This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Chinh T. LE, MD
Permanente Medical Group, Inc Sacramento, Calif

JAMA. 1985;254(5):608-609.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Although vaccineassociated paralytic poliomyelitis is extremely rare (one case among vaccine recipients per 8.7 million oral poliovirus vaccine [OPV] doses distributed, and one case among contacts per 5.1 million doses distributed),¹ every practitioner dreads the possibility of being involved in the litigation surrounding such an unfortunate case. The Advisory Committee on Immunization Practices (ACIP) and the American Academy of Pediatrics (AAP) have recommended two acceptable courses of action²: (1) Administer OPV to the infant irrespective of the immune status of the adult contact. This is the current practice for most of us, but it gives us little peace of mind. (2) Elicit a history of poliomyelitis immunization status of adult household contacts and, if this is negative, give inoculated poliovirus vaccine (IPV) to the susceptible adult prior to giving the child OPV. A busy practice and the possibility of decreasing the likelihood of vaccine compliance . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?