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2003 Schedule for Childhood Immunizations Released
By Karla Gale
NEW YORK (Reuters Health) Jan 07 - New additions to the Recommended
Childhood and Adolescent Immunization Schedule include "catch-up
schedules" for children whose inoculations have been delayed, as well as
information regarding vaccination against influenza.
The Schedule is updated annually by the American Academy of
Pediatrics (AAP), the Centers for Disease Control and Prevention, and
the American Academy of Family Physicians. The policy statement by the
Committee on Infectious Diseases is published in the January issue of
Pediatrics, with the policy itself posted on the AAP website at
www.aap.org.
"The changes in this year's schedule are minimal," Dr. Jon S.
Abramson, chair of the Committee on Infectious Diseases, told Reuters
Health. For example, "we encourage influenza vaccinations for younger
kids age 6 to 23 months, who are known to have a higher risk of
hospitalization" if they contract influenza, he said. "But there are a
number of logistics issues that need to be worked out before we can make
any universal recommendations."
Regarding immunization for hepatitis B, "we strongly encourage
administration of the first dose in the first day of life," Dr. Abramson
said, "but it is still acceptable if it is given later on."
By publishing catch-up schedules for children and adolescents who
start late or who are more than 1 month behind, "we've made this issue
easier to understand and made the parameters clearer," by defining, for
example, acceptable intervals between vaccinations, he added.
Dr. Abramson, who is a pediatrician at Wake Forest University in
Winston-Salem, North Carolina, noted that most vaccine shortages have
been resolved. Although supplies of pneumococcal conjugated vaccine
"seem to be getting better, we are not yet certain if we are totally
through with that shortage."
Pediatrics 2003;111:212.
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