NIAW: Hepatitis B, Rotavirus, Dtap

Hep B vaccine protects against hepatitis B.

Doctors recommend children get three doses of the hepatitis B shot for best protection. Typically, children need one dose at each of the following ages: birth, 1 through 2 months, and 6 through 18 months.

  • Hepatitis B is spread by contact with bodily fluids from an infected person; for example, hepatitis B can be passed from an infected mother to her baby at birth.
    • Symptoms: There may be no symptoms, or there may be fever, headache, weakness, vomiting, jaundice (yellowing of skin and eyes), or joint pain.
    • Complications: liver damage, liver failure, liver cancer.


RV vaccine protects against rotavirus.

Two brands of rotavirus vaccines are available to protect infants against rotavirus: Rotarix (given in two doses) and RotaTeq (given in three doses). Rotavirus vaccine is given by putting some drops in an infant’s mouth. Infants should get rotavirus vaccine starting at 2 months of age. For both vaccine brands, infants should get a second dose at 4 months. If getting RotaTeq, infants need a third dose at 6 months.


  • Rotavirus spreads easily among infants and young children.
    • The virus can be found in the stool (feces) of people who are infected with the virus. It can spread when a child puts something with rotavirus on it, such as their hand or a toy, in their mouth. Children can also get infected by consuming food and liquids that have been contaminated with rotavirus.
    • Symptoms: severe watery diarrhea, fever, and vomiting. This can lead to dehydration and require hospitalization.


DTaP vaccine protects against diphtheria, tetanus, and pertussis (whooping cough).

Doctors recommend children get five doses of the DTaP vaccine for best protection. Children need one dose at each of the following ages: 2 months, 4 months, 6 months, 15 through 18 months, and 4 through 6 years. If a child falls behind schedule on this vaccine series, he or she will receive the Tdap vaccine if he or she is older than 6 years old when completing the series. DTaP is not licensed for children over 6 years of age. Tdap provides protection against the same diseases as DTaP.

  • Diphtheria spreads through the air and direct contact with an infected person.
    • Symptoms: sore throat, fever, weakness, sore glands in neck.
    • Complications: swelling of the heart muscle, heart failure, coma, paralysis, death.
  • Tetanus spreads from exposure through cuts in the skin.
    • Symptoms: stiffness in jaw, neck and abdominal muscles, difficulty swallowing, muscle spasms, fever.
    • Complications: broken bones, breathing difficulty, death.
  • Whooping cough spreads through the air and direct contact with a person who has whooping cough.
    • Symptoms: severe cough, low-grade fever, runny nose, apnea (pause in breathing) in babies.
    • Complications: pneumonia (infection in the lungs), rib fractures, death.

The Public Health offices in Afton and Kemmerer carry all approved and recommended childhood vaccinations. We can these for reduced cost under the Wyoming Vaccinates Important People state immunization program. We can administer these shots for the reduced fee of $20 per shot with no office visit charge. The vaccine cost itself is free. If you cannot pay the $20 per shot fee, that price can be reduced or even waived entirely if necessary. We do not turn away anyone due to inability to pay. We accept Wyoming Medicaid and most health insurances. The only insurance company that does not accept our claims is Tricare. Please call us at 885-9598 or 877-3780 to schedule an appointment for any shots your child might need.

–All information on this page is taken from the CDC

NIAW: About Measles

About Measles

Measles is a serious respiratory disease caused by a virus.

  • Measles starts with a fever. Soon after, it causes a cough, runny nose, and red eyes. Then a rash of tiny, red spots breaks out.
  • The rash starts at the head and spreads to the rest of the body. The rash can last for a week.


Measles is highly contagious.

  • Measles spreads through the air when an infected person coughs or sneezes. It is so contagious that if one person has it, 9 out of 10 people around him or her will also become infected if they are not protected.
  • You can get measles just by being in a room where a person with measles has been, even up to two hours after that person has left.
  • An infected person can spread measles to others even before he or she develops symptoms – from four days before they develop the measles rash to four days afterward.


Measles can cause serious health complications, such as pneumonia and encephalitis, and death.

