In October, 2010, CDC‚Äôs Advisory Committee on Immunization Practices (ACIP) voted to expand the recommendations for the use of Tdap (tetanus-diptheria-acellular pertussis) vaccine.¬† This action was taken in an effort to protect more people from pertussis due to an increased incidence of the disease in the United States.¬† Many states, including Texas, have seen an increased incidence of pertussis in the past decade.¬† Currently, California is experiencing its largest outbreak in 60 years.¬† Since January 2010, more than 6400 confirmed, probable and suspected pertussis cases, and 10 pertussis related deaths in infants have occurred in that state.¬† According to information from the Immunization Action Coalition, the new recommendations are as follows:
¬∑Tdap can be given regardless of the interval since the last Td was given.¬† There is no need to wait 2-5 years to administer Tdap following a dose of Td.
¬∑Adolescents should receive a one-time dose of Tdap (instead of Td) at the 11-12 year old visit.
¬∑¬†Adolescents and adults younger than age 65 years who have not received a dose of Tdap or for whom vaccine status is unknown, should be immunized as soon as feasible.¬† (As stated above, Tdap can be administered regardless of interval since the previous Td dose.)
¬∑Adults age 65 years and older who have not previously received a dose of Tdap, and who have or anticipate having close contact with children younger than age 12 months (i.e. grandparents, other relatives, child care providers and healthcare personnel) should receive a one-time dose to protect infants.¬† (As stated above, Tdap can be administered regardless of interval since the previous Td dose.)
¬∑¬†Other adults 65 years and older who are not in contact with an infant, and who have not previously received a dose of Tdap, may receive a single dose of Tdap in place of a dose of Td
¬∑¬†¬†Children ages 7-10 years who are not fully immunized against pertussis (i.e., did not complete a series of pertussis-containing vaccine before their seventh birthday) should receive a one-time dose of Tdap.
Although giving Tdap vaccine to people 7 through 9 years and 65 years and older is considered off-label use, CDC recommends use of the vaccine regardless.¬† According to CDC experts, ‚ÄúACIP¬† recommendations represent the standard of care for vaccination practice in the United States.‚ÄĚ
Immunizations are given every Wednesday from 8 ‚Äď 11:30 a.m. and 1 -4:30 p.m.; the second Wednesday of each month until 6 p.m.¬† There is a $6 administration fee.
For further information, visit www.immunize.org .¬† If you have immunization questions, you may call the Sweetwater-Nolan County Health Department at (325)235-5463 or the CDC-INFO Contact Center at (800)232-4636.