Tag: Federal vaccine laws

Why Does the BMJ Post Anti-Vaccine Propaganda?

Getting something posted in a medical journal is a big deal?

Getting something posted in The BMJ? Not so much…

Why Does the BMJ Post Anti-Vaccine Propaganda?

Oh, I’m sure it used to be, as they are one of the world’s oldest general medical journals, going back to 1840.

“Reader feedback online is actively encouraged in the form of Rapid Responses were introduced in 1998, and 20 years later, had generated 115,000 fully-moderated responses.”

History of The BMJ

The thing is, they allow just about anyone to post these Rapid Responses, without making it very clear that they aren’t in a peer reviewed section of the journal.

What’s wrong with this Rapid Response?

  1. The Federal government isn’t issuing any kind of quarantine in this matter, the county is, so why would it be an issue as to whether or not measles is subject to Federal isolation and quarantine law? Anyway, while there are few diseases on the list that are subject to Federal isolation and quarantine law (they do include cholera, diphtheria, plague, smallpox, Ebola, and pandemic flu, etc.) measles could be added by a Presidential Executive Order. Still, the authority to issue Federal Quarantines has rarely been used. Quarantines for measles is usually handled by states and local governments.
  2. Supposed to be protected anyway??? There are plenty of infants, children, and adults who simply can’t be directly protected by a vaccine. They are too young to be vaccinated, can’t be vaccinated because they have true medical contraindications, or could be among the very small minority for whom their vaccine wasn’t effective. They are at risk when your intentionally unvaccinated child gets measles.
  3. The vaccination rates for everyone in the Rockland outbreak is posted and is updated weekly. Only 3.8% of the folks in the outbreak are fully vaccinated.
  4. Since almost all of the folks in the outbreak are unvaccinated, that kind of busts John Stone’s last point – the Rockland measles outbreak has been caused by waning immunity and a failed vaccine. It is simply a failure of folks to vaccinate and protect their kids.

I get that The BMJ wants their “users to debate issues raised in articles published on bmj.com,” but they are simply contributing to the false balance we see in many other places if they want to allow folks to think there is a debate going on about the safety or necessity of vaccines.

More on Anti-Vaccine Propaganda in The BMJ

Are New Federal Vaccine Laws Coming?

Have you seen the headlines?

CNN ran a story about how the Federal government might step in to change lax vaccine laws.

I wouldn’t be surprised if you haven’t, as few media outlets took the click bait and ran with the story…

Are New Federal Vaccine Laws Coming?

So what’s the story?

FDA Commissioner Dr. Scott Gottlieb originally told Axios that “Too many states have lax laws.”

This led to the article by CNN.

“Some states are engaging in such wide exemptions that they’re creating the opportunity for outbreaks on a scale that is going to have national implications,” FDA Commissioner Dr. Scott Gottlieb said Tuesday in an interview with CNN.

If “certain states continue down the path that they’re on, I think they’re going to force the hand of the federal health agencies,” he added.

FDA chief: Federal government might step in if states don’t change lax vaccine laws

Force the hand of the federal health agencies to do what?

“The commissioner was vague on when he thought the federal government should take action and what exactly that action should be. “You could mandate certain rules about what is and isn’t permissible when it comes to allowing people to have exemptions,” he said.”

FDA chief: Federal government might step in if states don’t change lax vaccine laws

Yeah, except neither the FDA, CDC, nor any other federal health agency could actually do that.

“Historically, the preservation of the public health has been the primary responsibility of state and local governments, and the authority to enact laws relevant to the protection of the public health derives from the state’s general police powers. With regard to communicable disease outbreaks, these powers may include the enactment of mandatory vaccination laws.”

Mandatory Vaccinations: Precedent and Current Laws

Of course, that hasn’t kept anti-vaccine folks from getting their feathers ruffled.

Is a story about something that can't really happen a coordinated attack on our medical freedom?

What could the Federal government do about vaccines to cause folks to revolt?

“Any federal mandatory vaccination program applicable to the general public would likely be limited to areas of existing federal jurisdiction, i.e., interstate and foreign commerce, similar to the federal quarantine authority. This limitation on federal jurisdiction acknowledges that states have the primary responsibility for protecting the public health, but that under certain circumstances, federal intervention may be necessary.”

Mandatory Vaccinations: Precedent and Current Laws

Not much.

There isn’t much room for the Federal government to intervene to improve vaccination rates at the state level, except maybe to make sure that vaccines are readily available to everyone that wants them.

Federal jurisdiction over public health matters derives from the Commerce Clause, which states that Congress shall have the power “[t]o regulate Commerce with foreign Nations, and among the several States….”

Mandatory Vaccinations: Precedent and Current Laws

Or is there…

Vaccine preventable diseases are just a plane ride away.
Vaccine preventable diseases are just a plane ride away.

Considering that most measles outbreaks are imported, one very simple Federal law that could help might be one that simply reminds folks who plan a trip out of the country to get vaccinated and protected.

That could help them remember to get caught up on their vaccines so that they don’t come home measles, triggering an outbreak.

Not a requirement to get vaccinated, as that would be hard to enforce, but education and reminders about the recommended vaccines you should get before a trip.

Would that cause anti-vaccine folks to revolt?

Are New Federal Vaccine Laws Coming?

Vaccine Laws

These days, when we think of vaccine laws, we often think of vaccine exemptions.

Once upon a time though, vaccine laws actually helped get kids vaccinated and protected, instead of helping them avoid vaccines.

Vaccine Laws

In addition to state vaccine laws, we have the:

  • Polio Vaccination Assistance Act
  • Vaccination Assistance Act
  • Section 317 immunization programs
  • National Childhood Immunization Initiative of 1977
  • National Childhood Vaccine Injury Act (NCVIA)
  • immunization action plan of 1991
  • Childhood Immunization Initiative in 1993
  • Comprehensive Childhood Immunization Act of 1993
  • Affordable Care Act

What’s next?

More on Vaccine Laws