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MNAAP Newsletter

Pain-Reducing Measures in the Office Setting for Pediatric and Adolescent Immunizations

By Katy M. Bos, MS, APRN, ACNS-BC, PCNS-BC – Pediatric Clinical Nurse Specialist, Mayo Clinic and Robert M. Jacobson, M.D., F.A.A.P. – Professor of Pediatrics, Medical Director, Employee and Community Health and Southeast Minnesota Region Immunization Programs, Mayo Clinic

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Part of a child’s routine medical care is vaccinations. In the first six years, a child will get up to 25 to 30 injections. The World Health Organization (WHO) suggests that needle pokes are a painful and anxiety-provoking health-related experience, potentially leading to a lifetime of fear of needles, vaccine non-compliance, negative health attitudes, and health care avoidance behaviors by children and their caregivers. The WHO also expressed concern that these negative effects could potentially lead to lower vaccine coverage rates and risk of vaccine-preventable diseases.

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HPV Vaccine: Helping Parents Separate Facts from Fallacy

By Vijay Chawla, MD, FAAP, Mayo Clinic

VijayChawlaPapilloma viruses are small DNA viruses that cause species- and tissue-specific disease. There are more than 200 types of human papilloma virus (HPV), which infect the skin and mucous membranes and are transmitted by contact. Lifetime risk of HPV infection exceeds 75 percent, and new HPV infections occur across the lifespan, albeit with a peak in young adulthood. While most infections clear within months, a minority produce complications.

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Minnesota Immunization Law Changes Update — One Year Later

By Ben Christianson and Lisa Randall, MDH Program Staff

Changes to Minnesota’s Immunization Law took effect on Sept. 1, 2014. The law now more closely aligns with current national immunization recommendations. Some examples of the new requirements included:
• Meningococcal and Tdap for seventh graders,
• Hepatitis B and hepatitis A for children in child care or early childhood programs, and
• Timing of the final doses of DTaP and polio for kindergarteners.

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Pediatricians Can Lay Out Evidence to Allay Fears Over HPV Vaccine

By Michael T. Brady, MD, FAAP, chair of the AAP Committee on Infectious Diseases

Recent media attention has some adolescents and parents wondering whether the human papillomavirus (HPV) vaccine is safe and effective. The discussions that have prompted all of this chatter are not based on available evidence. Unfortunately, a lack of validity does not prevent rapid transmission of rumors and innuendo, especially on television and the Internet.

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New School and Daycare Immunization Rules in Effect this September

By Dawn Martin, MD, MPH, Pediatric Staff Physician, Hennepin County Medical Center, Assistant Professor of Pediatrics, University of Minnesota

Long waited changes to Minnesota’s Immunization law will go into effect in September 2014. Minnesota’s immunization law has not been updated for over 10 years and current law did not reflect national standards to protect children from vaccine-preventable disease. The Minnesota Department of Health (MDH) started a process almost two years ago to update Minnesota school and daycare requirements to reflect national immunization standards as set by the Advisory Committee on Immunization Practice (ACIP). Drs. Robert Jacobson, Dawn Martin and Michael Garvis were participants in the Immunization Rulemaking Advisory Committee for this process and Drs. Robert Jacobson and Mark Schleiss testified at a public hearing in June 2013 in support of these changes. MDH also involved other stakeholders in the process, including schools, parents, child care providers and early childhood programs. The new immunization requirements for children in Minnesota child care, early childhood programs and schools apply to children enrolling in programs beginning September 1, 2014.

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