Tag: Harvard study

A California Pediatrician Who is Not a Hysterical Anti-Vaxxer Wrote a Letter to the Governor…

Did you think it was over, now that SB 276 has been passed and Governor Newsom said that he would sign it, as long as a companion bill with a few added amendments also gets passed?

I'm glad Elisa Song vaccinates some of her kids, but I wonder how many exemptions she has written since SB 277 passed...
I’m glad Elisa Song vaccinates some of her kids, but I wonder how many exemptions she has written since SB 277 passed…

Of course, it’s not…

Elisa Song’s Letter to Governor Newsom

While many of us wanted Governor Newsom to sign SB 276 in its original form, as he had promised, without the added amendments that weaken the law, most see it it as an acceptable compromise.

And then there are the anti-vaccine folks who want Newsom to veto SB 276 so that kids can continue to get inappropriate medical exemptions and remain unprotected and at risk against vaccine preventable diseases.

“I am a pediatrician trying to do the best I can for the children in my practice. And the best is not simply repeating that vaccines are “safe and effective.” Because they’re not 100% safe. Because they’re not 100% effective. Because parents are asking questions. Because parents are afraid and want to do the best for their children. And because we, as primary care physicians, need to be able to practice the art and science of medicine to the best of our abilities, for the child sitting in front of us, without bureaucratic handcuffs and fear of retribution.”

Elisa Song’s Letter to Governor Newsom

No one says vaccines are 100% safe and effective, but they are very effective with few risks.

Parents are afraid because of the anti-vaccine rhetoric and misinformation they see and read on the Internet and sometimes from holistic type doctors who pander to their fears.

“SB 276 continues to place the decision regarding an individual child’s vaccine risk/benefit assessment and whether or not that child qualifies for a vaccine medical exemption in the hands of the government.”

Elisa Song’s Letter to Governor Newsom

This is not true.

SB 276 simply says that you can’t make up your own reasons for why kids can’t get vaccinated and protected.

“SB 276 continues to too narrowly limit the criteria for “appropriate” vaccine exemptions to those contraindications detailed by the CDC, AAP and ACIP. These criteria do not take into account the emerging field of vaccinomics pioneered by the Mayo Clinic and the latest research on increased risk for various chronic illnesses including autoimmunity after vaccination in certain vulnerable populations. Epigenetics is making it increasingly clear that the one-size-fits-all CDC schedule will not work. “

Elisa Song’s Letter to Governor Newsom

As other states have done, SB 276 and SB 714, set rules on what counts as a medical exemption.

“SB276 continues to essentially eliminate all medical exemptions, even those consistent with the CDC, ACIP or AAP guidelines. By arbitrarily limiting the number of medical exemptions a physician may write to 4 in any calendar year before triggering investigation, SB 276 will deter physicians from writing ANY exemptions for fear of irreparable damage to their professional reputation, financial security, and emotional trauma, even if ultimately found innocent. How will a physician decide which 4 children are “deserving” of medical exemptions each year, in order to prevent an automatic investigation once they write that 5th exemption?”

Elisa Song’s Letter to Governor Newsom

Since few children should actually need a true medical exemption, the limits in SB 276 are hardly arbitrary. And since what counts as a true medical exemptions is rarely arbitrary either, doctors who write five or more true medical exemptions in a year will have nothing to fear when those exemptions are reviewed.

“A Harvard study has found that 2.6% of people vaccinated will have a vaccine injury. California’s current medical exemption rate of 0.7% falls far below this number, implying that there are many children whose vaccine injuries could have been avoided if an appropriate medical exemption were written by their physician.”

Elisa Song’s Letter to Governor Newsom

The Harvard Pilgrim Health Care, Inc. report did not find “that 2.6% of people vaccinated will have a vaccine injury.”

It actually found possible reactions in 2.6% of vaccinations. And I hope that everyone is aware that a possible reaction is not the same as a vaccine injury…

Also, in addition to the fact that current rate of medical exemptions in California is far higher than 0.7%, it is the clusters of medical exemptions in many schools that are the problem.

“Until such time when vaccine risks and benefits can be clearly defined in broader terms that take into account personal and family history and epigenetics, this risk needs to be taken on by each parent and each child. And where there is risk, there must be choice. And where there is uncertainty, the BEST person to help that parent navigate vaccines is the person who knows that child’s medical and family history best – THEIR PHYSICIAN.”

Elisa Song’s Letter to Governor Newsom

Elisa Song talks a lot about the risks of vaccines, or at least what she thinks puts kids at risk, including family history and epigenetics.

“I believe in public health, yet I care for individual children and families who sit across from me everyday, trusting that I am giving them valid, scientific, evidence-based information that will keep their individual baby safe and healthy, and believing that I am providing them with true informed consent.”

