The case described in this report can serve as a reminder of the importance of catch-up vaccination
of older children and adolescents to prevent varicella and its serious complications later in life when disease can be more severe.
When adequate levels are reached, children who missed [greater than or equal to]1 dose of vaccine should be recalled and vaccinated, and catch-up vaccination
levels should be monitored.
In a second analysis, catch-up vaccination
of children from 2 to 4.
Recommendations have included universal hepatitis B vaccination of API infants beginning in 1990 and catch-up vaccination
for API children aged [less than]7 years .
The program, which began in 1983, includes screening of pregnant women for the presence of hepatitis B surface antigen, routine three-dose anti-HBV vaccination of all children as part of the standard immunization schedule, and catch-up vaccination
of other susceptible people (J.
Following the implementation of measles catch-up vaccination
campaigns in the remaining five countries, the number of reported measles cases decreased by 93% (Figure 1); 56,123 cases were reported by the five countries in 1996, compared with 3672 cases in 1998.
In communities with high rates of hepatitis A and periodic outbreaks, The ACIP recommends routine vaccination of young children and catch-up vaccination
of previously unvaccinated older children (1).
However, no catch-up vaccinations
had been planned.