<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Daddy-san (part 4): Immunising your child after arriving in Japan</title>
	<atom:link href="http://www.stippy.com/japan-life/first-time-gaijin-dad-4/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/</link>
	<description>A fresh look at Japan, by gaijins for gaijins!</description>
	<lastBuildDate>Thu, 09 Sep 2010 09:28:30 +0000</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=abc</generator>
	<item>
		<title>By: Richmond</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-86507</link>
		<dc:creator>Richmond</dc:creator>
		<pubDate>Fri, 03 Sep 2010 12:12:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-86507</guid>
		<description>Kathleen,
You can get the vaccinations here but you have to pay for them.　　It is a bit old information but I found this data from 2002 with a Japanese language google search:

Hepatitis A	8830 yen
Tetanus	 4330 yen 
Yellow Fever	4900 yen
Rabies	7230  yen
Japanese Encephalitis	5130  yen
Cholera	1500 yen

(http://www48.tok2.com/home/sawakon/3oyakudachi/3-03vassiation.htm)

Pretty cheap I think?  How much would it cost you back home?

I think you actually need a yellow card (proof of a yellow fever vaccination) to go to some strange countries but I think the three you mentioned should be fine.</description>
		<content:encoded><![CDATA[<p>Kathleen,<br />
You can get the vaccinations here but you have to pay for them.　　It is a bit old information but I found this data from 2002 with a Japanese language google search:</p>
<p>Hepatitis A	8830 yen<br />
Tetanus	 4330 yen<br />
Yellow Fever	4900 yen<br />
Rabies	7230  yen<br />
Japanese Encephalitis	5130  yen<br />
Cholera	1500 yen</p>
<p>(<a href="http://www48.tok2.com/home/sawakon/3oyakudachi/3-03vassiation.htm" rel="nofollow" target="_blank" class="liexternal">http://www48.tok2.com/home/sawakon/3oyakudachi/3-03vassiation.htm</a>)</p>
<p>Pretty cheap I think?  How much would it cost you back home?</p>
<p>I think you actually need a yellow card (proof of a yellow fever vaccination) to go to some strange countries but I think the three you mentioned should be fine.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Kathleen</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-86504</link>
		<dc:creator>Kathleen</dc:creator>
		<pubDate>Thu, 02 Sep 2010 18:59:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-86504</guid>
		<description>Does the Japanese health care system vaccinate for free for travel in other parts of Asia or is this all out of pocket?  We are moving to Japan in December with our 3 and 4 year olds, I am wondering if I should ask their doctor here to vaccinate them as if they were traveling to China, Viet Nam, the Phillipeans, which are some of the places we might visit.</description>
		<content:encoded><![CDATA[<p>Does the Japanese health care system vaccinate for free for travel in other parts of Asia or is this all out of pocket?  We are moving to Japan in December with our 3 and 4 year olds, I am wondering if I should ask their doctor here to vaccinate them as if they were traveling to China, Viet Nam, the Phillipeans, which are some of the places we might visit.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: David Shinmei, M.D.</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-82678</link>
		<dc:creator>David Shinmei, M.D.</dc:creator>
		<pubDate>Thu, 17 Jun 2010 22:23:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-82678</guid>
		<description>Very nice and helpful article.
As a Pediatrician in Orange County, California I have a number of Japanese families who start the US series of vaccines and want to continue getting the vaccines when they go back to Japan.  The information on the Tokyo clinic will be most helpful.

Just one point on immunization compatability and intercheangability.  Although it is ideal to start and end with one manufacturer&#039;s vaccine, even in the US we have to switch back and forth at times so we do mix brands often.  As long as you follow the guidelines from the CDC on timing of the vaccines this is OK.

