Home https://server7.kproxy.com/servlet/redirect.srv/sruj/smyrwpoii/p2/ Health https://server7.kproxy.com/servlet/redirect.srv/sruj/smyrwpoii/p2/ Some pediatricians refuse to treat children whose parents reject vaccines, the study shows

Some pediatricians refuse to treat children whose parents reject vaccines, the study shows



More than half of pediatrician offices in the United States included in a new study published in medical journal JAMA reported that they had a dismissal policy for families who refuse to vaccinate their children. Some doctors say this house policy is a way to encourage parents to vaccinate their children, while many also use it as a protection against unvaccinated children who may threaten their other patients.

“This study among U.S. pediatricians showed that the practice of dismissing families who refuse vaccines to their children was common, with half of the pediatricians reporting that their office has a dismissal policy, although fewer dismiss patients,” the study said. researchers at the University of Colorado Anschutz Medical Campus, which was released Tuesday.

Researchers conducted a survey from April to July 201

9 among U.S. pediatricians to assess their current practices, experiences, and office policies regarding the dismissal of families who refuse or ask to “spread” vaccinations.

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

This figure was higher than a similar study conducted in 2012, where only 21% of pediatricians reported that they often or always dismissed families for refusing vaccines.

Rejection can change parents’ minds

Families were more often dismissed by doctors for refusing vaccines (37%) than spreading vaccines (6%), where a similar pattern was described in office policies.

Even children without symptoms can spread Covid-19, the CDC report shows

Of the 154 physicians who reported ever dismissing families for refusing vaccines, 18% said families always or frequently changed their minds and accepted vaccination after hearing about the policy.

Community and hospital-based clinic / health care settings were less likely to have dismissal policies than private practice. Private practice in the Midwest also had less likelihood of redundancy policies.

“Because vaccine rejection is common, it has a high incidence of dismissal for families who refuse important consequences,” the researchers said.

“Future work should examine the impact of this practice on vaccination rates, whether it results in parents changing their minds about vaccination and whether it reduces access to medical care or destroys trust in clinicians.”

A worrying trend

A shot of coronavirus vaccine will probably not be enough
A report released in May by the U.S. Centers for Disease Control and Prevention found a “disturbing decline in routine childhood vaccinations due to families staying at home.”
Both the CDC and the American Academy of Pediatrics urge parents to keep their children’s vaccinations up to date during the pandemic. Right after the report, the AAP issued new guidelines for pediatricians to alleviate parents’ fears of bringing their child into the office.

“We know parents are worried,” said Dr. Sally Goza, president of the AAP, in a statement released in May.

“We want to assure all our families that pediatricians have innovated ways to make visits even more secure, including setting different times or locations for well-being and sick children, strict cleaning practices and conducting parts of telecommunications visits.”

Pediatricians should work with families to identify and update children on the vaccine as soon as possible, she added.

Here are the recommended vaccines by age according to the CDC:

Birth: Within the first 12 hours of life, all babies should receive their first dose of hepatitis B vaccine.
1 to 2 months: During this time, the baby should receive a second dose of Hepatitis B (HepB) vaccine as well as the first dose of vaccine for the following:
  • Diphtheria, tetanus and pertussis (or pertussis) (DTaP)
  • Haemophilus influenzae type b disease (Hib)
  • Polio (IPV)
  • Pneumococcal disease (PCV13)
  • Rotavirus (RV)
4 months: Another dose is due to the following vaccines:
  • Diphtheria, tetanus and pertussis (or pertussis) (DTaP)
  • Haemophilus influenzae type b disease (Hib)
  • Polio (IPV)
  • Pneumococcal disease (PCV13)
  • Rotavirus (RV)
6 months: Babies who are 6 months and older need flu shots if it is flu season – around September to March. Influenza is fatal: Complications from influenza killed 830 children in the United States between 2004 and 2012 – many of these children were otherwise healthy. Third doses of vaccines needed at this time also include:
  • Diphtheria, tetanus and pertussis (or pertussis) (DTaP)
  • Haemophilus influenzae type b disease (Hib)
  • Polio (IPV)
  • Pneumococcal disease (PCV13)
  • Rotavirus (RV)
12 to 23 months: A few previous vaccines need a fourth dose, but the baby also needs new vaccines designed to protect against a number of serious diseases:
  • Chickenpox (Varicella) (first dose)
  • Diphtheria, tetanus and pertussis (or pertussis) (DTaP) (fourth dose)
  • Haemophilus influenzae type b disease (Hib) (fourth dose)
  • Measles, mumps and rubella (MMR) (first dose)
  • Polio (IPV) (3rd dose)
  • Pneumococcal disease (PCV13) (fourth dose)
  • Hepatitis A (HepA) (first dose)
  • Hepatitis B (HepB) (third dose between 6 months and 18 months)
  • Influenza (influenza) (this is necessary every year)

4 to 6 years: It’s time for a new dose of more vaccines started earlier along with the annual flu shot:

  • Diphtheria, tetanus and pertussis (or pertussis) (DTaP) (fifth dose)
  • Polio (IPV) (fourth dose)
  • Measles, mumps and rubella (MMR) (second dose)
  • Chickenpox (Varicella) (second dose)
7 to 10 years: In addition to the annual flu shot, children in this age group should receive their first dose to protect against human papillomavirus, which can cause cervical cancer, cancer of the vulva, vagina, penis or anus, as well as head and neck cancer. About 79 million Americans, most in their late teens and early 20s, are infected with HPV, according to the CDC.

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

Preteens (11 to 12 years): Do not forget the flu shot every year. Additional vaccines needed at this age include:
  • Meningococcal disease (MenACWY) (one dose)
  • Human papillomavirus (HPV) (two doses)
  • Tetanus, diphtheria and pertussis (or pertussis) (Tdap) (one dose)
Teenager (13 to 18 years): As a 16-year-old, teens should have their second dose of the meningococcal conjugate vaccine (MenACWY) along with an annual flu shot. If your child’s college has reported an outbreak of another type of meningococcal disease, called serogroup B meningococcal disease, talk to your pediatrician about a vaccine for this subtype.

CNN’s Maggie Fox contributed to this report.


Source link