Thursday, November 7, 2013

Public health measures that impact children's development - Immunization

This topic is meaningful to me because it is one of the requirements of our center that we must have immunization records before a child can be admitted to our program.  Every year we have to certify with the state that we have these records.  I could not copy and paste the information regarding the Center for Disease Control's (CDC) recommended immunization schedule so I have provided a link to their table.
 USA Recommended immunization schedule for persons aged 0 through 18 years – 2013

I have inserted some information regarding Japan's immunization's schedule and after reading it seems Japan is very similar to the USA. Some sources indicate that Japanese immunization program is lagging behind compared to other countries. Vaccines are categorized as either under the law or voluntary in Japan.  The rates for voluntary vaccines have been low due to the high economic burden in Japan.  There are some new movements to fill the “vaccine gap” in Japan. A reform of Japanese immunization law is urgently needed to improve the immunization program.
-----------------------Japanese Vaccination Guidelines---------------------------

"Please note that there is no duty to receive vaccinations in Japan.
It is a matter of parental choice, but they are strongly recommended."
http://www.hyogo-ip.or.jp/hiaf/eg/hlgmne/31.htm 
 
Appropriate Ages for Vaccinations
http://www.hyogo-ip.or.jp/hiaf/eg/hlgmne/31.htm

Polio
(live attenuated vaccine) From age 3-90 months twice (at more than 6
week intervals)
------------------------------------
Diptheria
(D)
Pertussis
(P)
Tetanus Toxoid
(T)
(DPT vaccine) Stage 1(DPT triple combined)
First injectionfrom age 3-90 months, three times (at 3-8 week intervals)
Booster injection from age 3-90 months (after first injection wait
more than 6 months), once
Stage 2 (DT double combined)
Once between age 11 and 12 From age 3-12 months

After first injection completed 
From age 12-18 months

Sixth year of elementary school (Age 12)
------------------------------------------------------------------

Measles
(live attenuated vaccine) From age 12-90 months once 

--------------------------------------------------------------------

Rubella
(live attenuated vaccine) From age 12-90 months once  

---------------------------------------------------------------------

Japanese Encephalitis
(Japanese encephalitis vaccine) Stage 1
First injection from age age 6-90 months, twice (at 1-4 week intervals)
Booster injection from age age 6-90 months(after the first injection,
generally one year later), once

Stage 2 From age 9-13, once

Stage 3From age 14-15, once Age 3

Age 4

4th year of elementary school(Age 9)

2nd year of junior high school (Age 14) 

--------------------------------------------------------------------------

Tuberculosis (BCG) 

1. Before age 4 
2. First year of elementary school 
3. Second year of elementary school
(only for those vaccinated in first year of elementary school) 
4. First year of junior high school 
5. Second year of junior high school
(only for those vaccinated in first year of junior high school)

*Those who react negatively to tuberculin in 1-5 are vaccinated.
(those whose red patch is less than 9mm diameter are judged as
reacting negatively)

----------------------------------------------------------------------------
http://www.hyogo-ip.or.jp/hiaf/eg/hlgmne/31.htm
(The following schedule is more clearly outlined in a table at the link above)

Here is another list of immunizations and a time table
http://home.e08.itscom.net/kosodate/3.Health%20Care%20Service.htm


----------------------Notes on the Japanese Vaccination Process-------------

Immunizations 

"Preventive inoculations (immunizations) for diphtheria, whooping
cough, measles and Japanese encephalitis are given at the Public
Hygiene Section of municipal offices. The fee and kinds of
immunizations available depend on the municipal office. Foreign
residents need to present their Certificate of Alien Registration. "
http://www.hyogo-ip.or.jp/hiaf/eg/hlgmne/32.htm

Vaccinations In Japan
http://www.mief.or.jp/en/life/handbook/pdf/11.pdf

"There are 2 ways of taking vaccinations in Japan - Regular
vaccinations that the government encourages and Optional ones that the
parents' decide to give in addition to the regular ones. "
http://home.e08.itscom.net/kosodate/3.Health%20Care%20Service.htm

"4 months old children are vaccinated against BCG and Polio at 4
months-old check-up in the Public Health Center."
http://home.e08.itscom.net/kosodate/3.Health%20Care%20Service.htm 
 
Immunization's for young children is something we in the child care world deal with every time we
admit a new child into our programs.  We are monitored by the state and I don't see this changing.
So I feel we need to learn as much as possible about it so we can can at least talk intelligently
to our parents.

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