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How do vaccines affect your child’s immune system? #YourCareQuotient

By Dr.Amrita Basu(MBBS,MS) on May 5, 2020 21

Have you ever wondered how vaccines affect your child’s immune system?

Your child’s body has an army of cells, proteins, and a whole chemical battalion to fight germs. But it needs training. Infants and children have developing immune systems not strong enough to fight against the bad world of germs. The type of germs depends on the part of the world you live in.

Want a vaccination guide?

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Health of the Nation Report — Apollo Pro Health

How do vaccines protect your child ? #YourCareQuotient

You as a mother protect your child too. It’s called natural passive immunity, and you transfer antibodies to your child at birth, through colostrum and breastfeeding. Like in whooping cough( Pertussis) and Rubella. But the strength of protection falls with time. [1]

Some infections children get while growing up. The disease or getting vaccinated are the two ways of acquiring Adaptive immunity against a virus or bacteria.

There are several types of vaccines. the commonest are:

A vaccine with live attenuated pathogen ,like mumps measles chickenpox. The virus in these cases is weakened in a lab. This type of vaccination will produce both types of immunity, cellular, and antibody-mediated.
An inactivated vaccine like the Influenza shot containing a more stable but less immunogenic reaction need boosters.
A vaccine with protein is a Toxoid Example: Diphtheria, Tetanus. This inactivated bacterial toxin used to activate immunity and provide protection.

This is what happens when your child gets a vaccine shot

Your child gets the shot.

Then white blood cell picks it up.

They identify the structure of this invader germ. Then they process it .

After processing the antigen is presented it to the right type of T cell depending on whether its a virus or bacteria/parasite.

This triggers cell-mediated immunity or antibody-mediated immunity.

Then they form Memory cells which remember and teach other white blood cells about this germ

They also create protein molecules called Immunoglobulins that can help capture the live bug if it dares come near your child and inactivate it.

Listen to the podcast:How Vaccines work.

In Conclusion

Vaccines help in boosting the child’s immune system against germs. The best protection is a good defence. That’s how vaccine affect your child’s immunity.

How much do you understand your child when it comes to sleep patterns, feeding, and vaccination? Take the easy, interactive quiz that guides you and get the childcare guide now.

References

1.Centers for Disease Control and Prevention. 2009. Immunity Types. [Last cited on 2009 Dec 20]. Available from: http://www.cdc.gov/vaccines/vac-gen/immunity-types.htm .

2.Fundamentals of Vaccine Immunology Angela S Clem

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3068582/

3 Goldsby RA, Kindt TJ, Osborne BA, Kuby J. New York: Freeman. 2003 [Google Scholar]

4.The Merck Manuals Online Medical Library. 2008. Components of the Immune System. [Last cited on 2009 Nov 26]. Available from: http://www.merck.com/mmpe/sec13/ch163/ch163b.html

5.Harrison Text book of Internal Medicine

6.Nelson Text Book of Pediatrics

Just 4 Important Truths You Must Know before going for the Less-painful Vaccine(with video)

By Dr.Amrita Basu(MBBS,MS) on April 10, 2020 7

Preventive medicine and the role of immunization are immense to keep children safe. So it’s important to always check the authenticity and avoid misconceptions.

Therefore, I decided to write about the less-painful vaccine.

Many parents think there are special procedures or facilities to make vaccination less painful for children. While your doctor will always give you tips to make your child comfortable during and after vaccination, you must know this.

Injections given with expertise can reduce pain. But the needle prick is not entirely painless.
Dr.Amrita Basu
healthwealthbridge.com

So, what is the talk about the less painful vaccine?

One -The less-painful vaccine is an option only for DPT/DTwP or DTaP based combination vaccines, but not other vaccines.

The whole-cell Pertussis (Bordetella Pertussis) containing DPT is often called a painful vaccine or DPT. The less painful vaccine, also known as DTaP with acellular Pertussis vaccine. It is the nature of the P or Pertussis component, which makes it less painful.

