Latest version of vaccination guide

Priority will be given to supplementing the free vaccines in the national immunization program, and high-risk groups will receive self-paid vaccines from non-immunization programs on demand based on their environment and underlying diseases. Past infection history and severe allergic history are the only core references for adjusting the vaccination plan. There is no mandatory requirement that "all marketed vaccines must be administered."

After autumn, the most queued thing at community vaccination sites is the influenza vaccine. Last week, I went with my elderly family members to get vaccinated. I met Aunt Zhang from the unit next door. She is 62 years old and has chronic obstructive pulmonary disease. In the past, she only remembered to get the flu every year. This time, the doctor read her medical records and directly prescribed the influenza vaccine + 23-valent pneumococcal polysaccharide vaccine, and also made an appointment for the herpes zoster vaccine next month. She originally thought it was troublesome and said, "I don't have any serious illness." However, the doctor found out the cases of three elderly patients with COPD and pneumonia that were admitted to the respiratory department last month. They stayed in the hospital for half a month and spent tens of thousands, so she agreed on the spot.

The most controversial thing right now is whether to get the COVID-19 booster shot. I specifically asked two doctors who are familiar with each other in the industry, and they have completely different opinions: one is doing a survey at the Centers for Disease Control and Prevention, and said that as long as they are over 65 years old, have underlying diseases such as diabetes/uremia, or are immunocompromised people who are undergoing radiotherapy and chemotherapy, no matter how long ago they were last infected or vaccinated, it is recommended to take the latest strain vaccine every six months. The effect of preventing severe disease is very clear.； Another clinician from the infectious disease department of a tertiary hospital said that if a healthy young adult has been infected within the past six months, the level of neutralizing antibodies in his body is sufficient to cope with the currently circulating virus strain. There is no need to join in the fun. Instead, he may get a shot in vain and bear the possible side effects of low-grade fever and fatigue. Both are experts who have been in the field for many years. No one is right or wrong. It all depends on your own physical condition.

Not only is the adult vaccine controversial, many parents are also prone to getting into trouble when vaccinating their children. Many people think that free vaccination is enough. In fact, like the meningococcal meningococcal vaccine, the free A+C group can only cover two serotypes. If your child is going to boarding school, or often goes to a crowded playground, or even plans to study abroad in the future, you can get an ACYW135 group conjugate vaccine at your own expense, covering the four most common pathogenic serotypes. I have a friend whose child went to an international school last year. Before enrolling, the school specifically reminded me to take this precaution because they were afraid of an outbreak in a group environment.

Oh, yes, don’t always focus on the nine-price HPV vaccine. When I was applying for the nine-price vaccine last year, the nurse at the vaccination site told me that many girls in their twenties waited for the nine-price HPV vaccine until they were in their thirties and missed the best vaccination period. In fact, the two-price vaccine already covers the most dangerous types 16 and 18, and can prevent more than 80% of cervical cancer. If you can't get the price of nine, it's not a loss at all to buy the second or fourth price first. Some people say, "I'm already sexually active and it's useless to get vaccinated." This is also a misunderstanding. As long as you haven't been infected with the corresponding HPV subtype, vaccination has a protective effect. It doesn't matter if you have been infected. The vaccine can prevent cross-infection of other subtypes.

Many people say they are allergic to eggs and dare not take the flu vaccine. In fact, the egg protein content in the current split influenza vaccine has been reduced to the nanogram level. As long as you are not suffering from severe allergies such as laryngeal edema and anaphylactic shock after just one bite of eggs, you can take it. If you are really worried, go to a community vaccination site with emergency equipment and wait for 30 minutes before leaving. Nothing will happen. My colleague is allergic to eggs. He gets hives when eating boiled eggs. He had no reaction at all after taking the flu vaccine this year.

When I received the shingles vaccine before, I read on the Internet that it had serious side effects, including fever and arm pain. I told the doctor in advance that I was usually sensitive to pain. The doctor told me not to take a shower that day, drink more water, and avoid strenuous exercise. After the vaccination, my arm was only sore for two days and I had no other reactions. I really don’t need to be scared by the individual cases on the Internet. Everyone’s body is different and the reaction is much different.

In fact, vaccines are really not that complicated. Don’t listen to the fierce quarrels between the two sides on the Internet. One moment they say that you must get all the vaccines or you are irresponsible, and the other moment they say that all vaccines have side effects and you will harm yourself if you take them. These are all too extreme. If you are not sure, just take your medical records and go to the vaccination desk of the community health service center near your home to ask a few questions. Doctors know better than you can read ten self-media articles and the one that suits you is the best.