The American Academy of Pediatrics (AAP), in response to this development, has updated its recommendation for influenza vaccine.
Recommendations for Prevention and Control of Influenza in Children, 2010-2011
- Children younger than 6 months are too young to receive influenza vaccine.
- Only 1 dose is needed for children at least 9 years old.
- Children younger than 9 years require at least 2 doses of 2009 pandemic H1N1 vaccine. They will need 2 doses of seasonal influenza vaccine this year if they did not receive the H1N1 vaccine during last year's influenza season.
- Children younger than 9 years who have never before received the seasonal influenza vaccine will require 2 doses.
- Children younger than 9 years who received seasonal influenza vaccine before the 2009-2010 influenza season need only 1 dose this year if they received at least 1 dose of the H1N1 vaccine last year, but they need 2 doses this year if they did not receive at least 1 dose of the H1N1 vaccine last year.
- Children younger than 9 years who received seasonal influenza vaccine for the first time last year, but who only received 1 dose, require 2 doses this year.
- For children younger than 9 years who received influenza vaccine last year, but for whom it cannot be determined whether it was a seasonal influenza vaccine or the H1N1 influenza vaccine, 2 doses are recommended this year.
- For all children who require 2 doses, the second dose should be administered at least 4 weeks after the first dose.
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