AUGUST IS NATIONAL IMMUNIZATION MONTH

Wednesday, September 13, 2017

Recognizing National Immunization Awareness Month (NIAM)

National Immunization Awareness Month (NIAM) is an annual observance held in August to highlight the importance of vaccination for people of all ages. NIAM was established to encourage people of all ages to make sure they are up to date on the vaccines recommended for them. Communities have continued to use the month each year to raise awareness about the important role vaccines play in preventing serious, sometimes deadly, diseases.

 Vaccination schedule

Example Polish call for vaccination against Diphtheria and Tetanus .

A vaccination schedule is a series of vaccinations, including the timing of all doses, which may be either recommended or compulsory, depending on the country of residence. This topic can cause much controversy over whether or not it could impact health after dosage at an early age.

vaccine is an antigenic preparation used to produce active immunity to a disease, in order to prevent or reduce the effects of infection by any natural or "wild" pathogen.  Many vaccines require multiple doses for maximum effectiveness, either to produce sufficient initial immune response or to boost response that fades over time.

For example, tetanus vaccine boosters are often recommended every 10 years.[2]Vaccine schedules are developed by governmental agencies or physicians groups to achieve maximum effectiveness using required and recommended vaccines for a locality while minimizing the number of health care system interactions. Over the past two decades, the recommended vaccination schedule has grown rapidly and become more complicated as many new vaccines have been developed.

Some vaccines are recommended only in certain areas (countries, sub national areas, or at-risk populations) where a disease is common. For instance, yellow fever vaccination is on the routine vaccine schedule of French Guiana, is recommended in certain regions of Brazil but in the United States is only given to travelers heading to countries with a history of the disease.  In developing countries, vaccine recommendations also take into account the level of health care access, the cost of vaccines and issues with vaccine availability and storage.

Sample vaccination schedules discussed by the World Health Organization show a developed country using a schedule which extends over the first five years of a child's life and uses vaccines which cost over $700 including administration costs while a developing country uses a schedule providing vaccines in the first 9 months of life and costing only $25.[5] This difference is due to the lower cost of health care, the lower cost of many vaccines provided to developing nations, and that more expensive vaccines, often for less common diseases, are not utilized.

In 1900, the smallpox vaccine was the only one administered to children. By the early 1950s, children routinely received three vaccines, for protection against diphtheriapertussis,  tetanus and smallpox, and as many as five shots by two years of age.  

The use of combination vaccine products means that, as of 2013, the United Kingdom's immunization program consists of 9 injections by the age of two, rather than 22 if vaccination for each disease was given as a separate injection.

Immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or disease.

Immunization is a proven tool for controlling and eliminating life-threatening infectious diseases and is estimated to avert between 2 and 3 million deaths each year.

It is one of the most cost-effective health investments, with proven strategies that make it accessible to even the most hard-to-reach and vulnerable populations. It has clearly defined target groups; it can be delivered effectively through outreach activities; and vaccination does not require any major lifestyle change.

Immunization helps prevent dangerous and sometimes deadly diseases. To stay protected against serious illnesses like the flu, measles, and pneumonia, adults need to get their shots – just like kids do.

National Immunization Awareness Month is a great time to promote vaccines and remind family, friends, and co-workers to stay up to date on their shots.

How can National Immunization Awareness Month make a difference

We can all use this month to raise awareness about vaccines and share strategies to increase immunization rates with our community.

Here are just a few ideas:

· Talk to friends and family members about how vaccines aren’t just for kids. People of all ages can get shots to protect them from serious diseases.

· Encourage people in your community to get the flu vaccine every year.

· Invite a doctor or nurse to speak to parents about why it’s important for all kids to get vaccinated.

How can I help spread the word

We’ve made it easier for you to make a difference! This toolkit is full of ideas to help you take action today. For example:

· Add information about immunizations to your newsletter.

· Tweet about National Immunization Awareness Month.

· Host a community event where families can get together and learn about immunizations.

· Add this Web badge to your website, blog, or social networking profile

Immunisation protects children (and adults) against harmful infections before they come into contact with them in the community.

Immunisation uses the body’s natural defence mechanism - the immune response - to build resistance to specific infections. Nine diseases can be prevented by routine childhood immunisation - diphtheria, tetanus, whooping cough, poliomyelitis (polio), measles, mumps, rubella, Haemophilus influenzae type b (Hib) and hepatitis B. All of these diseases can cause serious complications and sometimes death.

Immunisation is given as an injection or, in the case of polio vaccine, taken as drops by mouth. Immunisation helps children stay healthy by preventing serious infections.

Immunisation and vaccination

Technically ‘vaccination’ is the term used forgiving a vaccine - that is, actually getting the injection or swallowing the drops. ‘Immunisation ‘is the term used for the process of both getting the vaccine and becoming immune to the disease as a result of the vaccine. Most people use the terms ‘vaccination’ and ‘immunisation’ interchangeably but their meanings are not exactly the same because immunity follows vaccination in most, but not all, cases. For the purposes of this book, we have always used the term ‘immunisation’ because this is the expression most commonly used in the community.

