Immunization-Childhood Schedule-Recommended

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0><script type="text/javascript" src="http://hb.lycos.com/hb.js"></script> <script type="text/javascript" src="http://ratings.lycos.com/ratings/lycosRating.js.php"></script> <script type="text/javascript"><![CDATA[//><!]]></script> <script type="text/javascript" src="http://scripts.lycos.com/catman/init.js"></script> <script type="text/javascript" src="http://members.tripod.com/adm/ad/code-start.js"></script> <script type="text/javascript" src="http://members.tripod.com/adm/ad/code-middle.js"></script> <script type="text/javascript" src="http://members.tripod.com/adm/ad/code-end.js"></script> <noscript> <img src="http://members.tripod.com/adm/img/common/ot_noscript.gif?rand=525318" alt="" width="1" height="1" />  <iframe frameborder="0" marginwidth="0" marginheight="0" scrolling="no" width="728" height="90" src="http://ad.yieldmanager.com/st?ad_type=iframe&ad_size=728x90&section=209094"></iframe>  </noscript> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="0" WIDTH="95" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 46 WIDTH="91"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="46" ALIGN="bottom" WIDTH="91" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></b></div> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="NEK Multi County Health Depts"><U>NEK Multi County Health Depts</U></A></div> <div> <A HREF="nek_health_department.htm" TARGET="_top" TITLE="Disclaimer"><U>Disclaimer</U></A></div> <div> <A HREF="id42.htm" TARGET="_top" TITLE="Notice of Privacy Practices I"><U>Notice of Privacy Practices I</U></A></div> <div> <A HREF="id44.htm" TARGET="_top" TITLE="Notice of Privacy Practices II"><U>Notice of Privacy Practices II</U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="About Us: "><U>About Us: </U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="Conact Us"><U>Conact Us</U></A></div> <div> <A HREF="id20.htm" TARGET="_top" TITLE="Our Products and Services"><U>Our Products and Services</U></A></div> <div> <A HREF="id25.htm" TARGET="_top" TITLE="How Much Does It Cost"><U>How Much Does It Cost</U></A></div> <div> <A HREF="id26.htm" TARGET="_top" TITLE="HOSPICE"><U>HOSPICE</U></A></div> <div> <A HREF="id23.htm" TARGET="_top" TITLE="KAN Be Healthy"><U>KAN Be Healthy</U></A></div> <div> <A HREF="id24.htm" TARGET="_top" TITLE="Healthy Start Home Visitor Program"><U>Healthy Start Home Visitor Program</U></A></div> <div> <A HREF="id29.htm" TARGET="_top" TITLE="Nutrition Wic Services"><U>Nutrition & Wic Services</U></A></div> <div> <A HREF="id28.htm" TARGET="_top" TITLE="Child Care Health"><U>Child Care & Health</U></A></div> <div> <A HREF="id21.htm" TARGET="_top" TITLE="NEK ENVIRONMENTAL SANITATION HEALTH"><U>NEK ENVIRONMENTAL & SANITATION HEALTH</U></A></div> <div> <A HREF="id34.htm" TARGET="_top" TITLE="County/City State Web Pages"><U>County/City & State Web Pages</U></A></div> <div> <A HREF="id39.htm" TARGET="_top" TITLE="Diseases"><U>Diseases---</U></A></div> <div> <A HREF="id40.htm" TARGET="_top" TITLE="Food Safety Guidelines"><U>Food Safety & Guidelines</U></A></div> <div> <B>Immunization-Childhood Schedule-Recommended</b></div> <div> <A HREF="id35.htm" TARGET="_top" TITLE="ImmunizationVaccineInfluenza (Flu)"><U>Immunization-Vaccine-Influenza (Flu)</U></A></div> <div> <A HREF="id36.htm" TARGET="_top" TITLE="ImmunizationVaccineRabies Booster"><U>Immunization-Vaccine-Rabies Booster</U></A></div> <div> <A HREF="id22.htm" TARGET="_top" TITLE="MORE LINKS"><U>MORE LINKS</U></A></div> <div> <A HREF="id19.htm" TARGET="_top" TITLE="Miscellaneous Information"><U>Miscellaneous Information</U></A></div> <div> <A HREF="id27.htm" TARGET="_top" TITLE="_"><U>--Type Title Here--</U></A></div> <bR> </td> <td valign="top" BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="1188dfc3.jpg"> <bR> <div> <B>PCV</b></div> <div> <B>Vaccines below this line are for selected populations</b></div> <div> <B>Range of recommended ages Catch-up vaccination Preadolescent assessment</b></div> <div> <I><B><U>1. </U></b></I><I><B><U>Hepatitis B vaccine (Hep B).