Yes it is certainly worth looking at benefit vs risk of each vaccine for each child. That is what your child's doctor should be doing.
However it is very risky for any doc to go against ACIP guidelines as it is opening themselves up to liability. If I tell you not to get HiB and your child somehow gets the first HiB infection I have seen in 25 years and dies then I have no legal defense. So I always advise following the ACIP guidelines but if a family wants me to go through each one and they can decide yea or nay I'm happy to do that as well as long as it is their decision not mine.
Hopefully with RFK wanting all the schedules reviewed we can see some changes as there is little to no reason to be vaccinating for hep B in a newborn with good prenatal care and negative Hep B in the mother.
-- looked up invasive hib rate on AI----
In the last 10 years, invasive *Haemophilus influenzae* type b (Hib) infections have been exceedingly rare in the United States due to widespread vaccination programs. Based on available data:
- From 2009 to 2018, only 36 cases of invasive Hib infections were reported among children under five years old nationwide[3].
- Between 2014 and 2018, the incidence of invasive Hib disease was estimated at 0.04 cases per 100,000 population annually[2].
- Sporadic cases continue to occur in undervaccinated communities or among unvaccinated individuals, as highlighted by isolated incidents like two unvaccinated infants with Hib meningitis in New York between 2022 and 2023[5].
Overall, invasive Hib infections remain rare, with most reported cases occurring in young children who are unvaccinated or undervaccinated.
Citations:
[1]
https://academic.oup.com/cid/article/53/12/1230/402774[2]
https://journals.asm.org/doi/10.1128/Spectrum.00803-21[3]
https://www.nnph.org/files/ephp/epi-news/2024/Vol%2044%20No%2014%2005-20-2024%20Epi%20News%20H.%20flu.pdf[4]
https://pmc.ncbi.nlm.nih.gov/articles/PMC6181225/[5]
https://wwwnc.cdc.gov/eid/article/31/3/24-0946_article[6]
https://www.immunize.org/wp-content/uploads/catg.d/p4206.pdf[7]
https://pmc.ncbi.nlm.nih.gov/articles/PMC8262803/[8]
https://stacks.cdc.gov/view/cdc/176234[9]
https://hhs.iowa.gov/center-acute-disease-epidemiology/epi-manual/reportable-diseases/hib-disease[10]
https://www.ncbi.nlm.nih.gov/books/NBK562176/[11]
https://journals.asm.org/doi/10.1128/cmr.00028-21[12]
https://www.cdc.gov/mmwr/volumes/73/wr/mm7332a1.htm[13]
https://publications.aap.org/redbook/book/755/chapter/14077439/Haemophilus-influenzae-Infections[14]
https://www.ecdc.europa.eu/en/news-events/invasive-haemophilus-influenzae-disease-2022-annual-report-shows-increased-number-cases[15]
https://www.cdc.gov/hi-disease/php/surveillance/index.html[16]
https://academic.oup.com/cid/article/67/6/881/4917368[17]
https://publications.aap.org/redbook/book/347/chapter/5752134/Haemophilus-influenzae-Infections[18]
https://www.tandfonline.com/doi/full/10.1080/14760584.2020.1825948[19]
https://www.ecdc.europa.eu/en/invasive-haemophilus-influenzae-disease/facts[20]
https://www.paho.org/en/topics/haemophilus-influenzae---
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