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Published online December 29, 2008

PEDIATRICS Vol. 123 No. 1 January 2009, pp.

189-190 (doi:10.1542/peds.2008-3306)

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POLICY STATEMENT

Recommended Childhood and Adolescent Immunization Schedules—United States, 2009

Committee on Infectious Diseases

The 2009 recommended childhood and adolescent

immunization schedules have been approved by the

American Academy of Pediatrics, the Advisory

Committee on Immunization Practices of the

Centers for Disease Control and Prevention, and

the American Academy of Family Physicians. There

are 3 schedules: 1 for children 0 through 6 years

of age, 1 for people 7 through 18 years of age,

and a catch-up immunization schedule for children

and adolescents who start late or fall behind.

These schedules reflect current recommendations

for use of vaccines licensed by the US Food and

Drug Administration and include the following changes from last year:

* Influenza vaccine now is recommended for

annual administration to children 6 months

through 18 years of age. Influenza vaccine also

is recommended for all eligible close contacts of

children 0 through 4 years (ie, through 59

months) of age and contacts of children 5 through

18 years of age who have an underlying medical

condition that predisposes them to influenza complications.

* A second oral rotavirus vaccine has been

licensed by the US Food and Drug Administration.

The dosing schedules for the 2 licensed rotavirus

vaccines have been harmonized. The first dose of

either vaccine should be administered at 6 weeks

through 14 weeks 6 days of age. Immunization

should not be initiated for infants 15 weeks 0

days of age or older. The final dose should be

administered by 8 months 0 days of age

(<http://www.cdc.gov/vaccines/recs/provisional/downloads/roto-7-1-08-508.pdf>www\

..cdc.gov/vaccines/recs/provisional/downloads/roto-7-1-08-508.pdf).

* Most of the footnotes for the individual

vaccines have been revised to provide additional

information and to clarify recommendations provided in the schedules.

Clinically significant adverse events that follow

immunization should be reported to the Vaccine

Adverse Event Reporting System (VAERS). Guidance

about how to obtain and complete a VAERS form can

be obtained on the Internet at

<http://www.vaers.hhs.gov/>www.vaers.hhs.gov or

by calling 800-822-7967. Statements from the

Advisory Committee on Immunization Practices with

details of recommendations for individual

vaccines, including recommendations for children

with high-risk conditions, are available at

<http://www.cdc.gov/vaccines/pubs/ACIP-list.htm>www.cdc.gov/vaccines/pubs/ACIP-l\

ist.htm.

Additional information can be found in the Red

Book (28th edition forthcoming in 2009) and at

Red Book Online

(<http://www.aapredbook.org/>www.aapredbook.org).

Information on new vaccine releases, vaccine

supplies, interim recommendations resulting from

vaccine shortages, and statements on specific

vaccines can be found at

<http://www.aapredbook.org/news/vaccstatus.shtml>www.aapredbook.org/news/vaccsta\

tus.shtml

and

<http://www.cdc.gov/vaccines/pubs/ACIP-list.htm>www.cdc.gov/vaccines/pubs/ACIP-l\

ist.htm.

COMMITTEE ON INFECTIOUS DISEASES, 2008–2009

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

COMMITTEE ON INFECTIOUS...

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

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<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

ph A. Bocchini, Jr, MD, Chairperson

S. Bradley, MD

T. Brady, MD

Henry H. Bernstein, DO

L. Byington, MD

Penelope H. , MD

Margaret C. Fisher, MD

W. Frenck, Jr, MD

P. Glode, MD

Harry L. Keyserling, MD

W. Kimberlin, MD

Walter A. Orenstein, MD

Lorry G. Rubin, MD

LIAISONS

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diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

ON INFECTIOUS...

LIAISONS

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

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OFFICIO

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

Beth P. Bell, MD

Centers for Disease Control and Prevention

Bortolussi, MD

Canadian Paediatric Society

D. Clover, MD

American Academy of Family Physicians

Marc A. Fischer, MD

Centers for Disease Control and Prevention

L. Gorman, MD

National Institutes of Health

Lucia Lee, MD

Food and Drug Administration

S. Read, MD, MS, MPH, DTM & H

Eunice Kennedy Shriver National Institute of

Child Health and Human Development, National Institutes of Health

Schwartz, MD

National Vaccine Program Office

R. Starke, MD

American Thoracic Society

CONSULTANTS

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diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

ON INFECTIOUS...

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

CONSULTANTS

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4>EX

OFFICIO

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<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

Edgar O. Ledbetter, MD

H. Cody Meissner, MD

EX OFFICIO

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diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

ON INFECTIOUS...

