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Childhood Illnesses

Baby and Childhood Immunisations

Vaccinations help protect you, your baby or child and your family from many serious diseases. They help protect other people who can’t have vaccinations themselves too. Some people may experience mild side-effects, but these usually don’t last long.

Vaccinations are safe. 

  • Vaccines teach your immune system how to create antibodies that protect you against diseases.
  • It's much safer for your immune system to learn this through vaccination than by catching the diseases and treating them.
  • Once your immune system knows how to fight a disease, it can often protect you for many years, sometimes for life.
  • Babies have their first vaccinations at eight weeks, 12 weeks, 16 weeks and one year. It’s safe to give babies and children several vaccines at a time.
  • Toddlers will be offered pre-school vaccinations at three years and four months.
  • Teenagers will be offered booster vaccinations in year eight and year nine at school.

How Vaccines Work

When your child has a vaccine they develop antibodies to protect against the disease. After this, if your child comes into contact with the disease, their body will recognise it and know how to fight against it with those antibodies.

Childhood Vaccination Schedule

After your child receives their baby and pre-school immunisations at the doctors, the rest of their childhood vaccinations are given in school by the School Age Immunisation Service.

This service is available to all children and young people of school age, whether they attend state school, independent school, complex needs schools or alternative settings.

Children and young people who are educated at home can attend community clinics or their local school to receive the vaccines. Please contact the team on the details at the bottom of the page.

Dive Deeper

Myth Busting

In recent years there have been a lot of stories about vaccines in the media and online. Many of these are not based on any facts but have made people worry. It is important that you get information about vaccinations from a trusted source. The Oxford Vaccine Knowledge Project  gives independent fact checked information.

Your baby can still have their vaccinations if:

  • They have a minor illness without a high temperature – such as a cold.
  • They have allergies, asthma, eczema or food intolerances.
  • They were born prematurely.

It's really important that premature babies still have their vaccinations from 8 weeks old. They may be at higher risk of catching infections if you wait.

It may seem very early to give a vaccination to such a tiny baby. But many scientific studies have shown that it's a good time to give them vaccines.

Vaccines do not:

  • Cause autism – studies have found no evidence of a link between the MMR vaccine and autism.
  • Overload or weaken the immune system – it's safe to give children several vaccines at a time and this reduces the amount of injections they need.
  • Cause allergies or any other conditions – all the current evidence tells us that vaccinating is safer than not vaccinating.
  • Contain mercury (thiomersal).
  • Contain any ingredients that cause harm in such small amounts – but speak to your doctor if you have any known allergies such as eggs or gelatine.

Common Questions:

I’m worried the vaccines could be harmful to my child

All the vaccines given are very carefully tested for a long time before they are approved for use on humans and continue to be monitored. Complications are very, very rare whereas the diseases they protect us from are very dangerous.

I’ve heard homeopathy / special diets can be used instead of vaccines is this true? 

There is no proof that homeopathy / diets can protect your child from serious diseases. We know that vaccinations do.

Is it better to get the disease and try and get immune that way? 

This is very risky because the diseases that vaccines protect us from can have very serious complications.

Feeling Ready

It’s completely normal for children and young people to feel a bit worried about having their vaccines. Talking to your child about what is going to happen can help you keep them calm.

Here are some facts from School Immunisation Team that may help your child feel less worried.

  • The needles are not huge - just long enough to get to the right place!
  • The injection is not like a blood test; it is quicker and It feels like a pinch or a cat scratch.
  • The needle cannot break off in your arm and your arm will not fall off!
  • You cannot get the disease from the vaccination.

Remind your child that vaccines are a very important way of protecting themselves as well as those people who are not able to have vaccinations because of some rare health conditions.

Top Tips for Babies

Do:

  • Remember to take your child's personal child health record (PCHR) to appointments. This is usually called the "Red Book".
  • Call the practice or clinic to let them know if someone else is taking your child for vaccinations – or give the person a letter with your contact details.
  • Dress your baby in clothes that are easy to remove. Babies under 12 months have injections in the thigh.
  • Dress toddlers and older children in loose or short sleeves tops. They have their injections in the arm.
  • Try to stay calm during the vaccination. It's natural to worry but it might make your child anxious and restless.
  • Let your child know what's going to happen in simple language. For example you could say "you may feel a sharp scratch but that will go away very fast".
  • Hold your child on your knee during the injection. If you're worried about seeing injections you could ask a nurse or another member of staff to hold them for you.

Don't:

  • Rush to get to your appointment. Giving yourself plenty of time can help you and your child avoid feeling stressed and anxious.
  • Be worried about speaking to the nurse or doctor, they can answer any questions you have about vaccination.

Top Tips for Older Children & Young People 

Your child might be calm and confident about having the vaccine, but there are still some things you can do so they are prepared.

