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Childhood immunizations

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What are childhood immunizations?

Childhood immunizations are a series of vaccines that are given to infants and young children.

Immunization creates a way for the body's immune system to form an immune memory to infectious organisms. Immune memory delivers a more quick, specific and efficient defense to infections by a specific organism, protecting the child from future disease.

Immunization programs and schedules

Worldwide, governments run programs to immunize their citizens against disease. Immunization programs and schedules can vary between countries (and sometimes between states within one country), according to:

That said, immunization schedules around the world normally follow a fairly standard path. Vaccines commonly included in childhood immunization programs are:

Often, vaccines will be combined, such as the 3-in-1 or the 5-in-1 vaccine. This is done to simplify vaccination and reduce the number of injections needed. Combining vaccines does not increase the risk of adverse effects (see the 'Safety and parental concerns' section below).

Children living in or travelling to areas where certain diseases are common may receive additional vaccinations. These can include:

Some vaccinations combine three or five different vaccines. 

Benefits of immunization

Protection from disease

With vaccination, the child can attain immunity without being exposed to the actual disease and without risking its complications.

Humans have been using vaccinations for hundreds of years. As a result, many childhood diseases that had once plagued humanity, causing illness and death, are now rare events.

Herd immunity

When immunization rates drop below a threshold level, outbreaks of disease are likely. These outbreaks will not affect immunized people, but are a danger to people who are not immunized. These include people who are particularly vulnerable to infectious disease, such as people with weakened immune systems due to conditions, such as cancer and HIV infections, the elderly, and very young babies.

When immunization rates are high, an infection is unlikely to spread through a population. This 'herd immunity' serves as protection for the vulnerable parts of society.

Disease eradication

The ultimate goal of a vaccination program is to completely eradicate the infectious organism, freeing humanity from its burden. This has been attained with smallpox, meaning that smallpox vaccination is no longer needed for anyone.

A few other diseases are headed that way (notably polio). However, for this to happen, nearly all of humanity must be immunized. This requires much effort and coordination, so is not easily achieved.

Coverage

Childhood immunization is now an established practice all over the world. Global vaccination rates have risen from about 20% in 1980 to 84% in 2013, with a corresponding drop in illness and death rates. [1] However, there are still children in the world who do not have access to vaccines. Immunization programs in certain areas of South-East Asia and Africa in particular are finding it hard to reach every child. [2] [3]

Failure to vaccinate is influenced by several factors, including:

Immunization programs are especially difficult to run in areas undergoing civil strife or warfare.

Safety and parental concerns

When to delay or avoid vaccines (contraindications to vaccination)

Some children can be in increased danger of adverse effects. For these children, vaccination will be delayed or avoided. If your child has one of the following, speak to your doctor about upcoming immunizations:

Things that pose no obstacle to getting vaccinated include:

Adverse reactions to childhood vaccination

Like all injections, the immunization injection is unpleasant, especially for babies and young children. Parents can help reduce the child's distress by comforting and distracting the child when the immediate pain of the injection has passed.

Common adverse reactions to vaccines include soreness at the injection site, mild fever and discomfort. However, very rarely, a child will exhibit an extreme and potentially life-threatening allergic reaction (anaphylaxis) to a vaccine. In such cases, immediate medical attention is required. Such reactions often show up within minutes after the injection. This is why children who have just been vaccinated are asked to remain in the clinic for about 15 minutes after their injection.

Vaccination myths

Vaccine overload

Some parents are concerned that vaccination can overburden the child's immune system and cause harm. These concerns are unfounded. From the first moment when it emerges into the world, a newborn baby is naturally exposed to a large load of microorganisms. The normal newborn's developing immune system is able to handle these microbial challenges effectively.

Vaccination is a small, generally insignificant addition to this process. Vaccines are effective not because they place any great burden on the immune system, but because they use the immune system's natural ability to remember specific infections.

Autism

An alleged link between MMR vaccination and the development of autism has been thoroughly investigated and repeatedly found to be false. Despite overwhelming evidence to the contrary, some parents remain suspicious of the MMR vaccine (and often vaccinations in general). This has led to a decline in vaccination rates in some areas of developed countries; subsequent outbreaks of vaccine-preventable disease often follow. Any such concerns should be discussed with a doctor before deciding not to vaccinate.

