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  • With Mayo Clinic emeritus consultant

    Jay L. Hoecker, M.D.

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Question

Vaccination schedule: Why so many so fast?

I'm concerned about my newborn's vaccination schedule. Why do infants need so many vaccines so quickly?

Answer

from Jay L. Hoecker, M.D.

Newborns need multiple vaccines because infectious diseases can cause more-serious problems in infants than in older children.

While maternal antibodies help protect newborns from many diseases, this immunity begins to disappear as quickly as one month after birth. In addition, children don't receive maternal immunity from certain diseases, such as whooping cough. If a child isn't vaccinated and is exposed to a disease, he or she might become sick and spread the illness.

Avoid altering your child's recommended vaccination schedule. Research shows that it's safe for infants and young children to receive multiple vaccines at the same time, as recommended by the Centers for Disease Control and Prevention's vaccination schedule.

Remember, newborns and young children can be exposed to diseases from family members, care providers and other close contacts, as well as during routine outings — such as trips to the grocery store. Many vaccines can be given even if your child has a mild illness, such as a cold, earache or mild fever. Consult your child's doctor regularly to keep your child's vaccination status up to date.

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References
  1. Shelov SP, et al. Caring for Your Baby and Young Child: Birth to Age 5. 5th ed. New York, N.Y.: Bantam Books; 2009:793.
  2. Jana LA, et al. Heading Home With Your Newborn: From Birth to Reality. 2nd ed. Elk Grove Village, Ill.: American Academy of Pediatrics; 2011:321.
  3. Destefano F, et al. Increasing exposure to antibody-stimulating proteins and polysaccharides in vaccines is not associated with risk of autism. The Journal of Pediatrics. In press. Accessed May 15, 2013.
  4. Recommended immunization schedule for persons aged 0 through 18 years -2013. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html. Accessed May 16, 2013.
  5. Why immunize? Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vac-gen/why.htm. Accessed May 16, 2013.
  6. Infant immunizations FAQs. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/parents/parent-questions.html. Accessed May 16, 2013.
  7. Committee on Practice and Ambulatory Medicine, et al. Increasing immunization coverage. Pediatrics. 2010;125:1295.
AN02136 Aug. 6, 2013

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