Dr Larry Pickering answered this question today at the World Vaccine Congress Washington 2012 stream B – Prophylactics vaccines. He also shared an overview on immunization based on the latest recommendations from the ACIP
Highlights from his presentation are:
There are currently 17 vaccine preventable diseases compared to 1986 when there were 8. There are two committees that are involved in approving the immunization schedule: Committee on Infectious Diseases and Advisory Committee on Immunization Practices (ACIP) (reports to CDC). In October, 2010 ACIP approved the Evidence Based Approach.
There are Paediatric and Adolescent Schedule (0-6; 7-18 years of age) and adult schedule. The schedule is harmonized between ACIP and several professional societies such as American Academy of Pediatrics, , American Academy of Family Physicians and others.
Current updates of the immunization schedule for 2012 involves the following:
- Updates to Tdap vaccine-expanded to all people
- MMR-increase in measles in USA in 2011 (222 cases)-if travelling, a child needs two doses of MMR and any dose given before 12 months does not count
- Expansion of HPV to age appropriate for all males
Vaccination rates in USA good in children, adolescents not as good (20% for HPV, 60% for Tdap), for adults not good (8% for Tdap, Zoster 14% etc).
Interactive vaccine scheduler available on ACIP web site.
Check back here in a couple of days for the presentation. Excellent presentation Larry