RE: Digest Number 1388

[Guest guest]

If you get this with an attachment it is a virus!!!!!!!!

Ellen

ladylumbee@...

I believe that what is right is not always popular and what is popular is

not always right.

Re: Digest Number 1388

> 'Vaccinations ' wrote:

> ====

> -

> - There are 26 messages in this issue.

> -

> - Topics in this digest:

> -

> - 1. Re: My Introduction and A Few Questions

> - From: Sheri Nakken <snakken@...>

> - 2. R ...'

>

>

> > Take a look to the attachment.

>

>

>

>

>

[Guest guest]

Angie, customizing wheel chairs is a great idea. I am a RN and worked in a

nursing home until 5 yrs ago when I got PA. Many family members decorate

canes, walkers and wheelchairs which makes them cheery for the user and other

residents and staff. We would have a parade every so often, and then the

decorators went wild. The items you mentioned would really be eye catchers

with a smile. Gentle Hugs. Betty in VA

[Guest guest]

Here are some links that may be helpful for anyone preparing for an IEP

meeting and/or wondering about appropriate frequency, content or intensity

and one-on-one vs. group therapy for children with apraxia. I would think

that a good SLP would know how to address the oral motor concerns. I think

(please correct me if I'm wrong) that an OT would be more for oral sensory

issues?

A collection of characteristics of speech therapy typically suggested for

apraxia: http://www.apraxia-kids.org/definitions/litrev.html

A collection of literature regaring frequency and intensity:

http://www.apraxia-kids.org/definitions/frequency.html

A literature review: Frequency and intensity of Therapy for Children With

Apraxia of Speech:

http://www.speech-express.com/printer-friendly/frequent-speech-therapy.html

One-on-One Therapy: A Review of Apraxia Remediation:

http://www.speech-express.com/diagnosis-destinations/apraxia/one-on-one-ther

apy.html

Generally speaking, what type of speech and language goals should be

considered when planning an IEP for a child with apraxia? "

http://www.apraxia-kids.org/faqs/responsefromhickman.html

And finally, " For a child with apraxia of speech, what would the major

components and recommendations be for an appropriate school-based therapy

program?

http://www.apraxia-kids.org/faqs/responsedonaldrobin.html

Hope that's helpful!

Kim Heuvelhorst

________________________________________________________________________

________________________________________________________________________

Message: 14

Date: Fri, 29 Aug 2003 19:25:18 -0000

From: " sheilahughesjercich " <sjercich@...>

Subject: IEP/therapy/ot

I have an IEP meeting scheduled for next Weds. at my daughter

Emeline's pre-school. I am looking for material which I can bring

into the meeting which state very clearly, the need for children with

severe apraxia to receive regular 1:1 speech therapy...If any one can

point me to a site where I can get information stating this fact

(hopefully documentation from a group such as ASHA, or from a

reputable SLP who has been published in educational books...).

________________________________________________________________________

[Guest guest]

I used to have a herpes breakout every couple months, since I started Zilling I

havent had it since, I would place the electrodes on the areas that it usually

shows itself and on the wrists over nite, now my skin has even improved.

---------------------------------

Sports

Rekindle the Rivalries. Sign up for Fantasy Football

[Guest guest]

I'd like to record this into our files on ,

is that ok? How long has this period been you have been using it and

remaining herpes free? Others will definitely want to know.

thx

Bob

>

> I used to have a herpes breakout every couple months, since I started

Zilling I havent had it since, I would place the electrodes on the

areas that it usually shows itself and on the wrists over nite, now my

skin has even improved.

>

>

> ---------------------------------

> Sports

> Rekindle the Rivalries. Sign up for Fantasy Football

>

>

[Guest guest]

I've been using a zapper, godzilla and now beck's 4hz for herpes, and

it came regular as clock work every 6 weeks. It never stopped it from

coming but zapping using rife frequencies made it disappear quite

fast. V recently turned me onto Vladmir Volkov's Hydrogen proton

concentration and it hasn't appeared for 3 months. I still do blood

electrification for an hour and a half every night. So you might want

to check on your bodies ph, I have a feeling that that aspect of the

bodies condition plays a more important role than previously thought

(at least by me). When taking the Hydrogen plus you cycle on for 3

weeks and off for 1 week, during that one week I drink apple cider

vinegar to try and keep the ph in check. It even helps with the

allergies. After the first cycle of Hydrogen plus I got the symptoms

of tender skin, a sure sign that a herpes episode was coming and I

went on the apple cidar vinegar for the week, and it never appeared.

