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This includes invasive pneumococcal disease and influenza. The primary aim of this study was to describe compliance with current Australian guidelines for vaccination of children and adolescents diagnosed with IBD. A secondary aim was to review the serological screening for VPD. Methods A random sample of patients (0-18 years at diagnosis), were selected from the Victoria Australia state based Pediatric Inflammatory Bowel Disease Register. A multi-faceted retrospective review of immunization status was undertaken, with hospital records audited, a telephone interview survey conducted with consenting parents and the vaccination history was checked against the primary care physician and Australian Childhood Immunization Register (ACIR) records. The routine primary childhood vaccinations and administration of the recommended additional influenza and pneumococcal vaccines was clarified. Results This 2007 audit reviewed the immunization status of 101individuals on the Victorian Pediatric IBD database. Median age at diagnosis was 12.1 years, 50% were on active immunosuppressive therapy. 90% (38/42) [95% confidence intervals (CI) 77%; 97%] with complete immunization information were up-to-date with routine primary immunizations. Only 5% (5/101) [95% CI 2%; 11%] received a recommended pneumococcal vaccine booster and 10% (10/101) [95% CI 5%; 17%] had evidence of having ever received a seasonal influenza vaccine. Those living in rural Victoria (p = 0.005) and younger at the age of diagnosis (p = 0.002) were more likely to have ever received an influenza vaccine Serological testing, reviewing historical protection from VPD, identified 18% (17/94) with evidence of at least one serology sample. Conclusion This study highlights poor compliance in IBD patients for additional recommended vaccines. A multi-faceted approach is required to maximize protection from VPD in this vulnerable special risk population. Keywords:
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In his first stint as prime minister in 2007-2010, he was adamant that because India was not a signatory to the nuclear non-proliferation treaty, uranium sales to it were precluded. He said this was not a policy directed against India, but one that applied globally. When Julia Gillard, the deputy prime minister who overthrew Rudd for the leadership in June 2010 (before herself being ousted in June this year by Rudd), decided to push through a Labor Party policy change on the uranium issue in late 2011, Rudd was not consulted. Rudd has said that India does not need to source uranium from Australia. It gets most of its supply now from Russia, France and Kazakhstan. Abbott’s Indian ambitions In contrast, Abbott is happy to see Australian uranium shipped to Indian nuclear power plants. At the India Australia Friendship Fair in Sydney last year, he said: “Yes, we will sell uranium to India because we know that India is one of the world’s great democracies.” In reality, any uranium sales are years away, so the Australia-India nuclear trade is more symbolic than substantial. New Delhi views it as a touchstone for the state of the bilateral relationship. In March this year, the first official-level talks were held on a civil nuclear cooperation agreement that is the first step towards uranium sales. A prerequisite is an undertaking by India that it will not use Australian uranium in any weapons-related capacity. When Rudd addressed the Indian Council of World Affairs in Delhi in November 2009, he harked back to his days at Canberra’s Australian National University, where he studied Indian civilization and its impact on China. But Rudd’s primary focus has always been China. He is a Chinese speaker, a former diplomat in Beijing and a lifelong student of all things Chinese. For his part, Abbott, a Rhodes Scholar at Oxford University, maintains that if he becomes prime minister he will take India seriously, “as I have always done.” China ‘not the only superpower’ In an address to the Australia India Business Council in Sydney last December, Abbott said that as prime minister he would treat India as one of the key countries helping to shape the future of Australia and the wider world. “It’s important to note that China is not the only emerging superpower of Asia,” Abbott said, pointing to the quadrupling of India’s gross domestic product (GDP) in two decades and high economic growth rates.