Vaccine Schedule

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Dr. Rich)</B></div> <div> <B>210 Lookout Place</B></div> <div> <B>Maitland, FL 32751</B></div> <div> <B>Phone 407-215-0400</B></div> <div> <B>Fax 407-215-0402</B></div> <div> <I><B>"The doctor kids love and parents trust"</B></I></div> </NOBR></tD> </tR> </TABLE></div> <bR> <div> </div> </td> </tr><tr> <td valign="top" height=280 colspan=2 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B>                          Vaccine Schedule</B></div> <div> I recommend the immunization schedule of the <A HREF="http://www.cdc.gov/vaccines/schedules/easy-to-read/child.html" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/schedules/ea"><U>Centers for Disease Control and Prevention</U></A> which is also the schedule endorsed by the <A HREF="http://pediatrics.aappublications.org/content/129/2/385.full" TARGET="_top" TITLE="http://pediatrics.aappublications.org/co"><U> </U></A><A HREF="http://pediatrics.aappublications.org/content/129/2/385.full" TARGET="_top" TITLE="http://pediatrics.aappublications.org/co"><U>American Academy of Pediatrics</U></A>.  There is no evidence that this immunization schedule is not in the best interest of most infants.  However, I do understand that parents are concerned with giving so many vaccinations.  As a physician, I stress the importance of parents being informed of evidence-based healthcare information and safety for their child.  It's my job to inform parents about available protection for your child against preventable diseases.  Once I've done my best to inform parents, it's the parent's job to make decisions about their child's preventative healthcare.  Because of my understanding of parents' concerns, if a parent is more comfortable following an alternate vaccine schedule, I'm willing to work with the parents.  I am familiar with the Dr. Sears schedules and others.  I believe in informed choice, personal responsibility and respecting the parents decision.</div> <bR> <div> To help better inform parents, I have selected some websites that offer evidence-based information on vaccines.</div> <DIV ALIGN="LEFT"></DIV> <div> <TABLE BORDER="1" CELLPADDING="2" CELLSPACING="1" WIDTH="819" BORDERCOLORLIGHT="#000066" BORDERCOLORDARK="#000066" FRAME="VOID" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 167 ><NOBR><div> <A HREF="http://www.aap.org/healthtopics/immunizations.cfm" TARGET="_top" TITLE="http://www.aap.org/healthtopics/immuniza"><U><IMG SRC="1702c6e0.jpg" border=0 width="300" height="110" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.aap.org/healthtopics/immunizations.cfm" TARGET="_top" TITLE="http://www.aap.org/healthtopics/immuniza"><U><B>American Academy of Pediatrics</B></U></A></div> <div> <A HREF="http://www.cdc.gov/vaccines/schedules/index.html" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/schedules/in"><U><B>Recommended Vaccine Schedule</B></U></A></div> </NOBR></tD> <tD VALIGN=TOP ROWSPAN=4 WIDTH="478"><bR> <div> <B>What Parents Need to Know: </B></div> <div> <A HREF="http://www.cdc.gov/vaccines/pubs/vis/default.htm" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/pubs/vis/def"><U><B>CDC Vaccine Information Handouts</B></U></A><B> PDF</B></div> <div> <B>READING these CDC information sheets before well-child visits will help expedite your office visits</B></div> <bR> <div> <B>MORE LINKS WITH VACCINE INFORMATION</B></div> <bR> <div> <A HREF="http://www.cdc.gov/vaccines/schedules/index.html" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/schedules/in"><U><IMG BORDER="0" SRC="Symb075c00b700dc66000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Center for Disease Control</U></A><A HREF="http://www.cdc.gov/vaccines/schedules/index.html" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/schedules/in"><U> - </U></A><A HREF="http://www.cdc.gov/vaccines/schedules/index.html" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/schedules/in"><U>National Immunization Program</U></A><A HREF="http://www.cdc.gov/vaccines/schedules/index.html" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/schedules/in"><U>  (</U></A><A HREF="http://www.cdc.gov/vaccines/schedules/index.html" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/schedules/in"><U>Vaccine Information Statements </U></A>are available here in pdf form, text form and audio form)  <B>At a Glance:</B> Vaccine Information Statements (VISs) are information sheets produced by the Centers for Disease Control and Prevention (CDC) that explain to vaccine recipients, their parents, or their legal representatives both the benefits and risks of a vaccine. <A HREF="http://www.immunize.org/catg.d/2027law.pdf" TARGET="_top" TITLE="http://www.immunize.org/catg.d/2027law.p"><U>Federal law</U></A> requires that VISs be handed out whenever (before each dose) certain vaccinations are given.</div> <bR> <div> <A HREF="http://www.kellymom.com/newman/how_breastmilk_protects_newborns.html" TARGET="_top" TITLE="http://www.kellymom.com/newman/how_breas"><U><IMG BORDER="0" SRC="Symb075c00b700dc66000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">How Breastmilk Protects Newborns</U></A>  (Baby's First Immunizations..Breastmilk)</div> <bR> <div> <A HREF="http://www.cdc.gov/vaccines/vac-gen/whatifstop.htm" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/vac-gen/what"><U><IMG BORDER="0" SRC="Symb075c00b700dc66000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">What would happen if we stopped immunizations/vaccines?</U></A></div> <bR> <div> <A HREF="http://www.cdc.gov/vaccines/vac-gen/10-shouldknow.htm" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/vac-gen/10-s"><U><IMG BORDER="0" SRC="Symb075c00b700dc66000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Ten things you need to know about immunizations/vaccines</U></A></div> <bR> <div> <A HREF="http://www.vaccineprotection.com/?fa=home" TARGET="_top" TITLE="http://www.vaccineprotection.com/?fa=hom"><U><IMG BORDER="0" SRC="Symb075c00b700dc66000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Immunization Information for Consumers</U></A></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700c866000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">New January 2008 - <A HREF="http://www.pharmalot.com/2008/01/thimerosal-not-linked-to-autism-study/" TARGET="_top" TITLE="http://www.pharmalot.com/2008/01/thimero"><U>Thimerosal Not Linked To Autism: Study</U></A><A HREF="http://www.pharmalot.com/2008/01/thimerosal-not-linked-to-autism-study/" TARGET="_top" TITLE="http://www.pharmalot.com/2008/01/thimero"><U> </U></A></div> <bR> <div> <A HREF="http://www.vaccinateyourbaby.com/" TARGET="_top" TITLE="http://www.vaccinateyourbaby.com/"><U><IMG BORDER="0" SRC="Symb075c00b700c866000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Vaccinate Your Baby</U></A></div> <bR> <div> <A HREF="http://vaccines.stanford.edu/" TARGET="_top" TITLE="http://vaccines.stanford.edu/"><U><IMG BORDER="0" SRC="Symb075c00b700c866000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Stanford Medicine </U></A></div> <bR> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c866000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Info on vaccines for traveling to foreign countries</B></div> <div> <B>                       </B><A HREF="http://www.traveldoctor.info/" TARGET="_top" TITLE="http://www.traveldoctor.info/"><U><B>http://www.traveldoctor.info/</B></U></A></div> <bR> <div> <A HREF="#quantities_of_aluminum_in_vaccines" TITLE="Vaccine Schedule"><U><IMG BORDER="0" SRC="Symb075c00b700dc66000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Aluminum in formula, breastmilk compared to vaccines</U></A></div> <bR> <div> <A HREF="http://www2.aap.org/immunization/multimedia/soundadvice/hkarp_transcript.pdf" TARGET="_top" TITLE="http://www2.aap.org/immunization/multime"><U><IMG BORDER="0" SRC="Symb075c00b700dc66000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">AAP - Sound Advice Audio Interviews </U></A>with Doctors and Scientist and Parents  including Dr. Harvey Karp</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 176 ><NOBR><div> <IMG SRC="1729f750.jpg" border=0 