![]() If not addressed, this pain can lead to preprocedural anxiety in the future, fear of needles and nonadherence with vaccination schedules. ![]() 2 The pain associated with such injections is a source of distress for children, their parents and those administering the injections. Injections for vaccinations, the most common source of iatrogenic pain in childhood, 1 are administered at multiple times to almost all Canadian children throughout infancy, childhood and adolescence. Department of Paediatrics (Shah), Mount Sinai Hospital, Toronto, Ont Department of Medicine (Rieder), University of Western Ontario, London, Ont. Children’s Hospital of Western Ontario (Rieder), London, Ont. British Columbia Centre for Disease Control (Pielak), Vancouver, BC Department of Psychology (Pillai Riddell), York University, Toronto, Ont. Healthy Child Development Program (Mousmanis), Ontario College of Family Physicians, Toronto, Ont. ![]() National Advisory Committee on Immunization (Hanrahan) private practice (Lockett), Milton, Ont. ![]() Capital Health Region (Hanrahan), Edmonton, Alta. Canadian Center for Vaccinology (Appleton, Halperin, MacDonald, Scott), Halifax, NS Departments of Pediatrics (Bortolussi, Halperin, MacDonald, Scott) and of Psychology (Chambers), IWK Health Centre, Halifax, NS Infectious Diseases and Immunization Committee (Bortolussi) and Drug Therapy and Hazardous Products Committee (Rieder), Canadian Paediatric Society Departments of Microbiology and Immunology (Bortolussi, Halperin), of Pediatrics (MacDonald) and of Emergency Medicine (Scott), Faculty of Medicine, and Department of Pediatrics/Psychology (Chambers), Faculty of Science, Dalhousie University, Halifax, NS Toronto Public Health (Dubey), Toronto, Ont. Research Institute (Taddio, Ipp, Pillai Riddell) and Department of Psychiatry (Pillai Riddell), The Hospital for Sick Children, Toronto, Ont. ![]() Faculty of Pharmacy (Taddio) and Departments of Paediatrics (Ipp), of Family and Community Medicine (Midmer) and of Health Policy, Management and Evaluation (Palda, Shah), Faculty of Medicine, University of Toronto, Toronto, Ont. ![]()
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