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Biotech / Medical : Aviron
AVIR 3.260+0.3%Nov 7 9:30 AM EST

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To: mauser96 who wrote (354)9/3/1998 1:50:00 AM
From: Mel Kaplan  Read Replies (1) of 645
 
Lucius,
You may be aware that the plan for the nasal instillation is to use
live attenuated virus vaccine for the children population and heat-killed virus vaccine for aged populations, Presumably, this
represents a concern for the higher incidence of relatively immunodeficient individuals among the elderly, and the risk of clinical
infection using live virus, even if attenuated, in this population. In the original article in
the NEJM, it was reported that in a few children, a transient fever
occurred in the week after nasal instillation. This was considered inconsequential though unexplained.
All of the above is to emphasize
the importance of careful quality control of the vaccine mixtures used
and of clinical monitoring for reactions or infection. As you point out,
children may exhibit immunodeficient states on a genetic or physiologic basis.
Appreciated your note.
Mel
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