  • Some people are at high risk for severe illness and complications from measles, including children younger than 5 years of age, adults older than 20 years of age, pregnant women, and people with weakened immune systems.
  • Ear infections occur in about one out of every 10 children with measles and can result in permanent hearing loss.
  • As many as one out of every 20 children with measles gets pneumonia, the most common cause of death from measles in young children.
  • About one child out of every 1,000 who gets measles will develop encephalitis (swelling of the brain) that can lead to convulsions and can leave the child deaf or with intellectual disability.
  • For every 1,000 children who get measles, one or two will die of the disease.


Measles cases continue to be brought into the United States by people who get infected while in other countries.

  • Since 2000, when measles was declared eliminated from the U.S., the annual number of people reported to have measles ranged from a low of 37 people in 2004 to a high of 667 people in 2014.
  • The majority of measles cases brought into the United States are among U.S. residents, and when vaccination status is known, almost all are unvaccinated.
  • Anyone who is not protected against measles is at risk of getting the disease, especially when traveling abroad.


The best protection against measles is MMR vaccine.

  • MMR vaccine provides long-lasting protection against all strains of measles. Make sure you’re up to date on MMR and other vaccinations.
  • Children should receive two doses of MMR vaccine – the first dose at 12 through 15 months of age, and the second dose at 4 through 6 years of age. Giving the second dose of the vaccine earlier is allowed at any time as long as it is at least 28 days after the first dose.
  • Unless they have evidence of measles immunity, college and other students, health care personnel, and international travelers need two appropriately spaced doses. Other adults need one dose. Ask your health care provider if you have questions about whether you need MMR vaccine.
  • People who received two doses of MMR vaccine as children according to the U.S. vaccination schedule are considered protected for life.
  • For those who travel internationally, CDC recommends all U.S. residents older than 6 months be protected from measles and receive MMR vaccine, if needed, prior to departure.


The MMR vaccine has a long record of safety.

  • FDA and CDC continually monitor MMR vaccine
  • While MMR vaccines are safe, side effects can The most common side effects are mild (redness, swelling, tenderness from the shot). Serious side effects are extremely rare.

The Public Health offices in Afton and Kemmerer carry all approved and recommended childhood vaccinations. We can these for reduced cost under the Wyoming Vaccinates Important People state immunization program. We can administer these shots for the reduced fee of $20 with no office visit charge. The vaccine cost itself is free. If you cannot pay the $20 per shot fee, that price can be reduced or even waived entirely if necessary. We do not turn away anyone due to inability to pay. We accept Wyoming Medicaid and most health insurances. The only insurance company that does not accept our claims is Tricare. Please call us at 885-9598 or 877-3780 to schedule an appointment for any shots your child might need.

–All information is taken from the CDC 

NIAW: Week Two

Vaccines give parents the safe, proven power to protect their children from 14 serious diseases before they turn 2 years old.

  • Vaccinating your children according to the recommended schedule is one of the best ways you can protect them from 14 harmful and potentially deadly diseases like measles and whooping cough (pertussis) before their second birthday.
  • Children who don’t receive recommended vaccines are at risk of (1) getting the disease or illness and (2) having a severe case of the disease or illness. You can’t predict or know in advance if an unvaccinated child will get a vaccine-preventable disease, nor can you predict or know how severe the illness will be or become.
  • Vaccines don’t just protect your child. Immunization is a shared responsibility. Families, health care professionals and public health officials must work together to help protect the entire community – especially babies who are too young to be vaccinated themselves.


Most parents choose the safe, proven protection of vaccines and vaccinate their children according to the recommended immunization schedule.

  • Estimates from a CDC nationally representative childhood vaccine communications poll (August 2016 online poll) suggest that almost 9 out of 10 people vaccinate according to schedule or are intending to do so.


It’s easy to think of these as diseases of the past. Most young parents in the United States have never seen the devastating effects that diseases like measles or whooping cough can have on a family or community. But the truth is they still exist.

