Medicos remains committed to appropriate vaccination of children. We are concerned about over vaccination and corruption within the political system of governing health.
School attendance is required. Parents who fail to have children in school will be investigated. Failure to educate is grounds for removal of the children from the parents.
Tdap costs over $60 for the supplies alone. Tennessee medicaid will not reimburse physicians who choose to pay for vaccine supplies in their private office. You are either entirely in the government program, or not. Therefore each vaccine given to a medicaid child must be purchased by the physician and donated. Medicos proudly supports this, but understands that this is financial suicide for most other physicians.
Uninsured patients who speak little English regularly lose their vaccination records. Our health department has said that these children must be revaccinated as if they had no previous vaccinations.
In my experience adverse reactions are under-reported. These reactions are minor, but they are not trivial to the family. Vaccine manufacturers have funded the research which leads to an ever increasing number of vaccines and injections. Is this mission-oriented nobility, or is it profit driven? Is there real benefit when we compare the USA vaccine recommendations to that of other countries?
Vaccine and drug manufacturers have repeatedly purchased self serving clinical research from academic medical centers 1990-2010. These behaviors have been documented in a variety of scientific journals such as NEJM, JAMA, and others. Since 2005, the major pharmaceutical manufacturers have paid civil penalties in excess of $2 billion for "misrepresentaton" .
It is a matter of record that Merck paid one high up state official for his guidance leading to legislation mandating Gardasil for all children in that state.
Media reports of medical miracles obfuscate and manipulate. These reports are used to fuel the political fortunes of lobbyists.
Fuchs VR. The $640 Billion dollar Question--Why....?" New Engl J Med 2011; 363:1985-1987. ".............by emphasizing the relative benefits of clinical interventions('reducing risk of death by one third') when the absolute benefit('reducing the risk from 0.03 to 0.02) is usually more relevant. Misleading headlines make life difficult for physicians who want to practice cost-effective medicine, but are beset patients demands for costly new therapies. The public reflexively mistrusts any apparent withholding of widely touted interventions, even when they may do more harm than good".
Prostatic Specific Antigen screening anyone?
WMR
Old news for most, but... http://pediatrics.aappublications.org/content/early/2011/09/21/peds.2011-1752.full.pdf+html
Anyone getting paid by Medicare for >=65yo's
Hesitate to give if not covered.
Kelly Locke
POLICY STATEMENT
Additional Recommendations for Use of Tetanus Toxoid, Reduced-Content Diphtheria Toxoid, and Acellular Pertussis Vaccine (Tdap)
abstract
The American Academy of Pediatrics and the Centers for Disease Control and Prevention are amending previous recommendations and making additional recommendations for the use of tetanus toxoid, reduced-content diphtheria toxoid, and acellular pertussis vaccine (Tdap). Review of the results from clinical trials and other studies has revealed no excess reactogenicity when Tdap is given within a short interval after other tetanus- or diphtheria-containing toxoid products, and accrual of postmarketing adverse-events reports reveals an excellent safety record for Tdap. Thus, the recommendation for caution regarding Tdap use within any interval after a tetanus- or diphtheria containing toxoid product is removed.
Tdap should be given when it is indicated and when no contraindication exists.
In further efforts to protect people who are susceptible to pertussis, the American Academy of Pediatrics and Centers for Disease Control and Prevention
recommend a single dose of Tdap for children 7 through 10 years of age who were underimmunized with diphtheria-tetanus-acellular pertussis (DTaP).
Also, the age for recommendation for Tdap is extended to those aged 65 years and older who have or are likely to have contact with an infant younger than 12 months (eg, health care personnel, grandparents, and other caregivers).
Pediatrics 2011;128:809–812
Index--Vaccine Issues
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Posted by: online job | January 12, 2012 at 11:38 AM