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November 19, 1982

Vaccination and Breast-feeding

JAMA. 1982;248(19):2451-2452. doi:10.1001/jama.1982.03330190021019

To the Editor.—  A recent book for physicians, nurses, and other medical personnel correctly states that diphtheria, tetanus, pertussis (DTP), rubella, mumps, and measles vaccines should be given at the regularly scheduled times to infants who are breast-fed.1 However, the recommendations regarding oral polio vaccine (OPV) are not supported by the two major immunization advisory bodies in the United States, the Advisory Committee on Immunization Practices (ACIP) and the Committee on Infectious Diseases of the American Academy of Pediatrics (Red Book Committee). The author recommends that breast-feeding be postponed for at least 30 minutes after the administration of an OPV and that booster doses should be given as soon as the infant is weaned and one year after weaning.We believe that the author's recommendations have caused unnecessary confusion and are not supported by the available scientific literature. We have received several inquiries from physicians for clarification. Because of