Pertussis (whooping cough), the P component of DPT /DTaP, is an infectious disease and a significant cause of infant disease and death. It is still a public health concern even after high vaccination coverage.

In infants and children less than five years worldwide, it is an important preventable cause of death. Since both types of vaccines give good coverage in the age group (who are susceptible), WHO stresses on discretion in choosing the vaccine. So it’s a conversation you will need to start with your Paediatrician before starting the primary immunization schedule.

But why does it even matter? The confusion parents feel while choosing for their little ones is common across the globe. You want the best.

This is why you must understand the critical aim of Pertussis vaccination. It is to decrease the risk of severe Pertussis in infants and young children. All children worldwide, including HIV-positive individuals, should be immunized against Pertussis. You can’t do away with the P part of the vaccine!

Two -Always Vaccinate your child as recommended

Vaccination coverage is most important to protect children. You must do it on time and complete it too. This is something everyone agrees on. The coverage should in no way be hampered. Every country tries to achieve early and timely immunization. Universal immunization (vaccination for all) is a must to protect your children, improve community coverage, and also protect future generations.

Remember: What you decide today has a long-term effect.

Three-Efficacy of the less painful vaccine

Now this one was tricky. The decision was about efficacy as well as acceptability. As an adult, you can be brave, but still you want medicines and vaccines to work.

WHO, IAP, AAP recommendations about the less painful vaccine

IAP mentions this German study about the 88.7% efficacy rate [1] of painless acellular vaccine for Pertussis and reading this, I took to heart. Even though the painful vaccine is recommended in terms of long-term efficacy, even more, important is the coverage of immunization in infancy and childhood when the risk of Pertussis is highest.

In fact, in the early years of life, the protection is found to be similar. The immunity decreases faster with the acellular or less painful vaccine. [2,3,4]
In Government healthcare setup, NGOs the whole-cell vaccine is often given for free. In a private set up, parents may reduce discomfort as well as provide adequate protection.

Acellular vaccine or less painful vaccine is comparatively less immunogenic. But it also causes less reaction; this is more acceptable to many parents. Over a 6 to 12 years period, the immunogenicity has been seen to be lowered in developed nations. But WHO recommends that we continue vaccination for complete vaccination coverage first.
Either type of vaccines needs to be used for primary immunization 3 doses [5,6]

Given the anxiety related to the whole-cell vaccine and the popularity of combination vaccination, the less painful vaccine can be used even in the primary series.

The exact efficacy and immunogenicity have more reviews going on. Additional boosters and vaccination of mothers can also be done is what WHO says.

Four-Talk to your Paediatrician for a personalized recommendation

Now my husband is the person who is my child’s Paediatrician too. But we discuss a lot about the pros and cons of every health decision as a family. You should consult your own doctor before making any decision regarding immunization. It’s important your child gets vaccinated with what is available and the final decision rests with the parent.

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References:

1) Schmitt HAJ, von König CH, Neisse A, Bogaerts H, Bock HL,
Schulte-Wissermann H, et al. Efficacy of acellular pertussis
vaccine in early childhood after household exposure. JAMA.
1996;275:37-41.

Winter K, Harriman K, Zipprich J, Schechter R, Talarico J,
Watt J, et al. California pertussis epidemic, 2010. J Pediatr.
2012;161:1091-6.
Centers for Disease Control and Prevention (CDC).
Pertussis epidemic—Washington, 2012. Morb Mortal
Wkly Rep. 2012;61:517-22.
Pertussis vaccines: WHO Position Paper – August 2015
No. 35. World Health Organization. Weekly
Epidemiological Record. 2015;90:433-60.
5) World Health Organization. Pertussis Vaccine Evidence to
Recommendations (WHO). Available from: http://
www.who.int/immunization/position_papers/Pertussis
GradeTable3.pdf. Accessed November 6, 2018.
6) WHO Position paper on Pertusis Vaccine, 2005. World
Health Organization. Weekly Epidemiological Record.
2005;4:29-40.