I've finished the second cycle and I'm in the middle of the week off,

and so far so good.

dan

>

> I used to have a herpes breakout every couple months, since I

started Zilling I havent had it since, I would place the electrodes on

the areas that it usually shows itself and on the wrists over nite,

now my skin has even improved.

>

>

> ---------------------------------

> Sports

> Rekindle the Rivalries. Sign up for Fantasy Football

>

>

[Guest guest]

You say that you are zilling:

With what?

And for how long?

Thanks,

Ted@

BioChi.com

> I used to have a herpes breakout every couple months, since I

started Zilling I havent had it since, I would place the electrodes

on the areas that it usually shows itself and on the wrists over nite,

now my skin has even improved.

[Guest guest]

These were all used on the bloodstream? Were any tried by placing one

electrode over the eruption, and the other where the corresponding

nerve exists from the spinal cord? Very curious about that...

bG

> I've been using a zapper, godzilla and now beck's 4hz for herpes,

[Guest guest]

Hi Bob. I have a friend who has it bad. When he zaps with either his

Beck zapper or uses the Rife- frequency zapper on his thigh

the eruption goes down overnight but usually reappears after a few

days... Neither have knocked it out.....Noel

> > I've been using a zapper, godzilla and now beck's 4hz for herpes,

[Guest guest]

...that's what I thought, they are only getting part of it by

misplacing the electrodes.

> > > I've been using a zapper, godzilla and now beck's 4hz for

herpes,

[Guest guest]

>

>

> I used to have a herpes breakout every couple months, since I

started Zilling I havent had it since, I would place the electrodes on

the areas that it usually shows itself and on the wrists over nite,

now my skin has even improved.

>

>

> ---------------------------------

> Sports

> Rekindle the Rivalries. Sign up for Fantasy Football

>

>

[Guest guest]

A________________________________________________________________________

>Message: 5

> Date: Wed, 08 Feb 2006 20:33:38 -0000

> From: " hobnob511 " <hobnob511@...>

>Subject: other bandsters

>

>Hello. I'm very new at this group stuff....I am looking for other

>bandsters in the Kitsap county area. It is just too far to travel to

>Shelton for a meeting. Can anyone help me?

> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>.

Watch for the posting from West Sound Bandsters on this site.

We meet one a month at various sites in Silverdale....not sure of the next

meeting...it's the same time as the Bash and i haven't seen a posting for

it yet.

C. 5'1 "

205/143/125

Dr. Watkins NWWLS 9/23/04

The past is a foreign country, they do things differently there.

L.P. Hartley

>________________________________________________________________________

>________________________________________________________________________

>

>

>

[Guest guest]

hey ya all, just wanted to let you know that my hubby had his liver biopsy on Tuesday, he said it was real painful in his shoulder, we wont know the results for 2 weeks...we are hoping that he doesnt have bad liver damage, well the only thing we do know is that he has geno type 1......I have asked a few people to write me back but it doesnt seem anyone has, or else I have missed your emails....I also had the flu this week so I may have missed the emails but if anyone could please write me it will help me from going crazy in my own head....thanks, TamiCheck me out!

Bring photos to life! New PhotoMail makes sharing a breeze.

[Guest guest]

Tami - hi there girl, my name is , however allot of times I will sign out as Marie just in case there is another .

Anyway - getting to the point of this letter, I don't know why we haven't been receiving your e-mails, I have been pretty active this last week or so , I haven't seen any.

We are all here for you, please remember that. And if you have specific questions, there is always someone around to answer the question, or send you in a direction as to getting the answer. There are allot of knowledgeable people in these groups, some of them, have been dealing with hep-c for over 30 years.

First of all, I would like to tell you the best piece of advice I received in the beginning, was to be my own advocate. And from that day forward, all I did was read and research, and of course listen in the groups and ask allot of question.

Sometimes I think allot of people here actually know more about the disease than the Doctors... LOL, but true.

