The Academy is moving toward universal influenza immunization for children of all ages, first recommending the vaccine for high-risk children, followed by young infants between 6 and 23 months of age and this year by adding children up to 59 months of age. Recommendations also emphasize immunization of healthy older siblings and caretakers of infants from birth to 59 months of age and high-risk children.

Many children, however, will come down with influenza infection this year because many who should receive an influenza vaccine will never visit their pediatrician or clinic to receive it. In addition, there is no recommendation for routine annual immunization of healthy children 60 months of age and older. It is recognized that influenza vaccine can provide significant benefits in this age group, and it is recommended that if the vaccine is available and desired by parents, it can be given to any healthy child to...

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