  • Many vaccine-preventable diseases are still common in many parts of the world. For example, measles is brought into the United States by unvaccinated travelers who are infected while in other countries. When measles gets into communities of unvaccinated people in the United States (such as people who refuse vaccines for religious, philosophical or personal reasons), outbreaks are more likely to occur.
    • The 2015 measles outbreak and the current measles outbreak in Minnesota are examples of how quickly infectious diseases can spread when they reach groups of people who aren’t vaccinated.
    • Since measles was declared eliminated in the United States in 2000, the annual number of people reported to have measles ranged from a low of 37 people in 2004 to a high of 667 people from 27 states in 2014. From January 1 to May 20 2017, 100 people from 11 states were reported to have measles.
  • Outbreaks of whooping cough have also occurred in the United States over the past few years. There are many factors contributing to the recent increase in whooping cough, but getting vaccinated is the best way to help prevent whooping cough and its complications.


Vaccines are recommended throughout our lives. Following the recommended schedule offers the best protection.

  • Vaccines offer the best protection against many devastating illnesses. Following the recommended immunization schedule is the best way to ensure your children are protected from deadly diseases.
  • Some vaccines require multiple doses to build enough immunity to prevent disease, boost immunity that has faded over time, ensure people who did not get immunity from a first dose are protected, or protect against diseases, like the flu, which can change from one season to the next.
  • Children do not receive any known benefits from following schedules that delay vaccines. We do know that delaying vaccines puts children at known risk of becoming ill with vaccine-preventable diseases. Infants and young children who follow immunization schedules that spread out shots – or leave out shots – are at risk of developing diseases during the time that shots are delayed.
  • If a young child falls behind the recommended schedule, parents and health care professionals should use the catch-up immunization schedule to quickly get the child up to date, reducing the amount of time the child is left vulnerable to vaccine-preventable diseases.

NIAW: College Kids Need Vaccines too

What immunizations does my college age child need for school?

Meningococcal conjugate vaccine (MenACWY) helps protect against bacterial meningitis and may be required for certain college students (requirements vary by state).

  • First-year college students living in residence halls are recommended to be vaccinated with meningococcal conjugate vaccine. If they received this vaccine before their 16th birthday, they should get a booster dose before going to college for maximum protection.
  • The risk for meningococcal disease among non-first-year college students is similar to that for the general population. However, MenACWY is safe and effective and therefore can be provided to non-first-year college students.


Tdap vaccine protects against tetanus, diphtheria, and pertussis, or whooping cough.

  • A single dose of Tdap is routinely recommended for preteens and teens (preferably at age 11-12 years); however, adults 19 or older who did not receive Tdap as a preteen or teen should receive a single dose of Tdap.


HPV vaccination is recommended for teens and young adults who did not start or finish the HPV vaccine series at age 11 or 12 years.

  • Young women under age 27 and young men under age 22 should be vaccinated.
  • Young men between the ages of 22 and 27 may be vaccinated and should discuss this with their doctor or nurse. Young men between the ages of 22 and 27 who have compromised immune systems or have sex with other men should also be vaccinated.
  • Even if it has been many years since a first or second dose of HPV vaccine, young adults should still complete the HPV vaccination series. The HPV vaccine series does not need to be restarted if there is a long gap in between doses.


Seasonal flu vaccine protects against the three or four flu viruses that research indicates will be most common during the upcoming season.

  • The flu can cause severe illness that may require hospital care, even in healthy adults
  • In general, the flu vaccine works best among young healthy adults and older children.
  • Flu vaccination can reduce flu illnesses, doctors’ visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations and deaths.

National Immunization Awareness: Back to School!

Vaccinating according to the recommended immunization schedule provides your child with safe and effective protection against preventable diseases.

