Vaccines: a matter of life and death?

This morning I take Microtoes along to week 2 of the postnatal group in my new village. Unfortunately for her, she falls fast asleep and misses out on the baby massage session. I explain she had her 8 week vaccinations yesterday, hence her sleepiness.

If truth be known I had forgotten what a traumatic experience it is for a mother to watch her baby being vaccinated. Microtoes had been sleeping deeply when I presented her to the nurse. She must have been having a nice dream as she had the faint flicker of a smile on the edge of her tiny lips.

When the first needle plunged into her chubby little thigh, her piercing, startled scream shot like a lightning bolt through my heart. As the third injection (and third heart-rending scream) took place the nurse simultaneously passed me some tissues to wipe away the silent tears streaming down my face.  Microtoes recovered quicker than I did.

When discussion in the postnatal group naturally turns to vaccinations, I’m shocked to discover that none of the other women in the group are planning to vaccinate their babies. Not yet anyway.  The friendly girl I’m sitting next to tells me she may give her son just the rotavirus vaccine: when he’s 9 months old.

I’m uncharacteristically speechless.  I don’t want to antagonise the entire room in one fail swoop. I’ve only just moved to the village and these are my first potential local mummy friends.  But similarly I don’t wish to remain silent on something I feel quite strongly about. So I start by asking questions.

It turns out the girl next to me – and the other mummies – are not 100% decided about the injections and they are attending a ‘talk’ on the subject matter in the village tomorrow morning, by a local homoeopathist. I try not to scoff. “But surely the homoeopathist will favour the natural approach?” I ask.

“Oh she gives the arguments for and against, and still gives homoeopathic treatment to babies who’ve had the jabs,” came the reply.  Oh I bet she does, I think to myself.

The UK government’s National Health Service recommends giving the ‘5 in 1 vaccine (to protect against diphtheria, tetanus, whooping cough, polio and Hib), the Pneumococcal jab, Meningitis B vaccine and Rotavirus vaccine from 8 weeks, with follow-on vaccines at 12 and 16 weeks.

I try to gently explain to the girl next to me that by not immunising your baby you are putting it at risk from life threatening illness. She counters this with the fact it is highly unlikely the baby will develop that illness.  True, but even if there’s a 0.01% chance would you really want to put your baby at risk? I don’t say this. Nor do I point out the irony that if it’s “highly unlikely” her baby will develop a disease, it is thanks to the people that are vaccinating their babies.

Instead I try to sow the seed that by not vaccinating your own baby you are also putting other babies at risk from life-threatening diseases.  I explain how at Microtoes’ 6 week postnatal check-up the doctor had told me only 50% of people living in the village bring their babies to be vaccinated, when there needs to be 85% vaccinated in order to guarantee the efficacy of the jabs. Put another way, even though I’ve vaccinated Microtoes she won’t be properly immunised. I think I’m too subtle. It ends up looking like I’m saying I needn’t have bothered vaccinating her.

When in fact I’m trying to say that if she – and the others – do not vaccinate their babies, it renders the jabs less effective for the parents who choose to vaccinate their babies.  And there is good medical evidence to back this up: something that a village homoeopathist is not necessarily going to be educated in.

She concludes by diplomatically saying “well it’s up to each parent to decide what they want to do really.” And I want to shout “No, no no” but I’ve only just met the girl, so I stay quiet. And decide to blog about it instead.

The NHS website claims: “It may be tempting to say ‘no’ to vaccination and ‘leave it to nature’. However, deciding not to vaccinate your child puts them at risk of catching a range of potentially serious, even fatal, diseases.”

And alas, this is not purely anecdotal. In Catalonia, only last year, a little boy from Girona, near my husband’s hometown of Barcelona, died from diphtheria. It was widely reported in the local news. Why did he die? Because his parents chose to believe the anti-vaccination camp and not vaccinate their son. Later they spoke of their “terrible guilt” over the decision not to have him immunised.

That boy became the first child to contract the disease in Spain in almost 30 years.  After this tragedy had unfolded, a further eight children were found to be carrying the diphtheria bacteria, but thankfully the disease did not develop given they had been vaccinated. Had this all happened in my village, however, where the vaccination rate is much lower, those eight children may well not have survived after contracting the disease.

