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Help Stop Devastating Cuts to Immunization Infrastructure

July 20, 2017 5 comments

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The House is moving forward on budget proposals for Fiscal Year 2018 (FY18) and has suggested a $50 million cut to immunization funding to the Centers for Disease Control and Prevention (CDC).

This could mean serious reductions in our country’s and states’ abilities to:

  • Support the science that informs our national immunization policy;
  • Provide a safety net to uninsured, low-income adults by enabling vaccine purchases;
  • Monitor the safety of vaccines;
  • Educate healthcare providers;
  • Perform community outreach; and
  • Conduct surveillance, laboratory testing and epidemiology in response to disease outbreaks.
With the U.S. currently facing costly outbreaks of vaccine-preventable diseases such as measles and pertussis (also known as whooping cough), now is not the time to weaken the backbone of our nation’s public health infrastructure.
We are not asking for a funding increase, we are simply asking that Congress not reduce current levels of immunization funding.
States have already had to make tough decisions because of a $4 million cut in funds in the 2017 budget.

Please call your Representative today and tell him or her:

“Please reject the proposed $50 million cut to the CDC Immunization Program and maintain level funding for FY18. A funding reduction would have serious consequences for communities across the country at a time when outbreaks of vaccine-preventable diseases such as measles are on the rise.”

SOTI-Report_Cover.pngYou can also reference Every Child By Two’s State of the ImmUnion report to examine how strong our defenses truly are against vaccine-preventable diseases and what we can do, as public health advocates and legislators, to make our ImmUnion stronger and more resilient in the face of emerging health threats. You may even want to share this report with your Representative since it highlights the successes of vaccines, the economic and societal savings incurred from vaccines, challenges facing the public health system and key areas that we need to focus on to achieve optimal protection against vaccine-preventable diseases.

Please use Who Is My Representative? to quickly find your Member of Congress in the House.

Thank you for your continued support of immunizations and their critical role in protecting our health!

Updates from June 2017 Meeting of the Advisory Committee on Immunization Practices

July 13, 2017 2 comments

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Recently, the Advisory Committee on Immunization Practices (ACIP) met to discuss several important developments concerning vaccines. As you may be aware, this impartial group of experts advises the U.S. Centers for Disease Control and Prevention (CDC) on all matters related to vaccine recommendations. In the coming years, the ability of the CDC and public health departments to implement the recommendations of this group may be under threat from proposed provisions within the health care reform bills and congressional budget cuts.

The activities of the ACIP are supported by staff at the CDC, which receives annual appropriations from the federal government to fulfill its duties.  This federal immunization funding is at risk of being drastically cut if the Prevention and Public Health Fund (PPHF) is eliminated. (Click here to see a breakdown of the impact of the elimination of the PPHF funds by state.) If Congress follows the recommendation of the President, funding will be reduced by another 14% beginning in Fiscal Year (FY) 2018.

The result is that CDC may no longer be able to fully support its immunization functions including:

  • ACIP staffing;
  • Vaccine purchase and supply management;
  • Vaccine safety monitoring;
  • Education initiatives;
  • Disease surveillance;
  • Outbreak response; and
  • Funding support for state, territory, and city immunization programs.

An example of the critical activities conducted by the CDC includes support for the ACIP.  This committee of experts from diverse fields such as vaccinology, immunology, pediatrics, internal medicine, nursing, family medicine, virology, public health, infectious diseases, and\preventive medicine meets three times a year to review and discuss vaccine research and scientific data related to vaccine effectiveness and safety, clinical trial results, outbreaks of vaccine-preventable disease or changes in vaccine supply.

There are 15 voting members, 8 ex officio members who represent other federal agencies with responsibility for immunization programs in the United States, and 30 non-voting representatives of liaison organizations that bring related immunization expertise. All members volunteer their time and come from many leading professional and public organizations such as the American Academy of Pediatrics, the National Foundation for Infectious Diseases, and the American Geriatrics Society. This is the only meeting to gather such a comprehensive group of experts whose aim it is to protect individual and public health.

The current health care reform discussions that are happening in Congress may have a direct impact on this Committee. Please continue to reach out to your Representatives and Senators to let them know the importance of keeping PPHF and CDC fully funded. (You can find your Members of Congress at http://whoismyrepresentative.com/ and some suggestive language to share here.) 

