Speaking of Vaccines...
by DemFromCT
Just three years after the largest and most serious shortage of childhood vaccines in two decades, the federal government's stockpile of childhood vaccines, designed as a buffer against shortages, is nearly empty -- and without immediate prospects of being filled.
Three of the four companies that produce the shots recommended for every American child told the federal government last year that they would not sell their products to this little-known but important piece of the nation's public health infrastructure.
...Today, the stockpile contains 13.2 million doses of vaccine, less than one-third of the goal of 41 million doses. It is supposed to hold supplies of eight shots that together protect against 11 childhood diseases. However, for two of those products -- including the workhorse DTaP, which protects against diphtheria, tetanus and pertussis -- it contains no doses. The vaccine is not in storage in company warehouses or anywhere else. It simply does not exist.
Created by Congress in 1983, the stockpile is supposed to contain enough vaccine to supply the nation's needs for six months. Its virtual collapse is an acute embarrassment to the Department of Health and Human Services, the Centers for Disease Control and Prevention, and the vaccine makers.
The stockpile has never reached its full target amounts, but its depleted state now means the nation could not easily weather another big vaccine shortage, potentially putting the health of millions of children at risk. Only two vaccines -- measles, mumps and rubella (MMR), and varicella (chickenpox) -- are warehoused in the desired amounts.
Maybe we should revisit the definition of public health:
(pub·lic health) NOUN: The science and practice of protecting and improving the health of a community, as by preventive medicine, health education, control of communicable diseases, application of sanitary measures, and monitoring of environmental hazards.
"Preventative medicine"; "control of communicable diseases"... hmmm. Another underachievement in the Bush report card. This one's a bit surprising because there's no red state - blue state issue, and it would seem to favor big pharma to assure vaccine production, as well as satisfy future voters, though they might be toddlers now.
Clearly the only way to repair the problem is to redefine infants and toddlers as 'portable bioterror factories'. Declaring these stealth incubators as potential bioterror weapons is the only way to get funding out of the Bush Administration.
Another tenant of public health is, or should be, that the public health sector provides individual primary care when the private sector does not for some reason. Bush's budget deficits requiring massive Medicaid cuts is/could kill the program that allows the private sector to provide care for the poor in many cases.
In the case of dentists, most dentists have never accepted Medicaid because they do not need to. There are not enough dentists and they can make their money off privately insured and self pay patients. Therefore, poor kids have very little access to dental care even if they have Medicaid. I cannot blame George Bush for this, as it has been going on since the program inception in 1965, but his budget cuts won't make things any better, that is for sure!
What I fear will happen with these budget cuts is that even the medical side access will start to resemble the dental side travesty soon. BTW, there is no significant increase in corresponding public sector direct care that can take up this slack, either for the first time (dental) or because of the effects of the budget cuts.
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