Talk:Vaccination schedule

Table of illnesses

I'm still thinking about whether this table is a good idea or not for this particular article. It's interesting information, but I'm not sure if it's really on point for the article topic. It might help to discuss here what the purpose of the table is meant to be in this context.

I have a couple of concerns about the table contents. With respect to mortality, the qualitative descriptors ("rare", "very rare", etc.) should probably be updated to include actual numbers from a reputable source (CDC or WHO, perhaps?) Is 1% "low" mortality? The mortality also reflects what is seen in industrialized nations; without access to modern medical care, many 'minor' ailments can become life-threatening.

The other thing that shouldn't be neglected is the associated morbidity; many of these diseases can have serious quality of life effects without causing death. Varicella (chickenpox) is rarely fatal, but it's damned unpleasant to have—I know; I had it when I was a kid. Because I've been infected, I may develop herpes zoster (shingles) some decades in the future. (That's really nasty, but again only rarely fatal.) A fairly common (~20% of cases) complication of shingles is postherpetic neuralgia, which also sucks. Similarly, if poliomyelitis doesn't kill you while you're young, you may be looking at post-polio syndrome forty years down the road. TenOfAllTrades(talk) 03:34, 10 February 2006 (UTC)

Yes morbidity definitely needs to be mentioned to balance out the table! Paralysis and cirrhosis are some of the issues that vaccinations are trying to prevent, not just death. Andrew73 14:58, 10 February 2006 (UTC)

Last Paragraph of the Page

"Although the benefits far outway the concequences, many parents are choosing to not immunize their children. This has the potential for an outbreak of disease that could be catastrophic to our children and young adults."

I belive this is a very POV paragraph and I would like to remove it, but since I am a good little wikipedian, I would like to make sure that I am not in the minority here. I dont see how this could be rewritten to not be POV but if someone feels up the challenge, go for it. Thanks Lauren 18:00, 30 April 2007 (UTC)

I also think that quote is ridiculously biased and has no business being in a Wikipedia article. Shameful. —Preceding unsigned comment added by 69.250.169.106 (talk) 04:46, 4 October 2007 (UTC)

I actually do not think this quote should be considered POV - within the medical and scientific communities, it is considered an absolute fact that the benefits of recommended vaccines outweigh any potential consequences, and the trend towards abstaining from immunizations is, indeed, creating the potential for catastrophic outbreaks of diseases. Every reputable study that has ever been performed on this subject has supported nothing less. Obviously, science is never 100% infallible, and there will be a population that disputes this concept. However, in the case of the vaccinations, the presence of a legitimate controversy has really been fabricated by the media and by the understandable irrationality that accompanies parents' love for their children. It would be a shame for wikipedia to pander to these fallacies at the expense of academic integrity. Qwerty128 (talk) 04:54, 6 January 2010 (UTC)

Fact and Citation Check

(Part of the WikiProject Medicine effort)

Background section:

• the definition of a vaccine needs a citation, such as the NIAID http://www.niaid.nih.gov/topics/vaccines/understanding/Pages/whatVaccine.aspx  Done
• regarding the dosing of vaccines, this could be better explained by providing an example of a vaccine that requires multiple doses and a supporting citation.  Done I think I've understood and implemented this--DO11.10 (talk) 20:16, 1 July 2010 (UTC)
• the statement regarding how "vaccination schedule has grown rapidly" should be cited, such as with a reference to the history of vaccinations, since vaccination development has paralleled the expansion of the vaccination schedule. A good description of the history of vaccinations and schedules is http://www.chop.edu/service/vaccine-education-center/vaccine-schedule/history-of-vaccine-schedule.html.  Done
• For the sentence beginning "In developing countries", it would be clearer to say "vaccine recommendations also take into account the level of health care access, the cost of vaccines and issues with vaccine availability and storage."  Done
• There is a newer version of http://www.who.int/vaccines-documents/DocsPDF04/wwwSOWV_E.pdf State of the World's Vaccines and Immunizations (pdf) that is available from http://whqlibdoc.who.int/publications/2009/9789241563864_eng.pdf  Done
• For paragraph 3, suggested reference for history http://www.chop.edu/service/vaccine-education-center/vaccine-schedule/history-of-vaccine-schedule.html.  Done
• Immunization recommendations for children in the US and UK could be updated. The 2009 schedule in the UK can be found here http://www.immunisation.nhs.uk./Immunisation_Schedule, while the 2010 US schedule can be found here http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm#printable.  Done

