Question

A 6 year old child is brought to the county public health department because of fever and diarrhea. During an interview with the 20-year-old mother the nurse discovers that the child has not had his “baby shots” or routine well-child checkups. After reviewing the 2019 CDC’s recommended immunization schedule:

a.) What immunizations should the child receive today?

b.) How would you go about assisting this family to secure immunizations and well-child checkups?

Answer 1

Given information:

A 6year old child,having fever and diarrhoea visits public health department.

A child has not had his baby shots as per recommendation of CDC immunization schedule.

a)At the age of 6,the child should receive following immunizations:

• Diptheria, tetanus,and whooping cough(Pertussis)(DTaP)
• Polio(IPV)
• Measles,Mumps,Rubella(MMR)
• Chickenpox(Varicella)
• Influenza(Flu)

As the child is having fever and diarrhoea vaccination with both live and inactivated vaccine should be delayed until the patient has recovered from the illness.(Though the CDC has recommended mild illness is not a contrindication for immunization.)

There is no evidence that an acute illness reduces vaccine efficacy or increases vaccine adverse effects.The concern is an adverse events following vaccination may complicate the management of a mderate or severe illness.

b)Assisting the family to secure immunization and well child checkups:​

1)Inform the family that well child visits are essential for

• Have a track on growth and development including milestones,social behaviours and learning of child.
• Getting scheduled vaccination to prevent illnesses.
• Discussing any concern about child's health.

2.Explain and educate about the complications of not immunizing child on time.

3)Rule out the reason for not vaccinating child on time.If any social or cultural related issuses for this,in a admissible manner educate the family to be regular for well child checkups.

​