Maternal Child

Maternal Child Health ‹ Child Health Notes ‹ September 12

IHS Child Health Notes

"It doesn’t matter if the cat is black or white as long as it catches mice."

- Deng Hsaio P’ing 1904-1997

This is a page for sharing "what works" as seen in the published literature as well as what is done at sites that care for American Indian/Alaskan Native children. If you have any suggestions, comments or questions please contact Steve Holve, MD, Chief Clinical Consultant in Pediatrics at steve.holve@tchealth.org

September 2012

Articles of Interest

Quote of the month

“I think we consider too much the good luck of the early bird and not enough the bad luck of the early worm.”
Franklin Delano Roosevelt

Articles of Interest

Recommendations for Prevention and Control of Influenza in Children, 2012-2013
Policy Statement of the AAP Committee on Infectious Diseases
http://www.aap.org/en-us/my-aap/advocacy/Documents/Flu-Policy-13-2012.pdf

This statement updates recommendations for routine use of trivalent seasonal influenza vaccine and antiviral medications for the prevention and treatment of influenza in children. The key points for the upcoming 2012- 2013 season are:

(1) This year’s trivalent influenza vaccination contains A/California/7/2009 (H1N1)–like antigen (derived from influenza A [H1N1] pdm09 [pH1N1] virus); A/Victoria/361/2011 (H3N2)-like antigen; and B/Wisconsin/1/2010-like antigen; the influenza A (H3N2) and B antigens differ from those contained in the 2010-2011 and 2011- 2012 seasonal vaccines;

(2) The American Academy of Pediatrics (AAP) recommends annual trivalent seasonal influenza immunization for all people, including all children and adolescents, 6 months of age and older during the 2012–2013 influenza season. In addition, special efforts should be made to vaccinate people in the following groups:

All children, including infants born preterm, who are 6 months of age and older with conditions that increase the risk of complications from influenza (e.g., children with chronic medical conditions, such as asthma, diabetes mellitus, immunosuppression, or neurological disorders)
All household contacts and out-of-home care providers of children with high-risk conditions; and children younger than 5 years, especially infants younger than 6 months
All health care personnel
All women who are pregnant, are considering pregnancy, have just delivered, or are breastfeeding during the influenza season.

(3) An updated dosing algorithm for administration of influenza vaccine to children 6 months through 8 years of age has been created and can be viewed on page 42 of the document. If the child is known to have had two or more flu vaccinations since 2010 then he/she only needs one influenza vaccination in the 2012-2013 season. If the child has had less than two flu vaccinations or flu vaccination status is unknown then he/she should receive two flu immunizations in the 2012-2013 flu season.

Editorial Comment

This is an excellent summary article. The algorithm for children ages 6 months – 8 years is simple and helpful and should be posted in all clinics that do immunizations.

Return to top of page


HOME Maternal Child Maternal Child Home Breastfeeding Family Planning Child Health Notes Pregnancy Women's Health Notes Female Health Systems FHS Home Page Access to Care ACOG Clinical Highlights Advanced Practice Nurses & PA(s) Conferences Cultural Appropriateness Discussion Groups Evidence Based Practice Forms Helpful Links Job Opportunities Meeting Lecture Notes Newsletters and Journals Patient Education Primary Care Discussion Forum Programs, Databases and Resources Training Women's Health Guidelines Women's Health Women's Health Home Page Cancer Cardiovascular Disease Diabetes Mature Women Mental Health Sexually Transmitted Infections Substance Abuse Violence Against Native Women VANW Home Page Clinical Tools Community Action Legislative Action Other Links Patient Education Policies and Procedures Provider Education Public Health Resources Sexual Assault
Site Map What's New FAQs UpToDate Nurse Midwives MCH Coordinators Other Areas of Interest: Maternal Child Topics Maternal Child Home Breastfeeding Family Planning Child Health Notes Pregnancy Women's Health Guidelines Women's Health Notes Contact Us MCH Website Administrator	Maternal Child
	Maternal Child Health ‹ Child Health Notes ‹ September 12 IHS Child Health Notes "It doesn’t matter if the cat is black or white as long as it catches mice." - Deng Hsaio P’ing 1904-1997 This is a page for sharing "what works" as seen in the published literature as well as what is done at sites that care for American Indian/Alaskan Native children. If you have any suggestions, comments or questions please contact Steve Holve, MD, Chief Clinical Consultant in Pediatrics at steve.holve@tchealth.org September 2012 Articles of Interest Quote of the month “I think we consider too much the good luck of the early bird and not enough the bad luck of the early worm.” Franklin Delano Roosevelt Articles of Interest Recommendations for Prevention and Control of Influenza in Children, 2012-2013 Policy Statement of the AAP Committee on Infectious Diseases http://www.aap.org/en-us/my-aap/advocacy/Documents/Flu-Policy-13-2012.pdf This statement updates recommendations for routine use of trivalent seasonal influenza vaccine and antiviral medications for the prevention and treatment of influenza in children. The key points for the upcoming 2012- 2013 season are: (1) This year’s trivalent influenza vaccination contains A/California/7/2009 (H1N1)–like antigen (derived from influenza A [H1N1] pdm09 [pH1N1] virus); A/Victoria/361/2011 (H3N2)-like antigen; and B/Wisconsin/1/2010-like antigen; the influenza A (H3N2) and B antigens differ from those contained in the 2010-2011 and 2011- 2012 seasonal vaccines; (2) The American Academy of Pediatrics (AAP) recommends annual trivalent seasonal influenza immunization for all people, including all children and adolescents, 6 months of age and older during the 2012–2013 influenza season. In addition, special efforts should be made to vaccinate people in the following groups: All children, including infants born preterm, who are 6 months of age and older with conditions that increase the risk of complications from influenza (e.g., children with chronic medical conditions, such as asthma, diabetes mellitus, immunosuppression, or neurological disorders) All household contacts and out-of-home care providers of children with high-risk conditions; and children younger than 5 years, especially infants younger than 6 months All health care personnel All women who are pregnant, are considering pregnancy, have just delivered, or are breastfeeding during the influenza season. (3) An updated dosing algorithm for administration of influenza vaccine to children 6 months through 8 years of age has been created and can be viewed on page 42 of the document. If the child is known to have had two or more flu vaccinations since 2010 then he/she only needs one influenza vaccination in the 2012-2013 season. If the child has had less than two flu vaccinations or flu vaccination status is unknown then he/she should receive two flu immunizations in the 2012-2013 flu season. Editorial Comment This is an excellent summary article. The algorithm for children ages 6 months – 8 years is simple and helpful and should be posted in all clinics that do immunizations. Return to top of page