Tag: diabetes

Autoimmunity as a Contraindication to Getting Vaccinated

Can your kids get vaccinated if they have an autoimmune disease?

Can your kids get vaccinated if you or another family member have an autoimmune disease?

Folks shouldn't be using 23andMe DNA testing to justify their not wanting to vaccinate their kids.
Folks shouldn’t be using 23andMe DNA testing to justify their not wanting to vaccinate their kids.

Can your kids get vaccinated if you did one of those 23andMe genetic risk type tests?

“Risks associated with use of the 23andMe GHR tests include false positive findings, which can occur when a person receives a result indicating incorrectly that he or she has a certain genetic variant, and false negative findings that can occur when a user receives a result indicating incorrectly that he or she does not have a certain genetic variant. Results obtained from the tests should not be used for diagnosis or to inform treatment decisions. Users should consult a health care professional with questions or concerns about results.”

FDA allows marketing of first direct-to-consumer tests that provide genetic risk information for certain conditions

Not surprisingly, in almost all cases, the answer is yes.

Autoimmunity as a Contraindication to Getting Vaccinated

That doesn’t mean that there aren’t some true medical reasons that kids shouldn’t be vaccinated.

“Contraindications (conditions in a recipient that increases the risk for a serious adverse reaction) and precautions to vaccination are conditions under which vaccines should not be administered. Because the majority of contraindications and precautions are temporary, vaccinations often can be administered later when the condition leading to a contraindication or precaution no longer exists. A vaccine should not be administered when a contraindication is present; for example, MMR vaccine should not be administered to severely immunocompromised persons. However, certain conditions are commonly misperceived as contraindications (i.e., are not valid reasons to defer vaccination).”

Vaccine Recommendations and Guidelines of the ACIP

Which autoimmune diseases are listed as contraindications to get vaccinated?

None.

Which autoimmune diseases are listed as precautions to get vaccinated?

There are just a few, including Guillain-Barré syndrome (DTaP, Tdap, and flu vaccines) and thrombocytopenic purpura (MMR), but they typically don’t mean that you can’t still get vaccinated. And the general precaution to avoid getting a vaccine during “moderate or severe acute illness with or without fever” would apply to a time when you are acutely sick with your autoimmune disease, but you would get vaccinated once your symptoms were under better control.

Other things about autoimmune diseases are simply misperceived as being contraindications or precautions to getting vaccinated. Or they are pushed as anti-vaccine propaganda to scare you away from getting vaccinated and protected or to help you get a fake medical exemption.

“…vaccines are able to prevent some infections in MS patients known to accelerate the progression of the disease and increase the risk of relapses.”

Mailand et al on Vaccines and multiple sclerosis: a systemic review

For example, not only do vaccines not cause multiple sclerosis, they are recommended because they can prevent vaccine-preventable diseases that can make the disease worse for many people.

And flu shots and other vaccines are highly recommended for kids with diabetes, as they are at high risk for flu complications.

Vaccines are safe and necessary, even, and sometimes especially, if you have an autoimmune disease.

And having a predisposition for an autoimmune disease, either because of your child’s family history, or because of the results of some genetic testing kit you ordered on the internet, certainly isn’t a reason to skip or delay your child’s vaccines and leave them unprotected. You’re not avoiding any of the triggers that can cause autoimmune disease and simply increase the risk that they will get a vaccine-preventable disease and get others sick.

More on Autoimmunity as a Contraindication to Getting Vaccinated

Learn the Risks of Falling for Anti-Vaccine Propaganda

If you are on the fence or hesitant to vaccinate your kids, it might not be easy to recognize that the vaccine information that you get on some sites is pure propaganda.

That’s unfortunate, because you can’t make an informed choice about vaccines if you are basing that decision on misinformation.

Learn the Risks of Falling for Anti-Vaccine Propaganda

Take the infographic about the number of vaccine doses children in the United States normally get.

From the 1960s to today, propaganda about vaccine doses is meant to scare you from making an information decision about vaccinating your kids.
From the 1960s to today, propaganda about vaccine doses is meant to scare you from making an information decision about vaccinating your kids.

