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Subject:
From:
Patrica Young <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 20 Jul 1999 21:16:08 -0400
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My understanding is that the vaccine is about 80% effective in preventing
the disease and lessens disease for the other 20%.  I'm always careful to
explain this to parents.

" Post exposure administration of varivax is not an FDA approved indication
for varicella vaccine, its use for this purpose may be effective and
confers little risk."  Early research said give within 3 days of exposure.
Redbook, 1997.  Clinically, my associate is big on doing this.  I'm not
convinced.  Haven't seen milder cases at all in sibs who are post-exposure
vaccinated.  I think it is a waste of $75  :-)  You never know if the sib
was exposed at the same time as the first case. Wish there was a way to do
a carefully controlled study of this.  We are very aggressive about giving
the vaccine at 12 mo.  I have seen much milder cases in children who
subsequently get varicella, which isn't frequent.

I agree that if mom is unimmunized, it would be a good idea to get vaccine
simultaneously with baby, when baby is one yo.  When doing a younger sib at
one yo, I try to catch any older sibs who don't have a documented case of
varicella.  Don't forget Dads!  I had one case where he was the culprit who
brought varicella home :-)  Sincerely, Pat in SNJ

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