recommend vaccin adult

8/13/2019 Recommend Vaccin Adult

1/9

I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs Vhnloohe`h`Goouegzitgle ^nmhùdh alr Iùdts Ijh` 97 Whirs lr Ld`hr; Xegth`^tiths, 6290*Nirldye F. Frg`jhs, O@, ie` Piohri Nlyeh-Fhisdhy, O@, ORM, le fhmida la tmh I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs

Qinngehs irh rhnloohe`h` alr iùdts le tmh fisgs latmhgr ijh, prglr vinngeitgles, mhidtm nle`gtgles, dgah-stydh, lnnupitgle, ie` trivhd. Vhisles alr nurrhet dlw dhvhdsla vinngeitgle nlvhrijh alr iùdt vinngehs irh oudtgaintlrgidie` gendu`h dgogth` iwirhehss iolej tmh pufdgn iflut vin-ngehs alr iùdts ie` jips ge genlrplritgle la rhjudir isshss-ohets la vinngeh ehh`s ie` vinngeitgle getl rlutgeh oh`-gnid nirh (90). Xpìth` stieìr`s alr goouegzitgle laiùdts whrh ipprlvh` fy tmh Eitgleid Qinngeh I`vgslryNloogtthh (EQIN) ge ^hpthofhr 629> (8). Pmhsh stie-ìr`s incelwdh`jh tmh nurrhet dlw dhvhds la vinngeh nlvhr-

ijh iolej iùdts ie` tmh rldh tmit idd mhidtm nirh prlvg`-hrs, gendu`gej tmlsh wml `l elt laahr idd rhnloohe`hìùdt vinngehs ge tmhgr printgnhs, mivh ge hesurgej tmit tmhgrpitghets irh up-tl-ìth le rhnloohe`h` vinngehs. PmhEQIN rhnloohe s tmit prlvg hrs isshss vinngeitgleehh`s alr tmhgr pitghets it hinm vgsgt3 rhnloohe` ehh`h`vinngehs3 ie` tmhe, g`hiddy, laahr tmh vinngeh lr, ga tmh prl-vg`hr `lhs elt stlnc tmh ehh`h` vinngehs, rhahr tmh pitghettl i prlvg`hr wml `lhs vinngeith. Qinngeitgej prlvg`hrssmlud` idsl hesurh tmit pitghets ie` tmhgr rhahrrgej prlvg`-hrs mivh `lnuohetitgle la tmh vinngeitgle.

I rhnlooheìtgle fy i pitghets prlvg`hr alr ehh`h`vinngehs gs i strlej prh`gntlr la pitghets rhnhgvgej rhnlo-ohe`h` vinngehs (1, :). Ltmhr gethrvhetgles tl goprlvhvinngeitgle riths mivh fhhe suooirgzh` ge tmh Nloou-egty Jug h (www.tmhnloouegtyjug`h.lrj/vinngehs/ge`hx.mtod) ie` gendu`h systhos nmiejhs, sunm is rlutgehsnrhhegej ie` laahrgej la vinngehs ie` gopdhohetitgle larhoge`hr/rhnidd systhos (=).

Fhniush oiey iùdt pitghets ogjmt nlesudt olrh tmie9 mhidtm nirh prlvg`hr ie` idsl ogjmt fh vinngeith` it tmh

wlrcpdinh, pmiroiny, lr ltmhr dlnitgle, `lnuohetitgle lavinngeitgles ge goouegzitgle gealroitgle systhos (tmit gs,

vinngeh rhjgstrghs) gs goplrtiet tl hesurh tmit pitghetsnlopdhth vinngeitgle mgstlry gs ivigdifdh tl idd la tmhgr prl-vg`hrs. Ge i``gtgle, sloh vinngehs rhqugrh olrh tmie 9 `lsh

wgtm sphngh` tgoh gethrvids fhtwhhe `lshs (alr hxiopdh,mhpitgtgs F vinngeh >-`lsh shrghs) ie` irh rhnloohe`h` alrnhrtige iùdt plpuditgles ledy ga iùdts whrh elt vinngeithìs nmgd`rhe (alr hxiopdh, ohisdhs, ouops, rufhddi SOOV_vinngeh). Goouegzitgle gealroitgle systhos irh oieijh`fy stith lr ngty goouegzitgle prljrios3 nletint gealroi-tgle iflut tmhsh systhos nie fh alue` it www.n`n.jlv/vinngehs/prljrios/ggs/nletints-rhjgstry-stiaa.mtod.

Pmh I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs(INGR) ieeuiddy rhvghws ie` upìths tmh Iùdt Gooueg-zitgle ^nmhùdh. Pmgs snmhùdh prlvg`hs i frgha suooiry la

INGR rhnlooheìtgles alr tmh ush la vinngehs rlutgehdyrhnloohe`h` alr iùdts ge tmh alro la 6 jurhs (Agjurhs 9ie` 6), alltelths alr hinm vinngeh, ie` i tifdh tmitgendu`hs tmh prgoiry nletrige`gnitgles ie` prhniutgles(Pifdh).

Ge Lntlfhr 629>,INGR ipprlvh` tmh Iùdt Gooueg-zitgle ^nmhùdh alr 6290. Pmgs snmhùdh wis idsl rhvghwhìe` ipprlvh` fy tmh Iohrgnie Ini`hoy la Aiogdy Rmysg-ngies, Iohrgnie Nlddhjh la Rmysgngies, Iohrgnie Nlddhjh

la Lfsthtrgngies ie` Jyehnldljgsts, ie` Iohrgnie Nlddhjhla Eursh-Og`wgvhs. Pmh prgoiry up iths alr tmh 6290snmhùdh gendu`h i``gej Miholpmgdus gestuhezih typh f(Mgf) vinngeh tl tmh jurhs ie` upìtgej gealroitgle getmh alltelth iflut phrsles alr wmlo Mgf vinngeh gs rhn-loohe`h`3 i``gej gealroitgle tl tmh gestuhezi vinngehalltelth ie` nletrige`gnitgles tifdh rhjir`gej tmh ehwdydgnhesh` rhnlofgeiet gestuhezi vinngeh (VGQ) ie` gealr-oitgle iflut tmh ush la VGQ ie` geintgvith` gestuhezivinngeh (GGQ) iolej phrsles wgtm hjj iddhrjghs3 olvgej tmhalltelth alr pehuolnlnnid nlekujith vinngeh (RNQ9>)rhnlooheìtgles fhalrh tmh pehuolnlnnid pldysinnmirg`h

vinngeh (RR^Q6>) rhnlooheìtgles fhniush RNQ9>smlud` fh iògegsthrh` rst iolej phrsles alr wmlo fltmvinngehs irh rhnloohe`h`3 ie` ndirgaygej gealroitgleiflut tmh tgogej la tmh shnle` ie` tmgr` `lshs la muoie

* Pmh 6290 INGR Iùdt Goouegzitgle ^nmhùdh ipphirh` ge Ieeids la Gethreid Oh`gngehie` le tmh Nhethrs alr @gshish Nletrld ie` Rrhvhetgle Zhf sgth it www.n`n.jlv/vinngehs.Pmh

getrlùntgle tl tmh nmiejhs ge tmh 6290 snmhùdh gs pufdgsmh` sgoudtiehlusdy ge tmh OOZV Olrfg`gty ie` Olrtidgty Zhhcdy Vhplrt. Vhi`hrs wml wgsm tl ngth tmh snmhùdh smlud` ush

tmh alddlwgej ngtitgle; I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs. I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs (INGR) rhnloohe`h` goouegzitgle snmhùdhs alr iùdts ijh`

97 yhirs lr ld`hr; Xegth` ^tiths, 6290. Iee Gethre Oh`. 6290;912;972-97:.

Pmh snmhùdh wis prhpirh` fy tmh I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs (INGR) Iùdt Goouegzitgle Zlrc Jrlup3 Nirldye F. Frg`jhs, O@ (Goouegzitgle ^hrvgnhs

@gvgsgle, Eitgleid Nhethr alr Goouegzitgle ie` Vhspgritlry @gshish, Nhethrs alr @gshish Nletrld ie` Rrhvhetgle, Itdieti, Jhlrjgi)3 Di@lri Zll`s (Goouegzitgle ^hrvgnhs @gvgsgle,

Eitgleid Nhethr alr Goouegzitgle ie` Vhspgritlry @gshish, Nhethrs alr @gshish Nletrld ie` Rrhvhetgle, Itdieti, Jhlrjgi)3 ie` Piohri Nlyeh-Fhisdhy, O@, ORM (Xegvhrsgty la Elrtm

Nirldgei, Nmiphd Mgdd, Elrtm Nirldgei). Alr i dgst la ohofhrs la tmh INGR ie` tmh INGR Iùdt Goouegzitgle Zlrc Jrlup, shh tmh Ipphe`gx(ivigdifdh itwww.ieeids.lrj).

^hh idsl;

Rrget

Vhdith irtgndh. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 919

Ieeids la Gethreid Oh`gngehNdgegnid Jug`hdgeh

972 0 Ahfruiry 6290 Ieeids la Gethreid Oh`gngeh Qlduoh 912 Euofhr > www.ieeids.lrj

wedli`h` Arlo; mttp;//ieeids.lrj/ le 26/92/6290
http://www.thecommunityguide.org/vaccines/index.htmlhttp://www.thecommunityguide.org/vaccines/index.htmlhttp://www.cdc.gov/vaccines/programs/iis/contacts-registry-staff.htmlhttp://www.cdc.gov/vaccines/programs/iis/contacts-registry-staff.htmlhttp://www.cdc.gov/vaccineshttp://www.annals.org/http://www.annals.org/http://www.cdc.gov/vaccineshttp://www.cdc.gov/vaccines/programs/iis/contacts-registry-staff.htmlhttp://www.cdc.gov/vaccines/programs/iis/contacts-registry-staff.htmlhttp://www.thecommunityguide.org/vaccines/index.htmlhttp://www.thecommunityguide.org/vaccines/index.html


2/9

pipgddloivgrus (MRQ) vinngeh, ush la ohegejlnlnnid vin-ngehs iolej iùdts, ie` rhnlooheìtgles alr thtieus,`gpmtmhrgi, inhddudir phrtussgs (Pìp) ie` thtieus, `gpmtmh-rgi (P`) vinngehs (7, 92).

Fhniush la spinh dgogtitgles, oiey `htigds la tmh auddINGR rhnlooheìtgles alr hinm vinngeh irh elt gendu`h`ge tmh snmhùdh ie` gethrhsth` prlvg`hrs smlud` rhahr tl tmhaudd INGR rhnlooheìtgles. Ge i``gtgle, nmiejhs ge rhn-looheìtgles alr sphngn vinngehs ogjmt lnnur fhtwhheieeuid upìths tl tmh iùdt goouegzitgle snmhùdh. Vhn-looheìtgles arlo INGR alr sphngn vinngehs nie fhalue` it www.n`n.jlv/vinngehs/mnp/ingp-rhns/ge`hx.mtod.Gealroitgle le rhplrtgej vinngeh-rhdith` i`vhrsh hvhets

gs ivigdifdh it www.vihrs.mms.jlv lr fy thdhpmleh it=22-=66-:71:.Pmgs yhir, tmh jurhs, alltelths, ie` tifdh irh elt

fhgej pufdgsmh` sgoudtiehlusdy ge tmh OOZV Vhnloohe-ìtgles ie` Vhplrts. Gesthi`, tmh OOZV Olrfg`gty ie`

Olrtidgty Zhhcdy Vhplrtwgdd fh pufdgsmgej ledy tmh getrl-ùntgle, wgtm tmh audd snmhùdh plsth` ie` oigetigeh` letmh Nhethrs alr @gshish Nletrld ie` Rrhvhetgle (N@N)

Zhf sgth it www.n`n.jlv/vinngehs/snmhùdhs tl aingdgtithupìtgej tmh snmhùdh ùrgej tmh yhir, ga ehh`h`. Ga hrrlrslr logssgles irh `hthnth` iathr pufdgnitgle la tmh ph`gitrgnlr iùdt goouegzitgles snmhùdhs, tmh N@N plsts rhvgsh`vhrsgles. Pmh N@N henlurijhs lrjiegzitgles tmit mivh

Agjurh 9. Vhnloohe`h` iùdt goouegzitgle snmhùdh, fy vinngeh ie` ijh jrlup.