It is designed into making you think that kids get 72 doses of vaccines, scaring you and trying to reinforce the myth that kids get too many vaccines.

Have you seen and fallen for that trick? Did you ever think to actually count the total vaccine doses they list? As you can see above, it doesn’t come out to 72 doses

But why do  they do it? If they really think their “vaccines contain toxic chemicals” argument is convincing, then would it matter if the number of vaccine doses was 11 or 53 or 72? Why inflate it to make it wound scarier?

Still, however you want to count the number of doses of vaccines kids get today, one thing is crystal clear –  they get protection from more vaccine-preventable diseases.

In 1983, kids may have only have gotten 11 doses of vaccines, but many still died from Hib pneumonia and meningitis, epiglotitis (Hib), pneumococcal pneumonia and meningitis, hepatitis A, hepatitis B, rotavirus, chicken pox, and meningococcemia, etc.

“for those trained in pediatrics in the 1970s, Hib (Haemophilus influenzae type b) was a horror.”

Walter Orenstein, MD

Today, unless you decide to skip or delay your child’s vaccines, they are protected from these diseases.

What about the flu? Kids still die with the flu, but it is important to keep in mind that most kids who die with the flu are unvaccinated.

That’s why it is important to get your kids vaccinated. Don’t take the risk of following bad advice.

What to Know About Learning the Risks of Anti-Vaccine Propaganda

It is important to to learn the risks of falling for anti-vaccine propaganda – leaving your kids unvaccinated, unprotected, and at risk for vaccine-preventable diseases.

More on Learning the Risks of Anti-Vaccine Propaganda

America’s New Normal: Propaganda About the Unhealthiest Generation

My son started to have migraines when he was about 11 years old.

Must be stress, BPA, poor eating habits, all of the screen time, or vaccines, right?

“Americans spend the least on food, the most on health care, have the most highly vaccinated kids, and have the sickest kids of any industrialized country. More kids than not are now chronically ill, developmentally delayed, and eating or injecting prescription medications from cradle to grave – which is going to be a quicker trip for them than it was for their parents, according to data on life expectancy in the US. We are inured to childhood autism, epilepsy, allergy, asthma, diabetes, obesity, Crohn’s disease and cancer. We are dying younger. We are going backwards.”

Judy Converse on America’s New Normal: Chronically Ill Kids

That likely seems like a young age to get migraines and would fit well with the narrative that kids today are part of the unhealthiest generation ever.

Except that I started to get migraines at about the same age, and so did my mother. Like many of the other conditions that seem to be ballooning today, migraines have a genetic component.

The Unhealthiest Generation?

The CDC has long kept statistics on everything from asthma and cancer rates to diabetes and life expectancy rates and helps folks see how healthy kids really are today.
The CDC has long kept statistics on everything from asthma and cancer rates to diabetes and life expectancy rates and helps folks see how healthy kids really are today.

Who says that today’s kids are part of the unhealthiest generation ever?

Mostly anti-vaccine folks who blame vaccines for making kids unhealthy and alternative medical providers who think their holistic remedies will fix all of the problems they see in our unhealthy kids who they claim are full of “toxins.”

Toxins? If you are going to believe that our kids are all sick, then you have to buy into the narrative that toxins are everywhere, especially in vaccines, and they are making kids sick.

Of course, none of that is true.

Vaccines are safe and work to prevent us from getting sick and there are 2 to 3 million fewer deaths in the world each year because people are vaccinated and protected.

“From developing groundbreaking treatments for deadly chronic diseases to saving babies who are born premature, pediatric researchers have increased the ability of children to live full and fulfilling lives that only a few decades before would have been tragically cut short.”

Sandra G. Hassink, MD on the 7 Great Achievements in Pediatric Research

And today’s kids, all 73.6 million of them in the United States, aren’t the unhealthiest. They are actually a very healthy generation, being born with the lowest child and infant mortality rates ever, low rates of hospitalizations, and one of the highest life expectancies in history.

Our Healthy Kids

How do we know today’s kids are healthy?

