By Patricia de Urioste, MD
As printed in Around Town Publishing, September 2007
Why should I have my child immunized when I hear from some people that
they can cause problems and when I go on the internet I read about
scary side effects? What makes our society push to have everyone
vaccinated when I don't see any of these diseases around? If my child
doesn't get immunized and everyone around him is, isn't he safe?
Many stories from the past draw a vivid picture of how severe these
illnesses can be--Charles Dickens and the series "Little House on the
Prairie," to name a couple. These and other stories are replete with
accounts of people dying of pneumonia, tetanus, meningitis, polio,
small pox, and other diseases that are now vaccine preventable. Also,
many of the third world countries have a very high mortality rate due
to illnesses that we can now avoid with proper vaccination.
Many children who were not adequately immunized have been
harmed. Many of these children are from families that do not take
advantage of preventative health care. One of the reasons that we have
a longer life span and are healthier in the U.S. is that we do not have
the quantity of severe illnesses seen in other countries.
Some of the vaccines prevent bacterial disease; others are directed
toward viral illnesses. We also have immunizations that help prevent
certain types of cancer. Let's look at a few of these. The DTaP is made
up of 3 separate vaccines: Diphtheria, Tetanus, and Pertussis.
Diphtheria was a very common bacterial illness in the past in which a
thick covering developed over the back of the victim's throat, leading
to breathing problems, paralysis, heart failure and death. This illness
is spread from person to person. Tetanus (Lockjaw) enters the body
through cuts or wounds. It causes a painful tightening of the muscles,
including the jaw, keeping the victim from swallowing or opening his
mouth, often resulting in death. Pertussis (whooping cough) causes
severe coughing spells that does not allow one to get enough oxygen to
vital organs, leading to seizures, pneumonia, brain damage, and death.
One out of every twenty infants who gets pertussis will have one of
these severe consequences. Since we have not had a good vaccine for
people over 7 years old in the past, the incidence of pertussis is
skyrocketing. Influenza is a highly contagious viral infection that is
spread by coughing or having close contact with others. According to
the CDC, 226,000 people are hospitalized and 36,000 die every year in
the U.S. from the flu. Hepatitis B is a viral infection which can
result in a chronic liver infection that often ends in liver cancer.
There are many other vaccines that we use routinely in our country that
prevent deadly and debilitating illness.
If your children are not immunized you are leaving them at
risk of catching a disease that could permanently damage or even kill
them. These and other vaccine preventable diseases are still around,
even if they are not obvious, in some of your child's contacts, in the
food we eat, and in our environment. Because of this, your family is
not immune to these illnesses, even if everyone around you is
adequately vaccinated. Immunization of our country's population helps
protect all of us, including those who are most vulnerable, such as the
very young and old. It stops epidemics from occurring that would
devastate our society.
As many people are aware, the internet is not only a great site for
valuable knowledge, but also for faulty information. A more
comprehensive understanding of vaccines and the diseases that they help
prevent can be found at http://www.immunizationinfo.org/.
The decisions that you make concerning vaccination are some of the most
important ones that you will ever make for your family!
If you have a pediatric question of general interest, please submit it to advice@PediatricPhysiciansPC.com.
One of the board certified pediatricians from Pediatric Physicians, PC
will answer a selected question in this column each month.
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