[CARPA] influenza post

[CARPA list admin]

From: Malcolm McDonald 
Sent: Thursday, October 02, 2008 1:05 PM
To: 'carpa at ozdocit.org'
Subject: Influenza vaccination in pregnancy 

 

1.	Influenza has an increased morbidity and mortality in pregnancy. 
2.	Influenza has an increased morbidity and mortality in the first year
of life. 
3.	Inactivated influenza vaccination is safe in pregnancy. 
4.	Inactivated influenza vaccination is currently recommended in
pregnancy (The Australian Immunisation Handbook) to protect the mother. 
5.	In a recently published study in a setting with year-round influenza
(similar to the NT), inactivated influenza vaccine given in pregnancy
substantially reduced proven influenza in infants < 6 months of age  and
averted a third of all febrile respiratory illness in mothers and young
infants. 
6.	We recommended that health practitioners include inactivated
influenza vaccination for pregnant women as part of routine antenatal care.


 

References 

*	The Australian Immunisation Handbook 9th Edition 2008
*	Rothberg et al. Complications of viral influenza. Am J Med 2008;
21:258-64
*	Zaman K, et al. Effectiveness of maternal influenza immunization in
mothers and infants. N Engl J Med 2008 (ePublished - PMID: 18799552)

 

Dr Malcolm McDonald - Specialist Outreach Physician, Menzies School of
Health Research  

Prof Anne Chang - Head, Division of Child Health, Menzies School of Health
Research  

Dr Vicki Krause - Director, Centre for Disease Control, DHF (NT) 

Dr Ros Webby - Head of Immunisation, Centre for Disease Control, DHF (NT) 

Ms Chris Nagy - Immunisation Project Officer, Centre for Disease Control,
DHF (NT)   

 


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