I’m back to chat mom-to-mom about how vaccines work to keep children healthy. In this episode, I’ll explain how vaccines create a healthy immune response in the body that provides protection against vaccine-preventable diseases.
Guest Mom Susan: Making the Right Choice
Guest blogger Susan Wells is the mom to two girls, ages 5 and 8. She is an active mom who hikes, photographs, crafts, lives green, volunteers and explores with her children. She works as a blogger and social media strategist for Steve Spangler Science, a Colorado company dedicated to helping teachers and parents get children excited about science. Susan is also the City Editor for Savvy Source and blogs at TwoHandsTwoFeet.com.
My oldest daughter was born in 2001 amidst the debate that āvaccinations cause autism.ā I felt inundated with many claims and stories about the dangers of vaccinations. I began to question my rock solid beliefs that inoculations are a necessity in childhood.
The sheer number of shots a baby begins to receive at two months and continues through two years is unsettling to any new parent. Top that off with claims that the shots could be toxic and parents have a hard time understanding the right path to take.
The torment that both my daughter and I had to endure at each appointment was draining. Nurses handed me packets of information on devastating diseases along with a pages of possible side effects. I had to agree to let the nurses inject her sweet baby legs with what I hoped to be life saving vaccine and not a toxic mixture that would cause her problems down the road. I had to decide, which was worse, the shot or the chance she would come down with one of the life-threatening diseases.
I chose the shot every time.
Back then I was confused about the safety of vaccinations and outside of my doctor, I wasnāt sure where to turn for accurate information. Now that I have found the Colorado Childrenās Immunization Coalition, I have a powerful resource to look to when questions arise about immunizations. I only wish I had a resource like CCIC back in the early days to help me sort it all out.
My daughter had some of the more mild side effects from the injections. She developed large welts where the shots were injected. She had fevers for two days following the shots. The first few injections were tough, but we learned to anticipate and treat the symptoms. I reminded myself over and over that a welt for a week or two was better than a hospital stay and a 101 fever was better than a 104 fever.
The immunizations gave me peace of mind that my baby would stay healthy and protected.
I have done my research and continue to do my research on immunizations. I keep my daughters protected from the potentially life-threatening diseases that are controlled through vaccines.
When H1N1 began making the rounds, I anxiously waited for the vaccine to become available to protect my children. I stayed up on the latest research and news about the safety of the vaccine. I read the CCIC website and I stayed connected to my doctorās office. And my daughters both received the vaccine when it became available.
Throughout the last decade a lot of misinformation and publicity has surrounded the safety of vaccinations. It has catapulted a trusted and necessary part of childhood into an international debate about the safety of vaccinations.
The claims against vaccinations have led to state legislatures adding provisions that make it easier for parents to opt out of vaccinations on philosophical or religious grounds. With some parents opting out, the occurrence of diseases like measles is on the rise.
Getting your children vaccinated can be a traumatic time for both parent and child, but it is key to keeping your children healthy. I held my breath during those shots but I have never looked back. I believe it was the right decision.
My advice; do the research before you take your baby to the doctor. Organizations like the Colorado Childrenās Immunization Coalition and talking with your pediatrician will help put your mind at ease and help you make the right choice in immunizing your child.
A Letter to Parents Who Vaccinate
Like me, you would do anything for your child. Like me, you canāt imagine a world without them and you would do anything you can to keep them from harmās way. Maybe like me, you stood in wonder next to her crib and cried with joy the week you brought her home amazed and blessed with the gift of parenthood. You may have even thought naively (before you had your secondā¦thirdā¦fourth) that you could not love anything or anyone more than this child – your child.
What I came to realize is that parenthood has its blessings and its burdens. It is the ultimate challenge of making the best decisions you can with the knowledge, skills and resources you have at your disposal at the time. I admit Iāve made mistakes. What parent hasnāt? I just hope I leaned from them, that I show myself compassion for having made them and that my daughters forgive me for them. I hope they know I do the best I can with the information I have at the time. I hope they can appreciate my process for making my decisions and the risks I am willing or not willing to take on their behalf.
