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   Birth to 10 years

Leading Causes of Death

Perinatal conditions.

Congenital anomalies.

Sudden infant death syndrome (SIDS).

Unintentional injuries - non-motor vehicle.

Motor vehicle injuries.

Screening

Birth: Hemoglobinopathy - Screening dependent upon prevalence of high-risk individuals in patient population and other considerations.
Birth: Phenylalanine - If done within first 24 hours of life, repeat by age 2 weeks.
Birth: T4 or TSH - Optimally between days 2 and 6, but in all cases before newborn nursery discharge.
Height and weight.
Blood pressure.
Vision screen (age 3-4 yr).

Immunizations

Diphtheria-tetanus-pertussis (DTP) - 2, 4, 6, 12-18 mo, and 4-6 yr (DTaP may be used at 15 mo and older).
Oral poliovirus (OPV) - 2, 4, 6-18 mo, and 4-6 yr.
Measles-mumps-rubella (MMR) - 12-15 mo, 4-6 yr.
Hemophilus influenza type b (Hib) conjugate - 2, 4, 6, and 12-15 mo. No dose needed at 6 mo if PRP-OMP vaccine used for first 2 doses.
Hepatitis B - birth, 1 mo, 6 mo; or 0-2 mo, 1-2 mo later, and 6-18 mo. If not done in infancy: current visit and 1 and 6 mo later.
Varicella - Immunocompetent infants 12-18 mo or older, without history of chickenpox or previous immunization. Include information on risk in adulthood, duration of immunity, and potential need for booster doses.

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