Tuesday, March 08, 2016

Real Facts Behind The Myths About Vaccination In The General Population - WHO

What are some of the myths – and facts – about vaccination?

Online Q&A
April 2013

Q: What are some of the myths – and facts – about vaccination?

A: Myth 1: Better hygiene and sanitation will make diseases disappear – vaccines are not necessary. FALSE

Fact 1: The diseases we can vaccinate against will return if we stop vaccination programmes. While better hygiene, hand washing and clean water help protect people from infectious diseases, many infections can spread regardless of how clean we are. If people are not vaccinated, diseases that have become uncommon, such as polio and measles, will quickly reappear.

Myth 2: Vaccines have several damaging and long-term side-effects that are yet unknown. Vaccination can even be fatal. FALSE

Fact 2: Vaccines are very safe. Most vaccine reactions are usually minor and temporary, such as a sore arm or mild fever. Very serious health events are extremely rare and are carefully monitored and investigated. You are far more likely to be seriously injured by a vaccine-preventable disease than by a vaccine. For example, in the case of polio, the disease can cause paralysis, measles can cause encephalitis and blindness, and some vaccine-preventable diseases can even result in death. While any serious injury or death caused by vaccines is one too many, the benefits of vaccination greatly outweigh the risk, and many, many more injuries and deaths would occur without vaccines.

Myth 3: The combined vaccine against diphtheria, tetanus and pertussis (whooping cough) and the vaccine against poliomyelitis cause sudden infant death syndrome. FALSE

Fact 3: There is no causal link between the administering of the vaccines and sudden infant death, however, these vaccines are administered at a time when babies can suffer sudden infant death syndrome (SIDS).,. In other words, the SIDS deaths are co-incidental to vaccination and would have occurred even if no vaccinations had been given. It is important to remember that these four diseases are life-threatening and babies who are not vaccinated against them are at serious risk of death or serious disability.

Myth 4: Vaccine-preventable diseases are almost eradicated in my country, so there is no reason to be vaccinated. FALSE

Fact 4: Although vaccine preventable diseases have become uncommon in many countries, the infectious agents that cause them continue to circulate in some parts of the world. In a highly inter-connected world, these agents can cross geographical borders and infect anyone who is not protected. In western Europe, for example, measles outbreaks have occurred in unvaccinated populations in Austria, Belgium, Denmark, France, Germany, Italy, Spain, Switzerland and the United Kingdom since 2005. So two key reasons to get vaccinated are to protect ourselves and to protect those around us. Successful vaccination programmes, like successful societies, depend on the cooperation of every individual to ensure the good of all. We should not rely on people around us to stop the spread of disease; we, too, must do what we can.

Myth 5: Vaccine-preventable childhood illnesses are just an unfortunate fact of life. FALSE

Fact 5: Vaccine preventable diseases do not have to be ‘facts of life’. Illnesses such as measles, mumps and rubella are serious and can lead to severe complications in both children and adults, including pneumonia, encephalitis, blindness, diarrhoea, ear infections, congenital rubella syndrome (if a woman becomes infected with rubella in early pregnancy), and death. All these diseases and suffering can be prevented with vaccines. Failure to vaccinate against these diseases leaves children unnecessarily vulnerable.

Myth 6: Giving a child more than one vaccine at a time can increase the risk of harmful side-effects, which can overload the child’s immune system. FALSE

Fact 6: Scientific evidence shows that giving several vaccines at the same time has no adverse effect on a child’s immune system. Children are exposed to several hundred foreign substances that trigger an immune response every day. The simple act of eating food introduces new antigens into the body, and numerous bacteria live in the mouth and nose. A child is exposed to far more antigens from a common cold or sore throat than they are from vaccines. Key advantages of having several vaccines at once is fewer clinic visits, which saves time and money, and children are more likely to complete the recommended vaccinations on schedule. Also, when it is possible to have a combined vaccination, e.g. for measles, mumps and rubella, that means fewer injections.

Myth 7: Influenza is just a nuisance, and the vaccine isn’t very effective. FALSE

Fact 7: Influenza is much more than a nuisance. It is a serious disease that kills 300 000-500 000 people worldwide every year. Pregnant women, small children, elderly people with poor health and anyone with a chronic condition, like asthma or heart disease, are at higher risk for severe infection and death. Vaccinating pregnant women has the added benefit of protecting their newborns (there is currently no vaccine for babies under six months). Vaccination offers immunity to the three most prevalent strains circulating in any given season. It is the best way to reduce your chances of severe flu and of spreading it to others. Avoiding the flu means avoiding extra medical care costs and lost income from missing days of work or school.

Myth 8: It is better to be immunized through disease than through vaccines. FALSE

Fact 8: Vaccines interact with the immune system to produce an immune response similar to that produced by the natural infection, but they do not cause the disease or put the immunized person at risk of its potential complications. In contrast, the price paid for getting immunity through natural infection might be mental retardation from Haemophilus influenzae type b (Hib), birth defects from rubella, liver cancer from hepatitis B virus, or death from measles.

