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Transcripts

Following are the transcripts of the chat with Dr.Ravindra Chittal held on
May 25, 2000 at 1600 hrs IST.

Mena Raja Dr Chittal we hear of many new vaccines and opinions differ. What to do?
Dr. Ravindra Chittal The new vaccines that have come are against diseases, which have always been with us. However, they are of importance now since many previous ailments like polio and small pox have been taken care of.
Mena Raja Can grown up children be given hepatitis B? 
Dr. Ravindra Chittal Yes, even they can be given. The program of vaccination starts at birth after 1 month and after 6 months. If not started earlier on it can always be started at any other point of time. All children should be vaccinated against Hepatitis B.
Veena What about Chicken pox vaccine? Is it a must?
Dr. Ravindra Chittal Chicken pox once suffered gives life long immunity and hence NO vaccination is needed. Any child who has not suffered from chicken Pox till the age of 10 yrs may be given the vaccine. Before 10 yrs we hope every child gets chicken pox and gets life long immunity. The vaccine itself gives 10 yrs of immunity.
Ishita Nagpal My child is going to appear for his SSC exams next year. He has had chicken pox at the age of 12. Can it reoccur? Should I vaccinate him?
Dr. Ravindra Chittal Chicken pox once suffered gives life long immunity and hence NO vaccination is needed.
Sheetal What is the Hib Vaccine? Is it necessary?
Dr. Ravindra Chittal Hib protects against a bacterial infection such as meningitis due to a certain harmful bacteria called HiB. Children below 2 yrs are highly at risk and should be given the vaccine. It is an optional vaccine due to high cost involved. However it is a vaccine worth giving. Babies FROM 3RD MONTH ONWARDS ARE given 3 doses at 2 month intervals each.
Sheetal My Pediatrician is against vaccinations to the extent that he has not vaccinated even his grandchildren. He says that if your child has good immunity by eating right he doesn't need vaccines to protect him. What is your opinion?
Dr. Ravindra Chittal Well he has a right to his opinion. I DO NOT agree. I have vaccinated my son and am proud of it. The world is so much a safer place for children free from smallpox, plague and now polio. Thanks to vaccines.
Sheetal Which vaccine protects against jaundice? Hep A or Hep B?
Dr. Ravindra Chittal The commonest jaundice we see which comes from eating unhygienic food and water is Hep A. Hep B comes from transmission through direct or indirect contact, contaminated needles etc... Both lead to jaundice. Hep A is not very harmful whereas Hep B is very dangerous often Fatal. Each vaccine protects from specific disease only.
Kaajal My child is 3yrs 7 months old. Does he need to be given hepatitis B vaccine?
Dr. Ravindra Chittal Kaajal Yes your baby should be given Hep B vaccine as early as possible.
Kaajal My friend having Hepatitis B is going to have a baby. Will the child have the disease too?
Dr. Ravindra Chittal Hep B virus is NOT transmitted from mother's blood to the fetus, through the placenta, but during delivery Hep B Immunoglobulin inj given to the baby within 24 hrs of delivery can protect the new born. Further protection can be given by simultaneous administration of Hep B vaccine 1st dose.
Sheetal Which other vaccines are important?
Dr. Ravindra Chittal Typhoid vaccine. An imp vaccine in our country. Typhoid vaccine gives immunity for 3 yrs.
Manisha How good is the oral typhoid vaccine? I took it and contracted typhoid within 4 months of completing my schedule.
Dr. Ravindra Chittal Manisha, That is bad luck! Oral vaccine gives equal and long enough protection from Typhoid. May be u suffered from paratyphoid.
Natasha My 2nd dose of hepatitis B was taken 17 days later than the scheduled date. Is there any harm ?
Dr. Ravindra Chittal Natasha, 2nd dose of Hep B may be delayed upto a month from schedule and 3rd dose may be delayed upto 6 month from scheduled date.
Renu Are there any other vaccines for meningitis?
Dr. Ravindra Chittal Renu, meningitis vaccine as it known today is by & large HiB vaccine. Hib vaccine protects only against meningitis due to HiB bacteria. It is not a general purpose meningitis vaccine. Meningitis can also be caused by many other bacteria & viruses. Beside the HiB vaccine Meningococcal Meningitis vaccine is available and it protects against Meningococcal meningitis.
Renu When should I give this vaccine? Along with Hib or at some other time?
Dr. Ravindra Chittal Renu, It is not necessary to give this vaccine except in times of epidemics such as occurs in crowds of people in haj or melas.
Natasha Is it necessary to take tetanus after every 6 months even though there is no injury ?
Dr. Ravindra Chittal Natasha TT which forms a part of DPT gives immunity for 5 yrs & TT inj every 5 yrs after child is 5 is enough to protect him.
Dr. Ravindra Chittal WHATEVER OTHERS MAY SAY VACCINATE & PROTECT YOUR CHILD.


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