MMR vaccine: the continuing saga.
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Biomedical subjects
Publications and source records attributed to H Bedford.
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A peer-based support and advocacy group for illicit drug users in collaboration with a community nurse developed an innovative program for the children of users. The program provides well-baby checks, immunization monitoring, parenting advice, monitoring of children's safety, a free lunch and education about nutrition, as well as activities for the children and mothers. In addition, it allows mothers to have time out in a friendly, relaxed, safe, and nonjudgmental environment. The program has been running for more than 7 years, costs little, and gives a hard-to-reach population access to valuable health care.
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Neonatal bacterial meningitis is a serious disease around the world, with the incidence changing little in the past 30 years. Group B streptococci, Escherichia coli, and Klebsiella pneumoniae are common causative organisms and lumbar puncture remains the definitive method of diagnosis. The mortality rate has declined in industrialized countries over the years, from almost 50% in the 1970s to less than 10% in 1997. However, neurological sequelae are still frequently observed despite major changes in treatment. Preliminary analysis of our own data from a prospective study of cases in the United Kingdom suggests that treatment with third generation cephalosporins is related to a decrease in mortality but not morbidity.
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Immunisation is widely acknowledged to be one of the most effective public health interventions of this century. Very few parents positively refuse immunisation for their child, but their objections are fuelled by national media and professional journal coverage of the counter arguments. Helen Bedford reviews the case for immunisation. Health professionals need to be able to discuss the issues from an informed, balanced base if they are to advise those parents who believe it is of no benefit and may even harm their child, she writes.
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