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Shot Delays: Alternative Vaccine Schedules Mean Fewer San Diego Students Are Fully Immunized

From the Harvard report
"Today, the goals of pharmaceutical policy and medical practice are often undermined due to institutional corruption — that is, widespread or systemic practices, usually legal, that undermine an institution’s objectives or integrity. We will see that the pharmaceutical industry’s own purposes are often undermined. In addition, pharmaceutical industry funding of election campaigns and lobbying skews the legislative process that sets pharmaceutical policy. Moreover, certain practices have corrupted medical research, the production of medical knowledge, the practice of medicine, drug safety, and the Food and Drug Administration’s oversight of pharmaceutical marketing. As a result, practitioners may think they are using reliable information to engage in sound medical practice while actually relying on misleading information and therefore prescribe drugs that are unnecessary or harmful to patients, or more costly than equivalent medications. At the same time, patients and the public may believe that patient advocacy organizations effectively represent their interests while these organizations actually neglect their interests."
http://papers.ssrn.com/sol3/papers.cf...

Isn't it naïve to act as if the category of vaccines is somehow separate and distinct from the greater frame of Pharma influence?

September 28, 2013 at 5:06 p.m. ( | suggest removal )

Shot Delays: Alternative Vaccine Schedules Mean Fewer San Diego Students Are Fully Immunized

@Anon11 - MMR & febrile seizure & epilepsy citation here-
"About 1 in 3 children who have one febrile seizure will have at least one more febrile seizure. Most children (>90%) will not develop epilepsy." Up to 9% can.
http://www.cdc.gov/vaccines/vpd-vac/c...
The "up to 9%" was accurate.
There should not be a pay wall at the scribd? Try it again, or you could simply google 'World Health Organization" and use the function yourself.
http://www.cdc.gov/vaccines/vpd-vac/c...
There are 190 + countries in the world, only 29 offer Varicella to anyone, only 16 to kids under 6. Most other countries reserve Varicella to people who reach adolescence without natural infection, Health care workers without immunity or are in risk groups.

Recall this article is about if schedule modifiers are a threat and if there is any rationale to adjust the schedule. I have provided info against the first and for the second.

Is this near hysterical reaction to people who question the vaccine schedule warranted? It implies that the FDA, Government Regulators, and the Pharmaceutical Companies are infallible, and impeccable in their actions. Is that true? Absolutely not. By definition every FDA recalled drug was first an FDA approved "safe and effective" drug.
Does Pharma behave ethically? Absolutely not, outside of the Gulf oil disaster they comprise some half the Top Ten largest Criminal fines for fraud, etc., in the last year.
http://www.fcpablog.com/blog/2013/1/4...
http://projects.propublica.org/graphi...
To be truly informed study this symposium offered by Harvard's Center for Ethics discouragingly titled "Institutional Corruption and Pharmaceutical Policy"
http://www.ethics.harvard.edu/lab/fea...

September 28, 2013 at 5:03 p.m. ( | suggest removal )

Shot Delays: Alternative Vaccine Schedules Mean Fewer San Diego Students Are Fully Immunized

Does the >5% of selective vaccinators’ “undervaccination” pose a threat to public health? If you use the Measles license in 1963 as the start of the modern day vaccine era, all of the country was massively undervaccinated for the first 30 years or so of the era. The ultra high 90% plus percentages we see today were only possible through a combination of factors which coalesced in the late 80’s early 90’s. One factor was school attendance mandates that didn’t solidify until the early 80’s. Another was the VICP liability shield for Pharma and Health Care Workers in 1986, and finally the forming of the VFC- Vaccines For Children, in 1993-4 whereby the government buys and provides vaccines free to people who lack insurance or other means. Using the current definition of undervaccination- that anyone who is missing any dose by the set timeframe- the entire country was undervaccinated for decades without collapse into plagues.

Is it irrational, unscientific, or irresponsible to ever modify the schedule? I have posted links to CDC VSD slides and information sheets documenting that combining the Chicken Pox vaccine to the MMR, both as separate shots or a combination significantly increases the rate of febrile seizures. A febrile seizure is not merely an extremely unpleasant experience but a medical emergency. The CDC paper states “About 1 in 3 children who have one febrile seizure will have at least one more febrile seizure. Most children (>90%) will not develop epilepsy.” Therefore up to 9% do develop epilepsy. Vaccine provoked febrile seizures are equal in their ability to cause problems as seizures from other causes. “Two studies have shown that children who have febrile seizures after receiving an MMR vaccine are no more likely to have epilepsy or learning or developmental problems than children who have febrile seizures that are not associated with a vaccine”. A febrile seizure is a febrile seizure- vaccine provoked seizures are not somehow safer.

The WHO document shows very few countries vaccinate for Chicken Pox. The PUBMED citation shows the Netherlands studied the idea and rejected it. The UK Health Ataxia paper states, “ a search was conducted of all the scientific research published between 2002 and 2008 that described complications following Chicken Pox…. Studies showed that the incidence of severe complications in children following chickenpox was less than 1 in 100,000.”
http://www.scribd.com/doc/120430481/C...

Shouldn’t a parent be able to decide whether or not the risk benefit ratio is appropriate for his child?

