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Mr. Smith told the Board that we received notification that the pnetmococcal <br />vaccine that had been produced last year should be turned back to the company <br />that manufactured it. The past vaccine is not to be given to any pregnant <br />women or any one under the menopause age. <br />Mr. Smith said this had been brought to his attention at first by the Lederle <br />saleman trying to get him to purchase his vaccine. He contacted the State and <br />they had just received notice to send to health departments to have any vaccine <br />left from last year turned back to the manufacture for an updated vaccine. <br />The Board said to call Merck, Sharp & Dohme and have them pick up the vaccine <br />we have stored and have them exchange it for the updated vaccine to give at <br />our clinic. <br />Mr. Lambie asked how many people get immunized at pneumococcal vaccine clinic. <br />Mr. Smith said last year we did about 35 people, only. <br />Dr. Erdos said that Medicare will now pay for the immunization vaccines. They <br />are now trying to decide how medicare will pay for the vaccine received through <br />a public clinic. At the doctors office they are charged $5.00 for the vaccine <br />and $5.00 for administering it. <br />Dr. Erdos wanted to know if we could take Medicare numbers and then submit a <br />bill to Medicare for the people that are under it. <br />Mr. Smith said that Dr. Fiumara of the State Health said we could, but it will <br />create an awful lot of extra paper work. <br />Mr. Smith said we try to get a good size clinic going. He advertises in the <br />newspaper, church bulletins, markets, etc. trying to make everyone over 60 <br />years old aware of our clinics. <br />IMMUNE Mr. Smith brought up the subject to the Board of distribution of the immune <br />SERUM serum. The State Health Dept. is not able to get much of this because the Federal <br />Government is holding it back. <br />The vaccine is primarily given to people that are "hepatitis contacts" but <br />many doctors give it to people that are traveling out of this country. <br />We were only alloted five vials instead of the fifty that we usually get. <br />We would like to give this to physicians that are only giving it to the hepatitis <br />contacts. If it is for someone traveling, we would like to suggest that the <br />physician purchase it at a pharmacy. <br />Another question we would like to discuss; Because this vaccine is so scarce <br />we would like to distribute it when the patient is a Lexington resident. In <br />Arlington when a physician administers this vaccine they always make the patient <br />pick the vaccine up at the Lexington Health Office before their office visit. <br />We would like to do that also as the vaccine is recorded against this Department. <br />We have to send to Jamaica Plain for all our vaccines that is distributed and <br />administered by physicians. This is charged to our Department when the records <br />are sent to the State each month by this Department. <br />The Board agreed to let this Department to handle the immune serum this way. <br />Tetanus Toxoid is also a very limited vaccine at this time. <br />