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A Physician’s Plea to Those Who Don’t Vaccinate

July 14, 2016 14 comments

What value do vaccines have in your life?

Throughout July and August, Shot of Prevention is encouraging people to address this question.  Today’s guest post, by clinical cardiologist Dharmaraj Karthikesan, provides a personal perspective from someone who is genuinely concerned about the health and well-being of people who choose not to vaccinate themselves or their children.  

Photo Of RajHere’s what Dr. Karthikesan has to say:

I’ve heard people say that deaths from preventable diseases are the will of God.  Indeed all men must die, but not all have to die stupid.  I believe ignorance is deadly.  Sadly, it can also be contagious.

My issue resides with people who are opposed to vaccination and recently this issue became very personal. 

See, I have a new nephew in the family.  He lives in another country and so I only get to see him on Skype.  However, his parents were considering a visit and I was really looking forward to seeing him.   But due to the outbreak of diphtheria in Malaysia, where I live, I advised his parents to postpone their visit.  See my nephew hasn’t completed his vaccination schedule and I feared for his health.

My fears are not unfounded. This is the reality we are living in; where our lives are dictated by the decision of others. And every decision not to vaccinate affects the health of others in our community and in our world.

As a doctor, I try to appeal to people’s sense and reason when they tell me that they have decided against vaccinating.  Sometimes that communication fails and so I’ve decided to try to employ one other method.

Instinct.

I ask,

Do you instinctively feel that your child is safe without vaccination? 

Do you instinctively feel secure knowing that your child will recover regardless of the infectious disease that they may contract?

Do you instinctively feel impervious to all manner of infectious disease, even those which are airborne, just because you eat a certain diet or take certain homeopathic remedies?  

If it is difficult to honestly answer these questions affirmatively, then I beg you to consider what I have to say. 

Vaccines are safe.

I state the obvious first. I understand and empathize with those who feel that vaccines are dangerous and those who believe vaccines can be harmful or detrimental to health. Let’s assume that this is true. For a moment, let’s assume they are worse than death, or worse than the defects and disabilities they cause.

Let’s start with polio, which can cause disability and even suffocation if it involves the breathing muscles. Assuming your child recovers from polio, he may never run or play like a normal child. Are you prepared to accept that?

How about diphtheria, which affects your child’s breathing. In severe forms, it can affect the heart and nerves leading to death. Are you willing to take that chance? 

Now how about pertussis, which is known to cause violent, uncontrollable coughing making it extremely difficult for a child to get air into their lungs.  About half of babies who get pertussis need care in the hospital, and 1 out of 100 babies will die.  Is this the kind of suffering you want for your child?

There are serious dangers with all vaccine preventable diseases.  However, vaccines work to prevent infection by developing an immunity that imitates the infection.  This imitation spares one from suffering with severe illness.   Instead, vaccination allows the immune system to develop an arsenal of weapons in the form of’ ‘antibodies’. If your child should ever be exposed to these infections in the future, these antibodies will prevent the infection from spreading to your child by eliminating the threat early and preventing your child from getting sick. It’s quite simple actually.  Once the body knows the ‘enemy’, it is better able to defeat it.

So the question that begs for an answer is this;

Do you want your child to be facing these diseases alone, or do you want a strong arsenal of vaccines helping to form a protective shield?

The choice is yours.  But that’s the problem actually.  Vaccines are a choice and people’s choices are sometimes influenced by inaccurate information.

Doctors don’t make money from selling vaccines.

Read more…

Your Vaccination Status is a Matter of Life and Death to My Autistic Son

July 6, 2016 5 comments

This guest post was written by Alethea Mshar out of concern for her son Ben.  A version of this post originally appeared on her blog Ben’s Writing, Running Mom.

Like all parents, my child’s health is very important to me.  That’s why, even after getting an autism diagnosis for my son, I still believe in and advocate for vaccinations.

I don’t believe autism is caused by MMR or any other vaccinations.  

