Ask any parent, that he would prefer for the child: heavy flowing illness or innocuous response to the vaccine with a guarantee of protection against subsequent infection?
It would seem that the answer is obvious. So why do many educated mums and dads, the word “vaccination” to this day causes a seizure?
Perhaps still need to use the same “blessings of civilization” that the entire civilized world? ..
Questions from our correspondent on the modern vaccine meets Vasily Fedorovich Uchaikin, Academician, Chief Pediatric infectious disease of the Ministry of Public Health.
Vaccine – a preparation of attenuated live or killed microorganisms, their metabolic products, individual components of microbial cells. We can say that the vaccine – it is a kind of medicine. Only the usual drug given to patients, and vaccine – for healthy people. Apply vaccine to enhance the body’s resistance to infectious diseases, as well as for the treatment of certain diseases. Introduction of foreign substances (antigen vaccine) causes specific changes in the immune system, resulting in formation of protein molecules – protective antibodies. They who create in the human body resistance to infection, ie immunity.
Conditionally vaccines can be divided into several groups. Inactivated vaccine – is when pathogenic, ie disease-causing bacteria are subjected to heat treatment or chemical attack. In this very source of infection is killed. This is the vaccine most long-standing origin, they are not very into technology. An example of such vaccines – pertussis, a vaccine against typhoid fever, a number of vaccines against influenza.
Live vaccines are made from neutralized virus strains (organisms), no longer capable of causing disease. Among the live vaccines belong to a vaccine against measles, rubella, mumps, yellow fever.
Polysaccharide, split vaccines (for example, some of suppressing anti) differ in that easily carried the majority of vaccine recipients. Of the pathogenic bacteria isolated a protein that is responsible for formulating the so-called protective, ie, protective immunity. This is the new more modern technology.
Fourth group of vaccines – recombinant vaccines. This is a completely new generation of recombinant vaccine technology.
- How important do you think is in the modern, especially urban, Child Vaccine?
- Vaccine – this is the greatest achievement of human thought. On the relevance and effectiveness can be compared with the chlorination of water. For many centuries, mankind has not suspected that the bacteria is easily transmitted through water. Therefore, from cholera, typhoid, dysentery wiped out entire towns. When, finally, used in domestic water were treated with chlorine, the number of intestinal diseases had declined. Unfortunately, this discovery had no impact on infections that are spread in a different way: for example, airborne droplets or contact. Their prevention has assumed Vaccine, “invented” about 200 years ago. Then, during a raging epidemic in London smallpox English physician Edward Jenner was the first in the world for the prevention of child inoculated cowpox virus. Baby did not get sick while in the hearth of the epidemic.
However, the scientific revolution, this experiment did not produce. The subsequent history of vaccination did not develop as smoothly. At various stages she met strong opposition, including from the church. But little by little, people began to understand that the vaccine – the most economical and easiest way to protect themselves from infection.
Modern Vaccine led to dramatic results. With the help of vaccination completely eradicated smallpox. Significantly decreased the number of measles among children (before and killed up to 30% of babies ill in the age of 3 years). It is safe to say that where there is a vaccine against the disease – as in the cases of poliomyelitis, measles, diphtheria, rubella, mumps, hepatitis A and B – is very real total elimination of these diseases and even the complete destruction of the natural wild strains that cause infection.
- However, many mothers are still afraid to make children immunized. The benefits of vaccination, they seem to know, but fear that the child’s body may react to the medication injected undesirable manner. On the basis of this bias and how to win?
- In my opinion, most moms simply fear for the baby, the body which introduced an alien substance – the vaccine. When the doctor prescribes a sick child medicine, such as antibiotics, mother meekly agree not thinking about that one, they are treated, the other – maimed. A vaccine for some reason just cause fear and distrust, even though its task – to prevent infection.
Of course, any vaccine – rogue substance for the body, so one or other reaction to its introduction (prituhanie the injection site, redness, pain, mild fever) – an absolutely natural process, although it is rare.
It is a mistake to believe that “children’s” infectious diseases – chicken pox, measles, mumps – easier and safer perebolet than move vaccinated against them. Dangerous misconception.For example, rubella is a greater threat to pregnant women: in most cases, diseased pregnancies ends in miscarriage or birth of a child with congenital deformities.
Meanwhile, complications from the vaccine are extremely rare and usually associated with its individual components and quality. And the danger of the organism’s reaction to the vaccine is incomparably lower than the risk of most infections.
- But probably still smoke without fire and any contraindications to vaccination are available?
- By current inactivated, subunit vaccines – virtually none. To live vaccines, contraindications, of course. This immune deficiency, pregnancy, acute form of any disease. If a child is very cold, it is better to wait a week. In chronic disease vaccination is not dangerous. Perhaps with the exception of severe diseases of the nervous system, brain. Although in this case, the child must be vaccinated, but only in stationary conditions.
- please remind mothers of the major changes that have taken place in the modern vaccination calendar.
- Until recently, we profilaktirovali with vaccine only seven infections: tuberculosis, diphtheria, tetanus, whooping cough, measles, mumps and polio.
Since 1997, the calendar made compulsory vaccinations are two vaccines – Hepatitis B and rubella. Admittedly, the whole world in this respect is far gone forward. In America, all children are vaccinated against rubella since 1967. Therefore, there is a disease almost disappeared. We also rubella vaccine was not, as in the recent past, all the work for its establishment had been dropped. Formally rubella is mild in childhood infections. However, ill rubella are complications, including encephalitis and other severe damage to the central nervous system. Moreover, as we have said, in pregnant women causes a severe disease affecting the fetus in utero. There is only one – vaccination. The current situation is complicated by the fact that the national rubella vaccine does not, and buy foreign – it’s expensive. But, in principle, I do not see anything wrong with that people who care about their health, will buy the vaccine yourself.