As far as the biopsy, I had one 3 years ago, and I remember feeling a little soar around the liver area, but only for a few days. I remember I wasn't allowed to lift for awhile. I have to have another biopsy this Monday, as my hepatitis came out of remission unfortunately. The hospital called me to confirm and give me directions to follow prior to coming in for he biopsy, I asked her when my Doctor would get the test results back in, she said 3 to 5 working days. I thought that was quick. I don't remember what the last biopsy took.

Two weeks seems a little long, but it may just be were you all are located, Where are you and your husband at? I am in Denver currently, but originally from Kansas.

I noticed you said he is geno type 1 - is it A or B? I am geno 1b, this geno type 1A and 1b, are the hardest to cure, and we must do treatment for 48 weeks, but is the most prominent in the states.

Does your husband has an idea how long he has had it?

I was told by my hep doc, that just because I hadn't had it that long, doesn't mean there couldn't be damage. Everyone progresses different. And the same for those that have had it forever, doesn't necessarily mean they have allot of damage. I was told that some people that get it when there younger respond better to treatment? I don't know for sure.

You need to keep a list of every question that you come across and ask your doctor.

Start a journal if you have time or have your husband, on how he feels from day to day, and keep a list of all the changes and side affects when he starts treatment especially.

If he chooses to do treatment? I hope some of this is useful to you, we also have chat groups, where you go in and directly ask the people in the chat room and get an answer right then, or someone will direct you to where to find the answer you are looking for.

Keep us informed, and let me know if you want some names of other groups that are great also - they could help too.

Our prayers are with you and your husband.

May God continue to bless you and keep you

Love, hugs, and prayers Tami

Marie

-- Re: Digest Number 1388

hey ya all, just wanted to let you know that my hubby had his liver biopsy on Tuesday, he said it was real painful in his shoulder, we wont know the results for 2 weeks...we are hoping that he doesnt have bad liver damage, well the only thing we do know is that he has geno type 1......I have asked a few people to write me back but it doesnt seem anyone has, or else I have missed your emails....I also had the flu this week so I may have missed the emails but if anyone could please write me it will help me from going crazy in my own head....thanks, TamiCheck me out!

Bring photos to life! New PhotoMail makes sharing a breeze.

STAT BY LISA DUGGAN

02/03/06

[Guest guest]

Tami, please try not to worry. In my opinion, it accomplishes nothing, and is not health for you or those around you. You have to wait on the biospy, there is nothing else we can do right now. NO, that's not right. You can as has been suggested make a personal file, and start gathering your own copies of every test, doctor's comments, etc so you have them for future use. We are with you in hoping for the the best possible results from this test. Now, for what you do know. He has geno 1. I don't know how important it is to know this, or how important it is to know which sub type he is, but I think it is important for you to know and educate yourself about the differences. I say educate yourself, because there are scientists that will argue the exact number of geno types, how to differentiate the sub types, etc etc. There is more than enough information on the internet to keep you busy and keep you

from worrying while you wait for the test results. "Where to start, you ask?" Good question. The Internet is a huge and ever expanding place. Its easy to get lost. Here's some places to start. 1. This group's file area. (I just learned a bunch about silver!) 2. The CDC's website. (Pretty well organized, and most folks trust them) This link is for HCV http://www.cdc.gov/ncidod/diseases/hepatitis/c/index.htm 3. The one I personally found very helpful. Janice and Friends http://janis7hepc.com/ 4. Some of the members here are also members of a Delphi (spelling) group, but they will have o give you a link. Things to think about when you are not reading. First, it is not your job to learn all this stuff. You are not the one

infected. It is very kind, shows your concern and love, but it is not your responsibility. Don't let it get to be too much for you! Secondly, remember this is a relatively slow disease. You have time! You have time to consider very carefully what steps you need/want to make. Tiime to read and learn. Time to understand, the disease, treatments, and most importantly each other. If the two of you will fight this together, you both need to understand what it will require. I also am concerned that you may miss posts that are directed to you. If you do not recieve emails of all the posts to this group, you can change that at the group's website. Since this is not the first worried post I've seen from you, I strongly suggest that you check this setting.My best, Eat well, sleep well, be well! Tami <raceywifey@...> wrote: hey ya all, just wanted to let you know that my hubby had his liver biopsy on Tuesday, he said it was real painful in his shoulder, we wont know the results for 2 weeks...we are hoping that he doesnt have bad liver damage, well the only thing we do know is that he has geno type 1......I have asked a few people to write me back but it doesnt seem anyone has, or else I have missed your emails....I also had the flu this week so I may have missed the emails but if anyone could please write me it will help me from going crazy in my own head....thanks, TamiCheck me out! Bring photos to life! New PhotoMail makes sharing a breeze.

