Saturday, October 30, 2010

lil Thumper's final alternative newborn vaccine schedule

Here's Thumper's final vaccine schedule, along with brand names and notes. I will update it as we go. I'm very happy with my schedule as I've had several months to really think about vaccines, what risks I'm willing to live with, and coming to the understanding that the schedule needs to fit my lifestyle.

Remember, you have to get your vaccines at least one month before hand to build up that immunity before you do your traveling. Not a requirement. But good idea.

BirthHepBDidn't do the research so just got it cuz they offered.
2 monthsDTaP (Deptacel)

3 months

Caught a nasty chest cold. Worried mommy endlessly.
4 monthsDTaP (Deptacel)

6 months

Caught a really bad head cold. Mommy worries about ear infection. And skips the vaccination.
7 monthsPc (Prevnar)Skips the final shot of DTaP since starting summer travel and opt for Pc instead since will encounter lots of people.
8 months

Yosemite trip.
9 monthsPc (Prevnar)Decided with Pc instead since liklihood of whooping cough lower than Pc as we're not going to daycare. This way, we're up to 90% on both vaccines before we take that cruise.
10 months

11 months

Starting shared nanny. Since the other kid doing regular vaccination, it'll allow me to continue with my alternate schedule.
12 monthsDTaP (Deptacel)
Mobile stage requires that I finish her T shots. Skipping chicken pox and MMR while I catch up on other shots.
14 or 15 monthsPc (Prevnar)Since 3rd dose is > 12 months, we only need 3 instead of 4! If we go back to Taiwan, I'll move this up to 13 or 14 months since antibiotic resistant strains come out of Asia.
16 monthPolio #1

17 monthPolio #2

20.5 monthHIB (ActHIB)Only need one shot. More reasoning here

2.5 yearsEveryone catches a month-long cold with nasty cough. My research said DTaP efficacy rate after 3 doses is about same as 4. But I worried nevertheless and got her tested just to make sure it wasn't pertussis. Even though gut feeling said it wasn't, it was still good to make sure.
3 yearsMMRHappy with my decision to delay till 3. We had a very small circle of vaccinated children as friends, are not going to preschool, and don't go out to places w/ lots of other kids much. But at 3 years, our social life is expanding so it's perfect timing.
4+ yearsDTaP #4, Polio #3, MMR #2The Swiss trials says 3 doses of DTaP vs 4 have about the same efficacy rate. So I'll wait till 4+ to get the 4th shot instead of getting 5 shots total.

Still need:

  1. Chickenbox - torn about this one
  2. HepB - need to finish the series
  3. HepA
  4. Meningoccocal

Friday, October 29, 2010

New pneumococca PC vaccine (PCV 13)

We're planning to travel to Taiwan in either December this year or March next year. I spent several hours this morning looking at Taiwan's CDC website. I looked at the vaccine schedule in Taiwan and tracked down vaccine and disease info in Taiwan to try and figure out if we need to get those vaccines. My eyes are crossing now, but at least I've got Astroboy's vaccine schedule down. In addition, we're going to add a vaccine to Thumper's schedule.

Some of the vaccines I was looking at are Japanese encephalitis, BCG, HepA, HepB, and PCV. After hours of reading, I decided to just get the PCV.

BCG is recommended by Taiwan CDC. It's a vaccine for tuberculosis. I was relieved to learn that if you're not going to travel to remote villages and stay in Taiwan for a long time, you can skip the Japanese encephalitis, BGC and HepA vaccines. Also learned that HepB really is transmitted via blood and sex. There's a higher rate of infection in Taiwan (10-15%) than US (0.5%?) but it's mostly because it was passed through babies. Since they've started vaccination program for HepB, that rate has gone down. So I don't need to worry about it as much.

As for PCV, apparently the PCV 13 vaccine just came out this year, replacing the PCV 7 vaccine. One of the strains it protects against is A19. In my googling, I found news report of kids dying from A19 strain in Taiwan. A lot of these strains are immune to antibiotics in East and Southeast Asia due to the prevalent use of antibiotics. And transmission season is in the fall/winter. So we're definitely getting this vaccine for both kids before we go back.

