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Opinion: Innoculated Against the Facts

Paul Offit - noemail@immunizeusa.org — Wed, 02 Apr 2008 17:00:00 GMT

Opinion: Inoculated Against Facts
By Paul A. Offit
New York Times
March 31, 2008
http://www.nytimes.com/2008/03/31/opinion/31offit.html?_r=1&oref=slogin

ON March 6, Terry and Jon Poling stood outside a federal courthouse in Atlanta, Ga., with their 9-year-old daughter Hannah and announced that the federal government had admitted that vaccines had contributed to her autism. The news was shocking. Health officials at the Centers for Disease Control and Prevention and at the American Academy of Pediatrics have steadfastly assured the public that vaccines do not cause autism. Now, in a special vaccine claims court, the federal government appeared to have said exactly the opposite. What happened?

The answer is wrapped up in the nature of the unusual court where the Poling case was heard. In 1986, after a flood of lawsuits against vaccine makers threatened the manufacture of vaccines for children, Congress created the National Vaccine Injury Compensation Program, financed by a tax on every dose of vaccine.

As part of the program, a group of scientists, doctors and lawyers listed all the health problems that might be linked to vaccines. The oral polio vaccine could in rare cases cause paralysis, for example, and an early version of the rotavirus vaccine might cause intestinal blockage. (In the interest of full disclosure: I am a co-inventor and co-patent holder of a newer rotavirus vaccine.)

If, at a trial in a special court, a preponderance of scientific evidence suggested that a vaccine caused one of these problems, a family would be compensated quickly, generously and fairly. Because no one could sue vaccine makers without going through this special court, the number of lawsuits against vaccine makers fell drastically.

The system worked fine until a few years ago, when vaccine court judges turned their back on science by dropping preponderance of evidence as a standard. Now, petitioners need merely propose a biologically plausible mechanism by which a vaccine might cause harm - even if their explanation contradicts published studies. In 2006, for example, Dorothy Werderitsh claimed in the vaccine court that a hepatitis B vaccine had triggered an autoimmune response in her brain that led to multiple sclerosis. Two large studies had clearly shown that hepatitis B vaccine could neither cause nor exacerbate multiple sclerosis, but the court ruled in favor of Ms. Werderitsh, elevating a hypothesis above epidemiological evidence.

The Hannah Poling case is similar. In 2000, when Hannah was 19 months old, she received five shots against nine infectious diseases. Over the next several months, she developed symptoms of autism. Subsequent tests showed that Hannah has a mitochondrial disorder - her cells are unable to adequately process nutrients - and this contributed to her autism. An expert who testified in court on the Polings' behalf claimed that the five vaccines had stressed Hannah's already weakened cells, worsening her disorder. Without holding a hearing on the matter, the court conceded that the claim was biologically plausible.

On its face, the expert's opinion makes no sense. Even five vaccines at once would not place an unusually high burden on a child's immune system. The Institute of Medicine has found that multiple vaccines do not overwhelm or weaken the immune system. And although natural infections can worsen symptoms of chronic neurological illnesses in children, vaccines are not known to.

"There is no evidence that children with mitochondrial enzyme deficiencies are worsened by vaccines," Salvatore DiMauro, a professor of neurology at Columbia who is the nation's leading expert on the disorder, told me. Indeed, children like Hannah Poling who are especially susceptible to infections are most likely to benefit from vaccines.

Supporters of the Vaccine Injury Compensation Program argue reasonably that the program should err on the side of overcompensation - a relief valve that is needed in a society that mandates vaccines. But there is a price for this largesse. In the past few years, parents of 4,800 autistic children have filed claims to the vaccine court which have yet to be heard. And average awards in other recent vaccine cases have been more than $800,000. Furthermore, because uncompensated claims in vaccine court can spill into state courts, the Poling decision will likely draw more personal-injury lawyers to the fray. "It's a beginning," said Kevin Conway, a Boston-based lawyer who represents more than 1,200 families with vaccine injury claims.

The vaccine court should return to the preponderance-of-evidence standard. But much damage has already been done by the Poling decision. Parents may now worry about vaccinating their children, more autism research money may be steered toward vaccines and away from more promising leads and, if similar awards are made in state courts, pharmaceutical companies may abandon vaccines for American children. In the name of trying to help children with autism, the Poling decision has only hurt them.

Paul A. Offit, chief of the infectious diseases division of the Children's Hospital of Philadelphia, is the author of "Vaccinated: One Man's Quest to Defeat the World's Deadliest Diseases."