Use Photomail to share photos without annoying attachments.

[Guest guest]

Hi Tami Im glad you husband has his biopsy behind him now,, and he will soon know the extent of any damage he might have to his liver.. Please let us know what you find out. The pain in his shoulder is cuz sometime the diaphram gets irritated when the biopsy is done and the shoulder and the the diapram are innervated at the same level on the spinal cord,, so when one is irratated, it can make the others one seem senisitive to,, it will go away in a day or two,, hugs jaxTami <raceywifey@...> wrote: hey ya all, just wanted to let you know that my hubby had his liver biopsy on Tuesday, he said it was real painful in his shoulder, we wont know the results for 2 weeks...we are hoping that he doesnt have bad liver damage, well the only thing we do

know is that he has geno type 1......I have asked a few people to write me back but it doesnt seem anyone has, or else I have missed your emails....I also had the flu this week so I may have missed the emails but if anyone could please write me it will help me from going crazy in my own head....thanks, TamiCheck me out! Bring photos to life! New PhotoMail makes sharing a breeze. Jackie

[Guest guest]

Kindly post the youtube video, " Recovering Autism and Special Needs. " Thanks,

On Fri, Mar 4, 2011 at 4:13 AM, <no-forced-vaccination > wrote:

NSF-Compulsory-Vaccination

Messages In This Digest (7 Messages)

1.

Fw: vit K study supports LATE vaccine reactions. From: aliasliora

2a.

Re: from 1997 MMR-AUTISM CALL TO ARMS From: Viki

2b.

Re: from 1997 MMR-AUTISM CALL TO ARMS From: Sheri Nakken

3.

Deadly pathogen found in GMO Crops From: donna.neversurrender@...

4.

The Presidential Commission for the Study of Bioethical Issues Video From: Professor

5.

VACCINE COURT, Recorded on 3/3/11 zenworks on USTREAM. Breaking News From: Sheri Nakken

6.

No change in pneumonia rates with Prevnar vaccines From: Sheri Nakken

View All Topics | Create New Topic

Messages

1.

Fw: vit K study supports LATE vaccine reactions.

Posted by: " aliasliora " lioracc@...   lioracc

Thu Mar 3, 2011 2:55 am (PST)

just sent this out to , thought I'd share more widely, too.Interesting study about Vit. K. They say in the abstract that it sits there as a viscous mass and is absorbed

over a period of WEEKS.Don't the medical people deny vaccine reactions which happen WEEKS later? Here's some proof that at least some researchers attribute the " good " effect of IM vit K (as opposed to oral) to its slow and steady absorption over a long

amount of time!<http://www.ncbi.nlm.nih.gov/pubmed/8827545>all the Best in Health,Liora Pearlman , ModeratorMom

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2a.

Re: from 1997 MMR-AUTISM CALL TO ARMS

Posted by: " Viki " vikistewart@...   vikistewart

Thu Mar 3, 2011 7:18 am (PST)

Sherri,I unsubscribed from the group because my son and his wife are vaccinating my granddaughter. I bought the book Make an informed vaccine decision and before giving it to them I read some of it. In one section it stated that Sanfi Pasteur had created a mercury-free vaccine but the WHO, CDC rejected it probably because there would be a huge decline in autism and vaccine related injuries. I alreadt see damage to my granddaughter but they (or she) is stubborn. Otherwise they feed organic and do everything else holistic. I pray a lot.

