Warning: This online archive of the CDC Prevention Guidelines Database is being maintained for historical purposes, and has had no new entries since October 1998. To find more recent guidelines, please visit the following: • at • at Implementation of Recommendations for Influenza Control MMWR 34(41);639-43 Publication date: Table of Contents Article A symposium, 'Options for the Control of Influenza,' was organized by CDC and held April 20-25, 1985, in Keystone, Colorado, as part of the 1985 University of California, Los Angeles, Symposia series. The program included a roundtable discussion to consider ways to improve influenza control measures in several populations.* This article summarizes the major viewpoints emerging from that discussion and includes suggestions for expanding the use of influenza vaccine. TARGET GROUPS Among the topics discussed were improving implementation of the current U.S. Public Health Service (PHS) Immunization Practices Advisory Committee (ACIP) recommendations for prevention and control of influenza among persons in the high-priority groups for annual vaccination (1) and broadening those recommendations to include persons not currently included in the ACIP's high-priority groups. Morbidity rates during influenza epidemics are often highest among children; children also are believed to have an important role in disseminating infection. Picktorrent: single issue request fills week 13a repost - Free Search and Download Torrents at search engine. Download Music, TV Shows, Movies, Anime, Software and more. Single issue request fills week 13a repost - Search and Download. Download Single Issue Request Fill Week 26E torrent from books category on Isohunt. Torrent hash: e737bc60d9056ce07bc92ae52498ac. ![]() Therefore, annual immunization of children who are household contacts of high-risk persons was suggested. For this suggestion to be implemented effectively, cooperation between pediatricians and other physicians providing care for families with high-risk persons must be encouraged. The high-risk groups should be expanded to include children with reactive airway disease. Single Issue Request Fills Week 55 WonderlandHealthy Adults. With improved community surveillance and application of rapid diagnostic methods, offering vaccine to healthy adults when an influenza epidemic begins could lessen the impact of the epidemic. Outbreaks may last 6-8 weeks in an average community. Vaccine may be administered when influenza-like illness is first identified. In addition, during type A epidemics, amantadine can be given to provide protection during the 2-week postvaccination period before effective antibody levels have developed. The following groups of healthy adults should be given special consideration as vaccine candidates during epidemics: • Household contacts of high-risk children or adults. • Persons who provide essential community services or whose absence from work would have greater than normal consequences for the individual or employer. • Pregnant women whose third trimester coincides with the influenza season. ![]() Single Issue Request Fills Week 55 Wonder WeekAlbum art editor free download. Except for data from pandemic years, data suggesting an increased risk of influenza-related complications in pregnant women is primarily anecdotal. However, immunizing women who are in their third trimester during an influenza epidemic may provide antenatal protection to the mother and the fetus. Passive transfer of maternal antibody might also protect neonates born during or shortly before an influenza epidemic. • Resident students at schools or colleges. Based on experience with military recruits, large-scale influenza immunization of student populations could potentially reduce the impact of outbreaks of disease in these large groups of young adults (2). Noninstitutionalized High-Risk Adults. The high immunization levels recommended by the ACIP will require a sustained vigorous effort. Systematic immunization programs can be incorporated into routine care of high-risk adults. Many high-risk persons could be vaccinated when they encounter health-care providers during the late fall or early winter. High-risk persons who do not require routine follow-up during the year should have special appointments made for the purpose of influenza immunization. Review of patients' immunization status should be routine when patients schedule visits. A uniform adult immunization record card could be developed to provide the patient, physician, and office staff with immediate information about immunization status. The card could be used to document that a patient was offered vaccine at the appropriate time of year. High-risk patients could indicate by signature if they elect not to receive vaccine. This latter practice would reinforce the importance attached to routine immunizations. Institutionalized High-Risk Adults. Most nursing homes organize programs for annual immunizations, but many of these programs could be improved to reach the ACIP's objective of an 80% vaccination rate. Guidelines could be developed to assist such institutions in implementing immunization programs. Certain mandatory requirements, including the following, could also be considered: • An approved immunization program for residents and staff as a requirement for licensure of the institution.
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