  • Between the time your child is born and when they go off to college, they’ll get vaccines to protect against a number of serious diseases.
  • Some children at your child care center may be too young to get certain vaccines, and are therefore vulnerable to diseases.
    • By vaccinating your child according to the recommended schedule, you’ll be protecting their classmates as well.
    • You will also be helping to protect people in your community who cannot receive vaccines for medical reasons (e.g., people with weakened immune systems, such as some people with cancer and people who have received transplants).Vaccines are recommended for children of all ages.
      • The need for vaccination does not end in childhood. Vaccines are recommended throughout our lives based on age, lifestyle, occupation, travel locations, medical conditions, and previous vaccination history.
      • The protection from some childhood vaccines wear off with time, and children are more likely to get certain diseases like meningococcal disease and cancer-causing HPV infections as they get older. Staying up to date on recommended vaccines keeps your child protected against serious diseases.
      • Teens and young adults should also make sure they are up to date on all the vaccines recommended during childhood and adolescence. Additionally, states may require children who are entering college to be vaccinated against certain diseases.
      • You can send your kids off to college protected from serious diseases by making sure they’ve received all the vaccines recommended for them.

      Infectious diseases tend to spread wherever large groups of people gather together. Outbreaks of serogroup B meningococcal disease have been reported from college campuses during the last several years.Many vaccine-preventable diseases can easily spread in child care and school settings. Protecting your children from preventable diseases will help keep them healthy and in school.

      • Schools are prone to outbreaks of infectious diseases, and school-age children can further spread disease to their families and others with whom they come in contact.
      • When a child comes down with an illness such as whooping cough, chickenpox or the flu, he or she may miss at least several days of school while recovering – and somebody will need to stay home to provide care and make trips to the doctor.
        • Children can spread diseases to newborns too young to have received all doses of recommended vaccines, or to people with weakened immune systems, such as some people with cancer and transplant recipients who are also at higher risk of disease.
      • Most people in the United States are protected against measles through vaccination, so measles cases in the U.S. are uncommon compared to the number of cases that occurred before a vaccine was available.
        • However, measles is brought into the United States every year by unvaccinated travelers who get measles while they are in other countries. Most measles cases imported into the U.S. come from U.S. residents. They can spread measles to other people who are not protected against measles, which sometimes leads to outbreaks. This can occur in communities with unvaccinated people.
        • Since measles was declared eliminated in the United States in 2000, the annual number of people reported to have measles ranged from a low of 37 people in 2004 to a high of 667 people in 2014. In 2016, there were 70 provisionally reported cases.

–All information taken from the CDC

NIAW: Meningitis Vaccine

Meningococcal Vaccines

Why does my preteen or teen need to be vaccinated against meningococcal disease?

Meningococcal disease can be devastating and often—and unexpectedly—strikes otherwise healthy people. Although meningococcal disease is uncommon, teens and young adults 16 through 23 years old are at increased risk for getting sick. Meningococcal bacteria can cause severe disease, including infections of the lining of the brain and spinal cord (meningitis) and blood (septicemia). Meningococcal disease can result in permanent disabilities, like hearing loss, learning disabilities, loss of limbs, and sometimes even death.


Is there one meningococcal vaccine that can help protect my child from all common types of meningococcal disease?

No. There are vaccines to protect against the three most common serogroups (B, C, and Y) of meningococcal disease in the United States. Some meningococcal vaccines for preteens and teens are designed to protect against four serogroups (A, C, W, and Y), while others help protect against one serogroup (B). There is not a meningococcal vaccine that offers protection against all common serogroups in one shot.


CDC recommends all 11 to 12 year olds should receive a single dose of a meningococcal conjugate vaccine (protects against serogroups A, C, W, and Y). Since protection decreases over time, a booster dose is recommended at age 16 so teens continue to have protection during the ages when they are at highest risk of meningococcal disease. Teens and young adults (16 through 23 year olds) may also receive a serogroup B meningococcal vaccine, preferably at 16 through 18 years old. Serogroup B meningococcal vaccines require more than one dose for maximum protection.

Talk with your teen’s clinician about meningococcal vaccination to help protect your child’s health.


Meningococcal Disease Causes Serious Infections

Meningococcal disease refers to any illness caused by Neisseria meningitidis bacteria. The most common illnesses are infections of the tissue covering the brain and spinal cord (meningitis) and bloodstream infections (septicemia).

