by Henry H. Bernstein, D.O., M.H.C.M., FAAP,
and Carrie L. Byington, M.D., FAAP
;e 2015-’ 16 influenza season is
on the horizon. ;e Academy has
updated its recommendations for
the prevention and treatment of
influenza in children.
The policy statement, Recommendations for
Prevention and Control of Influenza in Children,
2015-2016, is available at www.pediatrics.org/cgi/
doi/10.1542/peds.2015-2920 and is published in
the October issue of Pediatrics. Key points are highlighted below.
Providers must remain vigilant, as the influenza
virus is unpredictable. ;e influenza season may
start early in the fall/winter, have more than one
disease peak and extend into late spring. ;erefore,
as soon as the seasonal influenza vaccine is available locally, health care personnel should be immunized, parents and caregivers should be notified
about vaccine availability, and immunization of all
children 6 months and older, especially children at
high risk of complications from influenza, should
begin. ;ere is no evidence that administering the
vaccine early in the influenza season increases the
risk of infection.
Vaccine composition has changed.
;e influenza vaccine for the 2015-’ 16 season is
available in both trivalent and quadrivalent formulations (no preference).
;e trivalent vaccine contains the following virus
• A/California/7/2009 (H1N1)-like virus,
• A/Switzerland/9715293/2013 (H3N2)-like
• B/Phuket/3073/2013-like virus (B/Yamagata
;e quadrivalent influenza vaccine includes the
same three strains as the trivalent vaccine plus B/
Brisbane/60/2008-like virus (B/Victoria lineage).
;e influenza A (H3N2) and B (Yamagata lineage) vaccine strains di;er from those contained
in the 2014-’ 15 seasonal vaccines.
Immunization is indicated for all children and
adolescents 6 months of age and older.
Special outreach e;orts should be made to vac-
cinate people in the following groups:
• children with conditions that increase the risk
of complications from influenza (e.g., asthma,
diabetes mellitus, hemodynamically significant
cardiac disease, immunosuppression, or neuro-
logic and neurodevelopmental disorders);
• children of American Indian/Alaska Native
• all household contacts and out-of-home care
° children with high-risk conditions and
° children younger than 5 years, especially infants younger than 6 months;
• all health care personnel (see related article on
www.aapnews.org Volume 36 • Number 10 • October 2015
2015 AAP Awards
Meet 66 individuals honored for remarkable achievements in
child health. Page 40-48
AAP Gateway offers
pediatric research, news
by Melissa Jenco • News Content Editor
soon will be
able to read the
latest news and
research from their field integrated on a new
;is month, the Academy is launching AAP
Gateway, a free member benefit available on
any device at http://gateway.aap.org.
;e network o;ers access to AAP News, AAP
journals and AAP policies, as well as a powerful
Users can stay up-to-date by reading articles
from AAP News featuring daily reporting on
new research, Academy and partner initiatives,
and breaking news and updates on relevant pediatric topics.
Beginning this winter, Pediatrics will publish
continuously, releasing four to six new articles
from the journal every weekday through AAP
Gateway. Users also can access the journals
to which they subscribe, including Pediatrics,
Hospital Pediatrics, Pediatrics in Review, AAP
Grand Rounds and NeoReviews.
Have an interest on a particular topic like
neurology or developmental delays? Content
on AAP Gateway can be customized based on a
user’s interests, and collections will be updated
as new research becomes available.
To sort through the extensive content on the
site, the Academy has added a search function
that will scan thousands of articles across all
journals, including PubMed content, and offer text suggestions as well as filtering options.
In this issue
See Gateway, page 4
See Flu, page 4
ICD- 10 is here
Be sure you understand basic rules for applying the International
Classifications of Diseases, 10th Revision, Clinical Modification
code set and what to do if claims are denied.
See articles on pages 36 and 38.
Updated AAP guidance will help
you prepare for 2015-’ 16 flu season
Hurricane Katrina, which ravaged the Gulf Coast 10 years ago, was the impetus for efforts
to ensure children’s needs are met after a disaster. Read about AAP efforts, including a
new clinical report that looks at the impact of disasters on children’s emotional health and
suggests strategies to help cope. See articles on pages 28 and 29.
Keeping children’s needs in mind when disaster strikes