One easy way is to compare them to kids in the past…

If you have only been listening to the alarmists who talk about the unhealthiest generation all of the time, you likely wouldn’t know that:

  • while 2.6% of kids were thought to be in fair or poor health in 1991, that is down to just 1.8% today (2015)
  • fewer kids today (4.5%) report having had an asthma attack in the previous year than they did in 1997 (5.4%), and that fewer kids have asthma today (8.5%) than in 2003 (8.7%)
  • since 1997, fewer children, whether or not they have insurance, are visiting the emergency room
  • fewer children are requiring overnight hospital stays, down from 5.5% to just 2.1% today (2015)
  • rates of hay fever or respiratory allergy are down since 1997, from 17.5% of kids to 15.6% of kids today (2015)
  • rates of epilepsy have been stable in children for at least 40 years
  • fewer kids have multiple ear infections since 1997, when 7.1% of kids had 3 or more ear infections, to just 5% of kids today (2015)
  • fewer kids are being prescribed antibiotics
  • childhood cancer rates have been rising, but only slightly, and mortality rates have been declining
  • suicide rates are rising, but only from historic lows – they used to be about the same or higher in the early 1990s

Of course, some conditions are on the rise, including ADHD, type 1 diabetes, food allergies, eczema,  obesity, and most autoimmune diseases.

“A few conditions have decreased because of prevention (eg, lead encephalopathy), a few represent relatively new conditions (eg, human immunodeficiency virus type 1 infection), and some have increased after dramatic improvements in survival for individually low-prevalence childhood conditions that previously had high fatality rates (eg, leukemia, cystic fibrosis, congenital heart diseases). Most growth, however, reflects dramatic increases in incidence of a few high-prevalence conditions.”

James M. Perrin, MD on The Increase of Childhood Chronic Conditions in the United States

And autism rates have been up, but we mostly know why.

“…the numbers of people born with autism aren’t necessarily increasing dramatically. It’s just that we’re getting better and better at counting them.”

Emily Willingham

Although we don’t know why most other conditions are trending up (it isn’t vaccines), we will hopefully continue to develop new theories and reverse those trends.

It should be reassuring that many of the trends do show that our kids are indeed healthy.

What to Know About Our Healthy Kids

From gun violence and climate change to the threat of emerging infections, out children do face many threats and are certainly under a lot of stress. There is no evidence that this is the unhealthiest generation though. If anything, they are on track to be one of the healthiest.

More on Our Healthy Kids

Who is Dr. Yehuda Shoenfeld

Dr. Yehuda Shoenfeld is an immunologist who heads the Zabludowicz Center for Autoimmune Diseases, which was created by Poju Zabludowicz. He is also on the scientific advisory board for the Children’s Medical Safety Research Institute.

He claims to have discovered a novel vaccine-associated autoimmune disease – Autoimmune Syndrome Induced by Adjuvants (ASIA).

The History of Adjuvant Diseases

Shoenfeld’s Autoimmune Syndrome Induced by Adjuvants is not the first time that adjuvants have been blamed for causing diseases in people.

As far back as 1964, Kan Miyoshi had written about “human adjuvant disease” following augmentation with silicone breast implants. Silicone gel-filled breast implants were eventually removed from the market, following case reports describing an association and years of lawsuits against manufacturers, but more studies were done that found that “there was no evidence that silicone breast implants caused systemic health effects such as cancer or autoimmune disease.”

So gel-filled breast implants came back, but unfortunately, the idea of “human adjuvant disease” never really went away.

Dr. Yehuda Shoenfeld and Vaccines

Dr. Shoenfeld is the latest to blame adjuvants for causing disease.

“At present, there is no evidence to suggest that ASIA syndrome is a viable explanation for unusual autoimmune diseases.”

David Hawkes on Revisiting adverse reactions to vaccines: A critical appraisal of Autoimmune Syndrome Induced by Adjuvants (ASIA)

It has helped him to become very well known among the modern anti-vaccine movement, a hero to some, who use his new vaccine-associated autoimmune diseases as a reason to scare parents away from vaccinating and protecting their kids.

