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November 10, 1969


JAMA. 1969;210(6):999-1010. doi:10.1001/jama.1969.03160320007003

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Physicians Debate Routine Smallpox Vaccinations  Debate over routine smallpox vaccination for infants and children continues, and, in the opinion of at least one expert, the debate may confuse both physicians and laymen.At the American Academy of Pediatrics meeting in Chicago, Samuel L. Katz, MD, said confusion may exist because two investigators from the National Communicable Disease Center in Atlanta have suggested abandoning routine smallpox vaccination in all but high risk groups in the United States. These investigators say that morbidity and mortality associated with routine childhood vaccinations are greater public health problems than the risk of contracting the disease.However, the Public Health Service and the Academy of Pediatrics are not recommending changes in the present policy of routine vaccinations for most children.The Academy's recommendations will appear this month in the 1970 Red Book, A Report from the Committee on Infectious Diseases. Dr. Katz, professor and chairman