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Uptown Pediatrics Policy

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Contact Info

  104 14th Street

  Columbus, GA 31901

P:  (706)507-5437  

F:  (706)507-5499

Mon-Thurs 8am - 8pm

Fri 8am - 5pm

Sat/Sun CLOSED

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While there are proposed “alternative” or “delayed” schedules, these are not the standard of care and place your child/children, as well as others, at risk for serious illness and complications of disease.  Our practice has accommodated “alternative/delayed” schedules on a case-by-case basis in the past, but will NO longer be accepting new patients who wish to delay vaccines and do not follow the American Academy of Pediatrics Immunization Schedule. 

Written and verbal information will be provided at each visit where vaccines are administered, and verbal consent will be requested prior to administering any vaccine.  If verbal consent is provided and later withdrawn after vaccine doses have been prepared for your child, the full cost of vaccines will be billed.

Reliable Immunization Resources/Links:

www.cdc.gov/vaccines
www.vaccinateyourbaby.org
www.preteenvaccines.org
www.cdc.gov/vaccines/spec-grps/parents.htm
www.cisimmunize.org/fam/why.html
www.healthychildren.org

Vaccine

Description of Preventable Disease

DTaP/Tdap

Diptheria is a respiratory bacteria that causes a thick covering in the back of the throat. It can cause breathing and airway problems, paralysis, heart failure, and even death.  Tetanus is a bacteria that enters through a break in the skin.  It causes painful tightening of muscles of the entire body.  Its nickname comes from “locking” of the jaw in which a person cannot open their mouth or swallow. Death occurs in 1 of 10 cases.   Pertussis causes the whooping cough.  It is a highly contagious respiratory tract illness.  Initially resembles an ordinary cold but may turn more serious, especially in infants.  Can cause apnea (slowed or stopped breathing), pneumonia, convulsions, and death. 

DTaP: 2m, 4m, 6m, 15m, 4y
Tdap: 10-11y

Hepatitis B

Hepatitis B is a virus that can progress to liver failure and liver cancer.  There is no cure for the Hepatitis B virus, so emphasis on prevention is of utmost importance.  That is why it is recommended that newborns receive their first dose during their nursery stay.                                              

Nursery, 2m, 6m

Hib

Haemophilis influenza b.  Prior to the vaccine, Hib was the most common cause of bacterial meningitis and severe infections (e.g. pneumonia, epiglottitis, and sepsis) in young children.  Death reported in 1 of 20 cases and permanent brain damage in 10-30% of survivors.

2m, 4m, 6m, 15m

IPV

Inactivated Polio Vaccine.  Polio has been eradicated in the United States but is still prevalent in other countries. 95% of those with polio are without symptoms.  Less than 1% have complications of paralysis of the legs. For those paralyzed, death occurs if paralysis affects the respiratory muscles.

2m, 4m, 6m, 4y

PCV

Pneumococcal/Prevnar.  This vaccine was developed to protect against invasive infections caused by the bacteria Streptococcus pneumoniae.  It is similar to Hib as a leading cause of bacterial meningitis in young children.   Other infections include pneumonia, severe blood infections, deep skin infections, otitis media and sinus infections.  Severe infection can lead to brain damage, deafness, and death.

2m, 4m, 6m, 12m

Varicella

Chickenpox virus.   Causes a skin rash with blister-like lesions with or without fever.  Most persons will have a self-limited infection but complications of severe infection may include bacterial skin infections, pneumonia, or swelling of the brain.  The vaccine was developed to help prevent multiple hospitalizations due to severe infections and deaths as a result of chickenpox disease.  A small percentage of vaccinated persons still contract the illness but in a much milder form.

