January 1, 2008

CDC Releases Updated Immunization Schedule

Expanded recommendations for nasal spray influenza and meningococcal vaccines have been released in the 2008 Childhood and Adolescent Immunization Schedules from the Centers for Disease Control and Prevention (CDC).

The updated schedule approves the use of live attenuated influenza vaccine for children as young as 2 years old who do not have a history of asthma or wheezing. The previous recommendations limited its use to children at least five years old. 

Those who should receive the meningococcal conjugate vaccine include children and adolescents 11 years old and older, college freshmen who live in dorms, and military recruits. Children between 2 and 10 years of age with terminal complement deficiencies,  anatomic or functional asplenia or other high-risk conditions also should receive the meningococcal conjugate vaccine. CDC modified its earlier recommendations, which called for immunizing children 11 to 12 years of age, adolescents entering high school, and others at high risk.

CDC also recommends administering pneumococcal conjugate vaccine (PCV4) to healthy children 24 to 59 months of age. Children with underlying medical conditions should receive the pneumococcal polysaccharide vaccine (PPV).

The updated immunization schedule is available online.

ACIP recommended these updates at its October 2007 meeting. For more from that meeting, see the November issue of IDSA News.

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