Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: In response to Dr Rimland, the Statens
Serum Institut is the national center for prevention and control of infectious
diseases in Denmark. It is a nonprofit state enterprise under the auspices
of the Danish Ministry of Health and Interiors. Thus, any profit belongs to
This governmental research institute in many ways resembles the Centers
for Disease Control and Prevention in the United States. With regard to vaccines,
the institute has a law-regulated obligation to ensure the national supply
of vaccines used in the Danish childhood vaccination program. To fulfill this
obligation, the institute produces some vaccines and buys other vaccines from
third parties. For many years (since 1992), it has been the institute's strategy
to develop and use vaccines without preservatives.
Hviid A, Melbye M. Association Between Thimerosal-Containing Vaccine and Autism—Reply. JAMA. 2004;291(2):180. doi:10.1001/jama.291.2.180-c