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Institute of Medicine (IOM) Reports & Statements
 
The National Academy of Sciences (NAS) was established in 1863 under President Abraham Lincoln's administraton to report on science to policymakers and the public. In 1970 the Institute of Medicine (IOM) was chartered as the health arm of the NAS to provide evidence to the government and private sector that would assist in informed health decisions. 

Since 1982, NVIC has advocated that well-designed, independent, on-going scientific studies must be conducted to: (1) define the various biological mechanisms involved in vaccine injury and death: (2) identify genetic and other biological high risk factors for suffering chronic brain and immune system dysfunction after vaccination; and (3) evaluate short and long-term health outcomes of individuals, who use many vaccines, and those, who use fewer or no vaccines, to determine the health effects of vaccination on individuals and the public health. Below are links to selected statements by NVIC to the IOM in the accomplishment of these advocacy goals. Below are links to IOM publications related to vaccine safety.
Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies Released: January 16, 2013 - Pre-Publication Status.  A new report from the Institute of Medicine, examines evidence about the schedule's safety and recommends the best way to conduct any needed investigations. 

Click here to read NVIC's summary of this report's vaccine safety science gaps.


Adverse Effects of Vaccines: Evidence and Causality published by the Institute of Medicine (2012). Reviews the epidemiological, clinical, and biological evidence regarding adverse health events associated with specific vaccines covered by the National Vaccine Injury Compensation Program (VICP), including the varicella zoster vaccine, influenza vaccines, the hepatitis B vaccine, and the human papillomavirus vaccine, among others. 

NVIC Note: This report investigated 158 of the most commonly reported vaccine adverse events and for 85%, or 135, of these events the IOM was prevented from determining causality due to either an absence of science, or the lack of quality science. 

Vaccine Safety Research, Data Access, and Public Trust published by the Institute of Medicine (2005). In this report, the committee that was asked to review aspects of this program recommends that two new oversight groups are needed to ensure that the policies and procedures of the VSD and its data sharing program are implemented as fairly and openly as possible.
 
Multiple Immunizations and Immune Dysfunction published by the Institute of Medicine (2002). The committee recommends limited but continued public health attention to this issue in terms of capitalizing on current research efforts. No recommendations for policy review is made, but the committee does recommend an analysis of new frameworks for immunization policy, particularly as the number of licensed vaccines increases.


Risk Communication and Vaccination: Workshop Summary published by the Institute of Medicine (1997). The forum convened a workshop on risk communication and vaccination. Workshop speakers and participants discussed key concepts in risk communication, unique aspects of communicating risks about vaccines, and current practices in vaccine risk communication.


Vaccine Safety Forum: Summaries of Two Workshops published by the Institute of Medicine (1997). The Vaccine Safety Forum convened a workshop entitled Research to Identify Risks for Adverse Events Following Vaccination: Mechanisms and Possible Means of Prevention. The workshop discussed the various immunologic and genetic factors that might influence individuals' responses to vaccines, current research aimed at assessing what populations are at increased risk for experiencing adverse events from vaccines, and research avenues that could be pursued in this regard.


 


DPT Vaccine and Chronic Nervous System Dysfunction: A New Analysis published by the Institute of Medicine in 1994. The committee concluded that the evidence is consistent with a causal relation between vaccination with DPT and acute encephalopathy (IOM, 1991), and the excess risk was estimated to range from 0 to 10.5 per million DPT immunizations.

 

Adverse Events Associated with Childhood Vaccines

 

Adverse Events Associated with Childhood Vaccines: Evidence Bearing on Causality published by the Institute of Medicine (1994) for the U.S. Congress under the National Childhood Vaccine Injury Act of 1986. A review of the medical literature that documents evidence for and against a causal relationship between tetanus, diphtheria, polio, measles, mumps, rubella, HIB and hepatitis B vaccines and brain and immune system dysfunction.

 


Adverse Effects of Pertussis and Rubella Vaccines

 

Adverse Effects of Pertussis and Rubella Vaccines published by the Institute of Medicine (1991) for the U.S. Congress under the National Childhood Vaccine Injury Act of 1986A review of the medical literature that documents evidence for and against a causal relationship between pertussis and rubella vaccines and brain and immune system dysfunction.

 





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