Tag: exemptions

Precautions vs Contraindications When Vaccinating Your Kids

Believe it or not, there are some anti-vaccine folks who believe that all vaccines are dangerous and unnecessary. And they believe that pediatricians push vaccines on kids in all situations, using a one-size-fits-all kind of immunization schedule.

Of course, neither is true.

Vaccines are safe and necessary.

There are some true medical contraindications and precautions to getting vaccinated though. Still, it is important to remember that even more things are simply “conditions incorrectly perceived as contraindications to vaccination.”

Contraindications To Vaccinating Your Kids

There are actually some good reasons to delay or skip one or a few of your child’s vaccines, but only in some very specific situations.

These very specific situations are called contraindications and are what count as medical exemptions.

“A vaccine should not be administered when a contraindication is present; for example, MMR vaccine should not be administered to severely immunocompromised persons.”

CDC on Vaccine Contraindications and Precautions

Fortunately, there are not that many of these contraindications, they are usually specific to just one or a few vaccines, and they are usually, but not always, temporary.

That’s why it would be really unusual to get a true permanent medical exemption for all vaccines. Even if you had a severe allergy to a vaccine that contained yeast, latex, or gelatin, since vaccines contain different ingredients, you would very likely be able to safely get the others.

Remember, your doctor can’t, or at least shouldn’t, just make up contraindications and exemptions to help you avoid getting your kids vaccinated and help you keep them in school.

“I do not believe vaccines had anything to do with my child’s autism. I never noticed any change in his speech, behavior or development with vaccines. I believe the protection and benefits of vaccines far outweigh the risks!”

Michele Han, MD, FAAP

Autism, for example, has been shown to not be associated with vaccines, so it is not a contraindication to getting vaccinated. That’s why many parents vaccinate and protect their autistic kids!

Precautions To Vaccinating Your Kids

In addition to contraindications to getting vaccinated, there is an accompanying list of  precautions.

“A precaution is a condition in a recipient that might increase the risk for a serious adverse reaction, might cause diagnostic confusion, or might compromise the ability of the vaccine to produce immunity (e.g., administering measles vaccine to a person with passive immunity to measles from a blood transfusion administered up to 7 months prior). A person might experience a more severe reaction to the vaccine than would have otherwise been expected; however, the risk for this happening is less than the risk expected with a contraindication. In general, vaccinations should be deferred when a precaution is present. However, a vaccination might be indicated in the presence of a precaution if the benefit of protection from the vaccine outweighs the risk for an adverse reaction.”

CDC on Vaccine Contraindications and Precautions

Again, we are fortunate that most of the conditions that are listed as precautions are temporary.

The vaccine information sheet that you get with each vaccine will list contraindications and precautions on who should not get the vaccine.
The vaccine information sheet that you get with each vaccine will list contraindications and precautions on who should not get the vaccine.

In fact, the most common is having a “moderate or severe acute illness with or without fever.”

Don’t want to get your child vaccinated when he or she has a severe illness?

Don’t worry.

Your pediatrician usually doesn’t want to vaccinate your child in that situation either.

It is easy enough to wait a few days or a week to get vaccinated, when the illness has passed, keeping in mind that a “mild acute illness with or without fever” is neither a precaution nor a contraindication to getting vaccinated. So you can still get your child their recommended vaccines if they just have a cold, stomach bug, or ear infection, etc.

What to Know About Precautions and Contraindications to Vaccines

Although there are some true medical exemptions or contraindications and precautions to getting vaccinated, most are vaccine specific and many are temporary, so they shouldn’t keep you from getting your child at least mostly vaccinated and protected.

More on Precautions and Contraindications to Vaccines

100 Myths About Vaccines

Are there really 100 myths about vaccines that folks push to scare parents away from vaccinating and protecting their kids?

To make a long story short - flu vaccines don't contain a vaginal spermicide.
That flu vaccines contain a vaginal spermicide is a new myth being pushed by anti-vaccine folks.

Let’s see…

Actually, when you start to think about it, there are hundreds, as the modern anti-vaccine movement moves the goalposts and continuously comes up with new anti-vaccine talking points.

