The rules of conduct for vaccination

If the child is healthy and does not suffer from allergies, was not ill or in contact with infectious patients in the preceding two weeks, a vaccination will not be threatening as far as complications are concerned and in most cases will be well tolerated.

It is important to follow the vaccination calendar and know in advance how and when the child should be vaccinated. If you missed a vaccination for medical or other sound reasons, be sure to resume vaccination activities after the due date.

In preparation for a vaccination, you must identify contraindications in which the vaccination may cause serious adverse reactions. When children have certain illnesses, vaccination is strictly prohibited, but permission to vaccinate can be obtained later. This decision must be made by a competent physician.

To determine the presence of contraindications, a doctor at Immuno-C Vaccination Center will examine each child. This is mandatory before inoculation. Ask your doctor about all possible side reactions that can occur after vaccination, and find out what to do in case they appear. Parents should observe a few simple rules to help protect the child and reduce the risk of complications to a minimum.

Before the first DPT vaccination, consult a doctor in order to make a general analysis of blood and urine samples and also with a neurologist so that permission to carry out the vaccination can be given.

If a child is ill on the eve of vaccination or had contact with infectious patients, inform the pediatrician. Perhaps the vaccination will be postponed for a while.
A few days prior to vaccination, do not introduce any new foods to the child’s diet. This also applies to breastfed babies where it is better to keep to the usual mother’s diet. This will save the baby from unexpected allergic reactions caused by the change of diet, rather than by the effect of vaccination. Without specific instructions from the doctor, you must not give your child any new medication a week before the vaccination.

Intake of antihistamines or antipyretics is allowed only on medical prescription, which will select the necessary medication correctly and calculate the dose based on the child’s weight and susceptibility to allergic reactions. Typically, antihistamines are prescribed for children who are susceptible to allergic reactions, or those who have had previous allergic reactions caused by vaccination.

Children younger than 6 years who are prone to febrile seizures (sudden jerky convulsions with high temperature over 38^oC) receive antipyretic drugs, prescribed by the doctor, immediately before or after vaccination. Be sure to tell the doctor conducting the preparations for the vaccination that your child is prone to febrile seizures.

 Ask your doctor about all possible adverse reactions that may occur after vaccination, and find out what to do if they occur.

Do not leave the vaccination center immediately after a vaccination. Remain for half an hour to make sure of the condition of the baby, and when you are satisfied that he is all right you can go home. In rare cases, a vaccination may cause collapse or anaphylactic shock, and the doctors at the Center will deal with this if it occurs.

The child may experience a decrease in appetite after vaccination and this is a natural reaction. If there is diarrhea, vomiting, fever, or the child stops drinking, it must receive the required amount of liquid and you should consult our Centre. Occasional vomiting or diarrhea should not be a cause for concern in the short-term.

An increase in temperature is a normal reaction in a child that has been vaccinated. If the child is healthy, it is not necessary to bring down the temperature if it is less than 38.5^o C. At higher temperatures, consult a doctor to observe your child and he will prescribe an antipyretic agent.

If a child has a predisposition to febrile convulsions, as a precaution, have the neurologist prescribe an antipyretic before the vaccination. If, after the vaccination the temperature of the child reaches 37.5^oC, bring the temperature down with the prescribed medicine. Redness or swelling that often occurs at the injection site, do not require special treatment or independent testing. If the child is scratching the injection site, cover it with a gauze bandage. Painful lumps may appear at the injection site after DPT vaccination but they go away on their own after a certain time. Do not worry if the child limps on the leg in which the injection was administered. In a few weeks the lump will disappear.

A healthy child who does not have allergic reactions or high temperature after vaccination, can lead a normal life as he did before the vaccination. It is possible to walk or swim but the child should not rub the injection site.

When do you need to take the child to a doctor or call an ambulance?

