Upshot Online – Page 4
Events - National Immunization Awareness Month - August 2008
August is recognized as National Immunization Awareness Month (NIAM). The goal of NIAM is to increase awareness about immunizations across the life span, e.g., from infants to seniors. This is the perfect time to remind family, friends, co-workers, and those in the community to catch up on their vaccinations.
Please visit the Texas NIAM web page.
School and Child-care Immunization Requirements
The immunization requirements for the 2008-2009 school year can be accessed on our School and Child-care Requirements web page.
The requirements are available in PDF document format and suitable for printing. They are also available in both English- and Spanish-language versions.
You may also access the web page by visiting the Immunization Branch homepage at www.immunizetexas.com. Click on the orange web button titled "school and child-care immunization requirements."
Did you know?
In 2009, the CDC will begin measuring the four doses of PCV7 in the National Immunization Survey. The 4:3:1:3:3:1 will become the 4:3:1:3:3:1:4 (DTaP, Polio, MMR, Hib, Hep B, Varicella, and PCV7).
The pneumococcal conjugate vaccine, PCV7 or Prevnar®, is recommended for children at 2, 4 and 6 months of age, followed by a booster dose at 12-15 months.
The vaccine prevents serious, often deadly, invasive diseases caused by the Streptococcus pneumoniae (also known as pneumococcus) bacteria, including meningitis (an infection of the lining of the brain or spinal cord), pneumonia, and bacteremia (an infection of the bloodstream).
Sources: Centers for Disease Control and Prevention (CDC) and the National Foundation for Infectious Diseases.
New “Easy to Read” Schedule
The Immunization Branch has a new easy-to-read schedule available for download only.
The easy-to-read schedule is for your reference and should be read only in addition to the CDC Recommended Immunization Schedule. The PDF document is suitable for printing, but this item is currently unavailable for online ordering.
Administration of Vaccines
Needle Penetration Depth for Children Questioned
CDC recommendations for vaccination needle length for children carry substantial risk for over penetration into bone, especially in the shoulder, according a Pediatrics study.
The study was based on measurements of subcutaneous fat and muscle in 250 children aged 2 months to 18 years. Researchers say their findings support 7/8- or 1-inch needles for intramuscular thigh injections in both sexes up to age 6 – similar to CDC recommendations.
However, for shoulder injections they conclude that 5/8-inch needles will result in over penetration in 11% of patients, as will 7/8-inch needles in 55% and 1-inch needles in 61%. Instead, they recommend:
- 1/2-inch needle for girls weighing 70 kg or less and boys weighing 75 kg or less;
- 5/8-inch needle for girls 70–115 kg and boys 75–140 kg;
- 7/8- to 1-inch needle for girls 115 kg or more and boys 140 kg or more.
Article in Pediatrics, official journal of the American Academy of Pediatrics.
CDC recommendations for intramuscular injection and needle size (pdf document)
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