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Recommendations for Prevention and Control of Influenza in Children, 2022-2023
Insights
Annual influenza vaccination is recommended for children aged 6 months and older to prevent illness and reduce community spread, especially during co-circulation of viruses like SARS-CoV-2.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Influenza poses a significant health risk to children, contributing to morbidity and mortality.
- Co-circulation of respiratory viruses, including SARS-CoV-2, underscores the importance of influenza prevention.
- Annual influenza vaccination is a key strategy for protecting pediatric populations and the community.
Purpose of the Study:
- To provide updated recommendations for influenza vaccine and antiviral use in children for the 2022-2023 season.
- To summarize recent influenza seasons, pediatric morbidity/mortality, vaccine effectiveness, and coverage rates.
- To offer guidance on vaccine storage, administration, implementation, and strategies for promoting uptake.
Main Methods:
- Review of recent influenza season data, including morbidity, mortality, and vaccine effectiveness.
- Analysis of pediatric influenza immunization rates and vaccine coverage.
- Compilation of updated information on available influenza vaccines and recommendations.
Main Results:
- Influenza vaccination is recommended for all children 6 months and older without contraindications.
- Vaccination is crucial for reducing disease burden, hospitalizations, and mortality in children.
- Updated guidance addresses vaccine types, administration, special populations (pregnant/breastfeeding), and managing allergic reactions.
Conclusions:
- Annual influenza vaccination is a safe and effective measure for pediatric influenza prevention.
- Vaccination contributes to broader public health by reducing respiratory illness burden during periods of viral co-circulation.
- Comprehensive guidance supports healthcare providers in implementing effective influenza prevention and treatment strategies for children.
Abstract:
This technical report accompanies the recommendations of the American Academy of Pediatrics for the routine use of influenza vaccine and antiviral medications in the prevention and treatment of influenza in children during the 2022 to 2023 season. The American Academy of Pediatrics recommends annual influenza vaccination of all children without medical contraindications starting at 6 months of age. Influenza vaccination is an important strategy for protecting children and the broader community as well as reducing the overall burden of respiratory illnesses when other viruses, including severe acute respiratory syndrome-coronavirus 2, are cocirculating. This technical report summarizes recent influenza seasons, morbidity and mortality in children, vaccine effectiveness, and vaccination coverage, and provides detailed guidance on storage, administration, and implementation. The report also provides a brief background on inactivated and live attenuated influenza vaccine recommendations, vaccination during pregnancy and breastfeeding, diagnostic testing, and antiviral medications for treatment and chemoprophylaxis. Updated information is provided about the 2021 to 2022 influenza season, influenza immunization rates, the effectiveness of influenza vaccination on hospitalization and mortality, available vaccines, guidance for patients with history of severe allergic reactions to prior influenza vaccinations, and strategies to promote vaccine uptake.
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