{"id":1662,"date":"2020-06-16T10:28:21","date_gmt":"2020-06-16T10:28:21","guid":{"rendered":"https:\/\/childrencancer.in\/en\/?p=1662"},"modified":"2022-08-21T10:28:37","modified_gmt":"2022-08-21T10:28:37","slug":"vaccination-in-children","status":"publish","type":"post","link":"https:\/\/childrencancer.in\/en\/vaccination-in-children\/","title":{"rendered":"Immunisation ( Vaccination) in children with cancer during and after cancer treatment."},"content":{"rendered":"\n<h5 class=\"wp-block-heading\"><strong>What parents need to know<\/strong><\/h5>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>1.<\/strong>&nbsp;<strong>How do vaccines work in the human body?<\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size\">Vaccines produce their effect by educating the body on how to defend when specific germs (such as viruses or bacteria) enter the body. Vaccines comprise&nbsp; a small number of germs that have been weakened or killed. When a vaccine is given, it makes the body\u2019s defence system develop a response to that germ and the immune system memorizes it. If the same germ infects the body in the future, the immune system recognizes and fights against it..&nbsp; As a result, the person does not become ill or has a&nbsp; a milder infection in the future. Keep in mind that the&nbsp; body needs a normal functioning immune system for this process to take place&nbsp; when a vaccine is given.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>2.&nbsp;Can we give vaccinations to children with cancer during cancer treatment?<\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size\">We should not give certain vaccines to children during cancer treatment.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>3. Why should we not give childhood cancer patients certain vaccines?<\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size\">There are multiple reasons for this. Childhood cancer patients often have weakened immune systems during cancer treatment.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">A vaccine requires a good immune system to process the vaccination effect. So it may not be effective when given to someone receiving treatment for cancer.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Some vaccines that contain weakened (attenuated) viruses can cause infection in children with ongoing cancer treatment if they receive them because their immunity is not functioning normally.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>4. What are the vaccines that we should not give to children on <\/strong>cancer treatment?<\/h4>\n\n\n\n<p class=\"has-medium-font-size\">Routine vaccines that contain live or weakened (attenuated) virus should not be given to children with a weakened immune system. They include following vaccines:<\/p>\n\n\n\n<ul class=\"has-medium-font-size wp-block-list\"><li>Oral polio<\/li><li>MMR (measles, mumps, rubella)<\/li><li>Varicella (chickenpox)<\/li><li>Rotavirus<\/li><li>Oral Typhoid vaccine<\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>5.<\/strong> <strong>What vaccines are recommended during cancer treatment?<\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size\">Children receiving treatment for cancer can generally receive most routine vaccines except the live and live attenuated virus vaccines.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">However, because of the child\u2019s weakened immune system, the shots given during this time need to be repeated after finishing cancer treatment as they might not be effective.&nbsp; Neverthless, they may provide some level of protection.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Many internationally recognized organisations recommend giving an annual inactivated flu vaccine to all children older than 6 months including those receiving treatment for cancer.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">The vaccine may be given at least 2 weeks before chemotherapy or between chemotherapy cycles.Those who have not received influenza vaccine previously should be administered a second&nbsp; vaccine dose at least four weeks later.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Avoid vaccination when the patient is receiving steroids (the immune response will be suboptimal) or when the patient is neutropenic (neutrophil count &lt;0.5).<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>6.&nbsp;What are the vaccines household contacts like siblings and parents can take?<\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size\">Siblings and adults who live with a childhood cancer patient should be fully vaccinated to minimize the risk of&nbsp; exposing the child to a vaccine-preventable disease. The exception being&nbsp; that they should not receive a live vaccine e.g vaccine for oral polio.&nbsp;<\/p>\n\n\n\n<h6 class=\"wp-block-heading\"><strong>General recommendations are:<\/strong><\/h6>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Non-live vaccine:<\/strong> All non-live vaccines should continue as per the national immunisation schedule in siblings of children on cancer chemotherapy.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Inactivated Influenza vaccine is strongly recommended for&nbsp; all household contacts, annually.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Live, attenuated varicella vaccine and MMR should not be given to patients but is encouraged for&nbsp; all household contacts to reduce the chances of exposure to an infection.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">As a precautionary measure, any person who develops a vesicular rash after receiving VZV vaccine should avoid direct contact with the patient until the rash is dry and crusted.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">&nbsp;Rotavirus vaccine: Is given to infants aged 6-24 weeks; it should not be given to the patient but can be given to the siblings. There is a potential for transmission, from the infant to the immunocompromised contacts, through the faecal-oral route, for at least 14 days post-vaccination. However, vaccination of the infant will offer protection to household contacts from wild-type rotavirus disease and outweigh any risks from transmission of the vaccine virus to any immunocompromised person.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>7. When can children resume vaccinations after treatment for cancer?<\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size\">In general, children may resume vaccinations 6 months after the end of standard chemotherapy.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Patients who received some routine vaccinations before or during chemotherapy should have a catch-up schedule, as if they had not been given any vaccines. This may be required &nbsp; because we do not know whether the vaccines were effective or not during the first administration<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Children who completed their routine vaccination cycles before their cancer treatment can be given a booster dose of the vaccinations.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Transplant patients may have to wait longer; usually one year . They will need to receive all their vaccinations because the transplant process has wiped out the immune system they had before the transplant.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When a vaccine is given, it makes the body\u2019s defence system develop a response to that germ and the immune system memorizes it.<\/p>\n","protected":false},"author":1,"featured_media":1953,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[29],"class_list":["post-1662","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general-information","tag-general-information"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Immunisation ( Vaccination) in children with cancer during and after cancer treatment. - Childrens Cancer<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/childrencancer.in\/en\/vaccination-in-children\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Immunisation ( Vaccination) in children with cancer during and after cancer treatment. - 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