The allegations made by Andrew Wakefield, the man who tried to convince the world of an MMR vaccine-autism link, were based on falsified data, yet he continues to make his claim to try to frighten people throughout the world.  This article by Brian Deer systematically addresses Wakefield’s flawed theories and debunks the autism myth that Andrew Wakefield has perpetuated.vaxnoautism1

As if that weren’t enough, there have been countless studies that have investigated any possible link between vaccines and autism and no evidence can be found to support such a link.  (You can access the latest published research here, here and here.)

The science is clear, and yet there are many autism advocacy organizations that continue to install fear in parents who just want what’s best for their children.  

As this Newsweek article explains:

Despite the science, organizations involved in the anti-vaccine movement still hope to find some evidence that vaccines threaten children’s health. For example, the autism advocacy organization SafeMinds, —whose mission is to raise awareness about how certain environmental exposures may be linked to autism, recently funded research it hoped would prove vaccines cause autism in children. But this effort appears to have backfired for the organization—since the study they funded failed to show any link between autism and vaccines.”

Alycia Halladay, chief science officer at the Autism Science Foundation, commends SafeMinds for financially supporting the study, but she worries that some autism advocates may be asking the wrong questions.

“I’m not saying that we need to stop funding research in the environment, because we know the environment does impact neurodevelopment,” she says.

However, Halladay explains that organizations that look to blame vaccines for causing autism are “playing whack-a-mole”.

“First, the proposed association was between the MMR vaccines and autism. Then that was disproven. Then it was the thimerosal components in vaccines; now that has been further disproven in a carefully designed animal model study that aimed to specifically examine that question. It has also been suggested that the association is because of vaccine timing, but that too has been disproven. The target always seems to be moving, and the expectation is that scientific resources will be diverted to address each new modification of this hypothesized link.”

While there may always be people who will believe there is a link between vaccines and autism, despite the science that proves otherwise, I’m writing today to explain another issue that has swayed my decision to support vaccines.

This issue is one of life and death for my son Ben.

I realize, very clearly, that without vaccinations my son would die. 

That is why I am a fan of modern medicine and the science that makes vaccines possible.  If Ben had been born a century sooner, he wouldn’t have survived his Hirschsprung’s disease.  Had he been born less than a half century sooner, he wouldn’t have survived leukemia.  As it is, we have come face to face with his mortality several times.  I see vaccinations along the same lines as chemotherapy – far from perfect, but with the help of the scientific method, getting better all the time.  Vaccines, and even chemotherapy in Ben’s case, are the best shot we have at giving our child a long, healthy life.

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Image courtesy of the Refutations to Anti-Vaccine Memes Facebook page.


For us, though, it goes a step further.  

Ben is also immunocompromised.  

That means that even fully vaccinated, he doesn’t have enough ability to fight off diseases.  He is that kid.  The kid who needs herd immunity.  He’s the reason our whole family gets flu shots and chicken pox vaccines.  He’s the kid who needed boosters for pneumococcal vaccines – because his body lost immunity to them.  Even though we do our best to protect him, he’s the kid that could get infected during a measles outbreak. And he is the kid whose body is weak and who is very likely to succumb to a disease like measles, which would inevitably hospitalize him or worse…cost him his life.

I wrote this piece after weeks of consideration.  I realize this could ruffle feathers.   So I ask…

If you don’t vaccinate, have you researched the diseases we vaccinate against as well as the side effects of vaccinations?   Have you seen what polio and diphtheria can do?  Do you realize that if measles encephalitis sets in that your child will be isolated in the Intensive Care Unit while you wait to find out if he or she is the lucky one who survives with brain damage?  And do you realize that, statistically speaking, the greatest risk in getting a vaccine for your child is driving your child to the doctor’s office?

I realize the rhetoric goes around and around, and that I’m about as likely to change your mind as you are likely to change mine.  But if there’s that tiny chance that you’re really considering all the facts, I’m hopeful that Ben’s face and plight would make a difference.  After all, I am his mother, and I must do everything I can to protect him and keep him healthy. I have to try.

I have a sad feeling that it will take a true epidemic to turn the tide. I just hope that my child will not end up as a casualty. He is not a statistic, nor would I ever want him to be one…he’s our precious child and we don’t want to lose him.

So please remember, your vaccination status could mean the life or death of a child like Ben.

