Vaccination Guidelines 1st Edition

There is no "optimal vaccination list" for everyone. All choices must be judged based on the four dimensions of your age, underlying diseases, daily exposure risks, and the spectrum of epidemic diseases in your region. As long as it meets the indications approved by the National Food and Drug Administration and there are no clear contraindications for vaccination, don't delay if you can get vaccinated early. There is no need to miss the best protection window just to wait for a "better vaccine."

I have said this to at least a hundred people while volunteering at a community vaccination site, but not many of them really listened. Last week, I met a little girl who was just a sophomore in college. She had been waiting for the nine-valent HPV vaccine for two years. During this period, she even forgot to take the annual flu vaccine. She had a fever for four full days last winter and missed half a week of classes. During the conversation, she was still eloquent and said, "Nine-price is the best, and it's worth waiting as long as you wait." In fact, there have been two opinions in the industry about the choice of HPV vaccine. One is the mainstream public health perspective: the bivalent vaccine has covered the two high-risk subtypes of 16 and 18 years old that cause more than 80% of cervical cancer. For people over 25 years old and who have had sexual intercourse, the protection benefits of bivalent/quadruvalent vaccine first are much higher than the nine-price vaccine after three or four years of drying in the window. ； The other side is the personalized advice of clinical gynecologists: If you are still under 26 years old and do not have the risk of frequent exposure, it is absolutely fine if you are willing to wait for a year or two. The low-risk subtype covered by the nine-price can also reduce the probability of genital warts. No matter what choice you choose, it is not wrong. There is no need to force yourself to take one side.

There is also a very typical misunderstanding, which is that you want to use any vaccine on yourself, regardless of whether it is suitable or not. Two weeks ago, an aunt who had just had a total thyroidectomy six months ago chased me and asked if she could pay nine prices, saying that she was afraid of cervical cancer, even if she had to pay more. In fact, she is already 48 years old, and has long exceeded the age of approval for nine-price products. If her armor is stable, four-price or two-price products are enough. There is no need to be obsessed with "the higher the price, the better." Oh, by the way, that day I met a mother who was dragging her feverish baby to the vaccination area. She said that she had just given her baby ibuprofen to relieve the fever, and she was afraid that the appointment number would be wasted. Fortunately, the nurse stopped her with her sharp eyes and changed the appointment number for a week later. In fact, not all minor illnesses cannot be vaccinated. For example, a mild cold with a runny nose and no fever will not affect vaccination at all. However, if you have a fever, have received immune globulin in the past three months, or have had severe reactions such as laryngeal edema or anaphylactic shock after receiving the same vaccine before, you must make it clear to the doctor in advance and don’t hide it. It is really not a trivial matter.

Speaking of which, let me mention the currently controversial question of "whether people with low immunity should receive additional doses of vaccination." There is currently no unified conclusion. The mainstream recommendation of our National Center for Disease Control and Prevention is that, except for high-exposure occupational groups such as medical care, ports, and cold chains, it is enough for ordinary people to complete basic immunity. There is no need to blindly increase vaccinations to avoid unnecessary risks of adverse reactions. ； However, many doctors in the clinical immunology department will recommend that people who have been taking glucocorticoids for a long time, have autoimmune diseases such as lupus erythematosus/rheumatoid, or have undergone organ transplants should get a supplementary shot of influenza and pneumococcal vaccines every year, which can reduce the risk of severe infection by more than 60%. In this case, there is no need to look for a "standard answer". It is more useful to discuss with your attending doctor with your medical records than to search 800 posts on the Internet.

During this period of time, I stayed at the vaccination site and summarized a very practical priority order. Ordinary families will basically follow this and avoid the pitfalls: those with children at home will give priority to vaccinations against influenza, hand, foot and mouth, and chickenpox. It is much more cost-effective than adults chasing various Internet celebrity vaccines. Last year, my relative's child did not get the flu. When half of the children in the class asked for leave, he was also infected. It lasted for three days. The salary deduction and the cost of medical treatment for adults were more than ten times more expensive than the vaccine.； Families with elderly people over 60 years old are given priority to take the elderly people to get vaccinated against influenza, 23-valent pneumonia, and herpes zoster. My grandma got the herpes zoster vaccine last year. This year, the old sister downstairs got shingles and was so painful that she couldn't even sleep. My grandma danced in the square every day and had nothing to do. The money spent is really worth the amount of health care products she bought.

Don't believe the rumors on the Internet that "you can't take a shower, eat eggs or drink milk for 24 hours after vaccination". As long as you don't touch dirty water at the needle point, it's absolutely fine to take a shower. As long as you eat spicy food and seafood and you're not allergic to them, no one will stop you. But you really have to observe the 30-minute rule and don't find it too troublesome. Last month, I met a young man who had forgotten his history of penicillin allergy. He suddenly developed urticaria and dizziness 20 minutes after taking the meningitis vaccine. Fortunately, the nurse took care of it at the scene in a few minutes. Nothing happened. If he had just left after the injection, he would have been in trouble if he fainted on the way.

This is the first edition of the guide. It is all based on my practical experience at the vaccination site during this period. I have not copied the formulas from official documents, and there is no absolutely correct standard. If I encounter new special cases or a new vaccine is approved for marketing later, I will update the second edition. If you are not sure about anything, you can leave a message and I can ask the nurse at the vaccination site for you.