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[PROVE Note:  This recent snafu is brought to you by those who profess to

know better for your child than you as their parent - but have no fear -

they are now receiving refrigerator training!

 

Maybe the doctor who said "there's no harm in giving someone a booster who

already has an effective vaccine" should talk to some of our members who are

doctors and health care professionals who have been harmed by the extra

boosters of Hepatitis B shots they were forced to take when blood tests

showed they didn't respond to the first round.

 

At least now they are admitting that reactions occur.  Progress.]

 

 

Clinics' vaccines feared useless

Storage problems may mean 6,000 shots in Travis were ineffective

By Jonathan Osborne

http://www.austin360.com/statesman/editions/tuesday/news_2.html

 

AMERICAN-STATESMAN STAFF

 

Tuesday, August 13, 2002

 

When state inspectors strolled through Travis County's health clinics

earlier this year, they noted on their report that some refrigerators used

to store vaccine were way too cold -- a problem that could render some shots

useless.

 

As a result, county and city health officials launched a review of their 29

public clinics, and on Monday, they announced that the problem was far worse

than that routine February inspection had revealed.

 

Because of faulty thermometers and a failure to follow proper handling

procedures, as many as 1,500 Travis County children and adults have received

potentially ineffective vaccinations for polio, hepatitis B, tetanus,

diphtheria and whooping cough.

 

Those people received roughly 6,000 bad shots as long ago as June 2000 at

two East Austin clinics and one rural clinic in Jonestown.

 

Health officials say no children were harmed by receiving futile vaccines

and that it is not a medical emergency: The recent pertussis, or whooping

cough, epidemic appears to be over, and there is currently no outbreak of

the other diseases.

 

However, David Lurie, director of the Austin/Travis County Health and Human

Services Department, said his staff now must sort through their records and

determine who received a questionable vaccine because they will likely need

a second dose.

 

Letters instructing parents of their options should start popping up in

mailboxes soon. Health officials also plan to find any patients who have

moved out of the area.

 

Because inoculations carry certain risks, such as adverse side effects,

Lurie said his staff will evaluate each patient to determine whether another

shot is necessary.

 

"We have the time to work this through," he said. However, Lurie has not yet

figured how much the errors will cost.

 

The state inspection reports, which the American-Statesman obtained Friday,

are routine and rarely lead to alerts to parents or the news conference

called Monday morning.

 

Dr. James Morgan, a regional director for the Texas Department of Health,

said temperature problems are not uncommon in clinics around the state,

though "it's not something anyone gets really upset about."

 

"We run across this every once in awhile," Morgan said. "It's something we

want to make sure doesn't happen again."

 

The county and city administer roughly 125,000 vaccines each year.

 

At the three clinics where the refrigerator knobs were turned up too high,

officials immediately threw away the affected vaccines once the problem was

discovered.

 

And then it was a matter of figuring out how long the problem had festered.

They learned that ineffective vaccines may have been doled out at the East

Austin Women, Infants and Children Clinic from June 2000 through February

2002.

 

At the East Austin Primary Care Clinic, in the same Comal Street building,

questionable shots were given from January 2001 through January 2002. And at

the Northwest Rural Primary Care Clinic in Jonestown, bad vaccines were

administered only in December.

 

Lurie said part of the problem was faulty equipment, such as inaccurate

thermometers. But staff members who failed to properly track the

temperatures in the refrigerators were also to blame, though he wouldn't say

whether any workers had lost their job over the error.

 

"It's safe to say there have been some personnel actions, and we're going to

be reviewing other actions," he said.

 

In the meantime, Lurie said officials have retrained all staff members and

reviewed storage procedures. Officials also have met with the pharmaceutical

companies that make each vaccine to try to determine how freezing affects

the vaccines' shelf lives.

 

Some who received once-frozen vaccines still may have been adequately

immunized, he said.

 

As far as the inoculation process goes, "there's no harm in giving someone a

booster who already has an effective vaccine," said Dr. Lisa Glenn, a

medical director for the city's primary care department.

 

However, Morgan said, there is a general risk associated with vaccines.

 

"Even though most vaccines are considered to be safe, there's still a

certain percentage of people who have an adverse reaction," Morgan said.

"You just don't want to take the risk unless you have to."

 

josborne@statesman.com; 445-3621

 

Vaccines in doubt

 

Clinics affected

 

* East Austin Primary Care Clinic: January 2001 to January 2002.

 

* East Austin WIC Clinic: June 2000 to February 2002.

 

* Northwest Rural Primary Care Clinic (Jonestown): December 2001 to January

2002.

 

Vaccines questioned

 

Tetanus (adults) Tetanus (children)

 

DTaP (Diphtheria, tetanus and pertussis)

 

Polio injectable Hepatitis B

 

For help

 

You can call the hot line number at: 972-5888

 

 

 

 

 

 

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Dawn Richardson

PROVE(Parents Requesting Open Vaccine Education)

prove@vaccineinfo.net (email)

http://vaccineinfo.net/ (web site)

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ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.