The lede:

Primary care doctors say the greatest obstacle they face in prescribing opioids to treat chronic pain is scrutiny from regulators and law enforcement, according to a survey released earlier this year.

But that fear is misguided, says a study in the September issue of Pain Medicine, the journal of the American Academy of Pain Medicine.

Researchers reviewed nine years of medical board and local, state and federal law enforcement charges against doctors for improperly prescribing opioid analgesics. They found that 725 doctors were accused of criminal or administrative offenses from 1998 to 2006. The figure represents about one-tenth of 1% of practicing physicians, or one of every 954 doctors.

“The conclusion of our study is that there is risk [in prescribing opioids]; we’re not denying that,” said study co-author Myra Christopher. “But the risk is manageable and the risk has been exaggerated.”

The whole shebang.

The lede:

Measles are coming back. The Centers for Disease Control and Prevention reported that measles outbreaks have reached a peak not seen since 1996. By late August, 131 cases had been confirmed in 16 states.

Almost half of the cases occurred in children who had not been vaccinated because their parents claimed religious or personal exemptions to vaccine mandates.

“This measles outbreak may be a warning shot,” said Paul A. Offit, MD, chief of the infectious diseases division at the Children’s Hospital of Philadelphia. “We now have communities that have a lack of herd immunity. That puts children at risk.”

Other physicians and public health experts are echoing Dr. Offit’s concern. They say states are making it too easy for parents to exempt their children from the vaccines required for school entry. As scientifically unfounded information about vaccine risks swirls around the Internet and among parents, experts say the exemption rate is bound to grow.

But others worry that toughening the opt-out process, or just talking about mandates, could lead to an even greater loss of public trust in the immunization system.

The whole shebang.