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Illness and accidents HIB BOOSTER CATCH- UP CAMPAIGN Between 10 September 2007 and 3 March 2009 there will be a Haemophilus influenzae type B (Hib) booster catchup campaign for children born between 13 March 2003 and 3 September 2005. These children are likely to have missed out on the Hib booster because they were too young for the previous Hib booster campaign and too old to receive the Hib/MenC booster now scheduled at 12 months of age. Most children will be given the booster when they are invited for their pre-school immunisation, but if they have already had this then they will be given a new appointment where they will receive a Hib-containing booster vaccine (Hib/MenC). Further details are contained in the leaflet Hib: Does your child need a Hib booster immunisation? Available from your GP surgery or from the DHSSPS website www.dhsspsni.gov/phealth 106 and some develop a measles-like rash and go off their food. (For advice on treating a fever, see page 103.) ● About one in every 1,000 immunised children may have a fit caused by a fever. This is called a ‘febrile convulsion’ (see page 104). However, if a child who has not been immunised gets measles, they are five times more likely to have a fit. ● Rarely, children may get mumpslike symptoms (fever and swollen glands) about three weeks after their immunisation as the mumps part of the vaccine starts to work. ● Very rarely, children may get a rash of small bruise-like spots in the six weeks after the vaccination. This is usually caused by the measles or rubella parts of the vaccine. If you see spots like these, take your child to the doctor to be checked. He or she will tell you how to deal with the problem and protect your child in the future. ● Fewer than one child in a million develops encephalitis (swelling of the brain) after the MMR vaccine, and there is very little evidence that it is caused by the vaccine. However, if a child catches measles, the chance of developing encephalitis is between one in 200 and one in 5,000. Side effects after the second dose are even less common and usually milder. PRE-SCHOOL BOOSTERS Between three years four months and five years of age (before children start school), your child needs a booster dose of the diphtheria, tetanus, pertussis and polio vaccine. The polio part is now given in the same injection rather than by mouth. Before they start school, they should also have a booster vaccine of MMR. If your child has not had their first dose, they now need two doses three months apart. OTHER IMMUNISATIONS BCG VACCINE Protecting against tuberculosis (TB) The BCG vaccine is not part of the routine childhood immunisation programme. The BCG vaccine is offered to those babies who are more likely than most to come into contact with someone with TB. If the vaccination is offered, it is usually while you and your baby are still in hospital, but it can be given later. What is TB? TB is an infection that usually affects the lungs. It can also affect other parts of the body, such as the lymph glands, bones, joints and kidneys. It can also cause a serious form of meningitis. Most cases can be cured with treatment. After immunisation A blister or sore may appear where the injection is given. If it does appear, it will heal gradually, and it is best if you do not cover it up. The sore may leave a small scar. If you are worried or think the sore has become infected, see your doctor. Although TB is no longer common in the UK, worldwide it kills around two million people a year. HEPATITIS B VACCINE Protecting babies against hepatitis B The hepatitis B vaccine is not part of the routine childhood immunisation programme. The vaccine is currently given to babies whose mothers are hepatitis B positive to prevent the babies developing the disease. What is hepatitis? Hepatitis is an infection of the liver caused by hepatitis viruses. Hepatitis B vaccine only protects against the B type of the virus which is passed through infected blood from mothers to their babies, who could then
ecome a carrier and develop serious liver disease later in life. After immunisation The side effects of the hepatitis B vaccine are usually quite mild. There could be some redness and soreness where the injection is given. This lasts for a few days. For further information, visit www.immunisation.nhs.uk and enter ‘hepatitis B’ in the search box. TRAVEL ADVICE FOR CHILDREN If your child is going abroad, make sure their routine immunisations are up to date. Your child may also need extra immunisations. Contact your doctor or a travel clinic well in advance for up-to-date information on the immunisations your child may need. Courses of most travel vaccines can be given over a four-week period, but more time will be needed if a primary (first) course of the DTaP/IPV/Hib, PCV and MenC vaccine has to be given. If you find that you have less time before departure, it is still worth attending a clinic. Your child may need to be immunised against other diseases such as yellow fever, and have a vaccination certificate as proof, before they can enter some countries. The certificate becomes valid and effective 10 days after the vaccination is given. Illness and accidents For more information You can get Health advice for travellers, an information leaflet produced by the Department of Health, from the post office. Or ring the free Health Literature Line on 0800 555 777, between 8am and 6pm, and ask for leaflet T7. You can also get further information on the Department of Health website at www.dh.gov.uk ROUTINE CHILDHOOD IMMUNISATION PROGRAMME Each vaccination is given as an injection into the muscle of the thigh or upper arm When to immunise Diseases vaccine protects against How it is given 2 months old Diphtheria, tetanus, pertussis (whooping cough), polio and Hib One injection Pneumococcal infection One injection 3 months old Diphtheria, tetanus, pertussis, polio and Hib One injection Meningitis C One injection 4 months old Diphtheria, tetanus, pertussis, polio and Hib One injection Meningitis C One injection Pneumococcal infection One injection 12 months old Hib and meningitis C One injection 15 months old Measles, mumps and rubella One injection Pneumococcal infection One injection 3 years and 4 months to 5 Diphtheria, tetanus, pertussis and polio One injection years old Measles, mumps and rubella One injection 14 to 18 years old Tetanus, diphtheria and polio One injection Non-routine immunisations At birth (babies who are more Tuberculosis One injection likely to come into contact with TB than the general population) At birth (babies whose mothers Hepatitis B One (or two) injections are hepatitis B positive) (with three further doses before the child is one year old) For more information on immunisation, visit www.dhsspsni.org.uk/phealth or www.immunisation.nhs.uk. For more information on MMR, visit www.mmrthefacts.nhs.uk. 107
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Birth five to This book gives you a
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Birth five to Your complete guide t
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1 The first weeks There’s somethi
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The first weeks SCREENING AT A GLAN
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The first weeks B REASTFEEDING Brea
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The first weeks 2 Be patient… Sta
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The first weeks Allow your baby to
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The first weeks USING BREAST PUMPS
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The first weeks STERILISING All the
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The first weeks Follow the manufact
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The first weeks S LEEPING Some babi
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The first weeks room is too hot.
