Author: Vincent Iannelli, MD

Kennedy Has a Fundraiser in the Middle of the Largest and Longest Measles Outbreak in Recent New York History

Remember when Andrew Wakefield went to Minnesota during their large measles outbreak?

It’s reminiscent of the NRA holding one of their conventions in a city after a big shooting, isn’t it?

Kennedy Has a Fundraiser in the Middle of the Largest and Longest Measles Outbreak in Recent New York History

While it seemed like a big outbreak at the time, those 13 cases would actually be considered rather small these days. In fact, a more recent outbreak in Minnesota, in 2017, had at least 79 cases!

And not surprisingly, anti-vaccine folks also visited the state to try and keep that outbreak going!

Do these folks ever learn?

Flash forward to 2019…

Since September of 2018, New York has seen over 332 cases of measles in two big outbreaks in Brooklyn and Rockland County.

So where does Robert F. Kennedy, Jr. choose to go for a fundraiser?

Where does he show up on TV to push his message about vaccine dangers?

Yup, New York City.

Lori Stokes: “Can I switch gears for a minute and talk about vaccines…”

Kennedy: “When I was a kid, we got three vaccines. That I took. My kids got 64 mandated vaccines.”

Rosanna Scotto: “How many? 64?”

Kennedy: “64”

Rosanna Scotto: “Wow!”

Kennedy: “Mandated doses. Today’s kids get 72, by the end of next year it will be 75. It’s all driven by profit. Most of these diseases are illnesses that you don’t need to be vaccinated for. “

Fox 5 Good Day New York

Wow indeed. That sounds like a lot because kids typically only get 13 vaccines that protect them against 16 vaccine-preventable diseases. We don’t even have 64 vaccines!

You only get to a number like 64 or 72 or 75 if you inflate the count to make it sound scarier.

In reality, if you count a yearly flu vaccine, kids get about 54 doses of vaccines through age 18.

Are any for diseases that you don’t need to be vaccinated for?

Which disease do you want your kids to get?

Do you want them to get tetanus, meningitis, epiglottitis, diphtheria, meningococcemia, cancer (hepatitis B and HPV infections) or to have grandchildren with congenital rubella syndrome?

Vaccines are safe, with few risks, and are necessary.

Ask yourself why folks like this are still allowed to push this kind of misinformation on folks, especially in the middle of an outbreak.

More on Kennedy’s Fundraisers

If It’s Genetic, Where Are the Older Adults with Autism?

Remember when anti-vaccine folks used to ask why there were no autistic adults?

“Where are all the adults with classic autism? Where are the hand flapping, head banging, self-abusive, spinning, screaming, rocking, stimming, non-verbal and violent 40, 50, 60, 70, 80 and 90 year olds wearing autism helmets and diapers? Where are the grown-ups at the mall experiencing violent tantrums, seizures and GI tract problems?”

Robert F Kennedy, Jr on Is the Autism Epidemic Real?

And we had to point out that there were?

If It’s Genetic, Where Are the Older Adults with Autism?

Well, not surprisingly, they have moved the goal posts.

What’s the new thing they are talking about?

Can Bob Sears sink any lower?
Sadly, most autistic adults don’t live into their 60s…

Where are the older adults with autism?

Where are the autistic senior citizens?

“I am different, not less.”

Temple Grandin (born August 29, 1947)

They are around, if you look for them.

Are they rarer than autistic children or autistic young adults?

Almost certainly, but that, tragically is because most of them have already died. Sadly, most don’t make it into their 60s.

It is well known that the mortality rates of autistic adults are much higher than the general population.

At least it is well known to those who aren’t trying to push anti-vaccine propaganda and who want to continue to make you think that vaccines are associated with autism.

More on Older Autistic Adults

What Percentage of Adults Are up to Date on Their Immunizations?

Are you up to date on your vaccines?

What about everyone else?

What Percentage of Adults Are up to Date on Their Immunizations?

Can you guess why this question comes up so often?

Yup.

There is no plan to force adults to get vaccinated...
There is no plan to force adults to get vaccinated…

It’s about herd immunity.

If most adults aren’t immune because they haven’t been vaccinated or don’t get boosters, then since we aren’t seeing that many outbreaks, herd immunity itself must be a myth.

The thing is though, adults were either born in the pre-vaccine era and likely earned their natural immunity or were born in the vaccine era and are vaccinated and immune.

