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  • Reading aloud to your kids affects literacy and school readiness

    Did you know that by the time your child reaches the 3rd grade, experts can reliably predict whether he will graduate high school?

  • The vaccine schedule is safe and effective

    Pediatricians often hear from parents that they are worried about giving too many vaccines at one time and “overloading the immune system” of their infant. As a result, parents ask to “spread the vaccines out more.” As pediatricians, we know that the vaccine schedule outlined by the Centers for Disease Control and Prevention (CDC) and recommended by nearly all pediatricians is safe and effective. We don’t understand how some rogue physicians and some well-meaning, but ignorant public figures can contradict good science and suggest that the vaccine schedule that we use is unsafe.

    All scientific evidence says that the vaccine schedule

    is indeed safe and very effective.

    Many people draw the conclusion that it must be dangerous to give vaccines all at once. But in fact, that could not be further from the truth. There are very specific reasons that we use each vaccine the way that we do, both when they are started, and how and when they are repeated. What I will give you in this post and in subsequent posts is hopefully a clear, understandable explanation of the design of the CDC’s recommended immunization schedule.

    The Hepatitis B Vaccine

    The hepatitis B vaccine is the one immunization that we routinely give as soon as a baby is born. This is for two reasons. First, it works that early. Newborns’ immune systems are already up and running and are able to respond to the hepatitis B vaccine and make antibodies right away. This is a very fortunate thing, as many of our vaccines don’t work in a newborn body. What we know about hepatitis B is that almost all cases in children are caused by spread from an infected mom during birth. Many moms who are carriers of hepatitis B are missed during pregnancy or in the hospital, either due to lack of prenatal care, lab error, or lack of communication. The amazing thing is that the one dose of hepatitis B vaccine, if given right after birth, is essentially perfect in preventing infection of the newborn. The birth dose of hepatitis B vaccine saves lives every day. The other nice thing about that vaccine is that there are essentially no relevant side effects, not even fever or discomfort.

    The Two-Month Wellness Visit

    We start our next routine vaccines at the two-month wellness visit. When we immunize we want to be sure that enough of mom’s antibodies are out of the newborn’s system and that the newborn’s immune system has matured enough to respond to our vaccines. We know that in the first month or more, some of the vaccines don’t work well yet. However, by six to eight weeks they work very well; this is why the DTaP, Polio, HIB, rotavirus, and pneumococcal vaccine series start when they do.

    This is NOT because the immunizations would

    “overwhelm” the immune system if given earlier.

    They just would not be effective.

    Of note, the most common and relevant side effects of the vaccines given to infants are a little bit of diarrhea or throw-up from the rotavirus vaccine, and maybe a little fever, fussiness, or local reaction in the thigh muscle for the others.

    The MMR Vaccine Controversy

    The MMR (measles, mumps and rubella) vaccine is one that has received a lot of attention since it was wrongly accused of causing autism.

    In fact, vaccines have clearly and repeatedly been shown

    not to cause autism or other developmental disabilities.

    And yet, many parents still believe that we wait to give the MMR until a year of age because it might be harmful if given earlier. They then wonder if waiting even longer might be even better. The problem is that the younger you are when you get the measles, the sicker you get and the more likely you are to die. Our goal with the MMR is to protect small children as young as we possibly can, and to reduce the spread of disease in our communities.

  • Spray sunscreen: is it safe for kids?

    Consumer Reports has recently updated their recommendations on sunscreen use in kids, saying that spray sunscreens should not be used in children.

  • Help! My child can’t swallow pills (but needs to)

    It seems like a no-brainer; just pop the pill in your mouth and swallow. It’s easy to forget, though, that swallowing a pill is something that has to be learned. It may feel normal and natural to us grown-ups, but it’s not normal or natural for kids. For children that need to take medications, either for an unexpected illness or a long-term problem, this seemingly small issue can produce a lot of anxiety, making it a really big issue. If you’ve ever sat on your kitchen floor with a screaming kid saying, “I cant, I can’t. I can’t do it!” you know what I mean.

  • How to set realistic expectations for your child's Christmas wish list

    This post was original published in December 2012.

  • In the midst of flu season: Everything you need to know about the flu vaccine

    Have you and your children had your seasonal flu vaccines yet?

  • The Thank You Project: A mother finds the people who saved her son's life

    Ten years after a tragic car accident, Kellie wanted to find and say "thank you" to the team of heroes who helped save her son's life. Her hope in sharing her story is that others will be inspired to thank those who have impacted their lives in some way.

  • Tips for buying safe toys for your kids this holiday season

    This post was originally published in December 2013.

  • Giving Hope a Fighting Chance with the support of Runway to Hope: Evie’s story

    Just over three months before she would be blowing out three candles on her birthday cake, Evie Tanner was diagnosed with cancer. Medulloblastoma, a highly malignant brain tumor, starts in the base of the skull and tends to spread to other parts of the brain and the spinal cord.

  • Helping Families Thrive Through Challenges: The Healthy Families Orange Program

    “I probably wouldn’t have my kids with me,” Diane Johnson says with tears welling up in her eyes.