What every family and community
has a right to know about:
Without immunization, an average of three out of every hundred children
born will die from measles. Another will die from tetanus. One more will
die from whooping cough. One out of every two hundred will be disabled
by polio.
Vaccines can protect children against these diseases. So, it is
important to give child the vaccines to ensure full protection against
diseases.
It is essential for all parents to know why, when, where and how many
times, their infants should be immunized.
The six prime messages in this chapter can help to prevent these
tragedies.
Immunization protects against several dangerous
diseases. A child who is not immunized is more likely to become
undernourished, to become disabled, and to die.
The Expanded Program of
Immunization protects children against 10 of the most dangerous
diseases of childhood. A child is immunized by vaccines, which are
injected or given by mouth. The vaccines work by building up the
child's defenses. A child should be immunized before the disease germs
strike.
A child who is not immunized
is very likely to get measles and whooping cough. These diseases can
kill. But they weaken even children who survive these diseases. They
may not grow well. And they may die later from malnutrition or other
illnesses.
Measles is an important cause
of malnutrition, poor mental growth and blindness.
A non-immunized child will
almost certainly be infected with the poliovirus. And for every 200
children, who are infected, one will be crippled for life.
Tetanus germs grow in dirty
cuts and kill most of the people who become infected - if they are not
immunized.
Breastfeeding is a kind of
natural immunization against several diseases. Some of the mother's
resistance to disease is passed to the child in her breastmilk, and
especially in the thick yellow milk (called colostrum) which is
produced during the first few days after the birth. But this immunity
is not permanent, so immunization is a must.
Immunization
is urgent. In the first two years of child's life, he/she should be
immunized against 10 dangerous childhood diseases.
It is vital to immunize
children early in life. Half of all deaths from whooping cough, one
third of all cases of polio, and a quarter of all deaths from measles,
occur before the age of one year.
It is vital for infants to
complete the full course of immunizations, otherwise the vaccines may
not work. Some vaccines need to be given only once. Others have to be
given three times, with a gap of at least four weeks between each
dose.
The important thing for
parents to know is that a child should be taken for immunization in
the first year of life as per the schedule mentioned in the child
health card.
If for any reason a child has
not been fully immunized in the first year of life, it is vital to
have the child immunized as soon as possible.
One of the main reasons why
parents do not bring their children for immunization is that the child
has a fever, cough, cold, diarrhea or other mild illness on the day
the child is to be immunized. Even if the child with a case of mild
illness or malnutrition is brought for immunization, health workers
may advise against giving the injections. This is wrong advice. It is
now known that it is safe to immunize a child who is suffering from a
minor illness or malnutrition.
After an injection the child
may cry, develop a fever, a rash, or a small sore. As with any
illness, a child should be given plenty of food and liquids.
Breastfeeding is especially helpful. If the problem seems serious or
lasts more than three days, the child should be taken to a health
center.
Every woman
between the ages of 15 and 44 should be fully immunized against tetanus.
In many parts of the world,
mothers give birth in unhygienic conditions. This puts both mother and
child at risk from tetanus, a major killer of the newborn. If the
mother is not immunized against tetanus, then one baby in every 100
will die from the disease.
All women of childbearing age
should be immunized against tetanus. All women who become pregnant
should check to make sure they have been immunized against tetanus. In
this way, both mothers and their newborn babies will be protected.
If the woman is not already
immunized, a first dose of tetanus vaccine should be given as soon as
she becomes pregnant. The second dose can be given four weeks after
the first. This second dose should be given before the last two weeks
of the pregnancy. A third dose should be given 6 months after the
second dose followed by fourth dose after one year and fifth dose
after another year. Another booster dose should be given after 10
years from last dose.
These doses protect the
mother and her newborn babies from Tetanus in the first few weeks of
life.
If a girl or a woman has been
vaccinated five times against tetanus, then she is protected against
the disease throughout her years of childbearing. Any children she may
then have will also be protected for the first few weeks of life.
Every woman
should receive a single dose of Rubella vaccine.
Rubella infection during
pregnancy may cause congenital malformations in babies. Hence all
girls and women should receive one dose vaccine in their life to
prevent Rubella and congenital malformations in their babies.
All women, who didn't receive
rubella vaccine, should be given it immediately or within 24 hours
after delivery.
It is important to avoid
pregnancy within 3 months of receiving rubella vaccine.
Schedule of Immunization of children under 2 years in Oman
The
following schedule will start from 1st September 2001
First Year of Age
Age
Vaccine against
At birth
Tuberculosis
Polio- at birth
Hepatitis B- First dose
At 40 days
Polio – at 40 days
Hepatitis B – Second dose
DPT(Diphtheria, Pertusis, Tetanus)- First Dose
At 3 months
Polio
HIV – First dose
DPT(Diphtheria, Pertusis, Tetanus)- Second Dose
At 5 months
Polio
HIV – Second Dose
DPT(Diphtheria, Pertusis, Tetanus)- Third Dose
At 7 months
Polio
HIV – Third Dose
Hepatitis B - Third Dose
At 12 months
Measles
Second Year of Age
Age
Vaccine against
At 18 Months
Polio – Booster dose
DPT(Diphtheria, Pertusis, Tetanus)-booster
MMR( Measles, Mumps and Rubella)
Schedule of School
Immunization
First Primary
Vaccine
Booster dose
of Polio
One dose
DT
(Diphtheria & Tetanus)
If a student isn’t fully immunized or there is no document for
his immunization, two doses should be given 6-8 weeks apart.
If a student is fully immunized, only one dose should be given.
Six
Primary
Vaccine
Td
(Diphtheria & Tetanus)
If a student isn’t fully immunized or there is no document for
his immunization, two doses should be given 6-8 weeks apart.
If a student is fully immunized, only one dose should be given.
Second
Secondary
Vaccine
Booster dose of Polio
One dose
Tetanus
If a student isn’t fully immunized or there is no document for
his immunization, two doses should be given 6-8 weeks apart.
If a student is fully immunized, only one dose should be given.