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Re: [Gnumed-devel] one more vaccinations detail

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] one more vaccinations detail
Date: Sat, 11 Sep 2004 18:07:22 +0200
User-agent: Mutt/

> > So all the anecdotal/incidental/intuitive/logical evidence we
> > gathered so far points to considering any given shot as valid.
> > So much the better since that's far easier to code (and is
> > exactly what the current code does...).
> ... but given the fact that the immunogenicity of vaccines is different and 
> the immunity might depend on the peak antibody level reached after the given 
> series ("The magnitude of the antibody response induced by the primary 
> vaccination series is predictive of antibody persistence, and a logarithmic 
> decline of antibody levels occurs over time.", 
> I would not say that 
> this is valid for all vaccinations (why do we booster tetanus, then ?). 
> This is one point where the implemented logic should be based on evidence, 
> i.e. if we want to automatically deduce the recommended action we will have 
> to find facts/expert opionion for every case first. 

IOW, leave it to the doctor to decide until better evidence
emerges. So be it. Less coding :-)

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