100 Myths About Vaccines

  1. My intentionally unvaccinated kids don’t put your kids at risk. – Of course they do, because some kids are too young to be vaccinated or fully vaccinated, some kids can’t be vaccinated, including those with immune system problems, and vaccines don’t work 100% of the time.
  2. Vaccines do cause autism. It’s the MMR vaccine. – Of all the competing theories of how vaccines are associated with autism (even though they aren’t), Wakefield‘s theory that it is the combined MMR vaccine was the first.
  3. Recently vaccinated kids shed virus for weeks or months and can infect unvaccinated kids. – While shedding is real for some live vaccines, like oral polio and rotavirus, it is rarely a problem.
  4. Vaccines don’t even work. – While some folks are worried about risks and side effects, others don’t even believe that vaccines work – ever. That’s understandable though, as it explains how they deal with the cognitive dissonance of leaving their kids unprotected from potentially life-threatening vaccine-preventable diseases. So instead of vaccines eradicating or controlling diseases, they come up with theories about improved sanitation and better nutrition doing all of the work. But of course, we know that vaccines work.
  5. It’s good to get measles and other vaccine-preventable diseases. – While some people think that getting measles and polio was once a welcome rite of passage for kids, they seem to forget that vaccine-preventable diseases are life-threatening and can leave survivors with serious disabilities.
  6. The shingles vaccine causes shingles. – The shingles vaccine won’t cause you to develop shingles, but if you got it and never had chicken pox, then like the chicken pox vaccine, it is thought that the shingles vaccine could theoretically cause a latent infection that reactivates = shingles.
  7. Vaccines do cause autism. It’s thimerosal. – Vaccines are not associated with autism.
  8. Getting too many vaccines too soon can overwhelm an infant’s immature immune system. Not true. Considering all of the germs that they are challenged with on a daily basis, it is easy to see that an infant’s immune system can handle all of the vaccines on the immunization and much more.
  9. Package inserts for vaccines admit that they cause autism. – While Tripedia, a DTaP vaccine that was discontinued in 2011, did list autism in the adverse reactions section part of the package insert, it also stated that “it is not always possible to reliably estimate their frequencies or to establish a causal relationship.”
  10. Vaccines aren’t safe because the package insert says that they aren’t evaluated for mutagenicity, carcinogenicity and impairment of fertility. – All necessary pre-clinical or nonclinical testing is done on vaccines and their components.
  11. Big Pharma, or the pharmaceutical industry, is the one making all of the decisions about vaccines, including what goes in them, when you should get them, and deciding if they are really safe. – Of course there is no world-wide conspiracy about vaccines led by the pharmaceutical industry that involves doctors, health departments, the CDC, and the WHO, etc.
  12. Vaccines still contain mercury. The Kennedy Vaccine Gambit
  13. Antifreeze is a toxic ingredient in vaccines. – Antifreeze (ethylene glycol) is not, and has never been an ingredient in vaccines. Some vaccines do contain a similar sounding ingredient, 2-phenoxyethanol, but it isn’t antifreeze. Saying that some vaccines contain an ingredient that sounds like antifreeze isn’t as scary though.
  14. Alternative immunization schedules are better. The Bob Sears Snare
  15. Vaccines contain aborted fetal tissue. – While some vaccines are made with fetal embryo fibroblast cells from cell lines that are derived (the original cells have been copied over and over again) from two electively terminated pregnancies in the 1960s, the cells are removed from the final vaccine and no aborted fetal tissue is in any vaccine.
  16. Many people don’t vaccinate. – There is a very vocal minority of people who do their best to push misinformation and conspiracy theories about vaccines and vaccine dangers, but except for pockets of susceptibles and clusters of unvaccinated kids and adults, most people are vaccinated.
  17. The CDC says that you should stop breastfeeding to boost vaccine efficacy. – They have never said that. Neither has the WHO or any other group of experts. This myth about breastfeeding relates to a study done that suggested that delaying breastfeeding for an hour after getting the rotavirus vaccine might help it work better in developing countries.
  18. Vaccines aren’t tested. – Vaccines are well tested for both safety and efficacy before they are approved and are added to the immunization schedule.
  19. Herd immunity isn’t real. – Understanding just how wrong anti-vaccine folks are about herd immunity will help you go a long way towards understanding how they get most things about vaccines wrong. Herd immunity from vaccines is real.
  20. Vaccines are contaminated with brain-eating ameobas. – Viera Scheibner is a micropaleontologist who claims that that it is ‘well-established’ that vaccines are contaminated with amoebas. They aren’t.
  21. I have a link arsenal from Pubmed that show vaccines are dangerous. – PubMed is simply an index of articles in medical journals. Any medical journals, even they predatory, pay to publish medical journals. Being in Pubmed doesn’t mean that it is a good study. And cherry picking articles and abstracts from Pubmed doesn’t mean that you have done your research about vaccines or that you have found any proof that vaccines aren’t safe. It probably just means that you need to do a little more research.
  22. The vaccine schedule has ballooned since 1983 and kids now get too many shots! – While the vaccine schedule has certainly grown over time, that is simply because kids today are protected from many more diseases. While kids got fewer vaccines in 1983, that was also the pre-vaccine era for Hib, hepatitis B, pneumococcal disease, meningococcal disease, rotavirus, hepatitis A, HPV, and chicken pox, etc.
  23. Package inserts for vaccines admit that they cause SIDS. – Tripedia, a DTaP vaccine that was discontinued in 2011, does list SIDS in the adverse reactions section part of the package insert, but also states that “it is not always possible to reliably estimate their frequencies or to establish a causal relationship.”
  24. The US has higher infant mortality rates than other industrialized countries because we give more vaccines. – Higher infant mortality rate in the US than some other industrialized countries are thought to be because we use different methods to calculate the infant mortality rate. They are also at the lowest level ever.
  25. MSG is a toxic ingredient in vaccines. – MSG is an ingredient in some vaccines, but it is safe and not toxic.