The value of the ACIP can not be overstated. During their most recent committee meeting in June, members discussed several important issues recapped in the summary below.

Read more…

How My Sister Helped Save My Daughter From Whooping Cough 

June 19, 2017 20 comments

TamaraSheffieldHeadShotBy Tamara Sheffield, MD, MPA, MPH, Medical Director, Community Health and Prevention, Intermountain Healthcare

In my role as a medical director at Intermountain Healthcare in Salt Lake City, Utah, I am responsible for Community Health and Prevention.  You could say that I’m a professional advocate for immunizations, since they prevent many illnesses, hospitalizations and even deaths.  In fact, maternal immunizations are one of today’s most promising new preventive health strategies.

By vaccinating pregnant women against certain diseases – like whooping cough (pertussis) and influenza – we are reducing the amount of illness, hospitalization, miscarriage and pre-term labor these women experience as a result of these diseases.

Additionally, maternal vaccines enable pregnant women to pass on protective antibodies to their unborn babies.  These antibodies provide newborns with early, short-term protection against pertussis or flu, during the time when they are too young to receive their own vaccines to prevent these diseases.

For instance, children must be six months of age before they can receive their first flu vaccination, and the DTaP vaccine, which helps prevent whooping cough in children, is administered as a series of five shots (with doses at 2, 4, 6, 15-18 months, and 4-6 years of age). Sadly, there are about 100 pediatric deaths due to influenza each year, and 90% of all deaths associated with whooping cough are among infants, mostly because the thick mucus that accompanies the infection has a severe impact on a baby’s ability to breath.

For an expectant woman, changes in the immune system, heart and lungs during pregnancy make them more prone to illness.  When a pregnant women gets ill, it raises her risk of complications, such as premature labor and delivery.  But research shows that mothers can help protect themselves and their babies by getting vaccinated during pregnancy.

The flu vaccine is recommended at any trimester of each pregnancy. An adult Tdap booster vaccine is recommended during each pregnancy as well – and studies show that the best time for optimal transfer of protective antibodies is at 27-to-36 weeks gestation. The ongoing research continues to indicate that these maternal immunizations are effective at reducing the number of flu and whooping cough-related illnesses, hospitalizations and deaths among infants.

The abundance of scientific evidence on this matter is one reason I am a strong advocate for maternal vaccinations.  However, I have a very personal reason to advocate for maternal vaccinations as well.

You see, I know an amazing 25-year-old young woman who nearly died from whooping cough when she was just three weeks old. 

Alicia Outside ICU at Phoenix Childrens' Hospital

Like many infants who suffer with whooping cough, this beautiful baby girl contracted it from a family member.  During the weeks before delivery, her mother developed a persistent cough that went undiagnosed, and she unknowingly passed whooping cough on to her baby.  Three weeks later, after a couple of incidents where the baby stopped breathing and turned blue, her parents rushed her to the hospital. Read more…

10 Things Parents Who Don’t Vaccinate Their Kids Should Know

It’s not uncommon for a parent who has lost a child to a vaccine preventable disease to try to spare other families from the same agonizing heartache. 

In some cases, these children may have suffered with a preventable disease because they were unvaccinated.  This could be the result of parents who did not have access to certain vaccines, parents who willfully refused a particular vaccine, or in the case of Riley Hughes, infants who were too young to be fully vaccinated.

Riley was a healthy baby boy born in Australia on February 13th, 2015.  At three weeks of age he started exhibiting cold-like symptoms with an occasional cough. When he was just 32 days old, Riley passed away in the arms of his parents.  

pertussis112315While in the hospital, Riley was diagnosed with pertussis, also known as whooping cough.  At that time, the U.S., the UK, Belgium and New Zealand, were already advising expectant women to get an adult Tdap vaccine at 28-32 weeks of pregnancy in order to transfer protective antibodies to their unborn babies.  This practice helps protect infants from pertussis at a time when they are most vulnerable to infection and subsequent complications.  It’s also the only way newborns can benefit from some protective antibodies before they are two months of age and begin receiving the first of five doses of DTaP vaccine to become fully vaccinated against pertussis.

