10 Things you need to know about immunizations

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1. "Why should my child be immunized?"

Children need immunizations (shots) to protect them from dangerous childhood diseases. These diseases have serious complications and can even kill children.

2. "What diseases do vaccines prevent?" (available in Japan by law)

Measles

Mumps

Polio

Rubella (German Measles)

Pertussis

Diphtheria

Tetanus

Japanese Encephalitis

3. "How many shots does my child need?"

The following vaccinations are recommended by age two and can be given by a doctor or clinic:

1 vaccination against measles

1 vaccination against rubella

3 vaccinations against diphtheria, tetanus, and pertussis (DTP)

3 vaccinations against Japanese Encephalitis ( 2 boosters in school)

2 vaccinations against polio is given only in Hokenjo (Health Care Center)

1 or 2 vaccinations against tuberculous meningitis (BCG) in Hokenjo

4. "Are the vaccines safe?"

Serious reactions to vaccines can occur, but they are extremely rare. However, the protection provided against serious diseases far outweighs the risks associated with the vaccines themselves.

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5. "Do the vaccines have any side effects?"

Yes. Slight fever, rash or tenderness at the site of injection can occur, and vary with the vaccination administered. Diarrhea after the polio ingestion occasionally occurs. Slight discomfort is normal and should not be a cause for alarm. Your health care provider can offer you additional information.

6. "What do I do if my child has a serious reaction?"

If you think your child is experiencing a persistent or severe reaction, contact your doctor or get the child to a doctor right away. Be prepared to provide specific details of your child's symptoms and when they happened. Bring your child's vaccination health record with you. Ask your doctor, nurse or health department to file a Vaccine Adverse Event Report form or to call Hokenjo.

7. "Why can't I wait until school to have my child immunized?"

Immunizations must begin at birth and most vaccinations completed by age two. By maintaining a proper immunization schedule, you can protect your child from being infected and prevent the infection of others at school or at daycare centers. Children under five are especially susceptible to disease because their immune systems have not built up the necessary defenses to infection.

8. "Why is a vaccination health record important?"

A vaccination health record helps you and your health care provider keep your child on schedule. A record should be started at birth when your child should receive his/her first vaccination and should be updated each time a vaccination is administered. This information will help you if you move to a new area or change health care providers, or when your child is enrolled in daycare or school. Remember to bring this record with you every time your child has a health care visit.

9. "Where can I get free vaccines?"

The Vaccines for Children Program will provide free vaccines to children by your home doctor. BCG and polio vaccine is at Hokenjo in Japan. Though only Japanese Encephalitis vaccine costs you about 300 yen each time.

10. "Where can I get more information?"

More information is also available over the Internet at: http://www.cdc.gov/nip

You can call the National Immunization Information Hotline for further immunization information at

1-800-232-2522 (English) in USA or at

1-800-232-0233 (Spanish) in USA

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Translation of the questions.

1. Did you read the explanation about the immunization. Yes / No

2.Birth weight

Were there any unusual conditions with your childbirth? Yes /No

if yes, describe :

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Was there any unusual conditions about your child after its birth? Yes/No

If yes, describe:

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3.Is your child having any problems today? Yes/No

If yes, describe:

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4.Has your child been ill within the past month? Yes/No

If yes, describe:

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5.Has your child been in contact with anyone sick with measles, rubella, chicken pox, or mumps within the past month? Yes/No

If yes, describe:

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6. Has your child received any vaccinations within the past month? Yes/No If yes, which one?.

7.Has your child had, or ever been treated for, any of the following:

Any congenital abnormality? Yes/No

Heart problems? Yes/No

Kidney problems? Yes/No

Liver problems? Yes/No

Brain problems? Yes/No

Immunity problems? Yes/No

Other diseases? Yes/No

If you answered "Yes" to any of the questions above, please describe:

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8.If you answered "Yes" to any of the questions in number 7 above, is your doctor in agreement with today"s immunization? Yes/No

9.Has your child ever had seizure (convulsions)? Yes/No

If yes, at what age ?

10.Was the seizure associated with a fever? Yes/No

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12. Have any of your children been diagnosed with a congenital immunodeficiency ?

Yes/No

13. Has your child ever felt ill after receiving a vaccination? Yes/No

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14. Has anyone else in the child$B!G(Bs family felt ill after receiving immunization? Yes/No

Are you in agreement with today$B!G(Bs immunization? Yes/No

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