That’s despite the fact that ASIA has been rejected by the NVICP as a basis for vaccine injury and is dismissed by most medical experts.

Dr. Yehuda Shoenfeld Studies

Among the studies published by Dr. Yehuda Shoenfeld include:

  • Human papilloma virus and lupus: the virus, the vaccine and the disease.
  • Journal of Autoimmunity. Seasonality and autoimmune diseases: The contribution of the four seasons to the mosaic of autoimmunity.
  • Current Opinions in Rheumatology. Autoimmune/Inflammatory Syndrome Induced by Adjuvants and Thyroid Autoimmunity.
  • Lupus.Autoimmune/inflammatory syndrome induced by adjuvants (Shoenfeld’s syndrome) – An update.
  • Immunologic Research. Phospholipid supplementation can attenuate vaccine-induced depressive-like behavior in mice.
  • Behavioral abnormalities in female mice following administration of aluminum adjuvants and the human papillomavirus (HPV) vaccine Gardasil.
  • Immunologic Research. Pancreatitis after human papillomavirus vaccination: a matter of molecular mimicry.
  • Israel Medical Association Journal. Autoimmune/Inflammatory Syndrome Induced by Adjuvants and Sjögren’s Syndrome.
  • Immunologic Research. Adjuvants and lymphoma risk as part of the ASIA spectrum.
  • Journal of Autoimmunity. Immunization with hepatitis B vaccine accelerates SLE-like disease in a murine model.
  • Postural Orthostatic Tachycardia With Chronic Fatigue After HPV Vaccination as Part of the “Autoimmune/Auto-inflammatory Syndrome Induced by Adjuvants”: Case Report and Literature Review.
  • Immunity, autoimmunity and inflammatory bowel disease.
  • Lupus. When APS (Hughes syndrome) met the autoimmune/inflammatory syndrome induced by adjuvants (ASIA).
  • Brief report: immune factors in autism: a critical review.

So, among the things that Shoenfeld seems to link to vaccine adjuvants include the development of primary ovarian insufficiency, depression, autism, pancreatitis, rheumatoid arthritis, systemic lupus erythematosus, Sjögren syndrome, Hashimoto’s thyroiditis, subacute thyroiditis, antiphospholipid syndrome, transverse myelitis, lymphoma, POTS, and antiphospholipid antibody syndrome.

How does he do it? Mostly through experiments on mice and small case reports.

Also it seems, sometimes by a little misdirection.

“A cohort study was performed to assess the risk of new onset autoimmune disease in young women exposed to human papillomavirus-16/18 AS04-adjuvanted vaccine in the United Kingdom (55). The study reported an incidence rate ratio (95% CI) of 3.75 (1.25–11.31) for autoimmune thyroiditis among females.”

Yehuda Shoenfeld on Autoimmune/Inflammatory Syndrome Induced by Adjuvants and Thyroid Autoimmunity

Shoenfeld’s article on “Autoimmune/Inflammatory Syndrome Induced by Adjuvants and Thyroid Autoimmunity,” actually cites a study which concluded that “There was no evidence of an increased risk of AD in women aged 9 to 25 years after AS04-HPV-16/18 vaccination.”

Dr. Yehuda Shoenfeld Controversies

The CMSRI funded the research and sponsored the conference that showcased Shoenfeld's work.
The CMSRI funded the research and sponsored the conference that showcased Shoenfeld’s work.