Unfortunately, the Australian government hadn’t adopted this practice until shortly after Riley’s death. Since then, Riley’s parents have made it their mission to educate people about the dangers of whooping cough, and promote the need for vaccination so that no other family would have to suffer like they did.

Sadly, there are still some parents who choose not to vaccinate.  In a plea to these parents, Riley’s mom posted the following list of “things to know” on the Light for Riley Facebook page:

 


Ten things I want parents who don’t vaccinate their kids to know:

1. There are no cures for most of the diseases we vaccinate against.

2. Even if you choose not to vaccinate, please, please, please make yourselves aware of the symptoms of these potentially fatal diseases. Infections like meningococcal can kill within 24 hours, and every minute counts.

12244586_1518881475089295_4527321516860468835_o3. If you’re really worried about vaccine “toxins”, you don’t want to see what the toxins from Bordetella Pertussis (the bacteria responsible for whooping cough) can do. Trust me – I watched my newborn son die from it. Read more…

Comprehensive Vaccine App Available on iPhones and iPads

If you’re looking for a comprehensive source of vaccine information, look no further than The Vaccine Handbook App, now available for Apple iPhones and iPads.

This free downloadable App serves as an enhanced digital version of the new 2017 (6th) edition of The Vaccine Handbook: A Practical Guide for Clinicians (often referred to as “The Purple Book”).  

This book, written by Dr. Gary Marshall, professor of pediatrics and chief of the Division of Pediatric Infectious Diseases at the University of Louisville, was first published in 2004.  Each edition of The Vaccine Handbook compiles a wide variety of information on vaccine science, guidance, and practice into one easily accessible user-friendly resource.

The App, which was first released a little over a year ago, was updated in April 2017 to contain the new 6th edition of the book and the program has been enhanced in many new ways. The electronic version of The Purple Book is fully searchable, with functionality that includes bookmarking, highlighting, user annotation and active links to content on the Internet. There is also a resource section in the App that complements the book with links to vaccine websites, governmental organizations, manufacturers, and various advocacy groups, including Every Child By Two.

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Dr. Marshall elaborates on the intent of the project by saying,

“From the beginning, the purpose of The Purple Book was to distill down the complex world of vaccine science and practice into something that practitioners could use, not just for optimizing implementation, but for deepening their understanding as well. It’s not just a “how to” guide; it’s a “how to and here’s why” book.”

The Purple Book is ideal for pediatricians, family physicians, internists, obstetrician/gynecologists, nurses, nurse practitioners, physician’s assistants, and clinical staff. Additionally, Dr. Marshall believes the publication can also be used as the basis for a vaccine curriculum for students and residents.  It can even be a useful resource to parents and patients. He explains,

“The content is expansive but the language is plain, simple, and accessible. It covers the rationale behind authoritative immunization recommendations as well as the many contingencies encountered in everyday practice. Beyond this, it provides a readable foundation on how vaccines are developed, tested, and licensed; how vaccine policy is made; what constitutes the vaccine safety net; standards and regulations; billing; office logistics; and much more. It can be read cover-to-cover, or section-by-section.”

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The book is divided into two sections. 

The first section includes, among other things; 

  • basic principles of vaccine immunology;
  • background on vaccine development, infrastructure and policy;
  • vaccination standards;
  • general vaccine recommendations and implementation;
  • vaccination schedules;
  • vaccination in special circumstances;
  • and most importantly, tips on addressing concerns about vaccines.

The second section contains details about every vaccine currently licensed in the United States, as well as; 

  • the burden and epidemiology of the respective diseases,
  • history of the immunization program,
  • vaccine constituents,
  • vaccine efficacy,
  • vaccine safety,
  • and vaccine recommendations.

MaryBeth Koslap-Petraco, Pediatric Nurse Practitioner and Adjunct Clinical Assistant Professor at Stony Brook University School of Nursing, had this to share about her recent experience using the App:

 “The App is perfect for accessing vaccine information without having to carry around the book. I was preparing a lecture for school nurses about vaccine hesitancy and I used the app on my phone. It was incredibly quick and easy to locate the information I was looking for in the index and then scroll to the specific pages I needed.  Upon opening the App I found the section buttons right on the first page.  I then went directly to the “Addressing Concerns” section which included information on vaccine refusal, communicating risks and benefits, and other topics related to vaccine concerns.  All of the information I needed, along with a complete list of references, was right in one place. If you’re someone who wants to have a full array of vaccine information at your fingertips, than I highly recommend that you download this App.” 

