Vaccination

This morning Adli got his 3rd dose hepatitis-B vaccination. Finally, I decided to let Adli have this vaccination, after a long confusing moment :D . His pediatrician in Japan, said if it is not necessary at all to get this vaccination if we live in a good sanitation, have no contact with blood like the doctor or the nurse's job, and not live in a worse sanitation like in a disaster impact area. You could see your self, you didn't get the hepatitis B vaccination do you? And you still health until now, you are not influenced by Hepatitis virus, right? He added his explanation, talk about me. He explained about Hepatitis-B disease very clearly. And after he finished his explanation, I and my husband decided to have no Hepatitis-B vaccination for our children.

Came home to Indonesia, I was informed that is so many vaccination that should be given to the children, even since they are a newborn baby (in Japan, the first vaccination, BCG, will be given to the 3 months old baby). Especially about Hepatitis-B vaccination, the baby will have 3 doses before they are 6 months old, and the first one is when they are a newborn baby.

Adli was 18 months old when he came home to Indonesia. Now he is 24 months old. In this six months, he catch up all the *Indonesian's* vaccination. He has took the 3rd and 4th polio, three doses hepatitis B, and two doses HIB. The next one, next month, is his 3rd HIB (Haemophilus influenzae type B).

Alif was 4 years 7 months when he came home to Indonesia. Now he is 5 years and 1 month old. In this six months, he also catch up his *Indonesian's* vaccination. He has took one dose of HIB, Polio, DPT, Typhoid, Hepatitis A, PCV and Varicella. It will be completed if he take the 2th Hepatitis A on March 2009.

All vaccination's fee is very expensive, additionally for 2 toddler's fee :D . The most expensive one is PCV (pneumococcal, prevenar), its fee is Rp.840.000. Of course I have to re-arrange my budget this month because of it :D And fortunately, my children only need 1 dose of PVC because they are in a "vaccination catch up" condition haha (it's suggested to have 4 doses of PCV for the baby when they are 2 - 15 months old).

Every country has different policy about vaccination. The only one reason that I let my children take all the vaccination is I don't know what and where would be they are in future. And maybe the only one sentesce in my testament is their vaccination is completed ????? haha.

Here is Indonesia's vaccination schedule. It's up date by 2006, but it's no different with the 2007's schedule that I got from the the hospital. It's taken from http://www.idai.or.id/jadwal.htm


JADWAL IMUNISASI 2006
REKOMENDASI IKATAN DOKTER ANAK (IDAI) PERIODE 2006

JENIS VAKSIN	UMUR PEMBERIAN VAKSINASI
	BULAN											TAHUN
	LHR	1	2	3	4	5	6	9	12	15	18	2	3	5	6	10	12
Program pengembangan imunisasi (PPI - diwajibkan)
BCG
HEPATITIS B	1	2		3
POLIO	0		1		2		3				4			5
DTP			1		2		3				4			5			6
CAMPAK								1							2
Program imunisasi non-ppi (dianjurkan)
Hib			1		2		3			4
PNEUMOKOKUS (PVC)			1		2		3		4
INFLUENZA							DIBERIKAN SETAHUN SEKALI
MMR										1					2
TIFOID												ULANGAN TIAP 3 TAHUN
HEPATITIS A												2x INTERVAL 6 - 12 BLN
VARISELA

Keterangan Jadwal Imunisasi Periode 2006

Vaksin keterangan Hepatitis B HB diberikan dalam waktu 12 jam setelah lahir, dilanjutkan pada umur 1 dan 3 - 6 bulan. Interval dosis minimal 4 minggu. Polio Polio-0 diberikan pada saat kunjungan pertama. Untuk bayi yang lahir di RB/RS OPV diberikan pada saat bayi dipulangkan (untuk menghindari transmisi virus vaksin kepada bayi lain). BCG Diberikan sejak lahir. Apabila umur > 3 bulan harus dilakukan uji tuberkulin terlebih dulu, BCG diberikan apabila uji tuberkulin negatif. DTP Diberikan pada umur ³ 6 minggu, DTwP atau secara kombinasi dengan Hep B atau Hib. Ulangan DTP umur 18 bulan dan 5 tahun. Umur 12 tahun mendapat TT pada program BIAS SD kelas VI. Hib Diberikan mulai umur 2 bulan dengan interval 2 bulan. Diberikan terpisah atau kombinasi.

Vaksin keterangan Campak Campak-1 umur 9 bulan, campak-2 diberikan pada program BIAS pada SD kelas 1, umur 6 tahun. MMR MMR dapat diberikan pada umur 12 bulan, apabila belum mendapat campak 9 bulan. Umur 6 tahun diberikan untuk ulangan MMR maupun catch-up Immunization. Pneumokokus (PVC) Pada anak yang belum mendapatkan PCV pada umur ³ 1 tahun PCV diberikan dua kali dengan interval 2 bulan. Pada umur 2 -5 tahun diberikan satu kali. Influenza Umur £ 8 tahun yang mendapat vaksin influenza trivalen (TIV) pertama kalinya harus mendapat 2 dosis dengan interval minimal 4 minggu. Hepatitis A Hepatitis A diberikan pada umur ³ 2 tahun, dua kali dengan interval 6 - 12 bulan. Tifoid Tifoid polisakarida injeksi diberikan pada umur > 2 tahun, diulang setiap 3 tahun.