width="159" height="117" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <A HREF="http://www.cdc.gov/vaccines/default.htm" TARGET="_top" TITLE="http://www.cdc.gov/vaccines/default.htm"><U><B>Centers for Disease Control and Prevention</B></U></A></div> <div> <A HREF="#cdc_vaccine_schedule_birth_to_age_18" TITLE="Vaccine Schedule"><U><B>CDC Vaccine Schedule Birth to age 18 years</B></U></A></div> <div> <A HREF="#cdc_catch_up_vaccine_schedule" TITLE="Vaccine Schedule"><U><B>CDC Catch-up Vaccine Schedule</B></U></A></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 140 WIDTH="328"><div> <A HREF="http://www.chop.edu/service/vaccine-education-center/home.html" TARGET="_top" TITLE="http://www.chop.edu/service/vaccine-educ"><U><IMG SRC="16e60660.jpg" border=0 width="96" height="102" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.chop.edu/service/vaccine-education-center/home.html" TARGET="_top" TITLE="http://www.chop.edu/service/vaccine-educ"><U><B>Vaccination Information Center Children's Hospital of Philadephia</B></U></A></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 180 ><NOBR><div> <A HREF="http://www.vaccineinformation.org/" TARGET="_top" TITLE="http://www.vaccineinformation.org/"><U><IMG SRC="16fbc8b0.jpg" border=0 width="188" height="139" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.vaccineinformation.org/" TARGET="_top" TITLE="http://www.vaccineinformation.org/"><U><B>Immunization Action Coalition</B></U></A></div> <div> <A HREF="http://www.vaccineinformation.org/video/chop1.asp" TARGET="_top" TITLE="http://www.vaccineinformation.org/video/"><U><B>Video: </B></U></A><A HREF="http://www.vaccineinformation.org/video/chop1.asp" TARGET="_top" TITLE="http://www.vaccineinformation.org/video/"><U><B>Vaccines: Separating Fact from Fear</B></U></A></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 82 WIDTH="809"><div> <A HREF="http://www.vaccinateyourbaby.org " TARGET="_top" TITLE="http://www.vaccinateyourbaby.org "><U><IMG SRC="1b3a03c0.gif" border=0 width="160" height="60" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> Learn more about Vaccines and Download FREE Tool to help track vaccines.</div> </tD> </tR> <tR> <tD VALIGN=TOP ROWSPAN=2 COLSPAN=2 HEIGHT= 1 WIDTH="809"><div>  <object type="application/x-shockwave-flash" data="http://www.cdc.gov/CDCTV/GetThePicture/GetThePicture_emb.swf" width="500" height="415" id="cdc" wmode="transparent"> <img src="http://www.cdc.gov/CDCTV/GetThePicture/GetThePicture.jpg" width="66" height="66" alt="Get The Picture. Flash Player 9 is required." /><param name="movie" value="http://www.cdc.gov/CDCTV/GetThePicture/GetThePicture_emb.swf" /><param name="quality" value="high" /><param value="transparent" name="wmode" /></object>  </div> </tD> </tR> <tR> </tR> </TABLE></div> <div>  <object type="application/x-shockwave-flash" classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=9,0,0,0" id="player-multi" width="320" height="320"><param name="movie" value="http://www.prnewswire.com/mnr/pertussis/36734/video/player-multi-1.swf?job=36734" /><param name="allowScriptAcess" value="sameDomain" /><param name="quality" value="high" /><param name="wmode" value="transparent" /><param name="flashvars" value="playlistpath=pertussis/36734" /><embed src="http://www.prnewswire.com/mnr/pertussis/36734/video/player-multi-1.swf?job=36734" flashvars="playlistpath=pertussis/36734" quality="high" name="videoPlayerMulti" wmode="transparent" allowscriptaccess="sameDomain" type="application/x-shockwave-flash" pluginspage="http://www.macromedia.com/go/getflashplayer" width="320" height="320" /></object>  </div> <div> <B>Jennifer Lopez Joins the Fight Against Pertussis in New PSAs</B></div> <div> <A HREF="http://www.prnewswire.com/mnr/pertussis/36734/" TARGET="_top" TITLE="http://www.prnewswire.com/mnr/pertussis/"><U><B>more info click here</B></U></A></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER COLSPAN=2 HEIGHT= 16 WIDTH="621"><div> <B> <A NAME="quantities_of_aluminum_in_vaccines"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Quantities of Aluminum in