Symptoms of Meningococcal Disease Can Appear Quickly

Symptoms of meningococcal meningitis may include sudden onset of a high fever, headache, or stiff neck. Other symptoms can include nausea, vomiting, increased sensitivity to light, and confusion. Symptoms of meningococcal septicemia include fever, tiredness (fatigue), vomiting, and a dark purple rash. If you think you or your child has any of these symptoms, call the doctor right away.

Early Diagnosis and Treatment Are Very Important

Doctors treat meningococcal disease with antibiotics (medicines that kill bacteria in the body). However, even with antibiotic treatment, 10 to 15 out of 100 people with meningococcal disease will die. About 11 to 19 out of every 100 survivors will have long-term disabilities. These disabilities can include loss of limb(s), deafness, nervous system problems, or brain damage.

Meningococcal Disease Spreads from Person to Person

People spread the bacteria that cause meningococcal disease to others by sharing respiratory and throat secretions (such as saliva or spit). Even people who are not sick can have the bacteria in their noses and throats and spread the bacteria. Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or flu. People do not catch them through casual contact or by breathing air where someone with meningococcal disease has been.

Outbreaks of Meningococcal Disease Are Rare

Only about 2 or 3 out of 100 meningococcal disease cases occur as part of an outbreak. However, outbreaks are unpredictable and the outcomes can be devastating to affected communities and organizations. Meningococcal outbreaks can occur in communities, schools, colleges, prisons, and other populations.

Can my child receive a meningococcal conjugate vaccine and a serogroup B meningococcal vaccine at the same time?

Yes. Your child can receive meningococcal conjugate and serogroup B meningococcal vaccines during the same visit, but preferably in different arms. CDC does not recommend serogroup B meningococcal vaccine until age 16 years, so it’s possible your child will get this vaccine and the booster dose of a meningococcal conjugate vaccine at the same visit.

The Vaccines for Children (VFC) Program provides vaccines to children whose parents or guardians may not be able to afford them. A child is eligible for the program if they are younger than 19 years of age and meet one of the following requirements:

  • Medicaid-eligible
  • Uninsured
  • American Indian or Alaska Native
  • Underinsured (have health insurance that does not cover vaccines or does not cover certain vaccines)

The Public Health offices do carry this vaccine for a reduced cost if you meet the above criteria.

–All information on this page is taken from the CDC. 

Britax Child Safety Seat Recall Information

Britax Child Safety, Inc., in cooperation with the National Highway Traffic Safety Administration (NHTSA) and other regulatory authorities, is conducting a recall of the chest clip on certain B-Safe 35, B-Safe 35 Elite and BOB B-Safe 35 infant car seat models manufactured between November 1, 2015 and May 31, 2017

Britax has determined that the center tab on the chest clip can break presenting a choking hazard to an infant in the car seat.

No choking injuries have been reported.

Please check the website link provided here to view affected model numbers. If you find your seat is affected, follow the steps on the website for a free kit to replace the clips. As always, we encourage you to register your car seats with the registration cards provided to ensure that you receive notices of potential recalls.

Child Safety Seat Recall Notice

NHTSA Campaign Number: 17C001000

Manufacturer: Graco Children’s Products Inc.

Components: CHILD SEAT

Potential Number of Units Affected: 25,494


Graco Children’s Products Inc. (Graco) is recalling certain Graco My Ride 65 convertible child restraints, models 1871689, 1908152, 1813074, 1872691, 1853478, 1877535, 1813015, and 1794334. In the event of a crash, the child seat webbing may not adequately restrain the child. As such, these car seats fail to conform to Federal Motor Vehicle Safety Standard (FMVSS) number 213, “Child Restraint Systems.”


Graco will notify owners, and dealers will provide consumers with a replacement harness, free of charge. The recall is expected to begin July 17, 2017. Owners may contact Graco customer service at 1-800-345-4109.


Owners may also contact the National Highway Traffic Safety Administration Vehicle Safety Hotline at 1-888-327-4236 (TTY 1-800-424-9153), or go to


If you have not registered your car seat using the card included in all new safety seats, please do so. That is the way you will receive notice on safety seat recalls. If you can’t locate the registration card, visit the Safer Car website for a registration form and instructions.