  26. Since adults don’t get vaccines or boosters, there can’t be herd immunity. – Most adults either already have natural immunity or have already been vaccinated, so this isn’t true. There are actually very few booster shots that adults need, but seniors do need a few extra vaccines.
  27. Sick people can just stay home, so it doesn’t matter if they are vaccinated. – That’s kind of how quarantines work, but the main problem with this theory is that with many diseases, including some that are the most contagious, you can actually be contagious even before you show symptoms and you know you are sick. That’s why they often talk about people being at school, on the train, shopping at Walmart, or even at the beach when they have measles and have exposed others in an outbreak.
  28. The media just scares people about outbreaks. – The media, with their vaccine scare stories, did once influence a lot of parents about vaccines, but it was more to make them afraid to get their kids vaccinated and protected. Alerting people of an outbreak in their area isn’t a scare tactic or hype. It is one of the ways to help control outbreaks, so that folks know when a disease is present in their community.
  29. Vaccinations are not immunizations. – While kind of catchy, like other anti-vaccine slogans, it is meaningless. Vaccines work.
  30. There is no Pharma liability. You can’t sue if a child is injured by a vaccine. – You can sue, you just have to go through Vaccine Court first.
  31. Many religions are against vaccines. – Very few religions actually object to immunizations, which makes it very surprising how many folks get religious vaccine exemptions.
  32. Measles and other vaccine preventable diseases aren’t that serious anymore. – They, of course, can still be life-threatening, even in this day of modern medicine.
  33. Over 99% of vaccine side effects from vaccines are not reported by doctors to VAERS. – That’s not really true. Although most common side effects probably are underreported, more moderate and serious side effects are reported. For example, one study found that while a rash after measles, a known mild, side effect, was not commonly reported, vaccine-associated polio was often reported to VAERS. It is also imported to keep in mind that VAERS isn’t the only way that the safety of vaccines is monitored.
  34. Many experts are against vaccines. – The so-called experts of the anti-vaccine movement are mostly doctors who are practicing way out of their field of expertise, including many who are not medical doctors, or whose ideas are not supported by the great majority of real experts on vaccines, infectious disease, and immunology.
  35. Vaccinated kids cause most outbreaks. – Not true. Although vaccines don’t always work 100% of the time and so vaccinated kids sometimes get caught up in outbreaks, they are not the cause of most outbreaks.
  36. Infants have an immature immune system and are too young to be vaccinated. – Not true. Although a baby’s immune system is immature, as compared to older kids and adults, vaccines work well to help protect them as their immune system continues to develop and mature.
  37. Vaccines cause shaken baby syndrome. – Vaccines do not cause shaken baby syndrome.
  38. The chicken pox vaccine has caused an epidemic of shingles. – Not true. It has been shown that the rise in shingles cases started before we started routinely giving chicken pox vaccines, did not continue to increase after we started routinely giving chicken pox vaccines, and also increased in countries that don’t give the chicken pox vaccines.
  39. The United States gives more vaccines than any other country. – While there would be nothing wrong with that, as it would mean we were protecting our kids from more vaccine-preventable diseases, if you take any time to look at the immunization schedules from other countries, you can see it isn’t true.
  40. Pediatricians can get up to $3 million in bonuses for vaccinating kids. – Pediatricians are not getting big bonuses, bribes, or kickbacks to vaccinate kids.
  41. Glyphosate is contaminating our vaccines and will help make 50% kids autistic by 2025. – Glyphosate is not in vaccines and Stephanie Seneff‘s theory that 1/2 of kids will be autistic in 8 years doesn’t make much sense either.
  42. Formaldehyde is a toxic ingredient in vaccines. – While formaldehyde is an ingredient in vaccines, it is also naturally found in all of our bodies and in some foods. The formaldehyde in vaccines is not toxic.
  43. Vaccines aren’t tested together. – Yes, they are. Pediarix (combo vaccine with DTaP, hepB, and IPV) was tested with Hib and Prevnar and the hepatitis A vaccine was tested together with DTaP, IPV, Hib, and hepatitis B. Most vaccination combinations have been tested together, including the flu shot.
  44. I’m not anti-vaccine, I’m pro-safe vaccine. – You can call yourself whatever you want, either pro-safe vaccine or pro-vaccine choice, but if you push anti-vaccine propaganda, then you are anti-vaccine.
  45. It can be safer to wait to get vaccinated. The Jay Gordon Maneuver
  46. $3.5 billion in vaccine court payouts prove that vaccine injuries are real. – No one says that vaccines are 100% safe or that vaccine injuries aren’t real. It is also important to keep in mind that the $3.5 billion in vaccine court payouts have been since 1988, during which billions of doses of vaccines have been given.
  47. Vaccines cause resistance in viruses and bacteria. – Not true. Vaccines are not causing an increase in vaccine-resistant bacteria or viruses and can actually help us fight the growing problem of antibiotic resistant bacteria.
  48. Unvaccinated kids are healthier. – A large study has shown that unvaccinated kids are not healthier than those who are vaccinated, they just get more vaccine-preventable diseases.
  49. People never used to worry about measles. – A Brady Bunch episode about measles doesn’t mean that people weren’t worried about measles in the old days. There are plenty of newspaper headlines describing how measles epidemic once closed entire school districts for weeks at a time. When a measles epidemic hit New York City in 1951, a headline on the front page of the New York Times read “City in Grip of Measles Epidemic; Unusually Severe Siege Forecast.” And remember when Lassie had to save Timmy when he had measles? Sounds like they were worried…
  50. Epigenetics explains many vaccine injuries. – No, it doesn’t.
  51. The one-size-fits-all immunization schedule makes kids sick. – Vaccines are not given using any kind of one-size-fits-all policy. Flexibility of when some vaccines can be given and the existence of contraindications and medical exemptions make that clear to most people.
  52. Herd immunity doesn’t apply to vaccines. – Uh. Yes it does.
  53. Doctors don’t learn anything about vaccines. – Doctors learn a lot about vaccines and vaccine-preventable disease. What they do need to learn more about are the latest anti-vaccine talking points, so that they can readily address your concerns about vaccines and things that you might have read or heard that have scared you about vaccines.