2-Apr-08 12:00 PM

Stylish Boutique Takes Stand Against Meningitis With Local Non-Profit

noemail@immunizeusa.org — Tue, 19 Jun 2012 11:00:00 GMT

Updating your wardrobe during the summer is something that many people consider a must. One local boutique wants to help the community stay stylish and safe this summer. Rouge Boutique has collaborated with The Immunization Partnership, for a day of shopping and saving lives. The event gives back to the community by offering free immunizations, especially the meningitis vaccine which is required for incoming college freshman in Texas. Those involved hope to ensure a healthy upcoming school year, and to honor some of the lives already lost. Houston, TX May 15th, 2012 - Over the summer, parents do so much to prepare their kids for the next school year. After vacations, family barbecues, and road trips are complete; parents find themselves scrambling to knock out their back-to-school checklists. Shopping for school supplies and new school clothes become priority. For parents with children transitioning from high school to college, other items like dorm room gear and...

An Ounce of Prevention is Worth Millions in Savings

noemail@immunizeusa.org — Wed, 27 Oct 2010 17:00:00 GMT

The Texas Legislature is confronted with an unprecedented budget shortfall, possibly as much as $20 billion, according to some estimates. In preparation for the Legislature's return in January 2011, all state agencies were asked to trim their budgets by ten percent. As agencies release their budget cuts this fall, the magnitude of the shortfall will become apparent. The impact on Texas will be huge, and the cost to public health will be staggering. In order to comply with the mandated cuts, the Department of State Health Services has been forced to cut vaccinations for more than 100,000 disadvantaged children per year. Eliminating immunizations for tens of thousands of children is a public health disaster waiting to happen. Vaccinations are an invisible investment that prevents debilitating diseases from ever happening. Texans who benefit from immunizations often never know how bad things could have been without those immunizations. There is a greater risk of...

Texas Immunization Summit 2010 to Identify Successes, Concerns and Policy Needs

noemail@immunizeusa.org — Mon, 27 Sep 2010 16:00:00 GMT

Texas Immunization Summit 2010 to Identify Successes, Concerns and Policy Needs - September 30 - October 1, 2010, Sheraton Fort Worth Hotel and Spa HOUSTON (September 27, 2010)- The Immunization Partnership (TIP) will host The Texas Immunization Summit 2010, sponsored by St. David's Foundation. The Summit represents the culminating event of 10 statewide Stakeholder Meetings, attended by hundreds of concerned citizens across Texas. The organization will be releasing a report, called An Ounce of Prevention: Texans Speak Up for Immunizations, summarizing the results of the Stakeholder Meetings, and detailing the participants' recommendations for policy makers. The Summit is expected to draw over 250 participants from across the state and will feature world-renowned experts in immunizations. The tremendous interest in the Summit demonstrates the incredible dedication of our public health officials, immunization providers and legislators to keeping Texans...

Don't Re-gift the Gift that Keeps on Giving

noemail@immunizeusa.org — Thu, 08 Apr 2010 16:00:00 GMT

This is the time of year that we're most sociable, as we attend and host holiday gatherings. We will come into contact with others at holiday parties, special events, and venues to watch our favorite college and professional teams. As we enter the winter flu season, physicians are urging people to get the influenza vaccination to protect against the three types of flu (Influenza A-H3N2, Influenza B, and H1N1). You are not only protecting yourself, but everyone around you. The one gift that you do not want to give is the flu. Flu activity in Texas is considered sporadic, but on the rise in neighboring Louisiana. There has been a sharp increase in southeastern states, particularly in GA, SC, NC, TN, and AL. During week 46 of a Center for Disease Control (CDC) study this year; fifty-one (6.4 percent) specimens tested by laboratories in Texas were positive for influenza, as reported by the National Respiratory and Enteric Virus Surveillance System (NREVSS). ...

Champions for Children Spring Luncheon

noemail@immunizeusa.org — Sun, 04 Apr 2010 17:00:00 GMT

A lively crowd packed The Junior League of Houston for the 2010 Champions for Children Spring Luncheon benefiting The Immunization Partnership.

Chaired by Dr. Lindy McGee and John McKeever, the event featured a presentation by Dr. Paul Offit, chief of Division of Infectious Diseases at the Children’s Hospital of Philadelphia.