CODE M Review: Entertainment in times of #Lockdown

By Dr.Amrita Basu(MBBS,MS) on March 27, 2020 2

If you are staying home and staying safe, I will be sharing something or other with you every day. That’s what I said and that’s what I will do.But the problem is in distressing times, we need entertainment which de-stresses. For me, that’s watching thrillers or reading thrillers.

Code M on ZEE5 is a Hindi Web series I watched. It also has Tamil and Telugu versions. It stars Jennifer Winget, Rajat Kapoor, and Tanuj Varwani. This is incidentally Jennifer Winget’s digital debut as Monica Mehra. The plot is about a terrorist encounter where Army Lawyer Monica Mehra is given the case of the unfortunate death of Major Ajay, during a terrorist encounter.

I liked the idea of an Army lawyer looking for the truth about an encounter. Rajat Kapoor as her superior gives it the right dose of seriousness and stops it from becoming chick flickish. After a tip-off from a source a group of Army men reach a suspected terrorist den. There is firing from both sides and during the event two of the alleged terrorists and one army officer, Major Ajay dies. The problem for the army starts when the terrorist’s mother self-emolliates and the media goes crazy trying to find the truth . Among the allegations and counter-allegations, its Monica Mehra who must find the truth.

While initially the mystery looks straight forward, she uncovers discrepancies in narratives. Major Ajay was going to be Rajat Kapoor’s son in law. This unfortunate turn of events made the encounter personal too. The public perception of a fake encounter made the investigation tricky and Monica’s job difficult. But she peels off layers from the mystery during the investigation. Monica realizes during her investigation, that no one really wants her to find out what happened and the truth is not what it seems.

As she famously says

There are three version of an event

Mine

Yours

What really happened .

The truth is different,depending on who is the narrator .It’s a plot with plenty of twists and turns and action to keep you on the edge . Jennifer Winget is a favourite and she looks good ,strong and means business.

What I adored in Code M

Jennifer Winget in the action scenes.
How the plot unravels .
The mystery itself.

What really works for me

Jennifer Winget
Jennifer Winget
Jennifer Winger

I said Jennifer Winget three times because I like her work; a lot. She is the USP behind this binge worthy ZEE5 show.

What needs more work ?

A racier plot.
The background score needs work.
A little tighter editing

Where to watch ?

On ZEE5.

Production by Juggernaut Productions for ALT Balaji and ZEE5. The series stars Jennifer Winget, Tanuj Virwani and Rajat Kapoor.

Who is it for?

If you have always like thrillers, you can definitely watch this show.

If you like strong women as central characters in thrillers, then this series will not disappoint.

If you look watching Army mysteries.

Plus if you are a Jennifer Winget fan like me, you will enjoy watching the show.

Disclaimer: The review for ZEE 5 show is based on the first few episodes.

How to Stay Home (during New Corona Virus threat) under Home Quarantine #StayHome #LockdownIndia

By Dr.Amrita Basu(MBBS,MS) on March 26, 2020 33

The New Coronavirus health care problem is a battle none of us saw coming when 2020 celebrations were happening. Except, maybe China. They probably knew or guessed.

15 to 20% of the common cold is caused by different types of Coronavirus, this new Coronavirus / COVID 19 / Wuhan virus whatever you call it, COVID19 is no rose. It’s a plot straight from the medical thriller that Robin Cook would be proud of. But the reality is often wilder than fiction, and now we need to get ready to fight this battle the right way.

