Vaccine is the child's umbrella, but after the event of long-term biological vaccine, many parents have had a Preventive Psychology for the vaccine, hoping that the country will vigorously rectify and provide a good vaccination environment for children, so is it necessary to have the vaccine at their own expense?
Today, let's talk about the self funded vaccines!
Q1
Which vaccines are free?
There are two types of vaccines. One is the vaccine provided by the state free of charge, which is also the vaccine that must be vaccinated according to the state regulations (children need to be checked when they enter the park).
For example, hepatitis B vaccine, BCG vaccine, polio vaccine, pertussis vaccine (diphtheria, pertussis, tetanus), mumps vaccine (measles, mumps, rubella), hepatitis A vaccine, meningitis vaccine, JE vaccine.
Q2
Which vaccines are self financed?
The other kind of vaccine is self funded, which requires parents to pay for the baby, following the principle of voluntariness.
For example, live rotavirus vaccine, varicella vaccine, influenza vaccine, 23 valent pneumococcal vaccine, Hib (Haemophilus influenzae type b) vaccine, etc.
Q3
Is it necessary to vaccinate at one's own expense?
Some parents will think that since the self paid vaccine is not compulsory, it is unnecessary to fight, which is not good for the baby's health.
In fact, class I and class II vaccines are not distinguished by vaccination effect and safety, but by administration.
With the improvement of national economic level and medical conditions, more class II vaccines will be included in the category of class I vaccines.
From the point of view of disease prevention, there is no difference between the free vaccine and the self paid vaccine. If you vaccinate more than one vaccine, your child will have more protection.
Q4
Vaccinated won't be infected?
Although the vaccine can make most people not infected, but the protection rate is not 100%. Some people with low immune system ability may lead to immune failure after vaccination.
At the same time, the vaccine can only prevent specific pathogens, such as influenza vaccine, which is generally only effective for the virus strains prevalent in that year. Therefore, vaccination is not once and for all.
In addition, the vaccine also has a certain period of protection. Take the hepatitis B vaccine as an example. After the first three injections of hepatitis B vaccine, the level of protective antibody (anti HBS) produced decreases year by year with the passage of time. When the antibody level is lower than the effective concentration, it must be replanted.
Q5
Can babies be vaccinated when they are sick?
The vaccine should be given when the baby is in good health. Because the vaccine itself is inactivated, attenuated bacteria, when the baby's body is not timely, vaccination will lead to a stronger response.
If the baby is ill, such as a cold, fever, etc., it is necessary to wait 3-5 days after the recovery of the disease, and the baby can be vaccinated after the mental appetite returns to normal.
If it is diarrhea, in addition to the injection vaccine, also can not be vaccinated oral vaccine, such as oral polio vaccine, rotavirus vaccine, etc.
If the baby has kidney disease or is in the skin allergy period, the vaccination should be suspended.
Q6
What about discomfort after vaccination?
After vaccination, if the baby has slight fever, loss of appetite, fidgety, crying phenomenon, don't worry, these reactions will automatically disappear within 1-3 days.
The most common is fever and swelling at the vaccination site. If there is induration at the vaccination site after vaccination, hot compress can help the induration to subside.
If the baby's reaction is strong and lasts for a long time, it should be treated in time.
Several self paid vaccines recommended by experts
It should be reminded that each baby's physical condition is different, and parents need to decide which self paid vaccines to vaccinate according to the baby's physical condition.
According to China's national conditions and children's physical conditions, experts recommend the following types of self paid vaccines:
Pneumococcal vaccine
Pneumococci can not only cause pneumonia in children, but also cause meningitis, otitis and other diseases. Vaccination can effectively inhibit the growth of pneumococcus.
At present, there are two kinds of pneumococcal vaccines: 13 valent pneumococcal polysaccharide conjugate vaccine and 23 valent pneumococcal polysaccharide vaccine.
Rotavirus vaccine
Rotavirus mainly infects 6-2-year-old babies. After infection, the babies will have fever, vomiting, severe diarrhea and other symptoms.
6-month-3-year-old babies can be vaccinated once a year from July to September. Because it is an oral live vaccine, pay attention to not drink overheated water or milk for 30 minutes before and after vaccination. Children with low immune function are not suitable for vaccination.
Haemophilus influenzae type B (Hib) vaccine
Influenza B is a serious infectious disease, which mainly causes meningitis and pneumonia. Almost all patients are children under 5 years old.
Hib can choose to be vaccinated in combination, such as cerebrospinal meningitis Hib combined vaccine, DPT Hib combined vaccine (quadruple vaccine), DPT Hib IPV combined vaccine (quintuple vaccine).
The effect of combined vaccination is the same as that of single vaccination, but the cost is higher.
Influenza vaccine has strong infectivity and fast spread speed. Generally, it is a high incidence period in autumn, which is mainly transmitted through droplets, contact between people or contact with contaminated goods.
The population with high risk of complications after influenza was ① 6-59 months old infants, ② & Ge; 60 years old.
Vaccination is not 100% immune to the flu, but symptoms will be much lighter after infection.
EV71 (HFMD) vaccine
The most obvious manifestation of HFMD is herpes in the palm of the hand, the palm of the foot, the mouth (even around the mouth), usually accompanied by fever, occasionally with cough, runny nose, anorexia and so on.
A small number of patients can cause complications such as myocarditis, pulmonary edema, aseptic meningitis and so on. Some severe patients progress rapidly, which is easy to lead to death.
The age of school-age children who received EV71 vaccine was 6 months to 5 years old. There were two doses of EV71 vaccine (one month interval). Try to complete two doses of EV71 vaccine before 12 months old.