Hello doctor, my baby is due for his 10th week vaccination. We were planning to give him the painful dose in the 6th week with pneumococcal as well as rotavirus vaccines. In a hurry I answered a yes for the painless one in the 6th week and have been feeling guilty since then. I wanted to switch to the painful one but 2-3 pediacs said it's better I don't. I wanted to know why is it so? Also wanted to know if the free vaccinations offered as per the NHM are safe or the ones given in private clinics are better? - concerned mother.
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I understand you dilemma lybrate-user, as per WHO and CDC there is no difference between the efficacy of painful and painless vaccine but Indian academy of Pediatrics currently recommend painful vaccine citing better immunological response. Though all western countries continue to give painless vaccine to all its children including of Indian origin kids. So as far as I am concerned there is no advantage of going for painful or painless vaccine over one another. So don`t feel guilty and choose vaccine according to your convenience and financial resources. As far as vaccine in private clinic and govt set up is concerned. There is no difference in the vaccine given but in govt. Sector you will not be able to get optional vaccination done.
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You can give the one from NHM and it is not as painful as the name suggests and most children take it and the painless is a commercial strategy.
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In view of recent 2013 California pertusis outbreak which revealed the waning immunity of acellular pertusis, IAP has categorically mentioned Whole cell pertusis for primary series. I.e 6 10 14 weeks vaccinations. Same problem is with Tdap also. Significant decrease of immunity after 2 to 4 year. Go for whole cell pertusis if no reaction had occurred previously. And go for all vaccines if you can afford.
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