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Options regarding Mandatory Vaccines in France

post #1 of 12
Thread Starter 
The diptheria, polio and tetanus vaccines are mandatory in France; however, there is no children's shot currently available that is just for these three vaccines. The DT Polio children's vaccine that used to be on the market got taken off the market in 2008. So as our pediatrician explained it, you have three options:

- - Have your child get the Tetravac, which had vaccines for diptheria, tetanus, polio and pertussis. Tetravac contains aluminium hydroxide, considered a toxin, plus the least effective and most undesirable vaccine - for pertussis.

- Have your child get REVAXIS, which is the adult booster for diptheria, tetanus and polio. This was our pediatrician's recommendation. She says that it has the advantage of being less powerful than the tetravac (but totally sufficient as vaccinations, in her opinion) because it is meant to be only a booster. The disadvantages are that 1) REVAXIS contains about 350 mcg of aluminium hydroxide, an ajuvant and 2) the insert says that it is only to be used on children aged 6 and up, which means that if you use it on your infant and there is a nasty side effect, you have no recourse against the drug manufacturer (or against the state, for that matter).

- Don't have your child vaccinated and have the doctor write a note that the child cannot be vaccinated with DT Polio shot, as the shot has been removed from the market. Since the other brands available cover vaccines that are not obligatory, they are not legally required. The text of the letter reads like this:
Quote:
Attestation de situation vaccinale Au regard de l’Article R3111-17 de la nouvelle partie réglementaire du code de santé publique (“L'admission dans tout établissement d'enfants, à caractère sanitaire ou scolaire, est subordonnée à la présentation soit du carnet de santé, soit des documents en tenant lieu attestant de la situation de l'enfant au regard des vaccinations obligatoires”).

Je soussigné (nom prénom) Docteur en médecine atteste que l’enfant (nom, prénom, date de naissance) ne peut recevoir le vaccin DTP (antidiphtérique, antitétanique, antipoliomyélitique) obligatoire, ce dernier étant indisponible dans les pharmacies en France. Les autres vaccins ne répondent pas au caractère légal de l’obligation vaccinale. Cette situation sera à réexaminer dans un an1
I would be interested to know what others have done and if there are other options. I would be okay with skipping the vaccines and getting the letter but my DH is adamant that our son should be vaccinated for tetanus and polio at the very least. Are there other countries where the DT Polio vaccine is still available? Are there other brands in other countries that have a shot with just those three vaccines? Has anyone thought of other options?
post #2 of 12
I had precisely that discussion with the in house pediatrician at the day care my youngest attends, pointing out that it' s not "legal" , "fair", "normal" that only 3 vaccinations are compulsory yet only the combined 5 is available to buy for babies .... which means that it's not even a question of informed consent it's a question of forced sale , people who don't object are being unknowingly forced to inject more than legally necessary

I don't recall exactly the age cut off but I was told that there is one version that is available for a certain age group only
sorry I can't remember more, my own child was not concerned, I was just talking generally and trying to find out what was what (being sometimes asked questions by foreign friends arriving in our area ..)

end result = I was told (is that true ? I didn't see it in writing !) that there is a way to ORDER by special order just the vaccinations for only the 3 compulsory ones BUT the doctor has to fill in a lot of paperwork in order to justify the special order .... therefore they don't do it and omit do say they can do it ...

am very interested to see what others have to say, what has been possible to achieve in France regarding select or no vaccinations (since am shocked by the sales tactics -in my eyes- of doctors over here who are really pushing for blanket vaccinations for everything ...)
post #3 of 12
Thanks for this great information - I'm not dealing with this issue yet, but it's good to have a sense of what I'll have to contend with. At what age were they wanting you to vaccinate your infant?
post #4 of 12
well, for my first baby I wanted to enrol at "les bébé nageurs" when she was just over 5 months old so I had a "classic" schedule I suppose with one combined shot every month at about about 2, 3 and 4 months ... so that I could provide proof of vaccination for registering at the swimming pool.

if you don't intend to place your child in any kind of group activity, I should think that you should be able to find some doctors who will NOT pressurise you to vaccinate so early .... you might well have to repeat several times your basic statement if the doctors you meet have not yet had patients who made the choices you are making

... but then being a foreigner, you can always use that good point "where I come from, we have options, not everybody rushes to vaccinate, we prefer to follow this schedule, we are not prepared to hurry on that matter ...." they can discuss/try to pressurise you about schedules if they are so sure that theirs is the only opinion that matters BUT anyway they cannot have a final say when you talk about what is done where you come from .... do take adavantage of that !
post #5 of 12
Thread Starter 
The first shot for diptheria, tetanus, polio and pertussis is normally at two months, although I believe the law stipulates no later than 18 months or when the child enters a collectivity, if earlier.