Dr. Offit, who also is the co-inventor of the rotavirus vaccine RotaTeq and author of several books, outlined the history of the anti-vaccine movement and shared what the future holds for vaccines.

Anna Dragsbaek, CEO of The Immunization Partnership, and board members honored

Dr. Offit with the Ralph D. Feigin, M.D. Award for Excellencefor his dedication to championing education and advocacy for immunizations. In addition, The Houston Area Rotary Clubs received the Community Partnership Award for their commitment to piloting special projects and supporting community-based initiatives that encourage and highlight the importance of vaccines.

About The Immunization Partnership

The Immunization Partnershipis a non-profit organization that aims to eradicate vaccine preventable diseases by developing and coordinating our community’s resources through public and private partnerships. The primary focus areas are education, advocacy and public policy, and support of immunization information systems. For more information, visit www.immunizeUSA.org

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Pertussis Forum Aims to Inform and Raise Awareness

noemail@immunizeusa.org — Sun, 10 Jan 2010 17:00:00 GMT

According to medical professionals at a recent Pertussis Forum, cases of pertussis or whooping cough are on the rise. In fact, 2009 data shows that of the 693 cases in Houston, 24.4 percent have occurred in N.E. Houston. The Immunization Partnership hosted the forum with the goal of informing parents and the community on how to prevent the disease.

Pertussis is a highly communicable disease characterized by cough, followed by vomiting and whooping. Caused by the Bordetella Pertussis bacteria found in the mouth, nose and throat of an infected person, it is named after the “whoop” sound that children often make when they try to breathe during a severe coughing spell. Pertussis is spread through close contact when an infected person talks, sneezes or coughs.

Other Pertussis Facts:

In 2009 there were 2,437 cases of pertussis in Texas,the highest in the U.S.
90% of unvaccinated children living with someone with pertussis will also get thedisease.
Pre-teens and teens get whooping cough more often than any other age group except for infants younger than one year (496 cases per 100,000 adolescents).
Whooping cough may cause pneumonia, bruised ribs, collapsed lungs, increased urination, seizures, infections of the brain and death in pre-teens and teens.
The CDC recommends that persons aged 11 – 12 years receive the tetanus-diphtheria-acellular pertussis vaccine, or Tdap. This FDA-approved vaccine helps prevent not only whooping cough, but also tetanus and diphtheria.

The Immunization Partnership Urges Parents to Have Children Vaccinated for Meningitis

noemail@immunizeusa.org — Wed, 06 Jan 2010 17:45:00 GMT

The Immunization Partnership Urges Parents to Have Children Vaccinated for Meningitis HOUSTON (January 6, 2010)-Effective January 1, 2010, a new law requires first time and transfer students enrolling in college and entering on-campus housing, to show proof of having the meningitis vaccine at least 10 days prior to residency. The law is named the Jamie Schanbaum Act, in honor of Jamie Schanbaum, who survived bacterial meningitis as a college sophomore at the University of Texas in Austin, in November 2008. College students living in dormitories have an exceptionally high rate of meningitis. In fact, the rate of invasive disease among 17-20 year olds is approximately twice that of the overall U.S. population. The Centers for Disease Control and Prevention recommends that college students living in dormitories get immunized against meningitis, and the law brings Texas into compliance with that recommendation. Had my child...

Houston Area Immunization Partnership Urges Parents of 7th Graders to Take Action and Have their Kids Immunized

noemail@immunizeusa.org — Tue, 21 Apr 2009 13:15:00 GMT

HOUSTON (April 22, 2009) – Three new vaccines are essential for the 337,000 Texas students, including 73,923 Harris County students, entering seventh grade. The Texas Department of State Health Services is requiring that students receive the following vaccines before they enroll for the 2009-2010 school year: One dose of Meningococcal vaccine (Meningitis) One dose of Tdap vaccine - tetanus, diphtheria, acellular pertussis (Whooping Cough) A second dose of Varicella vaccine (Chicken Pox) Dangerous diseases can be easily passed from one child to another, but many of them are easily preventable through immunization. It’s critical we have our children vaccinated to keep them healthy, said Anna C. Dragsbaek, J.D., executive director, Houston Area Immunization Partnership. We urge parents to act now, to avoid the back-to-school rush at doctors’ offices and to avoid delays in starting 7th grade. Over the last several years, we’ve heard a lot of...