References

  1. Immunisation summary: a statistical reference containing data through 2013. UNICEF. Accessed 19 August 2014 from link here
  2. Bhutta Z.A. and Black R.E. (2013) Global maternal newborn and childh — so near and yet so far. New England Journal of Medicine 369:2226–2235.
  3. Emergency preparedness and humanitarian action - health impact of the crisis in the Syrian Arab Republic. World Health Organisation. Accessed 19 August 2014 from link here
  4. Bhutta Z.A. & Black R.E. (2013). Global Maternal Newborn and Child Health So Near and Yet So Far. New England Journal of Medicine 369: 22262235.
  5. Childhood Immunization. Text. Accessed 18 August 2014 from link here
  6. Childhood Immunizations | Johns Hopkins Medicine Health Library. Accessed 18 August 2014 from link here
  7. DeStefano F. Price C.S. & Weintraub E.S. (2013). Increasing Exposure to Antibody-Stimulating Proteins and Polysaccharides in Vaccines Is Not Associated with Risk of Autism. Journal of Pediatrics 163: 561567.
  8. Health A.G.D. of. Welcome to The Australian Immunisation Handbook 10th Edition website. Australian Government Department of Health. Accessed from link here
  9. Immunisation - childhood. Better Health Channel. Accessed 18 August 2014 from link here
  10. Jordan R Connock M Albon E Fry-Smith A Olowokure B Hawker J Burls A. (2006). Universal vaccination of children against influenza: are there indirect benefits to the community? A systematic review of the evidence Vaccine 24: 1047-1062.
  11. Shea B. Andersson N. & Henry D. (2009). Increasing the demand for childhood vaccination in developing countries: a systematic review. BMC International Health and Human Rights 9: S5.
  12. The Every Newborn Action Plan. Every Newborn. Accessed 18 August 2014 from link here
  13. UNICEF STATISTICS. Accessed 19 August 2014 from link here
  14. Vaccine Benefits. Accessed 18 August 2014 from link here
  15. Vaccine safety studies - thimerosal - vaccinestudies.pdf. Accessed 18 August 2014 from link here
  16. Vaccines (immunizations) - overview Medical Information. Accessed 18 August 2014 from link here
  17. Vaccines for infants and children age 0 to 6 years. Accessed 18 August 2014 from link here
  18. WHO | Every Newborn: an action plan to end preventable deaths. WHO. Accessed 18 August 2014 from link here
  19. WHO EMRO | Health impact of the crisis in the Syrian Arab Republic | EHA-infocus | Emergency preparedness and humanitarian action. Accessed 19 August 2014 from link here
  20. Why does my child need vaccines? Accessed 18 August 2014 from link here

10 Most frequently asked questions (FAQs)

What are childhood immunizations?
Childhood immunizations are a series of vaccines that are given to infants and young children.
Who gets childhood immunizations?
Ideally, every child in the world should be immunized.
Why are childhood immunizations necessary?
The immediate benefit of childhood immunization is protecting your child from illness. Although most childhood illnesses are relatively light, complications, including death, can happen. In a wider perspective, childhood immunizations protect vulnerable people in a population, whose immune system is weak or ineffective, from catching diseases from others. Ultimately, the goal of immunization is to eradicate infectious disease.
What diseases does childhood immunizations protect against?
Vaccines commonly included in childhood immunization programs are: hepatitis B vaccine; polio vaccine; DTP vaccine (diphtheria), tetanus, pertussis (whooping cough); Haemophilus influenza B (Hib) vaccine; MMR vaccine (measles, mumps, rubella); chickenpox (varicella) vaccine; Human papillomavirus (HPV) vaccine; rotavirus vaccine; influenza vaccine ; meningococcal vaccine, and; pneumococcal (PPV) vaccine.
What can prevent my child from being immunized?
Your child may not be able to receive an immunization if they have a specific allergy to particular vaccine components (eggs or egg protein; gelatin) or to previous vaccines, if they are currently ill with fever, has congenital immune deficiencies, is on immune-suppressive drugs, or is receiving cancer treatments (chemotherapy or radiotherapy).
Are childhood immunizations safe?
Childhood immunizations are among the safest medical interventions. Serious side effects are very rare.
Will childhood immunization overload my child's immune system?
Childhood immunization does not overload a child's immune system. By simply being in the world, young children are constantly coming into contact with a large number of substances and micro-organisms, which their immune system handles. Immunization components are a minor addition to the immune system's workload.
Will childhood immunization make my child autistic?
No. Any links between childhood immunizations and autism have been disproved.
What side effects can childhood immunization have on my child?
Common adverse reactions to vaccines include soreness at the injection site, mild fever and discomfort. In very rare cases, a child will exhibit a serious allergic reaction (anaphylaxis) to a vaccine. In such cases, immediate medical attention is required and will be given at the clinic.
Are immunization programs identical all over the world?
Immunization schedules around the world normally follow a fairly standard path. However, immunization programs and schedules can vary between countries (and sometimes between states within one country), according to the specific health challenges in the region, the presence of specific at-risk populations in the region, available funds and political and cultural considerations.

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About this article

Title: Childhood immunizations

Author: Dr Idan Ben-Barak PhD, MSc, BSc (Med)

First Published: 13 Oct 2014

Last reviewed: 17 Jan 2022

Category: Information on Childhood immunizations

Average rating: 4.7 out of 5 (1425 votes)

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