Here are a few precautions that can aid us during this critical time: #StayHome #LockdownIndia

If you go outside for supplies, wear a mask. If you don’t have the right kind, make your own.
Remember you need an N95 mask for adequate protection against this virus. But other masks will at least stop you from instilling it from a surface onto your nose or face or eyes.
When you come back home, wash your hands, and spectacles. Disinfect your wallet phone cover, phone, and belt bag with sanitizer
Take a warm water bath with soap and water and then wear fresh clothes before sitting anywhere at home after coming back.
Don’t enter the room with children or the elderly without cleaning up
Don’t sit here and there before you wash
Have a separate area for keeping your outside stuff like a tray or bucket before you have a chance to sanitize them.
Stay home as far as possible

At this time, when we are waiting to get the COVID 19 vaccine and effective treatment having the right health insurance covering Coronavirus treatment will be beneficial.

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You must know about the Coronavirus signs and symptoms which are covered by your health insurance, and for this, you can reach out to your own insurance provider to know more .

6 Myths about the Wuhan Coronavirus COVID19

It has nothing to do with China.

It was Wuhan in China, where it first started and they kept it a secret.

2. It’s going away when summer comes.

We can all hope for that, but there is no conclusive evidence for it.

3 Herd immunity will work.

Herd immunity will require many people to get infected, which means many people can lose their lives. It’s also not even sure that herd immunity will even work.

4 One person can infect only one person, and more people cannot be affected.

One person can infect one or many depending on his contacts and his virus load. It’s zoonotic, which started from an animal, and jumped to humans. We don’t know where it can jump again. Since it’s a new strain of virus showing high infectivity and ability to adapt, we need to be very careful.

5 Social distancing is stupid and doesn’t work.

Social distancing works by reducing the number of people a potentially infected person can infect. It works. That’s how China could reduce the caseload.

6 Home quarantine means I sit and chat with my family.

No, it means you stay in a separate room preferably one with a door which can be closed and which can be separated from the rest of the house

Use separate utensils.

Communicate at least with a 1-2 meter /3-4 feet distance. With speech cough sneeze we risk making droplets airborne which can travel horizontally 100cm and vertically 50 cm. No unnecessary chit-chat.In some studies , the distance covered by the virus seems to be more than 11feet.

Wear a mask if you are potentially in contact with an infected person or have traveled from a place with positive COVID19 cases in India or outside India.

If you are in home isolation as asymptomatic COVID 19 or recovering

The person must stay in a separate room with a separate bathroom facility.

Prevent your room’s door from being opened all the time.
You can research DIY sites, for creating a negative pressure room(this is not tested).
Wear the mask which you have. Dispose of it properly. Never touch the outer surface of the mask while wearing it.
Take care to wash your hand with soap and water frequently.
Medicines are being tested, prophylaxis is planned, and Vaccines are under trial. We need to sit tight, stay at home, and stay safe.

The utensils for food etc should be separate. He should always be wearing a mask during any interaction.

A distance of 11 feet (that’s the maximum, the aerosol can travel horizontally according to data) must be kept while talking to someone else.

Keep entertainment options in the room.

Only one person wearing gloves and mask will be a caregiver and occasional companion. The room should be well ventilated with preferably windows opening outwards. No interior windows.

Central AC is to be avoided.

Good cough hygiene, and hand hygiene to be maintained at all times.

Stay hydrated, and talk to a healthcare setup dedicated to COVID in your locality. Stay indoors. In case of difficulty breathing call the emergency number. All protocol of government needs to be strictly followed.

How you can help?

Coronavirus is causing havoc on the lungs and heart. The myocarditis and the failure of lung function are making survival difficult without a ventilator and an ICU setup.

The problem is for a highly infectious disease like this requires a negative pressure ICU.

We need responsible behavior from citizens. Without that, nothing will work.

For makeshift quarantine facilities and isolation ICU, you need sound HVAC systems, which will create a negative pressure room to avoid contamination and cross infection. If you are an engineer, you can help ideate about making quicker test kits, protective gear masks, negative pressure systems for isolation rooms and quarantine facilities, and portable ventilators. You could help the Government by staying at home too, donating, or sharing your ideas.

Staying Home during New Corona Virus and Health Insurance #StayHome #LockdownIndia

When did Stay Home or lockdown phase one officially start in India?

