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> Vaccination
Update, July 2000 |
Vaccination Update, July 2000
By Susan G. Wynn,
DVM
I thought you guys might like a little
news about what's happening with vaccines and the AVMA.
I was speaking at the AVMA convention
in Salt Lake City last week and noticed a 4 hour 'panel' discussion
changing vaccine practices. As it turns out, the panel was
the official investigation and policy maker for the AVMA,
as it prepares to issue a statement in 2002. They were looking
for feedback from the audience (approximately 200 veterinarians
from around the country as well as vets and reps from the
vaccine industry). On the one hand, it wasn't really newsworthy
because the veterinarians who attended were clearly those
already interested in the issue - a biased audience. On the
other hand, it was a big crowd, and most were already changing
their practices so that they were using vaccines every 3 years.
All reported that this change had not caused any more disease,
and that they were still making a living (as you know, the
monetary issue seems to be a big one for many veterinarians).
There is general suspicion of titers,
since the information gained by using them is nonspecific
and can't guarantee immunity, but I still like them for the
time being.
I stood up to make a comment that the
moderator also seemed to appreciate - veterinarians need to
know that vaccines are safe but come with some risk - not
like injecting water as my friend Jean Dodds says. The label
says they are for use in healthy animals, and this doesn't
mean you just stick a pet with vaccines because they are there
with another problem. This is CRITICAL!
An industry rep got up to say that
veterinarians need to decide where they want the companies
to spend research money - on developing new products, or on
determining maximum duration of immunity? The general consensus
was that maximum duration of immunity studies will never be
done - they're too expensive - so new vaccine intervals will
continue to be guesswork (just like the yearly intervals were
guesswork).
One final comment - it should be clear
that money is an issue - vets are scared of not making a living
(remember - we make less than most plumbers, and not nearly
as much as any M.D. with whom we share lengthy educations
and student loan obligations). Also, the industry is doing
all of the research, and doing it on spec. If you guys are
serious about supporting change, assure your vet that you
trust him or her, and that you will continue to show up for
yearly check-ups, necessary medical care like dentals when
appropriate, etc. Don't complain when service fees go up because
vaccine fees have disappeared - this is GOING to happen and
is long overdue. And if you have LOTs of extra money, consider
making earmarked donations to independent research organizations
like the Morris Animal Foundation, AVMA Foundation, or even
the AHVMA which has a small research fund.
I am going to place my bet here. The
AVMA will use fuzzy language but clear the way for customized
vaccination according the pet's actual risk, and in general
endorse other's use of 3 year vaccine schedules (like Colorado
State, Cornell, Texas and the AAFP). It's a start, considering
this is THE national organization that speaks for the country's
60,000 veterinarians.
Clearly, getting the profession to
say that vaccines are all bad and shouldn't be used won't
happen. I'm more sensitive than most veterinarians to this
issue, and I still don't believe they are 100% bad. I also
know that there are many on this list with more extreme viewpoints.
Still, hope this gives you cause for optimism - although your
local vet may not know it, times they are a changin!
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