Immediately:

• If the child has a high temperature that cannot be brought down by a fever reducer
• If there are convulsions and/or loss of consciousness
• When there is restless behavior and refusal to eat and drink
• When there is a festering sore on the site of inoculation
• When a baby cries continuously for over 2 hours

Meningitis is an insidious, dangerous disease that spreads like lightning and is distributed by airborne droplets.The incubation period is from two to ten days, during which the patient feels healthy but is actively secreting pathogens and infecting others. Group bacteria carriers that can release meningococcal bacterium without becoming ill themselves, are also extremely dangerous. Outbreaks of meningococcal infections affect participants in the so-called close contact groups.These include children in schools and kindergartens, military bands, groups of tourists and pilgrims performing Hajj. Meningococcal disease is particularly dangerous for children and for tourists visiting the so-called “meningococcal belt” (Northern Africa and the Middle East). If treatment is not begun timeously, fatal inflammation of the membranes of the brain occurs. Those who have had the disease are subject to possible complications such as paresis, paralysis, mental disorders, intellectual impairment, increased intracranial pressure and other disorders.  

Doctors strongly recommend to vaccinate children (starting from a half to two years) attending pre-school and school facilities.Vaccination is mandatory for immunocompromised adults.

Polysaccharide vaccine ACWY®, which is used as a vaccine against meningitis at Immuno-C Vaccination Centers does not contain a protein component and is weakly reactogenic. Therefore, the body’s reaction to its introduction is very weak.In rare cases after vaccination, symptoms of nasopharyngitis or a small rash may occur. There can also be possible pain and / or redness at the injection site, headache, fatigue and irritability.

Vaccination against the exotic disease of yellow fever must be done by all travelers, (business and tourist), who are going to visit a tropical country.Vaccination against yellow fever is a so-called “Vaccine for the traveler,” and its main task is to protect people from health problems when they are away from home.

Vaccination is obligatory for those who travel to states where the disease is endemic such as in South America, Central, Western, Southern and Eastern Africa and territories which are located in the area of ​​tropical rain forests.After the rainy season the population of mosquitoes increases and mosquitoes are the main carriers of the disease. Therefore, a surge in the disease brought from the tropical areas of yellow fever is repeatedly registered in the US and Europe. And, because the disease is subject to quarantine, countries are obliged to inform the WHO of outbreaks or individual cases.

In the case of refusal of vaccination exit will be forbidden (for natives).What is so dangerous about this disease?  

Mortality in yellow fever is 10% -40%.This is an extremely dangerous viral disease that occurs as a result of the failure of the internal organs – kidneys, liver, spleen and bone marrow. Hemorrhaging and bleeding in various organs and tissues occur. The disease runs hard against the background of a high temperature, bleeding gums, vomiting, nasal bleeding and painful enlargement of the liver and spleen.  

Because a mosquito bite or unprotected contact with a carrier of the infection can spread the disease, no one is immune. It is advisable to be vaccinated against yellow fever.The vaccine is produced in Russia and is administered once under the shoulder blade, up to 10 days before traveling. Within 10 days the vaccine produces immunity that persists for 10-15 years.

For yellow fever vaccination of children and adolescents, a special schedule must be followed so that the vaccination does not interfere with other vaccinations. Typically, vaccination is well tolerated but in some cases, there is a possibility of redness and swelling at the injection site, which may occur spontaneously after 2-3 days.There are such manifestations as itching, pain at the injection site, malaise, fever up to 38.5^oC, chills and headache. These are not dangerous reactions and pass within 3 days.

Before you get vaccinated against yellow fever, consult a doctor at the Vaccination Centre and learn about the possible contraindications and adverse reactions.

The Immuno-C Vaccination Centers for vaccination of adults and children against yellow fever, use yellow fever live vaccine made in Russia.

Tetanus toxoid vaccine is indicated for the prevention of a tetanus-specific emergency. The need for such prevention arises in the case of injuries in adults and children as specific prevention will play an important part in the process of healing, wound healing and prevention of more serious complications. Tetanus causes serious lesions of the nervous system leading to the emergence of generalized tetanic convulsions. 

Emergency vaccination against tetanus is recommended in cases of:

• Injury ithat violates the integrity of skin and mucous membranes
• Animal bites
• Burns (thermal, chemical, radiation) second, third and fourth degree
• Penetrating damage of the digestive tract
• Gangrene or tissue necrosis
• During abcess infections
• Abortion or birth outside approved health facilities

Keep in mind that the extra specific prevention of tetanus should be administered as soon as possible after the injury. Nevertheless, given the long incubation period of tetanus vaccine, vaccination is allowed up to 20 days from the time of injury. 