It is also important to understand that herd immunity is disease specific, so when we talk about herd immunity for measles, it doesn’t matter if everyone has herd immunity levels of protection against hepatitis A or Hib.

And adults do get a few boosters and some vaccines that are only recommended for adults, including the shingles vaccine.

In addition, some vaccines, like Hib and Prevnar, have indirect effects, protecting adults even though they aren’t vaccinated, because vaccinated kids are less likely to become infectious.

But back to the original question, how many adults are up to date on their immunizations?

“While modest gains occurred in vaccination coverage for pneumococcal, Tdap, hepatitis A (persons with chronic liver conditions), herpes zoster, and HPV vaccination, coverage did not improve for other vaccinations and many adults remained unvaccinated with recommended vaccines. “

Vaccination Coverage Among Adults in the United States, National Health Interview Survey, 2016

While most adults are immune to what were once common childhood diseases, like measles and mumps, because they were either vaccinated or had the disease naturally, many could do better with newer vaccines that weren’t available when they were kids.

More on Adult Vaccination Statistics

Can You Prove That Jamie McGuire Books Don’t Make Teens Do Drugs?

Apparently, Jamie McGuire is a best-selling author.

According to Yahoo Lifestyle, she is the “author of 20 books in the New Adult genre (for ages 18-30), including Walking Disaster — which debuted at No. 1 on the New York Times, USA Today and Wall Street Journal bestseller lists — as well as the apocalyptic thriller Red Hill.”

And she wants everyone to know that she does not consent!

Can You Prove That Jamie McGuire Books Don’t Make Teens Do Drugs?

What does Jamie McGuire not consent to?

Since her whole post is about proving this and that about vaccines, which she seems to think are bad, I am guessing that she does not consent to getting vaccinated or to vaccinating her kids.

The thing is though, no one is trying to force her to vaccinate her kids.

You can just say that you don’t want to vaccinate your kids, coming out as another anti-vaccine pseudo-celebrity, without hijacking “I do not consent” messaging.

Anyway, her concerns about vaccines have been addressed. Indeed, they have been talked about a million times. If she were truly aware, she would stop being misled by anti-vaccine arguments that scare parents away from thinking that vaccines are safe, with few risks, and necessary.

Do we have proof? We have evidence!

And as the title says, can you prove that her books don’t make teens do drugs?

More on Jame McGuire and Consent

Who’s Who in the Anti-Vaccine Movement – 2019 Edition

We know that there will always be some folks who won’t vaccinate their kids.

“Although many may characterize all individuals who eschew vaccines as “anti-vaccine” or “vaccine deniers,” in reality, there is a broad spectrum of individuals who choose not to have themselves or their children vaccinated.”

Tara C Smith on Vaccine Rejection and Hesitancy: A Review and Call to Action 

Who are these people?

Who’s Who in the Anti-Vaccine Movement – 2019 Edition

We used to conveniently call them anti-vaccine, but that doesn’t really work.

Well, it still does, as long as you understand who you are talking about.

The thing is, the folks who don’t vaccinate their kids exist on a spectrum, from those who just need a little extra reassurance (the worrieds) or a lot of extra reassurance (parents who are on the fence or vaccine-hesitant), to vaccine refusers (will likely vaccinate during an outbreak, etc.) and deniers who likely aren’t vaccinating their kids in any circumstance and who might try to persuade others to avoid vaccines too – the vocal vaccine deniers.

So you don’t really want to bunch them all up one big anti-vaccine group, especially when you are typically talking about the vocal vaccine deniers, many of whom believe that they have a child who was injured or damaged by a vaccine.

We are still missing some folks though…

No, I’m not talking about those who like to claim that they are pro-safe vaccines, pro-choice vaccines, or vaccine skeptics, just because they don’t want to be labeled as being anti-vaccine.

Bob Sears appeared on Fox & Friends in 2010 for the segment "Vaccines: A Bad Combination?"
Remember when Bob Sears appeared on Fox & Friends in 2010 for the segment “Vaccines: A Bad Combination?”

We need to talk about the:

These are the folks who push misinformation about vaccines that scares parents away from vaccinating and protecting their kids.

Who's to blame for low immunization rates and continuing outbreaks?
Who’s to blame for low immunization rates and continuing outbreaks?

Do you know who I’m talking about it? Have you noticed that these folks never seem to face any consequences?

Who else do we need to talk about?