I wanted to pass this along to you since I have your email address. Viki May the sounds of the Universe bestow upon you GREAT health, happiness, prosperity, peace and LOVE.>> >>> > From: STMISB::GALLUP_R 3-OCT-1997 13:52:23.96

>> > IN% " autism@... " >> > CC: GALLUP_R>> > Subj: NIH meeting - Call to Arms>> >

>> > Thank you ( NJCANCARL@... ) and Donelle ( KMAN1991@... )>> > for your kind words. Every day I'm thankful that God gives me another

>> > day to see what I can do to help and the many wonderful people>> > that have children like ..>> >>> > When I was at the NVIC conference I met and Ridgway

>> > ( NOSAJ@... ). They have an autistic son who has an autoimmune>> > problem triggered by a vaccine. They are doing a tremendous job helping

>> > their son with the IVIG and helping other parents. I went with them to>> > Senator Hutchinson's office as support in order that they would ask the>> > Senator for her help. They worked very hard to get the meeting in advance

>> > in Washington, D.C..>> >>> > We as parents have to knock on doors, make calls and write letters ->> > whatever it takes for us to get the research and treatment for autism

>> > that has been caused by vaccines ( whether MMR, DPT, hepatitis, etc. )..>> > We can't compromise - we must get the answers..>> >>> > It is my hope and dream that the Federal government will recognize that

>> > vaccines are compromising our children's health. That they will start the>> > necessary research so that we can get our children back to us. I hope>> > that they will fund doctors like Dr. Singh, Dr. Oleske, Dr. Orchard,

>> > Dr. Gupta and Dr. Wakefield of the UK..>> >>> > I also hope and dream that the various autism organizations will get>> > together with the National Vaccine Information Center to put pressure

>> > on our representatives in Congress to get >> the NIH and CDC to find answers..>> > If Dr. Singh has found 50 to 60% of autistic children have an autoimmune>> > problem which is a sample, do we really know how many children have been

>> > damaged by vaccines?>> >>> > WE HAVE THE POWER! LETS USE IT!>> >>> > Ray Gallup>> > A parent with an autistic child damaged by a vaccine>>

>>-->>Sheri Nakken, former R.N., MA, Hahnemannian Homeopath>Vaccination Information & Choice Network, Washington State, USA>Vaccines - ><http://vaccinationdangers.wordpress.com/>http://vaccinationdangers.wordpress.com/

>Homeopathy ><http://homeopathycures.wordpress.com/>http://homeopathycures.wordpress.com

>Vaccine Dangers, Childhood Disease Classes & >Homeopathy Online/email courses - next classes start March 4>>>>

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3.

Deadly pathogen found in GMO Crops

Posted by: " donna.neversurrender@... " donna.neversurrender@...   dcinelli1

Thu Mar 3, 2011 11:03 am (PST)

Deadly pathogen found in GMO Crops >Deadly pathogen found in GMO CropsMWM: This is not a journalist reporting, this is a very serious scientist with a very long experience making a very important advisory. Essentially he is pointing to

" Round-Up " GMO grains containing a hitchhiking deadly virus pathogen which will devastate animal husbandry and cause spontaneous crop failures.>><http://www.i-sis.org.uk/newPathogenInRoundupReadyGMCrops.php>

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4.

The Presidential Commission for the Study of Bioethical Issues Video

Posted by: " Professor " eslexcellence@...   eslexcel

Thu Mar 3, 2011 11:05 am (PST)

Scientific Obstruction Testimonies: Presidential Commission Study ofBioethicshttp://www.examiner.com/human-rights-in-national/scientific-obstructions\

-testimony-presidential-commission-study-of-bioethics<http://www.examiner.com/human-rights-in-national/scientific-obstruction\

s-testimony-presidential-commission-study-of-bioethics>Pt. 1 Neuroimaging, injection induced seizures, non consented brainresearchhttp://www.examiner.com/human-rights-in-national/pt-1-neuroimaging-injec\

tion-induced-seizures-non-consented-brain-research<http://www.examiner.com/human-rights-in-national/pt-1-neuroimaging-inje\

ction-induced-seizures-non-consented-brain-research>Pt. 2 Criminal neuroimaging, induced seizures, non consented brainresearchhttp://www.examiner.com/human-rights-in-national/pt-2-criminal-neuroimag\

ing-induced-seizures-non-consented-brain-research<http://www.examiner.com/human-rights-in-national/pt-2-criminal-neuroima\

ging-induced-seizures-non-consented-brain-research>The Presidential Commission for the Study of Bioethical Issues Videos:Live Testimonyhttp://www.examiner.com/human-rights-in-national/testimony-use-of-human-\

research-experiments-as-genocide-programming-video<http://www.examiner.com/human-rights-in-national/testimony-use-of-human\

-research-experiments-as-genocide-programming-video>http://www.tvworldwide.com/events/bioethics/110228/globe_show/default_go\

_archive.cfm?gsid=1546 & type=flv & test=0 & live=0<http://www.tvworldwide.com/events/bioethics/110228/globe_show/default_g\

o_archive.cfm?gsid=1546 & type=flv & test=0 & live=0>

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5.

