56 / 88 the nasal spray vaccine?or live attenuated influenza vaccine (laiv4). the goal? to provide the best protection and adequate vaccination coverage in children of all ages for the flu season. ?the effectiveness of the flu vaccine varies and is affected by factors such as the child's age, health status, vaccination history, and the strain of influenza circulating in a community,? says henry bernstein, md, mhcm, faap, a member of the cdc advisory committee on immunization practices and an ex- officio member of the aap committee on infectious diseases. ?we urge parents to talk with their pediatricians now to avoid any delay in getting their children vaccinated.? bottom line? make sure your kids receive the flu shot as soon as possible.