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ATLANTA -- Most health care workers can receive the live attenuated influenza vaccine without worrying about viral transmission to their patients, the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices decided at its winter meeting.
Clarifying its LAIV (FluMist) guidelines issued last fall (MMWR 52[RR-13]:1-8, 2003), ACIP voted that the only people for whom the injectable inactivated vaccine is "preferred" are health care workers and household members in direct contact with severely immunosuppressed patients--those who require a protective environment, such as bone marrow recipients.
Even then, such health care workers and household contacts can still…