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Section 1. Active and Passive Immunization
IMMUNIZATION IN SPECIAL CLINICAL CIRCUMSTANCES
American Indian/Alaska Native Children
American Indian/Alaska Native children are at greater risk of certain vaccine preventable diseases, such as hepatitis A, hepatitis B, and diseases caused by Hib and S pneumoniae, than are children of other ethnic groups. For this reason, physicians caring for American Indian/Alaska Native children should consider the following special immunization recommendations, which have been incorporated into current immunization schedules. Although increased risk of these diseases generally is found among American Indian/Alaska Native children who live on reservations or in traditional rural villages as well as in urban settings, there may be some differences in disease risk depending on where the child lives. However, because of the difficulty in ascertaining these risks and the high degree of mobility of the American Indian/ Alaska Native population among reservations, rural villages, and urban settings, all American Indian/Alaska Native children should receive the benefit of these special immunization recommendations.
Hepatitis A. American Indian/Alaska
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