Measles Immunization

Abstract

Generic recommendations for childhood immunization include guidelines for administration of vaccine to infants and children with febrile and minor illnesses. The most recent recommendations issued by the Immunization Practices Advisory Committee (ACIP) of the US Public Health Service state that "minor illnesses such as mild upper respiratory infections (URI) with or without low-grade fever are not contraindications for vaccination."1The ACIP further notes the importance of taking every opportunity to provide age-appropriate vaccinations, particularly "in persons whose compliance with medical care cannot be assured." The American Academy of Pediatrics gives similar recommendations.2 Mild acute illness in some circumstances has been inappropriately considered a contraindication to vaccination. This misconception has contributed to missed opportunities to give measles vaccine to children who subsequently developed measles.3This and other missed opportunities to vaccinate children against measles at the recommended age have been incriminated as important factors in the occurrence of

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