Pediatrics/hep b

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QUESTION: sr my son is 9 months old. he was given the first shot hep b when he was 6 months old and the other when he was 10 months old.Ideally the final shot was due on 2nd week january(5 months from 2nd shot) but we missed it. its feb 27th today :( what do i do? :(:(

ANSWER: Hi Vishal,

He should be given the third dose as soon as possible.

And you should be more careful of his regular vaccination in future: They are potentially life-changing health care interventions..You have been 6 and 9 months late for 1st and 2nd doses of Hep B vaccinations!! (Ideally, they should have been given at birth and 1 month of age!!)

Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India

www.KumarChildClinic.com

+91-9818356846

---------- FOLLOW-UP ----------

QUESTION: Hello sir, as suggested by you, i have given him the third shot of HEP-B on 4-03-2013. There was a typo in my earlier question, and the fact is that he was given the first shot when he was 6 weeks old (not month) and 2nd shot when he was 10 weeks old(not month). so have given the final shot now. he was born on 29-05-2012 so he is 9.5 months now. he is due his measels shot. the local ped here advised not to give the hep b and measels shot on the same day. so just wanted to know as to when can we give him the measels shot.
DOB-29-05-2012
LAST HEP B SHOT-04-03-2013
He is about 9.5 months old. kindly advise if there has to be some gap between the hep b shot and measels shot coz the ped said that both are live virus or something and should have a gap of 4 weeks. i trust you more and hence seek your advice sir. he would complete his 10th month on 29th of this month, please advise when should the measesl shot be given.thanks

Answer
Hi Vishal,

Hepatitis B vaccine is NOT a live vaccine! There is no need to keep a gap of 4 weeks after it. (But measles vaccine is a live vaccine. If measles vaccine is given first, then 1 month gap is necessary). Both Hep B and measles vaccine could also have been given on the same day (but at different sites: opposite thighs).

Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India

www.KumarChildClinic.com

+91-9818356846

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Dr. Puneet Kumar

Expertise

I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query requiring specific diagnosis of a particular subject.

Experience

I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 15 years of experience in the field.

Organizations
Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (http://www.kumarchildclinic.com)

Publications
(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. http://www.pediatricsciences.com/issue/view/1050000010 (f) Regular column, “How do I treat” in Pediascene (www.pediascene.com) (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 (http://www.pediascene.com/page.php?cid=6&catid=9&id=132 ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

Education/Credentials
After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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