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Error in Vaccine Article

Thank you for your letter. We agree that there was an error on page 100 of our article in the March/April 2009 article "Vaccinations in Pregnancy and Postpartum." According to Atkinson W, Hamborsky J, McIntyre L, and Wolfe S, editors of the most current edition (2008) of Epidemiology and Prevention of Vaccine-Preventable Diseases (Pink Book, 10th edition), published by the Centers for Disease Control and Prevention, two live parenteral vaccines can be administered simultaneously. If they are not administered the same day, they should be separated by 4 weeks. If they are given less than 4 weeks apart, the vaccine given second should be repeated in 4 weeks, or immunity should be confirmed by serologic testing. An exception to this recommendation is yellow fever vaccine; a 1999 study showed that yellow fever vaccine is not affected by measles vaccine given less than 28 days earlier. Thank you for taking the time to review our article and for informing us of our error. We regret the error, and believe there are no further errors in the article as published.


Kelly Bruhn, MSN, CNM, and Jackie Tillett, ND, CNM