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Feb. 8 2010 - 12:43 pm | 26 views | 0 recommendations | 0 comments

Is your needle long enough?

Dr. Schreiber of San Augustine giving a typhoi...

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Yet another danger of  obesity has come to light:  inadequate vaccination.

In a new study, the researchers report that using a standard 1-inch needle to immunize obese adolescents against hepatitis B virus produced a much weaker effect than using a longer needle.

via For obese, vaccine needle size matters | Reuters.

It makes sense.  If you’re trying to administer a vaccine into a muscle that’s covered by more than one inch of chub, a one-inch needle clearly won’t cut it.  This study showed that using a 1.5-inch needle greatly improved the success of vaccinations in the obese.  I suspect it’s only a matter of time before someone suggests that a body fat measurement be performed prior to vaccinations in order to determine the proper needle size.  That, or that everyone gets their vaccinations with the hypodermic equivalent of a javelin.


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    I grew up on a farm and worked my way through college slinging pizzas, walking dogs, and assisting with autopsies. I received my M.D. from the University of Chicago-Pritzker School of Medicine and completed my residency in internal medicine at Boston's Beth Israel Hospital. I then took a faculty position at the newly-merged Beth Israel Deaconess Medical Center, but after two and a half years of commuting in Big Dig traffic with a screaming toddler in tow, I thought I'd try moving back to my home state of South Dakota. I am currently Associate Professor of Internal Medicine and Program Director of the Internal Medicine Residency Program at the Sanford School of Medicine of the University of South Dakota.

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