Tag Archives: innoculations

What you need to know about Hepatitis A

If you’ve been listening to the news lately, you may have heard about the Hepatitis A outbreak in Kentucky. Over 300 people have been affected in an area that comprises several counties. Other states have also seen outbreaks. The source has yet to be confirmed, but some other recent outbreaks have been linked to tainted food.

Though it’s a highly contagious viral infection, Hepatitis A can be fairly easily prevented by getting vaccines and practicing good hygiene, like washing your hands.

There are several types of hepatitis. Here is a good article from the American Academy of Pediatrics that discusses Hepatitis A infections in children. According to the article, “Hepatitis symptoms tend to be similar from one virus type to another. Many of these symptoms are flu like, such as fever, nausea, vomiting, loss of appetite, and tiredness, sometimes with pain or tenderness of the liver in the right upper abdomen. A hepatitis infection is also associated with jaundice, a yellow discoloration of the skin and a yellowish color to the whites of the eyes. This is caused by inflammation and swelling of the liver with blockage and backup of bile (bilirubin) into the blood. This backup also usually causes the urine to turn dark orange and stools light yellow or clay colored. However, many children infected with the hepatitis virus have few if any symptoms, meaning you might not even know that your child is sick. In fact, the younger the child, the more likely she is to be symptom free. For example, among children infected with hepatitis A, only about 30% younger than 6 years have symptoms, and most of them are mild. Symptoms are more common in older children with hepatitis A, and they tend to last for several weeks.”

From the same article about how the virus is transmitted to children: “Hepatitis A is contracted when a child eats food or drinks water that is contaminated with the virus or has close contact with a person who is infected with the virus. Hepatitis A is present in the stool as early as 1 to 2 weeks before a person develops the illness. The infection can be spread in child care settings when caregivers do not wash their hands after changing the diaper of an infected baby or from infant to infant because most very young infants do not wash their hands or have their hands washed for them.”

Here’s the good news: Hepatitis A vaccines work! As a matter of fact, beginning with the 2018-19 school year, Kentucky will require all students K-12 to have received two doses of the Hepatitis A vaccine.

If your child is a patient at Georgetown Pediatrics and is at least one year old, we’ve already discussed this with you.

Are you unsure if your child’s vaccinations are up-to-date for the next school year? Give our office a call and we can access your vaccinations records.

Contact us if you’re concerned your child may have a Hepatitis A infection, or for all your other health care concerns.

Measles

You’ve been hearing about measles outbreaks in the news lately.  Also called rubeola, measles is a respiratory disease caused by a virus.  It causes a rash over the entire body, a fever and runny nose.  According to the Centers for Disease Control and Prevention, “About one out of 10 children with measles also gets an ear infection, and up to one out of 20 gets pneumonia.”  Measles can also, rarely, be fatal.  Between one and two children in 1000 who get the disease will die from it.  The disease can also strike adults.

If you thought measles was a disease left in the past, think again.  An outbreak this year in Ohio (374 cases in 4 months) has health departments all over the country concerned, because such an event can happen anywhere.  The Ohio outbreak began when unvaccinated people traveled abroad to places where measles is more common because a larger percentage of the population is unvaccinated.

It’s no coincidence that we used the word “unvaccinated” twice in that last sentence.  The reason measles is spreading again in the United States is because of a drop in MMR (Measles, Mumps and Rubella) vaccinations.  Those who decide not to be vaccinated (or to have their children vaccinated) put themselves, their families and their communities at risk for dangerous diseases.  As with most diseases, those at highest risk are the very young, the very old, and those with compromised immune systems.

The MMR vaccination is required for students in Scott County Schools, and HIGHLY recommended for all other children.  The State of Kentucky requires two doses of the MMR vaccine before your child can enter school.  If you have concerns about vaccinations, talk to your pediatrician.

Remember that the extremely rare risk of a reaction to a vaccination is much smaller than the risk of being unvaccinated against a dangerous illness.

© 2014, MBS Writing Services, all rights reserved

Preparing for (owie!) shots

No one likes to get a shot, but we all know they are necessary.  Whether getting an annual flu vaccine or immunizations for school, your child will sometimes be coming to our office to receive a shot.  How you prepare your child is important and may make the event go better for all concerned.

While every child is different, some basics are helpful.

  • Tell the truth.  If you tell your child she’s not getting a shot, or that it won’t hurt, she may not want to go to the doctor’s office again, even when she won’t be getting a shot.
  • Tell the truth–again.  Explain that though the shot will hurt a little, it won’t last long and it will keep him healthy for a very long time.
  • Don’t blame the doctor or nurse.  They often hear some version of:  “If you don’t behave, the nurse will give you a shot.”  Vaccinations are not punishment; they are insurance against future illness.  Words spoken against the nurse or doctor, even in jest, can harm your child’s view of medical personnel—the people who are there to help.  Your child should feel positively about our staff; it will make it easier for you to bring him the next time he’s sick.
  • Have a conversation and plan a reward.  Some children can’t keep from crying, but you can help them refrain from dramatic overreaction.  Let them know what is going to happen, and that you expect them to be kind and behave appropriately for their age.  A promised reward can help—a bike ride with you, a favorite dessert, a play date with a friend.

Getting a shot isn’t fun, but with some assistance from you, we’ll make the experience as painless as possible for all concerned!

This week's artwork

This week’s artwork

 

© 2013, MBS Writing Services, all rights reserved.

A new take on whether or not to give Tylenol (Acetaminophen) right before or after a vaccination

A new study has pediatricians (including us) rethinking previous recommendations about acetaminophen and vaccinations.

Often, children get a slight fever after a vaccination.  This is a normal response of the immune system, reacting to the presence of something new in the body.  Physicians have long recommended taking acetaminophen before, and every four hours for the first 24 after a vaccination to prevent or reduce fever and make the child more comfortable.

The study, reported in The Lancet, finds that giving acetaminophen does indeed decrease fever after the vaccination.  But there was an unexpected finding:  acetaminophen appears also to reduce the effectiveness of the vaccine.

More studies are required, and the reasons behind this lowered effectiveness are not fully understood.  However, for now we believe it is best NOT to give doses of acetaminophen right before or within the first 24 hours after the vaccine.  If, though, your child exhibits a fever of 101º or above, or experiences soreness, then it’s okay to give a small amount to ease those symptoms.

Speaking of amounts, Tylenol and other makers/distributors of acetaminophen have recently changed the concentration of their product for infants.  It’s now the SAME as the concentration for children, but the dosage is of course smaller.  So be sure not to use a medicine dropper from an old infant Tylenol bottle with the new infant Tylenol concentration.

Always check dosing instructions on any over the counter medication.

Stay healthy, and don’t forget to keep your immunizations up to date!

Corinne, age 3

Corinne, age 3

 

© 2013, Melissa Bane Sevier