Diseases and vaccines section

• the link for the citation http://www.who.int/immunization/topics/en/ does not go to a page with the information provided in the table. Instead, http://www.who.int/immunization/documents/WHO_IVB_2009/en/index.html provides 3 pdf files with updated data on all diseases in the table. This information can also be found in a different format (not pdf files) at http://www.who.int/immunization_monitoring/en/globalsummary/countryprofileselect.cfm. This reference should take care of problems with remaining references in the table, but I will give additional suggestions for each as well.
• Both citations for CDC US and NHS statistics are dead links. WHO provides http://www.who.int/entity/healthinfo/statistics/bodgbddeathdalyestimates.xls with incidence and mortality rates for all of these diseases from 2002.
• Citation http://news.bbc.co.uk/2/hi/health/2664171.stm is a news article and not the best medical source. The WHO data described above has more current information on HepB worldwide.
• Citations http://news.bbc.co.uk/1/hi/england/5081286.stm and http://news.bbc.co.uk/1/hi/health/4543343.stm are news articles and not the best medical references. The WHO data described above has current information on Measles. Information regarding the latest (2009) mumps outbreak can be found at http://www.cdc.gov/mumps/outbreaks.html.
• Citation for Pertussis give only a year (1999) without a citation for that information. CDC reports the incidence of Pertussis in the US in 2003 here http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5450a3.htm.
• Regarding polio data, http://www.who.int/immunization_monitoring/en/diseases/poliomyelitis/case_count.cfm provides incidence data each year up to 2010 for each country, which could be used to update this information.

All  Done but used information from different pdf version of WHO data. Also provided archive link for CDC information. There are lots of holes though. It is surprising how difficult this information is to find!--DO11.10 (talk) 00:41, 5 May 2010 (UTC)

Update: this section has been incorporated into a "worldwide" vaccine table.--DO11.10 (talk) 20:16, 1 July 2010 (UTC)

Recommended schedules section

US section

I removed the dead link tag from the http://www.who.int/immunization_monitoring/en/globalsummary/countryprofileselect.cfm citation since the link did bring me to that information. However, the citation should be changed since the information on the website is more current than indicated in the article (up to 2009).

Citation http://www.charakclinics.com/charak_child/blog/?p=35 is dead. I recommend that this statement is removed, since this information can be accessed in the preceding citation.

There are updated 2010 schedules for the US at http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm#printable and http://www.cdc.gov/vaccines/recs/schedules/adult-schedule.htm, which should be used to update refs http://www.cdc.gov/vaccines/recs/schedules/downloads/child/2009/09_0-6yrs_schedule_pr.pdf and http://www.cdc.gov/vaccines/recs/schedules/downloads/adult/2009/adult-schedule.pdf.

For the vaccination information statements, I recommend including http://www.cdc.gov/vaccines/pubs/vis/default.htm, which defines and lists all of the statements and provides files for download.

All  Done. Table and references updated --DO11.10 (talk) 22:21, 18 May 2010 (UTC)

UK section

The reference for the UK schedule is functional and brings you to the most updated information (2009), but the information in the wiki should be updated to reflect what is in the reference.

For the HPV reference, http://www.immunisation.nhs.uk/Vaccines/HPV should fix the dead link.

Section "2006 release of childhood vaccination records" seems out of place in this article. It doesn't have medical relevance and instead reports a scandal in the UK that involved vaccinations. I recommend removing this section from this article due to its lack of medical relevance.

For flu vaccinations, http://www.immunisation.nhs.uk./Vaccines/Flu/Having_the_vaccination can be referenced.

All  Done. Table and references updated--DO11.10 (talk) 22:21, 18 May 2010 (UTC)

Australia Section

HPV reference http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/home Immunise Australia Program does not you to information on HPV. http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/immunise-hpv is a better reference.

All  Done. Table and references updated--DO11.10 (talk) 22:21, 18 May 2010 (UTC)

Varicella

Varicella is in the original referenced material, but there isn't an entry on the page's table. https://docs.google.com/viewer?url=http%3A%2F%2Fwww.immunise.health.gov.au%2Finternet%2Fimmunise%2Fpublishing.nsf%2FContent%2FE875BA5436C6DF9BCA2575BD001C80BF%2F%24File%2Fnip-schedule-card-july07.pdf —Preceding unsigned comment added by 134.115.68.21 (talk) 03:08, 6 May 2011 (UTC)

Developing Countries Section

What countries are included here? Why are "in developing countries with Yellow Fever" specified? What does that indicate? This section could be expanded to clarify this.

 Done I've taken a different approach with this. Short of listing every country I think this provides a good indication of what vaccines are used where. Although it isn't a "vaccine schedule" for each country, I think it is simple enough to convey the message and directs the reader to the much better and complete source of information (the WHO).--DO11.10 (talk) 20:16, 1 July 2010 (UTC)

What lies ahead Section

As pointed out by other individuals on this page, this paragraph is speculative, uncited, and does not add any medically relevant information. I recommend that it be removed due to lack of medical relevance or edited to include views in a recent review article regarding vaccination.

 Done LeadSongDog come howl 18:24, 7 May 2010 (UTC)

I hope that these sources will be of assistance in the efforts to improve this wiki. Factcheckalm (talk) 03:34, 3 May 2010 (UTC)

At this point I feel that all of Factcheckalm's suggestions have been addressed and implemented. But feel free to keep improving!--DO11.10 (talk) 20:16, 1 July 2010 (UTC)

Should we expand this to include greater detail on other countries?

