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  • The North Coast Citizen

    Medical Minute: Protecting yourself and the community

    By Paul Welch, MD Chief Medical Officer at Adventist Health Tillamook,

    2024-09-02

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    Vaccinations are one of the most critical public health tools available to us. They protect individuals from a range of potentially deadly diseases and help to maintain the overall health of our communities. Immunizations are not just for children — people of all ages should consider whether they are up to date on their vaccinations.

    Why Immunizations Matter

    Vaccines work by preparing your body to fight off diseases before you come into contact with them. They do this by introducing a harmless piece of the virus or bacteria (or something that resembles it) into your immune system. Your body then learns to recognize and attack the pathogen if you are exposed to it in the future. This process helps to prevent the spread of diseases that were once common, such as measles, polio and whooping cough.

    In addition to protecting individuals, immunizations contribute to “herd immunity,” which occurs when a large portion of a community becomes immune to a disease. This collective immunity makes it difficult for the disease to spread, which is especially important for those who cannot be vaccinated, such as individuals with certain medical conditions. Herd immunity can prevent outbreaks and protect vulnerable populations, including infants, the elderly and those with compromised immune systems.

    Immunizations Across the Lifespan

    While childhood vaccinations are often emphasized, adults also need to stay current on their immunizations. For example, the flu vaccine is recommended annually for nearly everyone, and older adults should receive vaccines for shingles and pneumococcal disease. Pregnant women are advised to get the Tdap vaccine during each pregnancy to protect their newborns from whooping cough. Additionally, travel vaccinations may be necessary for those visiting certain parts of the world where diseases like yellow fever or typhoid are more common.

    Is It Time to Ask About Immunizations?

    Consider asking your healthcare provider about immunizations if: • You are planning to travel internationally. Different regions have different risks, and certain vaccines may be required or recommended.

    • You are over 50. Vaccines for shingles, pneumonia, and the flu are particularly important as you age.

    • You are pregnant or planning to become pregnant. Vaccines like Tdap are crucial for protecting both you and your baby.

    • You have a chronic illness. Conditions like diabetes or heart disease can make infections more severe, so staying up to date on vaccines is essential.

    • You have not had a check-up in several years. You may be due for boosters or newly recommended vaccines.

    Balancing Personal Choice and Community Health

    While vaccination is a personal choice, it’s important to remember that this decision can impact others. Declining vaccines can put vulnerable individuals at risk and can contribute to the reemergence of diseases that were once under control. It’s essential to make informed decisions based on accurate information and to consider the broader implications of your choices.

    Vaccinations are a safe, effective, and critical component of public health. Whether you’re considering vaccines for yourself or your loved ones, staying informed and up to date is key to protecting your health and the health of your community. If you have questions about your immunization status, don’t hesitate to reach out to your healthcare provider — they can help you make the best decisions for your well-being.

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