  54. The American Academy of Pediatrics “recommends that parents use the availability of HPV vaccines to usher in a discussion on human sexuality in a way consistent with their culture and values at a time when they determine their child is ready to receive that information.” It’s a fringe group of pediatricians, the American College of Pediatricians who said this, not the AAP, who recommends that all kids get vaccinated and protected with the HPV vaccines.
  55. Vaccines are made for adults, not kids. – Vaccines are made for both kids and adults. Some vaccines even have different formulations for kids than for adults, including hepatitis A, hepatitis B, and flu shots, etc. And think about how the DTaP (kids) and Tdap (teens and adults) shots are different, but protect against the same diseases. But vaccines work locally, where the shot was given, which is why it doesn’t really matter that kids or adults of different sizes get the same dose.
  56. The HPV vaccine just encourages kids to have sex. – Studies have confirmed that HPV vaccines are safe and they don’t encourage kids to unprotected sex, one of many HPV vaccine myths.
  57. Aluminum replaced thimerosal as the latest toxic ingredient in vaccines. – Aluminum in vaccines is not toxic and as an adjuvant, it did not replace the thimerosal, a preservative, in any vaccines.
  58. Hepatitis B is a STD vaccine, so newborn babies don’t need it. – Tragically, many infants still get perinatal hepatitis B infections because of missed opportunities to get vaccinated and when they are exposed in non-high risk situations. Don’t skip your baby’s hepatitis B shot.
  59. Correlation equals causation. – Many people think that their child is vaccine injured because they showed symptoms right around the time they received a vaccine. They correlate getting the vaccine with causing the vaccine injury. The correct phrase isn’t correlation equals causation though, it is “correlation does not imply causation. Just because two things seem to be related by time doesn’t mean that one caused the other.
  60. SV40 contamination of vaccines causes cancer. – While the SV40 virus did contaminate some early vaccines, it has been shown that this contamination did not cause cancer.
  61. Dr. Julie Gerberding, the first woman to lead the CDC, admitted that vaccines cause autism during an interview with Sanjay Gupta on CNN. – While discussing the Hannah Polling decision, Dr. Julie Gerberding did not say that vaccines can cause autism. She even went out of her way to mention all of the studies that “have concluded that there really is no association between vaccines and autism.”
  62. Vaccines don’t work to get rid of any diseases. They just make the diseases disappear by changing their names. – This has to be one of the silliest myths about vaccines. Yes, some folks believe that smallpox wasn’t eradicated. It was instead renamed to monkeypox. Polio became acute flaccid paralysis. And measles became roseola. Of course, that didn’t happen because vaccines do work.
  63. The first deaf Miss America suffered a vaccine injury. – Not true. While they initially blamed her being deaf on the DTP vaccine, it turns out that she had a reaction to the antibiotic Gentamycin that she was receiving for a Hib infection, a now vaccine-preventable disease.
  64. Diane Harper was a lead researcher for the HPV vaccine who came out against the HPV vaccines. – Diane Harper‘s comments about the HPV vaccine have been overblown and mischaracterized. She supports the HPV vaccines and believes that they are safe.
  65. Vaccines don’t work against pertactin-negative pertussis bacteria. – While we are finding more pertactin-negative pertussis bacteria, this doesn’t seem to be why we are seeing more pertussis or whooping cough. Pertussis vaccines work against other components of the pertussis bacteria besides pertactin and pertussis vaccines continue to be effective against pertactin-negative Bordetella pertussis bacteria.
  66. There are graphs and charts that prove that vaccines didn’t save us and that vaccines don’t work – Those mortality graphs are pure propaganda and do not show how cases of vaccine preventable diseases (morbidity) were not affected by overall improvements in mortality rates in the early 20th century (a lot of people still got sick even as more of them survived) or how the effects of improved sanitation, nutrition, and health care peaked by the 1940s (for example, they use death rates instead of just absolute numbers of deaths to hide the fact that measles killed about 400 people each year in 1960).  Vaccines work.
  67. Johns Hopkins warns cancer patients to avoid children who were recently vaccinated. – They did once, but Johns Hopkins and other hospitals updated their instructions as new information became available. Hospitals no longer warn patients about restricting exposure to people who have recently been vaccinated.
  68. Andrew Wakefield was proven right. – Wakefield has not been proven right. Studies have never confirmed his findings. He is still not allowed to practice medicine in the UK.
  69. The shocking revelations of the CDC Whistleblower proves that vaccines cause autism. – What was supposed to be the biggest anti-vaccine conspiracy story of all time, the CDC Whistleblower, must have been the biggest let down for the anti-vaccine movement. He didn’t really blow the whistle on anything or anyone and didn’t even appear in Vaxxed, the CDC Whistleblower movie! While being secretly recorded, he basically complained about the way his coauthors of a study on vaccines and autism dealt with some data that he felt was statistically significant.
  70. The Leicester Method proves that good sanitation and quarantines – not the smallpox vaccine – eradicated smallpox. – In addition to quarantines, they used vaccines in Leicester. They just didn’t use universal vaccination. They used ring vaccination – making sure all of the contacts of the person with smallpox got a smallpox vaccine. The Leicester Method of dealing with smallpox does not support the idea that smallpox was eradicated solely with good sanitation and quarantining folks with smallpox.
  71. That vaccines have been legally called unavoidably unsafe means that they are dangerous. – Not true.
  72. Vaccinating a child is like taking a child out of their perfectly functioning carseat and strapping them into a seat with dental floss. – Actually, the proper analogy would be that vaccinating a child is like protecting them with an age appropriate car seat. Skipping or delaying your child’s vaccines is like driving them around without a car seat or seat belts, so that they are unprotected if you get in a car accident.
  73. The HPV vaccine isn’t safe, isn’t even necessary, and is probably the most dangerous vaccine every made. – Of course this is not true. Fortunately, more and more parents are coming to understand that the over-the-top anti-vaccine rhetoric about the HPV vaccine isn’t true. The HPV vaccines are safe and necessary and they work to prevent cancer.
