Background: I'm researching each disease/vax one by one in the order they appear on the CDC schedule. I'm on HIB, so obviously its slow going, but LO won't be here until summer, so we have some time. I'd like to bounce my research/ideas off of the awesome inquiring minds on this board, both non-vaxers and delayed/selective vaxers. Okay, so here goes...
In addition to the basics of the disease and the contents of the vaxes, I looked at three issues particular to HIB: 1) Effectiveness: evidence points to a high degree of effectiveness against the type B strand 2) A possible link to type I diabetes: the literature definitely does NOT support any link between the vax and diabetes as was once feared; and 3) Serotype replacement: The literature confirms this is a serious issue on the population level. However, serotype replacement effects all children, not just vaxed ones. And there still is a very small risk of HIB, even though it has been significantly reduced since the 80s.
Those are my basic findings... now here are my questions:
1. Have I missed anything major?
2. The vaccine has made HIB quite rare. Do you consider this a reason to not get this vax? In other words, would you knowingly rely on herd immunity? Does this feel wrong to anyone (i.e. allowing other children to take on risk so that yours can reap the benefit of less risk of disease? no judgement, just trying to think this one out)
3. If we do ultimately decide to get this vax, I would want ActHIB reactivated with saline. Does anyone disagree with this choice? How has your experience been with requesting this (or any) particular brand from your Ped?
Thanks so much for any help you can provide! This board has already been an incredibly helpful source for me. I am indebted to many of you!