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Vaccine Refusal and Dismissal

Louay Keilkani MD and Solomon Behar, MD
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The refusal of vaccines for various reasons including concerns regarding vaccine safety and religious objections.  Options are discussed for encouraging vaccination and the ethical issues involved with dismissal of patients from a practice who refuse vaccinations.

 

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Jacob D., MD -

Some arguments I hear regarding vaccines is that the research is old or "outdated", and that the true benefit of giving for example Hep B vaccine at birth doesn't have great evidence. Some patients question why we routinely give the Hep B vaccine, Vit K, and erythromycin eye ointment at birth. I always give the risks and benefits, but have no idea of the real NNT? With the recent pertussis outbreak, and knowing that many kids infected had been vaccinated, it begs the question of, what is the efficacy of certain vaccines and how long do they really last. It's hard at times not to be skeptical of "Big Pharmas" involvement in vaccines and someone making huge profits off of them.

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C Diff Shows No Mercy! Full episode audio for MD edition 186:21 min - 87 MB - M4AHippo Primary Care RAP June 2016 Summary 852 KB - PDF

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