National Polio Immunization Schedule. National vaccination schedule from birth to old age

The vaccination schedule for children (prophylactic vaccination calendar) 2018 in Russia provides for the protection of children and infants up to a year from the most dangerous diseases. Some vaccinations for children are performed directly at the maternity hospital, the rest can be done at the district clinic in accordance with the vaccination schedule.

Immunization calendar

Basic vaccinations up to a year

The general table of vaccinations by age from birth to 14 years of age suggests the organization of the maximum protection of the child's body from infancy and the support of immunity in adolescence. At the age of 12-14, a planned revaccination of poliomyelitis, measles, rubella, mumps is carried out. Measles, rubella and mumps can be combined into one vaccine without compromising quality. The polio vaccine is given separately, with a live vaccine in drops or inactivated with an injection in the shoulder.

1. . The first vaccination is carried out in the hospital. This is followed by revaccination at 1 month and at 6 months.
2. Tuberculosis. The vaccine is usually given at the hospital during the first week of a baby's life. Subsequent revaccinations are carried out in preparation for school and in high school.
3. DTP or analogues. Combined vaccine to protect an infant against whooping cough and diphtheria. In imported analogues of the vaccine, a Hib component is added to protect against inflammatory infections and meningitis. The first vaccination is performed at 3 months, then according to the vaccination schedule, depending on the selected vaccine.
4. Haemophilus influenzae or HIB component. May be part of a vaccine or performed separately.
5. Polio. Babies are vaccinated at 3 months. Re-vaccination at 4 and 6 months.
6. At 12 months, children are vaccinated against.

The first year of a child's life requires maximum protection. Vaccinations minimize the risk of infant mortality by causing the infant's body to produce antibodies to bacterial and viral infections.

A child's own immunity up to a year is too weak to resist dangerous diseases, innate immunity weakens by about 3-6 months. A baby can receive a certain amount of antibodies with mother's milk, but this is not enough to resist really dangerous diseases. It is at this time that it is necessary to strengthen the immunity of the child with the help of timely vaccination. The standard vaccination schedule for children is designed to take into account all possible risks and it is advisable to follow it.

After a series of vaccinations, the child may have a fever. Be sure to include paracetamol to reduce fever in your first aid kit. High temperature indicates the work of the body's defense systems, but does not affect the efficiency of antibody production. The temperature must be brought down immediately. For infants up to 6 months old, rectal suppositories with paracetamol can be used. Older children can take an antipyretic syrup. Paracetamol has maximum efficiency, but in some cases and with individual characteristics, it does not work. In this case, you need to apply a children's antipyretic with another active substance.

Do not limit your child's drinking after vaccination, take a handy bottle of water or baby soothing tea with you.

Vaccinations before kindergarten

In kindergarten, the child is in contact with a significant number of other children. It has been proven that it is in the children's environment that viruses and bacterial infections spread with maximum speed. To prevent the spread of dangerous diseases, it is necessary to perform vaccinations by age and provide documentary evidence of vaccinations.

• Flu shot. Performed annually, significantly reduces the likelihood of influenza in the autumn-winter period.
• Vaccination against pneumococcal infection. It is performed once, the vaccination must be performed at least one month before visiting the children's institution.
• Vaccination against viral meningitis. Performed from 18 months.
• Vaccination against hemophilic infection. From 18 months, with weakened immunity, vaccination is possible from 6 months.

The vaccination schedule for children is usually developed by an infectious disease specialist. In good children's vaccination centers, it is mandatory to examine babies on the day of vaccination to identify contraindications. It is undesirable to vaccinate at elevated temperature and exacerbation of chronic diseases, diathesis, herpes.

Vaccination at paid centers does not reduce some of the pain associated with adsorbed vaccines, but more complete kits can be selected to provide protection against more diseases per shot. The choice of combination vaccines provides maximum protection with minimum injury. This applies to vaccines such as Pentaxim, DTP and the like. In public clinics, this choice is often not possible due to the high cost of polyvalent vaccines.

Restoring the vaccination schedule

In case of violations of the standard vaccination schedule, you can create your own individual vaccination schedule on the recommendation of an infectious disease specialist. The characteristics of vaccines and standard vaccination or emergency vaccination schedules are taken into account.

