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This report is a revision of the General Recommendations on Immunization and updates the 2006 statement by the Advisory Committee on Immunization Practices (ACIP) (CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR 2006;55[No. RR-15]). The report also includes revised content from previ­ous ACIP recommendations on the following topics: adult vaccination (CDC. Update on adult immunization recommendations of the immunization practices Advisory Committee [ACIP]. MMWR 1991;40[No. RR-12]); the assessment and feedback strategy to increase vaccination rates (CDC. Recommendations of the Advisory Committee on Immunization Practices: programmatic strategies to increase vaccination rates-assessment and feedback of provider-based vaccination coverage information. MMWR 1996;45:219-20); linkage of vaccination services and those of the Supplemental Nutrition Program for Women, Infants, and Children (WIC program) (CDC. Recommendations of the Advisory Committee on Immunization Practices: programmatic strategies to increase vaccination coverage by age 2 years-linkage of vaccination and WIC services. MMWR 1996;45:217-8); adolescent immunization (CDC. Immunization of adolescents: recommendations of the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, the American Academy of Family Physicians, and the American Medical Association. MMWR 1996;45[No. RR-13]); and combination vaccines (CDC. Combination vaccines for childhood immunization: recommendations of the Advisory Committee on Immunization Practices [ACIP], the American Academy of Pediatrics [AAP], and the American Academy of Family Physicians [AAFP]. MMWR 1999;48[No. RR-5]).Notable revisions to the 2006 recommendations include 1) revisions to the tables of contraindications and precautions to vaccination, as well as a separate table of conditions that are commonly misperceived as contraindications and precautions; 2) reordering of the report content, with vaccine risk-benefit screening, managing adverse reactions, reporting of adverse events, and the vaccine injury compensation program presented immediately after the discussion of contraindications and precautions; 3) stricter criteria for selecting an appropriate storage unit for vaccines; 4) additional guidance for maintaining the cold chain in the event of unavoidable temperature deviations; and 5) updated revisions for vaccination of patients who have received a hematopoietic cell transplant. The most recent ACIP recommenda­tions for each specific vaccine should be consulted for comprehensive details. This report, ACIP recommendations for each vaccine, and additional information about vaccinations are available from CDC at http://www.cdc.gov/vaccines. [ABSTRACT FROM AUTHOR]

After years of experiencing adverse skin reactions, Vanessa Martin discovered she is allergic to latex. [ABSTRACT FROM AUTHOR]

A letter to the editor is presented in response to the article about latex allergies in the July 30, 2007 issue.

Occupational hand eczema is avoidable and can be treated successfully, says Justine Rawlins. [ABSTRACT FROM AUTHOR]

All English NHS trust will be monitored to ensure that they comply with new latex allergy guidelines coming into force this month. [ABSTRACT FROM AUTHOR]

Focuses on the non-latex solution developed by Medical Technique Inc. to provide alternative materials to health workers that have allergic reactions to latex. Manifestations and signs of allergic reactions to latex; Joint venture of the company with PBM Plastics Inc. to capitalize on the introduction of a non-latex ultrasonic equipment probe cover which uses the Melt-Phase forming process; Benefits of using the Melt-Phase forming process.

The article focuses on a nurse who developed a life threatening allergy to latex who has had her compensation cut by £21,000 after an appeal. Swansea National Health Services Hospital Trust disputed a previous award for punitive interest of £114,000 payable to Alison Dugmore. In an out of court settlement, her union agreed this should be reduced to £93,000. The decision means her total compensation is lowered to £333,000. The nurse expressed happiness at the conclusion of the whole episode.