It started on 24th March 2020. Now it’s in its fourth phase as of May 19th, 2020. Officially the lockdown is being continued till 31st May 2020.

Why do you need to stay home according to the rules?

The stay home guidelines is to help you stay safe. It helps prevent the risk of community transmission. Sometimes younger people get affected and could unwittingly be the vehicle of spread, to more at-risk individuals like the elderly. Staying home keeps you and your loved one safe.

Know more about Health Insurance .

Insurance is a subject matter which is personal and should only be taken after full perusal of all information provided by the service provider. Healthwealthbridge and Dr.Amrita, doesn’t claim to be a financial expert and is only sharing her personal experience in this matter. All financial decisions should be taken after reading the offer document carefully.

“Better Sleep, Better Health, Better Planet” is a conversation we need to have now!

By Dr.Amrita Basu(MBBS,MS) on March 13, 2020 26

“Better sleep, Better Health, Better Planet” is a conversation we need to have now. This year, the World Sleep Day on the 13^th of March has this theme. But I have written about the need for good quality of uninterrupted deep sleep, duration, and its relation to the quality of life for a very long time.

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Even though you feel better after a good night’s rest, sleep is the first casualty in a busy life. You would rather give up on sleep than late-night coffees and the office dinner parties. The problem of sleep debt is real and it never goes away. Healthcare professionals suffer from chronic sleep debt. That’s probably the biggest reason why, conversations about eight hours of sleep, get lost in the wind.

Sometime back, I wrote a blog post about the five mistakes even smart doctors make about their health. Sleep deficit is one of the most common mistakes made by doctors. Worldwide, almost 45 % of people suffer from sleep problems and less than one-third seek help.

The truth is sleep is essential for your health.

It regenerates your brain, boosts your immunity, protects cardiovascular health, and makes life better. It also makes your planet better. When you sleep, you use fewer resources, less power, your body emits a lower amount of heat and carbon dioxide.

What about snoring and sleep?

Most people snore, right? Snoring is standard, right?

Many people snore a little when they have a stuffy nose due to a cold, but it’s unlikely that they snore all the time. Snoring is closely related to metabolic disorders like diabetes, hypertension and hyperlipidemia.

Stopping snoring is vital for good health.

Some people start snoring after they gain weight, and this results in the deterioration of their sleep quality. The first step to the management of snoring is a detailed history with an ENT surgeon who has experience with sleep problems. Your health history helps your doctor find out the missing links in your snoring health.

Then comes a test called Polysomnography, which helps us grade the snoring. This helps to see whether the snoring fits the criteria of obstructive sleep apnea/hypopnea syndrome. This is a condition wherein the snoring causes your brain to go into a state of oxygen deprivation several times a night.

If someone is diagnosed with OSAH, a full check-up is done to find out other coexisting conditions.

What is Obstructive Sleep Apnea/Hypopnea?

OSAH a severe condition where snoring causes your airway to close. This means all your cells and organs (including heart and brain) are deprived of oxygen.

The main problem is, you are often caught unaware. You don’t know whether you are having this problem. Your family and spouse are the best people to let you know. Then it would help if you visited your doctor. Your doctor will listen to your symptoms or clues and may ask you to do some tests.

Apnea: complete breath-holding for ten or more seconds.

Hypopnea: Partial breath-holding.

Symptoms of Sleep apnoea

Snoring
Fatigue
Witness breath holding
Gasping and choking
EDS
Fragmented sleep
Unrefreshing sleep
Reduced alertness
Poor quality of life in general
Mood changes
Nocturia

Statistics:

Health Survey in India showed a 22.0% of total population self-reported having Snoring Disorder.

OSAH is highest in the age group 50–59 (21.7%).

