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Two swine flu vaccine doses for children under 10 likely
Published in The Saudi Gazette on 16 - 10 - 2009

Test results of its swine flu vaccine suggest that children under 10 are likely to need two shots to be fully protected, vaccine maker Sanofi Pasteur said Wednesday.
Federal officials said the news is not surprising, since this age group needs two doses of regular seasonal flu vaccine the very first time they ever are given a flu vaccine for full immunity to develop. The new Sanofi results back up what government tests are showing, said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases. For younger children, the protection from one shot is “modest but not sufficient to allow for one dose to do the trick,” he said.
Sanofi is the only company licensed in the United States to make vaccine for children as young as 6 months old. The company tested two strengths of the vaccine, given as two shots 21 days apart. The vaccine was tested in 474 children ages 6 months through 9 years old.
Only half of children 6 months to 3 years old had enough protection after one shot of the higher strength vaccine, as did three-fourths of children 3 to 9 years old, Sanofi reported. For adults, one shot of higher strength vaccine appears to be enough, Sanofi said earlier.
Another option for people without medical problems is FluMist, a nasal spray vaccine. It is approved for healthy people 2 to 49 years old.
The nasal spray accounts for most of the vaccine available now, although shots are starting to make their way to states. Pregnant women and young children are among the groups most urged to seek the vaccine as soon as it is available.
Older people who have been infected with or vaccinated against seasonal flu may have a type of immunity produced by cells that protects them from the swine flu virus, US researchers said Wednesday.
They said the pandemic H1N1 virus has parts found in earlier flu strains, and some people past age 60, who may have been exposed to similar viruses in their youth, may have some latent immune cells that protect them.


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