For hepatitis B, the standard scheme is 0-1-6. This means that after the first vaccination, the second one follows a month later, followed by a revaccination six months later.

Vaccinations for children with immune diseases and HIV are carried out exclusively with inactivated vaccines or recombinant drugs with the replacement of a pathogenic protein.

Why you need to do mandatory vaccinations by age

An unvaccinated child who is constantly among vaccinated children most likely will not get sick precisely because of herd immunity. The virus simply does not have enough carriers to spread and further epidemiological infection. But is it ethical to use the immunity of other children to protect your own child? Yes, your child will not be pricked with a medical needle, he will not experience discomfort after vaccination, fever, weakness, will not whine and cry, unlike other children after vaccination. But when in contact with unvaccinated children, for example, from countries without mandatory vaccination, it is the unvaccinated child that is at maximum risk and can get sick.

Immunity does not get stronger by developing "naturally" and infant mortality rates are a clear confirmation of this fact. Modern medicine can oppose absolutely nothing to viruses, except for prevention and vaccinations, which form the body's resistance to infection and disease. Only the symptoms and consequences of viral diseases are treated.

Vaccination is generally effective against viruses. Get the age-appropriate vaccinations you need to keep your family healthy. Vaccination of adults is also desirable, especially with an active lifestyle and contact with people.

Can vaccines be combined?

In some polyclinics, simultaneous vaccination against polio and DTP is practiced. In fact, this practice is undesirable, especially when using a live polio vaccine. The decision on the possible combination of vaccines can only be made by an infectious disease specialist.

What is revaccination

Revaccination is the repeated administration of a vaccine to maintain the level of antibodies to the disease in the blood and to strengthen immunity. Usually, revaccination is easy and without any special reactions from the body. The only thing that can disturb is a microtrauma at the injection site. Together with the active substance of the vaccine, about 0.5 ml of an adsorbent is injected, which holds the vaccine inside the muscle. Unpleasant sensations from microtrauma are possible throughout the week.

The need to introduce an additional substance is due to the action of most vaccines. It is necessary that the active components enter the blood gradually and evenly, over a long period of time. This is necessary for the formation of proper and stable immunity. A small bruise, hematoma, swelling is possible at the injection site. This is normal for any intramuscular injections.

How immunity is formed

The formation of natural immunity occurs as a result of a viral disease and the production of appropriate antibodies in the body that contribute to resistance to infection. Immunity is not always developed after a single illness. It may take repeated illness or successive rounds of vaccinations to develop sustained immunity. After an illness, immunity can be greatly weakened and various complications arise, often more dangerous than the disease itself. Most often it is pneumonia, meningitis, otitis, for the treatment of which it is necessary to use strong antibiotics.

Infants are protected by maternal immunity, receiving antibodies along with mother's milk. It does not matter whether maternal immunity is developed by vaccination or has a "natural" basis. But the most dangerous diseases that form the basis of child and infant mortality require early vaccination. Hib infection, whooping cough, hepatitis B, diphtheria, tetanus, should be excluded from the dangers to the life of the child in the first year of life. Vaccinations form a full-fledged immunity from most infections that are fatal to an infant without disease.

Building the "natural" immunity advocated by environmentalists takes too long and can be life threatening. Vaccination contributes to the safest possible formation of full-fledged immunity.

The vaccination schedule is formed taking into account age requirements, the characteristics of the action of vaccines. It is advisable to keep within the time intervals prescribed by medicine between vaccinations for the full formation of immunity.

Voluntary vaccinations

In Russia, it is possible to refuse vaccination, for this it is necessary to sign the relevant documents. No one will be interested in the reasons for refusal and vaccinate children by force. Legal restrictions on failures are possible. There are a number of professions for which vaccinations are mandatory and refusal to vaccinate may be considered unsuitable. Teachers, employees of children's institutions, doctors and livestock breeders, veterinarians should be vaccinated so as not to become a source of infection.

It is also impossible to refuse vaccinations during epidemics and when visiting areas declared a disaster zone in connection with the epidemic. The list of diseases in epidemics of which vaccination or even urgent vaccination is carried out without the consent of a person is fixed by law. First of all, it is natural or black smallpox and tuberculosis. In the 1980s, smallpox vaccination was excluded from the list of mandatory vaccinations for children. The complete disappearance of the causative agent of the disease and the absence of foci of infection were assumed. However, in Siberia and China, at least 3 focal outbreaks of the disease have occurred since the refusal of vaccination. It may make sense to have the smallpox vaccination done in a private clinic. Smallpox vaccines are ordered in a special way, separately. For livestock breeders, vaccination against smallpox is mandatory.