Males 14.8%

Sleep Apnea prevalence with other conditions

Drug-resistant hypertension 80%
Obesity 77%
Pacemakers 59%
Congestive heart failure 50%
Atrial fibrillation 50 %
Diabetes 50 % of sleep apnea leads to insulin resistance. Over 50% of type 2 diabetes patients have been shown to have sleep apnea
Other effects
Fatigue-related motor vehicle and work accidents
Decreased quality of life
Depression
Impotence
Hypertension 35%
Coronary artery disease 30%

When people sleep for eight hours a day, they not only improve their own health, increase their productivity but also help reduce their carbon footprint and make the world greener. There really is no excuse for you not to sleep for your health and the world.

What is the best practice if you find out you have sleep apnoea after testing?

Your doctor will give you holistic sleep management, which will address your immediate sleep quality with a device such as the CPAP machine, sleep aids like pillows

CPAP (Continuous Positive Airway Pressure) machines, manufactured by healthcare companies such as PHILIPS Respironics, is an effective treatment for sleep apnea. In the treatment, a CPAP machine is given to the patient for use. The CPAP machine is a special kind of device, with a humidifier and mask. This prevents the upper airway from getting obstructed during sleep. It will provide a gentle flow of air through the upper airway, allowing the patient to breathe freely while sleeping. The brain is not deprived of oxygen, and the overall health improves. The initiatives by healthcare companies like PHILIPS Respironics in providing meaningful solutions for sleep disorders is appreciated.

Reduce weight and other coexistent conditions
Manage surgically correctable issues if present
Sleep hygiene best practices to sleep well.

The important thing is the treatment will need immediate help and a long-term solution and your commitment to making it work. So, what are you doing to take care of your sleep? The free tool to help you live life to the fullest!

BETTER SLEEP ,better health and better planet is the need of the hour #WorldSleepDay — BETTER SLEEP, better health, and better planet is the need of the hour #WorldSleepDay

Better Sleep Better Health Better Planet #DontSleepOnIt

Everything you need to know about preservative-free vaccines

By Dr.Amrita Basu(MBBS,MS) on March 5, 2020 4

Everything you need to know about preservative-free vaccines can be a tough topic to discuss. But misinformation can cause a lot of confusion.

Key points

Infectious disease needs prevention as a best practice.

Avoid misinformation regarding vaccines and preservatives.

CDC has multiple resources to educate you about the type of preservatives in vaccines.

The single-dose preservative-free vaccine is now available for several infections , but multidose vials for community vaccination need preservatives to prevent contamination.

Prevention works

When it comes to infectious diseases, prevention is always better than cure. Vaccinations can be ranked as one of the most significant achievements of modern healthcare. However, there is a lot of misinformation about preservative-free vaccines in the market. Thimerosal is one of the most commonly used preservatives.

Several well-researched peer-reviewed articles have failed to find any correlation between thimerosal and childhood neuropsychiatric problems like autism.

I know this information about preservatives in vaccines because I am a Doctor. Yet, I had anxiety when I had to vaccinate my child. Every mother has doubts and wants the best for her child. I talked to my child’s Paediatrician to allay my fears.

Here’s what I found out about preservative-free vaccines, not just as a medical practitioner but as a mother as well.

One of the first questions I had was why preservatives were needed in vaccines. Well, when the vaccines are in multi-dose vials, preservatives are required to avoid the risk of contamination. Thimerosal is used commonly. There’s also phenol which is used as a preservative.

What you need to know about Preservative free vaccines

Now, thimerosal does sound very scary to the average person but it is easily excreted by the body. [1]

A lot of parents ask me why preservatives are needed in the first place. In times of endemics and pandemics, multi-dose vials of vaccines were the best option to ship to the affected areas. To prevent contamination, preservatives were used.

In recent times, there has been a worry that these vaccines cause a build-up of mercury in the human body, leading to disorders in children. However, this is not correct at all! There have been several pieces of research and reviews by FDA and CDC that have conclusively proved that there is no correlation between vaccines, the preservatives used and disorders like autism in children. In fact, autism continues to rise in the US, despite preservatives being removed from the vaccines.