Every Child By Two is collaborating with various immunization advocacy organizations to collect personal stories about the value of vaccines.  These stories will then be shared with state and federal legislators throughout National Immunization Awareness Month (NIAM) in August.  Help ensure that our government representatives know that our country, our communities, our students and our families deserve protection from vaccine preventable diseases.  Join the movement and speak out in favor of vaccines by sharing your story at the following link: bit.ly/28NoZCR.

Understanding Why Your Baby Needs a Hepatitis B Vaccine At Birth

June 22, 2016 3 comments

Parents Often Underestimate the Risk of Hepatitis B

You can protect your child at birth with a hepatitis B vaccination 

A guest post by Carolyn Aldigé, President and Founder, Prevent Cancer Foundation

GrandmaBabyiStock_000051076236_Double.jpgWhen you hold your newborn for the first time, it is a life-changing moment. An incredible sense of responsibility takes hold, including ensuring the safety and security of your child. And yet some parents don’t realize that making sure your children receive the hepatitis B vaccine before they leave the hospital is a critical first step in protecting your newborn.

Hepatitis B is a frequently misunderstood virus—you may mistakenly think your child is not at risk for hepatitis B because of misconceptions surrounding the transmission of this infection. Research also shows few people are aware of the connection between hepatitis B and liver cancer.

In an effort to help save lives, the Prevent Cancer Foundation launched Think About the Link™, an education campaign to raise awareness of the link between viruses and cancer, including hepatitis B and liver cancer, and how to prevent them. The hepatitis B virus spreads through blood or other bodily fluids that contain small amounts of blood (even tiny amounts too small to see) from an infected person. According to the Centers for Disease Control and Prevention (CDC), infants and children can contract hepatitis B in the following ways:

  • At birth from their infected mother; 
  • Being bitten by an infected person; 
  • Touching open cuts or sores of an infected person;
  • Sharing toothbrushes or other personal items used by an infected person; and
  • Food that was chewed (for a baby) by an infected person.

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Additionally, the hepatitis B virus can survive outside the body for at least seven days. This poses major risks for babies, who frequently place objects in their mouths and could come into contact with an infected object.

The CDC’s recommended schedule for the hepatitis B vaccine will offer your child the greatest protection, including having your newborn vaccinated with the first of three doses before you leave the hospital.i Nearly 90 percent of infants who contract hepatitis B remain chronically infected. You can avoid this risk altogether by vaccinating your child. The hepatitis B vaccine not only offers protection against the virus, but ultimately can prevent cancer.PCF_Logo_2016

Infants are at real risk of becoming infected with hepatitis B, which means they are at real risk of developing cancer. Vaccinating your child at birth is the best way to prevent hepatitis B and liver cancer, and is a critical part of your role as protector.

For more information about Hepatitis B and the vaccine to help prevent it, check out these additional CDC resources:

 

 

 

 

 

My Polio Story is an Inconvenient Truth to Those Who Refuse Vaccines

by Judith Shaw Beatty

In 1949, the year I was hit by the poliovirus, 42,000 cases of polio were reported in the United States and 2,720 people died, most of them children.

JudithAtTheBeach

Here I am at the beach with my mom and my sister before I contracted polio.

I was diagnosed with paralytic poliomyelitis, which is experienced in less than 1 percent of poliovirus infections. Not only did it immobilize me completely from the neck down, it also attacked my lungs. It was August, a popular month for polio, and I was six years old.

A few weeks before, my parents, younger sister and I had moved from the outskirts of New York City to Rowayton, Connecticut, which back then was a small town of 1,200 people.  My father had gotten a job as associate editor at Collier’s Magazine and my mother was a homemaker, and our new two-story house with its big yard was in sharp contrast to the tiny apartment we had come from.

The poliovirus attacks very quickly.

I was playing with other children at a lawn party and developed such a terrible headache we had to go home. When I woke up the next morning, my legs were so weak I couldn’t stand on them and I could barely lift my arms. It took all day for the doctor to visit the house and examine me, and that night I was taken to the Englewood Hospital in Bridgeport and put in an iron lung.

My mother told me years later that the prognosis was very poor and I was expected to die within hours.