Conclusion

All doctors recommend following the standard vaccination schedule for children whenever possible and maintaining immunity with timely vaccinations for adults. Recently, people have become more attentive to their health and visit vaccination centers with the whole family. Especially before joint trips, travel. Vaccinations and developed active immunity

Order of the Ministry of Health of the Russian Federation of June 27, 2001 N 229
"On the national calendar of preventive vaccinations and the calendar of preventive vaccinations according to epidemic indications"
(as amended January 17, 2006)

See Guidelines MU 3.3.2.1172-02 "The procedure for providing state municipal health organizations with medical immunobiological preparations within the framework of the national calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications", approved by the Chief State Sanitary Doctor of the Russian Federation on November 14, 2002.

In accordance with the letter of the Ministry of Justice of the Russian Federation of July 31, 2001 N 07/7800-YUD, this order does not need state registration (information published in the Bulletin of the Ministry of Justice of the Russian Federation, 2001, N 9)

For the implementation of the provisions of this order, see the letter of the Department of State Sanitary and Epidemiological Surveillance of the Ministry of Health of the Russian Federation dated December 10, 2001 N 2510 / 12419-01-32

In order to implement the Federal Law "On Immunoprophylaxis of Infectious Diseases" dated September 17, 1998 N 157-FZ and ensure the epidemiological well-being of the population of the Russian Federation in terms of infections controlled by means of specific prevention, I order:
1. The heads of the health authorities of the constituent entities of the Russian Federation, the chief physicians of the centers of state sanitary and epidemiological supervision in the constituent entities of the Russian Federation to ensure the organization of preventive vaccinations from 01.01.2002 in accordance with the national calendar of preventive vaccinations and a calendar of preventive vaccinations according to epidemic indications .

See Guidelines MU 3.3.1.1095-02 "Medical contraindications for preventive vaccinations with preparations of the national vaccination schedule", approved by the Chief State Sanitary Doctor of the Russian Federation on January 9, 2002.

2. State Research Institute for Standardization and Control of Medical Immunobiological Preparations. L.A. Tarasevich of the Ministry of Health of Russia until 01.11.2001 to submit for approval to the Ministry of Health of the Russian Federation the texts of instructions for the use of domestic and foreign vaccines in accordance with the national calendar of preventive vaccinations and the calendar of preventive vaccinations according to epidemic indications.
3. Consider the order of the Ministry of Health of Russia and the State Committee for Sanitary and Epidemiological Supervision of Russia of 03.06.96 / 21.05.96 N 226/79 "On the introduction of preventive vaccinations against hepatitis B" and the Ministry of Health of Russia of 12.18.97 N 375 "On the calendar of preventive vaccinations" from 01.01.2002 invalidated.
4. To impose control over the implementation of this order on the First Deputy Minister of Health of the Russian Federation G.G. Onishchenko.

Minister Yu.L. Shevchenko

By order of the Ministry of Health and Social Development of the Russian Federation dated January 17, 2006 N 27, this appendix has been amended

Appendix N 1. National calendar of preventive vaccinations Appendix N 2. Calendar of preventive vaccinations according to epidemic indications

Order of the Ministry of Health of the Russian Federation of March 21, 2014 N 125n
"On the approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations according to epidemic indications"

With changes and additions from:

calendar of preventive vaccinations according to epidemic indications in accordance with Appendix No. 2.

Registration N 32115

A national calendar of preventive vaccinations has been approved. The order of their implementation is prescribed.

Mandatory vaccination against tuberculosis, pneumococcal and hemophilic infections, diphtheria, whooping cough, poliomyelitis, viral hepatitis B, tetanus is provided. The calendar also includes vaccinations against measles, rubella, mumps. The categories and age of citizens who are given the listed vaccines are indicated.

Vaccinations can be done by medical organizations that have the appropriate license.

Before vaccination, the person or his legal representative is explained the need for immunoprophylaxis of infectious diseases, possible post-vaccination reactions and complications, as well as the consequences of refusing to vaccinate. Informed voluntary consent for medical intervention is issued.

