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General recommendations on immunization. Recommendation of the Immunization Practices Advisory Committee.

This revision of the "General Recommendations on Immunization" updates the 1980 statement. Changes from that statement clarify information on possible interference with the immune response by spacing immunobiologic agents. Recommendations for vaccinating persons with allergies are revised. New sections dealing with many aspects of immunization procedures have been added.

Age Factors↗

Influenza vaccine: preliminary statement. Recommendation of the Public Health Service Advisory Committee on Immunization Practices.

The primary influenza vaccine for 1978-79 will be an inactivated trivalent preparation of antigens representative of the three currently prevalent influenza viruses. A monovalent vaccine will also be produced if needed for optimum immunization of any population group. Annual vaccination is recommended for persons of all ages who have various chronic conditions. Physicians should evaluate pregnant women for influenza immunization according to the criteria applied to other persons.

Female↗

Pneumococcal vaccine recommendation. American College of Physicians; Philadelphia, Pennsylvania Endorsed by the advisory committee on immunization practices, council of medical societies.

Vaccination with the now-available pneumococcal vaccine is recommended for persons with diseases and other conditions predisposing to the development of bacteremic pneumococcal pneumonia or increased risk of death from such infection. The value of vaccination on the basis of advanced age is not clear at this time. The vaccine will not eliminate all risk of pneumococcal pneumonia and patients with some immune deficiency states may not respond adequately to te vaccine. Revaccination should not be done at intervals of less than five years. More data are needed from adequately designed and executed studies of benefit from the vaccine in healthy elderly persons and high-risk populations. Physicians should pay particular attention ot specific diagnostic needs in pneumococcal infection.

Aged↗

Influenza vaccine: recommendation of the Public Health Service Advisory Committee on Immunization Practices.

Influenza vaccine for 1978--79 will consist of inactivated trivalent preparations of antigens of influenza viruses expected to be prevalent. Alternative vaccine formulations will be available for different age groups. Annual vaccination is recommended for persons at greatest risk: chronically ill adults and children, and those over 65. Current influenza virus vaccine has been associated with few side effects, but three types of systemic reactions have been described. Pregnant women do not appear to have any special risk from influenza vaccination; physicians evaluating them should use the same criteria applied to other persons.

Adolescent↗