“Mrs Moonshine is visiting the paediatric community clinic. She I seen
by a practise nurse and discusses the MMR vaccine with him. She is
concerned about her child Henry, who is due to receive the vaccine.
She has read reports about the vaccine and brings an article about a
study which she has read to the clinic and wants to know why the
medical community does not respect it. The practice nurse declares
that the study was methodologically flawed and lacked internal
validity. Later Mrs. Moonshine demands that Henry is given the three
vaccines as separate injections. The practise nurse insists that this
is dangerous and offers to refer her to the immunisation co-ordinator.
What issues are raised here? Consider the implications for research
and practice?” (Community Health Sciences Problem Based
Learning booklet 2005)
Objectives derived from above article: Page
1. Define Terms – Immunisation Coordinator and Internal
2. Critical Appraisal of the Wakefield et al paper
3. Advantages and disadvantages of MMR (measles, mumps, rubella)
combined vaccine and individual
4. Public perceptions of MMR vaccines and how it affects clinical
5. Medicalisation of
6. 1. Define Terms
The amount of health professionals involved in admin...
... middle of paper ...
Medicine 1999;29: 769-86.
 Rutter M, Silberg J, O'Connor T, Simonoff E. Genetics and child
psychiatry: II empirical research findings. Journal of Child
Psychology and Psychiatry 1999;40: 19-55.
 Veenstra-Vanderweele J, Cook E. Genetics of childhood disorders:
autism. Journal of American Academic Child Adolescent Psychiatry
 Charman T, Baird G. Practitioner review: diagnosis of autism in
2-3 year old children. Journal of Child Psychology and Psychiatry
2002; 3: 289-306.
 Stone WL, Lee EB, Ashford L, Brissie J, Hepburn SL, Coonrod EE,
et al. Can autism be diagnosed accurately in children under three
years? Journal of Child Psychology and Psychiatry 1999;40: 219-26.
 Cochrane A, Holland W. Validation of screening procedures.
British Medical Bulletin 1969;27: 3-8.
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