February 26, 2020

In This Issue
Tuesday, March 3rd Vote No on 1
Letter to the Editor: Childhood Diseases Can Make Kids Very Sick – Vote ‘No’ on 1
Letter to the Editor: Seek Accurate Vaccine Information
MAFP Advocacy Day at the State Capitol
Maine's Weekly Influenza Report
CDC Coronavirus Disease 2019 (COVID-19) Situation Summary
2020 Census
Next MMA Legislative Call Will Be Tuesday, March 3rd
State House Highlights of the Week
Upcoming Specialty Society Meetings
Register now for Revealing a Path Forward: Maine's Annual Conference on Problem Gambling - March 27th, 2020
10th Annual Maine Patient Safety Academy - March 30, 2020
Targeted Basic Skills Training: Addressing Nicotine and Tobacco Use through Prevention, Policy and Treatment Initiatives - March 31, 2020
Maine Suicide Prevention Program Training for Clinicians
Medical Director, Primary Care Physician
Physician - Nasson Health Care
Nurse Practitioner - Nasson Health Care
Psychiatric Nurse Practitioner - Nasson Health Care
BC/BE Family Medicine or Internal Medicine Physician
Family Medicine Opportunity in Beautiful Western Maine
Orthopedic Surgeon Opportunity in Beautiful New England
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health - Portland, ME

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Letter to the Editor: Childhood Diseases Can Make Kids Very Sick – Vote ‘No’ on 1

[From Portland Press Herald 02/26/20]

Letter to the editor: Childhood diseases can make kids very sick – vote ‘no’ on 1

I am writing as a pediatric infectious disease physician, joined by Dr. Carol McCarthy, Dr. Amanda Goddard and Dr. Kathleen Vozzelli, to support a “no” vote on Question 1.

Vaccines are arguably the most important intervention protecting public health, but they are a victim of their own success. It is easily assumed that whooping cough and chickenpox are mild. However, all children, even healthy children, are at risk of severe complications from vaccine-preventable diseases.

In our careers, we have cared for children severely ill from pertussis, varicella and measles. Pertussis (whooping cough) has increased in Maine. Infants in particular suffer significant complications, with up to 50 percent of infants with pertussis hospitalized. Infants can, and do, die from whooping cough. Likewise, varicella, or chickenpox, may be anything but a routine childhood illness. Chickenpox is associated with invasive bacterial bloodstream infections and pneumonia. It can cause swelling around the brain, leading to severe neurological deficits. Since the vaccine was introduced, hospitalizationsdeath rates and complications have decreased by over 90 percent.

As physicians and Mainers, we worry about these illnesses. We worry for immune-compromised children or young children who cannot receive some vaccines and rely on herd immunity to keep them safe. We worry for healthy children who can suffer severe complications.

Families trust medical professionals to guide them to decisions regarding their children’s medical care. Please trust us with vaccine-preventable illness as well. We are fortunate to live in a society where we have the means to protect all children. Please join us in voting “no” on Question 1.

Jennifer Jubulis, M.D.

The Barbara Bush Children’s Hospital, Portland

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