For the Public Good Highlights from the Institute of Medicine, 1970-1995 (1995) / Chapter Skim
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COMMENTARIES
COMMENTARIES
Pages 107-112
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From page 107... ...
Investigator, Howard Hughes Medical Institute, Albert Einstein College or Medicine, Yeshiva University In 1974, fewer that 5 percent of the worId's children were immunized against the major vaccine-preventable diseases. In the United States between 1950 and 1970, 58,000 cases of rubella, 700,000 cases of measles, 150,000 cases of mumps, 5,800 cases of diphtheria, 121,000 cases of pertussis, and 57,000 cases of paralytic poliomyelitis were reported in peak years.
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From page 108... ...
By this time, circulation in the United States of wild polio virus had almost certainly been interrupted and, although few in number, cases of paralysis due to the poliovirus were almost all attributable to the vaccine virus itself. The recommendations of this report were that the policy continue unchanged except that the standard TPV be replaced by the more potent "enhanced inactivated vaccine" (eTPV)
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From page 109... ...
Finally, vaccine prices, as a consequence of the far greater predictability of liability compensation, have remained more stable over the past 10 years, although higher in part because of the excise tax used to finance the trust fiend. The National Vaccine Injury Compensation Act is both visionary and in some senses radical, representing a rare example of no-fault health insurance in the United States.
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From page 110... ...
The two volumes of New Vaccine Development: Establishing Priorities issued in 1985 (~Diseases of Importance in the United States) and 1986 (~Diseases of Importance in Developing Countries)
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From page 111... ...
Finally, with a remarkable prescience, in 1991 the TOM published a report on Emerging Infections: Microbial Threats to Health in the United States. The report's findings emphasized that the dynamic of emerging infections is a continuous evolutionary process, which society deals with only discontinuously when faced with epidemics or immediate threats.
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From page 112... ...
It has captured the interest of the media and been one of the most widely sought TOM publications, perhaps because one of its messages is that, from the point of view of infectious diseases, there is nowhere from which we are remote, no one from whom we are disconnected.
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