CDC 2010 Vaccine Recommendations for Children Under Age Six

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According to the CDC, the vast majority of parents are having their children receive the recommended vaccinations with at least 90% coverage for all but one of the individual vaccines approved by the agency for protection against certain preventable diseases.

Overall, more than 77% of children were fully vaccinated with all vaccines in the series in 2007, and less than one percent had not received any vaccines by age 35 months. The only vaccine not to reach 90% coverage was the diphtheria, tetanus and pertussis vaccine (DTaP), which is given in four doses throughout childhood.

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Pertussis, also called whooping cough, is a bacterial disease currently causing an epidemic in California. The rate of cases has quadrupled in the state compared to the same time last year. At least 910 confirmed cases, including five deaths of infants, have occurred.

Each year, the CDC issues updated recommended immunization schedules for persons aged 0 through 18 years. These are subsequently approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP).

Overall, 11 different vaccinations are recommended for children aged 0 through 6 years. The schedule for vaccines depends upon several factors, including if the vaccine is given as a solo injection or in combination with others.

• The Hepatitis B vaccine (HepB) is given to newborns before hospital discharge with a second dose administered at age 1 or 2 months. A final dose is given no earlier than 24 weeks (6 months).
• The Rotavirus vaccine (RV) is given between 6 and 14 weeks.
• Diphtheria, Tetanus, and Pertussis (DTaP) is administered in four stages – at 2 months, 4 months, 6 months and 15-18 months. A booster is then given between 4 and 6 years.
• Haemophilus influenza type B (Hib) is given at 2 and 4 months. A third dose at 6 months may be given if the vaccine is in a combination injection with DTaP.
• Pneumococcal vaccine is recommended for all children aged younger than 5 years, given between 24 and 59 months.
• Inactivated poliovirus vaccine (IPV) is given at 2 and 4 months and between 6 and 18 months. A final dose is given between ages 4 and 6 years.
Influenza vaccines are given yearly after the age of 6 months.
Measles, mumps, and rubella vaccine (MMR) is administered between 12 and 15 months of age, with a second dose between ages 4 and 6.
• Varicella (chicken pox) vaccine is also given during the same time frame as the MMR.
• Hepatitis A vaccines are given in 2 doses to all children between 12 and 23 months. The two doses should be administered at least 6 months apart.
• Meningococcal vaccine is only given to those in certain high risk groups, and administered between 2 and 6 years.

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