The burden of decision-making and risk taking in the world of parenthood is the ultimate ante. The stakes are high. There are no rules of engagementā¦youāre on 24/7. Maybe like me you know the Calvary isnāt coming, at least not today (the grandparents live several states away). The funny thing is so many decisions come from your gut. Deep inside there is a response, a feeling, a knowing that you either know the answer or you donāt. When you hesitate you look around and seek out advice or information from friends, on the web, your parents, maybe your healthcare provider, someone you trust.
You look for confirmation of what your gut is telling you. Maybe, like me, you ask questions, talk about experiences. Maybe, like me, you look to incorporate the latest research and science about a particular topic whether it is immunizations, soy formula or sleep schedules.
Choosing to vaccinate is one of those tough decisions. Made tougher still by conflicting advice, various beliefs, and the temporary discomfort of a needle poke, but rest assured you made the best decision. You can feel confident in that choice. Be confident that you made an informed decision backed by rigorous scientific methods. You made the best choice for your childās health. Really, for ALL childrenās health and I applaud you.
And you donāt stand alone. Over 80% of us parents have made that choice. It is a choice for health and well-being. Thank you parents! There are no instruction manuals, warranties, or guaranteed satisfaction when making parenting decisions but choosing vaccines is one you can feel confident and assumed was the right one.
Sincerely,
Melanie
Guest Mom Andrea: I’ve Read All the Research and I Vaccinate
This is a guest post by Andrea Clement-Johnson who lives with her husband and three children, Breanne, 12, Hayley, 9, and Caleb, 7, in Wellington, CO. She is the Health Education Supervisor at the Larimer County Department of Health and Environment in Fort Collins, CO.Ā The whole family loves music, hiking, sports and animals, including our two yellow labs Jackson and Archie.
When I was a child, my cousin, Nadine, died in our home while she was visiting us. She was only two. Later we found out she had died from complications of Haemophilus influenzae, type B (Hib). Years later, I learned that a vaccine had been developed for Hib and could have saved her life.
Though I did not really understand vaccination at that point, I remember being struck that my cousinās death could have been prevented if she had received a vaccine.
After college, I happily entered the health education field.Ā I got married and had two beautiful daughters. We were so happy when our son, Caleb, joined us and became the icing on the cake. However, it was quickly evident that Caleb was different from my girls. I noticed that he tantrumed very early and he was always difficult to soothe. However, I dismissed the differences as unique qualities of my son.
As a toddler, the communication and behavioral differences became more pronounced. I took Caleb to his pediatrician and insisted that I needed someone to tell me what was happening. Once Caleb was fully evaluated by a team of experts, we received the official diagnosis of autism.
I immersed myself in reading everything I could about autism. One of the first websites I stumbled upon indicated that vaccines were a ālikely culpritā contributing to the high rates of autism. I was initially surprised. I had remembered hearing other moms talk about a fear of poisons being injected into their children. I remember thinking at the time that this was silly, recalling my cousinās tragic death. I had no idea how pervasive the autism and vaccine debate was or how much this would impact my life.
I started looking at more information about autism and vaccination.Ā I read stories that parents shared about their typically developing children who, following immunization, were diagnosed with autism. This was perplexing. I didnāt want to doubt any parent of a child with autism. I investigated thimerosal, schedules, and I even learned how immunizations worked.
I read all the research, listened to the concerns from parents who are looking for an answer. Through my research, I began to see there was no evidence to support vaccines causing autism or any other childhood developmental disorder.
I understand that because of the complexities surrounding autism, and the variety in onset and degree of severity, itās difficult to accept unknowns. I learned that my thoughts, though based on extensive research and good intentions as a mom, are not always enough to sway those people who see things differently, but I continue to make my feelings known about vaccination. Iāve come to learn that if I donāt convince a parent to see things āmyā way, so be it. At least I may encourage those parents still weighing their options to consider talking to their provider or to learn more before delaying or avoiding immunizing their children. Through my experiences as a parent of a child with autism and a health educator, I feel I can confidently say that I have looked at the issue through both lenses. I strongly support immunization as one of the best choices a parent can make for their children.
