Tag: contraindications

Were Hundreds of Medically Vulnerable Children Expelled from School in New York?

Why do some people think that hundreds of medically vulnerable children were expelled from school in New York?

Hundreds of medically vulnerable children were not expelled from school in New York with valid medical exemptions.

The usual suspects…

Were Hundreds of Medically Vulnerable Children Expelled from School in New York?

So what’s the real story?

A new vaccine law in New York eliminated religious exemptions so that students with non-medical exemptions would not be able to continue to go to school if they were missing one or more vaccines.

As the law continues to allow medical exemptions, it should be clear that as others got caught up on their immunizations, this helps make sure that those who are truly vulnerable are now at less risk of being exposed to a vaccine-preventable disease.

“If a child has a medical exemption to immunization, a physician licensed to practice medicine in New York State must certify that the immunization is detrimental to the child’s health. The medical exemption should specify which immunization is detrimental to the child’s health, provide information as to why the immunization is contraindicated based on current accepted medical practice, and specify the length of time the immunization is medically contraindicated, if known.”

Dear Colleague letter regarding guidelines for use of immunization exemptions

And those kids who do not have a valid medical exemption?

It is very important to understand that their parents have a choice to get them vaccinated and protected so that they can continue go to school.

Unfortunately, some parents and even a few doctors remain confused on what it means to have a valid medical exemption.

Especially in states that have strengthened their vaccine laws, a valid medical exemption must meet certain criteria and follow “current accepted medical practice standards as defined by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices.”

That doesn’t mean there can’t be exceptions, but it also doesn’t mean that a child would typically get a medical exemption for any reason simply because someone thinks they should, even if that someone is a doctor, unless the exemption is for an immunization that is “contraindicated based on current accepted medical practice.”

Were hundreds of kids in New York denied medical exemptions?

It is certainly possible when you hear parents tell stories about being denied exemptions for things like autism, ADHD, food allergies, epilepsy, clotting disorders, diabetes, psoriasis, autoimmune disorders, PANDAS, Tourette’s, or MTHFR gene mutations.

Were hundreds of kids in New York denied valid medical exemptions?

No, they weren’t.

More on New York Vaccine Laws

Can Vaccines Cause Herpes Infections?

It’s very easy to understand why some folks believe that vaccine injuries are so common.

Vaccines don't cause eczema and they certainly don't cause herpes.
Vaccines don’t cause eczema and they certainly don’t cause herpes.

It’s because they think that vaccines are poison and everything is a vaccine injury, even an infant’s herpes infection!

Can Vaccines Cause Herpes Infections?

Wait, could someone actually get herpes from a vaccine?

Yes, which vaccine causes this???
Yes, which vaccine causes this???

Do we even have a herpes vaccine?

Chickenpox, shingles, and herpes are all members of the herpesviridae family of viruses, but they are not all herpes.

As most people understand, we do have a herpes zoster vaccine, but that is for shingles – and it has nothing to do with the actual herpes virus. Remember, shingles got the name herpes zoster before it was known that it was actually caused by the chicken pox virus (varicella zoster).

And while there is a very large herpesviridae family of viruses, which includes the herpes simplex virus that causes cold sores (HSV1) and genital ulcers (HSV2) and the chickenpox virus, it also includes viruses that cause mono (EBV) and roseola (HHV6 and 7).

Still, only HSV actually causes herpes.

So no, none of the viruses we get could actually cause herpes.

It is thought that nearly 48% of people have HSV1 though and that you can be contagious, shedding the herpes virus even if you don’t have an active cold sore.

Where is the evidence for vaccines being contaminated with herpes viruses?
Where is the evidence for vaccines being contaminated with herpes viruses?

So what’s more likely, an infant was exposed to someone with HSV1 and got infected or they received a vaccine that was contaminated with HSV1, something that has never been documented?

What are some other “possibilities?”

Could it be eczema vaccinatum?

