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Re: How Doctors Could Improve Childhood Vaccination Rates

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" Vaccine resistance occurs in clusters, so the influence of their friends and

communities is probably what prompted their decision in the first place. "

OMG, am I that brainless that I only do what my friends do? I am speechless!!!!

>

> good grief - McCarthy acolytes?

> Huge numbers of us were here LONG BEFORE

> McCarthy and it is NOT all about autism - one of

> the many injuries after vaccination

> Sheri

>

>

(<http://parenting.blogs.nytimes.com/2012/02/10/how-doctors-could-improve-childh\

ood-vaccination-rates/?src=recg>http://parenting.blogs.nytimes.com/2012/02/10/ho\

w-doctors-could-improve-childhood-vaccination-rates/?src=recg)

>

>

>

> How Doctors Could Improve Childhood Vaccination Rates

>

> By <http://parenting.blogs.nytimes.com/author/kj-dellantonia/>KJ DELL'ANTONIA

>

> How should pediatricians handle a parent who

> wants to refuse or delay a child's vaccinations?

>

> In November, the question of whether that

> pediatrician could ethically refuse to treat the

> child was debated on the

>

<http://6thfloor.blogs.nytimes.com/2011/11/21/armchair-ethicist-flu-season-editi\

on/>Armchair

> Ethicist, and

>

<http://parenting.blogs.nytimes.com/2011/11/21/is-it-o-k-for-doctors-turn-away-u\

nvaccinated-kids/>here

> as well. Putting the ethical question aside, Dr.

> Diekema has a simple answer for

> pediatricians who might want to turn away those

> patients (and in his experience, many routinely

> do so, some by screening them before an appointment is even made): Don't.

>

> Dr. Diekema, a pediatrician and professor at the

> Seattle Children's hospital, wants his fellow

> physicians to reconsider their approach to

> parents who delay or refuse vaccinations for

> their children. " They're not, " he told me firmly, " all McCarthy. "

>

> Dr. Diekema doesn't necessarily think his fellow

> physicians should invest a lot of time in trying

> to change the minds of Ms. McCarthy's acolytes

> (many of whom persist in believing in an

> autism/vaccination link). But many parents who've

> delayed or refused vaccinations on behalf of

> their children without a medical reason to do so

> might be open to influence. Vaccine resistance

> occurs in clusters, so the influence of their

> friends and communities is probably what prompted

> their decision in the first place. Physicians who

> turn these parents away may be protecting the

> patients in their waiting rooms, but they're

> missing an opportunity to protect public health.

>

> In

>

" <http://www.nejm.org/doi/full/10.1056/NEJMp1113008?query=featured_home#t=articl\

e>Improving

> Childhood Vaccination Rates " in the New England

> Journal of Medicine, Dr. Diekema invites doctors

> to consider the reluctant or recalcitrant parent

> as a diagnostic problem. A parent who's read that

> multiple vaccines might weaken a child's immune

> system requires one tactic; one who's concerned

> with the number of shots in a single visit

> another. What's most important is keeping the

> conversation alive, and a doctor who won't

> provide routine care to a family that won't

> adhere to the vaccine schedule is one who won't

> have the chance to revisit the question.

>

> With vaccination rates in some pockets of the

> country shrinking (in one Washington State

> county, Dr. Diekema says, 72 percent of

> kindergartners and 89 percent of sixth graders

> are either noncompliant with or exempt from

> vaccination requirements for school entry, and at

> a

>

<http://www.slate.com/blogs/xx_factor/2011/11/01/who_dares_confront_the_parents_\

of_the_bay_area_waldorf_school_wi.html>Bay

> Area Waldorf school I wrote about last year, only

> 23 percent of the incoming kindergarten class had

> been fully vaccinated), doctors who support

> vaccination (as the vast majority do) need

> strategies to work with parents. A physician

> who's willing to talk parents through doubts and

> fears may be a physician who can persuade a

> family determined to wait for all vaccines to

> accept, for example, the DTaP (or Tdap) shots,

> which vaccinate infants against pertussis — a

> disease that's still common, and is most deadly for infants under six months.

>

> Have you had a conversation with your

> pediatrician about vaccinations that involved

> more than the pro forma handing over of the sheet

> of possible side effects? Have you changed your

> mind about vaccination with the help of a

> physician, or learned something new from a doctor

> who was willing to talk? If you know families who

> haven't vaccinated their children on schedule (or

> at all), what approach would you like to see your pediatrician take?

>

>

> Sheri Nakken, former R.N., MA, Hahnemannian Homeopath

> Vaccination Information & Choice Network, Washington State, USA

> Vaccines -

> http://vaccinationdangers.wordpress.com/

> Homeopathy http://homeopathycures.wordpress.com

> Vaccine Dangers, Childhood Disease Classes &

> Homeopathy Online/email courses - next classes start February 23

>

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