VACCINE COURT, Recorded on 3/3/11 zenworks on USTREAM. Breaking News

Posted by: " Sheri Nakken " vaccinedangers@...   vaccineinfo1234

Thu Mar 3, 2011 5:35 pm (PST)

[]<http://ustre.am/:SOPR>VACCINE COURT, Recorded on 3/3/11 zenworks on USTREAM. Breaking News

ustre.amVACCINE COURT:Recorded on 3/3/11 recorded on USTREAM. Breaking News. “An observant parent’s evidence may be disproved but should never be ignored” —Lancet 1:688, 1951, Anonymous

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6.

No change in pneumonia rates with Prevnar vaccines

Posted by: " Sheri Nakken " vaccinedangers@...   vaccineinfo1234

Thu Mar 3, 2011 8:31 pm (PST)

" The rate of children who were hospitalized for community-acquired pneumonia did not change significantly between the 1990s and during the

past decade, despite introduction of the heptavalent pneumococcal conjugate vaccine in 2000, according to research from the National Ambulatory and National Hospital Ambulatory Medical Care Surveys. "

http://www.pediatricsupersite.com/view.aspx?rid=81072Posted on the Pediatric SuperSite on March 1, 2011Outpatient CAP rates remain stable, despite vaccination

<http://pediatrics.aappublications.org/cgi/content/abstract/peds.2010-2008v1?papetoc>Kronman

MP.<http://pediatrics.aappublications.org/cgi/content/abstract/peds.2010-2008v1?papetoc>Pediatrics.

2011;doi:10.1542/peds.2010-2008.* <http://www.pediatricsupersite.com/view.aspx?rid=81072#submitComment>Submit

a Comment* <http://www.pediatricsupersite.com/sendResource.aspx?rid=81072>Email* <http://www.pediatricsupersite.com/print.aspx?rid=81072>Print

* <http://www.addthis.com/bookmark.php?v=120 & winname=addthis & pub=Pediatric%20SuperSite & source=men-120 & lng=en & s= & url=http%3A%2F%2Fwww.pediatricsupersite.com%2Fview.aspx%3Frid%3D81072 & title=Outpatient%20CAP%20rates%20remain%20stable%2C%20despite%20vaccination & logo= & logobg= & logocolor= & ate=AT-Pediatric%20SuperSite/-/-/4d706877d723b737/1 & uid=4d7068779bb84413 & CXNID=2000001.5215456080540439074NXC & tt=0>

AddThisThe rate of children who were hospitalized for community-acquired pneumonia did not change significantly between the 1990s and during the past decade, despite introduction of the heptavalent pneumococcal conjugate vaccine in

2000, according to research from the National Ambulatory and National Hospital Ambulatory Medical Care Surveys.The surveys also revealed that macrolides were frequently prescribed despite evidence that they

provide little benefit over penicillins. P. Kronman, MD, of the division of infectious diseases and division of general pediatrics, The Children’s Hospital of Philadelphia, and colleagues used the surveys to

identify children with community-acquired pneumonia (CAP). They looked at outpatient CAP rates and data surrounding broad-spectrum antibiotic use to treat the patients.CAP visit rates ranged from 16.9 to 22.4 per

1,000 population, with the highest rates occurring in children younger than 5 years, with no variation after 2000, despite routine use of the 7-valent pneumococcal conjugate vaccine (Prevnar, Wyeth). The researchers said the

vaccine may be preventing more serious cases of <http://www.pediatricsupersite.com/searchResults.aspx?q=Streptococcus+pneumoniae & x=17 & y=6 & cx= & site=default_collection & requiredfields=projectID%3A48 & client=default_frontend & output=xml_no_dtd & proxystylesheet=CME_frontend & filter=0 & getfields=* & sort=date%3AD%3A>Streptococcus

pneumoniae, but not some of the milder cases. This may explain another trend noted in the findings; notably, that from 2000 to 2007, there was about an 8% decrease in emergency visits, but a corresponding 8% increase in office visits related to S. pneumonia.

