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Late-night Q&A | what to do if you can't complete the vaccination as planned

It is the National Child Vaccination Publicity Day on April 25 every year, I believe that many people are paying attention to the vaccination of babies and big babies at home this year, especially due to the impact of the epidemic, some vaccines cannot be completed according to the established plan, or are worried about the subsequent vaccinations being affected, so I will give you a look at the vaccination problems of some vaccines other than the new crown vaccine today.

Late-night Q&A | what to do if you can't complete the vaccination as planned

Childhood vaccination, Source: tuchong.com

1. Do I have to re-administer if the vaccine is delayed?

A: No, but there are three vaccines in the Childhood Immunization Programme vaccine that are more age-affected and require special attention, including:

BCG vaccine: BCG vaccine is used to prevent tuberculosis, < 3 months of age can be directly vaccinated, 3 months of age - 3 years old need to be vaccinated after doing a negative result of tuberculin test (positive does not fight), ≥ 4 years old is no longer vaccinated.

DTP/DTP vaccine: If the < 3 doses of DTP vaccination are given before the age of 6, then 3 doses of DTP are used after the age of 6, and the interval between the second dose of DTP/DTP and the third dose of DTP ≥ 6 months.

Brain flow vaccine: If the child does not complete 2 doses of flow brain vaccine before the age of 2 years, then directly after the age of 2 years 2 directly vaccinated with 2 doses of flow brain vaccine (free A + C group, can be replaced by self-funded AC binding or AYW135 polysaccharide), the interval is ≥ 2 years.

For older babies, such as the need for HPV vaccination, then there is no need to worry, no matter how many doses are given, the follow-up dose can be completed as soon as possible, no need to re-vaccinate and do not have to worry about no protection without a full injection.

2. How to re-administer the vaccine as soon as possible after the delay?

A: Combined vaccines or simultaneous vaccinations.

In the past, many people had the impression that only 1 dose of vaccine could be given to a vaccination unit at a time, but in fact this perception was caused by the mainland vaccine management and compensation strategy and the stereotype of the past.

Combination vaccine: For some young children (generally under 2 years of age), if there is no polio, Hib, DTP vaccine, it can be considered to increase the efficiency of vaccination by giving a five-dose vaccine (DTP + polio + Hib) or a quadruple vaccine (DTP + Hib), a multi-dose vaccine with a maximum of multiple doses.

Late-night Q&A | what to do if you can't complete the vaccination as planned

Mock diagram of poliovirus, Source: Shutterstock

Simultaneous vaccination: Since not all one-component vaccines do not have a multiple vaccine to replace, a simultaneous vaccination regimen is an option, i.e. multiple vaccines are given in the same outpatient setting. In general, immunization programme vaccines (first-class vaccines/free vaccines) can be administered at different sites at the same time, non-immunization program vaccines (type II vaccines/self-funded vaccines) need to consider the situation of vaccination units separately, some vaccination units do not give immunization program vaccines and non-immunization program vaccines at the same time, and some vaccination units cannot receive different non-immunization program vaccines at the same time, so they should be considered separately.

It should be noted that different injectable live attenuated vaccines (such as hepatitis A live attenuated vaccine and measles vaccine) need to be given separately at one month apart if they are not given at the same time.

3. Who will be the first to get covid-19 vaccines and other vaccines?

A: According to the current requirements, the COVID-19 vaccine needs to be spaced more than 14 days apart from other vaccines, so some people will struggle with which vaccine should be given first.

In fact, from a personal point of view, whether it is a 234567890-year-old baby or a juvenile baby, considering the risk of the new crown virus, if there is an opportunity, we should still consider giving priority to the new crown vaccine, and then vaccinating other conventional vaccines > 14 days apart - of course, the premise is that the age of routine vaccination is not exceeded.

However, there are two exceptions that must be noted: tetanus vaccine and rabies vaccine. The diseases associated with both vaccines are very serious and even fatal, so in cases where the use of the above two vaccines is required, it is necessary to administer these two vaccines as soon as possible, regardless of the interval between the new crown vaccine and the new crown vaccine.

Late-night Q&A | what to do if you can't complete the vaccination as planned

Patients with manic rabies, Source: sina

4. What should I do if I don't have the vaccine I want to get?

A: It's very simple – consult the district and county level without anxiety.

Don't be anxious because many parents will be very anxious if they don't give their children a "favorite" vaccine (the child's father has not seen it, and the child's mother has encountered a lot), which is actually completely unnecessary, because the standard of vaccine selection is [the best vaccine that can be obtained], not the "best vaccine in cognition", and early vaccination and early protection are very important.

In addition, not anxious to maintain a good attitude helps to communicate with the disease control, to know that the most stressful unit in recent years may be the disease control, so both sides maintain a good attitude and emotions, but also help to solve the problem.

As for how many disease control telephones are, the public network can be queried.

Finally, although the prevention and control of new crown pneumonia is very important, and the new crown vaccine is also of great value, it does not mean that the prevention and control of other infectious diseases can be ignored, so we must try to vaccinate children in time to protect the safety of big babies and small babies, and even the safety of people around.

May there be no plague in the world.

=Pills=

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