Presently I'm telling all my patients of the availability of Rotashield the vaccine for rotavirus. A problem is that many insurance companies are not paying for this vaccine at this time. I do give the parents some ideas of the child's risk of getting severe infection. I tell them formula fed day care babies are the highest risk and at home breastfeeders are at the lowest risk. I don't have a problem with the parent of an at home breastfed baby declining this vaccine (don't stroke, Gloria) but I advise them to continue breastfeeding for a year if they do. Remembering that breasfeeding rates in the US drop a lot in the first 6 months. I did speak to some pediatric ID specialists who agree on the low risk of breastfed babies getting severe rotavirus infection but their concern, rightfully, is that most moms don't breastfed for a year. -Rob Rob Cordes, DO, FAAP, FACOP Wilkes Barre PA mail to:[log in to unmask]