GDS2008
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What are the indications for influenza vaccine??
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| sunny2
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GDS2008 - I have this article on my desk hope this helps :
The Advisory Committee on Immunization Practices (ACIP) updated their guidelines for antiviral treatment and vaccination for influenza for the 2006 season, and published them in the June 28'2006 issue of the Morbidity and Mortality Weekly Report.
The new guidelines update the 2005 ACIP recommendations regarding the use of influenza vaccine and antiviral agents. Based on new and updated information, the 2006 recommendations contain several changes, including:
Children aged 24 to 59 months and their household contacts and out-of-home caregivers should be vaccinated against influenza.
Children aged 6 months to younger than 9 years who were unvaccinated previously should receive 2 doses of influenza vaccine.
Annual influenza vaccination is now recommended for persons at high risk for influenza-related complications and severe disease, including children aged 6 to 59 months, pregnant women, those older than 50 years, those of any age with certain chronic medical conditions; and those who live with or care for persons at high risk, including household contacts who have frequent contact with persons at high risk and who can transmit influenza to those persons at high risk, and healthcare workers.
Vaccination with inactivated influenza vaccine is recommended for the following groups at increased risk for severe complications from influenza:
Children aged 6 to 23 months;
Children and adolescents, aged 6 months to 18 years, who are receiving long-term aspirin therapy and might therefore be at risk for Reye syndrome after influenza virus infection;
Women who will be pregnant during the influenza season;
Adults and children with chronic pulmonary or cardiovascular disorders, including asthma but not hypertension;
Adults and children who have required regular medical follow-up or hospitalization during the preceding year because of chronic metabolic diseases, including diabetes mellitus, renal dysfunction, hemoglobinopathies, or immunodeficiency, (including immunodeficiency caused by medications or by HIV);
Adults and children with any condition that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration, including cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders;
Residents of nursing homes and other chronic-care facilities for persons of any age who have chronic medical conditions; and
Persons aged older than 65 years.
Vaccination with inactivated influenza vaccine is also recommended for children aged 24 to 59 months and persons aged 50 to 64 years at increased risk for influenza-associated clinic, emergency department, or hospital visits, particularly if they have a high-risk medical condition
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| achilles
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thats very good info sunny. thanks. just saw this after i posted my own little info on the same topic.
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| GDS2008
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Sunny2 thanks for the info -- there is one question however. At the top it says that annual influenza vaccine is recommended for those older than 50 years of age, but later you say that it should be given to persons older than 65 years of age. I may not be understaning this well, but I also used to think that influenza is recomm for those greater than 50 years of age. However, reading an explanation on USMLE world yesterday i found out that the recommended cut off is 65. I checked this on Harrisons and CMDT (online versions) and they also say that the cut off is 65. I am pretty confused here..........
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| sunny2
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GDS2008 , it's good you brought this topic up, after getting your response i sent an enquiry and am copy-pasting the reply, it appears that as per new guidelines the recommendation is for 50 years and up.
I would go with this information, what do you think !!
I hope this helps , post your suggestion:
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Doctor, please find attached herewith the information you asked:
Recommendations and Reports
July 28, 2006 / 55(RR10);1-42
Prevention and Control of Influenza
Recommendations of the Advisory Committee on Immunization Practices (ACIP)
Influenza vaccination is the primary method for preventing influenza and its severe complications. As indicated in this report from the Advisory Committee on Immunization Practices (ACIP), annual influenza vaccination is now recommended for the following groups (Box):
persons at high risk for influenza-related complications and severe disease, including
--- children aged 6--59 months,
--- pregnant women,
--- persons aged >50 years,
--- persons of any age with certain chronic medical conditions; and
persons who live with or care for persons at high risk, including
--- household contacts who have frequent contact with persons at high risk and who can transmit influenza to those persons at high risk and
--- health-care workers.
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| achilles
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i remember reading somewhere that they had raised the age to 65 in 2004 due to shortage of vaccines. maybe now its 50 again as it was before. thanks sunny. thats impressive work.
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| sunny2
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Thanks Achilles, that is how we all learn , we might think that we know somethingh but that should never prevent us from entering into discussions and arguments as there is so much more to learn allways all the time and you never know when the new pearl of information is coming your way from an unknown source at an unexpected time of which you had no idea previously.....ohhhh getting philosophical....sorry 
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| GDS2008
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Thank you so much guys for the input -- appreciate it
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| study_ing
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VOW!
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| achilles
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that's right sunny...thats how we all learn...and that's the attitude we all should have
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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