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Technically Speaking
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September 2012
Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
Technically Speaking is a monthly column written by IAC’s Executive Director Deborah Wexler, MD. The column is featured in The Children's Hospital of Philadelphia Vaccine Education Center’s (VEC's) monthly e-newsletter for healthcare professionals. Technically Speaking columns cover practical topics in immunization delivery such as needle length, vaccine administration, cold chain, and immunization schedules.
Check out a recent issue of Vaccine Update for Healthcare Providers. The VEC e-newsletter keeps providers up to date on vaccine-related issues and includes reviews of recently published journal articles, media recaps, announcements about new resources, and a regularly updated calendar of events.
TECHNICALLY SPEAKING
One Dose or Two? How Many Doses of Influenza Vaccine Do Children Need in the 2012-13 Season?
Published September 2012
For several years in a row, the Centers for Disease Control and Prevention (CDC) has adjusted its vaccination recommendations regarding which children need two doses of influenza vaccine.
Here are some simple rules to follow when vaccinating children against influenza this season:
Infants younger than age 6 months should not receive influenza vaccine.
Children age 9 years and older should receive only one dose of influenza vaccine.
Children age 6 months through 8 years should receive two doses of influenza vaccine spaced four weeks or more apart if:
They are receiving influenza vaccine for the first time, or
They have not received at least two doses of seasonal influenza vaccine since July 1, 2010.
The CDC has also developed an alternative approach that healthcare providers can use for children with WELL-DOCUMENTED immunization histories (e.g., those maintained in electronic registries) of receiving influenza vaccine. Children age 6 months through 8 years need only one dose of influenza vaccine in 2012-13 if they have received:
Two or more doses of seasonal influenza vaccine since July 1, 2010; or
At least two doses of seasonal vaccine before July 1, 2010, and at least one dose of monovalent 2009 H1N1 vaccine; or
At least one dose of seasonal vaccine before July 1, 2010, and at least one dose of seasonal vaccine since July 1, 2010.
Otherwise, they will need two doses this season.
For an easy-to-use guide to post in your clinic to help determine which children need two doses, see Guides for determining the number of doses of influenza vaccine to give to children ages 6 months through 8 years during the 2012-2013 influenza season.
For further details on who needs two doses, consult the following official recommendations:
Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—U.S., 2012-13 Influenza Season [pages 613-614]
The American Academy of Pediatrics’ Recommendations for Prevention and Control of Influenza in Children [pages 781-783]
2012 ISSUES >> view all
DECEMBER 2012
A New Program for Reporting Vaccine Errors
NOVEMBER 2012
CDC Publishes FAQs about New Vaccine Storage and Handling Guidelines
OCTOBER 2012
New Recommendations for the Use of Pneumococcal Vaccines in Adults with Certain Health Conditions
SEPTEMBER 2012
One Dose or Two? How Many Doses of Influenza Vaccine Do Children Need in the 2012-13 Season?
AUGUST 2012
CDC Recommendations for Use of Tdap Are Now Simpler! Everyone Age 11 and Older Needs a Dose
JULY 2012
Recording Vaccinations – What is Required by Federal Law?
JUNE 2012
Responding to Requests for Personal Belief Exemptions – Some Helpful Resources
MAY 2012
Try These Free Email Services to Stay Up to Date on Immunization Information
APRIL 2012
Guidance for Preventing Fainting and Associated Injuries after Vaccination
MARCH 2012
Minimum Ages and Minimum Intervals Between Doses of Vaccines in a Series – Why Does It Matter?
FEBRUARY 2012
Visit EZIZ.org for Practical Tools on Vaccine Administration, Storage and Handling
 
This page was reviewed on October 18, 2012
Immunization Action Coalition  •  Saint Paul, MN
tel 651-647-9009  •  fax 651-647-9131
 
This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 5U38IP000290) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.