I also have many internationally adopted patients and deal with foreign manufactured vaccines all the time.  On this matter the CDC states, &quot;Although some vaccines with inadequate potency have been produced in other countries, most vaccines used worldwide are produced with adequate quality control standards and are reliable.&quot;  So even if you had to get Japanese vaccines most Pediatricians in the US will accept them.  The only thing to be careful of is that the timing of the vaccines is compatible with the schedule used in the US.  The problem I have found with the Japanese schedule (besides not including many of the US vaccines) is that the ones used are given too close together.  In those cases I just ignore the ones given too soon and count the others given at the correct intervals.  This usually means the child needs a dose or two extra to become fully vaccinated by US standards.  This is better than ignoring all the vaccines and starting over from scratch.</description>
		<content:encoded><![CDATA[<p>Very nice and helpful article.<br />
As a Pediatrician in Orange County, California I have a number of Japanese families who start the US series of vaccines and want to continue getting the vaccines when they go back to Japan.  The information on the Tokyo clinic will be most helpful.</p>
<p>Just one point on immunization compatability and intercheangability.  Although it is ideal to start and end with one manufacturer&#8217;s vaccine, even in the US we have to switch back and forth at times so we do mix brands often.  As long as you follow the guidelines from the CDC on timing of the vaccines this is OK.</p>
<p>I also have many internationally adopted patients and deal with foreign manufactured vaccines all the time.  On this matter the CDC states, &#8220;Although some vaccines with inadequate potency have been produced in other countries, most vaccines used worldwide are produced with adequate quality control standards and are reliable.&#8221;  So even if you had to get Japanese vaccines most Pediatricians in the US will accept them.  The only thing to be careful of is that the timing of the vaccines is compatible with the schedule used in the US.  The problem I have found with the Japanese schedule (besides not including many of the US vaccines) is that the ones used are given too close together.  In those cases I just ignore the ones given too soon and count the others given at the correct intervals.  This usually means the child needs a dose or two extra to become fully vaccinated by US standards.  This is better than ignoring all the vaccines and starting over from scratch.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: EbisuCaliDad</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-82221</link>
		<dc:creator>EbisuCaliDad</dc:creator>
		<pubDate>Wed, 21 Apr 2010 15:28:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-82221</guid>
		<description>Our doctor only provided the HepB vaccination at 3 months for our daughter. I&#039;ve printed the U.S. Centers for Disease Control vaccination schedule (http://www.cdc.gov/vaccines/recs/schedules/default.htm), and according to our pediatrician here in Hiroo (a very popular place, right on Gaien Nishi Dori near the Lambo dealership), they didn&#039;t have any information on 2 of them/did not offer them (PCV &amp; Rota Virus).

Our daughter DID NOT receive any type of vaccinations at birth.

I just received the Shibuya Ward immunization coupon/schedule (trying to deciper it with my poor Japanese- will need the wife to look at this tomorrow) and from what I gather, National Health Care offers (free or cheap):

DPT (Diphteria, Pertussis, Tetanus)
DT (Diphteria &amp; Tetanus?)
MR (Measles / Rubella... No Mumps).

Our doctor here suggested we do the remaining vaccinations once we get to the U.S. (we&#039;re moving back in a few months) since it&#039;s much cheaper there.

