December 2015 Moms

Anti-vaccine family members....

I know we had a thread about this a while ago, and I did a search, but I couldn't find it.

My brother and his daughter live in Northern California where many of my niece's friends are not vaccinated and she is also not vaccinated. My brother was vaccinated as a child, but certainly has never had any during his adult life. I was avoiding talking to him about vaccines, until it came up that he would like to come visit and bring my niece soon after baby is born (end of December into early January). I had to talk to him today about my concerns with where they live and their choices. He got pretty defensive and said maybe they shouldn't come out. Blah blah blah. I told him that I wanted them to come visit, and could we compromise and have them wear masks when they hold her. He thought that was weird. The only thing he was willing to admit was that being on a plane with recycled air could be cause for concern. He kept mentioning the rate of whooping cough in the population is really low and that I would pass antibodies. I told him that it doesn't mean she's totally safe, and that it could still be given to her. We left the conversation with no real conclusion, and I told him I'd get back to him after a discussion with DH and some google searches.

So my question for you folks - does anyone have any articles with some empirical evidence that it's either not that big of a risk or even that it's too big of a risk to expose a newborn to unvaccinated individuals? I've found a few articles and I've gone to the CDC website, but it really doesn't quite get at what I'm wondering.
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Re: Anti-vaccine family members....

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  • Glad you asked this! I've been wondering the same thing. My mom has a big age gap in her kids, (I'm 22 and the oldest and her youngest is 6). DD came in April and I wasn't AS concerned about pertussis. Since this LO will be when all the germs are around I'm very nervous about my parents and siblings coming to visit our girl as non of them get vaccines. Same with DH's family although they make me less stressed since they aren't school aged. Everyone is also coming into town for Christmas so theres also that. Nervous mama over here.
  • Ugh this is so difficult. DH basically said the same thing as the way you ended your post @TomekiaB. It's just so much harder to actually have to say that to someone. Particularly because he got so upset when I even brought it up in the first place.
  • Yes, I totally understand. The stories of pertussis in babies on the "the sound of pertussis" website will probably make it easier for you to say no, those videos will bring out "your momma bear."
  • @AlexandriaNewton - I think measles and whooping cough are the ones to be concerned about. We've been lucky that my parents and DH's mom haven't made a big deal about getting flu and tdap. No one else was going to visit until the Spring, which would give baby plenty of time to get her first vaccines.

    I may just have to ask him to come visit in the summer.
  • I agree with @LMJL just make sure you allow time for the vaccines AND the immune response to develop the protection.
  • This is a hot button issue for most people and it can cause pretty big family rifts when two members are on different sides of the debate. Because I have lived in countries where children did not have access to routine vaccines and have seen what these diseases look like and can do first hand it wasn't even a debate in my mind if we would vaccinate or not. And I have no problems at all telling people who have children who are not vaccinated (or on an altered vaccine schedule) that until my baby is fully vaccinated, unfortunately they cannot be around him/her. I am very respectful of people and their choices. While I truly do not agree with the choice not to vaccinate, it is still a choice. That said, MY choice is to not take the risk of exposing my child to a preventable and potentially life threatening disease.

    You can be calm with your brother and tell him that while you of course want him and his family in your lives, maybe a visit should be held off until your baby has had the chance to be fully vaccinated. Yes, you nursing provides some immune support but it isn't the same. Look up herd immunity in regards to vaccines if he needs more information as to why you nursing isn't enough protection.

    To others struggling with this in regards to family visiting - I was told numerous times by my pediatrician and the NICU staff that as long as an adult has had their normal TdAP boosters they are safe around your newborn (ideally dad would have a booster before the baby is born but mom is the important one - the only time that would change is if dad or one of the other adults are exposed to school aged children on a regular basis). If you know they have not had vaccines or refuse to vaccinate their children it is within your rights as a parent to ask that they postpone their visit until your pediatrician says your little one is as protected as they can be from those who are at a higher exposure risk. Remain calm but firm with them - no need for name calling or mud-slinging. If they get heated or upset, tell them it is your right as a parent to make health decisions for your baby just as it is their right to do so for themselves and their children.
  • kepoolekepoole member
    edited October 2015
    TomekiaB said:

    I feel your pain....my fight is that my insurance company is refusing to give DH a booster for pertussis! His TDAP will be over 4 years old by the time our LO is vulnerable

    @TomekiaB

    Just throwing it out there, I was uninsured last year when I got my TDap booster and I only paid $32 I think at a walgreens to get it. I'm not sure where you are but maybe it's not uber expensive if you have to pay out of pocket for your DH's? :/ insurances can definitely suck!

  • @kepoole Thanks, I totally would've done that already but we overseas for DH's job and the country we are in only does one adult vaccine...so there is absolutely nowhere to get it done that isn't through my American insurance company as a booster. In the USA we also could pay a private lab for a titer to measure his protection from his last TDAP too...but I can't do that here either. The appeal process is 60 days for my insurance company and I received the denial at 54 days from due date...ugh!