All persons who are to be vaccinated are preliminarily examined by a doctor (paramedic).

The requirements for health workers conducting vaccinations are given. Thus, they should be trained in the use of immunobiological drugs and the provision of medical care in an emergency or urgent form.

A calendar of preventive vaccinations according to epidemic indications has been established. We are talking about vaccination against tularemia, plague, brucellosis, anthrax, rabies, leptospirosis, tick-borne viral encephalitis, Q fever, yellow fever, cholera, typhoid fever, viral hepatitis A, etc.

Order of the Ministry of Health of the Russian Federation of March 21, 2014 N 125n "On approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations according to epidemic indications"

Registration N 32115

Young children are more susceptible to disease. From the first months of a baby's life, all internal organs and systems adapt to new conditions. Immunity is just beginning to form, and cannot protect the body from the effects of pathogenic viruses and microorganisms.

In the environment there are many pathogens of severe infectious pathologies that can not only undermine health for many years, but also lead to death. To protect the child from potential infection, it is necessary to undergo routine immunization in accordance with the vaccination schedule.

How is the vaccination calendar for children compiled?

The vaccination calendar is approved by the Ministry of Health. Every year, a council of specialists, which consists of the country's chief doctors, does a great job of adjusting the vaccination plan.

Taking into account the epidemiological situation, the time frame for immunization is being revised. If necessary, changes are made to the list of permitted injection solutions (vaccines). In 2017, new important vaccinations were added (for example, against viral hepatitis).

The Russian National Immunization Schedule has been compiled to improve the effectiveness and safety of vaccination. On its basis, it is recommended to immunize the youngest age group of the population, since babies are more at risk of infection, and weak immunity is not able to protect the growing body properly.

In all medical institutions, vaccination is carried out according to the approved schedule, this procedure is free and voluntary. For its implementation, only the written consent of the parents is required.

Vaccinations by age

The main part of the vaccinations is performed for children under the age of one and a half years, immunization begins from the first month of the child's birth. Vaccination is the introduction of weakened bacteria, after which the production of antibodies-immunoglobulins to the pathology of which they are the causative agents begins.

Vaccination will protect your child from infection by 90%, in case of infection, the disease will be mild. The risk of complications (death, disability) is reduced to zero. Today in Russia, children under 14 are vaccinated against many diseases:

• Tuberculosis is an infection of bacterial etiology, the lesion is usually localized in the lungs, spreads to all internal systems.
• Diphtheria is a severe infectious pathology that affects the central nervous system, adrenal glands, lungs, trachea, and heart muscle.
• Whooping cough is an infection, the main feature is a paroxysmal cough.
• Viral hepatitis B - the disease affects the liver, later becomes a permanent form, in which cirrhosis of the organ develops.
• Tetanus - with such an infection, the central nervous system suffers, the patient often has convulsions and suffocation.
• Poliomyelitis - the disease is characterized by the formation of paralysis, the development of which cannot be prevented.
• Measles is a viral disease, characterized by the appearance of rashes on the mucous membrane of the throat and nose. Additionally, there are symptoms of poisoning (fever, fever).
• Epidemic mumps - the pathology takes place in an acute form, the nervous system and salivary glands are affected. In boys, the lesion can go to the testicles, in the future this will lead to infertility.
• Haemophilus influenzae is a dangerous disease; children under 1 year of age are most susceptible to infection. It is manifested by purulent meningitis, otitis, damage to the joints and the cardiovascular system, pathologies of the respiratory tract (pneumonia, bronchitis) may occur.
• Rubella - infection with the virus is manifested by thickening of the lymph nodes and the appearance of a rash.
• Influenza is a serious disease, highly contagious. It is characterized by a lesion of the respiratory system, a feverish state of the patient. In neglected forms, it leads to death.

Parents should be responsible for the health of their child, do not miss routine vaccinations, and understand what danger can threaten him without vaccination. If, due to the baby’s well-being or other important circumstances, it is not possible to visit the clinic in a timely manner, then it is necessary to notify the pediatrician about this. Your doctor will schedule your next immunization date.

Babies up to a year

In the first year of a baby's life, a large number of important injections are given. Some of them are combined so that instead of several you can make one. For example, DTP is a vaccine against whooping cough, tetanus and diphtheria.