Myth 9: Vaccines contain mercury which is dangerous. FALSE

Fact 9: Thiomersal is an organic, mercury-containing compound added to some vaccines as a preservative. It is the most widely-used preservative for vaccines that are provided in multi-dose vials. There is no evidence to suggest that the amount of thiomersal used in vaccines poses a health risk.

Myth 10: Vaccines cause autism FALSE

Fact 10: The 1998 study which raised concerns about a possible link between measles-mumps-rubella (MMR) vaccine and autism was later found to be seriously flawed, and the paper has been retracted by the journal that published it. Unfortunately, its publication set off a panic that led to dropping immunization rates, and subsequent outbreaks of these diseases. There is no evidence of a link between MMR vaccine and autism or autistic disorders.

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Monday, February 15, 2016

My child talks and walks in sleep, what can I do?

Q: My 6 year old child talks and walks in sleep, what can I do?

A: As per the National Sleep Foundation, USA, Sleepwalking, formally known as somnambulism, is a behavior disorder that originates during deep sleep and results in walking or performing other complex behaviors while asleep. It is much more common in children than adults and is more likely to occur if a person is sleep deprived. Because a sleepwalker typically remains in deep sleep throughout the episode, he or she may be difficult to awaken and will probably not remember the sleepwalking incident.
Sleepwalking usually involves more than just walking during sleep; it is a series of complex behaviors that are carried out while sleeping, the most obvious of which is walking. Symptoms of sleepwalking disorder range from simply sitting up in bed and looking around, to walking around the room or house, to leaving the house and even driving long distances. It is a common misconception that a sleepwalker should not be awakened. In fact, it can be quite dangerous not to wake a sleepwalker.
The prevalence of sleepwalking in the general population is estimated to be between 1% and 15%. The onset or persistence of sleepwalking in adulthood is common, and is usually not associated with any significant underlying psychiatric or psychological problems. Common triggers for sleepwalking include sleep deprivation, sedative agents (including alcohol), febrile illnesses, and certain medications.
The prevalence of sleepwalking is much higher for children, especially those between the ages of three and seven, and occurs more often in children with sleep apnea . There is also a higher instance of sleepwalking among children who experience bedwetting. Sleep terrors are a related disorder and both tend to run in families.

SYMPTOMS:

Sleepwalking is most often initiated during deep sleep but may occur in the lighter sleep stages or NREM, usually within a few hours of falling asleep, and the sleepwalker may be partially aroused during the episode.
In addition to walking during deep sleep, other symptoms of sleepwalking include:
  • Sleeptalking
  • Little or no memory of the event
  • Difficulty arousing the sleepwalker during an episode
  • Inappropriate behavior such as urinating in closets (more common in children)
  • Screaming (when sleepwalking occurs in conjunction with sleep terrors)
  • Violent attacks on the person trying to awaken the sleepwalker
  • TREATMENT:

    There is no specific treatment for sleepwalking. In many cases simply improving sleep hygiene may eliminate the problem. If you are experiencing symptoms, you should talk to your doctor or a sleep specialist about ways to prevent injury during the episodes and about the possibility of underlying illness. Also, be prepared to discuss with your doctor or pediatrician any factors, such as fatigue, medication, or stress, which may trigger symptoms.
    Treatment for sleepwalking in adults may include hypnosis. In fact, there are many cases in which sleepwalking patients have successfully treated their symptoms with hypnosis alone. Also, pharmacological therapies such as sedative-hypnotics or antidepressants have been helpful in reducing the incidence of sleepwalking in some people.
    Sleepwalking is common in children and is usually outgrown over time, especially as the amount of deep sleep decreases. If symptoms persist through adolescence, consult your doctor or psychiatrist.

    COPING:

    As sleep deprivation often contributes to sleepwalking, increasing the amount of time scheduled for sleep can be helpful. Other possible triggers for sleepwalking include alcohol and certain medications. Also, experts recommend establishing a regular, relaxing routine prior to bedtime to cope with sleepwalking.
    Creating a safe sleep environment is critical to preventing injury during sleepwalking episodes. For example, if your child sleepwalks, don’t let him or her sleep in a bunk bed. Also, remove any sharp or breakable objects from the area near the bed, install gates on stairways, and lock the doors and windows in your home.

    POLL DATA:

    According to the National Sleep Foundation's 2004 Sleep in America Poll, 1% of pre-school children and 2% of school-aged children walk in their sleep at least a few nights per week.
    Reviewed by Mark Mahowald, M.D.

Wednesday, February 10, 2016

Vaccine FAQs - Hepatitis B catch up vaccination for older children

Query : 
Dear Doctor,

I want my two kids, 8 and 11 years old, to be vaccinated against Hep B. Kindly suggest how can I start.


Answer: 
Dear Parent,
Please given hep B vaccine at the schedule of 0, 1 and 6 months for both children.
This means that the first dose is on day 1, the second dose is 1 month after the first dose, and the third dose is 6 months after the first dose,

Warm regards