How does immunisation work

All forms of immunisation work in the same way. When someone is injected with, or swallows, a vaccine, their body produces an immune response in the same way it would follow exposure to a disease but without the person getting the disease. If the person comes in contact with the disease in the future, the body is able to make an immune response fast enough to prevent the person getting sick.

What is in vaccines

Some vaccines contain a very small dose of a live, but weakened form of a virus. Some vaccines contain a very small dose of killed bacteria or small parts of bacteria, and other vaccines contain a small dose of a modified toxin produced by bacteria. Vaccines may also contain either a small amount of preservative or a small amount of an antibiotic to preserve the vaccine. Some vaccines may also contain a small amount of an aluminium salt which helps produce a better immune response.

How long do immunisations take to work

In general, the normal immune response takes several weeks to work. This means protection from an infection will not occur immediately after immunisation. Most immunisations need to be given several times to build long lasting protection. A child who has been given only one or two doses of diphtheria-tetanus-pertussis vaccine (DTPa) is only partially protected against diphtheria, peruses (whooping cough) and tetanus, and may become sick if exposed to these diseases. How long do immunisations last? The protective effect of immunisations is not always life-long. Some, like tetanus vaccine, can last up to 30 years, after this time a booster dose may be given. Some immunisations, such as whooping cough, give protection for about five years after a full course.

Is everyone protected from disease by immunisation

Even when all the doses of a vaccine have been given, not everyone is protected against the disease. Measles, mumps, rubella, tetanus, polio and Hib vaccines protect more than 95% of children who have completed the course. Three doses of whooping cough vaccine protects about 85% of children who have been immunised, and will reduce the severity of the disease in the other 15% of children (who have also been immunised), if they do catch whooping cough. Booster doses are needed because immunity decreases over time. Three doses of hepatitis B vaccine protect over 95% of children.

Why do children get so many immunisations

A number of immunisations are required in the first few years of a child’s life to protect the child against the most serious infections of childhood. The immune system in young children does not work as well as the immune system in older children and adults, because it is still immature.

Therefore more doses of the vaccine are needed. In the first months of life, a baby is protected from most infections by antibodies from her or his mother which are transferred to the baby during pregnancy. When these antibodies wear off, the baby is at risk of serious infections and so the first immunisations are given before these antibodies have gone.

What are the side effects of immunisation

Common side effects of immunisation are redness and soreness at the site of injections and mild fever. While these symptoms may concern you and upset your child at the time, the benefit of immunisation is protection from the disease. Paracetamol might be required to help ease the fever and soreness. For more information, refer to Common side effects of immunisation and what to do about them. Other side effects are very rare but if they do occur, a doctor should be consulted immediately.

Why should I have my child immunised?

There are two reasons for immunising everyone in Australia:

1. Immunisation is the safest and most effective way of giving protection against the disease. After immunisation, your child is far less likely to catch the disease if there are cases in the community. The benefit of protection against the disease far outweighs the very small risks of immunisation.

2.If enough people in the community are immunised, the infection can no longer be spread from person to person and the disease dies out altogether. This is how smallpox was eliminated from the world, and polio has disappeared from many countries.

Passive and active immunization

Medical student participating in a polio vaccine campaign in Mexico

Immunization can be achieved in an active or passive manner: vaccination is an active form of immunization.

Active immunization

Active immunization can occur naturally when a person comes in contact with, for example, a microbe. The immune system will eventually create antibodies and other defences against the microbe. The next time, the immune response against this microbe can be very efficient; this is the case in many of the childhood infections that a person only contracts once, but then is immune.

Artificial active immunization is where the microbe, or parts of it, are injected into the person before they are able to take it in naturally. If whole, they are pre-treated.

The importance of immunization is so great that the American Centers for Disease Control and Prevention has named it one of the “Ten Great Public Health Achievements in the 20th Century”. Live attenuated vaccines have decreased pathogen city. Their effectiveness depends on the immune systems ability to replicate and elicits a response similar to natural infection. It is usually effective with a single dose. Examples of live, attenuated vaccines include measles, mumps, rubella, MMR, yellow fever, vermicelli, rotavirus, and influenza (LAIV).

Passive immunization

Passive immunization is where pre-synthesized elements of the immune system are transferred to a person so that the body does not need to produce these elements itself. Currently, antibodies can be used for passive immunization. This method of immunization begins to work very quickly, but it is short lasting, because the antibodies are naturally broken down, and if there are no B cells to produce more antibodies, they will disappear.

Passive immunization occurs physiologically, when antibodies are transferred from mother to foetus during pregnancy, to protect the foetus before and shortly after birth.

Artificial passive immunization is normally administered by injection and is used if there has been a recent outbreak of a particular disease or as an emergency treatment for toxicity, as in for tetanus. The antibodies can be produced in animals, called “serum therapy,” although there is a high chance of anaphylactic shock because of immunity against animal serum itself. Thus, humanized antibodies produced in vitro by cell culture are used instead if available.

For further information Ministry of Heath Immunization Department, email to azadsehhassanmd10@gmail, text to 002207774469/3774469.

Author DR AZADEH Senior Lecturer at the University of the Gambia, Senior Consultant in Obstetrics& Gynaecology, Clinical Director Medicare Clinic

Source: Picture: Dr Azadeh