JudithPolioMonthBeforeDiagnosis

This photo was taken at a garden party, just one month before I contracted polio.

One of the children I was playing with at the party was John Leavitt, who many years later went to work in the field of biotechnology at the Bureau of Biologics of the FDA. Part of his work involved growing live poliovirus, and it was necessary to be tested for polio antibody titre. All those years later, he learned that he must have had the natural polio infection based on the results.

Now, looking back, we realize that while I went home and ended up in an iron lung, John ended up with a flu-like disease with no paralysis.  To this day, no one knows why the vast majority of people attacked by the virus recovered with no residual effect and so many others went on to spend the rest of their lives in wheelchairs.

After I was taken to the hospital, the health department put a yellow quarantine sign on the front of our house and at the end of our driveway.

My mother said that when she and Dad would go to the beach in town, people would grab their blankets and umbrellas and move. At the grocery store, my mother said she could hear people whispering and staring. No one wanted to be near my family. Everybody knew of somebody who had died from polio or was crippled by it, and 1949 turned out to be a record year. At its peak in the 1940s and 1950s, polio would paralyze or kill 500,000 people worldwide every year. And there was no vaccine for it, so there was no defense against this invisible, raging monster that struck indiscriminately.

I have no memory of being in the iron lung.

Read more…

History Is Destined To Repeat Itself With More Measles Outbreaks

March 31, 2016 2 comments

What Have We Learned From Last Year’s Measles Outbreak?

8QgmhZV.jpgLast year the United States experienced a large, multi-state measles outbreak that was largely responsible for 189 measles cases that spread across 24 states and the District of Columbia.  It’s believed that the outbreak started from a traveler who contracted measles overseas and then visited the Disneyland amusement park in California while infectious.  Widespread media coverage of the outbreak helped elevate public concerns related to the dangers of measles infection, the consequences of a growing number of school vaccine exemptions and the risks of disease among those who were too young or medically unable to be vaccinated.

At this time last year, it seemed as though we were experiencing a tipping point; a growing number of people were beginning to realize that vaccine refusal had consequences that could threaten our nation’s public health.  The fact that the personal decisions of a select few people was able to threaten herd immunity and the health of many unsuspecting families and communities was worrisome.

It was believed that more parents (including some who had previously refused vaccines) were seeking and accepting vaccination for their children as a direct result of the outbreak.  However, to determine whether clinicians were experiencing any real or lasting changes in vaccine acceptance, Medscape conducted a survey of vaccine providers to find out.

The survey, conducted in July of 2015, included 1577 physicians, nurse practitioners and physician assistants who worked in pediatrics, family medicine and public health.  Responses confirmed that the measles outbreaks induced more acceptance of the measles vaccine and vaccines in general.  The survey also indicated that, for some parents, a greater acceptance of vaccines was directly related to the fear of the disease, the consequence of being denied admission to schools, daycares or camps, and a greater knowledge about vaccines as a result of more reading on the subject.  However, in some cases there was no change.

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Results of Medscape Survey Conducted in July, 2015

 

Every Child By Two also experienced a heightened amount of interest in the months during and immediately following the outbreak with a record number of inquiries from parents.  Most were asking for information about the dangers of measles infection and for clarification of the MMR (measles, mumps and rubella) vaccine schedule.  There were many parents who were specifically inquiring as to the possiblity of vaccinating their children before the recommended age in order to protect them during the outbreak.  Shot of Prevention blog posts that included content specific to measles infection and MMR vaccination had record numbers of views in the early months of 2015, and personal stories relating to the outbreak, were widely shared on social media.

One story that drew a lot of attention was an open letter by Dr. Tim Jacks, whose two children had to be quarantined after they were both exposed to measles at a Phoenix Children’s Hospital clinic.  His 3-year-old daughter Maggie had a compromised immune system as a result of fighting acute lymphoblastic leukemia (blood cancer), while his 10 month old son Eli had received all his recommended vaccines, but was still too young for his first dose of MMR vaccine.  While neither of his children ended up contracting measles, the frustration he expressed in his letter entitled “To the parent of the unvaccinated child who exposed my family to measles” hit a nerve with a lot of people.

