Vaccination throughout childhood is essential because it helps provide immunity before children are exposed to potentially life-threatening diseases. The following Vaccine Information Statements (VIS) are produced by the Centers for Disease Control and Prevention (CDC) and explain details about the disease and the vaccine. If you are unable to view the PDFs in your browser, you should install Adobe Reader. Find additional information or VIS documents translated into other languages at

Routine Vaccine Information Statements

Immunization Policy

As specialists who study, train, and provide care to children and teens, Salem Pediatric Clinic fully embraces the recommendations of the American Academy of Pediatrics (AAP), American Counsel on Immunization Practices (ACIP), and Center for Disease Control (CDC). Immunizations are the most effective way to safeguard children’s health from serious and fatal infectious diseases.

We recognize parents have an important role in healthcare decisions regarding their children including immunizations. While we respect parents’ decisions regarding immunizations, we are also responsible for the safety of all patients attending the clinic, especially in regard to exposure to communicable diseases while visiting our office.

Measles is the most highly contagious virus that presents a risk to children. A person or child infected with measles is contagious for 24 hours prior to development of symptoms. Moreover, the virus is rapidly transmitted throughout a household, a building, a clinic, or other public setting. Measles is suspended in the air and will pass through ventilation systems, even after the infected individual has left the building and remains in circulation for several hours afterward.

Risks of measles include:

  • Death in 3 of every 1,000 children infected by measles.
  • Encephalitis — viral infection of brain leading to permanent brain damage in 1 out of 1,000 people with measles Secondary bacterial infection of blood-sepsis and lungs-pneumonia.
  • Suppressed immune function for months after measles leading to increased bacterial and viral infections SSPE (subacute sclerosing panencephalitis), a rare condition leading to brain deterioration, severe seizures occurring 7-10 years after measles in up to 7 out of every 100,000 people who were infected by measles.

After considerable thought, weighing the personal choices of families whether to vaccinate or not versus the risk of acquiring a preventable disease within our office, incoming patients that are not up-to-date on recommended immunizations will require provider review prior to being accepted to the clinic. Salem Pediatric Clinic providers strongly encourage all children to be immunized against measles after 12 months of age as recommended. Children not immunized with their first measles, mumps, and rubella (MMR) by 24 months of age will be requested to seek medical care elsewhere. Children who have not received their second MMR by 6 years of age will also be requested to seek medical care elsewhere. Older children who have not received or completed their MMR vaccination will be allowed a six-month span of time to complete the two vaccinations of MMR as required to promote immunity.

The only exception will be for children with a documented medical contraindication as recognized by the Center for Disease Control (CDC), American Academy of Pediatrics (AAP), American Counsel on Immunization Practices (ACIP).

Please discuss any concerns with your child’s or children’s Primary Care Provider.