Vaccines</B></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="378"><div> Pneumococcal vaccine</div> </tD> <tD VALIGN=CENTER WIDTH="242"><div> 0.125 mg/dose</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 ><NOBR><div> Diphtheria-tetanus-acellular pertussis (DTaP) vaccine</div> </NOBR></tD> <tD VALIGN=CENTER WIDTH="242"><div> < 0.17 to < 0.625 mg/dose</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="378"><div> Haemophilus influenzae type b (Hib) vaccine</div> </tD> <tD VALIGN=CENTER WIDTH="242"><div> 0.225 mg/dose</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="378"><div> Hib/ Hep B vaccine</div> </tD> <tD VALIGN=CENTER WIDTH="242"><div> 0.225 mg/dose</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 32 WIDTH="378"><div> Hepatitis A vaccine (Hep A)</div> </tD> <tD VALIGN=CENTER><NOBR><div> 0.225 to 0.25 mg/dose (pediatrics)</div> <div> 0.45 to 0.5 mg/dose (adults)</div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="378"><div> Hepatitis B vaccine (Hep B)</div> </tD> <tD VALIGN=CENTER WIDTH="242"><div> 0.25 to 0.5 mg/dose</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="378"><div> Hep A/ Hep B vaccine</div> </tD> <tD VALIGN=CENTER WIDTH="242"><div> 0.45 mg/dose</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="378"><div> DTaP/inactivated polio/ Hep B vaccine</div> </tD> <tD VALIGN=CENTER WIDTH="242"><div> < 0.85 mg/dose</div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER COLSPAN=2 HEIGHT= 16 WIDTH="621"><div> <B>Quantities of Aluminum in Other Things</B></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="245"><div> Breast milk</div> </tD> <tD VALIGN=CENTER WIDTH="375"><div> 0.04 milligrams per liter (mg/L)</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="245"><div> Ponds, lakes, streams</div> </tD> <tD VALIGN=CENTER WIDTH="375"><div> 0.1 mg/L</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="245"><div> Infant formula</div> </tD> <tD VALIGN=CENTER WIDTH="375"><div> 0.225 mg/L</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="245"><div> Soy-based formula</div> </tD> <tD VALIGN=CENTER WIDTH="375"><div> 0.46 to 0.93 mg/L</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="245"><div> Buffered aspirin</div> </tD> <tD VALIGN=CENTER WIDTH="375"><div> 10 to 20 mg/tablet</div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 16 WIDTH="245"><div> Antacid</div> </tD> <tD VALIGN=CENTER WIDTH="375"><div> 104-208 mg/tablet</div> </tD> </tR> </TABLE></div> <div> Given the quantities of aluminum we are exposed to on a daily basis</div> <div> more <A HREF="http://www.chop.edu/service/vaccine-education-center/hot-topics/aluminum.html" TARGET="_top" TITLE="http://www.chop.edu/service/vaccine-educ"><U>info from this website</U></A></div> <bR> <bR> <bR> <div> <B> <A NAME="cdc_vaccine_schedule_birth_to_age_18"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><FONT SIZE="2" COLOR="#000066" FACE="Arial" ><B>CDC Vaccine Schedule Birth to age 18 years</B></FONT></div> <div>  <iframe src="http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent-shell.html" width="100%" height="1200px" frameborder="0" scrolling="auto" id="Iframe" title="Child Immunization Schedule">Child Immunization Schedule</iframe>  </div> <bR> <div> <B>_________________________________________________________________</B></div> <bR> <div> <B> <A NAME="cdc_catch_up_vaccine_schedule"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><FONT SIZE="2" COLOR="#000066" FACE="Arial" ><B>CDC Catch-up Vaccine Schedule</B></FONT></div> <div>  <iframe src="http://www.cdc.gov/vaccines/schedules/hcp/imz/catchup-shell.html" width="100%" height="1200px" frameborder="0" id="Iframe" scrolling="auto" title="Catch-up Immunization Schedule" >Catch-up Immunization Schedule</iframe>  </div> <bR> <div> <A HREF="appts_hours_notice_of_privacy_practices.htm" TARGET="_top" TITLE="Appointments Office Hours"><U>NOTICE OF PRIVACY PRACTICES</U></A></div> <div> This information is for educational purposes only and it should be used only as a guide.</div> <div> Copyright @ 2006-2011 Sunshine Pediatrics</div> <bR> </td> </tr></table></body>