Some pediatricians refuse treatment for children if parents reject the vaccine, the study found

More than half of the United States pediatricians’ offices included a new study published in the medical journal JAMA, which had a dismissal policy for families who refuse to have their children vaccinated. Some physicians say that this home policy is a way to encourage parents to get their children vaccinated, while many also use it as a safeguard against uneducated children who may be suffering from their other patients. Can endanger

“This study among American pediatricians showed that the practice of dismissing families refusing vaccines for their children was common, with half of pediatricians stating a dismissal policy of their office, though fewer Reject patients personally, “the university researchers said in the study Colorado Anschutz Medical Campus that released on Tuesday.

Researchers conducted a survey among US pediatricians from April to July 2019 to assess their current practices, experiences, and office policies about refusing or asking for “outbreaks” from vaccination.

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

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

Refusing can change parents’ minds

Families were dismissed more frequently by physicians over refusing to spread the vaccine (37%) to vaccines (6%), a similar pattern was written in office policies.

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Of the 154 physicians who reported that they had ever rejected families for refusing vaccines, 18% said that families always or often changed their minds and agreed to the vaccination after hearing about the policy .

Community and hospital-based clinic / health maintenance organization settings were less likely to have dismissal policies than private practices. Private practices in the Midwest were also less likely to have dismissal policies.

“Because vaccine denial is common, widespread prevalence of dismissal has significant implications for families,” the researchers said.

“Future work should explore the impact this practice has on vaccination rates, whether it results in parents changing their minds about vaccination, and whether it reduces access to medical care Or erodes trust in physicians. ”

A worrying trend

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A report released in May by the US Centers for Disease Control and Prevention found that “families living at home resulted in a disturbing decline in routine childhood vaccinations.”
Both the CDC and the American Academy of Pediatrics are urging parents to keep their children vaccinated during the epidemic. Just after the report, the AAP issued new guidelines for pediatricians to ease parental apprehensions about bringing their child into office.

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

“We want to assure all our families that pediatricians have come up with new ways to make visits even safer, including setting different hours or places for well and sick children, rigorous cleaning exercises, And conducting parts of trips by telehealth. ”

He said that pediatricians should work with families to get the children vaccinated as soon as possible.

According to the CDC, recommended vaccines by age are:

Birth: All infants should receive the first dose of the Hepatitis B vaccine within the first 12 hours of life.
1 to 2 months: During this time, the child should receive the second dose of the Hepatitis B (Hepab) vaccine as well as the first dose of the following:
  • Diphtheria, tetanus and whooping cough (or pertussis) (DTaP)
  • Haemophilus influenzae type B disease (Hib)
  • Polio (IPV)
  • Pneumococcal disease (PCV13)
  • Rotavirus (RV)
Four months: A second dose is due to the following vaccines:
  • Diphtheria, tetanus and whooping cough (or pertussis) (DTaP)
  • Haemophilus influenzae type B disease (Hib)
  • Polio (IPV)
  • Pneumococcal disease (PCV13)
  • Rotavirus (RV)
6 months: Babies 6 months and older need flu shots if it is the influenza season – approximately September through March. Murderous Flu: 830 children died in the United States between 2004 and 2012 due to flu complications – many of them otherwise healthy. The third dose of vaccines required at this time also includes:
  • Diphtheria, tetanus and whooping cough (or pertussis) (DTaP)
  • Haemophilus influenzae type B disease (Hib)
  • Polio (IPV)
  • Pneumococcal disease (PCV13)
  • Rotavirus (RV)
12 to 23 months: A pair of prior vaccines required a fourth dose, but new vaccines designed to protect the child from a host of serious illnesses:
  • Chickenpox (varicella) (first dose)
  • Diphtheria, tetanus and whooping cough (or pertussis) (DTaP) (fourth dose)
  • Haemophilus influenzae type B disease (Hib) (fourth dose)
  • Measles, Mumps, and Rubella (MMR) (first dose)
  • Polio (IPV) (third dose)
  • Pneumococcal disease (PCV13) (fourth dose)
  • Hepatitis A (Hepa) (first dose)
  • Hepatitis B (Hepab) (third dose between 6 months and 18 months)
  • Influenza (flu) (needed every year)

4 to 6 years: This is the time for another dose of several vaccines, which started earlier, as well as the annual flu shot:

  • Diphtheria, tetanus and whooping cough (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 range need to take their first dose to protect them from human papillomavirus, causing cervical cancer, vulva cancer, vaginal, penis, or anus as well as head and neck Cancer can also occur. According to the CDC, some 79 million Americans, who are infected with HPV in their late teens and early 20s.

The vaccine can be given to both girls and boys at the age of 9.

Pretense (11 to 12 years): Don’t forget the flu shot every year. Additional vaccines required at this age include:
  • Meningococcal disease (MenACWY) (one dose)
  • Human papillomavirus (HPV) (two doses)
  • Tetanus, diphtheria and whooping cough (or pertussis) (Tdap) (one dose)
Teens (13 to 18 years): At the age of 16, teenagers need their second dose of the meningococcal conjugate (MenACWY) vaccine, as well as an annual flu shot. If your child’s college has reported any outbreak of various types of meningococcal disease, known as serogroup B meningococcal disease, talk to your pediatrician about that subtype vaccine.

Maggie Fox of CNN contributed to this report.