PEDIATRICS Vol. 105 No. 1 January 2000, pp. 148-151

AMERICAN ACADEMY OF PEDIATRICS:
Recommended Childhood Immunization ScheduleUnited States, January-December 2000

Committee on Infectious Diseases

	ARTICLE

Top Article References

The annual Recommended Childhood Immunization Schedule of the American Academy of Pediatrics (AAP), the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), and the American Academy of Family Physicians (AAFP) is issued in January of each year. Several significant changes for the year 2000 Schedule have been made since publication of the 1999 Schedule.¹ This report provides the year 2000 Schedule and delineates changes in the Schedule and in the footnotes to the Schedule.

1. Administration
   

   
   

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   of rotavirus vaccine (Rv) at 2, 4, and 6 months of age is no longer recommended because of a possible causal relation of this vaccine with intussusception. The previous recommendation for use of the Rv has been withdrawn and the vaccine has been removed from the market by the manufacturer. More information about Rv can be obtained at the AAP Web site (http://www.aap.org) and from Pediatrics.²

2. Inactivated poliovirus vaccine (IPV) is now recommended for all 4 doses of vaccine. Specific indications for when oral polio vaccine (OPV) may be used and a transition plan are noted in the December 1999 issue of Pediatrics.³
3. Acellular pertussis vaccines combined with diphtheria and tetanus toxoids (DTaP) are listed on the Schedule as the recommended product for pertussis vaccination in the United States. Clinical data to support the superiority of 1 DTaP product in comparison to the others are not available, and therefore the 4 approved DTaP products are considered equally acceptable.
4. Hepatitis A virus vaccine is recommended in certain states where the incidence of disease is high.⁴ Information about this vaccine can be obtained at http://www.cdc.gov/epo/mmwr/preview/mmwrhtml/rr4812a1.htm and state health departments.

During the year 2000, it is anticipated that additional vaccines will be approved (eg, conjugated pneumococcal vaccine and new combination vaccines). Detailed recommendations for the use of new and current vaccines indicated for use during infancy, childhood, and adolescence are given in the 1997 Red Book,⁵ AAP statements (www.aap.org), ACIP statements (www.cdc.gov/nip) on specific vaccines, and the respective manufacturers' package inserts. The recommendations in the 1997 Red Book are currently being revised.⁶
  

COMMITTEE ON INFECTIOUS DISEASES, 1999-2000
Jon S. Abramson, MD, Chairperson
Carol J. Baker, MD
Margaret C. Fisher, MD
Michael A. Gerber, MD
H. Cody Meissner, MD
Dennis L. Murray, MD
Gary D. Overturf, MD
Charles G. Prober, MD
Margaret B. Rennels, MD
Thomas N. Saari, MD
Leonard B. Weiner, MD
Richard J. Whitley, MD

EX-OFFICIO
Georges Peter, MD
 Emeritus Red Book Editor
Larry K. Pickering, MD
 Red Book Editor
Noni E. MacDonald, MD
 Red Book Associate Editor

LIAISONS
Anthony Hirsch, MD
 Pediatric Practice Action Group
Richard F. Jacobs, MD
 American Thoracic Society
Gilles Delage, MD
 Canadian Paediatric Society
Scott Dowell, MD, MPH
 Centers for Disease Control and Prevention
Walter A. Orenstein, MD
 Centers for Disease Control and Prevention
Peter A. Patriarca, MD
 Food and Drug Administration
N. Regina Rabinovich, MD
 National Institutes of Health
Martin G. Myers, MD
 National Vaccine Program Office

CONSULTANT
Edgar O. Ledbetter, MD

	ABBREVIATIONS

AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunizations Practices; CDC, Centers for Disease Control and Prevention; AAFP, American Academy of Family Physicians; Rv, rotavirus vaccine; IPV, inactivated poliovirus vaccine; OPV, oral polio vaccine; DTap, acellular pertussis vaccines combined with diphtheria and tetanus toxoids.

	REFERENCES

Top Article References

1. American Academy of Pediatrics, Committee on Infectious Diseases Recommended childhood immunization scheduleUnited States, January-December 1999. Pediatrics. 1999; 103:182-185 [Free Full Text]
2. American Academy of Pediatrics, Committee on Infectious Diseases Possible association of intussusception with rotavirus vaccination. Pediatrics. 1999; 104:575 [Free Full Text]
3. American Academy of Pediatrics, Committee on Infectious Diseases Prevention of poliomyelitis: recommendations for the use of only inactivated poliovirus vaccine for routine immunization. Pediatrics. 1999; 104:1404-1406 [Abstract/Free Full Text]
4. Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices. Prevention of hepatitis A through active or passive immunization. MMWR Morb Mortal Wkly Rep. 1999;48 (RR-12):1-31
5. American Academy of Pediatrics. In: Peter G, ed. 1997 Red Book. Report of the Committee on Infectious Diseases. 24th ed. Elk Grove Village, IL: American Academy of Pediatrics; 1997
6. American Academy of Pediatrics. In: Pickering LK, ed. 2000 Red Book. Report of the Committee on Infectious Diseases. 25th ed. Elk Grove Village, IL: American Academy of Pediatrics; In press