Astroyboy definite has a more aggressive vaccine schedule compared to Thumper due to our travel schedule and outbreak of pertussis in California. His schedule for the next 6 months are:

  • 2 Month - DTaP
  • 3 Month - Pc
  • 4 Month - DTaP
  • 5 Month - Pc
  • 6 Month - Pc (month before we leave for Taiwan)

I will have to decide what to do about the rest of the vaccine after we come back from our trip.

Tuesday, September 14, 2010

Astroboy's newborn vaccine schedule

With a second kid, it's time to revisit the vaccine schedule to see what vaccines we're going to get. I think we're probably going to do it a bit differently this time because we have a sibling who gets exposed to all sorts of stuff and we now have a busier social life with playdates and other exposures to kids. Plus, we live in an area where there are lower vaccination rates for many of the diseases.

I havn't quite decided on what the schedule is going to be yet. But for sure, first up is the DTap. Don't actually think we're going to be exposed to it ourselves because the children we hang out with day to day are already vaccinated. But since Thumper will be exposed to preschool children soon, I'm going to just follow the 2/4/6 months schedule on this one.

In between 2/4/6 months, we probably will get one more vaccine because we're traveling overseas. I havn't quite decided which one yet. We skipped the Rotavirus the first time around. But the country we're visiting doesn't give out Rotavirus vaccine so I'm kind of worried; especially because it's a very densely populated country. Another option is HiB or Pc. I have heard that Pc is pretty prevalent there and this is the area where newer strains not covered by the vaccine are endemic. I need to go to the US State Travel advisory website to read up on it and also the country we're visiting's own website to see what vaccines they give to children.

More research to do!

Saturday, June 12, 2010

potty training post #3, nap & night diaper training

Thumper is now completely potty trained at 2.5 years. I'm so very happy! The kids around her aren't quite yet so I can see that sometimes it's biological. Because apparently she just has a large bladder and can hold her pee from the time she sleeps till morning, which is usually 10-12 hours.

Between 2 and 2.5, Thumper was already dry during day nap and 25% dry during night nap. But we'd still put her in training pants because we were a bit lazy. That and the fact that I couldn't find the time to buy my supplies. I needed to buy some waterproof bedsheets and chocolate cover raisins. But we were getting ready for it by restricting liquid intake at night and drinking at most half a glass of milk or just have her drink soup I cook.

Finally, around 2.5, I decided to get my act together. All the stories I've been reading and people I know successfully train their kids around 2.5 or so and I knew for sure Thumper was ready by then.

So on the day I finally found the raisins, we offered Thumper one to sample. (she normally doesn't eat chocolate). She loved it. We told her that if she didn't pee in her bed, we'd give her one when she woke up.

And the next morning, she did! Granted, she woke up at 7:30 or so instead of her normal 8:30. This actually makes sense to me because I know she doesn't pee in her sleep but rather wakes up in the morning for a bit before going back to sleep and I'd suspected that's when she pees.

For the next few days, she woke up earlier and earlier, sometimes as early as 6:30AM! That was kind of hard on us, esp because she doesn't really go back to sleep. And she had accidents twice. We kept to our promise and didn't give her any chocolate covered raisins during those days.

Because I didn't want to get up early, I finally gave in to the waking her up before we go to sleep (around 11PM) to pee method. I don't like this method because my mom did it to us and I feel that that's why I still wake up in the middle of the night right now.

But the method did work for a few days. Until one night when we'd put her to bed too late (10PM) and woke her up at 11PM to pee. Because she was in her first deep sleep period, she DID NOT like being woken up and she cried hysterically for 15 minutes.

Needless to say, we gave up after that. I think she had one more accident but other than that she's been fine. I think it just took awhile for a bladder to adjust. She wakes up at her normal time now and pees prodigiously.

The whole thing took maybe 2-3 weeks? 2 weeks of waking up early and some accidents. 2-3 days of waking her up at 11PM and then we were home free.