Before vaccination, you should consult a doctor, a specialist should assess the well-being of the child.

Often a medical exemption is required for an indefinite period, or the doctor can develop a personal vaccination schedule. The schedule of vaccinations with the names of vaccines for children from birth to 1 year is indicated in the table:

Children from one to three years old

When the child turns 1 year old, it is no longer required to visit the hospital every month. Parents need to follow the immunization plan so they don't miss anything. What vaccinations and how many stages of vaccination should still be, you can find out from the local pediatrician.

After two years (or one and a half years), the baby will start going to kindergarten, and immunization will be carried out on the spot at intervals of several months. Parents will only need written consent. The stages of vaccination for children from 1 year to 3 years are listed below:

Schedule of routine vaccinations for children

Modern drugs for injection are easily tolerated at any age. They help the body develop immunity against pathologies that killed thousands of people in the last century.

The vaccination plan is drawn up so that the child is protected from dangerous diseases from the very first months of life. It is irresponsible not to comply with it, to refuse vaccination.

Full vaccination schedule for children (+ - vaccination; ++ - revaccination):

Revaccination

One vaccination is not always enough to form a strong immunity to infections / viruses. It is often necessary to repeat the immunization two or three times - this is called a booster. Thanks to subsequent vaccination against the same infection, the body develops immunity to its pathogen.

Until the age of 14, children go through several stages of revaccination. List of vaccinations:

• 6 years - measles / rubella / mumps;
• 7 and 13 - 14 years - diphtheria / whooping cough / tetanus;
• 7 years - tuberculosis;
• annual flu immunization.

Vaccination according to epidemic indications

Immunization according to epidemic indications is carried out in certain regions of the country. Data on the epidemiological situation are analyzed annually, after which a list of unfavorable regions is compiled. In such areas, the following diseases are vaccinated:

• brucellosis;
• anthrax;
• Q fever;
• tularemia;
• plague;
• leptospirosis;
• tick-borne encephalitis;
• flu.

According to WHO requirements, in Russia a special vaccination table is provided for a child, and such a calendar of recommended vaccinations must be carefully observed. This is useful information for every mom, who is especially sensitive about the health of her own baby. Childhood vaccinations by age are required, and timely vaccination is desirable.

What is a vaccination calendar

The vaccination schedule for children is an effective prevention of a number of infectious and viral diseases. The Department of Health is responsible for developing such an important table, which undertakes to vaccinate all babies free of charge with the written consent of their parents. Vaccination is carried out on a voluntary basis, although even in the Soviet Union childhood vaccinations for the population were a mandatory procedure for the district clinic. A number of imported and domestic vaccines have been developed that have been clinically and laboratory tested.

Mandatory Vaccines

In order to avoid infectious diseases in childhood, timely vaccination is necessary. There are a number of dangerous infections that can turn a child into a disabled person or lead to a sudden death. Here is a list of diagnoses that requires you to follow the vaccination schedule for children:

• group B hepatitis;
• tuberculosis;
• diphtheria;
• polio;
• whooping cough;
• measles;
• mumps;
• rubella;
• tetanus;
• hemophilic infection.

After the introduction of drugs in the human body, acquired immunity is developed, which in the future eliminates viral diseases, pneumococcal infections, prevents mumps, etc. The list of vaccinations is voiced by the district pediatrician, and it is advisable to perform them in childhood without violating the sequence of the calendar.

Vaccinations according to epidemiological indications

If an unfavorable epidemic situation is created, routine vaccination is necessary. This is the vaccine according to epidemic indications, which among the population is considered an emergency measure. This group includes vaccination against influenza, meningococcal infection, viral hepatitis, and other dangerous infections. There is a need for prophylaxis according to epidemiological indications with direct contact of an unvaccinated person with a source of infection, for example, to prevent tetanus, antibaric vaccinations. This applies equally to adult patients and children.

Why you need to do mandatory vaccinations by age

According to WHO standards, vaccination is required at any age, according to the established calendar. If you have a free medicine from the district clinic, you should not refuse to administer the vaccine. Doctors keep an individual vaccination calendar, the so-called diary, which the child will need to enter kindergarten, school, when applying for a job.

