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Pediatrics/Vaccination - interchangability

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Question
Dear Doctor,

recently we have been changing countries and we are concerned around the vaccination process of our son. He was born in Feb 2015, and right after he was born he got the BCG vaccination. Later he got Pentaxim vaccination 3 times so far: April 2015, June 2015 and August 2015. He also got Prevenar 13 in April 2015, June 2015 and February 2016.
We also decided to give him the vaccination against Hepatetis B, so he got EngerixB 2 times so far: October 2015 and December 2015.

Today he got the vaccination (he is now 16 month old) and he got Infanrix hexa and Priorix.

After googling on these ones I have the understanding that Infanrix hexa was replacing Pentaxim and Engerix B and the Priorix is a new vaccination for him, for other type of diseases (MMR).

Our concern is if Pentaxim and EngerixB can be changed to Infanrix hexa like this, and acording to the original schedule of Pentaxim it should have been given to him at 18 month age.

I would like to ask for your view to this so that t know if we should do any further step to have the full protection of the vaccines.

Many thanks for your answer.
Regards,
Steven

Answer
Vaccination schedule is not uniform in all countries. There is slight variation. So you may not get the same brand in every place. Some vaccines need to be given only once. In some centers MMR is given at 15 months and booster dose at 18 months. Your doctor has slightly advanced the booster dose and given Priorix. There is no need to worry  You need not give another dose at 18 months.  

 It is also important to strengthen the natural immunity of the child. I often feel that we are giving too much of importance to vaccines but not enough importance to diet, regular exercises and Yoga. Vaccines can act only when the natural immunity is functioning properly.
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Dr. Arun Kumar Suri

Expertise

I can answer questions in the field of general pediatrics-questions regarding the development of children, immunization, feeding, weaning and common childhood problems like fever, cough and recurrent illness. Many of these topics are dealt with on my website Healthy Family Happy Family. Often a mother imagines that her child is sick when in fact there is no problem. Such a mother needs explanation and reassurance. I will not be able to answer specific questions regarding diagnosis.

Experience

I have more than 20 years of experience as a Pediatrician. I have been involved in the care of premature babies and also many critically ill children.

Organizations
I am attached to a Mission hospital in a small town in the Kannur dist. of Kerala in India. I also have my private clinic in a nearby place.

Publications
Most of my articles are on my website Healthy Family Happy Family. I have also contributed articles to Ezine Articles and Article City. I believe that Pediatrics is more than treating diseases in children. I advocate holistic approach to child health and problems of children giving equal importance to physical, psychological and spiritual health of children.

Education/Credentials
M.B.B.S. D.C.H. I have completed a distant course in adolescent health conducted by IMA AKN SINHA INSTITUTE. I have also completed an online course on Ayurvedic care of children conducted by Jiva Institute.

Awards and Honors
My website has been recognized by HONcode for trustworthy information on health. It has also been listed by familyfriendlysites.com/, healthdirectorymoz.com/Child-Health/ and medindia.net.

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