De facto, you can wait until your child enters school if you avoid doctors who pressure.
post #6 of 12
This is interesting. We will be in a similar situation soon. dd2 will be one too. I too am fine with skipping vaxes but dh is also adamant abotu the dt and polio. Thisis what we did for dd1 in the US too. Our homeopath is really against vaxing young if you don't need to and he doesn't like combined vaxes so maybe he will help us out. If I find anything out I will let you know.
post #7 of 12
I'll be glad to hear about your experience too !

I have a friend with a new born who asked me this precise question last week and didn't feel well informed enough ...so 'I'll keep checking this thread !
post #8 of 12

Hi does any one have a link where it is stated the necessity of the BCG for collectivité - my friend is having problems with her school, personally I thought that the Ile-de-France was not an area of high risk - and certainly that is what I used for not vaccinating our ds but she's having problems coming up with something concrete - anyone have any ideas? I'd be most grateful to know there is anything like this available.

post #9 of 12

in that link

http://vaccinbcg.canalblog.com/archives/2009/04/23/13483479.html

I think that they tell you where not to go to get the official text because it doesn't work in the end although it's supposed to be the right address

so DO read until the end to make sure you copy and paste the right link

 

En conséquence, le ROR, le vaccin contre la coqueluche et le BCG par exemples ne peuvent être exigés pour l'entrée d'un enfant en collectivité. Seuls, les vaccins contre la diphtérie, la polio et le tétanos peuvent être exigés.

Pour le BCG il n'est pas nécessaire d'aller chercher cet arrêt du Conseil d'État car la circulaire n° DGS/RI1/2007/318 du 14 août 2007 permet de régler plus simplement le problème. Elle ne peut être copiée mais est en ligne sur le site des circulaires en vigueur (http://www.circulaires.gouv.fr/) et on peut l'imprimer.

 

Cependant il semble qu'il y ait des difficultés pour l'obtenir avec l'adresse pourtant exacte  de la page de cette circulaire mais qui se transforme en une autre adresse quand on l'utilise !!!

Voici cette adresse Ă  ne pas utiliser :

http://www.circulaires.gouv.fr/pdf/2009/04/cir_15075.pdf

Pour obtenir la circulaire, utilisez celle-ci qui vous demandera de cliquer sur un lien du site des circulaires gouvernementales :

http://www.circulaires.gouv.fr/index.php?action=afficherCirculaire&hit=7

 

 

I'm in a hurry, I tried quickly but couldn't find it, hope you'll find what you need with the "pistes "above ....

post #10 of 12
Thread Starter 

I have heard of anti-vax generalists and pediatricians who will simply mark in the carnet de santé that your child has been given a vaccine even though he/she hasn't.  I think the doctor has you buy the vaccine and then the doctor opens it but doesn't inject it into your child.   Has anyone else heard of this happening?  

post #11 of 12

yes, it's called "un certificat de complaisance" & I had a few of these when I grew up, on and off , only on some years, for some activities I was enrolled in, so it does exist, except that doctors don't boast about it of course,... knowing someone who has gone that road & asking them who signed it for them .... is the way to go.

post #12 of 12

My daughter had only the DTP but in two shots so it IS possible despite hearing from everyone in France that it isnt.  We got our doctor to call the pharmacy to order the DT in one shot (already available everywhere) and she ordered the polio shot seperately.  I think she ordered todler shots but lower doses for our 9 month old, although I'm not sure on that one.  We had to wait a good two weeks for the polio to be made especially.  I find the French often like to say obligatoire but its not often the case...

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