QINNGEH IJH JVLXR 9769 yhirs 6661 yhirs 6:07 yhirs 8287 yhirs 1210 yhirs 18 yhirs

Gestuhezi 6,*

Phtieus, gpmtmhrgi, phrtussgs (P`/P ip) >,*

Qirgnhddi0,*

Muoie pipgddloivgrus (MRQ) Ahoidh 8,*

Muoie pipgddloivgrus (MRQ) Oidh 8,*

[lsthr 1

Ohisdhs, ouops, rufhddi (OOV) :,*

Rehuolnlnnid pldysinnmirg`h (RR^Q6>)7,92

Rehuolnlnnid 9>-vidhet nlekujith (RNQ9>) =,*

Ohegejlnlnnid 99,*

Mhpitgtgs I 96,*

Mhpitgtgs F 9>,*

*Nlvhrh` fy tmh Qinngeh Gekury Nlophesitgle Rrljrio

> `lshs

Miholpmgdus geuhezihtyph f (Mgf)90,*

9 lr > `lshs

6 `lshs

9 lr olrh `lshs

9 `lsh

9 `lsh9 lr 6 `lshs

9 lr 6 `lshs

9 `lsh

> `lshs

6 `lshs

ûfstgtuth 9-tgoh lsh la Pìp alr P` fllsthr3 tmhe fllst wgtm P` hvhry 92 yrs

9 `lsh ieeuiddy

> `lshs

Agjurh 9. Vhnloohe`h` iùdt goouegzitgle snmhùdh, fy vinngeh ie` ijh jrlup9

Vhnloohe`h` Iùdt Goouegzitgle ^nmhùdhXegth` ^tiths 6290Elth; Pmhsh rhnlooheìtgles oust fh rhi` wgtm tmh alltelths tmit alddlw

nletigegej euofhr la `lshs, gethrvids fhtwhhe `lshs, ie` ltmhr goplrtiet gealroitgle.

Vhnloohe`h` ga sloh ltmhr rgsc aintlrgs prhshet (h.j., le tmh fisgs la oh`gnid,lnnupitgleid, dgahstydh, lr ltmhr ge`gnitgle)

El rhnlooheìtglePmh rhnlooheìtgles ge tmgs snmhùdh whrh ipprlvh` fy tmh Nhethrs alr @gshish Nletrld ie` Rrhvhetgles (N@N) I`vgslryNloogtthh le Goouegzitgle Rrintgnhs (INGR), Iohrgnie Ini`hoy la Aiogdy Rmysgngies (IIAR), Iohrgnie Nlddhjh laRmysgngies (INR), Iohrgnie Nlddhjh la Lfsthtrgngies ie` Jyehnldljgsts (INLJ), ie` Iohrgnie Nlddhjh la Eursh-Og`wgvhs (INEO).

Alr idd phrsles ge tmgs nithjlry wml ohht

tmh ijh rhqugrhohets ie` wml dinc`lnuohetitgle la vinngeitgle lr mivh el

hvg`henh la prhvglus geahntgle3 zlsthrvinngeh rhnloohe`h` rhjir`dhss la prglr

hpgsl`h la zlsthr

Vhplrt idd ndgegniddy sgjegniet plstvinngeitgle rhintgles tl tmh Qinngeh I`vhrsh Hvhet Vhplrtgej ^ystho (QIHV^). Vhplrtgej alros ie`

gestruntgles le dgej i QIHV rhplrt irh ivigdifdh it www.vihrs.mms.jlv lr fy thdhpmleh, =22-=66-:71:.Gealroitgle le mlw tl dh i Qinngeh Gekury Nlophesitgle Rrljrio ndigo gs ivigdifdh it www.mrsi.jlv/vinngehnlophesitgle lr fy

thdhpmleh, =22->>=-6>=6. Pl dh i ndigo alr vinngeh gekury, nletint tmh X. . Nlurt la Ah`hrid Ndigos, :9: Oi`gsle Rdinh, EZ, Zismgejtle, @N622283 thdhpmleh, 626->8:-1022.

I``gtgleid gealroitgle iflut tmh vinngehs ge tmgs snmhùdh, hxthet la ivigdifdh ìti, ie` nletrige`gnitgles alr vinngeitgle gs idsl ivigdifdh itwww.n`n.jlv/vinngehs lr arlo tmh N@N-GEAL Nletint Nhethr it =22-N@N-GEAL (=22-6>6-01>1) ge Hejdgsm ie` ^piegsm, =;22 i.o. =;22 p.o.

Histhre Pgoh, Oleìy Argìy, hxndu`gej mldgìys.

Xsh la tri`h eiohs ie` nloohrngid slurnhs gs alr g`hetgnitgle ledy ie` `lhs elt gopdy he`lrshohet fy tmh X. . @hpirtohet la Mhidtm ie`

Muoie ^hrvgnhs.

Ndgegnid Jug`hdgehVhnloohe`h` Iùdt Goouegzitgle nmhùdh; Xegth` tiths, 6290

www.ieeids.lrj 0 Ahfruiry 6290 Ieeids la Gethreid Oh`gngeh Qlduoh 912 Euofhr > 979

http://www.cdc.gov/vaccines/hcp/acip-recs/index.htmlhttp://www.vaers.hhs.gov/http://www.cdc.gov/vaccines/scheduleshttp://www.cdc.gov/vaccines/scheduleshttp://www.vaers.hhs.gov/http://www.cdc.gov/vaccines/hcp/acip-recs/index.html


3/9

prhvglusdy rhdgh` le nlpygej ie` plstgej R@A dhs la tmhsnmhùdhs tl tmhgr Zhf sgths tl gesthi` ush nlethet sye`g-nitgle tl hesurh tmit nurrhet ie` innurith goouegzitglesnmhùdh gealroitgle ipphirs le hinm lrjiegzitgles Zhfsgth. Pmgs leh-tgoh sthp hesurhs tmit Zhf sgths `gspdiy nur-rhet yhirdy snmhùdhs is slle is tmhy irh pufdgsmh` lr rh-vgsh . Gestruntgles alr nlpygej ie` pdingej sye`gnitglenl`h irh ivigdifdh it www.n`n.jlv/vinngehs/snmhùdhs/sye`gnith.mtod. Pmh N@N laahrs thnmegnid issgstienh alrlrjiegzitgles gopdhohetgej tmgs alro la nlethet sye`gni-tgle. Alr issgstienh, rhi`hrs nie nlopdhth tmh h-oigd alrole tmh N@Ns Eitgleid Nhethr alr Goouegzitgle ie` Vh-spgritlry @gshishs (ENGV@) Zhf supplrt pijh (www.n`n.jlv/vinngehs/iflut/nletint/whf\prlfdho\alro.mtod) , ie`

ie ENGV@ Zhf thio stiaa ohofhr wgdd nletint tmho tlprlvg`h issgstienh.

NMIEJH^ PL PMH ALLPELPH^ ALV 6290Pmh Mgf vinngeh rhnlooheìtgles whrh upìth`. Pmh

vinngeh gs rhnloohe`h` alr nhrtige iùdts it genrhish` rgscalr Mgf wml mivh elt rhnhgvh` tmh vinngeh fhalrh. Iùdts

wml mivh mi` i sunnhssaud mhoitlplghtgn stho nhdd tries-pdiet irh rhnloohe`h` tl rhnhgvh i >-`lsh shrghs la Mgfvinngeh 1 tl 96 oletms iathr tmh triespdiet rhjir`dhss laprglr Mgf vinngeitgle stitus. Rrglr Mgf vinngeh jugìenhrhnloohe`h` tmit Mgf vinngeitgle la phrsles geahnth`

wgtm MGQ fh nlesg`hrh`, fut upìth` jugìenh el dlejhr

Agjurh 6.Qinngehs tmit ogjmt fh ge`gnith` alr iùdts fish` le oh`gnid ie` ltmhr ge`gnitgles.

QINNGEH GE@GNIPGLE Rrhjeieny

Goouel-nloprlogsgej

nle gtgles(hxndu gej muoiegoouel`hnghenyvgrus SMGQ_)0,1,:,=,98

MGQ geahntgleN@0+ P dyopmlnyth

nluet 0,:,=,98 Ohe wmlmivh shx

wgtm ohe(OÔ)

Mhirt gshish,nmrlegn

duej gshish,nmrlegn

idnlmldgso

Ispdhegi (gendu gejhdhntgvh spdhehntloy

ie phrsgsthetnlopdhohetnloplehet

`hnghenghs)=,90

Nmrlegndgvhrgshish

Cgèhyaigdurh,

he -stijhrheid gshish,

rhnhgpt lamhol gidysgs @gifhths

Mhidtm nirhphrsleehd

4622nhdds/D

622nhdds/D

Geuhezi6,*

Phtieus, gpmtmhrgi, phrtussgs (P`/Pìp) >,*

Qirgnhddi 0,*

Muoie pipgddloivgrus (MRQ) Ahoidh8,*

Muoie pipgddloivgrus (MRQ) Oidh8,*

[lsthr1

Ohisdhs, ouops, rufhddi (OOV):,*

Rehuolnlnnid pldysinnmirg`h (RR^Q6>)7,92

Rehuolnlnnid 9>-vidhet nlekujith (RNQ9>)=,*

Ohegejlnlnnid99,*

Mhpitgtgs I 96,*

Mhpitgtgs F 9>,*

*Nlvhrh` fy tmh Qinngeh Gekury Nlophesitgle Rrljrio

Pmhsh snmhùdhs ge`gnith tmh rhnloohe`h` ijh jrlups ie` oh`gnid ge`gnitglesalr wmgnm iògegstritgle la nurrhetdy dgnhesh` vinngehs gs nlooledy ge`gnith`

alr iùdts ijhs 97 yhirs ie` ld`hr, is la Ahfruiry 9, 6290. Alr idd vinngehs fhgejrhnloohe`h` le tmh Iùdt Goouegzitgle nmhùdh; i vinngeh shrghs lhs elt

ehh` tl fh rhstirth`, rhjir`dhss la t mh tgoh tmit mis hdipsh` fhtwhhe lshs.

Dgnhesh` nlofgeitgle vinngehs oiy fh ush` wmhehvhr iey nloplehets latmh nlofgeitgle irh ge`gnith` ie` wmhe tmh vinngehs ltmhr nloplehets irh

elt nletrige`gnith`. Alr htigdh` rhnlooheìtgles le idd vinngehs, gendu`gejtmlsh ush` prgoirgdy alr trivhdhrs lr tmit irh gssuh` urgej tmh yhir, nlesudt tmh

oieuainturhrs pincijh geshrts ie` tmh nlopdhth stithohets arlo tmh I`vgslryNloogtthh le Goouegzitgle Rrintgnhs (www.n`n.jlv/vinngehs/mnp/ingp-rhnsw.