The Focus of Immunization Rates Fades as Cases Dwindle

In reaching out to Dr. Jacks this week, it appears that the attention on vaccinations that was raised during last year’s outbreak appears to have been rather short-lived.  He explained,

“As a pediatrician, I regularly discuss vaccines, exemptions, and last year’s outbreak.  The cold facts and data only reach so many, so my family’s story adds a personal angle to the issue that questioning parents rarely consider.  After the media exposure, many families were aware of our situation.  However today, the measles issue is not on as many people’s minds.  Vaccine exemption is however a hot issue in Arizona.  The Arizona political arena is considering avenues to encourage vaccination and I am hopeful that the coming year will produce progress in that regard.”

Today, a little over a year since the outbreaks began, the good news is that there have only been two reported measles cases so far in 2016.  However, it also appears that history may be destined to repeat itself.

Consider, for example, the reports out just this week about a California charter school student who tested positive for measles after returning home from traveling overseas.  With just 43% of kindergarteners at the Yuba River Charter School being up-to-date on their MMR vaccine, the California Department of Public Health has attempted to prevent a measles outbreak by first closing the school to all students, and then remaining closed to those without a measles vaccine until April 8 as long as no new cases are documented.

Despite overwhelmingly high vaccination rates across the country, with a mere 1.7% national vaccine exemption rate among kindergartener’s for the 2014-2015 school year, and a 90%+ coverage of MMR vaccine among 19-35 month old children, these small pockets of unvaccinated children continue to present a risk of future measles outbreaks. Read more…

Can Infants Really Handle 10,000 Vaccines At a Time? Dr. Harrison Explains

March 24, 2016 83 comments
journalsEvery Child By Two is pleased to launch another article in their Expert Commentary series featuring guest writer Joel A. Harrison, PhD, MPH, a retired epidemiologist who has worked in the areas of preventive medicine, infectious diseases, medical outcomes research, and evidence-based clinical practice guidelines. Dr. Harrison volunteers his time to provide in-depth and expert analysis of articles which ultimately make false claims about the safety of vaccines.  His articles are summarized here on Shot of Prevention with links to the full response on the Every Child By Two website.

Today we will feature Dr. Harrison’s latest paper,

by Joel A. Harrison, PhD, MPH

A recurrent concern among parents is that the mounting number of vaccines now administered to babies is a major challenge to the infantile immune system. Leading advocate of childhood immunizations, Dr. Paul Offit, has sought on numerous occasions to reassure parents by emphasizing how robust and effective babies’ immune systems are at responding to the daily threats from the enormous number of bacteria and viruses they are exposed to. He has illustrated this by showing how – in theory – a baby’s immune system could cope with the number of epitopes (parts of a microbe recognized by our immune system) represented by 10,000 vaccines at one time. While 10,000 seems like a lot, as Dr. Offit explains, even this number is small compared to the capacity of our immune system and, yet, it is exponentially greater than the epitopes represented by all the vaccines given to children.

Well-organized, well-funded groups have sprung up trying to persuade parents of the alleged dangers of vaccines. Their arguments are mistaken, confused, lacking in scientific rationale and logical cohesion. There is one claim, based on one statement/sentence made by Dr. Paul Offit, repeated umpteen times all over the blogosphere, that I think encapsulates their flawed thinking. This claim takes one sentence out of context, ignoring the entire lead in to it. However, even without the context, antivaccinationist’s use of it contradicts common sense. Rather than doing their homework, they amplify each other in a near hermetically sealed self-reinforcing closed circle.

I believe that there is not a single book or paper that I couldn’t find one or two sentences that I could take out of context in order to prove any point I wish to. The purpose of this paper is to once again explain how our  immune systems work, how vaccinations fit in the picture, and to show just how flawed antivaccinationist thinking is. Read more…

Questioning Whether To Get Your Child the HPV Vaccine? Read This

January 21, 2016 5 comments

iStock_000039978628_Double.jpgIn June 2006, the first human papillomavirus (HPV) vaccine was licensed for use in the U.S.  Rather than celebrate the development of a vaccine to prevent a deadly form of cancer, many parents have instead been misguided by fear.  As a result of persistent internet stories and inaccurate myths that question the safety of HPV vaccines, parents continue to refuse or delay HPV vaccines for their children, and one of the most effective ways to prevent cancer is being grossly underutilized.

