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#ir #peds
  • “Do vaccines cause ASD?” How do you advise the parents? Discuss
    how you would calm mom's fear of autism in a child receiving MMR.
  • Understand concern: worries, understanding of dz risks &
Vaccine benefits & risks, validate why may have belief
  • if concerned re: ASD, discuss how original info was fraud &
no evidence to support link; give anecdotes of children
affected by vaccine-preventable dz’s
  • stick to msg: vaccines are safe & effective & serious dz can
be prevented w/ imm
  • vaccine benefits & risks, herd protection not 100% (tetanus from soil), ‘wait and see’ not good b/c many need mult doses & take time to protect
  • vaccine safety system: held to higher safety standard than drugs, usually approved in Canada after use in other countries
  • address pain assc w/ imm
  • don’t dismiss from practice if parents refuse: majority of parents accept when concerns addressed
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Highlight doc Day 3 - imm
y >24, Pneu q5y, shingles >65 HEALTH SUPERVISION IMMUNIZATIONS ( know Ontario immunization schedule) All IM excl MMR & V (SC) & Rota (oral) <span>“Do vaccines cause ASD?” How do you advise the parents? Discuss how you would calm mom's fear of autism in a child receiving MMR. Understand concern: worries, understanding of dz risks & Vaccine benefits & risks, validate why may have belief if concerned re: ASD, discuss how original info was fraud & no evidence to support link; give anecdotes of children affected by vaccine-preventable dz’s stick to msg: vaccines are safe & effective & serious dz can be prevented w/ imm vaccine benefits & risks, herd protection not 100% (tetanus from soil), ‘wait and see’ not good b/c many need mult doses & take time to protect vaccine safety system: held to higher safety standard than drugs, usually approved in Canada after use in other countries address pain assc w/ imm don’t dismiss from practice if parents refuse: majority of parents accept when concerns addressed Adverse reaction of MMR vaccine? (give 3) MMR: measles rash (7-14d), ITP, parotitis, febrile seizure Local : induration, tenderness, redness, swe


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