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

EX OFFICIO

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

Larry K. Pickering, MD

Red Book Editor

Carol J. Baker, MD

Red Book Associate Editor

S. Long, MD

Red Book Associate Editor

STAFF

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

ON INFECTIOUS...

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4>EX

OFFICIO

STAFF

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

Hope Hurley, Interim Manager

FOOTNOTES

All policy statements from the American Academy

of Pediatrics automatically expire 5 years after

publication unless reaffirmed, revised, or retired at or before that time.

REFERENCE

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

ON INFECTIOUS...

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

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OFFICIO

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

REFERENCE

* American Academy of Pediatrics, Committee

on Infectious Diseases. Prevention of influenza:

recommendations for influenza immunization of

children, 2008–2009. Pediatrics. 2008;122

(5):1135

–1141<http://pediatrics.aappublications.org/cgi/ijlink?linkType=ABST & journalCode\

=pediatrics & resid=122/5/1135>[Abstract/Free<http://pediatrics.aappublications.or\

g/cgi/ijlink?linkType=ABST & journalCode=pediatrics & resid=122/5/1135>

Full Text]

----------

PEDIATRICS (ISSN 1098-4275).

<http://pediatrics.aappublications.org/misc/terms.shtml>©2009

by the American Academy of Pediatrics

The following policy statement has been revised:

Recommended Immunization Schedules for Children

and Adolescents United States, 2008

Pediatrics 121: 219-220.

<http://pediatrics.aappublications.org/cgi/content/full/121/1/219>[Full Text]

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--------------------------------------------------------

Sheri Nakken, R.N., MA, Hahnemannian Homeopath

Vaccination Information & Choice Network, Nevada City CA & Wales UK

Vaccines -

http://www.wellwithin1.com/vaccine.htm Vaccine

Dangers & Childhood Disease & Homeopathy Email classes start in January 2009

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BS BS BS BS, all BS. Yeesh.

Lori

---- Sheri Nakken <vaccineinfo@...> wrote:

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> Published online December 29, 2008

> PEDIATRICS Vol. 123 No. 1 January 2009, pp.

> 189-190 (doi:10.1542/peds.2008-3306)

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> POLICY STATEMENT

>

>

>

>

> Recommended Childhood and Adolescent Immunization Schedules—United States,

2009

>

> Committee on Infectious Diseases

> The 2009 recommended childhood and adolescent

> immunization schedules have been approved by the

> American Academy of Pediatrics, the Advisory

> Committee on Immunization Practices of the

> Centers for Disease Control and Prevention, and

> the American Academy of Family Physicians. There

> are 3 schedules: 1 for children 0 through 6 years

> of age, 1 for people 7 through 18 years of age,

> and a catch-up immunization schedule for children

> and adolescents who start late or fall behind.

> These schedules reflect current recommendations

> for use of vaccines licensed by the US Food and

> Drug Administration and include the following changes from last year:

> * Influenza vaccine now is recommended for

> annual administration to children 6 months

> through 18 years of age. Influenza vaccine also

> is recommended for all eligible close contacts of

> children 0 through 4 years (ie, through 59

> months) of age and contacts of children 5 through

> 18 years of age who have an underlying medical

> condition that predisposes them to influenza complications.

> * A second oral rotavirus vaccine has been

> licensed by the US Food and Drug Administration.

> The dosing schedules for the 2 licensed rotavirus

> vaccines have been harmonized. The first dose of

> either vaccine should be administered at 6 weeks

> through 14 weeks 6 days of age. Immunization

> should not be initiated for infants 15 weeks 0

> days of age or older. The final dose should be

> administered by 8 months 0 days of age

>

(<http://www.cdc.gov/vaccines/recs/provisional/downloads/roto-7-1-08-508.pdf>www\

..cdc.gov/vaccines/recs/provisional/downloads/roto-7-1-08-508.pdf).

>

> * Most of the footnotes for the individual

> vaccines have been revised to provide additional

> information and to clarify recommendations provided in the schedules.

> Clinically significant adverse events that follow

> immunization should be reported to the Vaccine

> Adverse Event Reporting System (VAERS). Guidance

> about how to obtain and complete a VAERS form can

> be obtained on the Internet at

> <http://www.vaers.hhs.gov/>www.vaers.hhs.gov or

> by calling 800-822-7967. Statements from the

> Advisory Committee on Immunization Practices with

> details of recommendations for individual

> vaccines, including recommendations for children

> with high-risk conditions, are available at

>

<http://www.cdc.gov/vaccines/pubs/ACIP-list.htm>www.cdc.gov/vaccines/pubs/ACIP-l\

ist.htm.

> Additional information can be found in the Red

> Book (28th edition forthcoming in 2009) and at

> Red Book Online

> (<http://www.aapredbook.org/>www.aapredbook.org).