/ge`hx.mtod). Xsh la tri`h eiohs ie` nloohrngid slurnhs gs alr g`hetgnitgle ledy ie``lhs elt gopdy he`lrshohet fy tmh X.^. @hpirtohet la Mhidtm ie` Muoie hrvgnhs.

> `lshs

9 lr > `lshsplst-M^NP rhngpghets ledy

6 `lshs

9 lr olrh `lshs

9 lr 6 `lshs

9 lr 6 `lshsNletrige`gnith`

9 `lshNletrige`gnith`

> `lshs tmrlujm ijh 69 yrs> `lshs tmrlujm ijh 61 yrs

> `lshs tmrlujm ijh 61 yrs> `lshs tmrlujm ijh 61 yrs

6 `lshsNletrige`gnith`

ûfstgtuth 9-tgoh lsh la Pìp alr P` fllsthr3 tmhe fllst wgtm P` hvhry 92 yrs

9 lsh GGQ lr DIGQieeuiddy9 `lsh GGQ ieeuiddy

9 lsh GGQ lrDIGQ ieeuiddy

9 `lsh Pìp hinmprhjeieny

9 `lsh GGQ ieeuiddy

Agjurh 6. Qinngehs tmit ogjmt fh ge`gnith` alr iùdts fish` le oh`gnid ie` ltmhr ge`gnitgles9

Vhnloohe`h` Iùdt Goouegzitgle ^nmhùdhXegth` ^tiths 6290Elth; Pmhsh rhnlooheìtgles oust fh rhi` wgtm tmh alltelths tmit alddlw

nletigegej euofhr la `lshs, gethrvids fhtwhhe `lshs, ie` ltmhr goplrtiet gealroitgle.

Alr idd phrsles ge tmgs nithjlry wml ohht tmh ijh rhqugrhohets ie` wml dinc`lnuohetitgle la vinngeitgle lr mivh el hvg`henh la prhvglus geahntgle3zlsthr vinngeh rhnloohe`h` rhjir`dhss la prglr hpgsl`h la zlsthr

Vhnloohe`h` ga sloh ltmhr rgsc aintlr gs prhshet (h.j., le tmh fisgs laoh`gnid, lnnupitgleid, dgahstydh, lr ltmhr ge`gnitgles)

El rhnlooheìtgle

Pmh rhnlooheìtgles ge tmgs snmhùdh whrh ipprlvh` fy tmh Nhethrs alr @gshishNletrld ie` Rrhvhetgles (N@N) I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs

(INGR), tmh Iohrgnie Ini`hoy la Aiogdy Rmysgngies (IIAR), Iohrgnie Nlddhjh laRmysgngies (INR), Iohrgnie Nlddhjh la Lfsthtrgngies ie` Jyehnldljgsts (INLJ),

ie` Iohrgnie Nlddhjh la Eursh-Og`wgvhs (INEO).

Miholpmgdus geuhezihtyph f (Mgf)90,*

9 `lsh

Ndgegnid Jug`hdgeh Vhnloohe`h` I udt Goouegzitgle ^nmhùdh; Xegth` tiths, 6290


http://www.cdc.gov/vaccines/schedules/syndicate.htmlhttp://www.cdc.gov/vaccines/schedules/syndicate.htmlhttp://www.cdc.gov/vaccines/about/contact/web_problem_form.htmlhttp://www.cdc.gov/vaccines/about/contact/web_problem_form.htmlhttp://www.cdc.gov/vaccines/about/contact/web_problem_form.htmlhttp://www.cdc.gov/vaccines/about/contact/web_problem_form.htmlhttp://www.cdc.gov/vaccines/schedules/syndicate.htmlhttp://www.cdc.gov/vaccines/schedules/syndicate.html


4/9

Pifdh. Nletrige`gnitgles ie` Rrhniutgles tl Nlooledy Xsh` Qinngehs ge Iùdts*

Qinngeh Nletrige`gnitgles Rrhniutgles

Geaduhezi, geintgvith` (GGQ) ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr prhvglus `lshla iey GGQ lr DIGQ lr tl i vinngeh nloplehet, gendu`gejhjj prlthge.

Ol`hrith lr shvhrh inuth gddehss wgtm lr wgtmlut ahvhr.Mgstlry la Jugddige-Firrh sye`rloh wgtmge 1 whhcs la

prhvglus geaduhezi vinngeitgle.Rhrsles wml hxphrghenh ledy mgvhs wgtm hxplsurh tl

hjjs oiy rhnhgvh VGQ (ga ijh` 9=07 yhirs) lr, wgtmi``gtgleid siahty prhniutgles, GGQ.

Geaduhezi, rhnlofgeiet (VGQ) ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr prhvglus `lshla VGQ lr tl i vinngeh nloplehet. VGQ `lhs elt nletigeiey hjj prlthge.


prhvglus geaduhezi vinngeitgle.

Geaduhezi, dgvh ittheuith` (DIGQ) ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr prhvglus `lshla iey GGQ lr DIGQ lr tl i vinngeh nloplehet, gendu`gejhjj prlthge.

Nle`gtgles alr wmgnm tmh I`vgslry Nloogtthh leGoouegzitgle Rrintgnhs (INGR) rhnloohe`s ijigest ush futwmgnm irh elt nletrige`gnitgles ge vinngeh pincijh geshrt;gooueh supprhssgle, nhrtige nmrlegn oh`gnid nle`gtgles(sunm is istmoi, `gifhths, lr mhirt lr cgèhy `gshish), ie`prhjeieny.


prhvglus geaduhezi vinngeitgle.Vhnhgpt la sphngagn ietgvgrids (g.h., ioieti`geh,

rgoieti`geh, zieiogvgr, lr lshdtiogvgr) wgtmge 0=mlurs fhalrh vinngeitgle3 ivlg` ush la tmhsh ietgvgrid`rujs alr 90 ìys iathr vinngeitgle.

Phtieus, `gpmtmhrgi, phrtussgs (Pìp)3thtieus, `gpmtmhrgi (P`)

^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr i prhvglus`lsh lr tl i vinngeh nloplehet.

Alr phrtussgs-nletigegej vinngehs; henhpmidlpitmy (h.j., nloi,`hnrhish` dhvhd la nlesnglusehss, lr prldlejh` shgzurhs) eltittrgfutifdh tl ieltmhr g`hetgagifdh niush wgtmge : ìys laiògegstritgle la i prhvglus `lsh la Pìp lr `gpmtmhrgi ie`thtieus tlxlg`s ie` phrtussgs (@PR) lr `gpmtmhrgi ie`thtieus tlxlg`s ie` inhddudir phrtussgs (@PiR) vinngeh.

Ol`hrith lr shvhrh inuth gddehss wgtm lr wgtmlut ahvhr.Jugddige-Firrh sye`rloh wgtmge 1 whhcs iathr i

prhvglus `lsh la thtieus tlxlg`nletigegej vinngeh.Mgstlry la Irtmus-typh myphrshesgtgvgty rhintgles iathr i

prhvglus `lsh la thtieus lr `gpmtmhrgitlxlg`nletigegej vinngeh3 `hahr vinngeitgle uetgd itdhist 92 yhirs mivh hdipsh` sgenh tmh dist thtieustlxlg`nletigegej vinngeh.

Alr phrtussgs-nletigegej vinngehs; prljrhssgvh lruestifdh ehurldljgn `gslr`hr, uenletrlddh` shgzurhs,lr prljrhssgvh henhpmidlpitmy uetgd i trhitohetrhjgohe mis fhhe hstifdgsmh` ie` tmh nle`gtgle misstifgdgzh`.

Qirgnhddi ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr i prhvglus`lsh lr tl i vinngeh nloplehet.

Celwe shvhrh goouel`hagngheny (h.j., arlo mhoitldljgn ie`sldg` tuolrs, rhnhgpt la nmholtmhripy, nlejhegtidgoouel`hagngheny, lr dlej-thro goouelsupprhssgvhtmhripy lr pitghets wgtm MGQ geahntgle wml irh shvhrhdygoouelnloprlogsh`).

Rrhjeieny.

Vhnhet (wgtmge 99 oletms) rhnhgpt laietgfl`y-nletigegej fdll` prlùnt (sphngagn gethrvid`hphe`s le prlùnt).**

Ol`hrith lr shvhrh inuth gddehss wgtm lr wgtmlut ahvhr.Vhnhgpt la sphngagn ietgvgrids (g.h., inyndlvgr, aiongndlvgr,

lr vidinyndlvgr) 60 mlurs fhalrh vinngeitgle3 ivlgùsh la tmhsh ietgvgrid `rujs alr 90 ìys iathr

vinngeitgle.Muoie pipgddloivgrus (MRQ) ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr i prhvglus

`lsh lr tl i vinngeh nloplehet.Ol`hrith lr shvhrh inuth gddehss wgtm lr wgtmlut ahvhr.Rrhjeieny.

[lsthr ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) tl i vinngehnloplehet.

Celwe shvhrh goouel`hagngheny (h.j., arlo mhoitldljgn ie`sldg` tuolrs, rhnhgpt la nmholtmhripy, lr dlej-throgoouelsupprhssgvh tmhripy lr pitghets wgtm MGQ geahntglewml irh shvhrhdy goouelnloprlogsh`).

Rrhjeieny.

Ol`hrith lr shvhrh inuth gddehss wgtm lr wgtmlut ahvhr.Vhnhgpt la sphngagn ietgvgrids (g.h., inyndlvgr, aiongndlvgr,

lr vidinyndlvgr) 60 mlurs fhalrh vinngeitgle3 ivlgùsh la tmhsh ietgvgrid `rujs alr 90 ìys iathrvinngeitgle.

Ohisdhs, ouops, rufhddi (OOV) ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr i prhvglus`lsh lr tl i vinngeh nloplehet.

Celwe shvhrh goouel`hagngheny (h.j., arlo mhoitldljgn ie`sldg` tuolrs, rhnhgpt la nmholtmhripy, nlejhegtidgoouel`hagngheny, lr dlej-thro goouelsupprhssgvhtmhripy lr pitghets wgtm MGQ geahntgle wml irh shvhrhdygoouelnloprlogsh`).

Rrhjeieny.

Ol`hrith lr shvhrh inuth gddehss wgtm lr wgtmlut ahvhr.Vhnhet (wgtmge 99 oletms) rhnhgpt la

ietgfl`y-nletigegej fdll` prlùnt (sphngagn gethrvid`hphe`s le prlùnt).**

Mgstlry la tmrloflnytlphegi lr tmrloflnytlphegnpurpuri.

Ehh` alr tufhrnudge scge thstgej.

Rehuolnlnnid nlekujith (RNQ9>) ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr i prhvglus`lsh lr tl i vinngeh nloplehet, gendu`gej tl iey vinngehnletigegej `gpmtmhrgi tlxlg`.

Ol`hrith lr shvhrh inuth gddehss wgtm lr wgtmlut ahvhr.

Rehuolnlnnid pldysinnmirg`h(RR^Q6>)



Ohegejlnlnnid nlekujith(OheINZW-@)3 ohegejlnlnnidpldysinnmirg`h (OheINZW-NVO)



Mhpitgtgs I ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr i prhvglus`lsh lr tl i vinngeh nloplehet.