  • Make sure your child wears short sleeves on the day to make it easier to ‘get at’ the top of their arm. If this is not uniform they could wear a vest under their school shirt.
  • Make sure they have breakfast - being anxious burns more calories and can cause a headache after the injection.
  • Remind your child to ignore rumours and scary stories about vaccines.
  • If you, or your child, have any worries or questions call the school immunisation team.
  • Practise relaxation techniques to help with any anxiety.

Remember there will be a nurse to support your child and chat to them about what is happening. They are skilled at helping children cope with their nerves.

HospiChill is a free app to help young people feel physically and emotionally ready for each of their immunisations.

If your child is extremely anxious please get in touch with the service. We can talk about how we can help them. Sometimes it helps if:

  • They get the vaccine in the school medical room away from others.
  • They have the vaccine before the main session.
  • They attend a community clinic.

Home visits are available in rare circumstances when there is a specific medical need.

Side Effects

Your baby or child may cry for a little while after a vaccination, but they should feel better after a cuddle. Sometimes the area where the needle goes in can be sore and red for 2 to 3 days. This should go away on its own.

Some children may also develop a high temperature but this can usually be managed at home.

Read about how to manage a temperature at home

After Care

After the injection your child can carry on as normal.

  • They should move their arm regularly after their injection. This helps stop the arm feeling stiff.
  • They might have common mild side effects like redness, pain and swelling at the injection site. Paracetamol can be taken if needed.

If you think your child is unwell you should contact the GP or 111. If you have any questions about the vaccinations you can contact the team on the number below.

Measles & Mumps Increase

Measles and mumps are starting to appear again in England, even though the MMR vaccine is safe and protects against both diseases.

Measles and mumps cases in England have nearly doubled in recent years. The table below shows how many cases of measles and mumps there have been in England in 2016 and 2018.

Year      Measles    Mumps

2016        541          573

2018        989         1088

Whooping Cough

Whooping Cough, also called pertussis, is a highly contagious bacterial infection of the lungs and airways and can make babies and young children in particular very ill.

Whooping Cough cases are currently rising and protecting your baby/child is very important. Vaccination is the best way to make sure your family are protected and vaccinations are available during pregnancy and when your baby/child is 8, 12 and 16 weeks and 3 years 4 months old. 

Pregnant women can help protect their babies by getting vaccinated – ideally from 16 weeks up to 32 weeks pregnant. If for any reason you miss having the vaccine, you can still have it up until you go into labour.

Find more information about Whooping Cough vaccination in pregnancy

Find out about the symptoms of Whooping Cough

Consent

Very occasionally a young person under the age of 16 may request a vaccination without parental consent. In these circumstances, a qualified clinician would make a thorough assessment of the young person’s understanding, knowledge and competence to make such a decision.

If the decision is made that they have the right level of knowledge and understanding, and they cannot be persuaded to discuss it with their parents, the clinician may go ahead and vaccinate the young person. This is known as being Gillick Competent.

Missed Appointments & Alternative Settings

If a child misses a school session for any vaccination, either because they were off on the day of the visit or they are not attending school for any reason, parents/carers should be advised to contact the Community and School-aged Immunisation Service (CSAIS) provider directly to arrange for vaccination in a scheduled community clinic. The contact details are: 

0300 555 5055- option 2, or email hct.csaisnorfolk@nhs.net

If you are home-schooling your children, they can still get this important protection from disease. For missed covid-19 vaccinations you can attend your local vaccination centre.

GPs can offer catch-up for:

  • HPV
  • MMR

Other vaccinations can be accessed by:

  • Attending community clinics.
  • Joining another vaccination session in a local school.

The HPV course can be started for young women up to the day before their 18th birthday. Other high school vaccinations are available up to the age of 19.

Did you know?

If 95% of children receive the MMR vaccine, it's possible to get rid of measles.

However, measles, mumps and rubella can quickly spread again if fewer than 90% of people are vaccinated.


Downloads

Routine Immunisation Schedule

Download

Pneumococcal Vaccination (PVC) Schedule

Download

Pre-School Immunisations Age 2-5 Years

Download

Who can Help?

You can contact the Healthy Child Service team by calling Just One Number on 0300 300 0123 or texting Parentline on 07520 631590. Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays) and 9am-1pm on Saturdays.

For questions or queries about school age immunisations you can contact Hertfordshire Community NHS Trust by calling 0300 555 5055 and selecting Option 2 or emailing hct.csaisnorfolk@nhs.net

If you are 11-19 you can text ChatHealth on 07480 635060 for confidential advice from one of our team.

The Lullaby Trust - Baby Check App- This app has simple checks that you can do if your baby is ill and helps you think about whether they need to see a doctor or health professional.

You can speak to other Norfolk parents and carers by clicking our online community forum below. 

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