I became so impressed with immunization that I eventually took a position as a manager with the Wyoming Immunization Section. My appreciation for and belief of timely, appropriate immunization across the lifespan has continued. Iām so fortunate to continue working in immunization in my current position in Larimer County as a Health Education Supervisor.
Like most parents of a child with special needs, I often take a path that has many uncertainties, which can create fears. One thing I donāt fear is that vaccination causes autism. The fears I have related to immunization are fears that choosing a delayed schedule or choosing not to immunize could cause a child to become infected with a preventable illness, causing unnecessary suffering or death for them and other vulnerable individuals.
Although autism would not have been the path I would have chosen for Caleb, he has been my greatest lesson about truly meaning it when you say you only want for your child to happy and to have a place in the world.Ā My son makes regular, fabulous progress and he is a beautiful, loving, wonderful child who is still the icing on my cake!
Herd Immunity: We’re all in this together!
I love the community I live in. I choose Colorado because of the mountains, the four seasons of outdoor fun, the friendly people and fresh air. I raise kids, work and volunteer in my community. I feel a sense of responsibility to the people in my community.
Whether attending a school board meeting, joining in the St. Patrickās Day parade, attending worship on Sundays or going to the club for a workout, I am aware of my community what it gives me and my family and how we give back. I look around at the playgrounds, kids clubs, schools, church nurseries, sports complexes and bike trails and think āIām glad I live here and can be a part of it.ā These people are my family, friends, and neighbors, itās my herd. Being a member of a herd has it privileges and responsibilities.
One of these responsibilities is to help protect the herdās safety. I can do this by choosing to vaccinate my children. My children have a strong immune system; they have no allergies to medications or vaccine ingredients, and appear to respond well to vaccines. By protecting them with vaccines, I protect others in my herd that are too young to get vaccines , have severe allergies to vaccine ingredients, have a medical condition that prevents them from getting vaccinated, or that small number of kids who are unable to build immunity even when they get vaccinated.
A child who cannot get immunity through vaccines relies on us to protect them. They rely on the herd to protect them! If my child is immune to measles, she canāt infect a child who is too young to vaccinate. But if my daughter never got the vaccine, she can not only get measles herself, she can spread it to others who are not immune. She could spread measles to my medically fragile nephew or to my colleagueās premature daughter with compromised respiratory system and asthmatic complications or to my neighborās new born who at five weeks wonāt be eligible for his first set of shots for three more weeks! My herd is vulnerable.
Herd immunity only works well when those who can do vaccinate! It has been proven time and again that once healthy people choose to stop vaccinating disease rates go up.
Although vaccines have been very successful in preventing disease, we have not eliminated these nasty illnesses. Without the protection of a highly immunized population, disease will begin to rise. Risk remains.
Think about your community, who needs protecting? What choices can you make to ensure protection?
The Risk of the Intentional Unvaccinated
I was able to celebrate a friendās coming baby at a shower this past weekend. The parents knew they are having a girl in May, so how were the gifts? Cute…cuter…and cutest! So much pink and brown! Such cute outfits! Such tiny shoes and pretty accessories!
As the mom-to-be opened gifts the conversation turned towards child rearing. The group of women ranged in age from late 20s to grandmothers (about to be great grandmothers), it became clear that, there was a wide-range of gifts but also a wide range of opinions on vaccines.
The younger crowd gave diaper wipe warmers, a stylish breastfeeding Boppy that matched the nursery decor, designer diaper bags that could go from the playground during the day to The MET at night! These were the women who questioned the need for vaccines
What diseases? Havenāt we eradicated them all?
Childhood diseases are a thing of the past, theyāve moved on to more contemporary diseases like AIDS and breast cancer.
The older crowd gave gifts such a delicate hand-knitted dresses, beautifully hand-stitched quilts (no machine stitching for these diehards), and a homemade diaper wipe holder made from what appeared to be a place mat. Born before the routine childhood series was available, these women have seen the ravages polio and diphtheria. They recall classmates paralyzed by polio, months spent in iron lungs, metal leg braces, and babies who coughed themselves to death before their third birthday. When they vaccinated their children, it was a modern medical wonder. It is their hope that their grandchildren would choose to vaccinate, too.