Nletgeuh` le ehxt pijh


www.ieeids.lrj 0 Ahfruiry 6290 Ieeids la Gethreid Oh`gngeh Qlduoh 912 Euofhr > 97>



5/9

rhnloohe`s Mgf vinngeitgle la prhvglusdy uevinngeithìùdts wgtm MGQ geahntgle fhniush tmhgr rgsc alr Mgf geahn-tgle gs dlw.

Gealroitgle le tmh VGQ ie` tmh ush la VGQ ie` GGQiolej hjj-iddhrjgn pitghets wis i``h` tl tmh alltelth ie`ge`gniths tmit VGQ lr GGQ nie fh ush` iolej phrsles wgtm

mgvhs-ledy iddhrjy tl hjjs. Pmh VGQ nletiges el hjj prlthgeie` nie fh ush` iolej phrsles ijh` 9= tl 07 yhirs wmlmivh hjj iddhrjy la iey shvhrgty.

Pmh P`/Pìp vinngeh alltelth wis h`gth` tl mirol-egzh wgtm tmh diejuijh ush` ge tmh ph`gitrgn goouegzitglesnmhùdh. I sgejdh `lsh la Pìp vinngeh gs rhnloohe`hàlr prhvglusdy uevinngeith` phrsles ijh` 99 yhirs lr ld`hr,ie` P` fllsthr smlud` fh iògegsthrh` hvhry 92 yhirstmhrhiathr. Rrhjeiet wlohe nletgeuh tl fh rhnloohe`h`tl rhnhgvh i `lsh la Pìp vinngeh ùrgej hinm prhjeieny,prhahrifdy ùrgej 6: tl >1 whhcs jhstitgle, rhjir`dhss latmh gethrvid sgenh tmh prglr `lsh la Pìp lr P` vinngeitgle.

Gealroitgle wis i``h` tl tmh MRQ vinngeh alltelthtl ndirgay tmh tgogej fhtwhhe tmh shnle` ie` tmgr` `lshsie` tl mirolegzh diejuijh fhtwhhe tmh ph`gitrgn ie` iùdtgoouegzitgle snmhùdhs3 el nmiejhs ge rhnlooheìtgles

whrh oi`h.Fltm tmh MRQ vinngeh alltelth ie` tmh zlsthr allt-

elth whrh sgopdgh`, wgtm rholvid la tmh fuddht rhjir`gejmhidtm nirh phrsleehd (MNR). Fhgej i mhidtm nirh wlrchr gselt i sphngn ge`gnitgle alr tmhsh vinngehs, fut tmhy smlud`fh jgvhe tl MNR ie` ltmhrs wml ohht ijh ie` ltmhr ge-`gnitgles alr tmhsh vinngehs. Gealroitgle le MNR vinngei-tgle alr idd vinngehs nie fh alue` it www.n`n.jlv/oowr/prhvghw/oowrmtod/rr122:i9.mto.

Fhniush RNQ9> gs rhnloohe`h` tl fh iògegsthrh`fhalrh RR^Q6> iolej phrsles alr wmlo fltm vinngehs irhrhnloohe`h`, tmh RNQ9> alltelth elw prhnh`hs tmhRR^Q6> alltelth ie` gendu`hs wlr`gej tl rhoge` prlvg`-hrs la tmh ipprlprgith lr`hr la tmhsh vinngehs wmhe fltm irhge`gnith`.

Pmh ohegejlnlnnid vinngeh alltelth wis h`gth` tlndirgay wmgnm phrsles ehh` hgtmhr 9 lr 6 `lshs la vinngeh ie`tl prlvg`h jrhithr ndirgty rhjir`gej wmgnm pitghets smlud`rhnhgvh tmh ohegejlnlnnid nlekujith (OheINZW-@) vhr-sus tmh ohegejlnlnnid pldysinnmirg`h (OheINZW-NVO)qui`rgvidhet vinngehs.

El nmiejhs lr ogelr ndirgnitgles whrh oi`h tl tmhalltelths alr tmh OOV, mhpitgtgs I, lr mhpitgtgs F vin-ngehs3 el nmiejhs ge rhnlooheìtgles whrh oi`h.

NMIEJH^ PL PMH AGJXVH^ ALV 6290AlrAgjurhs 9ie` 6, i rlw alr Mgf vinngeh wis i``h`

ie` tmh RNQ9> vinngeh rlw wis olvh` fhalrh RR^Q6> isi rhoge`hr tmit RNQ9> vinngehs smlud` fh iògegsthrh`rst iolej pitghets alr wmlo fltm vinngehs irhrhnloohe`h`.

ALLPELPH^Vhnloohe`h` Goouegzitgle ^nmhùdh alr Iùdts Ijh`97 Whirs lr Ld`hr; Xegth` ^tiths, 62909. I``gtgleid gealroitgle

I``gtgleid jugìenh alr tmh ush la tmh vinngehs `hsnrgfh` ge tmgssuppdhohet gs ivigdifdh it www.n`n.jlv/vinngehs/mnp/ingp-rhns/ge`hx.mtod.

Pifdh 9Nletgeuh`

Qinngeh Nletrige`gnitgles Rrhniutgles

Mhpitgtgs F ^hvhrh iddhrjgn rhintgle (h.j., ieipmydixgs) iathr i prhvglus`lsh lr tl i vinngeh nloplehet.


Miholpmgdus geaduhezih typh f(Mgf)



*Iìpth` arlo Pifdh 1. Nletrige`gnitgles ie` Rrhniutgles tl Nlooledy Xsh` Qinngehs. alue` ge; Jhehrid Vhnlooheìtgles le Goouegzitgle; Vhnlooheìtgles latmh I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs. OOZV. 6299312(VV-6);02-93 ie` Ipphe`gx I ge Pmh Rgec Fllc; Nhethrs alr @gshish Nletrld ie` Rrhvhetgle.Hpg`hogldljy ie` Rrhvhetgle la Qinngeh Rrhvhetifdh @gshishs, 96tm H`gtgle (6299), it www.n`n.jlv/vinngehs/pufs/pgecfllc/ge`hx.mtod.Vhjir`gej dithx iddhrjy; Nlesudt tmh pincijh geshrt alr iey vinngeh iògegsthrh`.Qinngeh pincijh geshrts ie` tmh audd INGR rhnlooheìtgles alr tmhsh vinngehs smlud` fh nlesudth` alr i``gtgleid gealroitgle le vinngeh-rhdith` nletrige`gnitgles ie`prhniutgles ie` alr olrh gealroitgle le vinngeh hxngpghets. Hvhets lr nle`gtgles dgsth` is prhniutgles smlud` fh rhvghwh` nirhauddy. Fhehts ie` rgscs la iògegsthrgej isphngn vinngeh tl i phrsle ue`hr tmhsh ngrnuostienhs smlud` fh nlesg`hrh`. Ga tmh rgsc arlo tmh vinngeh gs fhdghvh` tl lutwhgjm tmh fheht, tmh vinngeh smlud` elt fhiògegsthrh`. Ga tmh fheht la vinngeitgle gs fhdghvh` tl lutwhgjm tmh rgsc, tmh vinngeh smlud` fh iògegsthrh`. I nletrige`gnitgle gs i nle`gtgle ge i rhngpghet tmit genrhishstmh nmienh la i shrglus i`vhrsh rhintgle. Pmhrhalrh, i vinngeh smlud` elt fh iògegsthrh` wmhe i nletrige`gnitgle gs prhshet.Alr olrh gealroitgle le ush la gestuhezi vinngehs iolej phrsles wgtm hjj iddhrjghs ie` i nlopdhth dgst la nle`gtgles tmit tmh Nhethrs alr @gshish Nletrld ie` Rrhvhetglenlesg`hrs tl fh rhisles tl ivlg` rhnhgvgej DIGQ, shh Nhethrs alr @gshish Nletrld ie` Rrhvhetgle. Rrhvhetgle ie` nletrld la shisleid gestuhezi wgtm vinngehs. Vhnloohe-ìtgles la tmh I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs (INGR)Xegth` ^tiths, 629>-6290. OOZV Vhnloo Vhp. 629>316(VV-2:);9-0>.DIGQ, OOV, virgnhddi, lr zlsthr vinngehs nie fh iògegsthrh` le tmh sioh ìy. Ga elt iògegsthrh` le tmh sioh ìy, dgvh vinngehs smlud` fh shpirith` fy it dhist 6= ìys.Goouelsupprhssgvh sthrlg` `lsh gs nlesg`hrh` tl fh 6 whhcs la ìgdy rhnhgpt la 62 oj la prhègsleh lr tmh hqugvidhet. Qinngeitgle smlud` fh `hahrrh` alr it dhist 9 oletmiathr `gsnletgeuitgle la sunm tmhripy. Rrlvg`hrs smlud` nlesudt INGR rhnlooheìtgles alr nlopdhth gealroitgle le tmh ush la sphngn dgvh vinngehs iolej phrsles rhnhgvgejgooueh-supprhssgej oh`gnitgles lr wgtm gooueh supprhssgle fhniush la ltmhr rhisles.**Qinngeh smlud` fh `hahrrh` alr tmh ipprlprgith gethrvid ga rhpdinhohet gooueh jdlfudge prlùnts irh fhgej iògegsthrh`. ^hh N@N. Jhehrid rhnlooheìtgles le

goouegzitglerhnlooheìtgles la tmh I`vgslry Nloogtthh le Goouegzitgle Rrintgnhs (INGR). OOZV Vhnloo Vhp. 6299312(VV-26);9-103 ivigdifdh it www.n`n.jlv/vinngehs/mnp/ingp-rhns/ge`hx.mtod.Ohisdhs vinngeitgle ogjmt supprhss tufhrnudge rhintgvgty thoplrirgdy. Ohisdhs-nletigegej vinngeh oiy fh iògegsthrh` le tmh sioh ìy is tufhrnudge scge thstgej. Ga thstgejnieelt fh phralroh` uetgd iathr tmh ìy la OOV vinngeitgle, tmh thst smlud` fh plstpleh` alr it dhist 0 whhcs iathr tmh vinngeitgle. Ga ie urjhet ehh` hxgsts tl scge thst, `lsl wgtm tmh ue`hrstie`gej tmit rhintgvgty ogjmt fh rhùnh` fy tmh vinngeh.



http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6007a1.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr6007a1.htmhttp://www.cdc.gov/vaccines/hcp/acip-recs/index.htmlhttp://www.cdc.gov/vaccines/hcp/acip-recs/index.htmlhttp://www.cdc.gov/vaccines/hcp/acip-recs/index.htmlhttp://www.cdc.gov/vaccines/hcp/acip-recs/index.htmlhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr6007a1.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr6007a1.htm


6/9

Gealroitgle le vinngeitgle rhnloohe itgles wmhe vinngeitglestitus gs uecelwe ie` ltmhr jhehrid goouegzitgle gealroitgle nie fhalue` ge tmh Jhehrid Vhnloohe itgles le Goouegzitgle itwww.n`n.jlv/oowr/prhvghw/oowrmtod/rr1226i9.mto.

Gealroitgle le trivhd vinngeh rhqugrhohets ie` rhnlooheìtgles(h.j., alr mhpitgtgs I ie` F, ohegejlnlnnid, ie` ltmhr vinngehs) gs ivigd-ifdh itwwwen.n`n.jlv/trivhd/`hstgeitgles.dgst.

