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Tots will require booster for H1N1

kent nickell

Well-known member
there will be both the killed vaccine, IM (intramuscular injection) with egg derivative i.e. not suitable for those with egg allergies, and the nasal spray, which has live weakened (attenuated) virus

the same contraindications still apply for the live attenuated virus.


Tots will require booster for H1N1

9/22/09

By Steve Sternberg, USA TODAY

One swine flu shot will protect most children 10 and older, and younger kids probably will need two shots three weeks apart, according to a study released Monday.

The findings, from the first federally funded study in children of the new H1N1, or swine flu, vaccine show that one shot of the new vaccine provides older children with protection within 10 days, just as standard flu vaccines do.

Younger children will need two shots because they don't mount as potent an immune response to the new vaccine. That's the same pattern seen with standard flu vaccine, which also requires a booster dose.


"As we had hoped, in children the 2009 H1N1 vaccine is acting like seasonal flu vaccine," says Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, which sponsored the study. "The response in young children is less robust, but this is not unexpected."

That means children 6 months to 9 years old will need to two doses of each vaccine, four in all, to protect them against swine and seasonal flu. Older children and adults will need one shot of each, Fauci says.

Anne Schuchat of the Centers for Disease Control and Prevention says the first shipment of swine flu vaccine, expected early next month, will be 3.4 million doses of the live, weakened nasal spray vaccine called FluMist, recommended for healthy people age 2 to 49.

Forty-five million doses of injectable swine flu vaccine are due to arrive in mid-October, with more expected each week after that. The government on Monday increased its swine flu vaccine order from 195 million doses to 251 doses, with an additional 27.3 million coming from Sanofi Pasteur and 29 million from MedImmune, maker of FluMist, the companies announced. CDC is urging people to get seasonal vaccine now and not put off vaccination until swine flu vaccine is available.

The findings released Monday were based on Sanofi Pasteur's injectable flu vaccine, not FluMist, but earlier experience suggests that results with FluMist will mirror those of flu shots, says Jesse Goodman of the Food and Drug Administration.

The new study involved 600 children, who were divided into two groups that either go 15 or 30 micrograms of vaccine.

Researchers say that within 10 days, 76% of children 10 to 17 generated a protective response with the lower dose of vaccine. Vaccinologists consider that a "a pretty good response" to any flu vaccine, Fauci says, adding it's "quite likely that will go up," as time passes and the children's immunity continues to build.

About a third of the 3- to 9-year-olds were able to mount a protective response on that dose, Fauci says, compared with a quarter of babies and toddlers 6 months to 3 years.
 
Re: Tots will require booster for H1N1

Report dated Sep 22 (apologies if this is a repost, but I only just came across it).

H1N1 trial results in children show promise
R. Prasad


Early results from vaccine trials undertaken in 10-17-year-old children show similar results as seen in adults. A majority of the children produced immune response to H1N1 virus in 8-10 days after vaccination. The immune response was seen after just one dose of 15-microgram vaccine. The vaccine used did not contain any adjuvant ? a substance added to a vaccine to improve the body?s response.

Very importantly, the vaccine did not cause any serious adverse reaction even in children only a few months old.

Though the immune response seen in children are generally less robust compared to adults, the H1N1 vaccine was able to elicit sufficient immune response to the H1N1 virus in children.

However, the immune response produced by children did vary by age. While 76 per cent of children in the 10-17-age group showed maximum protective immune response, this was 36 per cent in the case of children in the 3-9 age group, and 25 per cent in the 6-35-months age group.

There were 25 participants in the 10-17-years and 3-9 age groups, and 20 in the case of 6-35-months age group.

According to Anthony S. Fauci, Director of the National Institute of Allergy and Infectious Diseases (NIAID), the reducing immune response in children in the lower age group is not totally unexpected. The trend is similar to what is seen with seasonal vaccines, NIAID release noted.

?It is anticipated that the immune response to the 2009 H1N1 influenza vaccine will be similar to that of seasonal influenza vaccination and will continue to rise for several weeks following vaccination,? said Dr. Fauci.

The lower immune response seen in younger children is probably because their immune system is not fully developed. Hence the vaccine is unable to prime the immune system. Most importantly, the immune response may depend on which part of the immune system is activated by the vaccine. Younger children may require a booster dose to increase their immune response.

According to the Centres for Disease Control and Prevention (CDC), Atlanta, children between six months and nine years would require two doses of flu vaccine the first time they get vaccinated.

?If possible, the first [flu] dose should be given as soon as vaccine becomes available. The second [flu] dose should be given 28 or more days after the first dose. The first dose "primes" the immune system; the second dose provides immune protection. Children who only get one [flu] dose but need two doses can have reduced or no protection from a single dose of flu vaccine. Two doses are necessary to protect these children,? notes CDC.
http://beta.thehindu.com/health/article23609.ece
 
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