While eczema vaccinatum is a thing, it is a thing that occurs when someone with eczema gets or is exposed to someone who has recently had the smallpox vaccine.

Eczema vaccinatum has to do with the smallpox vaccine...
Eczema vaccinatum has to do with the smallpox vaccine…

It is why the AAP once considered eczema a contraindication to getting vaccinated.

It is unlikely that the infant pictured above was exposed to someone who recently had the smallpox vaccine though and he doesn’t have eczema vaccinatum anyway…

Colloidal silver or CBD oil on eczema???
Colloidal silver or CBD oil on eczema???

And no matter how confident these folks are in their advice to treat and diagnose this baby, they are wrong.

It's truly mind numbing when these folks try to blame everything on vaccines.
It’s truly mind numbing when these folks try to blame everything on vaccines.

Everything isn’t a vaccine injury.

It is always the vaccines...
It is always the vaccines…

What happens if parents actually start to believe anti-vaccine folks who are claiming that HSV1 infections are caused by vaccines?

How do vaccines cause herpes virus?
How do vaccines cause herpes virus?

In addition to skipping or delaying vaccines, putting their kids at risk to get pertussis, measles, Hib, and other vaccine-preventable diseases, they might not take precautions to actually keep them from getting herpes!

Fortunately, most kids with herpes do well if they are outside the neonatal period - after they are about a month old.
Fortunately, most kids with herpes do well if they are outside the neonatal period – after they are about a month old. Hopefully this mom posts an update to the anti-vax group too.

And we will see more kids ending up in the hospital or dying with herpes infections.

More on Vaccines and Eczema

Standing Orders for Vaccination

Have you heard about standing orders for vaccination?

Anti-vax folks have become overt in how they are now all about conspiracy theories.
Anti-vax folks have become overt in how they are now all about conspiracy theories.

Guess what?

Standing orders does not mean “covert vaccination without consent.”

Standing Orders for Vaccination

For one thing, there is nothing covert about them.

In addition to the Take a Stand! website, the Immunization Action Coalition has hosted workshops all over the United States on using standing orders to increase vaccination rates.

And they aren’t about vaccinating people without their consent.

So what are standing orders for vaccination?

“Standing orders are written protocols approved by a physician or other authorized practitioner that allow qualified health care professionals (who are eligible to do so under state law, such as registered nurses or pharmacists) to assess the need for and administer vaccine to patients meeting certain criteria, such as age or underlying medical condition.”

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting

Again, that doesn’t mean you can skip getting informed consent before giving vaccines.

“Having standing orders in place streamlines your practice workflow by eliminating the need to obtain an individual physician’s order to vaccinate each patient.”

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting

All standing orders do is eliminate the need for doctors and other health care providers to assess and write orders for vaccines on each and every patient they see.

Instead, standing orders help delegate that part of the vaccination process to other qualified health care professionals to help make sure that “immunizations are available at all visits, sick or well, regular hours, or weekend clinics.”

Everything else is essentially the same.

Even with standing orders, you still have to get informed consent before giving a vaccine.
Even with standing orders, you still have to get informed consent before giving a vaccine.

The health care provider giving the vaccine still has to:

So what’s the benefit of standing orders?

It removes some of the barriers to getting vaccines, such as needing a well child checkup or physical exam, allowing for vaccination-only appointments.

“The Community Preventive Services Task Force (CPSTF) recommends standing orders for vaccinations—when used alone or when combined with additional interventions—to increase vaccination rates among adults and children from different populations or settings.”

Vaccination Programs: Standing Orders

Standing orders also help make sure that you keep kids on schedule or get them caught up as health care providers automatically check their vaccination status at each and every visit to the office, even during sick visits.

For example, if you child comes in for an appointment in October with a mild ear infection or because they have a wart, a standing order for a flu vaccine can help make sure you child is vaccinated and protected before flu season starts.