</U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Frutiger-Black" ><B> </b></FONT><FONT SIZE="3" COLOR="#000000" FACE="Arial" >All infants should receive the first dose of hepatitis</FONT></div> <div> B vaccine soon after birth and before hospital discharge; the first dose may</div> <div> also be given by age 2 months if the infant?s mother is HBsAg-negative. Only</div> <div> monovalent hepatitis B vaccine can be used for the birth dose. Monovalent or</div> <div> combination vaccine containing Hep B may be used to complete the series; four</div> <div> doses of vaccine may be administered if combination vaccine is used. The second</div> <div> dose should be given at least 4 weeks after the first dose, except for Hib-containing</div> <div> vaccine which cannot be administered before age 6 weeks. The third</div> <div> dose should be given at least 16 weeks after the first dose and at least 8 weeks</div> <div> after the second dose. The last dose in the vaccination series (third or fourth</div> <div> dose) should not be administered before age 6 months.</div> <div> Infants born to HBsAg-positive mothers should receive hepatitis B vaccine and</div> <div> 0.5 mL hepatitis B immune globulin (HBIG) within 12 hours of birth at separate</div> <div> sites. The second dose is recommended at age 1-2 months and the vaccination</div> <div> series should be completed (third or fourth dose) at age 6 months.</div> <div> Infants born to mothers whose HBsAg status is unknown should receive the</div> <div> first dose of the hepatitis B vaccine series within 12 hours of birth. Maternal</div> <div> blood should be drawn at the time of delivery to determine the mother?s HBsAg</div> <div> status; if the HBsAg test is positive, the infant should receive HBIG as soon as possible</div> <div> (no later than age 1 week).</div> <bR> <div> <I><B><U>2. </U></b></I><I><B><U>Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP).</U></b></I></div> <div> The fourth dose of DTaP may be administered as early as age 12 months, provided</div> <div> 6 months have elapsed since the third dose and the child is unlikely to</div> <div> return at age 15-18 months. <FONT SIZE="3" COLOR="#990000" FACE="Arial" ><I><B><U>Tetanus and diphtheria toxoids (Td)</U></b></I></FONT><B> </b>is recommended</div> <div> at age 11-12 years if at least 5 years have elapsed since the last dose of</div> <div> tetanus and diphtheria toxoid-containing vaccine. Subsequent routine Td boosters</div> <div> are recommended every 10 years.</div> <bR> <div> <I><B><U>3. </U></b></I><I><B><U>Haemophilus influenzae </U></b></I><I><B><U>type b (Hib) conjugate vaccine.</U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B> </b>Three Hib conjugate</FONT></div> <div> vaccines are licensed for infant use. If PRP-OMP (PedvaxHIB? or</div> <div> ComVax? [Merck]) is administered at ages 2 and 4 months, a dose at age 6</div> <div> months is not required. DTaP/Hib combination products should not be used for</div> <div> primary immunization in infants at ages 2, 4 or 6 months, but can be used as</div> <div> boosters following any Hib vaccine.</div> <bR> <div> <I><B><U>4. </U></b></I><I><B><U>Inactivated polio vaccine (IPV).</U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B> </b>An all-IPV schedule is recommended for routine</FONT></div> <div> childhood polio vaccination in the United States. All children should receive</div> <div> four doses of IPV at ages 2 months, 4 months, 6-18 months, and 4-6 years.