At the time of injury, carry out primary emergency treatment and follow it up with an immediate vaccination of anti tetanus toxoid according to the recommendations of a doctor. Given that the introduction of tetanus toxoid may develop allergic reactions, it is advisable to be vaccinated in the specialized vaccination centers, where the patient will be provided with supervision for 30 minutes after vaccination under antishock therapy conditions. 

To carry out emergency vaccination against tetanus, there is a range of contraindications, including hypersensitivity to the components of the vaccine, pregnancy, exacerbation of chronic diseases, the manifestation of disease in the acute stage. Before the vaccination, it is required to consult with a doctor at the Vaccination Centre!   

In rare cases, after the introduction of the tetanus toxoid, there may be hyperthermia, malaise, pain and/or swelling at the injection site 1-2 days after vaccination. There are isolated cases of slight exacerbation of allergic diseases, angioedema, urticaria, and polymorphic rash. 

The Immuno-C Vaccination Centers for vaccination of adults and children against tetanus, use tetanus vaccine produced in India. 

Human papillomavirus (HPV) and HPV infection is widespread. You can become infected both sexually and by contact with the virus on damaged skin. Transmission of the virus from mother to child is also possible during pregnancy and childbirth.

 How dangerous is HPV? 

Its presence in women is directly linked to the development of cervical cancer. 99.7% of cases of cancer develop in parallel with the presence of HPV in women. A woman’s body is able to independently deal with HPV, but in some cases, such as reduced immunity, hereditary factors, and others, HPV is manifest and leads to cervical cancer. Cervical cancer ranks third in the world in the incidence of deaths from cancer among women.

In addition to cancer, certain types of HPV viruses (there are about 100) can cause diseases of the skin and mucous membranes and benign tumors. (warts and genital warts).

In addition to vaccination there is no other effective prevention of the diseases caused by the human papillomavirus infection. We have no reason to question the effectiveness of vaccination since the vaccine is 100% active against the development of dysplasia of the uterus, which leads directly to cancer. Even if an organ is already infected at the time of vaccination, the virus stays inactive and does not lead to development of the disease.The optimal time to be vaccinated against the human papillomavirus infection is during adolescence (15-17 years) and before the start of sexual activity in order to avoid possible situations of HPV infection. If a young woman, already sexually active is to be vaccinated, it is advisable to diagnose HPV infection by PCR-diagnostics, which can be done by the Tibbiyot Dunyosi Real Time PCR-laboratory diagnostic laboratory.

In the Immuno-C Vaccination Center, HPV vaccination is carried out with the drug Tservariks® (Cervarix). 

HPV vaccination scheme: 0-1-6 months. The course is carried out with three single doses. 

1. The first dose.
2. The second dose a month after the first.
3. The third dose 6 months after the first.

Contraindications for vaccination are allergy to components of the drug, pregnancy and lactation, the presence of acute inflammatory diseases and blood clotting.

Among the side effects that usually occur very seldom, it is possible to observe local and general reactions such as redness, swelling and itching at the injection site.

HPV vaccination is voluntary and the woman or the girl’s parents are free to decide on the administration of vaccinations. If you decide to be vaccinated against HPV, you must pass an inspection and consult a pediatrician (for children) and a gynecologist or urologist (for adults).

The epidemiological nature of this disease requires special attention because flu spreads like lightning and up to 15% of the world population is affected.

A dangerous misconception is that the flu is a harmless illness that many carry on their feet and can be self-treated. This misconception leads to dangerous consequences, serious complications, ill health and even death.

Seasonal influenza vaccination has long established itself worldwide.The vaccine is well tolerated and safe for health. The vaccine is effective for 85% of recipients. For those who are vaccinated and who do get the flu after vaccination, the disease is milder and does not cause complications.  

Timely vaccination against influenza exempts people from the investment of time and money on treatment and protects their loved ones from the risk of infection.Flu is accompanied by a high mortality rate among young children and the elderly. For families that have elderly members and children, vaccination is strongly recommended. Doctors recommend undergoing regular seasonal flu vaccination according to the epidemiological situation. As a rule, in late autumn, when a type of influenza is identified, an effective and relevant influenza vaccine is released.

The flu shot can be given to all people, except those who have a contraindication such as allergic reactions to previous vaccinations and to chicken protein vaccine components. Flu shots should not be taken during the exacerbation of chronic diseases.