The routine immunization program for children in the State of Israel is a great program!
It includes important and no less significant vaccines – at important times.
I have no objections to the vaccines given routinely.
However, times have changed, and new data has been collected, so I think there is room to consider slightly different dates In part From the vaccines (in two actually).
I will share with the parents / readers the gigi. I hope that some of the decision makers in the State of Israel will also find it appropriate to address these tips in the hope of bringing about immune coverage for our children that is even better than the existing one.
I will emphasize that the recommendations I will write here do not in any way detract from the recommendations of the Ministry of Health, but only add to them.
In addition, parents who are convinced that my recommendations are worthy, can of course vaccinate the children according to the dates I mentioned.
In fact my proposal is different because of the time I think it is right to vaccinate a total of two vaccines.
Square (measles / mumps / rubella / chickenpox) – As mentioned, the first dose is given at the age of one year and the second in first grade.
The role of the second dose is to produce a vaccine in those who have not responded to the first dose (a low percentage of cases) and it can be given safely as early as a month after the first dose. Many western countries in the world have realized that there is no point in waiting over 5 years between the two doses and therefore routinely give the second dose around the age of 3 or 4. The current outbreak of measles underscored the importance of bringing the second dose forward because one way or another many parents chose to bring this dose ahead of first grade.
So what is the right time to vaccinate (actually precede) the second dose? For my taste, up to the age of two, combined with one of the additional sessions in tipat halav (one and a half years or two).
Anecdote, I vaccinated my children in the second dose even before first grade, which is by the same logic but because of the many cases of chickenpox I have seen in preschoolers who have only been vaccinated with one dose. Therefore, early vaccination will not only protect children better from measles (when it is clear that the last outbreak has been stopped) but also from chickenpox.
A problem that will arise from the introduction of the second dose is practical at the level of who will be treated? After all, tipat halav will not take on another vaccine that is routinely given at the expense of someone else in first grade. Therefore, an appropriate decision and budgeting of policy makers on this issue is required.
But if for some reason the parents have the opportunity to get ahead, then my recommendation is to go for it.
Another advantage is that according to my suggestion, first graders will not have to be vaccinated with this vaccine and there may be room to consider giving them another vaccine according to the following suggestion …
Impulse dose of pertussis / diphtheria / tetanus and polio – As stated, the first series of this vaccine (plus type B hemophilus) is given in four doses up to and including one year of age. The impulse dose is currently given in the second grade (ages 7-8 years). However, new information from recent years has shown that the new vaccine (called a cellular vaccine) for whooping cough does not last as expected, certainly not over 5 years (the seemingly minimal time difference between one year and second grade).
Thus, there are many cases of whooping cough mainly in compulsory kindergarten children, first grade or early second grade (supposedly until the time the children are vaccinated with the booster dose in second grade).
Work on the loss of antibodies to whooping cough has also been summed up On this site , And its conclusions were that most cases of whooping cough occurred, due to the high numbers law, in children who were vaccinated as required for whooping cough.
Therefore, my recommendation is in the first stage to advance the vaccine dose in question to first grade instead of second grade.
I am aware of the fact that this will probably prevent only those cases that pediatricians see today in children in first grade and early second grade, and will not prevent the cases of whooping cough that we see in compulsory kindergarten and the like. But this is an important part and should start somewhere.
Reminiscent of the next whooping cough dose (impulse dose of pertussis / diphtheria / tetanus vaccine) is given in the State of Israel in the eighth grade, aged 13-14 years. If my proposal for advancing the second grade vaccine to first grade is accepted, it would be appropriate to consider also advancing the eighth grade vaccine to the seventh grade so that there is a time interval of no more than six years between the doses.
What happens in recruitment around the age of 18? – Soldiers receive another boost that includes only diphtheria and tetanus without whooping cough …
There is no doubt that, regardless of my proposal, the IDF should also be vaccinated against pertussis in the same dose in order to reduce the incidence of illness in soldiers. But about that in another post.
So in conclusion, 2 gentle modifications to the vaccination program that I recommend to the Ministry of Health (and especially to parents because that is my mandate) to do.
- Introduction to the measles / mumps / rubella vaccine.
- Introduction of the vaccine for whooping cough / diphtheria / tetanus / hemophilus to first grade instead of second grade and accordingly to seventh grade from eighth grade.
Good luck and I would love your opinion.