Vaccination, Pediatrics FAQ

Can Newborns Contract Hepatitis B from Parental Contact?

Can newborns become infected with hepatitis B as a result of this? (Forwarded from the Director's mailbox) ● The baby was born on February 7 and received the first dose of the hepatitis B vaccine on February 9. My wife does not have hepatitis B, but I am a carrier of hepatit...

Dr. Pei Rensheng Reply:
Dear Mr. Cheng, Hello. Hepatitis B can be transmitted through bodily fluids and blood. If the baby has any cuts or sores in the mouth, there is a possibility of ingesting breast milk that contains the virus, although this risk is low, it is still advisable to take precautions. V...

Is the Flu Vaccine This Year Effective for Infants? H1N1 Strain Included?

Influenza vaccine Is it true that this year's flu vaccine includes the H1N1 strain? My baby just turned 6 months old; does he/she need to receive the vaccine?

Dr. Pei Rensheng Reply:
Dear Ms. Hsuan: Hello! (1) This year's influenza vaccine components include H1N1, H3N2, and one strain of B-type influenza, totaling three components. (2) Babies can be considered for free vaccination after they reach 6 months of age (the registration fee still needs to be...

Understanding Adebi Dosage and Storage for Pediatric Use

What is the dosage of Adipex? Thank you for the doctor's response. When I took my child for vaccinations, I also asked the doctor to prescribe Adebi, but since the hospital did not have this probiotic, he asked me to buy it at the pharmacy. I would like to ask a few question...

Dr. Xie Degui Reply:
1. It can be stored at room temperature. 2 and 3. You can eat one whole piece without needing to split it in half. 4. It can be consumed with milk; however, if you are too concerned, it is recommended to take it with warm water.

Understanding the Timing and Impact of Japanese Encephalitis Vaccination

Vaccination Administration Issues Is there a time restriction for administering the first and second doses of the Japanese encephalitis vaccine? What are the effects if there is a long interval between doses? My child received the first dose on October 2, 2010, but the hospital l...

Dr. Xiao Kaiwen Reply:
Previously, it was recommended that if there was a significant delay between the first and second doses of the Japanese encephalitis vaccine, the first dose should be re-administered. However, the Advisory Committee on Immunization Practices of the Health Department recently disc...

How Many Flu Vaccine Doses Should My 1.5-Year-Old Get?

Influenza vaccine Hello Doctor: My child is currently 1.5 years old. Last year, he only received the first dose of the H1N1 vaccine and did not receive the seasonal flu vaccine. How many doses of the seasonal flu vaccine should he receive this year?

Dr. Huang Yaofeng Reply:
Hello Ms. Huang: Since your child did not receive the seasonal flu vaccine last year, this year will be considered the first vaccination. Therefore, your child will need to receive two doses of the seasonal flu vaccine, with an interval of one month between doses, and there is no...

Seizures After Japanese Encephalitis Vaccine: What Parents Should Know

Seizures occurred after receiving the Japanese encephalitis vaccine? The child received the first dose of the Japanese encephalitis vaccine in March of this year. Three days later, they developed a fever and experienced seizures with a pale complexion. They were taken to a major ...

Dr. Xiao Kaiwen Reply:
If there are suspected adverse reactions to a vaccine, the physician should report it. If the family requests compensation, they should report it to the health department (the last page of the child health handbook contains the vaccination consultation hotline numbers for various...

Understanding Redness in Infant's Eyes: Causes and Concerns

Blood vessels in the sclera of infants? Hello, my younger brother was born at 34 weeks weighing 2465 grams. He is currently 6 months and 10 days old, weighing 8000 grams and measuring 64 cm. Is his development normal? I noticed that there are blood vessels visible in half of his ...

Dr. He Shenglong Reply:
Hello: The child is currently 6 months and 10 days old, but was born prematurely at 34 weeks. If we calculate based on a full-term birth, the child would be between 4 and 5 months old. To assess whether development is on track, you can refer to the section for 4-5 months in the c...

Understanding Head-Banging in Toddlers: When to Worry and When to Wait

A one-year and two-month-old baby frequently hits their own head? Hello, doctor! I would like to ask about my child, who is almost one year and three months old. For the past three months, he has been hitting his head quite hard when he is either happy or unhappy. When I try to s...

Dr. Xiao Kaiwen Reply:
During the developmental process, infants often exhibit behaviors that may seem strange to us "adults" (such as ear pulling or head banging). However, these actions are actually "normal" phenomena in some babies' development, and most of them are just tem...

Common Pediatric Concerns: Baby's Health Questions Answered

Please consult a doctor? Thank you for your previous response, doctor! I have a few more questions to ask~~ My baby is now 3 months old and weighs 8 kg. He has one meal of breast milk supplemented with formula milk, around 60-180 cc daily. 1. A few days ago, while I was cleanin...

Dr. Xiao Kaiwen Reply:
1. The external genitalia of newborns are not fully developed (they will become more pronounced at puberty). As long as there is no hypospadias or penile curvature, the most important factor is that both testicles have descended into the scrotum and can be palpated, which indicat...

Managing Post-Vaccine Nausea and Fever in Children: A Guide for Parents

Influenza vaccine Hello Dr. Pei, my daughter is currently in the first grade of elementary school. In October, she received the flu vaccine (not H1N1) at school. However, the day after the vaccination, she experienced mild fever and nausea. The fever gradually subsided after a fe...

Dr. Pei Rensheng Reply:
Hello! The overall reporting rate of adverse reactions following the administration of the domestically produced Guoguang H1N1 vaccine or seasonal influenza vaccine is comparable to data from other countries and is very low. According to the statistics from the Centers for Diseas...