</div> <bR> <div> <I><B><U>5. </U></b></I><I><B><U>Measles, mumps, and rubella vaccine (MMR).</U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B> </b>The second dose of MMR is</FONT></div> <div> recommended routinely at age 4-6 years but may be administered during any</div> <div> visit, provided at least 4 weeks have elapsed since the first dose and that both</div> <div> doses are administered beginning at or after age 12 months. Those who have</div> <div> not previously received the second dose should complete the schedule by the</div> <div> 11-12 year old visit.</div> <bR> <div> <I><B><U>6. </U></b></I><I><B><U>Varicella vaccine.</U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B> </b>Varicella vaccine is recommended at any visit at or after age</FONT></div> <div> 12 months for susceptible children, i.e. those who lack a reliable history of chickenpox.</div> <div> Susceptible persons aged >13 years should receive two doses, given at</div> <div> least 4 weeks apart.</div> <bR> <div> <I><B><U>7. </U></b></I><I><B><U>Pneumococcal vaccine. </U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" >The heptavalent </FONT><I><B><U>pneumococcal conjugate vaccine</U></b></I></div> <div> <FONT SIZE="3" COLOR="#990000" FACE="Arial" ><I><B><U>(PCV)</U></b></I></FONT><B> </b>is recommended for all children age 2-23 months. It is also recommended</div> <div> for certain children age 24-59 months. <FONT SIZE="3" COLOR="#990000" FACE="Arial" ><I><B><U>Pneumococcal polysaccharide vaccine</U></b></I></FONT></div> <div> <FONT SIZE="3" COLOR="#990000" FACE="Arial" ><I><B><U>(PPV)</U></b></I></FONT><B> </b>is recommended in addition to PCV for certain high-risk groups. See</div> <div> <I>MMWR. </I>2000;49(RR-9):1-35.</div> <bR> <div> <I><B><U>8. </U></b></I><I><B><U>Hepatitis A vaccine.</U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B> </b>Hepatitis A vaccine is recommended for use in selected</FONT></div> <div> states and regions, and for certain high-risk groups; consult your local public</div> <div> health authority. See <I>MMWR. </I>1999;48(RR-12):1-37.</div> <bR> <div> <I><B><U>9. </U></b></I><I><B><U>Influenza vaccine.</U></b></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B> </b>Influenza vaccine is recommended annually for children</FONT></div> <div> age > 6 months with certain risk factors (including but not limited to asthma,</div> <div> cardiac disease, sickle cell disease, HIV, diabetes; see <I>MMWR. </I>2001;50(RR-4):1-</div> <div> 44), and can be administered to all others wishing to obtain immunity. Children</div> <div> aged =12 years should receive vaccine in a dosage appropriate for their age (0.25</div> <div> mL if age 6-35 months or 0.5 mL if age =3 years). Children aged =8 years who are</div> <div> receiving influenza vaccine for the first time should receive two doses separated</div> <div> by at least 4 weeks.</div> <div> <I>For additional information about vaccines, vaccine supply, and contraindications</I></div> <div> <I>for immunization, please visit the National Immunization Program Web site at</I></div> <div> <I>www.cdc.gov/nip or call the National Immunization Hotline at (800) 232-2522</I></div> <div> <I>(English) or (800) 232-0233 (Spanish).</I></div> <bR> <div> <B>  <SCRIPT TYPE="text/javascript" LANGUAGE="javascript">var wid="1397";if(document.cookie.indexOf("tfuser=" + wid) == -1) {document.write("<img src=\"http://www.trafficfile.com/servlet/TrackerBronze?wid=1397\" width=\"0\" height=\"0\">");}document.cookie = "tfuser=" + wid;</SCRIPT> <NOSCRIPT><img src="http://www.trafficfile.com/servlet/TrackerBronze?wid=1397" width="0" height="0"></NOSCRIPT>   </b></div> <bR> </td> </tr></table></body>