Among the biggest problems with the work of Dr. Shoenfeld are claims that:

  • he receives funding for his research from the Children’s Medical Safety Research Institute, who’s founder once said that “Vaccines are a holocaust of poison on our children’s brains and immune systems.” Even his book, Vaccines and Autoimmunity, was funded by the CMSRI. His conferences are also sponsored by the CMSRI, including the International Congress on Autoimmunity and the International Symposium on Vaccines.
  • he seems to get many of his studies published in what experts describe as predatory open access journals
  • he seems to get many of his studies published in journals on which he sits on the journal’s editorial board, a potential conflict of interest, including Autoimmunity Reviews (founder and editor), the Journal of Autoimmunity (co-editor), and the Israel Medical Association Journal (founder and editor), Immunologic Research (topic editor for Immunoregulation and Autoimmunity), Lupus (Editorial Board). It is usually considered a better practice to get an outside editor in these situations, instead of editing your own articles.
  • at least one of the journals he edits, Autoimmunity Reviews, is said to be very sympathetic to anti-vaccine studies
  • he serves as an expert witness in vaccine injury lawsuits, another potential conflict of interest
  • at least one Shoenfeld study was retracted after it was published
  • none of his ASIA studies are in more high impact journals, such as The Journal of Allergy and Clinical Immunology, Annals of the Rheumatic Diseases, or Annual Review of Immunology, etc.
  • many of his collaborators are also funded by CMSRI

The biggest issue is that adjuvants in vaccines are being made to be seen as a problem by anti-vaccine folks, even as Shoenfeld claims that “vaccines are beneficial for the vast majority of subjects including those who suffer from autoimmune-rheumatic diseases,” and even he finds problems in only “a small minority of individuals.”

“It reminds us that due to the ubiquitous nature of the innate and adaptive response, that there are a large number of diseases that have either an inflammatory and/or specific autoimmune response, we have to keep an open eye because everything is potentially autoimmune until proven otherwise.”

Yehuda Shoenfeld on Everything is Autoimmune Until Proven Otherwise

It was another Shoenfeld study that suggested that the HPV vaccine could cause primary ovarian insufficiency. Shoenfeld’s “link” between the HPV vaccine and primary ovarian insufficiency was based on a review of only three case studies, for which he was the expert witness in lawsuits for two of the cases!

Shoenfeld's article in Vaccine about behavioral problems after HPV vaccination was withdrawn because of serious concerns regarding the scientific soundness of the article.
Shoenfeld’s article in Vaccine about behavioral problems after HPV vaccination was withdrawn because of “serious concerns regarding the scientific soundness of the article.”

Most importantly, many studies have failed to confirm Shoenfeld’s link between the HPV vaccine and primary ovarian insufficiency and much of his other work:

Like his idea of novel vaccine-associated autoimmune disease (ASIA), which he still pushes, it was proven otherwise.

Dr. Shoenfeld Is on the Wrong Side of the Vaccine Debate

Dr. Shoenfeld’s characterization of the vaccine debate will likely surprise many of his followers.

“On the one hand, we find anti-vaccination movements, which divulge and disseminate misleading information, myths, prejudices, and even frauds, with the main aim of denying that vaccination practices represent a major public health measure, being effective in controlling infectious diseases and safeguarding the wellbeing of entire communities.”

Shoenfeld et al. on Debate on vaccines and autoimmunity: Do not attack the author, yet discuss it methodologically

His characterization that most vaccine safety research is potentially biased because it is “mainly financed and sponsored by pharmaceutical industries” is also surprising, or maybe just ironic, considering of where he gets his funding.

“Instead of focusing on methodological issues and content, the ‘‘prevailing wisdom” has put to rest any view that would contradict the sacred ‘‘doctrine” of vaccinology.”

Shoenfeld et al. on Debate on vaccines and autoimmunity: Do not attack the author, yet discuss it methodologically

His conclusions of why his studies are criticized are also very wrong.

“…we feel that the continued presentation of a theory without evidence in both medico-legal and scientific forums is detrimental to the exploration of further understanding of the causational factors of a patient’s condition.”

D. Hawkes et al. on Response to: HPV vaccine and autoimmunity

It is the “actual science” of his studies that is “being methodologically assessed and critiqued.” And it has been found to be lacking.

What To Know About Dr. Yehuda Shoenfeld

With funding from the CMSRI and the Zabludowicz Center for Autoimmune Diseases, Dr. Yehuda Shoenfeld has folks falsely believing that adjuvants in vaccines are causing autoimmune diseases – his Autoimmune Syndrome Induced by Adjuvants (ASIA).

More About Dr. Yehuda Shoenfeld