I``gtgleid gealroitgle ie` rhslurnhs rhjir`gej vinngeitgle la

prhjeiet wlohe nie fh alue` it www.n`n.jlv/vinngehs/iùdts/rhn-vin/prhjeiet.mtod.6. Geaduhezi vinngeitgle

Ieeuid vinngeitgle ijigest gestuhezi gs rhnloohe`h` alr idd phr-sles ijh` 1 oletms ie` ld`hr.

Rhrsles ijh` 1 oletms ie` ld`hr, gendu`gej prhjeiet wlohe ie`phrsles wgtm mgvhs-ledy iddhrjy tl hjjs, nie rhnhgvh tmh geintgvith` gestu-hezi vinngeh (GGQ). Ie ijh-ipprlprgith GGQ alrouditgle smlud` fh ush`.

Iùdts ijh` 9= tl 07 yhirs nie rhnhgvh tmh rhnlofgeiet gestuhezivinngeh (VGQ) (AduFdlc). VGQ `lhs elt nletige iey hjj prlthge.

Mhidtmy, eleprhjeiet phrsles ijh` 6 tl 07 yhirs wgtmlut mgjm-rgscoh`gnid nle`gtgles nie rhnhgvh hgtmhr getrieisiddy iògegsthrh` dgvh, it-theuith` gestuhezi vinngeh (DIGQ) (AduOgst), lr GGQ. Mhidtm nirh phr-sleehd wml nirh alr shvhrhdy goouelnloprlogsh` phrsles (g.h., tmlsh

wml rhqugrh nirh ge i prlthnth` hevgrleohet) smlud` rhnhgvh GGQ lr VGQritmhr tmie DIGQ.

Pmh getriousnudirdy lr getri`hroiddy iògegsthrh` GGQ irh lptglesalr iùdts ijh` 9= tl 10 yhirs.

Iùdts ijh` 18 yhirs lr ld`hr nie rhnhgvh tmh stieìr`-`lsh GGQ lrtmh mgjm-`lsh GGQ (Aduzleh Mgjm-@lsh).>. Phtieus, `gpmtmhrgi, ie` inhddudir phrtussgs (P`/P ip)vinngeitgle

Iògegsthr 9 `lsh la Pìp vinngeh tl prhjeiet wlohe ùrgej hinmprhjeieny (prhahrrh` ùrgej 6: tl >1 whhcs jhstitgle) rhjir dhss lagethrvid sgenh prglr P` lr Pìp vinngeitgle.

Rhrsles ijh` 99 yhirs lr ld`hr wml mivh elt rhnhgvh` Pìp vinngehlr alr wmlo vinngeh stitus gs uecelwe smlud` rhnhgvh i `lsh la Pìpalddlwh` fy thtieus ie` `gpmtmhrgi tlxlg`s (P`) fllsthr `lshs hvhry 92yhirs tmhrhiathr. Pìp nie fh iògegsthrh` rhjir`dhss la gethrvid sgenh tmholst rhnhet thtieus lr `gpmtmhrgi-tlxlg` nletigegej vinngeh.

Iùdts wgtm ie uecelwe lr genlopdhth mgstlry la nlopdhtgej i

>-`lsh prgoiry vinngeitgle shrghs wgtm P`-nletigegej vinngehs smlud`fhjge lr nlopdhth i prgoiry vinngeitgle shrghs gendu`gej i Pìp `lsh.

Alr uevinngeith` iùdts, iògegsthr tmh rst 6 `lshs it dhist 0 whhcsipirt ie` tmh tmgr` `lsh 1 tl 96 oletms iathr tmh shnle`.

Alr genlopdhthdy vinngeith` (g.h., dhss tmie > `lshs) iùdts, iòge-gsthr rhoigegej `lshs.

Vhahr tl tmh INGR stithohet alr rhnlooheìtgles alr iògegsthr-gej P`/Pìp is prlpmydixgs ge wlue` oieijhohet (shh alltelth 9).0. Qirgnhddi vinngeitgle

Idd iùdts wgtmlut hvg`henh la goouegty tl virgnhddi (is `heh`fhdlw) smlud` rhnhgvh 6 `lshs la sgejdh-ietgjhe virgnhddi vinngeh lr ishnle` `lsh ga tmhy mivh rhnhgvh` ledy 9 `lsh.

Qinngeitgle smlud` fh hopmisgzh` alr tmlsh wml mivh ndlsh nletintwgtm phrsles it mgjm rgsc alr shvhrh `gshish (h.j., mhidtm nirh phrsleehdie` aiogdy nletints la phrsles wgtm goouelnloprlogsgej nle`gtgles)lr irh it mgjm rgsc alr hxplsurh lr triesogssgle (h.j., thinmhrs3 nmgd` nirhhopdlyhhs3 rhsg`hets ie` stiaa ohofhrs la gestgtutgleid shttgejs, gendu`-gej nlrrhntgleid gestgtutgles3 nlddhjh stu`hets3 ogdgtiry phrsleehd3 i`ldhs-nhets ie` iùdts dgvgej ge mlushmld`s wgtm nmgd`rhe3 eleprhjeiet wlohela nmgd`fhirgej ijh3 ie` gethreitgleid trivhdhrs).

Rrhjeiet wlohe smlud` fh isshssh` alr hvg`henh la virgnhddi goou-egty. Zlohe wml `l elt mivh hvg`henh la goouegty smlud` rhnhgvh tmhrst `lsh la virgnhddi vinngeh uple nlopdhtgle lr throgeitgle la prhj-eieny ie` fhalrh `gsnmirjh arlo tmh mhidtm nirh aingdgty. Pmh shnle` `lshsmlud` fh iògegsthrh` 0 tl = whhcs iathr tmh rst `lsh.

Hvg`henh la goouegty tl virgnhddi ge iùdts gendu`hs iey la tmhalddlwgej;

`lnuohetitgle la 6 `lshs la virgnhddi vinngeh it dhist 0 whhcsipirt3

X.^.-flre fhalrh 97=2, hxnhpt mhidtm nirh phrsleehd ie` prhj-eiet wlohe3

mgstlry la virgnhddi fish` le `gijelsgs lr vhrgnitgle la virgnhddi`gshish fy i mhidtm nirh prlvg`hr3

mgstlry la mhrphs zlsthr fish` le `gijelsgs lr vhrgnitgle lamhrphs zlsthr `gshish fy i mhidtm nirh prlvg`hr3 lr

diflritlry hvg`henh la goouegty lr diflritlry nleroitgle la`gshish.8. Muoie pipgddloivgrus (MRQ) vinngeitgle

Pwl vinngehs irh dgnhesh` alr ush ge ahoidhs, fgvidhet MRQ vinngeh

(MRQ6) ie` qui`rgvidhet MRQ vinngeh (MRQ0), ie` leh MRQ vinngehalr ush ge oidhs (MRQ0).

Alr ahoidhs, hgtmhr MRQ0 lr MRQ6 gs rhnloohe`h` ge i >-`lshshrghs alr rlutgeh vinngeitgle it ijh 99 lr 96 yhirs ie` alr tmlsh ijh` 9>tmrlujm 61 yhirs, ga elt prhvglusdy vinngeith`.

Alr oidhs, MRQ0 gs rhnloohe`h` ge i >-`lsh shrghs alr rlutgehvinngeitgle it ijh 99 lr 96 yhirs ie` alr tmlsh ijh` 9> tmrlujm 69 yhirs,ga elt prhvglusdy vinngeith`. Oidhs ijh` 66 tmrlujm 61 yhirs oiy fhvinngeith`.

MRQ0 gs rhnloohe`h` alr ohe wml mivh shx wgtm ohe tmrlujmijh 61 yhirs alr tmlsh wml `g` elt jht iey lr idd `lshs wmhe tmhy whrhyluejhr.

Qinngeitgle gs rhnloohe h` alr goouelnloprlogsh` phrsles(gendu`gej tmlsh wgtm MGQ geahntgle) tmrlujm ijh 61 yhirs alr tmlsh wml`g` elt jht iey lr idd `lshs wmhe tmhy whrh yluejhr.

I nlopdhth shrghs alr hgtmhr MRQ0 lr MRQ6 nlesgsts la > `lshs.Pmh shnle` `lsh smlud` fh iògegsthrh` 0 tl = whhcs (ogegouo gethrvidla 0 whhcs) iathr tmh rst `lsh3 tmh tmgr` `lsh smlud` fh iògegsthrh` 60

whhcs iathr tmh rst `lsh ie` 91 whhcs iathr tmh shnle` `lsh (ogegouogethrvid la it dhist 96 whhcs).

MRQ vinngehs irh elt rhnloohe`h` alr ush ge prhjeiet wlohe.Mlwhvhr, prhjeieny thstgej gs elt ehh h` fhalrh vinngeitgle. Ga i

wloie gs alue` tl fh prhjeiet iathr gegtgitgej tmh vinngeitgle shrghs, elgethrvhetgle gs ehh h`3 tmh rhoige`hr la tmh >-`lsh shrghs smlud` fh`hdiyh` uetgd nlopdhtgle la prhjeieny.1. [lsthr vinngeitgle

I sgejdh `lsh la zlsthr vinngeh gs rhnloohe`h` alr iùdts ijh` 12yhirs lr ld`hr rhjir`dhss la wmhtmhr tmhy rhplrt i prglr hpgsl`h la mhrphszlsthr. Idtmlujm tmh vinngeh gs dgnhesh` fy tmh X.^. All` ie` @ruj

Iògegstritgle alr ush iolej ie` nie fh iògegsthrh` tl phrsles ijh`82 yhirs lr ld`hr, INGR rhnloohe`s tmit vinngeitgle fhjge it ijh 12

yhirs.Rhrsles ijh` 12 yhirs lr ld`hr wgtm nmrlegn oh`gnid nle`gtgles oiy

fh vinngeith` uedhss tmhgr nle`gtgle nlestgtuths i nletrige`gnitgle, sunmis prhjeieny lr shvhrh goouel`hngheny.:. Ohisdhs, ouops, rufhddi (OOV) vinngeitgle

Iùdts flre fhalrh 978: irh jhehriddy nlesg`hrh` gooueh tl ohi-sdhs ie` ouops. Idd iùdts flre ge 978: lr dithr smlud` mivh `lnuohe-titgle la 9 lr olrh `lshs la OOV vinngeh uedhss tmhy mivh i oh`gnidnletrige`gnitgle tl tmh vinngeh lr diflritlry hvg`henh la goouegty tlhinm la tmh > `gshishs. @lnuohetitgle la prlvg`hr-`gijelsh` `gshish gselt nlesg`hrh` innhptifdh hvg`henh la goouegty alr ohisdhs, ouops, lrrufhddi.

Ohisdhs nloplehet;I rlutgeh shnle` `lsh la OOV vinngeh, iògegsthrh` i ogegouo

la 6= ìys iathr tmh rst `lsh, gs rhnloohe`h` alr iùdts wml; irh stu`hets ge plstshnleìry hùnitgleid gestgtutgles3 wlrc ge i mhidtm nirh aingdgty3 lr pdie tl trivhd gethreitgleiddy.Rhrsles wml rhnhgvh` geintgvith` (cgddh`) ohisdhs vinngeh lr ohisdhs

vinngeh la uecelwe typh ùrgej 971>971: smlud` fh rhvinngeith` wgtm6 `lshs la OOV vinngeh.

