May 24, 1995

Adequacy of Well-Child Care and Immunization

Author Affiliations

Bridgewater, NJ

JAMA. 1995;273(20):1580. doi:10.1001/jama.1995.03520440032029

To the Editor.  —Much has been made of "missed opportunities" by primary care physicians by Dr Mustin and colleagues1 as well as Drs Orenstein and Bernier.2 As a primary care pediatrician, I am committed to immunizing every child in my practice in a timely manner. This has, however, become increasingly difficult and frustrating. It is even shameful when our abysmal immunization rates are pointed out by colleagues from developing countries. In some of these countries, mortality and morbidity from malnutrition and poor hygienic and sanitary measures are high, but they can proudly point to a 90% to 95% immunization rate. It is difficult and frustrating to try to convince patients that immunizations are good and safe for their children when the print and electronic media have created an atmosphere of distrust, hostility, and litigiousness. What is needed is a national movement that promotes immunizations and good health. When MTV runs

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