I would assume the risks of contracting any of these diseases is much less in Japan versus the rest of the world, hence, non-conforming vaccinations here. However, given that we are an international family, I will surely follow the U.S. CDC schedule, and maybe integrate some of the Japanese-specific vaccinations as well (i.e: Japanese Incephalitus)...</description>
		<content:encoded><![CDATA[<p>Our doctor only provided the HepB vaccination at 3 months for our daughter. I&#8217;ve printed the U.S. Centers for Disease Control vaccination schedule (<a href="http://www.cdc.gov/vaccines/recs/schedules/default.htm" rel="nofollow" target="_blank" class="liexternal">http://www.cdc.gov/vaccines/recs/schedules/default.htm</a>), and according to our pediatrician here in Hiroo (a very popular place, right on Gaien Nishi Dori near the Lambo dealership), they didn&#8217;t have any information on 2 of them/did not offer them (PCV &amp; Rota Virus).</p>
<p>Our daughter DID NOT receive any type of vaccinations at birth.</p>
<p>I just received the Shibuya Ward immunization coupon/schedule (trying to deciper it with my poor Japanese- will need the wife to look at this tomorrow) and from what I gather, National Health Care offers (free or cheap):</p>
<p>DPT (Diphteria, Pertussis, Tetanus)<br />
DT (Diphteria &amp; Tetanus?)<br />
MR (Measles / Rubella&#8230; No Mumps).</p>
<p>Our doctor here suggested we do the remaining vaccinations once we get to the U.S. (we&#8217;re moving back in a few months) since it&#8217;s much cheaper there.</p>
<p>I would assume the risks of contracting any of these diseases is much less in Japan versus the rest of the world, hence, non-conforming vaccinations here. However, given that we are an international family, I will surely follow the U.S. CDC schedule, and maybe integrate some of the Japanese-specific vaccinations as well (i.e: Japanese Incephalitus)&#8230;</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: mr sekimachihato</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-82191</link>
		<dc:creator>mr sekimachihato</dc:creator>
		<pubDate>Wed, 14 Apr 2010 03:34:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-82191</guid>
		<description>i&#039;ve only recently found this blog (blog?) and finding it very interesting.
i&#039;m in the same boat (well will be soon) as my wife is about to give birth in hong kong and we will then be moving back to japan when our little one is 7 months old.
such immunization issues never crossed my mind until today so i will be sure to jot down that tokyo medical clinic address!</description>
		<content:encoded><![CDATA[<p>i&#8217;ve only recently found this blog (blog?) and finding it very interesting.<br />
i&#8217;m in the same boat (well will be soon) as my wife is about to give birth in hong kong and we will then be moving back to japan when our little one is 7 months old.<br />
such immunization issues never crossed my mind until today so i will be sure to jot down that tokyo medical clinic address!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: red</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-82184</link>
		<dc:creator>red</dc:creator>
		<pubDate>Sat, 10 Apr 2010 14:40:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-82184</guid>
		<description>previous articles in the Daddy-san series:
1) Introduction/Overview
http://www.stippy.com/japan-life/first-time-gaijin-dad-1/
2) Breast-feeding
http://www.stippy.com/japan-life/first-time-gaijin-dad-2/
3) Travel
http://www.stippy.com/japan-life/first-time-gaijin-dad-3/</description>
		<content:encoded><![CDATA[<p>previous articles in the Daddy-san series:<br />
1) Introduction/Overview<br />
<a href="http://www.stippy.com/japan-life/first-time-gaijin-dad-1/" rel="nofollow" class="liinternal">http://www.stippy.com/japan-life/first-time-gaijin-dad-1/</a><br />
2) Breast-feeding<br />
<a href="http://www.stippy.com/japan-life/first-time-gaijin-dad-2/" rel="nofollow" class="liinternal">http://www.stippy.com/japan-life/first-time-gaijin-dad-2/</a><br />
3) Travel<br />
<a href="http://www.stippy.com/japan-life/first-time-gaijin-dad-3/" rel="nofollow" class="liinternal">http://www.stippy.com/japan-life/first-time-gaijin-dad-3/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kyotolaw</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-82132</link>
		<dc:creator>kyotolaw</dc:creator>
		<pubDate>Mon, 22 Mar 2010 10:57:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-82132</guid>
		<description>Did you try the British Clinic in Ebisu?

They did the UK immunisations for our daughter, although it costs an arm and a leg without international health insurance.</description>
		<content:encoded><![CDATA[<p>Did you try the British Clinic in Ebisu?</p>
<p>They did the UK immunisations for our daughter, although it costs an arm and a leg without international health insurance.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: greg</title>
		<link>http://www.stippy.com/japan-life/first-time-gaijin-dad-4/comment-page-1/#comment-82099</link>
		<dc:creator>greg</dc:creator>
		<pubDate>Sun, 07 Mar 2010 08:41:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.stippy.com/?p=1708#comment-82099</guid>
		<description>great article, very helpful, you always here about medical issues in Japan (and China) because they stick to local drugs which doesn&#039;t help expat families</description>
		<content:encoded><![CDATA[<p>great article, very helpful, you always here about medical issues in Japan (and China) because they stick to local drugs which doesn&#8217;t help expat families</p>
]]></content:encoded>
	</item>
</channel>
</rss>