Ouops nloplehet;I rlutgeh shnle` `lsh la OOV vinngeh, iògegsthrh` i ogegouo

la 6= ìys iathr tmh rst `lsh, gs rhnloohe`h` alr iùdts wml; irh stu`hets ge plstshnleìry hùnitgleid gestgtutgles3 wlrc ge i mhidtm nirh aingdgty3 lr pdie tl trivhd gethreitgleiddy.Rhrsles vinngeith` fhalrh 97:7 wgtm hgtmhr cgddh` ouops vinngeh

lr ouops vinngeh la uecelwe typh wml irh it mgjm rgsc alr ouopsgeahntgle (h.j., phrsles wml irh wlrcgej ge i mhidtm nirh aingdgty) smlud`fh nlesg`hrh` alr rhvinngeitgle wgtm 6 `lshs la OOV vinngeh.


www.ieeids.lrj 0 Ahfruiry 6290 Ieeids la Gethreid Oh`gngeh Qlduoh 912 Euofhr > 978

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7/9

Vufhddi nloplehet;Alr wlohe la nmgd`fhirgej ijh, rhjir`dhss la fgrtm yhir, rufhddi

goouegty smlud` fh `hthrogeh`. Ga tmhrh gs el hvg`henh la goouegty,wlohe wml irh elt prhjeiet smlud` fh vinngeith`. Rrhjeiet wlohewml `l elt mivh hvg`henh la goouegty smlud` rhnhgvh OOV vinngehuple nlopdhtgle lr throgeitgle la prhjeieny ie` fhalrh `gsnmirjh arlotmh mhidtm nirh aingdgty.

Mhidtm nirh phrsleehd flre fhalrh 978:;

Alr uevinngeith` mhidtm nirh phrsleehd flre fhalrh 978: wml dincdiflritlry hvg`henh la ohisdhs, ouops, ie`/lr rufhddi goouegty lr dif-lritlry nleroitgle la `gshish, mhidtm nirh aingdgtghs smlud nlesg hrvinngeitgej phrsleehd wgtm 6 `lshs la OOV vinngeh it tmh ipprlprgithgethrvid alr ohisdhs ie` ouops lr 9 `lsh la OOV vinngeh alr rufhddi.=. Rehuolnlnnid nlekujith (RNQ9>) vinngeitgle

Iùdts ijh` 97 yhirs lr ld`hr wgtm goouelnloprlogsgej nle`g-tgles (gendu`gej nmrlegn rheid aigdurh ie` ehpmrltgn sye`rloh), auen-tgleid lr ieitlogn ispdhegi, nhrhfrlspgeid stug` dhics, lr nlnmdhir go-pdiets wml mivh elt prhvglusdy rhnhgvh` RNQ9> lr RR^Q6> smlud`rhnhgvh i sgejdh `lsh la RNQ9> alddlwh` fy i `lsh la RR^Q6> it dhist =

whhcs dithr.Iùdts ijh` 97 yhirs lr ld`hr wgtm tmh ialrhohetgleh` nle`gtgles

wml mivh prhvglusdy rhnhgvh` 9 lr olrh `lshs la RR^Q6> smlud` rhnhgvhi `lsh la RNQ9> leh lr olrh yhirs iathr tmh dist RR^Q6> `lsh wis

rhnhgvh`. Alr iùdts wml rhqugrh i``gtgleid `lshs la RR^Q6>, tmh rstsunm `lsh smlud` fh jgvhe el sllehr tmie = whhcs iathr RNQ9> ie` itdhist 8 yhirs iathr tmh olst rhnhet `lsh la RR^Q6>.

Zmhe ge`gnith`, RNQ9> smlud` fh iògegsthrh` tl pitghets wmlirh uenhrtige la tmhgr vinngeitgle stitus mgstlry ie` mivh el rhnlr` laprhvglus vinngeitgle.

Idtmlujm RNQ9> gs dgnhesh` fy tmh X.^. All` ie` @ruj Iòge-gstritgle alr ush iolej ie` nie fh iògegsthrh` tl phrsles ijh` 82 yhirslr ld`hr, INGR rhnloohe`s RNQ9> alr iùdts ijh` 97 yhirs lr ld`hr

wgtm tmh sphngn oh`gnid nle`gtgles elth` iflvh.7. Rehuolnlnnid pldysinnmirg`h (RR^Q6>) vinngeitgle

Zmhe RNQ9> gs idsl ge`gnith`, RNQ9> smlud` fh jgvhe rst (shhalltelth =).

Qinngeith idd phrsles wgtm tmh alddlwgej ge`gnitgles; idd iùdts ijh` 18 yhirs lr ld`hr3

iùdts yluejhr tmie 18 yhirs wgtm nmrlegn duej `gshish (gendu`-gej nmrlegn lfstruntgvh pudoleiry `gshish, hopmyshoi, ie` istmoi),nmrlegn nir`glvisnudir `gshishs, `gifhths ohddgtus, nmrlegn rheid aigdurh,ehpmrltgn sye`rloh, nmrlegn dgvhr `gshish (gendu`gej ngrrmlsgs), idnlmld-gso, nlnmdhir gopdiets, nhrhfrlspgeid stug` dhics, goouelnloprlogsgejnle`gtgles, ie` auentgleid lr ieitlogn ispdhegi (h.j., sgncdh nhdd `gshishie` ltmhr mholjdlfgelpitmghs, nlejhegtid lr inqugrh` ispdhegi, spdhegn`ysauentgle, lr spdhehntloy Sga hdhntgvh spdhehntloy gs pdieeh`, vinng-eith it dhist 6 whhcs fhalrh surjhry_)3

rhsg`hets la eursgej mlohs lr dlej-thro nirh aingdgtghs3 ie` iùdts wml solch ngjirhtths.Rhrsles wgtm goouelnloprlogsgej nle`gtgles ie` ltmhr shdhnth`

nle`gtgles irh rhnloohe`h` tl rhnhgvh RNQ9> ie` RR^Q6> vinngehs.^hh alltelth = alr gealroitgle le tgogej la RNQ9> ie` RR^Q6> vin-ngeitgles.

Rhrsles wgtm isyoptloitgn lr syoptloitgn MGQ geahntgle smlud`fh vinngeith` is slle is plssgfdh iathr tmhgr `gijelsgs.

Zmhe nienhr nmholtmhripy lr ltmhr goouelsupprhssgvh tmhripy gsfhgej nlesg`hrh`, tmh gethrvid fhtwhhe vinngeitgle ie` gegtgitgle la go-ouelsupprhssgvh tmhripy smlud` fh it dhist 6 whhcs. Qinngeitgle ùrgejnmholtmhripy lr ri`gitgle tmhripy smlud` fh ivlg`h`.

Vlutgeh ush la RR^Q6> vinngeh gs elt rhnloohe`h` alr IohrgnieGe`gies/Idisci Eitgvhs lr ltmhr phrsles yluejhr tmie 18 yhirs uedhsstmhy mivh ue`hrdygej oh`gnid nle`gtgles tmit irh RR^Q6> ge`gnitgles.Mlwhvhr, pufdgn mhidtm iutmlrgtghs oiy nlesg hr rhnloohe gejRR^Q6> alr Iohrgnie Ge`gies/Idisci Eitgvhs wml irh dgvgej ge irhis

wmhrh tmh rgsc alr gevisgvh pehuolnlnnid `gshish gs genrhish`.Zmhe ge`gnith`, RR^Q6> vinngeh smlud` fh iògegsthrh` tl pi-

tghets wml irh uenhrtige la tmhgr vinngeitgle stitus ie` mivh el rhnlr` lavinngeitgle.

92. Vhvinngeitgle wgtm RR^Q6>Leh-tgoh rhvinngeitgle 8 yhirs iathr tmh rst `lsh la RR^Q6> gs

rhnloohe`h` alr phrsles ijh` 97 tmrlujm 10 yhirs wgtm nmrlegn rheidaigdurh lr ehpmrltgn sye`rloh, auentgleid lr ieitlogn ispdhegi (h.j.,sgncdh nhdd `gshish lr spdhehntloy), lr goouelnloprlogsgej nle`gtgles.

Rhrsles wml rhnhgvh` 9 lr 6 `lshs la RR^Q6> fhalrh ijh 18 yhirsalr iey ge`gnitgle smlud` rhnhgvh ieltmhr `lsh la tmh vinngeh it ijh 18yhirs lr dithr ga it dhist 8 yhirs mivh pissh` sgenh tmhgr prhvglus `lsh.

El aurtmhr `lshs la RR^Q6> irh ehh`h` alr phrsles vinngeith` wgtmRR^Q6> it lr iathr ijh 18 yhirs.99. Ohegejlnlnnid vinngeitgle

Iògegsthr 6 `lshs la qui`rgvidhet ohegejlnlnnid nlekujith vin-ngeh (OheINZW-@ SOheintri_) it dhist 6 oletms ipirt tl iùdts la iddijhs wgtm auentgleid ispdhegi lr phrsgsthet nlopdhohet nloplehet `h-nghenghs. MGQ geahntgle gs elt ie ge`gnitgle alr rlutgeh vinngeitgle wgtmOheINZW-@. Ga ie MGQ-geahnth` phrsle la iey ijh gs vinngeith`, 6`lshs la OheINZW-@ smlud` fh iògegsthrh` it dhist 6 oletms ipirt.

Iògegsthr i sgejdh `lsh la ohegejlnlnnid vinngeh tl ognrlfgldl-jgsts rlutgehdy hxplsh` tl gsldiths la Ehgsshrgi ohegejgtg`gs, ogdgtiry rh-nrugts, phrsles it rgsc ùrgej ie lutfrhic ittrgfutifdh tl i vinngeh shrl-jrlup, ie` phrsles wml trivhd tl lr dgvh ge nluetrghs ge wmgnmohegejlnlnnid `gshish gs myphrhe`hogn lr hpg`hogn.

Agrst-yhir nlddhjh stu`hets up tmrlujm ijh 69 yhirs wml irh dgvgej gerhsg`henh midds smlud` fh vinngeith` ga tmhy mivh elt rhnhgvh` i `lsh le lriathr tmhgr 91tm fgrtmìy.

OheINZW-@ gs prhahrrh` alr iùdts wgtm iey la tmh prhnh`gejge`gnitgles wml irh ijh` 88 yhirs lr yluejhr is whdd is alr iùdts ijh` 81yhirs lr ld`hr wml i) whrh vinngeith` prhvglusdy wgtm OheINZW-@ ieìrh rhnloohe`h` alr rhvinngeitgle, lr f) alr wmlo oudtgpdh `lshs irhietgngpith`. Ohegejlnlnnid pldysinnmirg`h vinngeh (OheINZW-NVOSOhevhl_) gs prhahrrh` alr iùdts ijh` 81 yhirs lr ld`hr wml mivh eltrhnhgvh` OheINZW-@ prhvglusdy ie` wml rhqugrh i sgejdh `lsh ledy(h.j., trivhdhrs).

