chapelhillchildrenandadolescentsclinic

Measles update

Thu, 12 Feb 2026 07:17:54 GMT

Since February 21, 2026, no new cases of measles have been reported in NC. The NC DHHS no longer recommends early MMR vaccination for infants 6 to 11 months old since there is no sustained transmission currently.

While this is welcome news, vaccination rates have dropped in NC and the US. There will likely be further outbreaks in the future.

We can give the MMR dose early to families who want it. This applies to infants 6-11 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose.

Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well.

If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected.

As always, if you have questions, we are here to help make sense of it all!

Back in Network with UHC!

Wed, 21 Jan 2026 01:26:30 GMT

Chapel Hill Children and Adolescents' Clinic will once again be an in-network provider for United Healthcare on December 13th, 2025. Thank you for your patience and loyalty as we have worked to find a solution that enables us to care for our patients in the best possible way.

Fall 2025 immunization update

Thu, 02 Oct 2025 19:39:38 GMT

Our seasonal immunizations have arrived, and we are scheduling appointments for influenza, RSV, and COVID vaccines. We will hold flu immunization clinics every Friday during October.

There are some important details about who can receive the various vaccines. Please read on below.

Our flu vaccines have arrived and are now available! We will hold flu immunization clinics every Friday in October. Children 6 months of age to 18 years should get a yearly flu vaccine. Children with asthma, a history of wheezing, cystic fibrosis, diabetes, compromised immune systems, or other conditions are at higher risk for more severe illness or complications of the flu, but healthy children can also get seriously ill. For babies who are too young to be immunized, their families should receive the flu vaccine to help protect their infants.

As of October 1st, RSV immunizations are available for babies under 8 months old and for babies who meet certain high-risk criteria 8 months to 19 months old. We have doses to give to babies whose mothers were not given the RSV vaccine during pregnancy.

COVID vaccination for the 2025-2026 season is recommended by scientific consensus of the American Academy of Pediatrics for children 6 months to 23 months old, as well as any child who has a high-risk health condition or who has not been previously vaccinated. In addition, families should be able to request a vaccine for any child. This is different than the current FDA recommendations.

At the ACIP meeting on September 19, 2025, recommendations were made for "shared decision-making" to administer the vaccine. We are briefly counseling families of the pros and cons of vaccination at vaccine appointments. It appears that most private insurers will continue to cover the cost of the dose, although this is not guaranteed. As of 9/29/2025, COVID vaccines for children under 18 with Medicaid insurance have not been released yet. We will provide them as soon as they are available for order.

Currently, you can call to schedule an appointment for vaccines as specified above. We will continue to provide steady, rational recommendations to keep our children and community healthy.

RSV immunization update

Fri, 03 Nov 2023 07:38:40 GMT

There is a shortage of the much-anticipated RSV immunization after approval just prior to RSV season

We have recently learned that we will receive very small supplies of the infant RSV immunization nirsemivab for the '23-'24 season, much to our disappointment. Our orders of this product have been cut or will be left unfilled. Pediatricians and families around the country are facing a shortage after initially being told that supplies would be adequate. In light of this, the CDC has issued guidelines for distributing limited product. We will only be able to vaccinate a small percentage of our patients who qualify and will focus on premature infants, infants with high-risk conditions such as cystic fibrosis, and the youngest babies while supplies last. We are keeping a list and contacting parents as additional doses arrive.

For pregnant people, we encourage you to receive the vaccine if offered by your obstetrician during the 23-24 RSV season. Infants whose mothers receive the dose during pregnancy do not need the dose in infancy. We have learned that many local obstetric offices will have this available.

We are very sorry that this season will be frustrating for new parents and are continuing to seek doses if they become available.

Inclement Weather Policy

Wed, 01 Nov 2023 07:40:07 GMT

During inclement weather, we will assess the situation to make sure our patients and staff can remain safe. We often follow the Chapel Hill-Carrboro City School System’s (CHCCS) delays, but this is not always the case. Please check our phone message, our social media including Facebook and Instagram, and our website.

Please call our office before any appointments during inclement weather to be sure we are open. We will also attempt to contact families whose appointment times are affected by delay or closure.

Your Opinion Matters to Us!

Wed, 01 Jan 2020 07:57:50 GMT

Please take a few minutes to complete this online survey to help us learn how to serve you better. Thank you!

Online Patient Survey

Fluoride Dental Varnish Available to our Patients

Tue, 01 Jan 2019 07:59:18 GMT

Our office offers fluoride dental varnish to all patients starting at the first tooth eruption, until the age of at least 3 years. This is done at well-visits, unless otherwise requested. Although most insurance plans cover this service, there may be an additional charge to you if your plan does not cover it. Dental varnish is an important tool to reduce the most common condition to affect young children and decreases cavities by 40%.