Houston Area Immunization Partnership Gelb Share Award

noemail@immunizeusa.org — Fri, 06 Jun 2008 20:00:00 GMT

Gelb Recognized as Top Corporate Citizen for Immunization Brand The Houston marketing community recognized the brand launch of the Houston Area Immunization Partnership at the 2008 American Marketing Association Crystal Awards. Gelb Consulting Group, one of our dedicated partners, received an award for Corporate Citizenship competing with a host of well-qualified entries. The AMA Crystal Award is heavily weighted toward results, which Gelb helped us achieve. By working with Gelb, the Houston Area Immunization Partnership has clarified its mission, created an exciting visual identity, launched a new website, www.immunizehouston.org, and renewed partner enthusiasm. In 2007, we sought to build consensus around a unifying idea, one that aligned our community partners and expanded our potential beyond the management of the Houston Harris County Immunization Registry. Gelb led our board through a process to create the Houston Area Immunization Partnership. It is certainly a well...

Immunization Partnership Gains Executive Director

noemail@immunizeusa.org — Thu, 10 Apr 2008 01:15:00 GMT

In keeping with the new mission of the Houston Area Immunization Partnership, a new Executive Director has been hired who has the skills and vision to take the organization in its new direction. Anna C. Dragsbaek, who has been serving as a part-time interim Director, will assume the Executive Director position on April 4.

Anna comes to us from Texas Children's Hospital, where she was the Manager of the Immunization Project since 2005. There she was involved in collaborative community projects promoting immunization, as well as legislative advocacy work, immunization registry support, outreach to physician offices, and policy issues to support immunization of Houston's children. Anna provided leadership and oversight for the Immunization Project, engaging in public health and policy research, health education, and implementation of the Houston-Harris County Immunization Registry. Prior to becoming Manager, Anna was the Immunization Registry Coordinator.

Anna obtained a Juris Doctorate from the University of Houston Law Center in May, 2006 and was admitted to the Texas Bar in November, 2006. She has studied International and Family Health at the University of Texas School of Public Health.

Adult Vaccines & Vaccines in Pregnancy

Tue, 12 Mar 2013 20:36:22 GMT

Join us on March 21st for a free informative public forum examining Adult Vaccines and Vaccines in Pregnancy.

Spring Luncheon with Dr. David Oshinsky

Mon, 04 Feb 2013 16:18:27 GMT

Join us for a very special event with Dr. David Oshinsky who will serve as the Keynote Speaker and will receive the Ralph D. Feigin, M.D. Award.

Legislative Day 2013

Thu, 24 Jan 2013 20:42:03 GMT

TIP’s Legislative Day at the Capitol is an event that provides immunization stakeholders from across the state the opportunity to meet and educate their legislators.

DONATE NOW

Thu, 30 Dec 2010 18:29:56 GMT

The Immunization Partnership (TIP) is a nonprofit 501 (c) (3) and continued support of our projects and services are always needed. Click below for more information about TIP and how to contribute.

EMPOWERING THE NEXT GENERATION OF HEALTHCARE WORKERS

Thu, 30 Dec 2010 18:27:34 GMT

Wish to educate your clinic staff on immunization Best Practices? The Immunization Champions project will help raise your clinics rates.

SPEAK UP FOR IMMUNIZATIONS

Thu, 30 Dec 2010 18:26:51 GMT

There are many ways to voice your opinion and support of immunization topics and issues.

Legislative Alert Center

Wed, 22 May 2013 17:09:45 GMT

Legislative Alert #6 May 22, 2013 Topic: Immunization Legislation Updates and Successes This week marks the last week of the 83rd legislative session. But, we are not done yet! Below, please find an update on several pieces of immunization-related legislation, many of which are still active. House Bill 772 (Rep. Donna Howard): Shifts the State's immunization registry, ImmTrac, from an opt-in to an opt-out system. This change will improve efficiency, enhance privacy, and reduce costs. HB 772 passed the House with 99 votes and strong bipartisan support on May 2, 2013. It was referred to Health and Human Services Committee and requested for hearing, but was not set on the agenda. Although the hearing dates have passed and HB 772 did not make it out of the Senate, we are one step closer to a more efficient immunization registry. Thank you to the Texas Medical Association, Texas Pediatric Society and all of YOU who wrote letters, prepared testimony, and made phone...

