Your Baby & Toddler

MEASLES, MUMPS & RUBELLA (MMR) VACCINE

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Given from 15 months. Approximat­e cost R200. At a state clinic your baby will be given the measles vaccine. In private clinics it is combined with two other vaccines: rubella (German measles) and mumps.

Rubella is usually a mild infection in childhood, but if a woman is infected for the first time during pregnancy it can have devastatin­g effects on her unborn baby, resulting in miscarriag­e or severe birth defects. “Vaccinatin­g your child against rubella will protect her future pregnancie­s and will protect pregnant women who may be exposed to your child,” says Dr Glass, adding that there has been an increase in rubella cases in South Africa over the past three years. Again, herd immunity is key in preventing infections from spreading.

Mumps is a viral infection that leads to painful swelling of the salivary glands. Complicati­ons of this infection can include meningitis and deafness, among others.

The measles vaccine is given at six months and again within one year at a state clinic. But in a private clinic, the shot given after measles is the MMR. So if one just attends a state clinic you won’t have the MMR. However, the single measles vaccine is being phased out

MENINGOCOC­CAL DISEASE VACCINE

Given from nine months. Approximat­e cost R430. Prevenar and Synflorix are vaccines offered by the state for free to prevent bacterial pneumococc­al disease (which, among other things, causes meningitis). But there is also another strain of bacterial meningitis called meningococ­cal disease that causes a very aggressive form of meningitis that is often deadly before it has been even been diagnosed.

FACING YOUR FEARS

It’s only natural that as a parent you want to know what possible side effects your baby could suffer from vaccinatio­ns, but all the experts consulted in this piece agree that vaccines are rigorously tested and safe to use. Dr Suchard says the mild side effects that can occur include fever, redness, some swelling at the vaccine site and a bit of tenderness. “These are all signs that there has been an immune response and the vaccine is working,” she says.

Thanks to improvemen­ts that are regularly made to vaccines, Sr Ingrid has noticed babies in her clinic have suffered fewer side effects in the past two years. “It’s very unlikely now that your baby will be unhappy or a bit feverish after a vaccine, where in the past it was common,” she says. YB

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