PEDIATRICS Vol. 110 No. 6 December 2002, pp. 1246-1252
AMERICAN ACADEMY OF PEDIATRICS
Reduction of the Influenza Burden in Children
Committee on Infectious Diseases
Epidemiologic studies indicate that children with certain chronicconditions, such as asthma, and otherwise healthy children youngerthan 24 months are hospitalized for influenza and its complicationsat high rates similar to those experienced by the elderly. Currently,annual influenza immunization is recommended for all children6
months and older with high-risk conditions. To protect thesechildren
more fully against the complications of influenza,increased efforts
are needed to identify and recall high-riskchildren for annual
influenza immunization. In addition, immunizationof children 6
through 23 months of age and their household contactsand out-of-home
caregivers is now encouraged to the extent feasible.The ultimate
goal is a universal recommendation for influenzaimmunization. Issues
that need to be addressed before institutionof routine immunization
of healthy young children include educationof physicians and parents
about the morbidity caused by influenza,adequate vaccine supply, and
appropriate reimbursement of practitionersfor influenza
immunization.
Abbreviations: AOM, acute otitis media TIV, trivalent
inactivated influenza vaccine T-CAIV, trivalent live-attenuated, cold-adapted
influenza vaccine FDA, Food and Drug Administration GBS, Guillain-Barré
syndrome HIV, human immunodeficiency virus CI, confidence interval
ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"