This clears the air about the safety of the preservative. However, preservative-free vaccines are now available in India and I prefer to go in for those when it comes to vaccination.

It’s a good feeling that I have a choice when it comes to vaccination.

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References:

1. https://www.fda.gov/vaccines-blood-biologics/safety-availability-biologics/thimerosal-and-vaccines

2.https://www.cdc.gov/vaccinesafety/concerns/thimerosal/index.html

3. https://www.cdc.gov/vaccines/hcp/patient-ed/conversations/downloads/vacsafe-thimerosal-color-office.pdf

4.Vaccines: Which one has what

https://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/B/excipient-table-2.pdf

5.Carrier, G; Bouchard, M; Brunet, RC; Caza, M (2001). “A Toxicokinetic Model for Predicting the Tissue Distribution and Elimination of Organic and Inorganic Mercury Following Exposure to Methyl Mercury in Animals and Humans. II. Application and Validation of the Model in Humans”. Toxicology and Applied Pharmacology. 171 (1): 50–60. doi:10.1006/taap.2000.9113. PMID 11181111.

6.Thimerosal Exposure in Infants and Developmental Disorders: A Retrospective Cohort Study in the United Kingdom Does .Not Support a Causal Association by Nick Andrews et al. Pediatrics. September 2004. Vol 114: pages 584–591. http://pediatrics.aappublications.org/cgi/content/ full/114/3/584

7. Association between Thimerosal-Containing Vaccine and Autism by Anders Hviid et al. Journal of the American Medical Association. October 2003. Vol 290: pages 1763–1766. http://jama.ama-assn.org/cgi/content/full/290/13/1763

8.Immunization Safety Review: Vaccines and Autism. Institute of Medicine. The National Academies Press: 2004. http://www.iom.edu/Reports/2004/Immunization-SafetyReview-Vaccines-and-Autism.aspx

9.Prenatal and Infant Exposure to Thimerosal from Vaccines and Immunoglobulins and Risk of Autism by Cristofer Price et al. Pediatrics. September 2010. Vol 126: pages 656-664.

http://pediatrics.aappublications.org/cgi/content/
full/114/3/584

10.Early Thimerosal Exposure and Neuropsychological Outcomes at 7 to 10 Years by William Thompson et al. The New England Journal of Medicine. September 2007. Vol 357: pages 1281-1292. http://www.nejm.org/doi/pdf/10.1056/NEJMoa071434

Sponsored

Have you ever wondered how vaccines affect your child’s immune system?

Want a vaccination guide?

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This is what happens when your child gets a vaccine shot

Listen to the podcast:How Vaccines work.

In Conclusion

References

Sharing is good Karma!

So, what is the talk about the less painful vaccine?

Two -Always Vaccinate your child as recommended

Three-Efficacy of the less painful vaccine

WHO, IAP, AAP recommendations about the less painful vaccine

Four-Talk to your Paediatrician for a personalized recommendation

Featured post

References:

Sharing is good Karma!

What I adored in Code M

What really works for me

What needs more work ?

Who is it for?

Sharing is good Karma!

Here are a few precautions that can aid us during this critical time: #StayHome #LockdownIndia

Featured post

6 Myths about the Wuhan Coronavirus COVID19

If you are in home isolation as asymptomatic COVID 19 or recovering

How you can help?

When did Stay Home or lockdown phase one officially start in India?

Why do you need to stay home according to the rules?

Sharing is good Karma!

Featured post

What about snoring and sleep?

What is Obstructive Sleep Apnea/Hypopnea?

Symptoms of Sleep apnoea

Statistics:

Sleep Apnea prevalence with other conditions

What is the best practice if you find out you have sleep apnoea after testing?

Sharing is good Karma!

Key points

Prevention works

Here’s what I found out about preservative-free vaccines, not just as a medical practitioner but as a mother as well.

Featured post

References:

Sharing is good Karma!

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