Category Archives: Advice

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Measles

Category : Advice , Information

Measles is a highly contagious disease that can have serious outcomes including disability and death. However, in the modern era of medical care, very bad outcomes are fortunately not common. Most will recover and do OK.

The standard for immunization against measles is 2 doses with the first dose at 12-15 months of age and the second dose at 4-6 years of age.

The reason we have 2 doses is that a small percentage of people do not get a good immune response to the first dose. After one dose of vaccine, approximately 93% of recipients will be protected. After 2 doses about 97% are protected. So most are protected after a single dose but we get better results with a 2 dose series.

There is not a recommendation at this time to give an early dose of MMR vaccine to infants less than one year of age. Maternal antibody confers some protection up to about 6 months. That antibody also interferes with immune response to vaccinations for MMR.

For babies at high risk, either directly exposed or traveling internationally, there is an option to get vaccinated between 6-12 months for some protection. The issues with this are that the child will still have to get an additional 2 doses of MMR vaccine because this early vaccination does not count. Also, there is evidence that the overall immune response after all MMR doses are administered is not as robust when the early vaccination is done.

For children who have had their first dose of MMR, there is not a recommendation at this time to give the second dose early. Most have protection. However, if it has been at least 4 weeks since the first dose of MMR vaccine, they may receive the second dose of MMR to complete the series.

Adults who were born before 1957 are considered immune because disease was widespread at that time. Other adults should have documentation of 2 doses of MMR vaccine to be considered fully protected.

King County Health Department

CDC


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Measles

Category : Advice , Information , Vaccine

Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, and red, watery eyes. It mainly spreads through the air after a person with measles coughs or sneezes.

Measles symptoms begin seven to 21 days after exposure. Measles is contagious from approximately four days before the rash appears through four days after the rash appears. People can spread measles before they have the characteristic measles rash.

Measles complications can include ear infections, diarrhea, pneumonia, and rarely, encephalitis (brain inflammation).

Complications from measles can happen even in healthy people but those at highest risk include: infants and children under 5 years, adults over 20 years, pregnant women, and people with weakened immune systems from drugs or underlying disease.

Measles vaccine (MMR)

Kids need two doses of MMR – the first dose at age 12-15 months and the second at four to six years of age.

If you want to get the 2nd dose before age 4 years, especially if you live in or near areas of the outbreak or you’re planning travel, call us to schedule a lab appointment. The MMR dosing interval is 28 days, meaning you can get the 2nd dose at any age as long as it’s been 4 weeks since the first.

Current investigation Washington State outbreak- updated  1/29/2019

Clark County Public Health is continuing its measles outbreak investigation. Since Jan. 1, we have identified 36 confirmed cases and 12 suspect cases. Public Health has also identified one new location where people may have been exposed to measles.

Here are the details of the confirmed cases:

• Age
      •  1 to 10 years: 25 cases
      •  11 to 18 years: 10 cases
      •  19 to 29 years: one case

• Immunization status
      •  Unverified: four cases
      •  Unimmunized: 32 cases

•Hospitalization: one case

Resources

https://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/Measles/FrequentlyAskedQuestions#vaccine

https://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/Measles/MeaslesOutbreak


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For the 2018-2019 influenza immunization season, AAP recommends flu shot

Category : Advice , Vaccine

The American Academy of Pediatrics recommends pediatricians give children inactivated influenza vaccine (flu shot) in the upcoming season and use live attenuated vaccine (intranasal flu vaccine, aka Flumist) only as a last resort.

  • Annual influenza vaccination is recommended for everyone 6 months and older.
  • For the 2018-’19 season, the AAP recommends inactivated influenza vaccine (IIV3/4) as the primary choice for all children because the effectiveness of LAIV4:
    • was inferior against A/H1N1 during past seasons; and
    • is unknown against A/H1N1 for this upcoming season.
  • LAIV4 may be offered for children who would not otherwise receive an influenza vaccine (and for whom it is appropriate by age and health status).
  • As always, families should receive counseling on these revised recommendations for the 2018-’19 season.

http://www.aappublications.org/news/2018/06/07/influenza060718


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A Safer Family. A Safer World

Category : Advice , Information , Safety

A Safer Family. A Safer World: from UW Medicine/Harborview Hospital, information designed for parents, caregivers, and other caring adults to help them prevent the sexual abuse of children. Available in multiple languages. Here are the links for English and Spanish.


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Why coughs are so difficult to suppress, and what you can do about it.

Tags :

Category : Advice

Instead of cough medicine, try drinking lots of fluid. Humidity. Honey if over 1 year of age.

If you can’t stop it, try to cover your mouth and nose with a tissue when you cough or sneeze. Put your used tissue in the waste basket.

If you don’t have a tissue, cough or sneeze into your upper sleeve or elbow, not your hands.

http://www.abcdpediatrics.com/advisor/pa/pa_cough_hhg.htm


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