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Posted (edited)

I am trying to ensure our daughter (approaching 4 years) is up to date with current recommended inoculations/immunisations.

Problem is the first couple of years we were living in another province and wife took her to visit 2 or 3 different clinics, and now we have lost track of things.

I dont suppose the Thai medical system operates a central database of records which can easily be passed to clinics/doctors?

(edit: We have some sort of medical card, which I think possibly acts as the main patient records?)

Now we have moved to Chonburi and visiting yet another clinic, I advised wife to ask about this, but I'm not convinced I will get an answer which will put my mind at ease.

So have done some research and have found a list of recommended immunisatins (from U.S. although I am British)

I am hoping somebody can run through the list and comment if anything is missing or uneccessary.

And also I then hope to present the list to the clinc/doctor and hope they recognise everything.

(which is where a similar list in Thai or translation may come in handy)

Finally, of course I want to be safe rather than sorry, so what are the dangers (if any) should my daughter be given the same vaccination again?

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Here is the list I am following, (if there is a better list somewhere please post)

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http://www.babycenter.com/0_immunizations-for-children-what-you-need-to-know_1470687.bc

U.S. Recommended immunization schedule
If your child has gotten behind on immunizations, ask your doctor about the "catch-up" schedule.

DTaP, to protect against diphtheria, tetanus, and pertussis (whooping cough):

· At 2 months

· At 4 months

· At 6 months

· Between 15 and 18 months (can be given as early as 12 months as long as it's at least six months after the previous shot)

· Between 4 and 6 years old

· A booster shot at 11 or 12 years of age

Hepatitis A, to protect against hepatitis A, which can cause the liver disease hepatitis.

· Between 12 and 23 months, two shots, with the second one given six to 18 months after the first

Hepatitis B, to protect against hepatitis B, which can cause the liver disease hepatitis:

· At birth

· Between 1 and 2 months

· Between 6 and 18 months.

Hib, to protect against Haemophilus influenza type B, which can lead to meningitis,pneumonia, and epiglottitis:

· At 2 months

· At 4 months

· At 6 months (not needed if the PedvaxHIB or ComVax brand of vaccine was given at 2 and 4 months)

· Between 12 and 15 months

HPV, to protect against human papillomavirus, the most common sexually transmitted disease in the United States and a cause of genital warts and of cervical, anal, and throat cancers:

· Three doses for girls and boys at age 11 or 12 years

Influenza (the flu shot or, for age 2 and up, nasal spray vaccine), to protect against seasonal flu and H1N1 (swine flu):

· Age 6 months and up, every year in the fall or early winter

· One dose for most children

· Two doses for children 6 months to 8 years old who are getting the flu vaccine for the first time or who had only one dose of the flu vaccine in the previous year's flu season

Meningococcal, to protect against meningococcal disease, the leading cause of bacterial meningitis in U.S. children in pre-vaccine days:

· Between 11 and 12 years

MMR, to protect against measles, mumps, and rubella (German measles):

· Between 12 and 15 months

· Between 4 and 6 years old

Pneumococcal (PCV), to protect against pneumococcal disease, which can lead to meningitis, pneumonia, and ear infections:

· At 2 months

· At 4 months

· At 6 months

· Between 12 and 15 months

Polio (IPV), to protect against polio:

· At 2 months

· At 4 months

· Between 6 and 18 months

· Between 4 and 6 years old

Rotavirus, (given orally, not as an injection) to protect against rotavirus, which can cause severe diarrhea, vomiting, fever, and dehydration:

· At 2 months

· At 4 months

· At 6 months (not needed if the Rotarix brand of vaccine was given at 2 and 4 months)

Varicella, to protect against chicken pox:

· Between 12 and 15 months

· Between 4 and 6 years.

Edited by Farang0tang
Posted

page 16 of this shows the immunization schedule folloiwed in Thailand. There are some differences from Western countries due to different epidemiology e.g. no need to immunize for Japanese B Encephalitis (JE) in the west but there is here:

http://110.164.68.234/infotech/files/Vac%20child&adult.pdf

There is a child immunization card used in Thailand which would have been given to your wife. Sometimes people lose them or throw them out after the main series is finished Should be able to get a replacement from the clinics your daughter got her vaccines from, though you would probably have to contact each iof them separately.

the more common approach in Thailand and what any clinic you go to would probably do is to assume she had what she should have had at the younger ages and provide only what is indicated at her current age.

They are pretty good at following the immunization schedule in Thailand so if your daughter had regular "well child" checks she probably did get the indicated vaccines. But in future insist on a take home vaccination card.

Posted

Thank you Sheryl for the reply and link.

I recognise the medical card in the pdf document. So will compare our records, (though some are missing), with page 16 in the link.

Think we will just have to work from our latest clinic card and assume the kid was all up-to-date to that point.

She did visit regularly for "well child" checks as you mentioned.

Thanks again, this is a great help.

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