## Coordination of multidisciplinary resources for vaccination of egg-allergic individuals during an H1N1 (novel) influenza pandemic.

Egg allergy is a contraindication for influenza vaccination because of the presence of trace egg protein. Although recent reports suggest that egg-allergic individuals can be safely immunized with seasonal influenza vaccine, the safety of H1N1 influenza vaccine in this context has not previously been reported. This study was designed to investigate how to safely immunize high-risk populations during the H1N1 influenza pandemic for whom the vaccine would be contraindicated. Vaccination of egg-allergic children was conducted at a large, multispecialty practice. Pediatricians raised awareness of vaccination and referred egg-allergic individuals to allergists. Allergists performed skin testing to H1N1 vaccine and, if negative, performed graded vaccine desensitizations in the office. Mass immunization of egg-allergic individuals was achieved within a 3-week period after receipt of vaccine. Sixty-three children (average age, 3.7 years) were evaluated and skin tested to the H1N1 influenza vaccine. All had a clinical history of egg allergy and recent positive skin-prick to egg. All had negative skin-prick test to the H1N1 vaccine and received graded challenge with three divided doses. All 62 children were successfully immunized without allergic reactions. Vaccination of egg-allergic individuals during a pandemic can be safely and efficiently accomplished with the coordination of multidisciplinary resources. Although this was conducted at a multispecialty practice, we believe that this invaluable public health service can be done outside of this context. Allergists, with the help of local pediatricians and urgent care centers or hospitals, can effectively mobilize to help protect the most vulnerable populations during pandemics.

DOI: 10.2500/aap.2010.31.3396
Version: za2963e q8za6 q8zbc q8zc0 q8zd5 q8zeb q8zf7 q8zg0

#### Similar articles you may find interesting…

1. A solution to the Pyjama Problem

arXiv:1305.1514 [math.CO] 7 May 2013

The "pyjama stripe" is the subset of $\mathbb{R}^2$ consisting of a vertical strip of width $2 \varepsilon$ around every integer $x$-coordinate. The "pyjama problem" asks whether finitely many rotations of the pyjama stripe around the origin can cover the plane. The purpose of this paper is to an...
2. Dust-to-metal ratios in Damped Lyman-alpha absorbers: Fresh clues to the origins of dust and optical extinction towards gamma-ray bursts

arXiv:1305.1153 [astro-ph.CO] 6 May 2013

We Measure these ratios using the dust-depletion pattern observed in UV/optical Afterglow spectra, associated with the interstellar medium (ISM) at the GRB Host-galaxy redshifts. Our sample consists of 20 GRB absorbers and a comparison Sample of 72 QSO-DLAs, overall at redshift 1.2 < z < 4.0 and dow...
3. Minimally invasive surgery: national trends in adoption and future directions for hospital strategy.

Surg Endosc (2013) PMID 23660720

Surgeons are using minimally invasive surgical techniques, primarily laparoscopy and robotic surgery, to perform procedures that were previously done as open surgery. As risk-based pressures mount, hospital executives will increasingly scrutinize the cost of new technology and the impact it has on p...