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The first weeks If you’re finding
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The first weeks NAPPY RASH Most bab
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The first weeks WASHING AND BATHING
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The first weeks T WINS ( OR MORE) P
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YEARS MONTHS 1 2 3 4 5 6 7 8 9 10 2
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How your child will grow • Walk o
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How your child will grow BRUSHING Y
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How your child will grow HEIGHT AND
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How your child will grow You should
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3 Learning and playing What we call
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Learning and playing I DEAS FOR PLA
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Learning and playing H OW TO MAKE S
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Learning and playing TRANSITION FRO
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Learning and playing MAKING CHILDCA
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4 Habits and behaviour There are so
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Habits and behaviour PROBLEMS WITH
Page 57 and 58: Habits and behaviour • By twelve
Page 59 and 60: Habits and behaviour A NEW BABY IN
Page 61 and 62: Habits and behaviour • Sometimes
Page 63 and 64: Habits and behaviour time he or she
Page 65 and 66: Habits and behaviour out to buy one
Page 67 and 68: 5 Feeding your child Food is one of
Page 69 and 70: Feeding your child - push the bowl
Page 71 and 72: Feeding your child ALLERGIES Babies
Page 73 and 74: sensible for adults, but not for ba
Page 75 and 76: Feeding your child • Squashes, fi
Page 77 and 78: Feeding your child FAMILY F OOD For
Page 79 and 80: Feeding your child ‘When you go s
Page 81 and 82: Feeding your child Types of vegetar
Page 83 and 84: Feeding your child • Fruit and ve
Page 85 and 86: Feeding your child F OOD SAFETY You
Page 87 and 88: Feeding your child • If your chil
Page 89 and 90: 6 Illness and accidents Every child
Page 91 and 92: Illness and accidents ● ● out-o
Page 93 and 94: Illness and accidents smoking or en
Page 95 and 96: Illness and accidents D IARRHOEA YO
Page 97 and 98: Illness and accidents ● ● ●
Page 99 and 100: Illness and accidents Alternative t
Page 101 and 102: Illness and accidents After these m
Page 103 and 104: Illness and accidents ILLNESS INFEC
Page 105 and 106: Illness and accidents practice nurs
Page 107: Illness and accidents swelling wher
Page 111 and 112: Illness and accidents ❑ ❑ ❑
Page 113 and 114: Illness and accidents ● ● ●
Page 115 and 116: Illness and accidents IF YOUR CHILD
Page 117 and 118: Illness and accidents at the knee a
Page 119 and 120: Illness and accidents THINGS STUCK
Page 121 and 122: Illness and accidents W HEN A CHILD
Page 123 and 124: Your own life P HYSICAL PROBLEMS A
Page 125 and 126: Your own life visitor about other l
Page 127 and 128: Your own life Stress also comes fro
Page 129 and 130: Your own life • Share the housewo
Page 131 and 132: Your own life • Suggest a regular
Page 133 and 134: 8 Your services There is a wide ran
Page 135 and 136: Your services H OW TO CHANGE YOUR G
Page 137 and 138: make. The money cannot be taken out
Page 139 and 140: Your rights and benefits of childca
Page 141 and 142: Your rights and benefits child’s
Page 143 and 144: Your rights and benefits Anything e
Page 145 and 146: Your rights and benefits Who gets t
Page 147 and 148: Your rights and benefits HOUSING BE
Page 149 and 150: USEFUL ORGANISATIONS Some of these
Page 151 and 152: Council for Disabled Children 8 Wak
Page 153 and 154: INDEX A accidents 108-18 additives
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