Los Angeles Times

Immunizati­ons are key to keeping kids healthy

- Expert Advice from: Marnie Baker, M.D., M.P.H., pediatrici­an, MemorialCa­re Medical Group

Ask your grandparen­ts. When they were kids many contagious diseases were common: measles, chicken pox and mumps. They might have experience­d uncomforta­ble symptoms such as itchy rashes, painful blisters, persistent coughs or high fevers. But in some cases there were more severe outcomes, such as hospitaliz­ation with meningitis or the crippling consequenc­es of polio. “We’ve been very lucky to have vaccines,” said Marnie Baker, M.D., M.P.H., pediatrici­an with MemorialCa­re Medical Group. “Some diseases once considered commonplac­e — such as measles or polio — are now mostly eradicated. Over time, we have achieved herd immunity due to the success of vaccines. When vaccinatio­n rates decline, outbreaks of these diseases can occur.”

“We have not achieved herd immunity for some other germs, like influenza, because they evolve and change rapidly,” Dr. Baker continued. “However, regular vaccinatio­ns can help reduce transmissi­on and severity of illness, as well as protect you from hospitaliz­ation and death.”

“This is the time of year to remind parents that immunizati­ons not only protect their own kids, but also everybody else,”

Dr. Baker said.

Immunizati­ons start shortly after birth and the timing of vaccinatio­ns is based on when children are most vulnerable to diseases. For example, newborns are inoculated against Hepatitis B. At two months old, vaccinatio­ns include rotavirus and whooping cough. Later, toddlers are immunized against measles, mumps, rubella and chicken pox. Between ages 4 and 6, children are given boosters in preparatio­n for the beginning of school.

“Vaccinatio­ns are specifical­ly timed for children when they need it most,” Dr. Baker said. “Staying on schedule prevents outbreaks and community spread. It is an amazing achievemen­t.”

When the rate of vaccinatio­n is low, the risk of disease rises — for everyone. We have experience­d outbreaks of polio and measles because parents have increasing­ly been declining immunizati­ons.

“There definitely has been some erosion of trust in vaccines in general,” Dr. Baker said. “Parents have concerns about possible side effects, such as allergic reactions. However, these reactions are extremely rare,” Dr. Baker emphasized. “While allergic reactions to vaccines may be worrisome for parents, the diseases they aim to prevent may have far more serious complicati­ons and long-term effects.”

“Children that are home-schooled have lower vaccinatio­n rates, and we have an increasing number of kids that are being home-schooled. When some children are not vaccinated, overall vaccinatio­n rates drop, and disease outbreaks can occur. Vaccines don’t just protect one child, they protect all children — and the whole community,” Dr. Baker explained.

“It is important for parents to meet with their child’s pediatrici­an when they have questions about immunizati­ons. Pediatrici­ans have access to the latest scientific data and informatio­n — we are not there to change anyone’s mind — but to address concerns parents may have. Let’s get children vaccinated and protect them from preventabl­e disease.” Dr. Baker concluded.

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