Sunday, April 27, 2008

Flu Vaccine For Children

One last thing on the flu. In a follow up to the previous post, our pediatric consultant, Dr. Janesta Noland, would like you to know that there is a new recommendation for flu vaccine for children.

The Advisory Committee on Immunization Practices (ACIP) unanimously voted at its winter meeting to expand recommendations for flu vaccinations to include children age 5-18 years. Previously, the vaccine was recommended for all children ages 6 months to 5 years as well as children of any age with high risk conditions such as asthma, cardiac disease or diabetes. Although the vote was unanimous, the decision about when it should go into effect was not. If practitioners were to implement the recommendation in the 2008-2009 influenza season, supplies of vaccine would likely be inadequate.

In the very youngest - children aged 6 to 23 months - vaccination prevents hospitalization in 74% of those who are fully immunized. (Of note, in children who do not receive the second dose of the vaccine, hospitalization is prevented in only 39%.) Although death or hospitalization is much less likely in healthy school-age children compared to younger children or children with high-risk conditions, 10-30% of children are afflicted with influenza illnesses annually which results in a large number of missed school days. And 5-7% of those aged 5-18 years visit the doctor for influenza each year and many receive antibiotics unnecessarily.

For parents to decide whether to vaccinate their children for influenza, they must weigh the likelihood of being infected with influenza, the predicted efficacy of the vaccine, risk of side effects of the vaccine, and the risk of going to the doctor, receiving antibiotics or missing school, or having more serious complications of flu resulting in hospitalization or death.

What About Thimerosal in Vaccines?

Thimerosal (a mercury-containing preservative) has been removed from nearly all pediatric vaccines because of concerns about a possible relationship between mercury and autism. These concerns could be the subject for a 12-volume dissertation so we will leave that for another discussion. It should be noted, however, that the current ACIP recommendations are that all children less than 36 months should receive thimerosal-free vaccine when supplies are adequate. Many pediatricians provide preservative-free vaccine exclusively, even for children older than 3 years. Ask your child’s doctor.


Anonymous said...

Thimerosal has not been removed from flu shots, and for some states flu shots are now mandatory for children under 5. Parents, beware!

Mahmood Sepehri said...

Dear Dr Taraneh Razavi
My Name And Family is Mahmood Sepehri.
My City Is Tehran.My Country Is Iran.
Im a amedical student from Tehran, I really enjoyed your blog.i want to ask you a question but unfortunately i couldn't find your e-mail address?
your e-mail address?
What is your e-mail address?
your Can Write Farsi (Persian)?
Pls send your e-mail address To My E-mail Address.
Pls Write Farsi (Persian) On Your Blog.
Tank You.
Good By.

Mahmood Sepehri said...

سلام خانم دكتر ترانه رضوي
اميد وارم كه بتوانيد اين مطلب فارسي را بخوانيد. البته من مطالبم را به صورت پينگليش نيز مي نويسم. واينگليسي مي نويسم.
كشور من ايران است و شهر من تهران است.
من دانشجوي كامپيوتر در استان تهران هستم.
خيلي خوشحال هستم از اينكه اعضاي ايراني كه در شركت گوگل هستند نيز وب لاگ نويسي را براي ارتباط با ساير افراد انتخاب كردند.
من خيلي خوشحال هستم از اينكه يك فرد ايراني اين وظيفه را در شركت گوگل دارد چرا كه اينجانب ايده هاي را براي شركت گوگل در زمينه پزشكي داشتم.
من داراي رتبه اول اختراع در جشن واره دانشجويان ممتاز مبتكر و نو آور در استان تهران هستم.
اينجانب براي شما در زمينه پزشكي با كامپيوتر و براي شركت گوگل پيشنهادي داشتم كه ميتواند هم موقعيت شما را در گوگل تغيير دهد و باعث بهتر شدن موقعيت شما در گوگل مي شود و هم اينكه پيشنهاداتي نيز براي شركت گوگل داردم كه موقيت گوگل را در جهان بهتر خواهد كرد .
اينجانب نيز داراي اختراعاتي در زمينه هاي گوناگوني هستم كه شركت گوگل در صورتي كه آنها را در سيستم خود اجرا كند باعث تحول خواهد شد.
براي ارتباط با اينجانب مي تونيد از ايميل من استفاده كنيد .
لطفا نامه هاي خود را به صورت پنگليش و يا فارسي بنويسيد.

Darin said...

many parents, usually mothers, really concern about thimerosal, and even I think they are paranoid about thimerosal will lead to autism to their child...
but actually there is no proven data about thimerosal and autism..
and because high society pressure about the use of thimerosal, maybe the government want to remove the use of thimerosal as preservative in vaccine for infant, but I don't know if all vaccine is already free of thimerosal..

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