Is there still a free varicella vaccine available?
1.
Is there still a free varicella (chickenpox) vaccine available? If so, where can I inquire about it? (I live in Changhua.)
2.
My baby turned one year old on September 28, but we are scheduled to administer the measles, mumps, and rubella (MMR) vaccine on October 2.
When is the best time to administer the varicella vaccine after my baby turns one? Can both vaccines be given at the same time?
3.
My baby has atopic dermatitis.
After turning one, does he still need to drink hydrolyzed protein formula? His atopic condition has improved significantly, and we have been applying a topical corticosteroid cream.
Is it still okay to continue applying it after he turns one?
csm, 30~39 year old female. Ask Date: 2008/09/21
Dr. Hong Shuokun reply Pediatrics
1.
Yes, every pediatric department in hospitals has it.
However, sometimes the free varicella vaccine provided by health clinics may be out of stock, but they have recently restocked.
2.
It can be administered more than one month apart.
3.
There is not much difference; I am really worried about being able to drink until the age of 2.
Corticosteroid ointment is a treatment medication that should be applied thinly only on rough skin rashes, and should not be applied to normal skin.
Reply Date: 2008/09/21
More Info
In Taiwan, the availability of free chickenpox vaccines for children is part of the national immunization program. As of now, the Centers for Disease Control (CDC) in Taiwan provides free chickenpox vaccination for children at the age of 1 and again at 6 years old. To find out where you can get the vaccine, you can contact your local health department or visit the CDC's official website for a list of authorized vaccination sites in your area. Since you live in Changhua, you may want to reach out to the Changhua County Health Bureau or local clinics to confirm their vaccination schedules and availability.
Regarding your second question about the timing of the chickenpox vaccine in relation to the measles, mumps, and rubella (MMR) vaccine, it is generally recommended to space out these vaccinations. The MMR vaccine can be administered at 1 year of age, and the chickenpox vaccine is also given at 1 year. While both vaccines can technically be given on the same day, it is often advised to separate them by at least a month to monitor for any potential side effects. Therefore, if your child is turning 1 on September 28 and is scheduled for the MMR vaccine on October 2, it would be advisable to wait until after the MMR vaccination to administer the chickenpox vaccine, ideally around the 1-year mark or shortly thereafter.
For your third question regarding your child's atopic dermatitis (eczema) and dietary needs, it is important to consult with your pediatrician or a dermatologist. If your child has shown significant improvement in their skin condition, it may be possible to gradually transition away from specialized formulas, but this should be done under medical supervision. The use of hydrolyzed protein formulas is often recommended for children with a history of allergies or eczema, but as they grow older, some may be able to tolerate regular milk or other dairy products.
As for the use of topical treatments like the corticosteroid cream (Kertin) you mentioned, it is generally safe to continue using it as needed, especially if it helps manage flare-ups. However, it is essential to follow your doctor's advice regarding the duration and frequency of use to avoid potential side effects from long-term use of topical steroids. Regular follow-ups with your healthcare provider will help ensure that your child's skin condition is managed effectively and that any necessary adjustments to their treatment plan are made.
In summary, free chickenpox vaccines are available in Taiwan, and you can check with local health authorities for specific locations. It's advisable to space out the chickenpox and MMR vaccinations, and for your child's eczema, ongoing consultation with a healthcare professional is crucial for managing their dietary and topical treatment needs.
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