12m, 4 yr+

MMR

Measles, Mumps, and Rubella.  Prior to the vaccine, measles (rubeola) was a common childhood virus that caused a cough, runny nose, fever, and a rash.  It is highly contagious and one of the most deadly of the childhood fever/rash illnesses.  1 in 10 develop an ear infection. Up to one in 20 develop pneumonia. About 1 in 1,000 gets encephalitis (brain infection leading to seizures and brain damage). 1 to 2 in 1,000 die from measles.  Although measles is almost gone in the US, there are still 200,000 deaths worldwide.  Due to unvaccinated persons traveling to and from the US, we have recently seen the highest reported number of measles cases since 1996. There are currently 156 confirmed cases from January to June of 2011.  Mumps is a viral infection that can lead to deafness, meningitis, and swelling of the testicles or ovaries, which could lead to infertility and (rarely) death.  There is no treatment but supportive care.  It may present as a febrile illness associated with bodyaches, fatigue, and swelling of the salivary glands.  Rubella (German measles) was a leading cause of serious birth defects (deafness, cataracts, heart defects, mental retardation, liver and spleen damage) in pregnant women infected with the virus.  The MMR vaccine does NOT cause autism.  Several published studies have documented that there is NO association between autism and the MMR vaccine.  Dr. Wakefield the original author of the study stating the causal relationship of autism and the MMR vaccine was recently discredited and has los this medical licensure in the UK and US due to false reports and fraud. 

12m, 4y

Rotavirus

Leading cause of acute severe viral gastroenteritis worldwide.  Symptoms may include watery diarrhea, vomiting, fever, and abdominal pain.  In infants and young children, it may cause dehydration requiring hospitalization and in some cases death.  Prior to vaccine development in 2006, almost all children were infected before their 5th birthday.  In the prevaccine years, it accounted for 400,000 doctor visits per year, 200,000 emergency department visits per year, 55,000-70,000 hospitalizatons per year, and 20-60 deaths in children less than 5 years of age per year. The vaccines have been found to prevent 85-95% of severe rotaviral infections and 74-87% of all rotaviral illness episodes.

2m, 4m, +/-6m

 

MCV

Meningococcal meningitis is the leading cause of bacterial meningitis in adolescents and young adults.  Meningitis is characterized as a sudden fever, headache, and stiff neck.  May often be accompanied by other symptoms such as nausea, vomiting, photophobia (sensitivity to light), and altered mental status.  Neisseria meningitis or meningococcemia are serious infections and can be fatal.  In fatal cases, death can occur in just a few hours.  There are 2 vaccines that prevent most Neisseria meningitidis  infections, but not all cases.

11y+

HPV

Human Papilloma Virus. Genital HPV is the most commom STI (sexually transmitted infection).  There are more than 40 types of HPV.  Most people who become infected with the virus don’t even know they have it.  Certain types of HPV cause genital warts in males and females while other types cause cervical cancer.  There are two vaccines for prevention of HPV: Gardasil and Cervarix.  Gardasil is approved for males and females and protect against HPV types that cause both genital warts and cervical cancer. Cervarix is approved for females and protects against HPV types for cervical cancer. 

9-23 yrs

Hepatitis A

Viral infection that is easily spread from person to person or from contaminated water or foods.  Causes mild “flu-like” illness, jaundice (yellowing of skin), stomach pain, and diarrhea.   One in 5 persons are hospitalized due to this liver infection and there are 3-5 deaths out of 1,000 cases per year due to Hepatitis A.

12m, 18m

Influenza

Seasonal “flu” is a contagious respiratory illness caused by influenza viruses.  The best way to prevent infection is to be vaccinated yearly against the flu.  Symptoms may include: fever, chills, bodyaches, headaches, fatigue, runny nose, cough, sore throat, +/- vomiting or diarrhea.  Illness may be mild or severe.  Young infants are children are at risk for complications e.g secondary bacterial infections (ear infections, pneumonia) and hospitalization due to illness or dehydration.  There are 2 types of vaccines: “the flu shot”- injectable form with inactivated or killed virus approved for infants and children 6 months and above; including healthy children and those with chronic illnesses.  The “nasal spray” vaccine is made with live, weakened flu virus approved for healthy children 2 years and above. Neither vaccine causes the “flu”.  Vaccines are available usually by September and given through flu season.

Yearly

Uptown Pediatrics | 104 14th Street | Columbus, GA 31901 | (706)507-5437

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