If you aren't ready with the answer to this question and a way to put it in context for parents, you just might not get another chance. What would you say?
By definition, febrile seizures occur in the 3-month to 5-year age range. In the United States, the rate is thought to be between 2% and 5%. Interestingly, different rates have been noted in other countries. The rate in Western Europe is similar to that in the US. In Japan, it is 8.8%; Hong Kong, 0.35%, and in India, between 5% and 10%. Genetics may account for some of this variation. While the exact mode of inheritance is unclear, febrile seizures clearly run in families. If a sibling has had a febrile seizure, the risk for other siblings rises to 10%. If a sibling and a parent both have had febrile seizures, the risk increases to 50% for a child in that family.
Most providers administer the MMR vaccine at the 12-month visit. Unlike the inactivated vaccines such as the pneumococcal and Hib vaccines that can produce fever in the first 48 hours following immunization, fever from the MMR inoculation tends to occur about a week after the shot is given.
Let's check your working knowledge of febrile seizures and the measles vaccines with a short scenario and a question.
Mom is in your office with her son for his 12-month well child exam. In discussing the MMR vaccine with her you mention that while about 5% to 15% of children do develop a fever 6 to 12 days after receipt of the MMR vaccine:
A. there is no increased risk of febrile seizures
B. febrile seizures are rare, occurring in approximately 1 in 3,000 doses
C. febrile seizures are rare, occurring in about 1 in 30,000 doses
D. if there is no family history of febrile seizures then your child will not have one