Childhood Diseases

Posted by: Miri | 2009-03-23


Two things please

1. What does the vaccine PRevenar cover? i.e. pneumonia/meningitis or both or ....? is there a separate one for meningitis specifically and for what age group is this? i have a 5 and a 2 yrs old, the 5 yrs old has had the prevenar a year ago, got sick with chest inf 3 days later, but the 2 yr old has had all his others except prevenar? The older one is at school this year so i am scared of her bringing back these infections to the 2 yr old.

2. My 2 yrs old was born by caesar at 38wks, weight 3.7kg length 50cm. He had congential pneumonia and spent first 10 days after birth in ICU, he has been healthy and happy for the 2 yrs hardly ever needed a dr or antibiotics and is home with me, not school. However at 13 m he is now 85cm and weight is 10.5kg. I have asked more than 1 paedi over the past 2 yrs whether his height esp is normal, both parents tall and his older sibling is way taller than others her age. My mother is relatively short and my brother. My husbands father is relatively short and mother and every1 else considered taller than average.

Is there a need for concern? He has a good appetite despite his weight, all healthy foods - breakfast oats/jungle B/Maize meal, bala lunch and supper and veg, does not drink much juice and i dilute it 50 /50 with water, i stick to apple and grape/cranberry, he loves his fruit, so i dont understand the weight but my real concern is the height. THe latest paedi says we need to come back in 3 mon ths to reasess? what is your opinion given the history?

Expert's Reply



Prevenar is an immunisation against the bacteria called pneumococcus which can cause a severe form of meningitis in young children, usually under 2 years. This same bacteria can cause pneumonia in all age groups but is only one of several kinds of bacteria that can cause pneumonia.
I am not sure if this is your son's present weight or his weight at 13 months. You mention 13 months and then say he is now...etc. If this is his present weight then I am most concerned about it as he is on the 3rd percentile on the growth charts, the lowest 3% of the population. His height is just below the average which is not in keeping with your family's growth pattern either. His paediatrician needs to give him a thorough examination.

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