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Some pediatricians refused to treat their children if their parents refused the vaccine, study results



More than half of US pediatrician clinics included in published new studies In the medical journal JAMA He reported that there is a dismissal policy for families who refuse to vaccinate their children. Some doctors say the home policy is a way to encourage parents to vaccinate their children, but many are unvaccinated, which may endanger other patients. It is also used as a precautionary measure against children.

“This study of pediatricians in the United States reported that it was common practice to dismiss families who refused to vaccinate children, and half of pediatricians had a dismissal policy in their office. However, few people personally dismiss patients, “said a study by university researchers at the Colorado Anschutz Medical Campus, which was released on Tuesday.

Researchers conducted a survey of US pediatricians between April and July 2019, and current practices, experience, and office policies regarding the dismissal of families who refuse or “expand” vaccination. Was evaluated.

More than half (51%) of the 303 pediatricians involved in the study reported that their office had a policy of dismissing their families if the vaccine was rejected. However, only 37% reported doing this themselves.

That number was higher than in a similar study conducted in 2012, with only 21% of pediatricians reporting that they often or constantly dismissed their families for refusing vaccination.

Refusal may change parents’ minds

Doctors refused vaccination (37%) and therefore more often dismissed their families than if they spread vaccination (6%), a similar pattern was specified in office policy.

CDC report that even asymptomatic children may spread Covid-19

Of the 154 doctors who reported dismissing their families because they refused the vaccine, 18% said they agreed to vaccination after constantly or often changing their minds and hearing about their policies.

Community and hospital-based clinic / health care organization settings were less likely to have severance policies than private practices. Midwestern private practices were also unlikely to have severance policies.

“Because vaccine denials are common, the high prevalence of dismissal of families who refuse is important,” the researchers said.

“Future work will be about the impact of this habit on vaccination rates, whether it will result in parents changing their thinking about vaccination, and whether it will reduce access to health care or undermine confidence in clinicians. You should look for it. “

Trends to be worried about

One shot of coronavirus vaccine may not be enough
Ah Report released in May According to the US Centers for Disease Control and Prevention, “a reduction that has been a problem with regular pediatric vaccinations due to family members being at home” was found.
Both the CDC and the American Academy of Pediatrics are calling on parents to keep their children up-to-date during the pandemic. Immediately after the report AAP Announces New Guidelines for Pediatricians To alleviate parents’ fear of bringing their children to the office.

“I know my parents are worried,” AAP Dr. Sally Goza said in a statement released in May.

“We know how pediatricians can make their visits even safer, such as setting different times and places for healthy and sick children, rigorous cleaning practices, and conducting some telemedicine visits. We want the whole family to feel at ease with innovative and innovative methods. “

She added that pediatricians need to work with their families to vaccinate and identify their children as soon as possible and keep them up to date.

According to the CDC, the recommended vaccines by age are:

birth: Within the first 12 hours of life, all babies First dose of their hepatitis B vaccine.
1-2 months: During this time, the baby received a second hepatitis B (HepB) vaccine and First dose of the next vaccine:
  • Diphtheria, tetanus, whooping cough (whooping cough) (DTaP)
  • Haemophilus influenzae type B disease (Hib)
  • Polio (IPV)
  • Streptococcus pneumoniae disease (PCV13)
  • Rotavirus (RV)
Four months: The second dose Next vaccine:
  • Diphtheria, tetanus, whooping cough (whooping cough) (DTaP)
  • Haemophilus influenzae type B disease (Hib)
  • Polio (IPV)
  • Streptococcus pneumoniae disease (PCV13)
  • Rotavirus (RV)
6 months: Babies over 6 months need influenza vaccination during the flu season -Approximately September to March. Influenza is deadly: Influenza complications killed 830 children in the United States between 2004 and 2012- Many of those children were otherwise healthy.. The third dose of vaccine required at this time includes:
  • Diphtheria, tetanus, whooping cough (whooping cough) (DTaP)
  • Haemophilus influenzae type B disease (Hib)
  • Polio (IPV)
  • Streptococcus pneumoniae disease (PCV13)
  • Rotavirus (RV)
12 to 23 months: Some of the previous vaccines require a fourth dose, but babies also need new vaccines Designed to protect against many serious illnesses:
  • Chickenpox (chickenpox) (first time)
  • Diphtheria, tetanus, whooping cough (whooping cough) (DTaP) (4th)
  • Hemophilus influenzae type B (Hib) (4th time)
  • Measles, mumps, rubella (MMR) (first dose)
  • Polio (IPV) (3rd time)
  • Streptococcus pneumoniae disease (PCV13) (4th time)
  • Hepatitis A (HepA) (first dose)
  • Hepatitis B (HepB) (3rd dose from 6 to 18 months)
  • Influenza (this is required every year)

4 to 6 years: With the annual flu shot, it’s time to start another dose of some vaccines earlier:

  • Diphtheria, tetanus, whooping cough (whooping cough) (DTaP) (5th)
  • Polio (IPV) (4th time)
  • Measles, mumps, rubella (MMR) (second time)
  • Chickenpox (chickenpox) (second time)
7-10 years: In addition to the annual influenza vaccination Children of this age group Initial doses should be obtained to protect against human papillomavirus, which can cause cervical cancer, vulvar cancer, vaginal cancer, penile cancer, anal cancer, and head and neck cancer. About 79 million Americans in their late teens and early twenties are infected with HPV. According to the CDC..

The vaccine can be given to both girls and boys as early as 9 years old.

Preteen (11-12 years old): Don’t forget to get a flu shot every year. Additional vaccine Here’s what you need at this age:
  • Meningococcal disease (MenACWY) (single dose)
  • Human papillomavirus (HPV) (2 doses)
  • Tetanus, diphtheria, whooping cough (or whooping cough) (Tdap) (single dose)
Teens (13-18 years old): A 16-year-old teenager Second dose of Meningococcal complex (MenACWY) vaccine, With an annual flu shot. If your child’s college reports an outbreak of a different type of meningococcal disease called serotype B meningococcal disease, consult your pediatrician about that subtype of vaccine.

CNN’s Elizabeth Cohen and Danavig contributed to this report.


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