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BOARD OF HEALTH SPECIAL MEETING <br />OCTOBER 27, 1970 <br />A s?ecial meeting of the Board of Health was held Tuesday, <br />0ctcber 27, 1970, at 8:00 P.M. in the Board cf Health Office. <br />Members present were: Dr. William Cosgrove, Chairman, Mr. James <br />Lambie, Dr. Charles Ellicott and Robert Heustis, Director of <br />Public Health. <br />The minutes of the October 1.3, 1970 meeting were approved as <br />read. <br />367. <br />Dr. Ellicott explained to the Board that the reason he had <br />requested this meeting was to discuss with the Board and other <br />physicians in Lexington the adviseability of continuing the GERMAN <br />German Measles Immunization Program in view of an article MEASLES <br />recently published in the New England Journal of Medicine con- PROGRAM <br />cerning the effectiveness of this vaccine. <br />Dr. Ellicott said he had contacted the pediatricians and <br />the school physicians about this meeting, however, Dr. Mary <br />Perry was the only physician able to attend the meeting. Dr. <br />Howard Potter had sent a written statement to Dr. Ellicott prior <br />to this meeting. <br />Dr. Ellicott explained to the Board that Dr. David Singer <br />after reading the article published in the New England Journal <br />of Medicine called him and expressed concern regarding the German <br />Measles Vaccine Inncculation Program for the children age 1 <br />through Grade 6. He went on to say that in view of this article <br />dealing with a study of a group of recruits from Hawaii at Fort <br />Ord, California, he felt the Board should weigh the advantages <br />and disadvantages of this vaccine. He pointed out the disad- <br />vantages of the vaccine and then the advantages, he then went en <br />to say that as a physician he would not give this vaccine to his <br />girls but from a public health stand point he felt the advantages <br />out -weighed the disadvantages. If, as predicted, this was an <br />epidemic year, we would be remiss in not giving the vaccine but <br />if the vaccine was not as effective as first thought what about <br />these children in 10 or 15 years. <br />Dr. Ellicott went on to say this program is not designed to <br />protect the children today, because basically German Measles is <br />a mild disease in a child, but to protect the fetus of expectant <br />mothers during the first tri-mester of pregnancy. <br />Dr. Perry said she would support the program but she was con- <br />cerned about the children innoculated now in 10 or 15 years when <br />the ,girls came to child-bearing age. She went on th say Rubella <br />was very serious to the mother in the first tri-mester of pregnancy. <br />Mr. Lambie said, you would really recommend this program, <br />don't you think if we do this easy we will have tine later to <br />correct any misunderstanding about the vaccine, I mean as to the <br />length of effectiveness. You say the vaccine at present would <br />benefit the expectant mother this year. We would almost be <br />remiss in our obligation if we did not take precautions now. <br />