Jan 13, 2022
In this podcast, Dr. Laura Mohling, a pediatrician with Lakeview Clinic, talks about pathogens that infect children, childhood immunizations, current guidelines regarding vaccine scheduling, and vaccine hesitancy.
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*See the attachment for the full chapter summaries.
- Biggest impact on public health
- Vaccine safety continues to improve.
- No causation of autism from MMR or other vaccines. (Andrew Wakefield debunking, Thimerosal-free).
- ACIP Schedule for Childhood Immunization
- Causation - Neisseria meningitidis
- Incidence declining
- Case fatality approximately 15%, with 10-20% survivor have serious sequelae.
- Serogroup B and C - most frequent cause of disease in U.S.
- Meningitis type B accounts for about 1/3 of cases in adolescents.
- Serogroup A is rare in U.S.
- Meningococcal Vaccine
- Meningococcal B vaccines (Trumenba and Bexsero) developed in 2014.
- Vaccine short duration of protection (1-2 years) based on antibody response
- Trumenba (2 doses 6 mos apart) \ Bexero (2 doses at least 1 mo apart)
- MenACWY vaccine in 2005 primary dose at age 11, booster at age 16.
- HPV vaccine is the cancer prevention vaccine!
- Vaccine - Gardasil 9
- ACIP recommendation of vaccine at age 11 or 12
- dosing schedule of HPV vaccine
- Approved vaccine for age 12 and above. (Pfizer-BioNTech)
- RNA vaccines
- Antigentic target - how the vaccine works
- Co-administering with other vaccines
- ACIP, UpToDate, FDA statements regarding vaccine in adolescents
*For links to reference materials please see the full show notes.