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Old 10-19-2013, 10:52 AM   #913
orthodoc
Not Suspicious, Merely Canadian
 
Join Date: Oct 2006
Posts: 3,774
Hmm ... just thinking I should have prioritized that list. If I were going to get things done over a period of time rather than all at once, I'd go for the tetanus/diphtheria/pertussis series first. Tetanus is a direct, ongoing threat because it lives in soil, we all encounter it, and we have no treatment for it (we can give Tetanus Immunoglobulin at the wound site along with starting a tetanus series for those who are susceptible, but ... much better to be protected).

Then, depending on my kids' contacts and travel plans, I'd have them get the varicella vaccine, the MMR vaccine, the meningococcal vaccine. Then the Hepatitis vaccines and HPV. Polio could wait until the end if the kids aren't traveling outside the country and aren't in contact with visitors from abroad. I'd still do it, but the kids are more likely to run into the other diseases.

Eta ... even though polio is now rare, I'd still want my kids protected from it because 90% of infections are asymptomatic. That means that a contact could have the disease and be shedding virus/infectious and never know it. You wouldn't have to come into contact with someone who was ill with the disease. So many young people go abroad at some point - until polio is eradicated worldwide, I'd go for protection.

If the kids were going to travel abroad then I'd move the polio, Hep A and B, and any other specific immunization recommendations for the destination (like Yellow Fever) up the list.
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Last edited by orthodoc; 10-19-2013 at 11:27 AM. Reason: another thought
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