Flu vs. New Flu: Vaccination Guidance for Your Toddler

Influenza and Novel Influenza Hello Doctor: My child is 2 years and 11 months old. The health center has notified us to administer the influenza vaccine, and I am unsure how to decide. Q1. Is it sufficient to only get the influenza vaccine, or is it necessary to receive the new i...

Dr. Xie Degui Reply:
Hello: 1. Two different vaccines prevent different strains of the influenza virus, so both need to be administered for effective prevention. 2. According to a notice from the Centers for Disease Control, there are no restrictions on administering these two vaccines separately; th...

Can Hepatitis A and New Flu Vaccines Be Administered Together?

New influenza and hepatitis A vaccine? Hello: My child is 2 years and 10 months old and is due for the second dose of the hepatitis A vaccine. It coincides with the influenza vaccine administration period. Can the hepatitis A vaccine and the influenza vaccine be given together? I...

Dr. Xie Degui Reply:
Hello: Vaccination can be administered together or spaced out by any number of days.

Understanding Common Concerns in Newborns: Health Issues and Solutions

Is it possible to get sick? Hello, doctor. My baby was born a little while ago and was classified as a low birth weight infant at 1830 grams. He returned home weighing 2200 grams and is currently 2600 grams, but he cries frequently and is difficult to soothe. I notice that his br...

Dr. Xie Degui Reply:
Hello: 1. The respiratory issue may be laryngotracheomalacia, which is common in low birth weight or premature infants and usually resolves on its own by 7 to 9 months of age. 2. The fluid accumulation is not a hernia and most cases resolve before the age of one. 3. Congenital hy...

Essential Vaccine Questions for Pediatric Health: A Parent's Guide

Regarding vaccine issues? Question 1: Hello, regarding the Haemophilus influenzae type b (Hib) vaccine, my son did not receive the private vaccine at two months old, so he received the combination vaccine at that time. When he was four months old, I informed the doctor that I wan...

Dr. Xiao Kaiwen Reply:
1. The basic immunization for Haemophilus influenzae type b (Hib) vaccine requires at least two doses before the age of one, so your baby has received sufficient Hib vaccination and does not need a booster. 2. The seasonal influenza vaccine can be administered simultaneously with...

Should My Kids Get the New Flu Vaccine After Having Influenza?

Is it necessary to receive the new influenza vaccine? My children are in the second and third grades of elementary school. In September of this year, they had a fever and tested positive for influenza A through a rapid test. Should they receive the new influenza vaccine?

Dr. Xiao Kaiwen Reply:
A rapid test that indicates influenza A does not necessarily mean it is H1N1 (as H1N1 is just one subtype of influenza A). It could also be an infection from other strains of influenza A, so vaccination against the new influenza (H1N1) vaccine is still recommended.

Vaccination Concerns: Pneumococcal Shots for Infants in Taiwan

Streptococcus pneumoniae My baby received the pneumococcal vaccine in Taichung at 2 months old. The second dose is scheduled for November 19. However, I need to bring my baby back to Hsinchu. I have a few questions: 1. Will the vaccine in Taichung and Hsinchu be different? Can ...

Dr. Xie Degui Reply:
Hello: All pneumonia vaccines are the same, so you can get vaccinated in Hsinchu. About 5% of people may experience a fever, which varies by individual constitution. If you did not have a fever the first time, you should be fine this time. Generally, it is possible to have a feve...

Concerns About My 9-Month-Old Daughter's Weight and Growth

My sister is too thin? Hello, Doctor: My little daughter is currently 9 months and 18 days old. She weighed 2600 grams and was 49 cm long at birth. Today, during her vaccination, her height and weight were measured as follows: height: 65 cm, weight: 6.7 kg. She consumes about 700...

Dr. He Shenglong Reply:
Hello: A nine-month-old baby girl has a height of 65 cm and a weight of 6.7 kg, which is around the 3rd percentile according to the growth chart. Currently, her development is normal, but she is considered short and underweight. If the parents are of a smaller build, it is likely...

Is It Safe to Preemptively Give Fever Medicine After Vaccines?

Is this okay? I am Huang Mama, who consulted you last time. My son always has a fever after vaccinations, including the hexavalent vaccine and pneumococcal vaccine. I went to another clinic, and they suggested that I continue with the hexavalent vaccine. After the vaccination, th...

Dr. Xiao Kaiwen Reply:
Some physicians believe that certain babies are likely to develop a fever after receiving specific vaccines (like your baby). In such cases, it is acceptable to administer antipyretics before the vaccine is given, as long as the fever has not yet developed. If the fever is confir...

Understanding Fetal Oxygen Levels: Concerns After a Prolonged Labor

Is the fetus experiencing hypoxia? Hello Doctor: I am 38 weeks pregnant and gave birth to a son on June 5 using induction methods. The labor process was as follows: I started taking the induction medication at 8:00 AM on June 4, but there was no progress. Subsequently, I was give...

Dr. He Shenglong Reply:
Hello: The child cried at birth, and the Apgar score was 9, indicating that there was no evidence of hypoxia during that stage. As for the complications during labor or any brief episodes of hypoxia, your concerns about potential long-term effects currently seem to have no defini...

Understanding Vaccine Intervals for Japanese Encephalitis and Pneumococcal Vaccines in Pediatrics

Regarding the interval issue between Japanese encephalitis and pneumococcal pneumonia? Hello: I am looking for information on vaccine intervals from common pediatric vaccination questions. On October 20, 2008, a mother asked about vaccine intervals, and the doctor responded that ...

Dr. Xiao Kaiwen Reply:
The initial recommendation from the manufacturer was to space the administration of the pneumococcal vaccine and the Japanese encephalitis vaccine by one month. However, the Advisory Committee on Immunization Practices of the Department of Health has since removed this requiremen...

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