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Published on: February 22, 2019
Addressing parents' concerns: do multiple vaccines overwhelm or weaken the infant's immune system?
Paul A Offit1, Jessica Quarles, Michael A Gerber
1Section of Infectious Diseases, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, and Wistar Institute of Anatomy and Biology, Philadelphia, Pennsylvania, USA. offit@email.chop.edu
Insights
Infant immune systems can safely handle vaccines. Studies show infants respond well to combined vaccines and are not more prone to infections after vaccination.
Area of Science:
- Immunology
- Pediatrics
- Vaccinology
Background:
- Parental concerns exist regarding infant vaccination safety and potential immune system overload.
- Concerns stem from the belief that infant immune systems are immature and cannot handle multiple vaccines.
Purpose of the Study:
- To review the scientific evidence on infant immune response to vaccines.
- To address parental concerns about vaccine safety and efficacy in infants.
Main Methods:
- Review of existing scientific literature on infant immunology and vaccine response.
- Analysis of data on immune system ontogeny in neonates and young infants.
- Examination of studies comparing combination vaccines to separate vaccines.
Main Results:
- Infant immune systems are capable of responding effectively to vaccines.
- Mild to moderate illnesses do not impede vaccine-induced protective immune responses.
- Infants receiving combination vaccines show comparable responses to those receiving separate vaccines.
- Vaccinated children do not exhibit increased susceptibility to other infections.
- Modern vaccines contain fewer antigens than those from previous decades.
Conclusions:
- Infant vaccination is safe and effective, even with combined vaccine schedules.
- Scientific evidence refutes concerns about immune system overload from infant vaccines.
- Current vaccination schedules are well-tolerated by the infant immune system.
Abstract:
Recent surveys found that an increasing number of parents are concerned that infants receive too many vaccines. Implicit in this concern is that the infant's immune system is inadequately developed to handle vaccines safely or that multiple vaccines may overwhelm the immune system. In this review, we will examine the following: 1) the ontogeny of the active immune response and the ability of neonates and young infants to respond to vaccines; 2) the theoretic capacity of an infant's immune system; 3) data that demonstrate that mild or moderate illness does not interfere with an infant's ability to generate protective immune responses to vaccines; 4) how infants respond to vaccines given in combination compared with the same vaccines given separately; 5) data showing that vaccinated children are not more likely to develop infections with other pathogens than unvaccinated children; and 6) the fact that infants actually encounter fewer antigens in vaccines today than they did 40 or 100 years ago.
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