Health Supervision Visits: Should the Immunization Schedule Drive the System?

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 581-582
Author(s):  
ROBERT J. HAGGERTY
Keyword(s):  
American Academy ◽  
Disease Control ◽  
Immunization Schedule ◽  
Health Supervision ◽  
American Academy Of Pediatrics ◽  
Centers For Disease Control ◽  
Well Child Visit ◽  
Child Visit

The Centers for Disease Control (CDC) recently recommended that the vaccines usually given at the 15- and 18-month visits could be given simultaneously at 15 months, thereby omitting the 18-month well-child visit. There is little doubt that measles-mumps-rubella (MMR) immunization, now recommended by the American Academy of Pediatrics to be given at 15 months of age, and the diphtheria-tetanus-pertussis (DTP) and oral polio booster immunizations, now recommended to be given at 18 months of age, could be given together with no problem at 15 months. But this is not a good enough reason to abandon the 18-month well-child visit. Although I will not argue that we have solid evidence for the effectiveness of any well-child procedures other than immunizations, I believe that the 18-month visit is one of the more important ones and should not be discontinued for all children.

The Recommended Childhood Immunization Schedule of the United States

PEDIATRICS ◽  
1995 ◽  
Vol 95 (1) ◽  
pp. 135-137 ◽  
Author(s):  
Caroline Breese Hall
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
American Academy ◽  
Disease Control ◽  
Advisory Committee ◽  
The United States ◽  
Routine Immunization ◽  
Immunization Schedule ◽  
Childhood Immunization ◽  
American Academy Of Pediatrics

The complexity of our current schedule for routine immunization of children is expanding and experienced by both physician and parent. Over nearly two decades in the 1970s and 1980s only one new vaccine was added to the routine immunization for children. However, in the last few years since 1989, the schedule routinely recommended for children has been augmented by eight to ten new doses or vaccines. The confusion has been compounded by differences in the schedules developed by the American Academy of Pediatrics' (AAP) Committee on Infectious Diseases and that of the Centers for Disease Control Advisory Committee on Immunization Practices (ACIP).

Different Views on Adolescent Abortion

PEDIATRICS ◽  
1993 ◽  
Vol 92 (4) ◽  
pp. 639-640
Author(s):  
PATRICIA LEE JUNE
Keyword(s):  
American Academy ◽  
Maternal Mortality ◽  
Disease Control ◽  
American Academy Of Pediatrics ◽  
Centers For Disease Control

The article, "Adolescent Abortion: Views of the Membership of the American Academy of Pediatrics" was interesting but contained some false implications. The authors imply that it is natural for pediatricians to support abortion because, in part, it is safer than childbirth. This implies that childbirth is dangerous for adolescents, but the facts show that maternal mortality is lower for adolescents than for any other age, and in fact, there were no reported deaths related to childbirth between 1980 and 1985 in the 19 states reporting to the Maternal Mortality Collaborative and the Centers for Disease Control for women younger than 15 years of age. The risk for all ages combined was less than 1 in 10 000, and less than that for adolescents. Is a 1 in 10 000 risk a rational reason to kill one of our patients?

Tuberculin Testing in the Pediatric Office and Clinic

PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 965-966
Author(s):  
Edwin L. Kendig
Keyword(s):  
American Academy ◽  
Disease Control ◽  
School Children ◽  
Tuberculin Test ◽  
Pediatric Clinic ◽  
American Academy Of Pediatrics ◽  
Tuberculin Testing ◽  
The Difference ◽  
Low Rate

Another article in this issue of Pediatrics, "Assessment of Tuberculin Screening in an Urban Pediatric Clinic," (p 856) again focuses attention on a weighty question: Is routine use of the tuberculin test important? The authors have pointed out the difference in philosophy of the Center for Disease Control, and the American Academy of Pediatrics. The Center for Disease Control recommends that routine tuberculin testing for school children and other similar programs be abandoned if the yield of positive tuberculin reactions is less than 1%1; this recommendation is based on the assumption that discovery of cases at this low rate will not have epidemiologic impact (italics added).

Screening for Developmental Disabilities: A Suggestion!

PEDIATRICS ◽  
1995 ◽  
Vol 95 (1) ◽  
pp. 159-159
Author(s):  
Robert H. Chesky
Keyword(s):  
Early Intervention ◽  
American Academy ◽  
Position Statement ◽  
Developmental Screening ◽  
Publicly Funded ◽  
Special Education Services ◽  
Education Services ◽  
Health Supervision ◽  
American Academy Of Pediatrics ◽  
Recent Position

As a private practitioner with some interest in periodic, standardized preschool developmental screening, I appreciated the recent position statement on this subject (Pediatrics, May 1994) by the Committee on Children with Disabilities. At least in my locale, it doesn't seem to me that we practicing pediatricians (myself included) have exactly covered ourselves with glory with respect to this important area of health supervision. Thus, perhaps pediatricians may benefit from "regular," "periodic," "formal" American Academy of Pediatrics reminders that inaccurate developmental assessments may deny preschool children needed (and now often publicly funded) early intervention and special education services.

Perinatal Group B Streptococcal Disease: A Summary of Revised Guidelines from the Centers for Disease Control

2003 ◽  
Vol 22 (1) ◽  
pp. 23-28
Author(s):  
Jeanette Zaichkin
Keyword(s):  
Disease Control ◽  
Group B Streptococcus ◽  
Morbidity And Mortality ◽  
Mortality Weekly Report ◽  
American Academy Of Pediatrics ◽  
Control And Prevention ◽  
Complete Report ◽  
Group B Streptococcal Disease ◽  
Centers For Disease Control ◽  
Group B

Recommendations for prevention of perinatal Group B Streptococcus (GBS) were issued in 1996 by the American College of Obstetricians and Gynecologists and the Centers for Disease Control and Prevention (CDC), followed in 1997 by the American Academy of Pediatrics (AAP). Although increased prevention activities during the 1990s resulted in a striking decline in incidence, GBS disease remains a leading infectious cause of morbidity and mortality among newborns in the U.S. Using available evidence and expert opinion, the CDC issued revised guidelines in August 2002 that replace the 1996 recommendations. This article, taken directly from the Morbidity and Mortality Weekly Report (August 16, 2002), presents a summary of the revised recommendations most applicable to neonatal nursing. The complete report is available at http://www.cdc.gov/mmwr/PDF/RR/RR5111.pdf.

Workshop on Conflicting Guidelines for the Use of Vaccines

PEDIATRICS ◽  
1995 ◽  
Vol 95 (6) ◽  
pp. 938-941
Author(s):  
Neal A. Halsey ◽  
Caroline B. Hall
Keyword(s):  
Public Health ◽  
Health Service ◽  
American Academy ◽  
Preventive Care ◽  
Information Sources ◽  
Public Health Service ◽  
Immunization Schedule ◽  
Package Inserts ◽  
American Academy Of Pediatrics ◽  
The Us

Pediatricians and other professionals providing care for children and adolescents refer to a variety of information sources for guidelines regarding optimal therapy on preventive care. In some instances, the guidelines from expert groups (including American Academy of Pediatrics [AAP] recommendations) may differ from material included in the manufacturer's package inserts, and the guidelines from different expert committees may be inconsistent on even conflicting. During recent months, the Committee on Infectious Diseases (COID) of the AAP has worked closely with the Advisory Committee on Immunization Practices (ACIP) of the US Public Health Service and the American Academy of Family Practice to unify the recommendations on the immunization schedule for infants and children.

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