Elisa Song’s Letter to Governor Newsom

It would be great if she truly were giving her patient’s “valid, scientific, evidence-based information” and “true informed consent.”

She’s not…

“I learned how to integrate conventional pediatrics with functional medicine, holistic nutrition, homeopathy, acupuncture, herbal medicine and essential oils – and it changed my life!”

Elisa Song

Notice anything missing?

$267 for a home remedy kit filled with homeopathic treatments???

She never talks about the risks of getting a vaccine-preventable disease.

And she overstates the risks of vaccines.

“While the media and common public opinion are quick to say that the link between vaccines and autism has been absolutely disproved, they have not done their due diligence research.”

Measles: Know the Facts by Dr. Elisa Song, M.D.

It is hard to make a truly informed decision when your doc downplays the risks of natural disease, makes you afraid to get vaccinated, and tries to sell you natural therapies that we know won’t prevent infections and won’t actually boost your immune system.

More on Anti-Vaccine Pediatricians

Are Fewer Than 1% of Vaccine Injuries Reported to VAERS?

It is a common anti-vaccine argument that fewer than 1% of vaccine injuries are reported to VAERS.

I've found that fewer than 1% of anti-vaccine signs are true...
I’ve found that fewer than 1% of anti-vaccine signs are true…

They even think that they have evidence from Harvard to support their claim!

Are Fewer Than 1% of Vaccine Injuries Reported to VAERS?

Do they?

Are fewer than 1% of vaccine injuries reported to VAERS?

It has long been suspected that reports to VAERS are under-reported, as it is a passive reporting system.

The original claims for under-reporting to VAERS were based on an old study about drug reactions and were not specific to vaccines though.

Is that the Harvard study?

Nope.

“Restructuring at CDC and consequent delays in terms of decision making have made it challenging despite best efforts to move forward with discussions regarding the evaluation of ESP:VAERS performance in a randomized trial and comparison of ESP:VAERS performance to existing VAERS and Vaccine Safety Datalink data. However, Preliminary data were collected and analyzed and this initiative has been presented at a number of national symposia.”

Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS)

They are talking about a report, Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS), that was conducted at Harvard Pilgrim Health Care, Inc.

“Preliminary data were collected from June 2006 through October 2009 on 715,000 patients, and 1.4 million doses (of 45 different vaccines) were given to 376,452 individuals. Of these doses, 35,570 possible reactions (2.6 percent of vaccinations) were identified.”

Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS)

It is very important to note that all the study found is that all possible reactions, including minor reactions, like pain and fever, are not common.

They didn’t actually finish the report to see how commonly those reactions were reported to VAERS.

But we already know that more serious reactions are reported to VAERS much more routinely.

“Sensitivities ranged from 72% for poliomyelitis after the oral poliovirus vaccine to less than 1% for rash and thrombocytopenia after the MMR vaccine.”

Rosenthal et al on The reporting sensitivities of two passive surveillance systems for vaccine adverse events

And there has even been a more recent report, Advanced Clinical Decision Support for Vaccine Adverse Event Detection and Reporting, which also used an ESP-VAERS system, that found great improvements in reporting of adverse events to VAERS.

Even more importantly, even with it’s limitations, VAERS works!

“Despite its limitations, VAERS effectively detected a possible problem soon after introduction of RRV-TV in the United States.”

Lynn R. Zanardi, et al on Intussusception Among Recipients of Rotavirus Vaccine: Reports to the Vaccine Adverse Event Reporting System

Although it would be ideal to have even more reports sent to VAERS, time and again, we have seen that VAERS works.

“On November 23, 2010, the combination of the coding term “febrile convulsion” and the Fluzone(®) TIV product exceeded a predetermined threshold in the VAERS database. By December 10, we confirmed 43 reports of febrile seizure following TIV in children aged 6-23 months. Clinical features of most reports were consistent with typical uncomplicated febrile seizures, and all children recovered. Further epidemiologic assessment of a possible association between TIV and febrile seizures was undertaken in a separate, population-based vaccine safety monitoring system.”

Leroy et al on Febrile seizures after 2010-2011 influenza vaccine in young children, United States: a vaccine safety signal from the vaccine adverse event reporting system.

As we have seen, for VAERS to work, we don’t need all side effects and reactions to be reported.

“VAERS is primarily a safety signal detection and hypothesis generating system. Generally, VAERS data cannot be used to determine if a vaccine caused an adverse event. VAERS data interpreted alone or out of context can lead to erroneous conclusions about cause and effect as well as the risk of adverse events occurring following vaccination.”

Shimabukuro et al on Safety monitoring in the Vaccine Adverse Event Reporting System (VAERS).

Also, VAERS is not the only safety system that we have to make sure that our vaccines are safe.

The other thing that folks should understand? Most reports to VAERS are not actually vaccine injuries

More on the Percentage of Reports to VAERS