We do delayed and selective vax for our kids.
With HiB, we started our daughter at 11mos. According to the vaccine insert, for babies who start the first dose at 11mos, they should be receiving 2 doses of the vax. She has already received 2 doses, spaced 8 weeks apart.
Well, I got a note from the public health office with the list of vaxes that are due for my daughter and it included one more shot of HiB. With vaccine insert on hand, I asked the public health nurse for clarification and she checked on her book (I guess it's a vaccination manual given by the state) and it does say on her book that my daughter should be receiving 3 doses (instead of 2).
The vaccine insert that I have is the one that comes with the vaccine as written by the manufacturer while the book that she has is one that is written by the state health officials, I guess.
I asked her why was there such a discrepancy and she said that it was probably because our state has a higher incidence of HiB so they want to take the extra precaution hence the extra shot.
However, I am of the understanding that and it was written on the vaccine insert as well that clinical trials were made on high incidence populations so wouldn't it be logical to assume that the recommendations were made based on the results of testing done on these high incidence populations? Why then is our state, in effect, going against manufacturer recommendations on the vaccine usage?
Is this common practice? To go against manufacturer recommendations?