Some areas of Asia immunize for Japanese B encephalitis. Much of the world now immunizes for HPV? Doc James (talk · contribs · email) 18:38, 3 June 2010 (UTC)

I have a table for this pending. I just need to find the time to put it in. It includes essentially what (but not when) a number of countries vaccinate for, I picked 2 or 3 countries from each continent. And included all of countries that use the 3 "interesting" local vaccines. I'll try to get the table in this weekend.--DO11.10 (talk) 21:45, 3 June 2010 (UTC)

Diseases that are commonly vacinated for

We mention Tuberculosis but it is not mentioned in a single guidelines found below. And what about rubella?--Doc James (talk · contribs · email) 19:07, 3 June 2010 (UTC)

This table is a real bear! Anything you can do to improve it would be very welcome.--DO11.10 (talk) 21:47, 3 June 2010 (UTC)

Will look at adding Canadian information at some point in time.--Doc James (talk · contribs · email) 22:03, 3 June 2010 (UTC)

uk schedule

UK schedule needs to mention that most of the vaccines are given as a single shot, namely DTaP/IPV/Hib at 2,3,4m, Hib/MenC at 12m, DTaP/IPV at 40m, dT/IPV at 13-18y. — Preceding unsigned comment added by 78.148.150.60 (talk) 16:47, 20 June 2012 (UTC)

IPV / OPV / etc

The acronyms IPV/OPV and other appear without definition in this page. I'm sure they are obvious to someone but I have no idea what they're referring to. wren337 (talk) 19:31, 19 April 2013 (UTC)

They're defined in polio vaccine (which is linked from all of the tables where the acronyms appear). IPV and OPV are inactivated polio vaccine and oral polio vaccine, respectively. TenOfAllTrades(talk) 22:07, 19 April 2013 (UTC)

flag to globalize section

Flagged section, because need childhood immunization info from S-America + Canada ( as 'noted' by Doc James 5 yrs ago), Africa, Asia, rest of Europe. --Wuerzele (talk) 19:07, 10 January 2015 (UTC)

UK Schedule Comment

Is this statement accurate, "The use of combination vaccine products means that, as of 2013, the United Kingdom's immunization program consists of 10 injections by the age of two"? Not all of the vaccinations are given by injection. Graham Beards (talk) 18:00, 11 April 2015 (UTC)

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Indonesia

Ckfasdf, I noticed the info you added on Indonesia is different from the one published by WHO. Notably, WHO says Indonesia doesn't use MMR, but only a measles vaccine instead, and is yet to introduce MR in some provinces after the end of a campaign to adopt it. I can't read Bahasa, but I could make out from the source you cited, that indeed MMR is indicated. Is WHO wrong? Guarapiranga (talk) 02:47, 6 December 2019 (UTC)

Guarapiranga, Information on WHO is not wrong just slightly outdated as Indonesia already uses MR vaccine for national immunization program starting 2019 (2017 immunization campaign on Java Island only, 2018 immuniztion campaign on other than Java Islands, 2019 National Program -> source : 2017 Presentation and news). I might have to add source on news above into the article, as previous source still mentioning MR as 'optional' (afterall the law is issued in 2017). Note: MMR is marked as 'optional' immunization on the source in the article, also note that mandatory immunization is called immunisasi dasar on the source. Ckfasdf (talk) 07:06, 6 December 2019 (UTC)

Guarapiranga, Actually HPV, PCV, JE. They are only mandatory on certain province not in national level yet and 'optional' for other provinces. for source of PCV and JE, are mentioned in WHO site above and for HPV source here. Should we make any changes or just leave it as it is? Ckfasdf (talk) 08:44, 6 December 2019 (UTC)

new vaccine into the table

Can we add new vaccines into the table such as Dengue vaccine and Malaria vaccine, Dengue vaccine was used in national program in Philippines until Dengvaxia controversy and Malaria vaccine is currently used as pilot project for vaccination starting 23 April 2019 in Malawi, 30 April 2019 in Ghana, and 13 September 2019 in Kenya. Maybe in the future, they will be included into national program in some country Ckfasdf (talk) 07:17, 6 December 2019 (UTC)

Sure, why not? Though, if it's not part of any country's vaccination schedule, it'd be outside the scope of this article. Guarapiranga (talk) 07:32, 6 December 2019 (UTC)

in Indonesia, Dengue vaccine is already in the list of recommended vaccine in the source of the article. I believe it was also recommended in Thailand (source here). Dengvaxia also used in certain region immunization program in Brazil (source here). And for malaria vaccine, it was mentioned above. So... it's OK then :) Ckfasdf (talk) 08:05, 6 December 2019 (UTC)

COVID-19

Even thought not every country lists it explicitly in their vaccination schedule, many by now have rules for mandatory or recommended vaccinations. Therefore I think it should be added to the table as it is more or less still part of the schedule. — Preceding unsigned comment added by 2003:FB:F24:B200:9D43:9CDA:2BBE:ADF6 (talk) 10:21, 12 January 2022 (UTC)