Vaccination in Texas. Vaccinations -- Guarding all of us…Protecting our Economy. Advances in Public Health in 20 th Century. Modern Water Sanitation Vaccinations Motor Vehicle Safety Tobacco Hazard Awareness Safer Foods Safer Work Environments Family Planning Healthier Moms and Babies.
Vaccinations -- Guarding all of us…Protecting our Economy
Vaccines Licensed before 1980
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*D. Bastis, Williamson County & Cities Health District and D. Grey, Southwestern University, unpublished, provisional data & results.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