Seattle ? National health officials are moving toward recommending flu shots for all children older than 6 months as the disease’s impact on kids has become more apparent in recent years – including the deaths this month of two Seattle-area girls.

In meetings this week in Atlanta, top immunization advisers to the Centers for Disease Control and Prevention renewed discussion of expanding the current recommendation, which stops at age 5 for most kids. And CDC officials and other experts said they may make it official in time for the 2008-2009 flu season. The agency routinely adopts the recommendations of the committee, as do private physicians, clinics and public-health departments.

“Over the next year or so, this is going to happen; I’m confident,” said Dr. Ed Marcuse, associate medical director of Seattle’s Children’s Hospital and Regional Medical Center.

About 100 children in the U.S. die of influenza complications annually, according to CDC estimates. Closer tracking of deaths in children began in 2003.

Dr. Tony Fiore, an influenza epidemiologist for the CDC, said the Advisory Committee on Immunization Practices may vote in October to expand the vaccination recommendation for children through age 18. It now includes children who have certain chronic illnesses such as asthma or heart disease, as well as children between 6 months and 5 years old.

The vaccine is generally about 70 percent or more effective in children, experts say.