Although millions of doses of HPV vaccines have been administered in the past 10 years, some parents still fear what may happen if their child gets an HPV vaccine. 

What they should fear is what may happen if they don’t.

I offer the following information about HPV because everyone should understand where their fears ought to be directed: at the disease, not the vaccine designed to prevent it.

1)  It’s not about sex, it’s about cancer.

Regardless of what parents choose to teach (or not teach) their kids about sex, abstinence or contraception, the HPV vaccine is vital to the health of our children because it protects them from cancer.

By preventing people from contracting certain strains of a highly prevalent infection, we can then prevent the possibility of HPV infections turning into cancerous cells. An HPV infection is often contracted shortly after sexual debut, and can eventually lead to cancers of the cervix, vulva, vagina, penis, anus or throat. Since the majority of these cancers have no formal screening measures, they often go undetected until they are well advanced.

2)  Nearly all sexually-active individuals will contract HPV at some point in their lives. 

HPV is the most common sexually transmitted infection in the United States and is often referred to as the common cold of the genitals. HPV is not a new virus, but many people are unfamiliar with how dangerous and prevalent it is. Consider these staggering statistics:

Not only is HPV infection common, but most people rarely know they’re infected because it typically occurs without any symptoms.  Since it’s possible to develop symptoms years after first being infected, it’s especially difficult to diagnose exactly when a person first became infected.

In about 90% of cases, an HPV infection will eventually clear in about a year or two. However, during that time, those infected with HPV are often unknowingly spreading the infection to others.

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3)  As many as 10% of those infected will eventually develop cancer. 

While 90% of people may clear the infection, the other 10% end up developing cancerous cells years, or even decades, after initial exposure.  Since there is no way to determine which cases will clear and which will lead to cancer, universal vaccination is the most effective means of prevention.

The following data reveals just how many cancer cases are linked to HPV each year:

Cervical cancer: Almost all cervical cancer cases are caused by HPV and more than 11,000 women in the U.S. alone get cervical cancer each year.  When looking at the bigger picture, 528,000 new cases of cervical cancer were diagnosed worldwide in 2012.

Anal cancer: About 91% of anal cancers are caused by HPV and there are approximately 4,300 anal cancers diagnosed each year.

Oropharyngeal cancers(cancers of the head, neck, throat, mouth, tongue, and tonsils) About 72% are caused by HPV and an estimated 8,400 of these cancers are diagnosed each year.

Vaginal cancer: HPV causes about 75% of vaginal cancers and there are about 500 vaginal cancers diagnosed each year.

Vulvar Cancer: HPV causes about 50% of vulvar cancers and an estimated 2,100 vulvar cancers are diagnosed each year.

Penile Cancer: About 63% of penile cancers are linked to HPV and there are about 600 penile cancers diagnosed each year.

Genital Warts: There are more than 40 types of HPV that specifically affect the genital area. However, 90% of genital warts are caused by HPV types 6 or 11 and about 360,000 people in the U.S. get genital warts each year.

Since there is no test to check one’s overall HPV status, and no standard screening to detect HPV in the mouth or throat, getting an HPV vaccine is an effective way to prevent illness rather than leave people vulnerable to infections that can lead to cancer.

Some argue that since there is a test to screen for cervical cancer that this eliminates the need for vaccination among women.  While cervical cancer screenings are vitally important, they don’t prevent infection.  Instead, they help identify precancerous lesions. Once lesions are discovered, women may then need to endure various invasive and painful procedures.  These may include cone biopsies used to help diagnose precancerous or cancerous cells, and a loop electrosurgical excision procedure (LEEP) often used to burn off precancerous lesions.  Additionally, cervical cancer screenings don’t help identify other HPV related cancers or help screen of men or adolescents for HPV.  With the vaccine we can prevent cancers before they exist.

4)  Surprise…you don’t have to have sex to get HPV.

Read more…