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Robert Lustig, professor emeritus of pediatrics in the division of endocrinology at UC San Francisco, who is a friend of Means, told The Times he was shocked and surprised.

“Extensive research demonstrates that the MMR vaccine is safe and significantly reduces the risk of contracting measles, a disease that can lead to severe complications and death,” the pediatrics group said.

His practice had a dismissal policy long before the pediatrics academy said it was acceptable.

After leaving the military, Burkle became a medical polymath, qualified in five different specialties he felt would be necessary: emergency medicine, pediatrics, adolescent medicine, public health and psychiatry.

Fall-offs were seen in residency applications in other specialties that might be affected by abortion bans, such as pediatrics and family medicine.