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In addition to direct dispensing of influenza vaccines, vaccination program staff of health care settings can utilize protocols to increase vaccination coverage. Shifts in the seasonal flu pattern will be one of the primary factors in determining whether this policy should be expanded more widely to the nation. However, development of a treatment for the 2009 H1N1 subtype in the later year is also a key reason for the recommendation...
November 28: The Centers for Disease Control and Prevention (CDC) released guidance on the use of the antiviral drug Tamiflu in pregnant women in relation to influenza. The CDC is temporarily suspending the use of Tamiflu in pregnant women with laboratory evidence of active influenza infection. The use of Tamiflu during pregnancy increases the risk of the developing fetus and a viable newborn having an increased risk of a negative birth outcome. Maternal influenza infection during the second and third trimesters, positive viral shedding, or gestational influenza complications all increase the risk of a negative birth outcome. A pregnant woman who has taken Tamiflu for flu symptoms and who has fever and/or other symptoms should be evaluated by a health care provider in order to determine if Tamiflu is indicated. If Tamiflu use is prescribed to a pregnant woman who is determined to be unable to tolerate an alternative influenza treatment, the dose should be reduced to half a pill per day.
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