Immunization Recommendation:
In order to maximize benefits and minimize risk, I think it is important to
have some flexibility in the immunization schedule. Most children
should receive most of the recommended immunizations eventually,
but I believe that we should offer them at a time when the children are

less
likely to be at risk. I also believe that steps should be taken to
boost the immune system prior to immunizations and that
immunizations should be avoided during times of stress such as acute
illnesses.  
To boost the immune system, I believe that all children should get a
multivitamin including vitamin A, cod liver oil, and, if needed, probiotic
bacteria.   I believe that children with chronic diarrhea should not be
immunized until their gut is addressed and that children should have
their healthy intestinal bacteria restored after getting antibiotics.
If you are the parent of a child who appeared to have undergone an
autistic regression following an immunization, I would support you in
your decision not to immunize your future children.  I suspect however,
that making sure your child is healthy prior to immunizations will likely
reduce the risk of complications substantially.
We stock separate measles, mumps, and rubella vaccines for those
families who wish to break up the MMR.  All of our vaccines are
Thimerosol free, but all inactivated vaccines contain aluminum and
other potentially problematic ingredients.  I do not think that the
combination MMR/Varivax (Proquad) is a safe choice.  I do not stock
Pediarix which combines DTaP, polio, and Hepatitis B, since I think that
immunizing for polio and hepatitis B can be safely delayed out of
infancy. I am not yet convinced that the rotavirus vaccine will prove to
be safe or necessary.  I am not convinced that an annual flu vaccine is
helpful.
I do not believe that children who had been immunized early should be
reexposed to vaccines simply to satisfy bureaucratic requirements.  





             
         CDC Schedule                                My recommended schedule

Birth                     Hep B        

1 month               Hep B


2 months             DTaP, Prevnar, HIB                                DTaP
                        
      Rotavirus, Polio

3 months                                                                                  HIB


4 months              DTaP, Prevnar, HIB,                               DTaP  
                         
      Rotavirus, Polio                 

5 months                                                                                   HIB


6 months              DTaP, Prevnar, Rotavirus,                    DTaP, Prevnar
                         
      Polio                        

9 months                                                                                   Prevnar                


12 months             HIB, MMR, Varivax                                 HIB/HepB,
                                                                                              
      Prevnar        

15 months             DTaP                                                          DTaP, Varivax


18 months                                                                                  MMR
                                                                                             (can be separated)

24 months              Hep A                                                         Hep A/Hep B,
                                                                                               
       Polio

30 months              Hep A                                                         Hep A/Hep B,
                                                                                               
      Polio

4 years                   DTaP, MMR, Varivax, Polio                    DTaP, Polio,
                                                                                               
       MMR
                                                                                 (if not proven immune)
11 years +              Tdap, Menactra, Gardasil                       Tdap, Meactra,
                                                                                                
       Gardasil