Immunisations
201
Haemophilus influenza type B
Invasive pneumococcal disease
RRP = $225
vaccine updates
blue book & 4 yo health check
"
Because I saw what happened in the case of one of my nephews, for whom vaccination was one of several environmental factors and assaults to his immune system that, along with genetic predisposition and an underlying vulnerability, stressed his body and his mind so much that he slipped into autism. It's not a conclusion that his mother, a sober individual pushing 40 with an honours degree in science and a background in public health, wanted to reach, but in the end it was undeniable.
24 January 2012
GP Synergy; PGPPP Orientation
"
adult immunisation
childhood immunisations
Immunisations in General Practice
Dr Michael Tam
Lecturer in Primary Care, University of NSW
General practitioner,
Glebe Family Medical Practice
introduction
Smallpox
- ~ 30% mortality rate
- Killed > 10% of all children in 18th C Europe
- Responsible for 30% of blindness
- Most survivors with deep pitted scars on the face
- 1950: 50 million cases annually
historic use of "variolation"
The Historical Medical Library of The College of Physicians of Philadelphia. Frankel LK. No diphtheria In New York State In 1930. Metropolitan Life Insurance Company Press.
- Edward Jenner; 1798 and cowpox
- 1967: WHO worldwide plan
- 1977: last natural case
- 1980: eradicated
why?
2000: exclusive IPV schedule
1952: 21,000 cases of paralytic polio in US
1955: Salk vaccine
1963: OPV
...but it can come back
effective
Kaufmann JR, Feldbaum H. Diplomacy and the polio immunization boycott in Northern Nigeria. Health Affairs 2009; 28(4)
Alexander et al. Vaccine policy changes and epidemiology of poliomyelitis in the United States. JAMA 2004; 292(14)