Federal judge denies injunction against California vaccination law for schoolchildren

[proverbialwisdom]

45. Nonsense.

http://pediatrics.aappublications.org/content/early/2016/03/17/peds.2015-4230

Pediatrics
March 2016, VOLUME 137 / ISSUE 3
Childhood Vaccine Exemption Policy: The Case for a Less Restrictive Alternative
Douglas J. Opel, Matthew P. Kronman, Douglas S. Diekema, Edgar K. Marcuse, Jeffrey S. Duchin, Eric Kodish

Abbreviations: MV — measles vaccine, NME — nonmedical exemption, VPD — vaccine-preventable disease

Efforts to restrict parents’ ability to exempt children from receiving vaccinations required for school entry have recently reached a pinnacle. The American Medical Association voiced support for eliminating nonmedical exemptions (NMEs) from school vaccine requirements,1 and California enacted legislation doing so.2 Although laudable in their objective, policies eliminating NMEs from all vaccines are scientifically and ethically problematic. In the present article, we argue for an exemption policy that eliminates NMEs just for the measles vaccine (MV) and is pursued only after other less restrictive approaches have been implemented and deemed unsuccessful.

Published By American Academy of Pediatrics
Copyright © 2016 by the American Academy of Pediatrics

Author Information: Douglas J. Opel, MD, MPHa,b, Matthew P. Kronman, MD, MSCEb, Douglas S. Diekema, MD, MPHa,b,c, Edgar K. Marcuse, MD, MPHb, Jeffrey S. Duchin, MDd,e,f, and Eric Kodish, MDg

aTreuman Katz Center for Pediatric Bioethics, Seattle Children’s Research Institute, and
bDepartments of Pediatrics and
dMedicine, University of Washington School of Medicine, Seattle, Washington;
cDepartments of Health Services and
eEpidemiology, University of Washington School of Public Health, Seattle, Washington;
fCommunicable Disease Epidemiology and Immunization Section, Public Health–Seattle and King County, Seattle, Washington; and
gDepartment of Bioethics, Center for Ethics, Humanities and Spiritual Care, Cleveland Clinic, Cleveland, Ohio

Dr Opel conceptualized and designed the study and drafted the initial manuscript; and Drs Kronman, Diekema, Marcuse, Duchin, and Kodish reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Ethics/Refusal-of-Medically-Recommended-Treatment-During-Pregnancy

OB/GYN Group Says Pregnant Women Have Right to Informed Consent and Refusal of Doctor Recommendations

1. The American College of Obstetricians and Gynecologists. Refusal of Medically Recommended Treatment During Pregnancy.
ACOG.org No. 664, June 2016.

2. McClain L. New ACOG Statement Says Forcing Treatment on Pregnant Women is Unethical.
Mothering June 10, 2016.

http://file.scirp.org/html/22932.html

Open Journal of Pediatrics, 2012, 2, 228-235

OJPed http://dx.doi.org/10.4236/ojped.2012.23036
Published Online September 2012 http://www.SciRP.org/journal/ojped/

Vaccination practices among physicians and their children

Michael Martin1, Vahe Badalyan2
1Department of Pediatrics, Inova Fairfax Hospital for Children, Falls Church, USA
2Department of Gastroenterology, Children’s National Medical Center, Washington DC, USA

Received 1 May 2012; revised 3 July 2012; accepted 30 July 2012

ABSTRACT

The purpose of this study was to identify vaccination patterns of both general pediatricians and subspecialists with regards to their own children and projected progeny. A 14 question survey was sent randomly to 1000 members of the Academy of Pediatrics in 2009. Two categories of questions included 1) how physicians with children vaccinated them in the past, and 2) how all respondents would vaccinate a child in 2009. A comparison was made between the answers of general and specialty pediatricians. 582 valid questionnaires were received (58.2% response rate) of which 431 were general pediatricians and 151 sub-specialists. No statistical difference was found between general and specialty pediatricians on how they vaccinated their children up until 2009 (95% vs 93%). When asked about vaccinating a future child, a significant proportion of respondents would deviate from CDC guidelines, specialists more than general pediatricians (21% vs 9%). Generalists were more likely to give a future child Hepatitis A (OR: 3.6; 95% CI 1.3 - 10.4), Rotavirus (OR: 2.2; 95% CI 1.1 - 4.4), Meningococcal (OR: 9.9; 95% CI 3.3 - 29.9), and influenza (OR: 5.4; 95% CI 1.1 - 26.7) vaccines. Specialists were more likely to postpone MMR vaccination (OR: 4.4 95% CI 2.3 - 8.6). Safety was listed by both groups as the most common reason for altering the recommended immunization schedule. Until 2009, general pediatricians and pediatric specialists have largely adhered to ACIP recommendations, but due to vaccine safety and other concerns, both groups, albeit a higher percentage of specialists, reported greater numbers willing to diverge from these recommendations.

Misc: http://www.democraticunderground.com/10141392809#post38