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Children's Vaccines Health Center

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Rotavirus (RV) Vaccine

Rotavirus gets its name from the fact that, under a microscope, the virus resembles a wheel. And you could say, like you might say about a wheel, rotavirus goes round and round. This nasty, potentially lethal bug causes severe acute gastroenteritis with diarrhea and vomiting, primarily in infants and young children. Fortunately, there are two rotavirus vaccines that can protect children from this disease.

How Big a Problem Is Rotavirus Infection?

Prior to the introduction of the rotavirus vaccine, rotavirus infection was responsible for 200,000 emergency room visits, 55,000 hospitalizations, and 60 to 65 deaths each year in the U.S. Worldwide, it is the leading cause of severe diarrhea among young children, leading to 2 million hospitalizations and more than 500,000 deaths of children ages 5 and under annually. Older children and adults can also be infected with the virus, but the illness is generally milder.

Rotavirus disease is highly contagious. The germ is present in the stool of an infected person and can remain viable for a long time on contaminated surfaces, including people's hands. Children catch it by touching something that's contaminated and then putting their hands in their mouth. The spread of rotavirus infection is a particular problem in hospitals and in day care settings, where it can be easily spread from child to child. It's also easily spread by day care workers, especially when they change diapers without washing their hands afterward.

Symptoms of rotavirus infection, which may last up to eight days, include fever, nausea, vomiting, abdominal cramps, and frequent, watery diarrhea. If it's severe enough, the diarrhea can cause dehydration, and it's the dehydration that's responsible for the hospitalizations and deaths associated with this disease.

How Is the Rotavirus Vaccine Given?

There are two brands of the rotavirus vaccine -- RotaTeq (RV5) and Rotarix (RV1). Both vaccines are given orally, not as a shot. The only difference is the number of doses that need to be given.

With RotaTeq, three doses are required. They should be given at ages 2 months, 4 months, and 6 months. Rotarix only requires two doses -- at 2 months and 4 months.

The vaccine may be given at the same time as other vaccines, and the American Academy of Pediatrics recommends that the rotavirus vaccine be included as part of the routine immunizations given to infants.

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