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Section 1. Active and Passive Immunization
INFORMING PATIENTS AND PARENTS
Parents and patients should be informed about the benefits and risks of disease preventive and therapeutic procedures, including immunization.
The patient, parents, and/or legal guardian should be informed about benefits to be derived from vaccines in preventing disease in individuals and the community in which they live and about the risks of those vaccines. Adequate time should be provided and questions should be encouraged so that the information is understood.
The National Childhood Vaccine Injury Act (NCVIA) of 1986 included requirements for notifying all patients and parents about vaccine benefits and risks. Whether vaccines are purchased with private or public funds, this legislation mandates that a vaccine information statement (VIS) be provided each time a vaccine covered under the National Vaccine Injury Compensation Program (VICP) is administered (see Table 1.2). For vaccines not yet included in the VICP, VISs are available but are not mandated unless the vaccine is purchased through a contract with the Centers for Disease Control and Prevention (CDC [ie, the Vaccines for Children Program, state immunization grants, or state purchases through the CDC]). Copies of currently available VISs can be obtained from state and local health departments, the CDC, the American Academy of
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