Confusion on Vaccines???

[Farmwife]

I'm not trying to bring up a debate on...... to vaccinate or not to vaccinate.
Please don't turn this thread into that!

Today both my kiddos had a check up by their Primary Care Physician (PCP).

He told me that a doctor in his practice who is considered the
"vaccine guru" and the "go to expert" said the CDC has said
that the family members to people that are immune suppressed can and should get fully vaccinated (meaning live vaccines also).

:shifty-t:This is contrary to what we've been told by her specialists.

I was specifically told when Grace started MTX
and then again when she started Remicade
that my son (non IBD'er) should NOT get the live vaccines
because his sister (IBD'er) might catch it.

He advised me to call and check with her Rheumatologist.

Has anyone else been told this or heard about the CDC's recommendations?

 

[Mr chicken]

CDC said those living In the same household can get live vaccines

Just the same as those in school get the shot

 

[Mr chicken]

Close contacts
Up-to-date routine immunizations are recommended for household members and other close contacts of immunocompromised individuals, including health care workers. Non-immune close contacts of immunocompromised people should be immunized against measles, mumps, rubella, varicella, rotavirus and influenza as appropriate for age. Non-immune household or close contacts of immunocompromised people should be given hepatitis B vaccine. In addition, non-immune close contacts of HSCT recipients and close contacts of solid organ transplant candidates and recipients should receive hepatitis A vaccine if other risks are present.
Vaccine viruses in MMR vaccine are not transmitted to contacts. Susceptible close contacts of immunocompromised people should receive herpes zoster or varicella-containing vaccine as appropriate for age and risk factors. If the vaccine recipient develops a varicella-like rash, the rash should be covered and the vaccinee should avoid direct contact with the immunocompromised person for the duration of the rash. Secondary transmission from people with post-varicella vaccination varicella-like rashes is rare.
Infants living in households with persons who have or are suspected to have immunosuppressive conditions or who are receiving immunosuppressive medications can receive rotavirus vaccine. Following administration of rotavirus vaccine, viral antigen shedding in the stool may be detected in some vaccinees. Data on the potential for transmission of vaccine virus from vaccinees to household contacts has not been published; however, many experts believe that the benefit of protecting immunocompromised household contacts from naturally occurring rotavirus by immunizing infants outweighs the theoretical risk of transmitting vaccine virus. To minimize the risk of transmission of vaccine virus, careful hand washing should be used after contact with the vaccinated infant, especially after handling feces (e.g., after changing a diaper), and before food preparation or direct contact with the immunocompromised person.
Annual influenza immunization with trivalent inactivated influenza vaccine is recommended for close contacts of immunocompromised persons. Because of the theoretical risk for transmission, recipients of live attenuated influenza vaccine should avoid close association with persons with severe immunocompromising conditions (e.g., bone marrow transplant recipients requiring isolation) for at least two weeks following vaccination.
Oral polio vaccine should not be administered to household contacts of an immunocompromised person. Oral polio vaccine is not available in Canada.
Generally, smallpox vaccine should not be administered to household contacts of an immunocompromised person in a non-emergency situation. If vaccination is required in an outbreak situation, precautions should be taken for unvaccinated household and other close contacts.

From

 

[Mr chicken]

http://www.phac-aspc.gc.ca/publicat/cig-gci/p03-07-eng.php

Just google
Next time

 

[crohnsinct]

Nope! We have been told any vaccines are o.k. and as a matter of fact my oldest got live yellow fever vaccine when she went to Nicaragua recently.

I would think you would want the family members protected so they don't bring the disease into the house.

The only time I was advised against vaccinating my child was when they were little and my mother (severely immune suppressed) was watching them and she was changing their diapers etc. Something about possibly passing a disease on to them in their feces. So I just took a few days off.

 

[Clash]

Yep no different from all the kids they spend the day with at school who are getting live vaccines. We were only told by the vaccine nurse that J didn't need to be in close contact if C was ill.

 

[Farmwife]

WOW, I've always thought it was stupid but never looked up the chances (statistics) of her checking it from her newly vaccinated brother vs catching it during an epidemic.