Physicians commonly prescribed broad-spectrum antibiotics, including macrolides and cephalosporins. Penicillins were prescribed less frequently, about 14%, compared with the other antibiotics. The researchers said cephalosporin

use increased significantly in the years after vaccine introduction. Increasing age, a visit to a nonemergency department office, and obtaining a radiograph or complete blood count were all predictive of broad-spectrum antibiotic prescribing.

The researchers said there were some limitations, including that the survey data did not include information on <http://www.pediatricsupersite.com/searchResults.aspx?q=allergies & x=23 & y=10 & cx= & site=default_collection & requiredfields=projectID%3A48 & client=default_frontend & output=xml_no_dtd & proxystylesheet=CME_frontend & filter=0 & getfields=* & sort=date%3AD%3AS%3Ad1 & siteurl>allergies

or physical exam findings. Also, some of the cases may have been viral infections, not CAP.Disclosure: The researchers reported no relevant financial disclosures.[]PERSPECTIVEThis large cross-sectional study utilizes a

national database of pediatric hospital discharges representing approximately 89% of the estimated US population. Thus it offers a clear picture of trends in the rates of hospitalization of previously healthy children aged 18 years and

younger with community acquired pneumonia (CAP) and its local and systemic complications in 3-year intervals from 1997, 3 years before the introduction of the seven-valent pneumococcal conjugate vaccine (PCV7, Prevnar, Wyeth), through

2006. Unfortunately, the database does not allow for identification of causative agents.Following the introduction of PCV7 in 2000, the portion of young children receiving PCV7 quickly reached very high levels, which resulted in the

virtual eradication of invasive pneumococcal disease (IPD) due to the serotypes in the vaccine in children younger than aged 5 years and a significant decrease in the circulation of the those serotypes in the pediatric and adult

populations. Pneumococcal serotype replacement has resulted in a small increase in IPD, but the overall rate remains significantly lower than prior to licensing of PCV7.Since the pneumococcal serotypes in the vaccine

are no longer circulating, waning protection against these serotypes with a shift of disease to older children cannot be responsible for the noted increase in pneumonia and empyema. However, recent publications have documented an increase

in the frequency of empyema amongst children admitted with pneumococcal pneumonia caused by individual pneumococcal replacement serotypes. Therefore, it is possible that some replacement serotypes are more likely to cause a necrotizing

pneumonia with empyema, especially in younger children. Antibiotic resistance is common in replacement serotypes, particularly type 19A, which is now the most common serotype responsible for IPD, which could also contribute to a worse

outcome in children with pneumonia.Another likely explanation for the study findings is the recent emergence of more invasive strains of methicillin-susceptible and methicillin-resistant Staphylococcus aureus.

These strains carry one or more virulence factors which appear to increase the risk for necrotizing pneumonia and empyema. An increase in cases of pneumonia with empyema due to S. aureus has been noted in multiple pediatric centers during this

time period. Severe secondary S. aureus pulmonary infection is being recognized more frequently following influenza in older children. Pneumococcus and Streptococcus pyogenes also cause secondary pneumonia with empyema following influenza.

Additional data, with outcomes tied to etiologic agents are needed. In the meantime, physicians caring for children should be aware of the increased potential for complicated bacterial pneumonia in previously healthy children,

consider empyema in children not responding as expected to initial antibiotic therapy, and choose therapy appropriate for coverage of resistant strains of pneumococcus and S. aureus when empyema is suspected.

– ph A. Bocchini, MDInfectious Diseases in Children Editorial Board memberDisclosure: Dr. Bocchini reports no relevant financial disclosures.Sheri Nakken, former R.N., MA, Hahnemannian Homeopath

Vaccination Information & Choice Network, Washington State, USAVaccines - http://vaccinationdangers.wordpress.com/ Homeopathy http://homeopathycures.wordpress.com

Vaccine Dangers, Childhood Disease Classes & Homeopathy Online/email courses - next classes start March 4

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