members of the normal bacterial flora of the human nasopharynx

http://www.cdc.gov/ncidod/eid/vol5no3/lipsitch.htm#Ref

Just some things to think about...

[Lollicup]

I prefer FACTS over ASSUMPTIONS.

[alegna]

Originally Posted by Lollicup

I prefer FACTS over ASSUMPTIONS.

Me too! Do you have a source for your numbers?

-Angela