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Where are we on Tdap boosters for kids?

970 Views | 7 Replies | Last: 27 days ago by rjhtamu
dreyOO
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Hey all, I never frequent this board so I'm hoping to get some well reasoned advice here. Happy to conduct my own research as well, but I've found TexAgs really does know stuff.

Anyway, we take the family down to Mexico every year for a mission trip. We build houses. Love the experience and it's frankly been very safe.

That said, my daughter is coming up on 10-yrs from her original tdap vaccine. Let's just say we are very skeptical of all this industry mandating or recommending unnecessary injections. (Please do not divert this into a Covid thread, but that definitely has weighed in on our thinking. Up until that scenario, we followed all the recommended schedules. Other than Covid which we passed naturally. Now I look back and wonder why I ever approved a hepatitis b vax.)

Now my wife is pretty adamant that a tdap booster isn't needed since the original vaccine immunity should still be going strong. She's referenced the Children's Health Defense org and I've read some medical reports that shows immunity could be strong right on into adulthood, if not the lifetime. With that background, the wife basically wants to punt the responsibility and let them decide when they're adults, rather than risk any type of injury. TBH, I kinda like this approach. The one caveat is that I don't want my kids in harms way (Mexican job site) either. My compromise has been to kinda sideline the kids and just have them do softer duties on the sides like painting, prepping, and cleanup.

Thoughts?
Beckdiesel03
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AG
I got Whooping cough 6 years after a booster. It was absolutely miserable for MONTHS. I got it while working a front desk job with a lot of people in town from Mexico for the Christmas holidays. I am not a medical professional but after my experience with it, I am sure to keep myself and my kids up to date on it.
bigtruckguy3500
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What do you think you're saving them from by avoiding a Tdap booster? And is the risk of that worth the potential risk of tetanus?
Have you looked up opisthotonus and risus sardonicus?
School aged kids will just get a nasty cough from pertusis, for the most part. But immunity from that wanes faster than the tetanus portion of the vaccine (I think). And there is increasing whooping cough (pertusis) in the US (nearly double last year's rate), and I know at least one child died in the past month from it in Louisiana. Very easy to spread if your kids go to school. Quite lethal for infants.
Bad diphtheria can just cause kids to suffocate, and require a breathing tube to avoid that. But I think risk of that is relatively low compared to whooping cough. Though an adult did die of it several years ago in the US after travel somewhere.
rjhtamu
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AG
" What do you think you're saving them from by avoiding a Tdap booster? And is the risk of that worth the potential risk of tetanus? "

This is a very reasonable question.

Tetanus is a horrible horrible way to die, and easily preventable by vaccine. Unless you already have a known and documented sensitivity to the vaccine/combo, there is no to very little downside here.

Risk of tetanus higher in third world countries by the way.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
dreyOO
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Thanks for the input fellas. The whooping cough aspect is a good one for us to consider, especially if it wanes quicker.
bigtruckguy3500
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No problem.

Forgot about this one as well:
https://abcnews.go.com/US/unvaccinated-year-boy-spent-57-days-hospital-tetanus/story?id=61556871
KidDoc
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AG
Tetanus fades to almost nothing by 10 years in most people. If you are big time anti-vax and don't care about your kid likely getting whooping cough you can ask for blood work to measure your tetanus titer.

As mentioned above this is an old vaccine with decades of good data, seems like a no brainer to get one especially with a high risk situation like you are describing.

The safer acellular whooping cough vaccine is not great. It starts fading after 5 years and by 10 years is very ineffective. The whole cell was much more effective but had lots of side effects like febrile seizures and weeks of inconsolable crying. It was changed to acellular in the mid 90s if I recall correctly.

No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
rjhtamu
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AG
Unfortunately, that is one that I have reacted to. My last acellular pertussis, my entire arm turned red, was on fire, and swollen. Looked like a horrible case of cellulitis.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
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