VaccineHandbookDr. Marshall adds,

“There are many vaccine resources, but The Purple Book is unique. It is replete with scientific background but it is not an academic textbook—at the same time, it is much more than just a compilation of facts and recommendations.”

The most recent version of this free downloadable App is sponsored by the Immunization Action Coalition and can be found by searching the iTunes App Store for “The Vaccine Handbook App” or by clicking the link here.  Download it today and let us know what you think in the comments below.

For anyone still interested in a hard copy of the book, they can be ordered directly from the App, in bulk from the publisher, or from the Immunization Action Coalition website at a cost of $34.95 each.

Five Things I’ve Learned About Vaccines Through 21 Years of Parenting

April 24, 2017 35 comments

niiw-blog-a-thon-badgeI gave birth to five children in the span of nine years. My oldest daughter will soon be 21.  My youngest, 12.  Over the years, I’ve learned a few things about childhood illnesses and infectious diseases.  Like most parents, I’ve received plenty of unsolicited advice about how to care for my children and how to keep them healthy.  However, when I make health decision for my children, I rely on evidence based research and credible information from reputable sources.

That is why I agreed to partner with Every Child By Two (ECBT) as the editor and primary contributor to this Shot of Prevention blog.  Seven years ago, when we started this blog, parents seeking vaccine information on the internet often encountered a web of lies, deception, misinformation and fear mongering. Today, Shot of Prevention is one of many blogs that provide parents with evidence based information to help them make informed immunization decisions for their families.

Today, in recognition of National Infant Immunization Week, I’m sharing five of the most important things I’ve learned about vaccines through my journey as a parent and immunization blogger and it begins with science and it ends with action.

1.) Don’t Let Your Emotions Cloud Your Scientific Judgment.

Visit any online parenting forum and there are fewer topics that can get as heated and emotional as vaccines.  The majority of these conversations illicit fear and sympathy, and you’ll often hear parents say that they had to trust their gut or rely on their parental instinct. While we can’t deny our emotions, when it comes to vaccines we must not let emotions cloud our scientific judgment. Instead, we must look to peer-reviewed research and sound science to make educated and informed immunization decisions for our children.

When we do that, we realize that vaccines are some of the most rigorously tested medical interventions available today. And they should be because they are administered to almost every healthy child born in the U.S.  The four different surveillance systems we have in the U.S. serve as back-up systems to ensure the ongoing safety of vaccines.

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While it’s true that no medical intervention comes without risk, the chances that your child will suffer a serious adverse reaction from a vaccine are documented to be less than one in a million.

When you compare that risk to the risk of injury or death from the diseases that we prevent, vaccines win the benefit/risk ratio hands down.  So, brush up on your science and take the time to understand how vaccines work.

Listen to immunization experts address some of the most frequently asked questions about vaccines in these Q&A videos available on our Vaccinate Your Family Facebook page here and our YouTube channel here.  You can also check out these other resources to learn more:
Immunity and Vaccines Explained; video from PBS, NOVA 
How Vaccines Work; video embedded on Immunize For Good website 
Vaccines: Calling the Shots; Aired on PBS, NOVA 
Ensuring the Safety of Vaccines in the U.S.; PDF document from the CDC 
The Journey of Your Child’s Vaccine; Infographic from the CDC 
Vaccine Ingredients Frequently Asked Questions; Healthy Children, AAP
Vaccine Education Center Website; Children’s Hospital of Philadelphia 

2.) Appreciate Vaccines For Their Life-Saving Quality.  

Thankfully, science is advancing and newer, safer vaccines are enabling us to prevent more needless suffering, hospitalizations & death. However, it’s not uncommon for parents to question why their child may need so many shots.

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Admittedly, the method of administering vaccines can be painful at times.  I’m beginning to think that the reason parents are concerned about the number of vaccines their children receive is because it’s even painful for parents to watch their child suffer from the discomfort of a needle. And worst yet, there are often multiple shots at each visit during those first two years of life.  If vaccines were administered orally, through an adhesive patch, or through a way that didn’t involve pain, I believe parents might not have nearly as much concern.

