We opted to skip this one for now. If we head
to South America
where infection rates are higher than the US and Caribbean
we will reevaluate but the baby will be a preschooler by then with a more fully formed immune system so better equipped to handle vaccination. Our reasons for skipping this is that there are over 91 strains and the vaccine only protects against 7 or 13. The yearly death rate from infections in the under 5 population before vaccination was only 200 (More children
die crossing the street in the US each year) yet the incidence of febrile reactions to the vax is 1 in 3.
We are cautious on vaccines which have a high incidence of febrile reactions because those are the vaccines which effect the neurological system. Due to my son having neurological impairment as well as having other family
risk factors (allergic reactions to meds, family
members with diagnosed OCD, etc.) we really weigh the risks vs benefits for all medications. Polio was an easy one for us to get because the rate of reaction to the vax is incredibly, incredibly low.
The most common illness in children
who are not given the PCV7/13 vax is ear infection. The best defense against ear infection in babies and toddlers is breast feeding and avoiding day care/creche care.