Screening
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Who needs it
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How often
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Dental caries and other dental problems
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All children ages 1 year to adolescence*
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Every six months
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Prevention of dental caries in preschool children
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Children ages 6 months to 5 years whose primary drinking water source is deficient in fluoride
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At routine exams; first visit recommended at age 1 year
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Elevated lead levels
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All children at 1 year and children ages 1 to 5 years who are at average and increased risk
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Yearly*
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Hearing loss
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All children
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At age 4 or 5; before they start school*
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HIV
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All adolescents at increased risk for infection
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At routine checkups
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Iron deficiency anemia
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Children ages 1 to 5 who are at increased risk
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Yearly
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Obesity
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Children ages 6 and older
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At routine exams
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Hearing loss
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All children
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At age 4 or 5; before they start school*
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Vision impairment
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All children
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At age 4 or 5, and again during adolescence
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Immunization
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Who needs it
|
How often
|
Human papillomavirus (HPV)
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HPV2 or HPV4, all females& ages 11 and 12 years; HPV4, all males ages 9 to 18 years
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Three doses total; the second dose given two months after the first dose, and the third dose given six months after the first dose
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Diphtheria
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All children
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Dose between ages 4 and 6 years, and booster between ages 11 and 12 years
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Tetanus toxoids
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All children
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Dose between ages 4 and 6 years, and booster between ages 11 and 12 years
|
Acellular pertussis
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All children
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Dose between ages 4 and 6 years, and booster between ages 11 and 12 years
|
Measles, mumps, rubella (MMR)
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All children
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Second dose recommended between ages 4 and 6 years
|
Chickenpox (varicella)
|
All children
|
Second dose recommended between ages 4 and 6 years
|
Pneumococcal (polysaccharide)
|
Those at risk
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Given once 2 or more months after last dose of pneumococcal conjugate vaccine, based on child's medical condition
|
Influenza (flu), seasonal
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All children
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Yearly, during flu season
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Inactivated poliovirus
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All children
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A final dose between ages 4 and 6 years if the series was completed before age 4
|
Meningococcal (conjugate)
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All children
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One dose between ages 11 and 12, or by age 18 if not previously vaccinated; high-risk groups should receive one dose between ages 2 and 10
|
Hepatitis A
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Those at risk or not fully vaccinated
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Should be fully vaccinated by age 2; if not, child can be vaccinated at subsequent visits; second dose given at least six months after first dose
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Hepatitis B (Recombivax HB)
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All children not previously vaccinated
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Three doses series: For Monovalent Hep B, the second dose is given 4 weeks after the first dose, and the final dose is given 16 weeks after the first dose
Two dose series: Recombivax HB for children ages 11 to 15 years, given at least 4 months apart
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Counseling
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Who needs it
|
How often
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Behavioral, to prevent sexually transmitted infections
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All sexually active adolescents
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At routine exams
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Depression (major depressive disorder)
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Adolescents ages 12 to 18
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At routine exams
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