But sometimes children are not getting the vaccines they need to protect them from these nasty diseases. Some parents would rather āriskā the disease. That makes me uneasy for their child and angry because of the risk to all other children. Their āriskā isnāt limited to just their child or even to just their family. We ALL take that risk and hereās why.
When community vaccination levels fall below the recommended effective coverage levels of 90% , it leaves an opening for disease. Think weāve eradicated disease? Think again. Check out this new report from the Journal of Pediatrics that profiles the case of a 7-year-old whose parents intentionally didn’t vaccinate him. The boy went to Europe and contracted measles, and when he returned to San Diego, he unknowingly exposed 839 people.
Measles are highly contagious spread through the air by coughing and sneezing. Eleven unvaccinated children contracted the disease and an infant too young to be vaccinated was hospitalized. Public Health officials quarantined another 48 infants in order to prevent further spread and infection.
No virus is more contagious than measles. “If a measles-infected person walks into a room with 10 uninfected people,” said Dr. David Sugerman of the CDC in a recent NPR interview, “nine of them will get infected.” Moreover, anyone who goes into that room within the next two hours after the infected person has left is likely to get measles, too
Measles outbreaks like this one due to āintentionally unvaccinatedā children are widespread.
From January through July 2008, CDC received reports of 131 measles cases from 15 states and the District of Columbiaāthe highest year-to-date number since 1996. More than 90% of those infected had not been vaccinated or their vaccination status was unknown. Many of these individuals were children whose parents chose not to have them vaccinated. Fifteen of the patients, including four infants, were hospitalized.
During the 2010 Olympics in Vancouver two different measles virus strains were brought from travelers from Asia and the city continues to try to contain a measles outbreak. Those infected were two Canadians and an American. As a result, 16 people in a large family who are unvaccinated have contracted the disease.
What blows my mind is that this family didnāt decline vaccines based upon allergies, medical reasons or religious belief but because a close family friend who was anti-vaccines convinced them not to get vaccinated!? Here was a pocket of vulnerability which gave the disease an opportunity to spread.
While it appears that measles is a forgotten disease by the young mothers I met this weekend, it infects about 23,000,000 people and kills about 500,000 people each year around the world. Measles can cause a pregnant woman to miscarry or give birth prematurely. About 1 out of 10 children with measles also get an ear infection, and up to 1 out of 20 get pneumonia. About 1 out of 1,000 get encephalitis, and 1 or 2 out of 1,000 die.
There will always be some children and adults who can never be vaccinated or cannot be vaccinated in time. Unvaccinated children also pose a threat to children with legitimate medical exemptions who cannot be immunized because of health complications. These are often our most fragile children including those battling leukemia, cancer or HIV. Even children with allergies to certain vaccine ingredients, like eggs, have to go unprotected.
Guest Mom JoAnn: Getting Poke’d
Welcome a lighthearted approach to vaccines from Guest Mom JoAnn Rasmussen
JoAnn Rasmussen writes at The Casual Perfectionist and is also the assistant editor at Mile High Mamas, the Denver Postās parenting blog and online community.Ā JoAnn and her husband have a four-year old daughter named Claire.
JoAnn is a self-proclaimed perfectionist, but doesnāt consider herself to be the stuffy, up-tight kind. Sheās more of a casual perfectionist, hence the name of her website. She tries her hardest to focus on the positive, learn from the negative, and laugh at both. In fact, she is a firm believer in the notion that if you havenāt laughed today, you werenāt really paying attention.
Iāll never forget Claireās first trip to the doctorās office for a shot she would actually remember.Ā It was October 2007, right in the midst of flu shot season, and I wasnāt sure how things would go.Ā At 22-months old, Claire was exponentially more mobile than she was last time.Ā Weād always been really lucky when it came to shots, so I was hoping this time would be no different.
When Claire was a baby, I never hesitated in getting her fully vaccinated on the schedule that our pediatrician had recommended.Ā As a mother, it tugged at my heart to see the momentary flash of pain in her eyes, but it was quickly replaced by her beautiful smile, and I knew it was worth it.