Standing orders do not override laws requiring informed consent.
Standing orders do not override laws requiring informed consent and there is no single form that would give consent to all medical procedures.

It should be obvious that standing orders simply lead to fewer missed opportunities to be vaccinated and protected.

Not surprisingly, their source and evidence for forced vaccination is simply another anti-vaccine website...
Not surprisingly, their source and evidence for forced vaccination is simply another anti-vaccine website…

There is nothing covert about them.

“Consent is a communications process, not a form. The process provides an opportunity for the patient to understand the benefits, risks and alternatives to the treatment he or she is about to undergo, and for the physician to explain these in detail. Forms are used to document the process.”

Consents Policy

Not even in the way anti-vax are using them to try and scare you away from vaccinating and protecting your kids.

More on Standing Orders for Vaccination

Reactions to SB 276 Passing the Assembly

On the same day that the LA Times wrote what some are calling a false balance about Bob Sears, SB 276 passed the California Assembly and Gavin Newsom called for the addition of amendments that would protect doctors who have been writing an excessive amount of medical exemptions.

Gavin Newsom's proposed amendments could weaken SB276.
Exempting individual medical information on exemptions from the Public Records Act is not a bad idea.

Coincidence?

Reactions to SB 276 Passing the Assembly

As the amendments only serve to weaken SB276, Governor Newsom should consider backing off on his request to change the bill, especially as he had previously said he would support it.

Protecting kids from vaccine preventable diseases is unethical and evil???
Protecting kids from vaccine preventable diseases is unethical and evil???

While the amendments will protect those who have been writing inappropriate medical exemptions, they won’t appease most people who are against SB 276.

Who is talking about forcibly injecting people with vaccines? Remember, mandates don't force anyone to get vaccinated and protected...
Who is talking about forcibly injecting people with vaccines? Remember, mandates don’t force anyone to get vaccinated and protected…

Especially as most of those folks still don’t understand exactly what SB276 does!

SB 276 does not eliminate all medical exemptions.
SB 276 does not eliminate all medical exemptions.

What silent loophole are these folks talking about?

The nephew of California State Assemblymember Lorena Gonzalez is immunocompromised.

“His doctor said no, he can’t have live vaccines, so no, he can’t be immunized against measles or chicken pox. Every time he is not in the hospital, he wants to be in school, but those diseases could kill him. Definitely put him back in the hospital. These are the children, the truly medically fragile children that we are trying to prevent from getting these diseases and why it’s so important.”

California State Assemblymember Lorena Gonzalez Assembly Floor Session, Tuesday, September 3rd, 2019

He has a medical exemption to getting vaccinated.

Unless the medical exemption is to all vaccines and not just live vaccines, he won’t lose his exemption and won’t need a “silent loophole.”

Having a “known severe immunodeficiency” is a well known contraindication to getting live vaccines, including MMR and the chickenpox vaccine.

Not only would his exemption be allowed, it not be one of only 5 exemptions that his doctor is allowed to make!
Not only would his exemption be allowed, it would not be one of only 5 exemptions that his doctor is allowed to make!

SB276 also doesn’t limit the number of medical exemptions that doctors can write. It just states that if a doctor writes 5 or more exemptions in a calendar year, then those exemptions will be reviewed by a medical panel to make sure that they are legitimate.

Why do 5 exemptions trigger a review? Because the average doctor will likely not need to write that many medical exemptions, as there are very few true medical reasons to avoid or skip vaccines. What if a doctor writes 10 or 15 legitimate medical exemptions? If they are reviewed and found to be legitimate, then 10 or 15 of their patients will have medical exemptions!

How will they revolt - because they don't want to vaccinate and protect their kids?
How will they revolt – because they don’t want to vaccinate and protect their kids?

Are Newsom’s amendments going to stop folks who are talking about revolutions?

Wait, which amendment is she talking about???

Is it going to protect kids from those who might continue to get unnecessary, permanent exemptions until the protections of SB 276 finally do take effect?

More on SB276