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Outlines
1. Definition of immunity
2. Difference between Types of immunity.
3. Difference between immunization& vaccination
4. Definition of vaccine.
5. types of vaccines.
6. Preparation before administration of vaccines
7. Schedule in Egypt
8. Normal reactions of immunization
9. Contraindication of immunization
10.Cold chain
IMMUNITYIMMUNITY
the ability of the human body tothe ability of the human body to resist
diseasedisease agents and their toxins throughand their toxins through
possession ofpossession of antibodies.
Process of protecting individual from a disease by
administration of live or killed attenuated
organisms to the individual system
Vaccination
is the injection of a killed or weakened organism
that produces immunity in the body against that
organism.
Vaccines are the antigenic
preparations used for active
immunization
1.Live vaccine:
It is prepared from live infectious agents without
any amendment (smallpox vaccine).
Types of vaccinesTypes of vaccines
2. Live attenuated vaccines:
Attenuated organisms are used for
immunization against a number of viral
infections ( (MMR), opv, BCG (bacille
Calmette-Guerin (BCG) etc……..
3-Killed vaccines
Organisms are killed by heat or
chemicals, but remain
immunogenic. (e.g. Pertusis
vaccine)
4-Toxiod
Certain organisms produce exotoxins
(diphtheria and tetanus) the produced
toxin losses toxicity but retaining its
antigenic power to stimulate
antibodies
• It is highly effective immunizing
agent.
preparation before
administration
1.Check There are no contraindications to the vaccines
given.
2.Clean skin , Visibly dirty skin need only be washed with
soap + water.
3.Inform the mother about
the vaccines that are being given and understands the
vaccination procedure.
possible adverse reactions and how to treat.
Forthe vaccine
1.Check expiry date
2.Check colour and composition of vaccine as
specified in description of this vaccine.
3.Check vaccine to ensure the right product and
correct dose for children.
4.IM injections should be given with needle at a 90º
angle to the skin.
5.The skin should be stretched flat (NOT bunched).
Immunization Schedule in Egypt
Age Vaccine
name
Dose and
route
Normal
reaction
How to
overcome
The first
month
(BCG)
OPV
0,05ml
ID
left upper
arm
• a small tender
swelling appear
• Swelling and
pain at the site
of injection
• Fever
2drops
Orally
•Give antipyretic
•If the injection
site is draining,
put a dry gauze
dressing on the
area
•Don’t compress
the swallow part
Age Vaccine
name
Dose and route Normal
reaction
How to overcome
At 2 months
of age
OPV
DPT and
Hepatitis B,
haemophilus
influenza
2drops
Orally
,5ml IM In the
right rectus
femora
Pain,
redness,
swelling in
the site of
injection,
fever.
•Cold compresses
for fever
•Swelling will
disappear by time
age Vaccine name Dose and
route
Normal
reaction
How to overcome
At 4
months
OPV
DPT and
Hepatitis B,
haemophilus
influenza
2drops
Orally
,5ml IM In
the right
rectus
femora
The same
reaction
The same
At 6 month OPV
DPT and
Hepatitis B,
haemophilus
influenza
2drops
Orally
,5ml IM In
the right
rectus
femora
The same
reaction
The same
13-5-1
age Vaccine
name
Dose and route Normal reaction How to
overcome
At 9
months
OPV
Vitamin
A
2drops orally
One capsule
At 12
months
OPV
MMR
2drops orally
,5ml SC in the right
upper arm
Pain where shot is
given, fever1-
2wksafter
immunization, mild
rash, swelling in
the neck or cheeks
Give your
child extra
fluids
Don't over
dress him if
he is hot
APPLY
Cold
compresses
13-5-1
age Vaccine
name
Dose and
route
Normal
reaction
How to overcome
At 18
months
of age
OPV
MMR
DPT
Vitamin A
2drops
orally
,5ml SC
the right
upper arm
.5ml IM in
the left
rectus
femora's
The same
Reaction
The same
reaction
Local redness,
warmth ,edema,
with or without
tenderness
The same
The same
Cold compresses for
swelling
Inform your doctor if
urticaria appears
13-5-1
13-5-1
Contraindications to
Vaccination  
• Severe allergic reaction to a vaccine (local or
systemic)
• Pregnancy Do not administer “Live vaccine”,
because of definite evidence of fetal abnormality.
• Immuno-suppression OR immuno-compromised
people
• The presence of severillness
• People with serious heart or blood vessel
conditions
• history of seizures
(MMR) it can increase the risk for febrile seizures in
children.
Cold chain
–-Cold boxes
Refrigerated
Vaccines
ONLY
FREEZER
Water bottles on unit floor Water bottles in unit door
Placing Vaccines
in Refrigerator
• Top shelf: OPV, MMR
• Second shelf: BCG
• Third shelf: DPT
Storage of
Vaccines
2 3
4 5 6
1
Guidelines for vaccine transport and short-term storage
The role of community health nurseThe role of community health nurse
in vaccinationin vaccination
Nursing care after immunization
– Offering cool liquids can help reduce fever.
