Flu Vaccination
Flu Vaccination
By Jack S.C. Fong, MD, FAAP
(Editorâs Note: The physicians of the Pediatric Department at Danbury Hospital are bringingeaders of The Bee a weekly column dedicated to the health of children, from birth to adolescence, from infancy to puberty, from crawling to rock climbing. In addition to the columns presented by the physicians, readers are encouraged to send their questions to the Editor, to be answered by the contributing pediatricians.)
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The flu season is about to begin. There has been a great deal of publicity regarding the need for senior citizens to have the vaccination as an effective means to protect them from acquiring the infection. However, children need to have the flu vaccination too. For children, the flu vaccine is recommended not as a requirement for school attendance but for specific medical indications.
The Center for Disease Control and Prevention (CDC) hails vaccination as one of the âten great public health achievementsâ in the United States in this century. The practice of vaccination has resulted in the eradication of smallpox from the world, elimination of polio in the Americas and control of measles, rubella, tetanus, diphtheria, Haemophilus influenzae type b and other infectious diseases in the United States. However, millions die every year in other countries from vaccine-preventable infections. Vaccination is what keeps us in good health from being stricken with these infections. From time to time, adverse side effects of vaccination are emphasized to such an inflated proportion that we may hesitate to vaccinate our children. We must remember that infectious agents do not observe national boundaries. We may place ourselves in harms way for these infections when we travel abroad or when these microbes are brought in by humans, animals, insects, plants and other vectors.
It is important to note that immunizing children against the flu requires a different schedule from that used for adults. Children age eight years old or younger who are receiving flu vaccination for the first time require two vaccinations at least one month apart. Thus for these young children the protection of the flu vaccination demands more than one month before it becomes effective. Therefore it is a good idea to start flu vaccination for children early in the flu season.
Flu vaccination for children is recommended for those who would be significantly compromised if they acquired the flu infection. Asthma, cystic fibrosis, history of pneumonia and other chronic conditions involving the respiratory tract are conditions in children that merit the protection of flu vaccination. Flu vaccination is also recommended for children with one or more of the following risk factors: special health care needs (such as cerebral palsy, neurotube defect, neurologic illness and muscular dystrophy); chronic heart conditions; chemotherapy; sickle-cell and other chronic blood disease; immunodeficiency virus infection; diabetes; chronic kidney illness; chronic metabolic disease; long-term aspirin intake; close contact facilities such as residential or custodial institutional setting and planned foreign travel to endemic areas. Children may also be vaccinated at the request of their parents or for the protection of other high-risk household members.
As you plan to have your children vaccinated against flu infection which can be severe, you may also consider your own vaccination needs. It is also time to address the immunization needs of your own parents and other loved ones.
Jack S.C. Fong, MD, FAAP, is chairman of the Department of Pediatrics at Danbury Hospital
