Panel advises flu mist for kids as young as 2

ATLANTA - Children as young as 2 can be given a nasal spray flu vaccine, a federal advisory panel said Wednesday.

Government advice now recommends only traditional shots for children younger than 5. But recent studies have shown the vaccine FluMist, made by Maryland-based Med-Immune Inc., to be safe and effective in kids as young as 2.

FluMist was initially approved in 2003 for use in healthy people ages 5 to 49. The U.S. Food and Drug Administration last month approved its use for the 2 to 5 age group as well.

Now the Advisory Committee on Immunization Practices, which advises government health officials, is recommending FluMist's use for kids in the 2 to 5 age bracket. Committee members said Wednesday that children with a history of asthma or wheezing should opt for a shot.

Recommendations by the panel usually are accepted by U.S. health officials, and they influence insurance companies' decisions on vaccination coverage.

The committee didn't recommend FluMist over flu shots, merely making it an option for young children who may dread a shot with a needle. Flu shots are still recommended for children ages 6 months to 5 years and those 50 and over as well as other groups at risk for flu complications.

The committee also voted that a government program that pays for vaccines extend its FluMist coverage to the younger age group, meaning more than 5 million children will now be eligible for free FluMist. That includes children eligible for Medicaid, members of American Indians and Native Alaskan groups, and some children who don't have insurance that covers the vaccination.

A dose of FluMist costs about $18, roughly the cost of a flu shot.

Front Section, Pages 5 on 10/25/2007

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