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Re: Triple screening in California From: James S Smeltzer MD (gaperina@mindspring.com) Fri Aug 14 12:17:48 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: James S Smeltzer MD: "Re: peek at baby" Previous message: James S Smeltzer MD: "Re: Cisterna Magna. nucal fold" In reply to: Joseph A Worrall: "Triple screening in California" Joseph, There are many here who do not like rubella vaccination for their children, and with an immigrant population really are placing their grandchildren at risk. I had my FIRST EVER case of fetal exposure to rubella - fortunately in late 2d trimester - to evaluate. We forget that the greatest advances in health care have been public health. Recent trends in TB and syphilis indicate we may be forgetting these basic facts. Freedom makes sense, but there are limits. These limits are based on the overriding public good. Only in a 95% plus immune population is the rubella vaccine risk greater than the risk of untimely exposure. I do think that the mandatory Calif. screening is in fact mandatory for the provider to provide, not for the patient, however, as the "Overriding public good" would be difficult to specify in this case, but I will check. - Jim Smeltzer (perinatal@perinatal.net) At 10:00 AM 8/12/1998 -0500, you wrote: >To Onebornjoy: I hope someone from California will answer this. It is my >understanding (and I may be wrong) that there is a law in the State of >California that requires that all pregnant women have serum testing for >aneuploidy +ACY- NTD during their pregnancy. This has been in effect for a >number of years, and thus there is a good deal of data available. I believe >the labs that do the serum testing have to be certified by the State of >California, there are prescribed protocols for followup of results. I seems >to me I heard somewhere that when ultrasound is part of the protocols, that >only certain ultrasound labs can be used. > >We also have laws that require testing of newborns for phenylketoneuria, and >we have laws that require treatment of newborns eyes to prevent neonatal >ophthalmia, etc. I guess you could argue that any law passed to protect the >public health is an invasion of someone's rights. > >Joseph A Worrall MD RDMS > Next message: James S Smeltzer MD: "Re: peek at baby" Previous message: James S Smeltzer MD: "Re: Cisterna Magna. nucal fold" In reply to: Joseph A Worrall: "Triple screening in California"

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