Another new for the vaccine – hepatitis B – the whole world has also long been introduced in the number of mandatory. We – also, but so far to vaccinate against this insidious and very dangerous infection in fully, we can not: the state does not allocate the necessary funding for the purchase of relatively expensive drugs. In recent years – and this, unfortunately, known only to specialists – hepatitis B has become a true national disaster.
Where we have made great strides in the fight against polio. Previously polio vaccination consisted of nine doses. Now, thanks to routine vaccination calendar epidemiological situation in our country is so improved that the incidence of polio has dropped to almost zero.
Now we have moved six times in the vaccination. To completely eliminate the complications of a live polio vaccine to the individual schedule is better to introduce the first two doses of inactivated vaccine. Then continue the introduction of live oral polio vaccine, as is done in many countries, such as the United States.
The big problem remains hepatitis A. The number of cases in our country has increased. Hepatitis A is often erroneously considered a light infection, but in fact it is a serious disease, at least a month attracts people to the bed. Liver after it recovers from 3 to 12 months.
Three years ago we began to fail twice to vaccinate children against measles and mumps. Re-vaccination (re-vaccinated before school) helps to protect those children whose immunity after the first vaccination for some reason did not work out or extinguished.
The level of graft (ie, coverage of the population received the vaccine) should be not less than 95%. Only with such a proportion are the real conditions of complete elimination of the disease. It is important that physicians are well informed themselves promoted vaccination.
- At what age is best to start vaccinating?
- In general, vaccinations can begin at any age. But the sooner we will establish a child’s immune system, the greater the likelihood that when a chance encounter with the infection, he was no longer sick.
In accordance with the state immunization schedule of hepatitis B vaccination is done immediately after birth, in the first 24 hours. But you can start vaccination and 3 months, along with the DPT (vaccine against pertussis, diphtheria and tetanus) and polio vaccine. In 12-15 months – immunization against measles, mumps and rubella (again – in 6 years). A detailed calendar of immunization can be obtained from any child infectionist.
Another important point: if the mother – the carrier of the virus, such as hepatitis B, it can refer the child through the placenta. Most often (in 95% of cases), infection occurs at birth.Therefore, if we introduce the vaccine within 24 hours after birth, the child’s illness will not develop.
With regard to influenza vaccination, then I strongly recommend to everyone without exception to make flu vaccine. Thus you will secure both itself and your children from this most common infectious disease.
- Can we say that the surge of some infectious diseases such as jaundice, associated with low levels of personal hygiene?
- Certainly. One of the reasons for this deplorable situation in our country – low level of personal hygiene. And most importantly – lack of understanding of the importance of compliance with the most elementary hygiene rules, even in medical environments. Many of our doctors still advise parents to go in the summer with a child in the village – “a cup of milk in the pair.Nowhere in the West, the doctor will not recommend to drink milk “straight from the cow, especially a child. The usefulness of fresh milk does not go to any comparison with the risk of infection with any infection.
Watch for foods that give children who need the most thorough. Very problematic situation now exists in our schools. I mean a system of breakfasts and lunches. The world has long passed to individual schools on an ad hoc meals (similar to that given in airplanes and trains) or the food, brought from home – of course, also as a boxed product. This is done solely in order to avoid possible contact with food pathogens. We have, unfortunately, such an innovation is still considered a luxury.
In order to raise a healthy child, it is necessary to comply with two conditions. First – relative (but not complete!) Insulation baby. No need to immediately increase the number of child’s communication, quickly increase the number of his contacts. From the first day of the birth, he gets tremendous pressure from the outside in the form of various pathogenic bacteria – through the mouth, the air close circle. Adequately respond to such a number of external antigens (ie, foreign substances), the child still can not, they just did not have time to form bodies of their immune defense. Must therefore be a gradual expansion of contacts depending on the abilities of his immune system.
The second condition – relative sterility of all that surrounds kids. Talk about washing your hands is just ridiculous. But another point. During cooking mama in contact with raw food, 100% infected by microbes, poorly washed hands and dishes, does not change the dirty towels. And then she – as a peddler of infection – go to the baby. And later surprised that a child leaving the house, picked up the infection. Therefore, when dealing with a small child about the sterility must be remembered always. And about the sterility of the global. We have, for example, in virtually every clinic is “paddling pool for toddlers. Dear parents and organizers of such “pool”! It’s a real breeding ground for infections! Water treatments in a similar capacity for the child can turn this misfortune.
Another problem – storage of food. If you prepare for future use, leave a lasting “in reserve” cooked product, the microbes in it will quickly “grow up”.
It is better not to be lazy and cook only once.
In general, in our country too many problems to ignore vaccination. Health of the younger generation in our hands, so let’s try to keep pace with the entire civilized world, where, with the greatest respect and willingness to relate to the vaccine, vaccinate their children and themselves vaccinated. Moreover, in many Western countries, in addition to those vaccines that are used by us, be sure to vaccinate against Haemophilus influenzae, which is the most frequent cause of purulent meningitis, are vaccinated against the varicella zoster. In the United States begins mass vaccination against kids rotovirusnoy infection – the most common cause of infectious diarrhea. In the near future will create a vaccine against hepatitis C, HIV infection, chlamydia infection, and many others. There is a complete confidence that with the help of vaccines could improve human health and increase the average duration of its life for several decades.
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