  74. Parents are losing their choice about vaccines and are being forced to vaccinate their kids. – While slogans about choice are catchy, new vaccine laws and mandates do not force anyone to get vaccinated.
  75. Vaccines cause ADHD. – Yes, you can add ADHD to the long list of so-called vaccine-induced diseases, but like the others, it isn’t true. Vaccines do not cause ADHD.
  76. Polio epidemics were caused by spraying of the pesticide DDT. – The only connection between DDT and polio is that some folks were so scared of polio, that once an outbreak came to town, because they didn’t know what caused it yet, they sprayed with DDT thinking it might be spread by mosquitoes. So polio first and then DDT spraying.
  77. You should skip or delay vaccinating your premature baby. – Except in some situations when preterm babies weigh less than 2000g and mom is known to be hepatitis B negative, your preterm baby should be vaccinated according to the standard immunization schedule.
  78. There are no double-blind, placebo-controlled randomized clinical trials for vaccines. – Placebos are used in many vaccine trials and there are many double-blind, placebo-controlled randomized clinical trials for vaccines.
  79. Homeopathic vaccines are a safe and effective alternative to real vaccines. – While they might not cause many side effects, homeopathic vaccines or nosodes aren’t going to do much else either. They certainly aren’t going to protect your child from any vaccine-preventable diseases.
  80. You should follow a Paleo vaccine schedule. – Like other non-standard, parent-selected, delayed protection vaccine schedules, the Paleo vaccine schedule is a made-up alternative to the standard immunization schedule and will leave your kids unprotected from vaccine-preventative diseases.
  81. People who are anti-vaccine don’t hurt autistic families. – While I’m sure they tell themselves that, in addition to pushing the idea that autistic kids are damaged by vaccines, there are many other ways that the anti-vaccine movement hurts autistic families.
  82. Vegans don’t vaccinate their kids. – While there are few vegan vaccines, most vegans do indeed vaccinate their kids.
  83. The measles vaccine doesn’t protect against all measles strains. – All currently used measles containing vaccines, including the MMR vaccine, do actually protect against all measles strains. There is only one main type of measles virus, despite the many small changes in the virus that can help us identify different strains and genotypes.
  84. There are over 100 vaccine/autism research papers that prove that vaccines cause autism. – No matter how high the count of research papers gets to, they still don’t support a link between vaccines and autism.
  85. The anti-vaccine movement is supported by science and research. – The beliefs of the anti-vaccine movement, from germ theory denialism to ideas about detoxing and chemtrails, are only supported by pseudoscience and conspiracy theories.
  86. A tetanus shot won’t help after you have already been cut, stabbed, or bitten. – Well, if you are fully vaccinated, you might not even need a tetanus shot after a cut, because you are already protected. If you are unvaccinated or if it has been more than 5 years since your last shot, a tetanus shot and tetanus immune globulin will indeed work to protect against tetanus spores germinating, growing and producing their exotoxin that produces the symptoms of tetanus.
  87. Vaccine immunity isn’t long lasting. – While that is true for some vaccines, vaccines do protect you during critical times, in most cases they do provide long lasting protection.
  88. Immigrants and refugees are spreading disease in the United States and are putting us at risk for a new pandemic disease outbreak. – Immigrants and refugees are not spreading disease in the United States.
  89. Parents have to pay the Vaccine Excise Tax to fund the Vaccine Injury Compensation Trust Fund. – The Vaccine Excise Tax is actually a tax that the U.S. Department of the Treasury collects from vaccine manufacturers.
  90. Pediatricians are just vaccine pushers. – If that were true, then how come pediatricians don’t push all of the FDA approved vaccines on kids, such as the adenovirus vaccine, BCG vaccine, typhoid vaccine, or yellow fever vaccine?
  91. Chiropractors aren’t anti-vaccine. – Maybe some aren’t, but most chiropractors seem to believe in germ theory denialism, push anti-vaccine talking points, and don’t vaccinate their own kids.
  92. There are 300 new vaccines in the pipeline. – While new vaccines are always being researched and developed, we are not getting 300 new vaccines anytime soon. At least 1/3 of those are therapeutic vaccines for cancer. And 1/4 are for the same four infectious diseases – HIV, flu, RSV, and Ebola. So no, we aren’t getting 300 new vaccines.
  93. Most celebrities don’t vaccinate their kids. – While anti-vaccine celebrities seem to make the news a lot, there are many celebrities who advocate for vaccines.
  94. Breastfeeding is better than vaccines at preventing infections. – While breastfeeding is great and has a lot of benefits, including providing some passive immunity, it won’t protect your child from most vaccine-preventable diseases. Breastmilk contains IgA antibodies, and not the IgG antibodies that vaccines trigger in our bodies and which do cross the placenta and protect our babies for a short time. Breastmilk can help protect a child against some viruses and bacteria that cause diarrhea and respiratory infections, but it is not better than vaccines at preventing vaccine-preventable diseases.
  95. Ingredients in vaccines are toxic because they are injected directly into a child’s bloodstream and aren’t ingested and filtered by the body’s natural defenses. – The ingested vs injected argument comes up a lot, but doesn’t make much sense. For one thing, vaccines aren’t injected into the bloodstream.
  96. I used Google University to research vaccines, just like other medical professionals use google to look up medical information. – While it is true that many medical professionals are likely turning to the internet more than textbooks when they need to look something up, they are often using online medical textbooks or other reputable sites. They aren’t cherry picking information from sites that simply confirm their biases against vaccines.
  97. Vaccines aren’t tested for use in pregnancy. – They are and pregnant women should get a seasonal flu vaccine and a Tdap vaccine each and every pregnancy.
  98. DNA in vaccines can cause autism. – While highly fragmented (mostly destroyed) DNA has been found in some vaccines, it can’t cause harm.
  99. The Amish don’t get autism. – The Amish do get autism. They also do vaccinate – sometimes. They also get vaccine-preventable diseases as we saw in the large Ohio measles outbreak of 2014.
  100. The flu shot contains a vaginal spermicide. – It doesn’t.

