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Monday, July 4, 2011

Autism, Vaccines, and Pediatricians

The Chicago Tribune reports on the latest turn in the vaccine wars:

A small but growing number of parents think vaccines against childhood diseases are unsafe and are refusing or delaying shots for their children, despite the discrediting of a medical study linking vaccines and autism that stirred alarm.

Ground zero in the debate is the pediatrician's office.

Some frustrated pediatricians are drawing a line in the sand by requiring parents in their medical practices to vaccinate their children or seek health care elsewhere, a position that rubs some medical professionals the wrong way.

Among those taking a stand are the eight pediatricians of Northwestern Children's Practice in Chicago. They no longer see children whose parents refuse to follow the childhood immunization schedule developed by the Centers for Disease Control and Prevention and the American Academy of Pediatrics. A letter and email sent to parents this year announced the policy, which went into effect in June.

"All of the available research shows that the safest and most effective way to vaccinate children is on the schedule set by the CDC and AAP," said Dr. Scott Goldstein, one of the pediatricians. "To go against that schedule goes against proven scientific research and puts patients who do follow the schedule at risk."

So far, fewer than a dozen families have chosen to leave the practice of about 5,000 to 6,000 patients, said Goldstein, who participates in the Illinois Immunization Patient Advocacy Leadership Initiative run by the Illinois chapter of the AAP.

Also see:

Responding to Parental Refusals of Immunization of Children, by Douglas S. Diekema, MD, MPH and the Committee on Bioethics