> Information on new vaccine releases, vaccine

> supplies, interim recommendations resulting from

> vaccine shortages, and statements on specific

> vaccines can be found at

>

<http://www.aapredbook.org/news/vaccstatus.shtml>www.aapredbook.org/news/vaccsta\

tus.shtml

> and

>

<http://www.cdc.gov/vaccines/pubs/ACIP-list.htm>www.cdc.gov/vaccines/pubs/ACIP-l\

ist.htm.

>

>

> COMMITTEE ON INFECTIOUS DISEASES, 2008–2009

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

> COMMITTEE ON INFECTIOUS...

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4>EX

> OFFICIO

>

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

>

> ph A. Bocchini, Jr, MD, Chairperson

> S. Bradley, MD

> T. Brady, MD

> Henry H. Bernstein, DO

> L. Byington, MD

> Penelope H. , MD

> Margaret C. Fisher, MD

> W. Frenck, Jr, MD

> P. Glode, MD

> Harry L. Keyserling, MD

> W. Kimberlin, MD

> Walter A. Orenstein, MD

> Lorry G. Rubin, MD

>

> LIAISONS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

> ON INFECTIOUS...

> LIAISONS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4>EX

> OFFICIO

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

>

> Beth P. Bell, MD

> Centers for Disease Control and Prevention

> Bortolussi, MD

> Canadian Paediatric Society

> D. Clover, MD

> American Academy of Family Physicians

> Marc A. Fischer, MD

> Centers for Disease Control and Prevention

> L. Gorman, MD

> National Institutes of Health

> Lucia Lee, MD

> Food and Drug Administration

> S. Read, MD, MS, MPH, DTM & H

> Eunice Kennedy Shriver National Institute of

> Child Health and Human Development, National Institutes of Health

> Schwartz, MD

> National Vaccine Program Office

> R. Starke, MD

> American Thoracic Society

>

> CONSULTANTS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

> ON INFECTIOUS...

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

> CONSULTANTS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4>EX

> OFFICIO

>

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ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

>

> Edgar O. Ledbetter, MD

> H. Cody Meissner, MD

>

> EX OFFICIO

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

> ON INFECTIOUS...

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

> EX OFFICIO

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

>

> Larry K. Pickering, MD

> Red Book Editor

> Carol J. Baker, MD

> Red Book Associate Editor

> S. Long, MD

> Red Book Associate Editor

>

> STAFF

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

> ON INFECTIOUS...

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4>EX

> OFFICIO

> STAFF

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#BIBL>REFERENCE

>

> Hope Hurley, Interim Manager

>

> FOOTNOTES

>

> All policy statements from the American Academy

> of Pediatrics automatically expire 5 years after

> publication unless reaffirmed, revised, or retired at or before that time.

>

> REFERENCE

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#top><http://pe\

diatrics.aappublications.org/cgi/content/full/123/1/189#top>TOP

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC1>COMMITTEE

> ON INFECTIOUS...

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC2>LIAISONS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC3>CONSULTANTS

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC4>EX

> OFFICIO

>

<http://pediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5><http://p\

ediatrics.aappublications.org/cgi/content/full/123/1/189#SEC5>STAFF

> REFERENCE

>

> * American Academy of Pediatrics, Committee

> on Infectious Diseases. Prevention of influenza:

> recommendations for influenza immunization of

> children, 2008–2009. Pediatrics. 2008;122

> (5):1135

>

–1141<http://pediatrics.aappublications.org/cgi/ijlink?linkType=ABST & journalCod\

e=pediatrics & resid=122/5/1135>[Abstract/Free<http://pediatrics.aappublications.o\

rg/cgi/ijlink?linkType=ABST & journalCode=pediatrics & resid=122/5/1135>

> Full Text]

>

> ----------

> PEDIATRICS (ISSN 1098-4275).

> <http://pediatrics.aappublications.org/misc/terms.shtml>©2009

> by the American Academy of Pediatrics

>

> The following policy statement has been revised:

> Recommended Immunization Schedules for Children

> and Adolescents United States, 2008

>

> Pediatrics 121: 219-220.

> <http://pediatrics.aappublications.org/cgi/content/full/121/1/219>[Full Text]

>

>

>

> This Article

>

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>

> --------------------------------------------------------

> Sheri Nakken, R.N., MA, Hahnemannian Homeopath

> Vaccination Information & Choice Network, Nevada City CA & Wales UK

> Vaccines -

> http://www.wellwithin1.com/vaccine.htm Vaccine

> Dangers & Childhood Disease & Homeopathy Email classes start in January 2009

>

>

>

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