Review of Influnza Vaccine update 2008 in Children

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2008-11-16
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Samar Musmar
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<p>Each year, flu places a large burden on the health and well-being of children and families. Children commonly need medical care because of influenza, especially before they turn 5 years old. Hospitalization and sometimes death are important complications of flu in children. Severe influenza complications are most common in children younger than 2 years old. Children with chronic health problems like asthma and diabetes are at especially high risk of developing serious flu complications. Vaccination is the best method for preventing flu and its potentially severe complications in children.CDC recommends that all children aged 6 months up to their 19th birthday get a fluvaccine.CDC also recommends that people in contact with certain groups of children get a flu vaccine in order to protect the child (or children) in their lives from the flu. Examples of contacts are close contacts of children younger than 5 years old, out-of-home caregivers(nannies, daycare providers, etc.) of children younger than 5 years ,People who live with or have other close contact with a child or children of any age with a chronic health problem (asthma, diabetes, etc.),in addition, CDC recommends that all health care workers be vaccinated each year to keep from spreading the flu to their patients. Yearly flu vaccination should begin in September or as soon as vaccine is available and continue throughout the flu season, into December, January, and beyond. While influenza outbreaks can happenas early as October, most of the time flu activity peaks in January or later.29 First International Faculty of Medicine Conference 2008Children and adolescents at high risk for influenza complications continue to be a focus of vaccination efforts . Children and adolescents at higher risk for influenza complication are those: aged 6months–4 years; who have chronic pulmonary (including asthma), cardiovascular (except hypertension),renal, hepatic, hematological or metabolic disorders (including diabetes mellitus); who areimmunosuppressed (including immunosuppressant caused by medications or by human immunodeficiency virus); who have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration; who are receiving longtermaspirin therapy who therefore might be at risk for experiencing Reye syndrome after influenza virus infection; who are residents of chronic-care facilities; and, who will be pregnant during the influenza season. Children less than nine years of age being vaccinated for the first time should received two doses of influenza vaccine, spaced at least 4 weeks apart in the initial year. For inactivated (inject able) vaccine, the dose for children aged 6--35 months is 0.25 cc, and the dose for children aged 36 months--9 years is0.5cc.Updates on live vaccine use and antiviral drug use in children will be also reviewed</p>
<p>Each year, flu places a large burden on the health and well-being of children and families. Children commonly need medical care because of influenza, especially before they turn 5 years old. Hospitalization and sometimes death are important complications of flu in children. Severe influenza complications are most common in children younger than 2 years old. Children with chronic health problems like asthma and diabetes are at especially high risk of developing serious flu complications. Vaccination is the best method for preventing flu and its potentially severe complications in children.CDC recommends that all children aged 6 months up to their 19th birthday get a fluvaccine.CDC also recommends that people in contact with certain groups of children get a flu vaccine in order to protect the child (or children) in their lives from the flu. Examples of contacts are close contacts of children younger than 5 years old, out-of-home caregivers(nannies, daycare providers, etc.) of children younger than 5 years ,People who live with or have other close contact with a child or children of any age with a chronic health problem (asthma, diabetes, etc.),in addition, CDC recommends that all health care workers be vaccinated each year to keep from spreading the flu to their patients. Yearly flu vaccination should begin in September or as soon as vaccine is available and continue throughout the flu season, into December, January, and beyond. While influenza outbreaks can happenas early as October, most of the time flu activity peaks in January or later.29 First International Faculty of Medicine Conference 2008Children and adolescents at high risk for influenza complications continue to be a focus of vaccination efforts . Children and adolescents at higher risk for influenza complication are those: aged 6months–4 years; who have chronic pulmonary (including asthma), cardiovascular (except hypertension),renal, hepatic, hematological or metabolic disorders (including diabetes mellitus); who areimmunosuppressed (including immunosuppressant caused by medications or by human immunodeficiency virus); who have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration; who are receiving longtermaspirin therapy who therefore might be at risk for experiencing Reye syndrome after influenza virus infection; who are residents of chronic-care facilities; and, who will be pregnant during the influenza season. Children less than nine years of age being vaccinated for the first time should received two doses of influenza vaccine, spaced at least 4 weeks apart in the initial year. For inactivated (inject able) vaccine, the dose for children aged 6--35 months is 0.25 cc, and the dose for children aged 36 months--9 years is0.5cc.Updates on live vaccine use and antiviral drug use in children will be also reviewed</p>
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