Which vax for my 1 year old?

[DebHibb]

Background: So far, Collin has had only 3 doses of Dtap. He turns 1 next week, and his well baby is the week after. We are likely going to have to send him to a small daycare next Spring - right now he is staying home. I plan to sign the vax waiver, rather than catch up on all his shots, since we are skipping some entirely, and delaying many others.

Question: Which shot should I give him this visit? i.e. I am only going to give him 1 dose of one vax.

Hep A
Polio/IPV
Measels (assuming I can get this separate)

Not up for consideration are Varicella, Prevnar, Hib or Hep B. Please no nasty debates, just friendly suggestions.

[Plummeting]

I wouldn't do measles until 15 months. Studies have shown live virus vaccines are more effective at 15 months than 12, and if you're going to vaccinate, you obviously want to do whatever you can to make sure he actually develops antibodies after the shot.

[nathansmom]

I agree with the pp about the measles. Our ped won't do the mmr until 18 months (if the parent wants it). I also thought here in Utah Hep A wasn't given until age 2. I know when we were with another doctor with our firstborn Hep A wasn't offered until he was 2.

[DebHibb]

Interesting. I was looking at the CDC site, and it said Hep A starting at 12 mos. hmmm... I'm searching the Utah site now...

Okay, glad I asked. Apparently, Hep A isn't even required for daycare in UT, which is my potential concern right now, since we are probably enrolling him in one next Spring. The Utah site says children in daycare must be immunized "appropriately" for their age. Then has a link to the CDC chart and lists MMR betw 12-15 mos.

Maybe we'll start the Polio series. Hib is req'd for daycare too, and I was planning on skipping that one entirely. I think I may call my ped and see what he suggests. He could at least answer the basic questions - like whether Hep A is approved or not, etc.

[mom0810]

Yep, I was thinking skip the Hep A altogether. The books I have read say it's only recommended in "high risk" populations, and only in certain areas of the country. I think that one is a definite "no," but that's just my opinion.

I was thinking Hib IF you are going to do one. Keep in mind according to the vaccine inserts, ONE Hib vaccine was enough to produce immunity in most of the children tested. IF I ever do the Hib, it will be one shot only.

Just my 0.02.

Beth

[Plummeting]

Hep A is approved, it probably just isn't required in your state yet. I gather from your posts that you already know that states don't always require all the vaccines recommended by ACIP. It usually takes a few years for states to add newly recommended vaccines to their list of those required to attend school. The thing is that it will almost certainly be added in the next few years, since the ACIP just recommended it for ALL children in the US, regardless of location or whether or not they were high risk.

[alegna]

I'd go with the IPV. Totally pointless of course since there's no chance of catching it but also less reactive than most.

-Angela

[mangosink0]

Don't you only need one dose of hib at 15 months to meet the hib requirement? I think that is what it is in my state anyways.

I guess I'd do polio if you were planning to vax for that.

[Plummeting]

Yes, mangosink0 is right about the 1 dose of Hib. I'd completely forgotten that until just now. If you wait until 15 months, you're only required to do one dose. Oy, there are so many of them I can't always keep track of which one is required when. I can keep track of which studies from what countries say how many doses you need of which vaccines, but I can't keep up with what each state legally requires. It's too much to remember it all!

[DebHibb]

Originally Posted by mom0810

I was thinking Hib IF you are going to do one. Keep in mind according to the vaccine inserts, ONE Hib vaccine was enough to produce immunity in most of the children tested. IF I ever do the Hib, it will be one shot only.

I just read this somewhere a few minutes ago, although I can't find anything on the 15 mos - I'll definitely wait until then if that's the case. I called the Ped, and he doesn't do Hep A until age 3. He also does not do M, M & R separate, so we'll skip that for now.

I have a chart with all the school requirements, cross referenced with Collin's schedule, and I just dowloaded the daycare requirements to make necessary adjustments. Hib is required, but surprisingly Prevnar isn't. MMR is, Hep A isn't (both are req'd for school though). I thought we'd be able to keep Collin home until he was 2, but it doesn't look like that's going to happen.

So, I think it will be IPV next week. Thanks everyone.