Vaccinations by age are necessary against dangerous diseases, allowing you not to worry about potential health complications. For example, polio viruses, which are very dangerous for humans, and resistance to hepatitis B must be developed by the body from the first days of life. Children who have been vaccinated need not worry - the risk of increased activity of pathogenic flora is minimal. In the absence of medical contraindications, according to the vaccination schedule, repeated doses are indicated.

Vaccination schedule for children

In order not to get sick with the herpes virus or to protect your own body from tuberculosis, planned prophylaxis is carried out, which is relevant not only in Russia, but also in all civilized countries. The vaccination plan starts even in the maternity hospital - from the first days of the child's birth, at the same time an individual diary is created. The vaccination scheme is presented below, the order of execution is as follows:

• maternity hospital - the need to administer a vaccine against hepatitis B and tuberculosis;
• up to 1 year - 3 vaccinations against diphtheria, whooping cough, tetanus, polio, hemophilic infection type B;
• The 1 year vaccination schedule includes vaccination against rubella, measles, mumps (MMR).

Vaccinations for newborns by month

Prophylactic vaccination, according to the order of the Ministry of Health, can prevent a number of dangerous diseases that at such a young age can be fatal. Every month, up to 1 year old, the child is shown to the district pediatrician, then immunization is carried out, according to the standard schedule. The schedule of vaccinations up to a year is presented below:

• the first 12 hours of life - Engerix B against hepatitis;
• 3-7 days - according to the BCG calendar, BCG-M from tuberculosis;
• 3 months - Hiberix, Pentaxim, Infanrix with repeated vaccinations of hepatitis B;
• 5 months - Hiberix, Pentaxim, Infanrix against diphtheria, whooping cough, tetanus, hemophilic infection, hepatitis B;
• 6 months - DPT, Hiberix, third vaccination against diphtheria, whooping cough, tetanus, hemophilic infection, hepatitis B;
• 12 months - according to the calendar, the vaccine against measles, mumps and rubella.

National vaccination calendar

The vaccination schedule for children must be carefully observed, according to certain time intervals, revaccination is also carried out by the district clinic. The vaccine provided for by the national calendar is first administered once, then it is required to consolidate a sustainable preventive effect. For example, 1, 3 and 6 months of vaccination against hepatitis B; and 3, 5, 6 months - vaccination against diphtheria, whooping cough, tetanus. At the same time, polio is being prevented. There are several live vaccines, but Infanrix, Poliorix, Pentaxim are especially in demand.

International vaccination calendar

It operates within the framework of the vaccination calendar, differs little from domestic standards. It has identical purposes for pediatrics and therapy, however, medicines are imported. One drug vaccinates against several diseases at once, for example, the Infanrix vaccine provides 6 in 1. The composition is well tolerated by the child's body, however, side effects, like the Russian vaccine, should not be excluded 1-3 days after the procedure. Many parents choose medicinal solutions made in Russia.

Vaccination table for children by age

In order not to confuse the number of previous vaccinations with subsequent ones, a special calendar is provided, according to the age category of children. The district nurse writes down all the information in a special journal, separately draws up a card of preventive vaccinations from the first days of life. It all starts with vaccination against tuberculosis for newborns, further calendar information is presented in the following tabular data:

Immunization schedule for adults

In order not to become infected with the hepatitis virus, it is required to administer the vaccine at the specified time. For adult patients, such prophylaxis is no longer required, but by the age of 14 (the age of obtaining a passport to remember), vaccination against diphtheria, tetanus, and poliomyelitis is indicated. Thereafter, adult patients are required to be vaccinated against diphtheria and tetanus every 10 years from the date of the previous revaccination. The Mantoux reaction is also stipulated by the established calendar plan.

Non-compliance with the schedule

According to the requirements of SanPin, prevention should be planned and timely. However, the assertion that the calendar plan cannot be violated is erroneous. Those vaccinated once can somewhat postpone revaccination, for example, in the absence of a budgetary vaccine or with an exacerbation of a cold, viral disease. However, it is not recommended to vary the intervals indicated by WHO standards, since the stability of acquired immunity is noticeably reduced.

For the introduction of the vaccine, parents or an adult write a voluntary consent, which is supported in the patient's outpatient card. The decision not to vaccinate a child in modern society is very common, but pediatricians do not approve of such an alternative choice of parents. When the medication is received, the risk of infection is reduced several times, dangerous attacks and relapses in the future can be avoided.

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