    Maybe if he steps on a rusty nail ...just kidding, but seriously.
  • @TomekiaB I mean, he could always get a deep scratch and claim to have gotten it on a rusty fence or scissors. I know even when I was technically covered by my ten year booster, when I accidently stabbed myself with a pair of rusty barber scissors (funny story, that lol) the first thing they did was hit me up with a TdAP.
  • @bombmom3 I have thought about it but as ridiculous as this situation is--I am afraid that they will somehow find a way to find a the one tetanus only shot left...and then he will be injured and still not have a pertussis booster!
  • @Court11152325 I thought whooping cough & pertussis were the same thing!? Ugh I'm just really worried since my siblings are in school so I know they're exposed to stuff! So hard having that conversation.'
  • Truth. While I know in an ideal world he'd have a booster now, good news is that he is technically covered. Your insurance is, at least, covering YOUR booster while you're pregnant (or immediately post partum, though best coverage for LO is three weeks before delivery), right?
  • they are the same thing :)
  • @Court11152325 I thought whooping cough & pertussis were the same thing!? Ugh I'm just really worried since my siblings are in school so I know they're exposed to stuff! So hard having that conversation.'
    Yes, they are the same thing. The shot is called the TDaP and includes tetanus, diptheria, and pertussis vaccines.

    Jamie


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  • kepoolekepoole member
    edited October 2015
    @TomekiaB ohhh that really sucks :( I'm sorry!!!! Uggghhh well were YOU able to get it at least? A little added protection for little one is better than none I suppose.
    Bombmom3 said:

    @TomekiaB I mean, he could always get a deep scratch and claim to have gotten it on a rusty fence or scissors. I know even when I was technically covered by my ten year booster, when I accidently stabbed myself with a pair of rusty barber scissors (funny story, that lol) the first thing they did was hit me up with a TdAP.

    @Bombmom3 I almost suggested the same thing!!
  • I'm confused about the length of effectiveness for the TDAP shot. My parents and my DH both checked with their doctors and were told they were up to date so don't need to get another one. I had always heard it was effective for 10 years. But now I'm hearing her it's only the tetanus part that's effective that long? I've gotten mine already and managed to convince my in-laws since they never usually get vaccinated, but I though DH and my parents should be good since they've had it in the past 5 or so years... Is that incorrect?
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  • VesperLoveVesperLove member
    edited October 2015
    breezypip said:
    I'm confused about the length of effectiveness for the TDAP shot. My parents and my DH both checked with their doctors and were told they were up to date so don't need to get another one. I had always heard it was effective for 10 years. But now I'm hearing her it's only the tetanus part that's effective that long? I've gotten mine already and managed to convince my in-laws since they never usually get vaccinated, but I though DH and my parents should be good since they've had it in the past 5 or so years... Is that incorrect?
    According to the CDC website, only 3 or 4 out of ten people are fully protected (pertussis component) four years after getting the shot. Technically you aren't required to get it any more frequently than that but if a person is going to be around baby a bunch and it's been a few years, it is recommended that they get it again especially for the pertussis component. 
  • My midwife recommended every 2 years to renew Tdap as a whooping cough booster if you are going to spend time around a newborn. DD is 2 so we are all renewing ours as is our immediate family.
  • Sorry but I think your brother needs to respect your wishes. This is your child not his. Regardless what people believe to be true or untrue about vaccines.

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  • @VesperLove thanks for that info! I hate to go back and harp on it since their doctors told them they were good. I'm not sure if it's been 10 years or 2 years since their last vaccine.
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  • breezypip said:
    @VesperLove thanks for that info! I hate to go back and harp on it since their doctors told them they were good. I'm not sure if it's been 10 years or 2 years since their last vaccine.
    I totally understand that. My inlaws are not thrilled about it. They got theirs when my niece was born which was 10 years ago so they are under the impression they are fine. We took the stance that we are going to strongly recommend it and would very much prefer it but will not be denying access if people don't. We'll require washing of hands and absolutely no contact if they have any cold or flu symptoms ... but we aren't mandating the vaccine ... so it makes it hard to keep pressing/sending info to them. If they've made their choice, they've made their choice :(

    This can be such a hard topic.
  • You can also get the TDAP while pregnant in the 3rd trimester to give your baby some immunity. But as people said, waiting until later for a Visit would be best.
  • paigeiveypaigeivey member
    edited October 2015
    As the PP said I was told when I got my tdap shot a week or two ago that the antibodies would transfer to the infant as if the baby Got the shot themselves. Same with the flu shot and every other shot given to you as long as you do it in third trimester! But I would still be nervous about anyone who hasn't had ANY vaccines
  • @kepoole and @bombmom3 Yes, I definitely did get my TDAP booster and Flu Shot at 28 weeks as recommended (DH will get his Flu Shot too). I'd feel better though if I could find any data that says how protected LO is just from my shot before 8 weeks when baby can have their own but I haven't been able to find anything. 

