OLYMPUS DIGITAL CAMERACertain hospital systems are measuring Pediatrician’s “QUALITY” by the % of their patients that have received ALL the recommended vaccines.

Below, I share a new effort by the government CDC to push the complete vaccine schedule.  Clearly, treating the individual patient based on their particular risk factors is not considered good medicine as they will only pay incentives for those pediatricians who give all the recommended vaccines!

I question the wisdom of this “one-size fits all” policy in the face of growing numbers of children with neurological damage (Autism, ADD, ADHD, anxiety, learning disorders, language disorders etc.)

If your pediatrician is asking you to give your newborn the Hepatitis B vaccine and you, the mom, have been tested and do not have Hepatitis B, (or perhaps you have been vaccinated against Hepatitis B so you are immune and could not possible carry hepatitis B to your newborn)  I recommend you ask them why you would do that?  Then ask them if they know how much aluminum is in the Hepatitis B vaccine?  Answer: 250 micrograms.

Then ask them if they are aware of the study on premature neonates that led the FDA to warn that parenteral solutions for neonates not to exceed
4-5 micrograms/ Kg / day?  Then I would ask what the weight of your baby is in Kg?  Answer: 3 or 4 Kg (weight in pounds ÷ 2.2),  So, if you should not exceed 4-5 micrograms/ KG/ day, what is the maximum dose of aluminum your newborn should be exposed to? Answer: 4Kg x 5 micrograms=  20 micrograms a day.  So why would you have your newborn injected with 250 micrograms of aluminum for a disease they have ZERO risk of getting?

Here is the current recommendation for you to read:

Comparison of Immunization Quality Improvement Dissemination Strategies Project (CIzQIDS) in partnership with

Children’s National Medical Center
AAP Quality Improvement Innovation Networks


Despite increasing vaccination rates over the last 4 years, the rate of age-appropriate vaccination in early childhood remains below 70% nationally. In 2010, the Centers for Disease Control and Prevention’s (CDC) updated their recommendations for interventions with the potential to improve immunization rates based on a literature review of their efficacy. The goal of our study is to examine the effect of two quality improvement dissemination models designed to enhance uptake among pediatric vaccinators of the CDC’s recommended practices to improve immunization rates. We propose to examine the models for their effect on immunization coverage for children ages 3 to 18 months old among pediatric practices exposed to each of the two interventions. The two interventions we will compare are: pay for performance whereby providers will implement immunization quality improvement measures on their own and financial incentives will be distributed when providers meet specified immunization coverage goals, and quality improvement technical support whereby experts in immunization delivery and quality improvement will coach providers in implementing the CDC’s recommendations. No financial incentives will be provided for the second group; however, we will apply for the second group to receive American Board of Pediatrics Maintenance of Certification (MOC) Part 4 and continuing education (CE) credit for participation. Group assignment will be random.


Dr. Paul

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