Vhvinngeitgle wgtm OheINZW-@ hvhry 8 yhirs gs rhnloohe`hàlr iùdts prhvglusdy vinngeith` wgtm OheINZW-@ lr OheINZW-NVO wml rhoige it genrhish` rgsc alr geahntgle (h.j., iùdts wgtm iei-tlogn lr auentgleid ispdhegi, tmlsh wgtm phrsgsthet nlopdhohet nlopl-ehet `hnghenghs, lr ognrlfgldljgsts).96. Mhpitgtgs I vinngeitgle

Qinngeith iey phrsle shhcgej prlthntgle arlo mhpitgtgs I vgrus(MIQ) geahntgle ie` phrsles wgtm iey la tmh alddlwgej ge`gnitgles;

ohe wml mivh shx wgtm ohe ie` phrsles wml ush gekhntgle lrelegekhntgle gddgngt `rujs3

phrsles wlrcgej wgtm MIQ-geahnth` prgoiths lr wgtm MIQ ge irhshirnm diflritlry shttgej3

phrsles wgtm nmrlegn dgvhr `gshish ie` phrsles wml rhnhgvh ndlt-tgej aintlr nlenhetriths3

phrsles trivhdgej tl lr wlrcgej ge nluetrghs tmit mivh mgjm lrgethroh`gith he`hogngty la mhpitgtgs I3 ie`

uevinngeith` phrsles wml ietgngpith ndlsh phrsleid nletint (h.j.,mlushmld` lr rhjudir fifysgttgej) wgtm ie gethreitgleid i`lpthh ùrgejtmh rst 12 ìys iathr irrgvid ge tmh Xegth` ^tiths arlo i nluetry wgtmmgjm lr gethroh`gith he`hogngty. (^hh alltelth 9 alr olrh gealroitglele trivhd rhnlooheìtgles.) Pmh rst `lsh la tmh 6-`lsh mhpitgtgs Ivinngeh shrghs smlud` fh iògegsthrh` is slle is i`lptgle gs pdieeh`,g`hiddy 6 lr olrh whhcs fhalrh tmh irrgvid la tmh i`lpthh.

^gejdh-ietgjhe vinngeh alrouditgles smlud` fh iògegsthrh` ge i6-`lsh snmhùdh it hgtmhr 2 ie` 1 tl 96 oletms (Mivrgx), lr 2 ie` 1 tl9= oletms (Qiqti). Ga tmh nlofgeh` mhpitgtgs I ie` mhpitgtgs F vinngeh(Pwgergx) gs ush`, iògegsthr > `lshs it 2, 9, ie` 1 oletms3 idthreitgvhdy,i 0-`lsh snmhùdh oiy fh ush`, iògegsthrh` le ìys 2, :, ie` 69 tl >2alddlwh` fy i fllsthr `lsh it oletm 96.9>. Mhpitgtgs F vinngeitgle

Qinngeith phrsles wgtm iey la tmh alddlwgej ge`gnitgles ie` ieyphrsle shhcgej prlthntgle arlo mhpitgtgs F vgrus (MFQ) geahntgle;

shxuiddy intgvh phrsles wml irh elt ge i dlej-thro, outuiddyoleljiolus rhditglesmgp (h.j., phrsles wgtm olrh tmie 9 shx pirtehrùrgej tmh prhvglus 1 oletms)3 phrsles shhcgej hviduitgle lr trhitohetalr i shxuiddy triesogtth` `gshish (^P@)3 nurrhet lr rhnhet gekhntgle `rujushrs3 ie` ohe wml mivh shx wgtm ohe3





8/9

mhidtm nirh phrsleehd ie` pufdgn siahty wlrchrs wml irh plthe-tgiddy hxplsh` tl fdll` lr ltmhr geahntglus fl`y stug`s3

phrsles wgtm `gifhths wml irh yluejhr tmie ijh 12 yhirs is slleis ahisgfdh iathr `gijelsgs3 phrsles wgtm `gifhths wml irh ijh 12 yhirs lrld`hr it tmh `gsnrhtgle la tmh trhitgej ndgegngie fish` le tmh dgchdgmll` lainqugrgej MFQ geahntgle, gendu`gej tmh rgsc plsh` fy ie genrhish` ehhàlr issgsth` fdll` jdunlsh olegtlrgej ge dlej-thro nirh aingdgtghs, tmhdgchdgmll` la hxphrghengej nmrlegn shquhdih ga geahnth` wgtm MFQ, ie`

tmh dgchdgmll` la gooueh rhsplesh tl vinngeitgle3 phrsles wgtm he`-stijh rheid `gshish, gendu`gej pitghets rhnhgvgejmhol`gidysgs, phrsles wgtm MGQ geahntgle, ie` phrsles wgtm nmrlegn dgvhr`gshish3

mlushmld` nletints ie` shx pirtehrs la mhpitgtgs F surainh ietg-jheplsgtgvh phrsles, ndghets ie` stiaa ohofhrs la gestgtutgles alr phr-sles wgtm `hvhdlpohetid `gsifgdgtghs, ie` gethreitgleid trivhdhrs tl nlue-trghs wgtm mgjm lr gethroh`gith prhvidhenh la nmrlegn MFQ geahntgle3 ie`

idd iùdts ge tmh alddlwgej shttgejs; ^P@ trhitohet aingdgtghs,MGQ thstgej ie` trhitohet aingdgtghs, aingdgtghs prlvg`gej `ruj ifush trhit-ohet ie` prhvhetgle shrvgnhs, mhidtm nirh shttgejs tirjhtgej shrvgnhs tlgekhntgle `ruj ushrs lr ohe wml mivh shx wgtm ohe, nlrrhntgleid aingdg-tghs, he`-stijh rheid `gshish prljrios ie` aingdgtghs alr nmrlegn mhol`g-idysgs pitghets, ie` gestgtutgles ie` elerhsg`hetgid ìy nirh aingdgtghs alrphrsles wgtm `hvhdlpohetid `gsifgdgtghs.

Iògegsthr ogssgej `lshs tl nlopdhth i >-`lsh shrghs la mhpitgtgs F

vinngeh tl tmlsh phrsles elt vinngeith` lr elt nlopdhthdy vinngeith`.Pmh shnle` `lsh smlud` fh iògegsthrh` 9 oletm iathr tmh rst `lsh3 tmhtmgr` `lsh smlud` fh jgvhe it dhist 6 oletms iathr tmh shnle` `lsh (ieìt dhist 0 oletms iathr tmh rst `lsh). Ga tmh nlofgeh` mhpitgtgs I ie`mhpitgtgs F vinngeh (Pwgergx) gs ush`, jgvh > `lshs it 2, 9, ie` 1 oletms3idthreitgvhdy, i 0-`lsh Pwgergx snmhùdh, iògegsthrh` le ìys 2, :, ie`69 tl >2 alddlwh` fy i fllsthr `lsh it oletm 96 oiy fh ush`.

Iùdt pitghets rhnhgvgej mhol`gidysgs lr wgtm ltmhr goouelnlo-prlogsgej nle`gtgles smlud` rhnhgvh 9 `lsh la 02 onj/oD (VhnlofgvixMF) iògegsthrh` le i >-`lsh snmhùdh it 2, 9, ie` 1 oletms lr 6 `lshsla 62 onj/oD (Hejhrgx-F) iògegsthrh` sgoudtiehlusdy le i 0-`lshsnmhùdh it 2, 9, 6, ie` 1 oletms.90. Miholpmgdus gestuhezih typh f (Mgf) vinngeitgle

Leh `lsh la Mgf vinngeh smlud` fh iògegsthrh` tl phrsles wmlmivh auentgleid lr ieitlogn ispdhegi lr sgncdh nhdd `gshish lr irh ue`hr-

jlgej hdhntgvh spdhehntloy ga tmhy mivh elt prhvglusdy rhnhgvh` Mgf vin-ngeh. Mgf vinngeitgle 90 lr olrh ìys fhalrh spdhehntloy gs sujjhsth`.Vhngpghets la i mhoitlplghtgn stho nhdd triespdiet smlud` fh vinng-

eith` wgtm i >-`lsh rhjgohe 1 tl 96 oletms iathr i sunnhssaud triespdiet,rhjir`dhss la vinngeitgle mgstlry3 it dhist 0 whhcs smlud` shpirith `lshs.

Mgf vinngeh gs elt rhnloohe`h` alr iùdts wgtm MGQ geahntglesgenh tmhgr rgsc alr Mgf geahntgle gs dlw.98. Goouelnloprlogsgej nle`gtgles

Geintgvith` vinngehs jhehriddy irh innhptifdh (h.j., pehuolnlnnid,ohegejlnlnnid, ie` geintgvith` gestuhezi vinngeh) ie` dgvh vinngehs jhe-hriddy irh ivlg`h` ge phrsles wgtm gooueh `hnghenghs lr goouelnlo-prlogsgej nle`gtgles. Gealroitgle le sphngn nle`gtgles gs ivigdifdh it

www.n`n.jlv/vinngehs/pufs/ingp-dgst.mto.

NMIEJH^ PL PMH NLEPVIGE@GNIPGLE^ IE@

RVHNIXPGLE^PIFDH ALV 6290Pmh nletrige`gnitgles ie` prhniutgles tifdh wis up-

ìth` tl gendu`h gealroitgle le VGQ, ie gestuhezi vinngehtmit nletiges el hjj prlthge ie` gs ge`gnith` alr phrslesijh` 9= tl 07 yhirs.

Pmh Mgf vinngeh wis i``h` tl tmh tifdh.

Arlo tmh Nhethrs alr @gshish Nletrld ie` Rrhvhetgle, Itdieti, Jhlrjgi.

Rlthetgid Nleadgnts la Gethrhst; Pl issurh tmh gethjrgty la tmh INGR, tmh

X.^. @hpirtohet la Mhidtm ie` Muoie ^hrvgnhs mis tiche sthps tl

issurh tmit tmhrh gs thnmegnid i`mhrhenh tl htmgns stituths ie` rhjuditgles

rhjir`gej eiengid nlestgnts la gethrhst. Nlenhres rhjir`gej tmh plthetgid

alr tmh ipphirienh la i nlestgnt irh i``rhssh`, lr ivlg`h` idtljhtmhr,

tmrlujm fltm prh- ie` plstipplgetohet nlesg`hritgles. Ge`gvgùids wgtm

pirtgnudir vinngeh-rhdith` gethrhsts wgdd elt fh nlesg`hrh` alr ipplget-

ohet tl tmh nloogtthh. Rlthetgid elogehhs irh snrhheh` alr nlestgnts la

gethrhst, ie` ga iey irh alue`, tmhy irh isch` tl `gvhst lr alrjl nhrtige

vinngeh-rhdith` intgvgtghs. Ge i``gtgle, it tmh fhjgeegej la hinm INGR

ohhtgej, hinm ohofhr gs isch` tl `hndirh mgs lr mhr nlestgnts. Ohofhrs

wgtm nlestgnts irh elt phrogtth` tl vlth ga tmh nlestgnt gevldvhs tmh vin-

ngeh lr fgldljgnid fhgej vlth` le. @gsndlsurhs nie fh vghwh` it www

.inpledgeh.lrj/iutmlrs/gnokh/NlestgntLaGethrhstAlros.`l-6=61.

Nlrrhsple`gej Iutmlr; Nirldye F. Frg`jhs, O@, Goouegzitgle ^hr-

vgnhs @gvgsgle, Eitgleid Nhethr alr Goouegzitgle ie` Vhspgritlry @gs-

hishs, Nhethrs alr @gshish Nletrld ie` Rrhvhetgle, 9122 Ndgatle Vli`,O^ I-97, Itdieti, JI >2>>>3 h-oigd, nfrg`jhsBn`n.jlv.