– Dress the child in light clothes to help lower her
temperature.
– Encourage breast feeding that decrease body
temperature.
– Apply a cool washcloth to the injection site if your child
complains of pain or swelling.
– Teach the mother about the injection site to be sore or
tender for a few hours after the immunization.
Reference
• http://www.open.edu/openlearnworks/mod/oucontent/view.php?id=53352&printable=1
• http://www.webmd.com/children/vaccines/immunizations-vaccines-power-of-preparation
• http://www.cdc.gov/vaccines/
• https://www.google.com.eg/url?
sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjJu8zEtN
rJAhWKWRoKHdEvAoUQFggaMAA&url=http%3A%2F%2Fwww.cdc.gov
%2Fvaccines%2Frecs%2Fstorage%2Ftoolkit%2Fstorage-handling
toolkit.pdf&usg=AFQjCNFucfCVNthkbAFZwWdQZcvnbtDcRA&bvm=bv.109910813,d.
d2s
• https://www.google.com.eg/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&ua

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Immunization

  • 2. Outlines 1. Definition of immunity 2. Difference between Types of immunity. 3. Difference between immunization& vaccination 4. Definition of vaccine. 5. types of vaccines. 6. Preparation before administration of vaccines 7. Schedule in Egypt 8. Normal reactions of immunization 9. Contraindication of immunization 10.Cold chain
  • 3. IMMUNITYIMMUNITY the ability of the human body tothe ability of the human body to resist diseasedisease agents and their toxins throughand their toxins through possession ofpossession of antibodies.
  • 4.
  • 5. Process of protecting individual from a disease by administration of live or killed attenuated organisms to the individual system
  • 6. Vaccination is the injection of a killed or weakened organism that produces immunity in the body against that organism. Vaccines are the antigenic preparations used for active immunization
  • 7.
  • 8. 1.Live vaccine: It is prepared from live infectious agents without any amendment (smallpox vaccine). Types of vaccinesTypes of vaccines
  • 9. 2. Live attenuated vaccines: Attenuated organisms are used for immunization against a number of viral infections ( (MMR), opv, BCG (bacille Calmette-Guerin (BCG) etc……..
  • 10. 3-Killed vaccines Organisms are killed by heat or chemicals, but remain immunogenic. (e.g. Pertusis vaccine)
  • 11. 4-Toxiod Certain organisms produce exotoxins (diphtheria and tetanus) the produced toxin losses toxicity but retaining its antigenic power to stimulate antibodies • It is highly effective immunizing agent.
  • 12. preparation before administration 1.Check There are no contraindications to the vaccines given. 2.Clean skin , Visibly dirty skin need only be washed with soap + water. 3.Inform the mother about the vaccines that are being given and understands the vaccination procedure. possible adverse reactions and how to treat.
  • 13. Forthe vaccine 1.Check expiry date 2.Check colour and composition of vaccine as specified in description of this vaccine. 3.Check vaccine to ensure the right product and correct dose for children. 4.IM injections should be given with needle at a 90º angle to the skin. 5.The skin should be stretched flat (NOT bunched).
  • 14. Immunization Schedule in Egypt Age Vaccine name Dose and route Normal reaction How to overcome The first month (BCG) OPV 0,05ml ID left upper arm • a small tender swelling appear • Swelling and pain at the site of injection • Fever 2drops Orally •Give antipyretic •If the injection site is draining, put a dry gauze dressing on the area •Don’t compress the swallow part
  • 15. Age Vaccine name Dose and route Normal reaction How to overcome At 2 months of age OPV DPT and Hepatitis B, haemophilus influenza 2drops Orally ,5ml IM In the right rectus femora Pain, redness, swelling in the site of injection, fever. •Cold compresses for fever •Swelling will disappear by time
  • 16. age Vaccine name Dose and route Normal reaction How to overcome At 4 months OPV DPT and Hepatitis B, haemophilus influenza 2drops Orally ,5ml IM In the right rectus femora The same reaction The same At 6 month OPV DPT and Hepatitis B, haemophilus influenza 2drops Orally ,5ml IM In the right rectus femora The same reaction The same
  • 17. 13-5-1 age Vaccine name Dose and route Normal reaction How to overcome At 9 months OPV Vitamin A 2drops orally One capsule At 12 months OPV MMR 2drops orally ,5ml SC in the right upper arm Pain where shot is given, fever1- 2wksafter immunization, mild rash, swelling in the neck or cheeks Give your child extra fluids Don't over dress him if he is hot APPLY Cold compresses
  • 18. 13-5-1 age Vaccine name Dose and route Normal reaction How to overcome At 18 months of age OPV MMR DPT Vitamin A 2drops orally ,5ml SC the right upper arm .5ml IM in the left rectus femora's The same Reaction The same reaction Local redness, warmth ,edema, with or without tenderness The same The same Cold compresses for swelling Inform your doctor if urticaria appears
  • 19.