Unfortunately, one of the hardest things to accept as a parent is watching your child suffer from things you can’t prevent.  But the reality is that with vaccines, you are preventing something, even if you may never see that disease which you are preventing. The reality is that some brief discomfort, a few pricks of a needle and even a mild fever, swelling, rash or big crocodile tears are far better than suffering from any one of the 14 different diseases we can now safely prevent through childhood immunizations.

Since we are privileged to live in a country where we have such easy access to vaccines, parents don’t often see just how dangerous vaccine preventable diseases can be. And while we may not have ever seen polio in our lifetime, we must never forget the fear that parents experienced before a vaccine was available. Sadly, most parents in the U.S. probably don’t even realize that polio still exists in other countries and that globally, measles remains one of the top five killers of kids under the age of five.

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In fact, our country is currently battling yet another measles outbreak in Minnesota. This outbreak appears to be direct result of anti-vaccine advocates wrongfully convincing members of the Somali community not to vaccinate due to the dispelled myth that vaccines were linked to autism.  Now unvaccinated children are being hospitalized with measles and public health professionals are hard at work trying to contain the spread of this extremely infectious disease.

Perhaps if parents were to learn more about the dangers of the diseases that vaccines help to prevent, they may feel less anxious about the shots their child is recommended to receive.  Screen Shot 2017-04-24 at 9.16.16 AM.png

To learn about the 14 different diseases that we can prevent with today’s childhood immunization center, check out our Every Child By Two’s Childhood Vaccine Preventable Disease eBook.

Read more…

March for Science, Chant for Vaccines

April 17, 2017 24 comments

If there is one thing we can all get behind, it’s science!

Without science, we would not have vaccines.  And without vaccines, we could not have prevented more than 103 million cases of childhood diseases in the United States between the years of 1924 and 2013

To show our collective support for science, there will be a March for Science this Saturday, April 22nd in Washington, D.C., and in 425+ satellite locations around the world. The March for Science is the first step of a global movement to defend the vital role science plays in our health, safety, economies, and governments. The March is supported by a broad, nonpartisan and diverse coalition of organizations and individuals who wish to stand up for science and advocate for evidence-based policymaking, science education, research funding, and inclusive and accessible science.

If you value vaccines and plan to show your support for science by marching this Saturday,  we hope you’ll consider preparing some catchy chants, printing some pro-vaccine posters, and wearing some vaccine-lovin’ t-shirts or pins as suggested below.

Put Vaccines in a Chant#VaxChant

No one marches in silence, so why not come up with some clever chants to highlight the value of vaccines?  To help get the creative juices flowing, Every Child By Two and various other vaccine advocacy organizations are initiating a Vaccine Chant Challenge (#VaxChant).  Put “vaccines” in a chant and post your suggestions on social media using the hashtag #VaxChant or post as a comment below.  We’ll be sharing and retweeting your chants from our @ShotofPrev and @EveryChildBy2 Twitter accounts throughout the week.

Here are a few examples to get you thinking

2, 4, 6, 8, Everybody vaccinate!

Vaccines work. Vaccines save lives. It is wise to immunize!

Hey, hey! Ho, ho! Vaccine exemptions have got to go.

Posters To PrintNot Vaccinated?No Kisses! Poster Purple.jpg

There are lots of pro-vaccine images that you can print and use as posters while you march.  Simply email Every Child By Two at info@ecbt.org to request high-resolution images like the one pictured here from our Vaccinate Your Family program.

Join the Herd

If you’re headed to Washington, D.C., sign up to meet other vaccine advocates, like State Senator Dr. Richard Pan, author of California’s pro-vaccine legislation SB 277.

Order Your Wears

There are plenty of science inspired messages that have been printed on t-shirts, pins and other items that you can wear to show your support of science and vaccines throughout the year.  Here are a few sites to get you started:

The March for Science Store

Voices for Vaccines CafePress Store

Vaccinate California Shop

Throughout the week, we’ll be promoting vaccine science resources here on Shot of Prevention and on our Vaccinate Your Family Facebook page.  Please share these messages with your social networks to help educate others about the science behind vaccines and the benefit of vaccinating throughout the lifespan.