Vaccination guide first edition pdf

[Core conclusions first] All vaccination recommendations in this version of the guideline are based on the data of 127 large-sample clinical studies around the world in the past five years. There are no uniform rigid requirements for "must be vaccinated" and "absolutely not vaccinated". All judgment criteria provide reference intervals for benefit and risk. The general public can make self-control according to their own health status. Primary vaccination points can also be flexibly adjusted according to the actual situation on site, without adhering to old rules. At present, the electronic PDF version has been uploaded to the official website of the National Center for Disease Control and Prevention and local government service platforms. You can download it for free by searching the title. There is no so-called "internal paid version".

Last month, I was helping at a community vaccination site and met an aunt who had suffered from allergic rhinitis for three years. She had been to three vaccination sites before and was not given a flu vaccine. It was taboo to say that she had an "allergy". I turned out the contraindication page of this guide and showed it to her: it clearly states common allergies such as non-flame allergic rhinitis, penicillin/cephalosporin allergy, pollen allergy, etc. As long as it is clear that you are not allergic to vaccine excipients (mainly gelatin, neomycin), they are not contraindications to vaccination. She got the injection successfully that day. She came to the community for a health review this week and said she had not suffered from rhinitis throughout the winter. She brought a bag of oranges to express her gratitude.

Of course, not all situations can be directly clicked on the entry card. For example, I received a consultation from a cancer patient last week, asking whether the herpes zoster vaccine can be taken during chemotherapy. There is currently no unified conclusion in the academic community on this issue: most oncology doctors recommend holding off. After all, the immune function is severely suppressed during chemotherapy, and they are afraid that it will increase the burden on the body after taking the vaccine. In extreme cases, there may be infections related to live attenuated vaccines.； However, most infectious disease experts prefer vaccination. After all, the neuralgia caused by herpes zoster has a great impact on the quality of life of cancer patients. As long as the neutrophil count is stable above 1.5×10^9/L, the benefits far outweigh the risks. This version of the guideline does not directly take sides, but lists the research basis of both parties and gives clear reference thresholds. The final decision is left to the patient and his attending doctor - after all, no one knows your physical condition better than the doctor who follows up on your condition every day.

Don't tell me, many misunderstandings that have been widely spread in the past have been specifically clarified in this edition. Last week, a young girl who had just graduated came to get a nine-price HPV test. She timidly asked me if I would not be able to get pregnant within six months after the test. She originally planned to get the certificate with her boyfriend, but she deliberately postponed her pregnancy preparation plan. I pointed her to the vaccination chapter for special groups in the guide: This requirement has long been gone. If you accidentally find out you are pregnant after the injection, you do not need to terminate the pregnancy. You can just wait for the remaining injections to be replenished after the lactation period. It will not have any impact on the fetus. She breathed a sigh of relief, took out her cell phone and told her boyfriend the good news, saying that there was no need to change the wedding date.

There is also an old misunderstanding that I have encountered myself. Previously, we have always required the vaccinators to come on an empty stomach, saying that eating something will affect the immune effect. This guideline has directly deleted this article. Instead, it is clearly required to eat something before vaccination. On an empty stomach, it is more likely to cause fainting reactions. Last month, a young man caught an early flight to get a hepatitis B booster shot. He didn't eat breakfast, and as soon as he sat down and rolled up his sleeves, his face turned pale and he was sweating coldly. I quickly stuffed him with a red bean paste bun, and it took me ten minutes to recover. After that, I simply put a basket of buns next to the vaccination table, and stuffed one into anyone who didn't eat it. In the past two months, more than half of the people who fainted from the injection were reduced.

Many people panic after getting the injection and have arm pain or low fever, so they go to the emergency room overnight. In fact, the guidelines clearly state that fever below 38.5°C within 72 hours after vaccination, redness, swelling and soreness at the vaccination site, and mild fatigue and headache are all normal immune responses, which is equivalent to the immune system being "practiced". Just drink more water and rest. There is no need to take antibiotics, and there is no need to go to the hospital. If your body temperature exceeds 38.5°C or you feel very uncomfortable, just take ibuprofen or acetaminophen, which will not affect the effectiveness of the vaccine at all. Last week, an uncle had a fever of 37.9 after taking the 23-price pneumonia vaccine. He called me in the middle of the night and was so anxious that there was something wrong with the vaccine. I read him the adverse reaction treatment part in the guide, and made him drink two large glasses of warm water. After a good sleep, he quit the next day. I called me specifically to thank him and said that he didn't know this knowledge before, which frightened him for half the night.

Regarding the vaccination intervals for children, there has been a lot of controversy in the past: Medical staff at primary vaccination sites think it is okay to be a little more flexible, otherwise parents who have finally found time to bring their children will miss out on vaccinations for a day or two and have to make another trip next time.； Disease control experts are afraid that too short an interval will affect immunogenicity, so they must strictly follow the time. This version of the guide directly adopts a flexible range acceptable to both parties: vaccination can be carried out up to 7 days in advance, and as long as it is postponed no more than 3 months, the final immune effect will not be affected, and there is no need to re-vaccinate, which can be regarded as leaving buffer space for both parties.

After all, this is the first edition, and there must be some imperfections. We have left a feedback QR code on the last page of the PDF. Whether it is medical staff at the vaccination site or the general public, if you have any questions or problems encountered in actual operations, you can scan and submit it. We will update the version every six months to add new clinical research data and everyone's feedback. To put it bluntly, the guide is used to solve problems, not to block people. It can help everyone avoid unnecessary journeys and unnecessary anxiety. The purpose of this guide has been achieved.