I was so thankful to have access to these vaccines.Ā The thought of protecting my child from the deadly diseases that had plagued my relatives only a generation before was worth it.Ā Knowing that by getting my child vaccinated, she wouldnāt contract and pass along one of those preventable diseases to someone younger or unprotected was worth it.
Still, this was going to be the first time sheād actually remember getting a vaccine, and I wanted it to go well.
That morning, I set the scene.Ā āGuess where we get to go today! We get to go to the doctorās office, and heās going to give you a flu shot. Heās going to give you a shot in the arm. And, it will feel like a poke!ā I said as I lightly pinched her upper arm. āMommaās going to get a flu shot too, and sheās going to get a poke in the arm, just like Claire!ā
āThe doctorās gonna poke my arm!ā she said excitedly. āThe doctorās gonna poke Mommaās arm!ā She didnāt understand that there could be pain involved with a poke in the arm, but I let her run with it. Any chance to go on an adventure was exciting, and I was hoping to use that excitement to my advantage.
When we got to the office, she didnāt want to wait for me to fill out the paperwork, and she headed down the hallway with one of the little chairs. āIām gonna go see the doctor! Heās gonna poke my arm!ā she yelled as she pushed the chair through the doorway.Ā Luckily, I was able to retrieve her before she got too far.
Claireās excitement was nearly as contagious as the toys over on the āsick kidā side of the waiting room, and this was quite entertaining for the receptionists. They certainly didnāt see this every day.
Because this was a āFlu Shot Clinic,ā there were lots of people in line with us.Ā āThe doctorās gonna poke my arm!ā Claire told a little girl waiting in line in front of us.Ā Claire didnāt understand why this was so upsetting to the little girl who now had a look of shocked panic on her face. āOh yes. Weāre really excited about getting our flu shots,ā I said to the little girl and her mother. What else could I do?
Then, it was our turn. The nurse called, āNext!ā and Claire dragged me into the room. āHurry, Momma! Hurry! The doctorās gonna poke my arm!ā
I got my shot first, and then it was Claireās turn. It took three seconds, and she didnāt even flinch! She was all smiles and even thanked the nurse. The nurse gave her a big yellow smiley face sticker. As Claire was clutching her newest prized possession she said, āThe doctor pokeād my arm! The doctor pokeād Mommaās arm! I got a sticker!!ā
Over the years, our experience has remained the same, and I am glad that the hardest part about getting a vaccine is containing our excitement while waiting in line.
Vaccines: Not just for Kids!
As National Infant Immunization Week wrapped in April, I couldnāt help but wonder how many parents thought about their immunizations.
Did you know that another way to protect your child was to be sure your Tdap ā which stand for tetanus, diphtheria, and pertussis (whooping cough) – vaccineĀ is up to date? Thatās right! Parents need vaccines, too! Why? Itās important to vaccinate the whole family because anyone can be carriers of the disease and expose our children.
Parents should get vaccinated with Tdap every 5 to 10 years to protect themselves and their children against these diseases. Women who are planning to get pregnant can get vaccinated right before pregnancy or right after birth to protect their new babies.
Not only did my husband and I both get our Tdap boosters, but we insisted that our child care providers be vaccinated, too.
Yes, it was important to me that they follow her schedule – we worked hard to get on the sleep schedule. Yes, it was important that the center be clean, well lit, ventilated, and developmentally appropriate for my baby. Thankfully, we got all that.
I wanted to know, that the staff members caring for my yet-to-be-fully immunized baby were vaccinated. Iām glad to say we got that too!
Whooping cough is making a come back. Cases of pertussis have steadily risen since the 1980s, and in 2008 there were more than 13,000 cases of whooping cough, 18 of which were fatal. According to a 2003 study published in the Pediatric Infectious Disease Journal, tragically, 90% of pertussis-associated deaths have been among babies less than a year old.
Babies less than 6 months old are particularity vulnerable because they cannot be fully immunized for pertussis until they are four years old. In fact half of the babies with pertussis are infected by their parents.
Immunization coverage is not just for kids! Parents, get your Tdap booster and encourage your expectant friends, first-time grandparents, and care givers to be sure they have their too!
