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Tuesday, February 05, 2002 - 12:00 a.m. Pacific

The latest on vaccinations

By Judith Blake
Seattle Times staff reporter

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Here's an update on other vaccine developments, including some recent significant improvements:

• Mercury. Formerly used as a preservative in some vaccines, mercury is no longer used in any of them, says the federal Centers for Disease Control and Prevention. (The Food and Drug Administration, concerned about unsafe mercury levels for children, urged its removal.) At least one class-action lawsuit has been filed claiming a link between mercury in earlier vaccines and neurological disorders; it remains unsettled. Some doctors could be using old supplies, so ask for the mercury-free kind. Particularly of interest is the DTaP (diphtheria/tetanus/pertussis) because there is a shortage of the mercury-free kind of that vaccine.

• Diphtheria, tetanus, pertussis. The vaccine DTaP, made with a killed virus, is now used instead of the older, live-virus DTP. The newer formula is less likely to cause an adverse reaction. Again, although it's unlikely, a few doctors may still be using up old DTP supplies, so ask for DTaP.

• Hepatitis B. Washington requires hepatitis-B immunization for all children before school or day-care entry, and health officials recommend it be given before age 2, as with other vaccinations. Waiting until later, they reason, increases the chance parents won't get around to having their child immunized. But some parents point out that, since hepatitis B is transmitted primarily by sexual contact, immunization is not needed in infancy. Since babies are subject to so many other vaccines, they seek to reduce the number of shots at that age by having their child get the hepatitis B vaccine later.

• Polio. Vaccine made with a dead virus and given by needle has replaced the oral vaccine made with a live virus. The dead-virus version completely eliminates the possibility of anyone getting vaccine-caused polio, said a CDC spokesman. With the oral vaccine, about four to five cases of vaccine-caused polio occurred annually. The spokesman did not know of any doctors using the oral vaccine today.

Copyright © 2002 The Seattle Times Company

ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.