Re: MMR Tithers

[Guest guest]

In a message dated 2/29/2008 9:18:31 A.M. Eastern Standard Time,

azami@... writes:

I told my sons Dr. that I wanted him to get Tithers before his MMR booster

(he'll be 4 in August). The Dr. said that even if the Tithers are positive, it

doesn't mean the first shot won't wear off later. What would you do? If the

tithers are psoitive, does this mean they have to write it on his records and

he won't need another shot, or will the ask for tithers again next year...

or even every year for that matter?

If he comes out as having immunities to MMR, it shouldn't matter NOW! All

you do is simply tell the Dr. that since the titers are fine and show immunity

NOW, then you won't be getting the 2nd booster done yet. If it " wears off "

later, you will check on it then

Becky

**************Ideas to please picky eaters. Watch video on AOL Living.

(http://living.aol.com/video/how-to-please-your-picky-eater/rachel-campos-duffy/

2050827?NCID=aolcmp00300000002598)

[Guest guest]

In a message dated 2/29/2008 2:08:05 P.M. Eastern Standard Time,

azami@... writes:

....how do schools handle titers on the record? Do they ask the child to be

check on a regular basis?

ahhh good question. I would just assume they would mark that they had

immunity to whatever the virus is

Becky

**************Ideas to please picky eaters. Watch video on AOL Living.

(http://living.aol.com/video/how-to-please-your-picky-eater/rachel-campos-duffy/

2050827?NCID=aolcmp00300000002598)

[Guest guest]

Thanks Becky, but I guess my question is...how do schools handle titers on the

record? Do they ask the child to be check on a regular basis?

Re: [ ] MMR Tithers

In a message dated 2/29/2008 9:18:31 A.M. Eastern Standard Time,

azamibellsouth (DOT) net writes:

I told my sons Dr. that I wanted him to get Tithers before his MMR booster

(he'll be 4 in August). The Dr. said that even if the Tithers are positive, it

doesn't mean the first shot won't wear off later. What would you do? If the

tithers are psoitive, does this mean they have to write it on his records and

he won't need another shot, or will the ask for tithers again next year...

or even every year for that matter?

If he comes out as having immunities to MMR, it shouldn't matter NOW! All

you do is simply tell the Dr. that since the titers are fine and show immunity

NOW, then you won't be getting the 2nd booster done yet. If it " wears off "

later, you will check on it then

Becky

************ **Ideas to please picky eaters. Watch video on AOL Living.

(http://living. aol.com/video/ how-to-please- your-picky- eater/rachel-

campos-duffy/

2050827?NCID= aolcmp0030000000 2598)

[Guest guest]

Not Becky, but I'm sure that varies widely by school. I'm sure some

schools will periodically ask for titers, but I assume most will give

you a pass going forward. I didn't think to ask our school (!), but

it wouldn't have changed my choice. In fact, I may periodically do

titers anyway, as I do want my child to be immune.

in NJ

>

> Thanks Becky, but I guess my question is...how do schools handle

titers on the record? Do they ask the child to be check on a regular

basis?

>

>

>

> Re: [ ] MMR Tithers

>

>

> In a message dated 2/29/2008 9:18:31 A.M. Eastern Standard Time,

> azamibellsouth (DOT) net writes:

>

> I told my sons Dr. that I wanted him to get Tithers before his MMR

booster

> (he'll be 4 in August). The Dr. said that even if the Tithers are

positive, it

> doesn't mean the first shot won't wear off later. What would you

do? If the

> tithers are psoitive, does this mean they have to write it on his

records and

> he won't need another shot, or will the ask for tithers again next

year...

> or even every year for that matter?

>

> If he comes out as having immunities to MMR, it shouldn't matter

NOW! All

> you do is simply tell the Dr. that since the titers are fine and

show immunity

> NOW, then you won't be getting the 2nd booster done yet. If

it " wears off "

> later, you will check on it then

>

>

> Becky

>

> ************ **Ideas to please picky eaters. Watch video on AOL

Living.

> (http://living. aol.com/video/ how-to-please- your-picky-

eater/rachel- campos-duffy/

> 2050827?NCID= aolcmp0030000000 2598)

>

>

[Guest guest]

I worked in employee heath at a hospital a few years back. Part of my job

was tracking compliance. All employees were required to show immunity to

measles, mumps and rubella. Most adults who had only one MMR did not have

immunity to measles and for some mumps didn't take. Rubella is just a one

shot, but since they combined they you just get extra with the second. Many

of the older employees had immunity to M and M but not R. The hospital

offered the MMR or the single rubella vaccine, but according to the nurse

the measles and mumps single were not available anymore. I knew that wasn't

the case, but it turns out they were far too expensive to be cost effective

for a budget crunched non-profit hospital. HepB was offered and highly

encouraged, but not required.

CDC and JHACO guidelines as of 2005 were that once a titer is shown positive

you are considered immune. For adult hospital employees there was no

retesting. The only exception to receiving the vaccine was if you had a

doctor's note stating you were immunocompromised and could not receive the

vaccine. In the charts I had to review I only saw three out of 1500

employees who had doctors notes. Reasons on the three were HIV+ status,

allergic reaction to first shot as child and undergoing chemotherapy. If an

employee came in with shot records showing two MMRs they were considered

immune. If they didn't have records titers were drawn and if that showed

immunity they were fine. We never retested employees except by their

request.

Miche

[Guest guest]

Is there any reason why immunity would wear off faster in a child?

And is there an amount of time after the vaccine that must pass

before you are considered " permanently " immune? I had always thought

immunity was forever until 's bus driver got the mumps. And

since then, I've heard various stories about various illnesses in

adulthood. Perhaps the answer is different for each illness...

in NJ

>

> I worked in employee heath at a hospital a few years back. Part of

my job

> was tracking compliance. All employees were required to show

immunity to

> measles, mumps and rubella. Most adults who had only one MMR did

not have

> immunity to measles and for some mumps didn't take. Rubella is

just a one

> shot, but since they combined they you just get extra with the

second. Many

> of the older employees had immunity to M and M but not R. The

hospital

> offered the MMR or the single rubella vaccine, but according to the

nurse

> the measles and mumps single were not available anymore. I knew

that wasn't

> the case, but it turns out they were far too expensive to be cost

effective

> for a budget crunched non-profit hospital. HepB was offered and

highly

> encouraged, but not required.

>

> CDC and JHACO guidelines as of 2005 were that once a titer is shown

positive

> you are considered immune. For adult hospital employees there was

no

> retesting. The only exception to receiving the vaccine was if you

had a

> doctor's note stating you were immunocompromised and could not

receive the

> vaccine. In the charts I had to review I only saw three out of 1500

> employees who had doctors notes. Reasons on the three were HIV+

status,

> allergic reaction to first shot as child and undergoing

chemotherapy. If an

> employee came in with shot records showing two MMRs they were

considered

> immune. If they didn't have records titers were drawn and if that

showed

> immunity they were fine. We never retested employees except by

their

> request.

>

> Miche

>

>

>