2013 Legislative Alert #5

Wed, 22 May 2013 17:06:11 GMT

Legislative Alert #5 May 8, 2013 Topic: HB 772 Passed the Texas House! Urge the Senate to Support Changes to ImmTrac Immediate Action Required: Ask Senate Health and Human Services Committee to HEAR and SUPPORT HB 772 Thanks to the incredible efforts of immunization advocates like you, House Bill 772 passed the Texas House last week with 99 votes of support. Congratulations on this accomplishment! However, WE STILL NEED YOUR VOICE. The next step in the legislative process is to gain the Senate's support. To ensure that the bill is voted on by the Senate, we must urge the Senate Health and Human Services Committee to first hear and support this bill. The Legislative Session is drawing to a close, and this is our LAST CHANCE to move this bill forward and modernize ImmTrac by changing it from an opt-in to an opt-out system. Let's work together to make this happen! ...

83rd Legislative Session

Mon, 20 May 2013 14:56:57 GMT

TIP Legislative Priorities

The Immunization Partnership’s 2013 immunization policy priorities were developed based upon input gathered from ten stakeholder meetings conducted in cities across the state. Our priorities include:

· Decreasing the incidence of bacterial meningitis

· Increasing the efficiency and reducing the cost of the state immunization registry, ImmTrac

· Protecting the health of teen parents and their children

· Improving immunization uptake among childcare providers

· Restoring funding for immunization and safety net programs

Fact Sheets for Priority Bills

SB 62 (Senator Jane Nelson)

SB 63 (Senator Jane Nelson)

SB 64 (Senator Jane Nelson)

HB 772 (Rep. Donna Howard)

HB 772 (Rep. Donna Howard) Cut the Red Tape

83rd Session Immunization-Related Legislation

The Immunization Partnership has created the following list of immunization-related legislation currently under consideration. Early filing for bills began in November 2012 and all bills must be proposed by legislators by March 2013.

To track the progress of 83rd Legislative Session Immunization-Related Legislation, click here.

(Updated 5/20/2013).

For Questions or comments, please contact:
Nidhi M. Nakra, MPH

Director of Education and Advocacy

nnakra@immunizeUSA.org

512.219.4018

2013 Legislative Alert #4

Wed, 08 May 2013 15:30:39 GMT

April 29, 2013 Topic: House Bill 772 Set for a Vote this Wednesday, May 1 Immediate Action Required: Vote YES on HB 772 Cut the red tape! Cut costs! Protect the health of Texans! House Bill 772 is being voted on this Wednesday, May 1, and we need you to take action! Please call and email your Texas State Representative today and ask him or her to vote YES on HB 772. WHY IS HOUSE BILL 772 IMPORTANT? HB 772 Modernizes the State Immunization Registry, ImmTrac. This bill would allow immunization data to be stored in the registry unless an individual asks for the information to be removed. Most Texans - 95 percent - want their immunization records in ImmTrac. However, all of these Texans have to fill out consent forms to be included. HB 772 cuts the red tape! Only 5 percent of Texans who want to be excluded from ImmTrac would need to fill out paperwork. HB 772 is Good for Families, Providers, DSHS, and Privacy....

2013 Legislative Alert #3

Wed, 08 May 2013 15:26:12 GMT

April 23, 2013 Topic: Senate Bills 62, 63, and 64 Immediate Action Required: SUPPORT SB 62, SB 63, and SB 64 With a little more than a month left in the session, we need your support on critical pieces of immunization legislation! Senate Bills 62, 63, and 64 are set to be heard by the House Public Health Committee tomorrow, Wednesday, April 24. These bills will decrease the incidence of bacterial meningitis, protect the health of teen parents and their children, and improve immunization uptake among childcare providers. Please call, email, or fax members of the House Public Health Committee TODAY and ask them to SUPPORT SB 62, SB 63, and SB 64. Talking points and links to fact sheets are provided below. Please click here to locate members of the Public Health Committee and their contact information. And, please be sure to mention if you are a constituent of a committee member! Senate Bill 62...

2013 Legislative Alert #2

Wed, 08 May 2013 15:23:33 GMT

April 5, 2013 Topic: Legislative Day Recap and Update on Immunization Legislation TIP Legislative Day: Recap Many thanks to the immunization stakeholders who joined us for TIP's Legislative Day last week. Together, our group of 25 stakeholders visited 80 legislative offices, participated in two legislative hearings, and made sure that Texas legislators know the importance of promoting evidence-based vaccine policies. We would like to extend a very special thank you to Representative Donna Howard and Representative John Zerwas for serving as our keynote speakers and for spearheading critical immunization legislation this session. What an incredible day! For more information on our legislative day, please visit our website. Thank you again! Immunization Legislation Updates The 83rd Legislative session is more than half way over. With just over 50 days left, there is a lot of work to be done and we need your...

