December 17, 2018

In This Issue
Governor-Elect Mills Nominates Jeanne Lambrew, PhD as HHS Commissioner
MMA Holiday Hours
U.S. Federal Court in Texas Strikes Down the Affordable Care Act
Maine on the Short End of Federal Opioid Funding
Important Notification to Physicians & Staff from CMS
PCSS Offers Free 8-hour X-waiver Course for MAT
Measles Cases Rise, Pockets of Vaccine Refusal Threaten Community Health
End-of-year CME Opportunities Available Through AMA
AMA Podcast on Alternative Payment Models
Legislative Leaders Selected; Constitutional Officers Elected
Upcoming Specialty Society Meetings
Improving Opioid Prescribing and Patient Safety - Monday, December 17 5pm Augusta
Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment: January 30, 2019
Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Feb 2, Mar 2, Apr 6
Urgent Care Physician - South Portland, ME
Full-time Board Certified/Board Eligible MD/DO
Outpatient Family Medicine - Brunswick, Maine
Psychiatric Nurse Practitioner - Nasson Health Care
Primary Care Physician – Family Practice
Emergency Medicine Physician Assistants or Nurse Practitioners in multiple locations – BlueWater Emergency Partners
Physician – Leeds
Psychiatric Mental Health NP - Leeds
Outpatient Internal Medicine Physician – Bangor, Maine
Internal Medicine MD or DO (BE/BC)
Anesthesiologist - Kennebec Anesthesia Associates PA
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health

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Measles Cases Rise, Pockets of Vaccine Refusal Threaten Community Health

[from AMA Morning Rounds]

The New York Times (11/29, Gladstone) provides coverage of a report issued yesterday by the World Health Organization and the U.S. Centers for Disease Control and Prevention warning that the number of measles cases around the world, particularly in Latin America and Europe, is on the rise, partly fueled by parents refusing to vaccinate their children. In the case of Latin America, the increase in cases “was partly attributable to an economic calamity afflicting Venezuela, where many public health services have stopped or are mired in dysfunction.”

The Washington Post (11/29, Omer) discusses the declining vaccination rate in the U.S. and its potential to negatively impact the populations’ herd immunity. The article says the situation could be further worsened by “clustering of susceptible individuals.” In addition to this trend, the piece references “an analysis of U.S. measles outbreaks since 2000” finding “that vaccine refusers are disproportionately represented in early stages of outbreaks,” meaning “people who deliberately go unvaccinated can provide the critical mass of susceptible individuals that can help start outbreaks that vaccination would otherwise have prevented.” The article concludes “as the vaccine-refusal rate inches up, public health authorities, physicians and parents need to pay attention to clustering as well as overall rate of vaccine refusal. Otherwise, we are likely to continue to see more and larger outbreaks.”



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