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Mothering › Mothering Forums › Baby › Baby Health › Vaccinations › Selective & Delayed Vaccination › Really do not want to Vax new baby, but DD has serious medical condition......anyone been through this? Any advice or information?
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Really do not want to Vax new baby, but DD has serious medical condition......anyone been through...

post #1 of 10
Thread Starter 

 I delayed and selectively vaxed dd. Now because of her medical condition she can no longer receive vaccines, but is also VERY susceptible to being sick, and at times even a bad cold or flue could land her in the hospital. I really do not want to vax the new baby, or delay and selective vax BUT i do not want to leave my dd susceptible to anything. Anyone have any advice or experience with this? Or any articles? Thanks mamas!

post #2 of 10

I am so sorry you're in this spot.

 

If it were me in these circumstances, I would probably vax the new baby on schedule - but I have never felt hesitation about doing that.  That said, vaccines are never perfect, and there is no way I would be comfortable with a child with a known exposure to illness - VPD or no - hanging out with your older DD either. 

 

For me, it would then become a question of how much can we limit our household contacts, and what can we do to reduce our overall risk of being in contact with or transmitting everyday illnesses?  This is a conversation that I think you need to have with your older daughter's medical team if you haven't already.  Even if you vaccinate your your child for everything, on schedule, you cannot provide a disease-free community. 

post #3 of 10

Yes.  I went through this.  I have a developmentally appropriate 6 y.o., and a 3 y.o. with a long list of medical problems stemming from an near-SIDS event at 4 months.  This radically changed our vaccination plans for both children.  I went through the list of vaccines and wrote down how likely they would be exposed to the disease, when that exposure would occur, what immunities that I had (and would be passed through breast milk), and what was the most likely to cause harm.  For us, it was the respiratory diseases first, so we sat down and created a vax schedule that fit my child.

 

I.E.  Neither child was vaxed for Hep B, but after the brain injury we vaxed my DD, since she spends so much time in the Hospital and has a higher chance of exposure, DS is still not vaxed for it.  DD is not vaxed for Hep A since she is tube fed, and I prepare all her meals at home, DS was vaxed for Day care.  We never did flu shots before, but now the DS, DD, and DH get them every year (I am allergic so no go for me).

 

We also did a different schedule so that we were not vaxing for 5-6 diseases at one go.  This meant more frequent visits to space out some of the vaxes, but it made me feel better.

post #4 of 10

Take a good look at the rates of some of the VPD's and then decide what to vaccinate for.  
Diseases that are incredibly rare may not warrant a vaccine (diptheria is one).

 

Here is a CDC link which shows which VPDs are common and which are not.

 

http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/G/cases&deaths.pdf

 

Some VPDs are contagious and some are not.  There is no need for tetanus or Hep B shots as they are not contagious. 

 

Some vaccines are better than others.  Take a look at this chart, so you can find the vaccine that you think is safest:

 

http://www.vaccine-tlc.org/qv/dtap.html

 

If your baby is a boy, please do not give Hep B as a newborn (there is some evidence this vaccine given to male newborns does increase the risk of autism - 3 fold)

 

http://www.tandfonline.com/doi/abs/10.1080/15287394.2010.519317?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed

 

Give the MMR separately from the Varicella to decrease risk of febrile seizure. 

http://www.cdc.gov/vaccinesafety/Vaccines/MMRV/MMRV_qa.html

 

I am sorry you are in this position.  Lots of healthy vibes to your whole family!!  goodvibes.gif

post #5 of 10

a bit more…..

 

I would look into which vaccines shed and how real an issue it is or could be (just to get you started - i would do further research)

 

http://insidevaccines.com/wordpress/2008/02/24/secondary-transmission-%EF%BB%BFthe-short-and-sweet-about-live-virus-vaccine-shedding/

post #6 of 10
In regards to what Kathy's said:

There are two concerns in risk assessment -
What is the probability of experiencing a negative event?
What are the expected consequenses of a negative event?

I don't always agree with Kathy's assessments on that first question - I vaccinate my kids on the standard schedule, while she doesn't, which is a pretty big and obvious sign of our philosophical differences here.