Get educated about vaccines so you don’t get taken in by any of these myths.

Vaccines work. Vaccines are safe. Vaccines are necessary.

More On Vaccine Myths

 

Hiding in the Herd

The term herd immunity has been used for almost 100 years, since about 1923.

Other terms relating to herd immunity, like ‘hiding in the herd’ and ‘free-riding’ have come into use more recently.

Hiding in the Herd

Some people can get away with hiding in the herd.

Actually, they depend on it.

“Herd immunity is present in a community when such a high percentage of its members have been immunized from a particular disease that the disease cannot gain a foothold in the community. Thus, achieving and maintaining herd immunity protects not only those who have been vaccinated, but also those with compromised or weak immune systems, such as the elderly, babies, and those afflicted with HIV.”

Anthony Ciolli on Mandatory School Vaccinations: The Role of Tort Law

That’s because we don’t need 100% of people to be vaccinated and protected for herd immunity to work.

Many children with cancer and other medical conditions benefit from herd immunity.
Many children with cancer and other medical conditions benefit from herd immunity. (CC BY 2.0)

So people who are too young to be vaccinated or fully vaccinated, people who can’t be vaccinated because they were born with an immunodeficiency or get cancer and are on chemotherapy and other true medical exemptions, and even people who are vaccinated but their vaccine didn’t work, can still hope to be protected from vaccine preventable diseases because everyone around them is vaccinated.

These people still get the benefits of herd immunity. Even though they are unvaccinated and susceptible to getting a disease, they probably won’t, because most others in the herd are vaccinated and protected.

But it is not just those people with medical exemptions who try and hide in the herd.

“These numbers have led the National Vaccine Advisory Committee to conclude that religious and philosophical exemptions do not pose a threat to public health.”

T May on Free-riding, fairness and the rights of minority groups in exemption from mandatory childhood vaccination

And that was okay too for a while. It wasn’t that long ago that “free-riding” by those using philosophical or religious exemptions wasn’t a problem, because their numbers were small and herd immunity rates could still be maintained.

Can You Hide in the Herd?

Hiding in the herd can’t work for everyone though.

Surprisingly, Dr. Bob explains that well in his vaccine book that scares parents about toxins in vaccines, while reassuring them that it is okay to space out their child’s vaccines.

“I also warn them not to share their fears with their neighbors, because if too many people avoid the MMR, we’ll likely see the diseases increase significantly.”

Dr. Bob Sears in The Vaccine Book

Basically, if too many people are trying to hide in the herd and have skipped their vaccines, then we have a breakdown in herd immunity and we start to see the return of many vaccine-preventable diseases.

These aren’t people who can’t be vaccinated though.

They are people who refuse to be vaccinated and intentionally don’t vaccinate their kids.

“In other words, hide in the herd, but do not tell the herd you’re hiding; otherwise, outbreaks will ensue. Sears’ advice was prescient. Recent outbreaks of measles in 15 states, caused by an erosion of herd immunity in communities where parents had chosen not to vaccinate their children, were the largest in the United States since 1996.”

Dr. Paul Offit on The Problem With Dr Bob’s Alternative Vaccine Schedule

And that seems to be exactly what happened as more and more parents have walked into their pediatrician’s offices with a copy of Dr. Bob’s Alternative Vaccine Schedule.

While he predicted that it would “increase vaccination rates in our country,” as most others knew,  they went down instead, and we continue to see more and more clusters of unvaccinated children.

Of course, Dr. Bob didn’t create the modern antivaccine-movement, but the bandwagoning effect he and other “thought influencers in the anti-vaccine movement” have on parents isn’t hard to see. Parents get scared by their anti-vaccine talking points and they go on to scare other parents into not vaccinating and protecting their own kids.

Tragically, the consequences of all of this was predictable too.