  • 22. Contraindications to Vaccination   • Severe allergic reaction to a vaccine (local or systemic) • Pregnancy Do not administer “Live vaccine”, because of definite evidence of fetal abnormality. • Immuno-suppression OR immuno-compromised people • The presence of severillness • People with serious heart or blood vessel conditions • history of seizures (MMR) it can increase the risk for febrile seizures in children.
  • 25. Water bottles on unit floor Water bottles in unit door
  • 26. Placing Vaccines in Refrigerator • Top shelf: OPV, MMR • Second shelf: BCG • Third shelf: DPT
  • 27.
  • 29.
  • 30.
  • 31. 2 3 4 5 6 1 Guidelines for vaccine transport and short-term storage
  • 32.
  • 33. The role of community health nurseThe role of community health nurse in vaccinationin vaccination
  • 34. Nursing care after immunization – Offering cool liquids can help reduce fever. – Dress the child in light clothes to help lower her temperature. – Encourage breast feeding that decrease body temperature. – Apply a cool washcloth to the injection site if your child complains of pain or swelling. – Teach the mother about the injection site to be sore or tender for a few hours after the immunization.
  • 35. Reference • http://www.open.edu/openlearnworks/mod/oucontent/view.php?id=53352&printable=1 • http://www.webmd.com/children/vaccines/immunizations-vaccines-power-of-preparation • http://www.cdc.gov/vaccines/ • https://www.google.com.eg/url? sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjJu8zEtN rJAhWKWRoKHdEvAoUQFggaMAA&url=http%3A%2F%2Fwww.cdc.gov %2Fvaccines%2Frecs%2Fstorage%2Ftoolkit%2Fstorage-handling toolkit.pdf&usg=AFQjCNFucfCVNthkbAFZwWdQZcvnbtDcRA&bvm=bv.109910813,d. d2s • https://www.google.com.eg/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&ua

Editor's Notes

  1. Presenter notes: Some of you may be wondering if and what immunizations are recommended for pregnant woman and whether it’s safe to get immunized during pregnancy. These next few slides will hopefully answer your questions. If you have further questions, we encourage you to talk to your health care provider.
  2. Presenter notes: Other immunizations are sometimes recommended for pregnant women depending on their immunization history, lifestyle, health status, risk of disease and travel plans. For example, the hepatitis B vaccine may be recommended in pregnant women with ongoing exposure risks, the hepatitis A vaccine may be recommended if a pregnant women is travelling to places where there is a risk for exposure to hepatitis A or if they are a close contact of a person with hepatitis A, and the pertussis (whooping cough) or meningococcal vaccine may be recommended in an outbreak setting. An example: During the 2011/2012 pertussis outbreak in the Lower Mainland, the pertussis vaccine was recommended for all pregnant women, both to protect mothers (which helps reduce the risk of mothers transmitting pertussis to their newborns), and to protect their newborn infants (through transmission of maternal antibodies via the placenta). This helps keep infants safe during the first few months of life until they have completed their primary series. It was also recommended that partners and close contacts of pregnant women get vaccinated to help reduce the risk of spreading pertussis to pregnant women and their babies after birth. Pregnant women should talk to their immunizing health care provider to find out which vaccines they might need, and whether they should get them during pregnancy or wait until after their baby is born. If possible, it’s best to get make sure all of your routine immunizations are up-to-date before becoming pregnant. This is because some vaccine-preventable diseases, such as rubella, can pose a serious risk to your health and that of your unborn baby – but you can't get the vaccine to prevent rubella if you are currently pregnant. More information: Canadian Immunization Guide: Immunization in Pregnancy and Breast-Feeding - http://www.phac-aspc.gc.ca/publicat/cig-gci/p03-04-eng.php Society of Obstetricians and Gynecologists of Canada: Pregnancy: Immunization before and during pregnancy - http://www.sogc.org/health/pregnancy-immunization_e.asp
  3. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  4. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  5. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  6. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  7. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  8. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  9. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  10. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  11. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  12. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  13. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  14. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  15. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  16. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  17. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  18. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  19. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  20. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  21. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  22. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  23. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full
  24. Presenter notes: Here are six great reasons to follow the routine immunization schedule: The routine schedule is based on the best science of today The routine is safe and works very well You will ensure your baby is protected as soon as they can be You will reduce your baby’s risk of anxiety and needle fear The risk for side-effects is the same whether it’s one vaccine or four You will reduce the number of visits and time spent getting their shots More information: The Children’s Hospital of Philadelphia: Questions About Altering the Recommended Vaccine Schedule - http://www.chop.edu/service/parents-possessing-accessing-communicating-knowledge-about-vaccines/vaccines-schedule/questions-about-altering-the-schedule.html California Immunization Coalition- Alternative Vaccine Schedules: Helping Parents Separate Fact From Fear - http://www.immunizeca.org/wp-content/uploads/2010/12/IMM-988.pdf The Problem With Dr Bob's Alternative Vaccine Schedule - http://pediatrics.aappublications.org/content/123/1/e164.full