September 23, 2013 at 9:53 a.m. ( | suggest removal )

Shot Delays: Alternative Vaccine Schedules Mean Fewer San Diego Students Are Fully Immunized

The CDC paper states that up to 9% of febrile seizure sufferers go on to develop epilepsy. It states that vaccine induced seizures have the same epilepsy provocation rate as natural infection seizures.
Do you think a parent considers the difference between 1/3500 seizure rate and 1/1250 seizure rate to be "slight"?
And do you not think that even if a febrile seizure is full recoverable, it is a parent's duty to try to prevent their child from that awful experience, if they can do so responsibly

To bring this back around to the subject herein:
1. Does modifying the schedule, and the >3% of exemptors put the public health at risk? I submit no, based on the fact that from 1960 through to 1995 the vax rates were nowhere near the 90% plus now enjoyed for a much broader array of vaccines.
During those decades many vaccines had only 50-60% coverage.
2. Is a parent irrational for wanting to protect their child from an adverse reaction? Are vaccines so safe that any concern of injury is unwarranted? Not at all, the referenced documents show that by separating the Chicken Pox from the MMR a parent can dramatically reduce the chance of a febrile seizure.
3. No responsible person claims vaccines are 100% safe, 100% of the time, across 100% of the population. The question is in the frequency and severity of injury. Public Health Canada puts the SAEFI at 1/100,000. That is a small individual risk, but it is real, and there is a difference between "rare", and never. Project the Public Health Canada 1/100k injury rate = 10/mil across the vaccines administered every year. There are 8 million children 0-24 months receiving 20 plus routine vaccines, 160 million doses, x 10/ mil = 1600 seriously injured children. That is why the safety question will not go away- even a product that has only a .000001 failure rate can't beat the numbers.
Remember, exemptors agree to be excluded from school during outbreaks. In the event of a true epidemic the State has available coercive Police powers to force quarantine, and even potentially compel vaccination.
Parents should retain the right to determine allowable risk.

September 20, 2013 at 3:32 p.m. ( | suggest removal )

Shot Delays: Alternative Vaccine Schedules Mean Fewer San Diego Students Are Fully Immunized

In the cases of the MMR & V and PVC13 & Flu it is scientific fact as documented that their combination increases reactivity. This is cited above, please review the documents again. I could perhaps amend the general statement, but for these common and studied vaccines the seizure rate increase is undisputed. It is not unreasonable that other vaccine combinations that have not yet been studied also have increased reactivity.

The documentation to Varicella being a benign infection is on slides 3 and 4 here, http://www.scribd.com/doc/120430481/C..., detailing that the Netherlands undertook a study to evaluate if they should follow the US about Chicken Pox, and determined it was not warranted, as the infection is simply not serious enough. Slide 4 is from the UK health service, putting the risk of serious complication from a naturally acquired Chicken Pox infection at less than 1 in 100,000. It is in the red box.

That is an interesting statistic because Public Health Canada puts the risk of a Serious Adverse Event to vaccination to be 1/100,000.

" An adverse event following immunization (AEFI) is any unwanted medical reaction following immunization. The majority of adverse events are not serious and include soreness, swelling or redness at the injection site, fever, rash, headache or muscle aches and pains.

A serious adverse event following immunization is any adverse event that is life-threatening, or results in death, requires hospitalization, prolongs an existing hospitalization or results in residual disability.

Serious adverse events following immunization are rare. In any immunization campaign, from regular childhood vaccines to seasonal flu shots, the reported rate of serious adverse events is on average about 1 case for every 100,000 doses distributed.

The 1 in 100,000 rate is based on tens of millions of vaccine doses distributed over several years. This rate is based on the administration of several different types of vaccines, some of which have higher or lower rates of adverse events. Rates can also vary by age."
http://www.scribd.com/doc/115428698/p...

This citation shows that for some number of people who say, "I or my child was injured by a vaccine", are not mistaken or lying.

Is it a parent's right to decide allowable risk to their child for a preventive medical procedure?

September 20, 2013 at 12:35 p.m. ( | suggest removal )

Shot Delays: Alternative Vaccine Schedules Mean Fewer San Diego Students Are Fully Immunized

It is a scientific fact that multiple vaccines in single visit and combination vaccines increase the rate of reactions.
The slides below are from a Vaccine Safety Datalink study about the addition of the Chicken Pox (Varicella) vaccine to the schedule. They detail an increase from the normal 1/3500 MMR febrile seizures to 1/2500 when a Chicken Pox shot is added to the same visit. The seizure rate increases to 1/1250 when the “Pro Quad”, 4 in 1 MMRV combination vaccine is used. The final slide is from a CDC presentation confirming that administering the PCV13 and Flu Shot in the same visit provokes a seizure every 1/2250. These documents speak very clearly against the idea that vaccines, because they are given to prevent illness, are somehow magically exempt from the normal rules of pharmacology and the occurrence of drug interactions and complications.
http://www.scribd.com/doc/169673565/V...
http://www.scribd.com/doc/83004210/CD...
Is a parent unscientific if he can dramatically reduce his child’s risk of a seizure by dose timing or product selection? Particularly if the risk increased is in possibly contracting Chicken Pox? Chicken Pox was considered a routine childhood illness, and not even a reportable infection prior to the development of the vaccine. The US is one of only 15 or so countries worldwide to recommend universal Chicken Pox vaccination, (The UK and most of Europe does not).
http://www.scribd.com/doc/120430481/C...
This article accurately describes that most parents exercising exemptions do so selectively, and are not abandoning the entire schedule wholesale. What it does not address is that exemptions rise in response to an ever-increasing schedule. Oregon is “blamed” for a high exemption rate, but the most exempted vaccine is Hepatitis A, which is only required by 15 states, not casually transmissible but passed by fecal oral contamination, prevented by proper hygiene, and rarely results in serious health outcomes.
http://www.scribd.com/doc/150190637/O...
The fact is vaccination rates are higher than they have ever been, and exemption use is a response to a bloating schedule which is adding vaccines for infections that are not commonly dangerous and / or easily contractible in the school setting.
http://www.scribd.com/doc/125116467/H...

September 20, 2013 at 10:22 a.m. ( | suggest removal )