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November 1986

DTP Vaccine Immunization

Author Affiliations

275 Hospital Pkwy Suite 850 San Jose, CA 95119

Am J Dis Child. 1986;140(11):1096. doi:10.1001/archpedi.1986.02140250022014

Sir.—When I began my practice as a pediatrician in 1977, immunizations were accepted as routine. No parent had any deep-seated anxieties about the need for them. A great deal has changed since then. I now often have to explain to parents why the vaccines were developed, the consequences of non vaccination, and the relative risk of a severe vaccine-related injury.

Some parents have not been able to deal with the more abstract consequences of nonvaccination vs the very concrete administration of a potentially (albeit minimal) damaging injection. As a result, an increasing number are refusing the diphtheria and tetanus toxoids and pertussis vaccine adsorbed (DTP vaccine) as well as

other vaccines. In addition, the increasing cost of the DTP vaccine ($3.75 in 1979 vs $171 now) has made it more difficult for young parents to afford these immunizations for their children.

I do not think that Mr Kitch,1

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