Guest Dad Josh: Vaccination, Against All Odds
Welcome our first guest Dad post! Thank you to Josh for lending his voice to this issue and being one awesome father.
Josh Tyson lives in Denver with his wife, Nicole, and their sons, Elias and Arius. He chronicles the media they (cautiously) share with their boys at thekidsarewatching.com and is a member of New Age Dad, the nation’s premier rock band of dads, toddlers, babies and dogs. Josh is a regular contributor to the New York Times’ Motherlode blog and is currently working on some children’s books.
My wife and I have always been skeptical of the classic American approach to well being. We donāt pop pain tablets when we have headaches and when we have colds we drink heaps of herbal tea in lieu of narcotic syrups. I sincerely doubt that either of us will ever experiment with antidepressants and putting one of our kids on something like Ritalin is out of the question.
Nicole pushed both of our boys into this world without meds and started breastfeeding them right away. We didn’t have them circumcised and werenāt thrilled about subjecting them to a battery of needles in the first few years of their lives.
In the months leading up to the birth of our first, the hasty conspiracy theorist in me was tempted to write off vaccination as another shortsighted way for Big Medicine to line their pockets, but the more research we did, the more confident we became that vaccination was the best choice for our family.
Nicole has a cousin with severe autism, so the concerns posed by famous people and concerned parents out of the limelight were not taken lightly. In the end, however, we decided that there wasn’t significant evidence to link vaccines to autism and that the risks of not vaccinating were far greater than the minimal risks posed by the catalog of recommended vaccines.
We also took into account that we want to travel with our boys, and there are plenty of global destinations we are interested in where diseases like polio havenāt been totally eradicated. Then there was the issue of civic duty. A big part of the reason that vaccines have been so effective in keeping the populace here free of nasty things like measles and mumps is that the vast majority of us are vaccinated against them.
What sealed the deal for us was the fact that every doctor we talked to had vaccinated their kids, or planned to when they had them. Out skepticism of certain elements of western medicine has always been taken with a grain of saltānamely that we arenāt doctors and what we know about the inner-workings of human body is scant compared with somebody who has trudged through eight years of medical school.
So while we’ll continue to keep our medicine cabinets bare, we’ll do so with extra piece of mind.
SOUP! a Delicious Success
For over a decade, the Colorado Childrenās Immunization Coalition (CCIC) has worked to increase childhood immunization and as a way of thanking its partners and supporters, the nonprofit hosted its third annual SOUP! (Shots Offer Unrivaled Protection) fundraising event April 27.
Colorado Lieutenant Governor Barbara OāBrien accepted CCICās highest honor, the 2010 Big Shot of the Year award, for her dedication to creating healthy changes for Coloradoās children.
The event held at the Cable Center raised funds and treated guests to samples of soup from ten of Denverās premier restaurants: Coral Room, Dazzle, Il Posto, Jax, Le Central, Lola, Red Tango, Root Down, Sushi Hai and Table 6. Guests voted for their favorite soups; Root Down walked away with the Best Soup award and Lola was awarded Most Creative Soup.
CCIC Executive Director Lydia McCoy was grateful for the communityās support in furthering CCICās mission to increase childhood immunization rates and awareness. āThe strength of our Coalition lies in our members, community partners and advocates. We engage our supporters in all that we do, and their participation is invaluable to our success.ā
The evening celebration drew 188 guests which included Coloradoās pediatricians, physicians, nurses, educators, legislators and public-health experts and raised $21,000 to fund CCICās programs.
Among those who enjoyed fine food and networking were Presenting Sponsors Gay & Lesbian Fund for Coloradoās Jo Palmer and Colorado Capital Bankās Amanda Fein. Dr. Robert Brayden spoke about the progress of vaccines, and CCIC board member Dr. James Shira presented Lt. Gov. OāBrien with the 2010 Big Shot of the Year award. Also in attendance were past Big Shot of the Year award recipients CDPHE Medical Director Dr. Ned Calonge and Dr. James Todd.
Read the fun tweets from the event and see more photos on our Facebook Fan Page.