2013 Legislative Alert #1

Wed, 08 May 2013 15:10:36 GMT

March 11, 2013 Topic: House Bill 772 and other pieces of immunization-related legislation Immediate Action Required: SUPPORT House Bill 772 House Bill 772 is set to be heard by the House Public Health Committee on Wednesday, March 13. This bill changes the consent process for the statewide immunization registry, ImmTrac, from an opt-in to an opt-out model. Please call, email, or fax members of the House Public Health Committee and ask them to please SUPPORT House Bill 772. Please click on the below link to locate members of the Public Health Committee and their contact information. And, please be sure to mention if you are a constituent of a committee member! Please Click here to access contact information for House Public Health Committee Please Click here to find the name of your state Senator and Representative Below, please find talking points that can be shared during conversations with committee members. An opt-out system is...

COMMUNITY IMMUNITY

Fri, 03 May 2013 15:15:31 GMT

What is Community Immunity? Community Immunity is a 10 minute, hands on and fun-filled activity that demonstrates the importance of immunization by using colored dots to represents an individuals immunization status. TIP set out to find a creative way to demonstrate how quickly disease spreads in today's society, and therefore piloted the Community Immunity exercise with Rotary Clubs around Houston, focusing on the flu and pertussis vaccines. Goal: The overarching goal is to educate community groups about the importance of getting immunized to protect individuals and communities from dangerous vaccine-preventable diseases. Community Immunity in Action! A Community Immunity Toolkit has been developed for trained Immunization Ambassadors, to conduct the exercise and take the show on the road. With the success of the pilot, Rotary was encouraged to develop a community campaign and now several Rotarians have been trained, having already presented to other Rotary clubs,...

Big Shot Society

Fri, 03 May 2013 13:16:04 GMT

Want to be a BIG SHOT? We're looking for a whole lot of Big Shots to help us harness the power of vaccines to save Texans' lives. Click Here To Join the Big Shot Society Do you have what it takes to be a Big Shot? 1. Do you care about Texas and want to protect Texans from vaccine-preventable diseases? 2. Are you willing to make a gift, big or small, and learn something in the process? See a list of our Current Big Shots! To become a Big Shot, you won't have to give a shot or get one. Just make a gift of any size to TIP for unrestricted operating support. Of course, this is Texas, so we do appreciate BIG. Whether it is $250 or $10,000, your gift will provide vital support to TIP so it can tirelessly pursue vaccine education and advocacy. If you want to put a little extra effort into your Big Shot status, join us for Big Shot educational events to learn about hot vaccination issues. We promise every event will be social, too, as we bring...

Big Shot Society

Thu, 02 May 2013 16:57:50 GMT

The Immunization Partnership Big Shots Learn More About the Big Shot Society Inoculator Francesca Beaumont and Brian Wozniak Julie and Marc Boom Gwen and Ed Emmett Andy and Aileen McCormick Lindy and Tom McGee Phyllis and Graham Painter Preventer Steve Burrill & Tara Nutik D. Glenn Baird Alanea and Eric Bethea Steve and Michelle Bohreer Vicki and John Brentin Russell Frank Robert Grenwelge, Jr Amy and Gentry Lee Suzanne McCarthy April and Wells McGee John McKeever Marcia and Doug Newport Jan and Ershel Redd Kay Tittle Stacey White James and Sharon Yorek Barry and Hallie Zietz Booster Cynthia Adkins Elissa Atlas Walker and Lisa Barnett Walter Bruce Katherine and Richard Byrd John Collier Jacquelyn and Collin Cox Katy and John Daily Luis Elizondo-Thomson Andrea Feruzzo Jefferson Frazier Laura Giesler Pearce and Patricia Hammond Jon and Susan F. Harris Chris and Erin Holsinger Mary...

Lorem ipsum survey

noemail@immunizeusa.org — Wed, 30 Jan 2008 15:51:21 GMT

Objectives:

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Release Date: 30-Jan-08 9:51 AM
Expiration Date: 30-Apr-08 9:51 AM

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Healthcare_Heroes_2010

Sun, 26 May 2013 05:46:38 GMT

File uploaded by Shervin Kalinia.

Dr. Baker, Dr. Mouzoon, Frankie Milley, Anna C. Dragsbaek

Sun, 26 May 2013 05:46:38 GMT