Vaccination Guide

Prioritize the completion of the required vaccines specified in the national immunization program, and then independently select non-immunization program vaccines based on age, underlying diseases, exposure risks, and economic budgets. Vaccinations should be postponed during acute illness and severe allergic periods. There is no need to blindly pursue "vaccines all at once" or to resist all vaccinations without basis.

This is not what I thought. Last week, I accompanied my aunt with type 2 diabetes to the community health service center to make an appointment for a flu vaccine. I happened to encounter two completely opposite demands for vaccination: a post-95 mother holding a 6-month-old baby clutched the "must-do list of self-paid vaccines" saved in her mobile phone. She even wanted to make an appointment in advance for the hepatitis E vaccine that was not yet old enough for vaccination, saying, "I would rather spend more money than let the baby take a little risk."”； Standing next to him was a young man who had been healthy for only half a month. The doctor reminded him that the hepatitis B antibody was about to turn negative and he could get a booster shot. He shook his head like a rattle and said, "It's the medicine that's three parts poisonous. I have enough immunity, so I don't need the shot."

In fact, both of these ideas are not completely unreasonable. I used to know the mother of a child with a rare disease. The child had congenital hypogammaglobulinemia and had almost no ability to fight infections independently. Not only did the whole family take all the conventional vaccines as required, but they also received additional self-paid vaccines such as pneumonia, shingles, and hepatitis E every year. She was afraid that she might catch the virus outside and bring it home to her children. For people with high-risk family members, covering as many preventable diseases as possible is indeed the most cost-effective way of protection. Among those who are against vaccines, many have really had bad experiences: A few years ago, there was an old man in my community who had a viral cold on the day he got the flu vaccine. He had a high fever of 38.5 degrees and was hospitalized for three days. After that, no matter how the community informed him of the free vaccine, he refused to go again. This "coincidence" coincidence also made many people question the safety of the vaccine. Even in research in the field of disease control, some scholars have suggested that for healthy young adults with completely normal immune functions and no special exposure risks, some non-essential vaccines - such as the hand, foot and mouth vaccine for the corresponding subtype and the hepatitis B vaccine that already has sufficient antibodies - are indeed unnecessary to be vaccinated repeatedly to avoid unnecessary medical expenses.

To be honest, there is no need to check the online lists one by one. As long as you understand a few basic questions first, you will basically avoid any pitfalls. First of all, we need to check whether you have high risk of exposure recently? For example, if you have just found a job that requires frequent contact with fresh food and cold chain, it is best to arrange for hepatitis A and hepatitis E vaccines. I used to know a pork stall owner at a farmer's market. He encountered raw meat every day and did not receive the hepatitis E vaccine. Last year, he was hospitalized for more than 20,000 yuan, and it only cost more than 100 yuan to get the vaccine later. Now it still hurts to mention it. ； If you ride in a closed subway every day or have a crowded office, getting a flu vaccine every year before the flu season is more effective than hoarding ten boxes of cold medicine. Then it depends on whether your age and physical condition are suitable? For example, for women aged 20-45, regardless of whether they are sexually active or not, the HPV vaccine can be taken as soon as it is available. Don’t worry about whether it is nine-price or four-price. Existing data shows that as long as it can cover high-risk subtypes, the protective effect is not much different. Of course, if you have been infected with certain high-risk subtypes, now academic circles There are indeed two voices: one group believes that there are already corresponding antibodies, and further injection is not cost-effective; the other group believes that it can prevent other uninfected subtypes. This depends on your own budget. If you are willing to spend the money and get peace of mind, just take it. If you think it is unnecessary, it is completely fine. There is no standard answer. In addition, don’t forget to check whether there are any contraindications for vaccination. If you have a fever or hives all over your body, wait for a week until you feel better before taking the vaccine. Don’t force a unified vaccination time in the unit. I once had a colleague who had a cold and fever and insisted on getting the COVID-19 vaccine. As a result, the fever reached over 39 degrees. It had nothing to do with the vaccine in the first place, but it left him with the psychological shadow of "fever after vaccination".

As for whether to take the most discussed COVID-19 vaccine booster shot, there is currently no unified consensus in the academic community: for medical staff, the elderly over 60 years old, and high-risk groups with serious underlying diseases, the mainstream view is still to recommend vaccination every 6-12 months, which can effectively reduce the risk of severe illness and death.； However, for healthy young people who rarely go out and have completely normal immune functions, some studies believe that repeated vaccination will not bring additional significant benefits. A few scholars have even suggested that there may be a risk of immunoblotting. Although this view is not supported by enough large-sample data, it is enough to show that not everyone must follow the policy and rush to get vaccinated. You can choose according to your own situation and do not need to be kidnapped by online comments.

To be honest, I have vaccinated the elderly and children at home more than a dozen times in the past two years, and my biggest feeling is that there is really no need to follow the trend. When other people's 50-year-old aunts get the shingles vaccine, she is at an age where herpes zoster is most common. Why are you, a 20-year-old girl, joining in the fun? People say that the flu vaccine is useless, but that’s because they work at home all year round and hardly leave the house. If you go to work every day to meet clients, you should get it when it’s time to get it. When you go for vaccination, don’t hide your medical history. Tell the doctor you are more reliable than searching for three hours on Baidu. After all, when it comes to vaccines, more is never better. The one that suits you is the most useful.