    I'm just endlessly frustrated that the CDC (& AAP) say to cocoon. The CDC also has disease surveillance that shows how dangerous whooping cough is to infants, provides the data that pertussis antibodies don't last nearly as long as the tetanus it is paired with, and that pertussis outbreaks have risen dramatically since 2012 but despite all this the CDC hasn't actually updated their vaccination guidelines to support their own research despite making this data available to the public on their own website! 
  • @TomekiaB My understanding is that they recommend the TdAP at around three weeks out from delivery because it takes three weeks for mom's immune system to build up a full immune response against pertussis after being exposed to the vaccine. Since we share our antibodies with the baby, this gives baby the same level of protection as mom. This continues if mom nurses the baby or pumps and bottle feeds. Now, this provides a bubble around mom and baby - this does NOT keep baby protected from outside exposure (as I stated before, you can still get a disease while vaccinated). Mainly because that vaccine recieved while pregnant is a booster for the mom but the *first* one in a series for the baby so they do not have the same titers built up for full protection against the disease. So while mom would be unlikely to get sick from exposure to it, baby isn't fully covered yet.
  • TomekiaB said:

    @kepoole and @bombmom3 Yes, I definitely did get my TDAP booster and Flu Shot at 28 weeks as recommended (DH will get his Flu Shot too). I'd feel better though if I could find any data that says how protected LO is just from my shot before 8 weeks when baby can have their own but I haven't been able to find anything. 


    I'm just endlessly frustrated that the CDC (& AAP) say to cocoon. The CDC also has disease surveillance that shows how dangerous whooping cough is to infants, provides the data that pertussis antibodies don't last nearly as long as the tetanus it is paired with, and that pertussis outbreaks have risen dramatically since 2012 but despite all this the CDC hasn't actually updated their vaccination guidelines to support their own research despite making this data available to the public on their own website! 
    Exactly!!! Those are the numbers I'm looking for too!
  • I have never been too concerned about vaccines and boosters until I found out I was going to have a preemie.  I have had 2 winter babies (both born before Tdap was recommended though) and I have always believed in natural immunity in the mild sense.  We vaccinate out children and get flu shots but feel isolation brings on more sickness than exposing young children to common everyday viruses and bacteria.  

    Anyways, we are in the battles with family about this too.  Anyone who wishes to visit the baby has to have a flu shot and Tdap.  Our baby will be born in 2 weeks at 36 weeks gestation.  I am not willing to put an already compromised immune systems into the throws of disease and illnesses we can protect them.  But we have school age children so protecting them from everything is out the window for us.  I plan to baby wear when needed in public and use a car seat cover to help deter people from touching or coughing or kissing baby.  I also have children who are very active and I can't just stay home for 3 months either.  

    Sometimes a little give and take is needed but in your situation, I wouldn't let them visit unless they had their shots.   


    Erin

    Mom to 3 Boys (Ages 10, 8 & 3)

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  • I am 34 and a half weeks and just got my flu and tdap... hoping some passes onto baby! Though, I am still requiring the family who will be around baby the most to get the same. I'm glad I don't have anyone against vaccinations. 
  • Whether kids are vaccinated or not, I ask them to stay away from my babies for the first few months. There are a lot of illnesses kids pick up and carry around that are not vaccine preventable anyhow. Kids don't need to be hanging around and playing with newborns.
  • lainey419 said:
    Whether kids are vaccinated or not, I ask them to stay away from my babies for the first few months. There are a lot of illnesses kids pick up and carry around that are not vaccine preventable anyhow. Kids don't need to be hanging around and playing with newborns.

    this could be a good way to talk to your brother without starting a vaccine discussion, op.
  • I am more anti vax, but here is my my two cents. A vaccine doesn't prevent them from carrying the disease in all cases, it just reduces the possibility. The failure rate for the whooping cough vaccine is 30% according to the CDC website, so even if you have every one who comes in contact with your child vaccinated, 1/3 can still get your child sick.

    He can also only pass the illness along if he is a current carrier. You can't give someone something you don't have. If his daughter doesn't have pertussis, then chances are he isn't a carrier.

    Being around unvaccinated people doesn't increase your risk for getting sick, if they aren't sick. I am fully vaccinated (half didn't work on me according to screenings done though) and spend most of my time around people who are unvaccinated. I have yet to contract anything that I am not immune too because they haven't contracted it.

    I understand the worry is to protect your baby. Even though I have been against vaccines since high school, I still considered them for a moment because of the what if. But you have to remember that a vaccine isn't 100%, and no one can spread an illness they don't have. I can't spread measles not because of a vaccine, but because I haven't had exposure and don't have it.

    You can however make sure they do not come anywhere near your house if they show any signs of illness. You can also use proper hygiene and limit touching to you child. That should help dramatically. I personally don't think it's right to ask someone to compromise their personal beliefs for you, and vaccines fall in line with that. There are many reasons people choose not to vaccinate and 90% of them have nothing to do with the whole autism thing. You might lose relationships of you can't respect someone else's informed choices for their family. If you are fine with losing that relationship then yes deny him the chance to visit, if not try to listen to what he says.
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