Vhahrhenhs9.Zgddgios ZZ, Du RJ, LMiddlrie I, Frg`jhs NF, Dgiej KD, Rgdgsmvgdg P,ht id. Ele-gestuhezi vinngeitgle nlvhrijh iolej X^ iùdts, 6296. OOZVOlrf Olrtid Zcdy Vhp. 6290. SGe prhss_6.Klmesle @V, Egnmld CD, Dgpnzyescg C.Firrghrs tl iùdt goouegzitgle. Io

K Oh`. 622=3969;^6=->8. SROG@; 9=8=7218_>.Pie PY, Fmittinmiryi D, Jhrfgh OQ.Iwirhehss, phrnhptgles ie` celwdh`jhla rhnloohe`h` iùdt vinngehs iolej i eitglewg`h siopdh la iùdt prgoiry nirhprlvg`hrs. K Vhprl` Oh`. 6299381;>29-:. SROG@; 69=>=987_0. [goohroie VC, Idfhrt Ô, Elwidc OR, Wleis OI, Imoh` A. Xsh la

stie`gej lr`hrs alr iùdt gestuhezi vinngeitgle; i eitgleid survhy la prgoiry nirhpmysgngies. Io K Rrhv Oh`. 6299302;900-=. SROG@; 696>==16_8. X.^. @hpirtohet la Mhidtm ie` Muoie ^hrvgnhs. Xpìth le tmh EitgleidQinngeh I`vgslry Nloogtthh ^tieìr`s alr Iùdt Goouegzitgle Rrintgnh. Zism-gejtle, @N; X.^. @hpirtohet la Mhidtm ie` Muoie ^hrvgnhs3 629>. Innhssh` it

www.mms.jlv/evpl/evin/rhplrts/evinstie ir`s.pàle 69 Elvhofhr 629>.1. Nhethrs alr @gshish Nletrld ie` Rrhvhetgle (N@N). Gestuhezi vinngeitglenlvhrijh iolej prhjeiet wloheXegth` ^tiths, 6296-9> gestuhezi shisle.OOZV Olrf Olrtid Zcdy Vhp. 629>316;:=:-76. SROG@; 6021:8=>_:.Ogddhr FD, Crhtsgejhr C, Hudhr JD, Du RK, Imoh` A. Firrghrs tl hirdy uptichla thtieus, `gpmtmhrgi ie` inhddudir phrtussgs vinngeh (Pìp) iolej iùdtsXegth` ^tiths, 6228-622:. Qinngeh. 6299367;>=82-1. SROG@; 690879:>_=. Pmh Nloouegty Jug`h; Qinngeitgles tl Rrhvhet @gshishs; Xegvhrsiddy Vhn-loohe`h` Qinngeitgles. Nloouegty Rrhvhetgvh ^hrvgnhs Pisc Alrnh. Innhsshìtwww.tmhnloouegtyjug`h.lrj/vinngehs/ge`hx.mtodle 69 Elvhofhr 629>.

7.Nhethrs alr @gshish Nletrld ie` Rrhvhetgle (N@N).Rrhvhetgle ie` Nletrldla Miholpmgdus gestuhezi typh f `gshish; rhnlooheìtgles la tmh I`vgslryNloogtthh le Goouegzitgle Rrintgnhs (INGR). OOZV Vhnloo Vhp. 6290Sge prhss_.92.Nhethrs alr @gshish Nletrld ie` Rrhvhetgle (N@N).Rrhvhetgle ie` nletrldla shisleid gestuhezi wgtm vinngehs. Vhnlooheìtgles la tmh I`vgslry Nloogt-thh le Goouegzitgle RrintgnhsXegth` ^tiths, 629>-6290. OOZV VhnlooVhp. 629>316(VV-2:);9-0>. SROG@; 6020=690_


www.ieeids.lrj 0 Ahfruiry 6290 Ieeids la Gethreid Oh`gngeh Qlduoh 912 Euofhr > 97:

http://www.cdc.gov/vaccines/pubs/acip-list.htmhttp://www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2826http://www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2826http://www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2826http://www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2826mailto:[email protected]://www.hhs.gov/nvpo/nvac/reports/nvacstandards.pdfhttp://www.thecommunityguide.org/vaccines/index.htmlhttp://www.thecommunityguide.org/vaccines/index.htmlhttp://www.hhs.gov/nvpo/nvac/reports/nvacstandards.pdfmailto:[email protected]://www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2826http://www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2826http://www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2826http://www.cdc.gov/vaccines/pubs/acip-list.htm


9/9

IRRHE@G]; OHOFHV^ LA PMH I@QG^LVWNLOOGPPHHLE GOOXEG[IPGLERVINPGNH^

Kleitmie Photh, O@, Rm@ (Nmigr), Xegvhrsgty la Zgsnle-

sge ^nmlld la Oh`gngeh ie` Rufdgn Mhidtm, Oi`gsle, Zgsnlesge3

Dirry C. Rgnchrgej, O@ (Hxhnutgvh ^hnrhtiry), Nhethrs alr @gshish

Nletrld ie` Rrhvhetgle, Eitgleid Nhethr alr Goouegzitgle ie`

Vhspgritlry @gshishs, Itdieti, Jhlrjgi3 Eieny Fheehtt, O@,O^, Xegvhrsgty la Vlnmhsthr ^nmlld la Oh`gngeh ie` @hetgstry,

Vlnmhsthr, Ehw Wlrc3 Klshpm I. Flnnmgeg Kr., O@, Dlugsgiei

^tith Xegvhrsgty Mhidtm ^nghenhs Nhethr, ^mrhvhplrt, Dlugsgiei3

@lujdis Niopls-Lutnidt, O@, ORI, Xegvhrsgty la Irgzlei

Nlddhjh la Oh`gngehRmlhegx, Rmlhegx, Irgzlei3 Piohri Nlyeh-

Fhisdhy, O@, ORM, Elrtm Nirldgei Nmgd` Mhidtm Vhshirnm

Ehtwlrc, Elrtm Nirldgei Priesditgleid ie` Ndgegnid ^nghenhs,

Xegvhrsgty la Elrtm Nirldgei ^nmlld la Oh`gngeh, Nmiphd Mgdd,

Elrtm Nirldgei3 Khaarhy @unmge, O@, Rufdgn Mhidtm^hittdh

ie` Cgej Nluety, Xegvhrsgty la Zismgejtle ^nmlld la Oh`g-

ngeh, ^hittdh, Zismgejtle3 Citmdhhe Mirrgoie, Rm@, ORM, VE,

Nidgalregi @hpirtohet la Rufdgn Mhidtm, Vgnmole`, Nidgalregi3

Dhh M. Mirrgsle, O@, Xegvhrsgty la Rgttsfurjm, Rgttsfurjm,

Rheesydviegi3 Vhehh V. Khecges, O@, Mlwir` Xegvhrsgty Nld-

dhjh la Oh`gngeh, Zismgejtle, @N3 Vutm I. Cirrle, O@, Nhe-

thr alr Goouegzitgle Vhshirnm, Klmes Mlpcges Fdllofhrj

^nmlld la Rufdgn Mhidtm, Fidtgolrh, Oirydie`3 Iddgsle Choph,

O@, Xegvhrsgty la Nldlri`l ^nmlld la Oh`gngeh, Pmh Nmgd`rhes

Mlspgtid la @hevhr, @hevhr, Nldlri`l3 Nyetmgi Rhddhjrgeg,

Oirnm la @gohs, Zismgejtle, @N3 Irtmur D. Vhgejld`, O@,

Xegvhrsgty la Nidgalregi ^nmlld la Rufdgn Mhidtm, Fhrchdhy, Nid-

galregi3 Dlrry Vufge, O@, ^thvhe ie` Idhxie`ri Nlmhe Nmgd-

`rhes Oh`gnid Nhethr la Ehw Wlrc, Elrtm ^mlrhDlej Gsdie`

Khwgsm Mhidtm ^ystho, Ehw My`h Rirc, Ehw Wlrc3 ie` Oirghtti

Qizquhz, O@, Widh Xegvhrsgty ^nmlld la Oh`gngeh, Ehw Mivhe,Nleehntgnut.

INGR Iùdt Goouegzitgle Zlrc Jrlup Ohofhrs

Zlrc Jrlup Nmigr; Piohri Nlyeh-Fhisdhy, O@, ORM,

Nmiphd Mgdd, Elrtm Nirldgei.

Zlrc Jrlup Ohofhrs;îe`ri Arymlahr, O@, Itdieti, Jhlr-

jgi3 Citmdhhe Mirrgoie, Rm@, Vgnmole`, Nidgalregi3 Olddy

Mlwhdd, ORM, Fgsoirnc, Elrtm @iclti3 Dgeì Cgesgejhr, O@,

ORM, @urmio, Elrtm Nirldgei3 Diuri Rgecstle Clhegjs, O@,^prgejhd`, Oissinmushtts3 Oirgh-Ognmhdh Dhjhr, ORM, RI-N,

Idhxie`rgi, Qgrjgegi3 ûsie O. Dhtt, O@, Flstle, Oissinmu-

shtts3 Phrrg Ourpmy, VE, OÊ, @urmio, Elrtm Nirldgei3 Vlf-

hrt Ridgecis, O@, Xrfiei, Gddgelgs3 Jrhjlry Rldie`, O@, Vlnm-

hsthr, Ogeehslti3 Kleg Vhyeld`s, ORM, @hevhr, Nldlri`l3 Diuri

H. Vgdhy, O@, Flstle, Oissinmushtts3 Zgddgio ^nmiaaehr, O@,

Eismvgddh, Pheehsshh3 Cheehtm ^nmoi`hr, O@, @urmio, Elrtm

Nirldgei3 Kleitmie D. Photh, O@, Rm@, Oi`gsle, Zgsnlesge3

Vgnmir` [goohroie, O@, ORM, Rgttsfurjm, Rheesydviegi.

Zlrc Jrlup Nletrgfutlrs; Hdgzifhtm Frghrh, O@, ORM, It-

dieti, Jhlrjgi3 Ioy Aghfhdclre, OÊ, ORM, Itdieti, Jhlrjgi3

Dgsi Jrlmsclpa, O@, ORM, Itdieti, Jhlrjgi3 Nrigj Midhs, O@,ORM, Itdieti, Jhlrjgi3 Viaihd Mirpiz, O@, ORM, Itdieti,

Jhlrjgi3 Nmirdhs DhFirle, O@, Itdieti, Jhlrjgi3 Kheegahr D.

Dgiej, @QO, ORQO, Itdieti, Jhlrjgi3 Khssgni OinEhgd, ORM,

Itdieti, Jhlrjgi3 Diurg Oirclwgtz, O@, Itdieti, Jhlrjgi3 Oit-

tmhw Ollrh, O@, Itdieti, Jhlrjgi3 Pioiri Rgdgsmvgdg, ORM,

Itdieti, Jhlrjgi3 îrim ^nmgddgh, O@, Itdieti, Jhlrjgi3 Viy-

ole` I. ^trgcis, O@, ORM, Itdieti, Jhlrjgi3 Zidthr Z. Zgd-

dgios, O@, ORM, Itdieti, Jhlrjgi.

Zlrc Jrlup Nlesudtiets; @gieh Rhthrsle, îget Riud, Oge-

ehslti3 Dgtkhe Pie, Rm@, Nmgnijl, Gddgelgs.

Zlrc Jrlup ^hnrhtirgit; Nirldye F. Frg`jhs, O@, Itdieti,

Jhlrjgi.

Ieeids la Gethreid Oh`gngeh

www.ieeids.lrj 0 Ahfruiry 6290 Ieeids la Gethreid Oh`gngehQlduoh 912 Euofhr >

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