I do not think that you, tinyblackdot, are in a position to make your vaccine decisions entirely on the basis of the probabilities that either of your children will be exposed to any specific disease. Because the potential consequences of certain diseases are so much more likely to be unusually severe for your older child, I think you have to take those consequences far more into account than most families do when making vax decisions.

As a sidebar, I also want to say that I do not take medical advice from bloggers. For me, "wordpress" (or "blogspot," or anything similar) in a URL is a big old neon sign that says this information is not sufficiently high quality. There are a lot of great bloggers out there, and some of those wordpress, etc., folks do just fine. But anyone can blog anything. I want to see evidence of a solid, scientific basis behind the info before I use it to make medical decisions for my family.
post #7 of 10
Quote:
Originally Posted by MeepyCat View Post

In regards to what Kathy's said:
There are two concerns in risk assessment -
What is the probability of experiencing a negative event?
What are the expected consequenses of a negative event?
I don't always agree with Kathy's assessments on that first question - I vaccinate my kids on the standard schedule, while she doesn't, which is a pretty big and obvious sign of our philosophical differences here.
I felt, as the Op identified as someone who did not want to vaccinate, that she would appreciate hearing from others who are also vaccine skeptical.  
 

I do not think that you, tinyblackdot, are in a position to make your vaccine decisions entirely on the basis of the probabilities that either of your children will be exposed to any specific disease. Because the potential consequences of certain diseases are so much more likely to be unusually severe for your older child, I think you have to take those consequences far more into account than most families do when making vax decisions.
 
 
I disagree with the above.  Let's look at diptheria  (which is somewhat moot as you cannot get the D separate from the aPT  irked.gif).  Both of her children have virtually no chance of catching diptheria.  Why on earth would she risk (even if the risk is very small) a vaccine side effect for her infant for a disease her child has a 1/300 000 000 chance of getting?  Ditto Polio.
 
Yes, I am non-vax.  Given the situation she is in, I would move to selective - and it would be for diseases that were contagious and children were likely to encounter (CP, flu and pertussis come to mind)

Edited by purslaine - 7/15/12 at 7:36am
post #8 of 10
Kathy, the big reason I see to get the diptheria vax is because it's combined with the pertussis vax. We don't always make decisions on each individual disease.
post #9 of 10
Quote:
Originally Posted by MeepyCat View Post

Kathy, the big reason I see to get the diptheria vax is because it's combined with the pertussis vax. We don't always make decisions on each individual disease.

Sadly, I agree.  

 

The issue was whether occurrence was relevant to her vaxxing status and I think it is.  While she may have to make peace with getting D and T so she can get aP, she will not have to make any concessions around Polio - IPV is given alone and Polio is non-existant in the  USA. smile.gif

 

I could write a rather ranty post about  vaccines not being available separately, but this is neither the time or place.


Edited by purslaine - 7/15/12 at 3:41pm
post #10 of 10

It's really, really rare, but there have been occasional, isolated cases of polio in the US in the past 10 years, generally in people who had contact with people who traveled to areas where the disease was endemic or had contact with someone who received the OPV.  It's a plane ride away, and it does happen.  The OP hasn't given us enough info about her situation to evaluate if polio vaccine is really needed in her case - might be if family members travel a lot to countries where polio is more common or if she lives in a big city and uses amenities that might allow the disease to spread quickly, might not in a lot of other situations.  It's a risk worth evaluating carefully.  Probably not as important as vaccinating family members for flu.

 

Diptheria keeps coming up as something rare in the US and not to worry about.  And it is rare in the US, although there was a fatal case in 2003.  But it's endemic in several countries in the Americas, including Haiti and the Dominican Republic, where a number of Americans have traveled for various humanitarian purposes, and in Iraq and Afghanistan, where the US military has been deployed for the last 10+ years.  It's also endemic in some countries that see some not-necessarily-well-monitored immigration to the US, and some countries, like India, that see a fair amount of travel to and from the US.  I can see why it remains on the vaccination schedule.


Edited by stik - 7/21/12 at 12:57pm
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