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Vaccination in Texas
Vaccinations -- Guarding all of us…Protecting our Economy
Vaccines Licensed before 1980
Comparison of Cases and Deaths for Vaccine-Preventable Diseases
Diphtheria – 21,053 cases & 1,822 deaths annually pre-vaccine. Since 1980, 54 cases have been reported in the US. Worldwide, 7088 cases reported to WHO in 2008.
Caused by bacterial toxin
Low grade fever
>90% attack rate for susceptible people
The state’s public health response prevented transmission beyond the third generation at a cost of $10,376 per case.
Total outbreak costs were $176,980:
Sugerman DE, Barskey AE, Delea MG, et al. Measles outbreak in a highly vaccinated population, San Diego, 2008: Role of the intentionally undervaccinated. Pediatrics; 2010.
Swollen salivary glands
Orchitis with risk of sterility
Stage 1- runny nose, occasional cough, low-grade fever; lasts 1-2 weeks
Stage 2- Rapid, prolonged fits of coughing leading to vomiting and exhaustion; infants die of respiratory failure, brain damage or pneumonia; lasts 6-10 weeks
Stage 3- Gradual reduction of cough over 2-3 weeks
Most contagious during Stage 1
Average costs of child hospital stay, pertussis $5,200
Average costs of adult hospital stay, bacterial pneumonia $29,295
*D. Bastis, Williamson County & Cities Health District and D. Grey, Southwestern University, unpublished, provisional data & results.
Most affected people without obvious symptoms
1% of cases progress to paralysis
Spread person to person via fecal-oral route
Nearly eradicated in 1990’s
Resurgence of disease in Nigeria, Afghanistan, India and Pakistan
20000 affected children per year pre-vaccine
Virtually eliminated with vaccine
Millions of cases annually
20000 children hospitalized each year
50-150 children die each year
Vaccine very effective but is victim of misinformation and misunderstanding
Poorly recognized in early stages
Disability and death
Icecream- Napkins, cups, cones, spoons, tables, chairs, sprinkles, scoops
Vaccines - Syringes, needles, alcohol pads, bandages, 7 feet of table paper, examination table
If you watch TV you know less about the world than if you just drink gin out of a bottle.
The trouble with the world is not that people know too little, it’s that they know so many things that just aren’t so.
Providing vaccines to a patient is the only medical service provided to an individual that benefits the rest of society