“If more parents insist on Sears’ vaccine schedules, then fewer children will be protected, with the inevitable consequence of continued or worsening outbreaks of vaccine-preventable diseases.”

Dr. Paul Offit on The Problem With Dr Bob’s Alternative Vaccine Schedule

More outbreaks of vaccine-preventable diseases.

What to Know About Hiding in the Herd

When too many people try and hide in the herd, it makes it hard to maintain necessary levels of herd immunity, which puts everyone, including medically fragile children and adults, at higher risk for getting a vaccine-preventable disease.

More About Hiding in the Herd

New Vaccine Laws and Mandates

Every good vaccine bill doesn't make it into law.
NY passed a law in 2015 that  eliminated religious exemptions to getting vaccines.

California passed a new vaccine law, SB 277, in 2015.

Most states, including California, already had vaccine mandates though. The difference now is that in California, you need a medical exception to attend school if your kids aren’t vaccinated.

With the passage of SB 277, California joined Mississippi and West Virginia as the only states that do not allow either religious or personal belief vaccine exemptions.

They still aren’t forcing anyone to get vaccinated though.

“The term mandate is somewhat misleading, because there are exceptions — always on medical grounds, frequently on religious grounds, and sometimes on philosophical grounds. Moreover, the thrust of mandates is not to forcibly require vaccination but to predicate eligibility for a service or benefit on adherence to the recommended immunization schedule of vaccination. ”

Y. Tony Yang on Linking Immunization Status and Eligibility for Welfare and Benefits Payments

And in some countries that already have mandates, they aren’t even doing a very good job of making sure that kids even get vaccinated. Many people will be surprised to learn that 14 European countries already mandate one or more vaccines, typically DTP, polio, and MMR.

What’s New in Vaccine Laws

Internationally, the idea of vaccine mandates is a big issue as we continue to see outbreaks of measles in Europe and other areas of the world.

“Parents who vaccinate their children should have confidence that they can take their children to child care without the fear that their children will be at risk of contracting a serious or potentially life-threatening illness because of the conscientious objections of others. ”

Australian Prime Minister Tony Abbott on “No Jab No Pay”

Unlike the Disneyland outbreak in California, the outbreaks in Europe are on a much bigger scale.

And with more cases we see what everyone fears – more deaths.

That’s why we are finally seeing new vaccine laws, including some that mandate vaccines in some other countries, including:

  • Australia – the Australian government began a “No Jab No Pay” plan in 2016 that removed the conscientious objector exemption on children’s vaccination for access to taxpayer funded Child Care Benefits, the Child Care Rebate and the Family Tax Benefit Part A end of year supplement.
  • Estonia – A proposal was put before the Estonian Parliament, the Riigikogu, to make immunizations compulsory.
  • Germany – a new law, if approved (it has already passed the Bundestag or national parliament), will require parents to have a medical consultation before deciding to delay or skip vaccines or they can be fined up to $2,800. Even with the law, in Germany, “vaccinations remain voluntary. But some politicians have suggested that mandatory vaccination is on the way if concerted efforts to encourage vaccinations don’t work.”
  • Italy – the Italian Parliament has given final approval to the Decree-Law Containing Urgent Measures on the Compulsory Vaccination of Children, which makes vaccinations against 12 diseases mandatory for children as a condition of school registration, for both private and public schools.
  • France – is working to expand their list of mandated vaccines to now include protection against 11 diseases instead of just three (diphtheria, tetanus, and polio). All of these vaccines were previously recommended to attend school, but were only voluntary.
  • Romania – a draft Vaccination Law could bring fines to parents who don’t vaccinate their kids and would keep them out of schools. Doctors could be fined too! The draft law is headed to Parliament for debate.

Again, none of these laws mean that anyone is being forced to vaccinate their kids.

Even in the case of vaccine mandates, they are simply requirements to attend daycare or school.

We are also seeing some new vaccine laws in the United States, including changes for the start of the 2017-2018 school year:

  • Indiana – pharmacists can give more vaccines, any vaccine that the CDC recommends, either with a prescription or by protocol for kids over are at least 11 years old and adults
  • Iowa – now requires a meningococcal vaccine for students entering 7th (one dose) and 12th (one or two doses) grades
  • Nevada – now requires a meningococcal vaccine for students entering 7th grade (one dose) and college (a dose after age 16 years)
  • Pennsylvania – unvaccinated students now only have a 5 day grace period at the start of the school year to get vaccinated (it used to be 8 months) before getting expelled from school.

It’s easy to navigate the new laws.

Get educated and get your kids vaccinated. Vaccines are safe, vaccines work, and vaccines are necessary.

What To Know About Vaccine Mandate Laws

Vaccine mandate laws are expanding as we are seeing more outbreaks of vaccine preventable diseases.

More Information on Vaccine Mandate Laws:

Updated August 20, 2017

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Doctors Facing Disciplinary Actions Over Vaccines

mendelsohn
Dr. Mendelsohn was the Dr. Bob of his day.

There are many doctors and other health professionals who do and recommend things that are far out of the mainstream. They may tell their patients to skip or delay vaccines, that vaccine-preventable diseases aren’t that bad, or even that vaccines don’t work, etc.

