Dogwood Ridge wrote: > Danny- Yes and no. A 6 month old in daycare would have already gotten > two, going on three previous polio vaccines and therefore his chances of > contracting polio from another baby's vaccine would be much less than if he > were an under two month that had not received any vaccines. So to make a > long story short- daycare providers should wash their hands after they > change a diaper. This reminds me- when pediatricians hospitalize infants > in the 6 weeks following an OPV, do you place them under enteric isolation? > Regards Kim Burlingham, MD We don't put them in enteric isolation per se, but we do keep infants away from immunodeficient and immune-suppressed kids as a rule. > it > > sounds like a 6mo in childcare might as well save the shot and get OPV. > Any > > comments? I will once again debate this stance that the "extra shot" is so bad. Although OPV is highly protective, there is still the risk (albeit low) of vaccine-associated paralytic polio. eIPV is as protective against wild polio, there is no risk of polio in immune compromised contacts, and there is no VAPP. I don't hear anyone arguing that the protection against Haemophilus influenza type B disease isn't worth the pain, etc. of the HiB shots. I repeat, shots may be uncomfortable and inconvenient, but POLIO SUCKS! -- Andrew M. Eisen, MD Assistant Professor of Pediatrics Associate Director, Pediatric Residency Program University of Nevada School of Medicine