I remember speaking with my mother about vaccines, and at one point in our discussion, she claimed a link existed between vaccines and autism. In response, I presented evidence from the CDC which claimed directly in large bold letters, “There is no link between vaccines and autism.” Within the same article from the CDC on their official website, extensive evidence and studies from the Institute of Medicine (IOM) were cited. Most would assume when confronted with such strong proof, there would be serious consideration that your views are incorrect. This was not the case for my mother, as her only response was, “that’s what they want you to think.”

Ethan Lindenberger

There are also the folks who are pushing an anti-science agenda, making you think that mainstream doctors are bad and that anything holistic and natural must be good. Until the damage these folks are doing is seriously addressed, it won’t matter if we get a few anti-vaccine folks off of Amazon, Facebook and Pinterest.

Learn to be more skeptical. Do real research. Vaccinate your kids.

More on Who’s Who in the Anti-Vaccine Movement – 2019 Edition

Japan’s Rubella Outbreak Should Be a Warning About What Could Happen Here

Do you remember when we used to have rubella outbreaks in the United States?

There is a level 2 travel alert for Japan because of outbreaks of rubella.

Yeah, me neither, but in the rubella epidemics of the 1960s, rubella caused 2,100 neonatal deaths and 20,000 infants to be born with congenital rubella syndrome.

Japan’s Rubella Outbreak

Thanks to the rubella vaccine, the ‘R’ in the MMR, we rarely hear about rubella anymore.

Tragically, like measles and other vaccine-preventable diseases, rubella is coming back.

RubellaCongenital Rubella Syndrome
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There are still relatively few cases, but most of us would like to keep it that way.

The US had a big spike in rubella cases in the last 1980s.

We remember that with the return of measles in the late 1980s, rubella came back right along with it, causing 13 deaths and 77 cases of congenital rubella syndrome!

And that’s what is happening in many countries right now.

In Japan, for example, in addition to a rise in measles cases this year, they are seeing big outbreaks of rubella, with weekly totals exceeding 100 cases! These are numbers that are close to what they saw during outbreaks in 2013, a year that ended with 14,344 cases of rubella and 32 cases of congenital rubella syndrome.

Japan is on track to have a big rubella year.
Japan is on track to have a big rubella year.

And they are already reporting at least one case of congenital rubella syndrome, a 4 week old, which is not surprising, considering that they had nearly 3,000 cases of rubella last year.

A newspaper article in 1965 warned about the perils of rubella and congenital rubella syndrome.
A newspaper article in 1965 warned about the perils of rubella and congenital rubella syndrome.

Is that what we want to happen here too? Are folks looking forward to having to worry about babies being born with congenital rubella syndrome, a vaccine-preventable disease?

A vaccine-preventable disease that was declared eliminated in the United States in 2004.

More on Japan’s Rubella Outbreak

Making a Better Pertussis Vaccine

So we know that we need a better pertussis vaccine.

DTaP and Tdap just aren’t doing the job that they should be doing.

Whooping Cough is back, again.
Whooping Cough is back, again.

So when will we get one?

Making a Better Pertussis Vaccine

Since anti-vaccine folks are always talking about the 300 new vaccines in the pipeline, you would think that we would have had several new pertussis vaccines by now…

Unfortunately, we don’t.

What we do have is some good candidates, including:

  • new acellular pertussis vaccines, either with more antigens or an adjuvant
  • a new live attenuated nasal vaccine, BPZE1
  • new whole-cell vaccines with reduced endotoxin contents (so should have fewer side effects that then original whole-cell pertussis vaccine – DTP)

Before you get too excited, keep in mind that none of these vaccines will be available in your pediatrician’s office any time soon. Developing a new vaccine takes a lot of time.

BPZE1 has started phase 2a trials though.

What do we do until we get new pertussis vaccines?

“We should be more vigilant than we have been in the past to recognize and treat pertussis in all age groups so that transmission to young infants is reduced. Most important (although not discussed in this review) is to ensure that all pregnant women receive the Tdap vaccine between 27 and 36 weeks’ gestation with each pregnancy. Also, we should consider routinely administering Tdap vaccine every 3 years to all adolescents and adults who were primed with a DTaP vaccine.”

James D. Cherry on The 112-Year Odyssey of Pertussis and Pertussis Vaccines—Mistakes Made and Implications for the Future

We should keep using the pertussis vaccines we have!

Vaccines work, even when they aren’t as effective as we would like.

More on Making a Better Pertussis Vaccine