ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES

VACCINES FOR CHILDREN PROGRAM




VACCINES TO PREVENT POLIOMYELITIS

The purpose of this resolution is to revise the previous resolution to incorporate current recommendations on the use of polio vaccines.

VFC  resolution 10/98-2 is hereby repealed and replaced by the following: 

Eligible Groups


Recommended Pneumococcal Conjugate Vaccine Schedule























Age

Page 1 of 3 
Recommended Dosage Intervals



Recommended Dosages




Inactivated Polio Vaccine Contraindications and Precautions

The following conditions are contraindications to the administration of IPV vaccine:

1. Allergy to vaccine components
Persons who have had anaphylactic reactions or systemically administered streptomycin, neomycin or      polymyxin B should not receive IPV.

2. Moderate or severe illnesses with or without fever

The following conditions are contraindications to the administration of inactivated polio vaccine (IPV):

1. Pregnancy
It is prudent on theoretical grounds to avoid vaccinating pregnant women with IPV vaccine.  However, if immediate protection against poliomyelitis is needed, IPV may be administered.

Oral Polio Vaccine Contraindications and Precautions

The following conditions are contraindications to the administration of OPV vaccine:

1. In persons who have experienced an anaphylactic reaction to previous dose of OPV.

2. Moderate or severe illnesses with or without fever

3. Altered immune status
Altered immune status due to: malignant condition (blood dyscrasia, leukemia, lymphoma, or other        neoplasms affecting the bone marrow of lymphatic systems); primary or acquired immune deficiency, including acquired immunodeficiencies, hypgammaglobulinemia, and dysgammaglobulinemia; family history of congenital or hereditary immunodeficiency, unless immune competenceof possible vaccine recipient is demonstrated; and individuals receiving immunosuppressive therapy.

4. Persons with HIV infection
   Although OPV has not been harmful when administered to asymptomatic HIV-infected children,  
   IPV is the vaccine of choice for a child who is known to be HIV infected.  Testing for HIV-infection of                       asymptomatic children is not necessary before decisions regarding immunization with polio vaccine are made.
Page 2 of 3


5. Presence of Immunodeficient household contacts.
OPV should not be used for immunization of household contacts of immunodeficient patients; IPV is      recommended.

6. Steroid therapy
 Receiving doses of systemic prednisone or equivalent at a dose of > 2 mg/kg of body weight per day or 20 mg/day.


The following condition is a precaution to the administration of OPV vaccine:

1. Pregnancy
It is prudent on theoretical grounds to avoid vaccinating pregnant women with IPV vaccine.  However, if immediate protection against poliomyelitis is needed, IPV may be administered.



Adopted and Effective: February 17, 2000

















http://www.cdc.gov/vaccines/programs/vfc/downloads/resolutions/203polio.txt







Page 3 of 3
Resolution No. 2/00-2