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Study Confirms Higher Risk Of Dengue in Kids Who Got Dengue vaccine June 21, 2018

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Study Confirms Higher Risk Of Dengue in Kids Who Got Sanofi Vaccine

By Julie Steenhuysen

June 14, 2018

“CHICAGO (Reuters) – An analysis of data on Sanofi’s dengue vaccine, which has been given to more than 800,000 school children in the Philippines, confirms it increases the risk of hospitalization and severe dengue in those who had never previously been infected with the mosquito-borne virus.”


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On its first introduction in this country, there were many individuals and institutions who enthusiastically advocated this vaccine, with advertisement campaigns, and getting wannabe “experts” to endorse the vaccine citing supportive evidence while disingenuously hiding reports of adverse effects. 

I am sad that vast research efforts have not yet yielded a useful*  vaccine and I am equally sad it has been promoted prematurely giving more ammunition to the increasingly strident anti-vaxers who can cite this concern as evidence that ALL vaccines are bad.

 

*this vaccine may offer some benefits to individuals who have previously contracted dengue fever.

 

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http://www.bbc.co.uk/news/world-asia-42218612 December 7, 2017

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Why it is so difficult to develop new antibiotics October 27, 2017

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This article is perhaps a bit long and boring but the implications could have serious effects on all of our health so please at least skim through

Blood oxygen measurement overuse leads to over-treatment? August 19, 2017

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“Pulse oximetry as a technology represents a major and significant advance in medicine.… However, its increasing and widespread use in stable infants and young children with bronchiolitis, a self limited disease with a generally benign course, has led to technology driven overdiagnosis of hypoxaemia — fueling uncertainty, increased use of resources, and patient harm,” write Ricardo Quinonez, MD, from Baylor College of Medicine in Houston, Texas, and colleagues.

Babies and young children suffering from bronchiolitis are commonly made to stay in hospital because their blood oxygen as measured by the oximetry machine is lower than an arbitrary threshold that varies from one doctor to another, in spite of the fact that the child may be coping very well with his/her illness. In some cases parents are told that inhalational treatment is necessary and cannot be administered at home therefore hospital stay is necessary, and this in spite of the lack of evidence that such treatment improves outcome.

Australia considers childcare ban on unvaccinated children March 13, 2017

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http://www.bbc.co.uk/news/world-australia-39251585

Clinicians Often Underestimate Harms of Tests and Treatments January 22, 2017

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http://www.medscape.com/viewarticle/874657?nlid=112069_2982&src=wnl_dne_170120_mscpedit&uac=155351MR&impID=1275443&faf=1

French baby death linked to vitamin dose January 6, 2017

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http://www.bbc.co.uk/news/world-europe-38505538

Give peanut to babies early – advice January 6, 2017

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http://www.bbc.co.uk/news/health-38518185

“Finding abnormalities does not always benefit patients, and that’s a really difficult concept for patients and physicians to grasp.” January 6, 2017

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Overuse of medical care remains all too common in pediatric settings, according to the authors of a literature analysis published online January 3 in Pediatrics.

“Overused medical care is not just wasteful, it is potentially harmful,” write Eric R. Coon, MD, from the Division of Inpatient Medicine, Department of Pediatrics, University of Utah School of Medicine Primary Children’s Hospital, Salt Lake City, and colleagues.

I spend a significant amount of time telling parents why medical tests they think their child needs or have been suggested to them may not only be unnecessary and unhelpful, but also potentially harmful. A hard thing to do as it is somewhat counter-intuitive and within the confines of a limited time for consultation, parents can go home feeling disappointed. A few that I know of will go to other, perhaps more “obliging” doctors and get the tests done, and as predicted, get results that are unhelpful.

There has also been a number of patients who have come to see me from other hospitals having been through numerous, increasingly expensive and invasive tests, which have not resulted in gaining information that has improved their child’s condition.

The problem of overdiagnosis has been studied much more extensively in adults than children and it is rife in many places. If offered promotional test packages by private commercial hospitals ask yourself who is really benefiting.

 

 

More antibiotic bad news June 3, 2016

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More bad news on the looming antibiotic resistance crisis. This particular “last resort” antibiotic colistin, is frequently (mis)used in this country to treat diarrhoea for which it is unhelpful and  ineffective.

Physician’s First Watch
David G. Fairchild, MD, MPH, Editor-in-Chief

May 31, 2016
Bacteria Resistant to Last-Resort Antibiotic Discovered in U.S.
By Amy Orciari Herman
Edited by David G. Fairchild, MD, MPH
Escherichia coli resistant to colistin — the last-resort antibiotic used to treat carbapenem-resistant bacteria — has been identified in the U.S. for the first time, researchers report in Antimicrobial Agents and Chemotherapy. If colistin resistance eventually extends to carbapenem-resistant bacteria, those microbes will become “unstoppable,” the New York Times notes.