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Dream - A baby aged almost 3 months, with the initials MKA, died after receiving immunization in Sukabumi City, West Java. The report on Adverse Events Following Immunization (AEFI) has also reached the Ministry of Health (Kemenkes) of the Republic of Indonesia.
According to the report from the Ministry of Health of the Republic of Indonesia, the baby boy died a few hours after receiving immunization with four types of vaccines, namely Bacille Calmette-Guerin (BCG) vaccine for tuberculosis (TB), Diphtheria-Pertussis-Tetanus-Hepatitis B-Haemophilus Influenzae Type B (DPT-HB-Hib) vaccine, oral Polio vaccine, and Rotavirus vaccine for diarrhea prevention. Immunization for this MKA baby is a combination immunization, which means giving more than one type of vaccine in one visit.
From the results of the investigation by the Regional Committee (Komda) KIPI West Java and the KIPI Task Force of Sukabumi City, along with the Sukabumi City Health Office, the baby was born with the assistance of a midwife and has already received vitamin K and hepatitis B vaccine. After birth, the baby MKA was never taken to the health center (Puskesmas). He was only brought back by his parents when he was 2 months and 28 days old to the Posyandu for further immunization.
The following is the translation of the given 'Bahasa' text to 'English' while preserving any html tags: "The baby MKA is then given double immunization, which is the administration of vaccines of more than one type of vaccine in one visit. This is done to complete the immunization status and catch up on immunizations that have not been obtained."
During the Posyandu session, there were 18 children who received immunization on that day. 3 of them received the same 4 types of vaccines as baby MKA, and their condition is currently healthy. After receiving the immunization and returning home, baby MKA showed symptoms of weakened body shortly after. Seeing the abnormal condition of their child, the parents immediately contacted the Puskesmas.
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When arriving at the hospital, the life of baby MKA could not be saved and was pronounced dead. The incident of the baby's death was reported to have occurred on June 11, 2024.
In response to the incident, the West Java KIPI Regional Committee and the National Commission (Komnas) KIPI conducted a causality audit. The results have not yet been able to determine whether the cause of baby MKA's death is related to the double vaccination that was performed. "The KIPI audit has been conducted together with the West Java KIPI Regional Committee and the National Commission KIPI. Based on the available information, the audit results cannot yet determine the cause of death, whether there is a connection with immunization. The recommendation is to perform an autopsy," said Prof Hindra Satari, Chairman of Komnas KIPI.
However, the family did not agree to perform an autopsy. They then decided to withdraw the police and legal demands. "The family does not agree to perform an autopsy and withdraws the police and legal demands. The family stated that they accept the death of the late Baby MKA," said Hindra.
The following is the translation of the given 'Bahasa' text to 'English' while preserving any html tags: "The Indonesian Food and Drug Monitoring Agency (BPOM) has taken samples of the vaccine that was injected into the late Baby MKA. This is done to assess the quality of the vaccine. "BPOM also took samples of the vaccines given to the late Baby MKA. These samples will undergo quality testing. So, quality testing is currently being conducted," he said."
The Director of Immunization Management, Prima Yosephine, stated that the administration of multiple or more than one type of vaccine in a single visit has been recommended by the Indonesian Technical Advisory Group on Immunization (ITAGI) and the Indonesian Pediatrician Association (IDAI). This is said to be safe and effective, in accordance with the World Health Organization's recommendations for both routine and catch-up immunization schedules.
"The administration of combination immunization (more than one antigen or one type of vaccine) is equally safe and effective as single immunization," explained Prima.
Prima asserts that receiving a double dose injection does not burden the immune system. "The antigens present in the vaccine are only a small fraction compared to what our body naturally encounters every day," he said.
Scientific data from the CDC (Centers for Disease Control and Prevention) of the United States shows that receiving multiple vaccines simultaneously does not cause chronic health problems. Several studies have been conducted to examine the impact of administering various combinations of vaccines. Recommended vaccines have been proven effective whether administered in combination or individually. Sometimes, certain combinations of vaccines given together can cause fever. However, this condition is temporary and does not cause permanent damage.
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