Normally I agree wholeheartedly that ‘each parent should decide’ when it comes to whether they want to – or can – breastfeed their baby or not/ dress their son in pink and their daughter in blue or vice versa/ co-sleep (I still think this is risky..) or not.  But hey it’s up to them and doesn’t affect anyone else.

But whether they vaccinate their baby or not? It could not only affect their own baby – enough to kill them – but also risks spreading these diseases to other babies and threatening their lives, as well as reducing the efficacy of any injection those other babies may (or may not) have had. Now that I couldn’t disagree with more.

Baba’s girl and 6 week check-up

We managed to sleep five glorious, uninterrupted hours last night – from about 11pm to 4am. But that was about it. After Microtoes’ pre-dawn feed and nappy change we were just dozing off, when Tinytoes sprang into action. Gentle cries of “Baba, Baba…” (what she calls DearDaddy, her interpretation of the Catalan “Papa”)  drift across the landing just before 5am. Our bodies stiffen and wait. There it comes again a bit louder this time “Baba, Baba…”.  I sigh. Then “Baba, Baba, Baba, Baba,” increasingly loud and frantic. DearDaddy pulls back the covers to get out of bed.

“Just wait a few moments,” I groan. “If you go to her every time she calls out, you’re pandering to her needs and she’ll know she just needs to shout Baba and she’ll get a cuddle.  And then how will I manage when you start travelling with work again?” The covers go back on. We wait a few moments as it all goes quiet.

Then (she must have been taking a deep breath) “BABA, BABA, BABA, BABA,” she roars. “BABA, BABA, BABA, BABA, BABA, BABA, BABA, BABA, BABA, BABA, BABA, BABA.” My resolve evaporates: “Just give her a cuddle!” I wail.

Tinytoes has always been a bit of a Daddy’s girl but in recent months – while I’ve been heavily pregnant and then postnatal – Daddy has been increasingly present in her life. In the evenings he’s been bathing her and putting her to bed, while I cook the dinner and feed Microtoes, and in the mornings he’s been getting her up either to drop her off at morning nursery or to hand her over to me after I’ve finished feeding her little sister.

Mindful that our family has become slightly segregated – DearDaddy and Tinytoes versus myself and Microtoes – we’ve recently begun to swap roles: with me sometimes bathing and putting TinyToes to bed, while DearDaddy cooks the dinner (great idea in theory, but he takes longer to prepare it than me and although it’s usually yummy, I’m often starving by the time it arrives!).

Last night DearDaddy arrived home to find some random electrical gadget had arrived from Amazon that he was eager to install, so Tinytoes missed not only her bath time but also her playtime with Baba. This was possibly too much for her to handle.

Hopefully, as we continue to mix and match who does playtime and bathtime with her, her morning cries will stop. In the meantime, I guess I should be grateful she’s calling “Baba” and not “Mama”..

Much later this morning, at 9.30am (which feels like lunchtime), I bring Microtoes for her and my 6 week post-natal check-up. I learn a worrying fact when discussing immunisation. The doctor tells me only 50% of people living in my village bring their babies to be vaccinated. Apparently there needs to be 85% of babies vaccinated in order to guarantee the efficacy the jabs. Put another way, even if I vaccinate Microtoes she won’t be properly immunised.

Astonished, I quiz the doctor further. We will definitely be vaccinating Microtoes, and besides, although I’m not exactly cosmopolitan at the moment, I don’t intend to spend all my days in the village.  But why is it there are so many people refusing jabs? She tells me it’s because of a certain international school in the neighbourhood which has alternative views on medicine. “They believe that it’s better for the body to have illnesses – even cancer – than be treated medically,” she explains. “We have people coming into the surgery and asking for mistletoe, which they use to treat cancer, but we can’t give it out on the NHS and obviously it’s ineffective.”

My apprehension grows when she tells me about a measles outbreak in the village, which she says Microtoes won’t now be fully immunised against. I’m aware it’s a contentious topic, but I cannot understand why people would want to put other babies and children at risk.

Conversation turns to contraception. The doctor is keen to plug the coil (if you’ll pardon the pun). Being squeamish, I’m not so sure. She begins to convince me until I ask about side effects. “Ah,” she looks a bit uncomfortable. “It’s quite rare, but it can sever your uterus”. I pale. “The other side effect is that it’s not fixed into place so it can become dislodged and move up inside.”

My mind is made up. No to the coil, but a definite yes to the 8 week jabs.