Vaccines, 48 doses by the age of 6

The American Academy of Pediatrics is growing so concerned about the climbing rate of vaccine exemptions--and the possible affect on community health--that it recently formed a group called the "Immunization Alliance" to address the growing refusal of some parents to vaccinate.

In a letter sent to members, the AAP identified the following as problems:

"Parent-to-parent spread of myths."
"A public that does not understand the risk of vaccine-preventable diseases."
"Unbalanced Internet and media exposure."
"Decreased trust in the government and health care providers."
"Slow response to negative news coverage."
"Increasing calls for philosophical exemptions."

But here's a problem the AAP missed: The sheer number of recommended and mandated vaccines is freaking parents out. And new combo shots that contain a stew of four or five different vaccines aren't going to help matters.

In 1982, The Centers for Disease Control recommended 23 doses of 7 vaccines for children up to age 6.

Today, the CDC recommends that children get 48 doses of 12 vaccines by age 6. That's a lot. Toss in flu shots for all infants and children and it boosts the number of recommended vaccines for children to 69 doses of 16 vaccines by age 18.

The two new combo shots approved yesterday by a federal advisory panel don't change the schedule; they just reduce the number of individual shots. GlaxoSmithKline's four-in-one shot offers protection against diphtheria, tetanus, pertussis and polio. Sanofi Pasteur's five-in-one shot is for diphtheria, tetanus, pertussis, polio and illness due to Haemophilus influenzae type b, or HiB.

The AAP gets tough on vaccine dissenters