And yet, many are surprised when some of them face disciplinary actions from their state’s medical boards, such as:

Dr. Ming Te Lin, the board certified pediatrician in Illinois who:

  • was preparing alternative vaccinations for children for more than a decade
  • gave patients modified vaccinations containing cat saliva and vodka
  • was signing state forms certifying he had given pediatric patients their conventional shots
  • used a WaveFront 2000 device to detoxify vaccines of mercury

Dr. Lin’s medical license has been suspended and he  was supposed to have “a hearing before the Medical Disciplinary Board is set for Oct. 11 in Chicago.” That hearing didn’t happen though and he is now supposed to have a new hearing on November 21.

Dr. Bob Sears is also facing disciplinary action from his state’s medical board.

With a long history of recommending his own alternative immunization schedule to parents, Sears is accused of gross negligence for the way that he granted a medical exemption for vaccines to a child.

An anti-vaccine doctor in Arizona, Dr. Jack Wolfson, a holistic cardiologist, was also investigated by his state’s medical board following several complaints that were made during a recent measles outbreak.

Joseph Mercola, D.O. is another anti-vaccine doctor who has faced trouble in the past. A frequent guest on the Dr. Oz show, he has gotten several warnings from the FDA for marketing a thermal camera as a cancer screening device and making false and misleading claims about natural supplemental products he markets.

Even Dr. Oz has gotten into some trouble in recent years, testifying before Congress about weight loss scams.

For More Information On Doctors Facing Disciplinary Actions Over Vaccines:

Vaccine Hesitant Parents

Every parent who skips or delays a vaccine isn’t so anti-vaccine that they believe every anti-vaccine myth and conspiracy theory on the Internet.

Some are simply scared or worried about what they have read or by what friends or family members have told them.

One study by Gust et al. has actually identified up to five categories of parents, including:

  • immunization advocates – the biggest group, who think that vaccines are necessary, safe, and important
  • go along to get alongs – think that vaccines are necessary and safe
  • health advocates – agree that vaccines are necessary, but aren’t so sure that they are safe
  • fence-sitters – slightly agree that vaccines are necessary and safe
  • worrieds – the smallest group, who slightly disagree that vaccines are necessary and strongly disagree that they are safe

The fence-sitters and worrieds, and some of the health advocates, are typically the ones who delay or skip one or more vaccines. They may even follow their own alternative parent-selected, delayed protection immunization schedules.

They are the vaccine-hesitant parents.

But what does it mean to be vaccine hesitant? Some people think of it as a kinder and gentler term, as opposed to someone who is anti-vaccine or a vaccine refuser.

The SAGE Vaccine Hesitancy Working Group says that:

Vaccine hesitancy refers to delay in acceptance or refusal of vaccines despite availability of vaccination services. Vaccine hesitancy is complex and context specific varying across time, place and vaccines. It includes factors such as complacency, convenience and confidence.

If you are hesitant about something, you are “slow to act or speak especially because you are nervous or unsure about what to do.” In general, you need reassurance and advice to address your concerns about what ever you are nervous or hesitant about.

That’s especially true when you talk about vaccine hesitancy. When a parent is worried and wants to skip or delay the MMR vaccine because they have been told it is going to make their child autistic or have read about toxins in vaccines, those are easy concerns for their pediatrician to address and refute.

That’s why many vaccine hesitant parents eventually get their kids caught up on all of their vaccines.

When a parent doesn’t want to believe the overwhelming evidence that vaccines are safe and necessary, then you are moving beyond vaccine hesitancy to someone who is truly anti-vaccine.

That’s not the vaccine hesitant parent though.

One study, “Validity and reliability of a survey to identify vaccine-hesitant parents,” described vaccine hesitant parents as a “heterogeneous group of parents who may purposefully delay or choose select vaccines, have moderate concerns about vaccine safety, and yet still want to trust and receive immunization information from their child’s provider.”

More importantly, the study also said that of vaccine hesitant parents,  “their child’s provider remains in a position of influence, their immunization attitudes are not extreme, and they are a larger group than those who completely reject vaccines.”

That makes it important to truly make dismissing families who don’t vaccinate from pediatric practices a very last resort that is saved for the “entrenched nonvaccinators” and antivaccination activists who are never going to change their minds.

After all, you can’t talk to your pediatrician about vaccines if you are no longer going to a pediatrician who advocates that vaccines are safe and necessary.

For more information:

 

National Catholic Bioethics Center on Vaccines

Although most states allow religious exemptions to vaccines, it is important to keep in mind that very few religions actually oppose vaccines.

That’s where the National Catholic Bioethics Center comes in.

They answer a lot of questions people might have on the Catholic Church’s teaching on vaccines, including “the Church’s teaching about the use of certain vaccines that have a distant historical association with abortion.”

They also state that:

One is morally free to use the vaccine regardless of its historical association with abortion. The reason is that the risk to public health, if one chooses not to vaccinate, outweighs the legitimate concern about the origins of the vaccine. This is especially important for parents, who have a moral obligation to protect the life and health of their children and those around them.

On the question of “Am I free to refuse to vaccinate myself or my children on the grounds of conscience?,” the National Catholic Bioethics Center answers that:

One must follow a certain conscience even if it errs, but there is a responsibility to inform one’s conscience properly. There would seem to be no proper grounds for refusing immunization against dangerous contagious disease, for example, rubella, especially in light of the concern that we should all have for the health of our children, public health, and the common good.

So they are saying you are both “morally free” to use the vaccines and “have a moral obligation” to get vaccinated.

For more information: