Tag: hygiene

Risks and Benefits of Vaccines – Anti-Vax Edition

Anti-vax folks like to say that they are doing their research, even collecting that research into handy binders. And they like to think that they are looking at both the risks and benefits of vaccines when they make their decision to skip or delay their child’s vaccines.

When anti-vax folks look at the risks and benefits of vaccines, they see lots of risks and few benefits.
When anti-vax folks look at the risks and benefits of vaccines, they see lots of risks and few benefits.

Like their research, their method of considering the risks and benefits of vaccines is very flawed

Risks and Benefits of Vaccines – Anti-Vax Edition

What’s the first thing you notice when you look at Ashley Everly‘s chart?

She doesn’t have a column for when a child Should Be Vaccinated!

Although there are no optional vaccines, there are some situations in which getting vaccinated and protected is truly essential, including:

  • a child bitten by a dog, coyote, or bat with rabies
  • a completely unvaccinated teen who gets a deep puncture wound while playing in a field
  • a baby born to a mother with hepatitis B
  • an unvaccinated older teen living in a dorm on a college campus where there is an ongoing outbreak of meningococcemia
  • a preschooler with a cochlear implant
  • an unvaccinated 1st grader who’s sibling is starting chemotherapy for leukemia
  • unvaccinated kids traveling out of the country to parts of the world where vaccine-preventable diseases are still endemic
  • a child with asplenia

Does she really think that the benefits of the rabies vaccine don’t outweigh the risks? Does she understand what happens if you get rabies, even if your child has access to nutritious food, clean drinking water, and emergency medical care?

Who Should Not Be Vaccinated?

What else is wrong with Ashley Everly‘s risk and benefit chart?

Most of the things on her list of who should not be vaccinated are not true contraindications.

Of course, the one about having a “previous vaccine injury or serious reaction” would likely be a reason to not get that vaccine again, as long as the injury or reaction was really caused by the vaccine.

Are there situations in which the potential benefit of vaccination might not outweigh the vaccines risks?

“Events or conditions listed as precautions should be reviewed carefully. Benefits of and risks for administering a specific vaccine to a person under these circumstances should be considered. If the risk from the vaccine is believed to outweigh the benefit, the vaccine should not be administered. If the benefit of vaccination is believed to outweigh the risk, the vaccine should be administered. Whether and when to administer DTaP to children with proven or suspected underlying neurologic disorders should be decided on a case-by-case basis.”

ACIP Contraindications and Precautions

Those situations are called precautions.

Fortunately, most are temporary, such as having a “moderate or severe acute illness with or without fever.”

These precautions do not include having a family history of cancer or autoimmune disease.

When Vaccination May Be Unnecessary

Are there any situations in which vaccination may be unnecessary?

There are a few, including:

  • when a disease is eradicated
  • when you aren’t at risk to get a disease and there is little risk that there will be an outbreak in your community or a return if folks stop vaccinating – that’s why we don’t routinely vaccinate against yellow fever, cholera, and typhoid fever, etc. in the United States
  • when you get sick and develop natural immunity

Vaccination is still necessary if a child’s mother is breastfeeding (which doesn’t protect against most vaccine-preventable diseases), has natural immunity to wild type infections (passive immunity quickly wears off), and even if the child has access to nutritious food and clean drinking water.

Nearly two months in the ICU vs getting a tetanus shot… How do the risks and benefits stack up now?

And yes, getting vaccinated and protected is even necessary if a child has access to emergency medical care.

What to Know About the Risks and Benefits of Vaccines

While you should certainly consider the risks and benefits of getting vaccinated, understand that vaccines are safe, with few risks, and very necessary.

More on the Risks and Benefits of Vaccines

Are Reported Pertussis Cases up by 114% Since 1967?

We know that we are seeing more pertussis cases these days.

Although the last few years have been better, 2012 was an especially bad year, with at least 48,277 cases and tragically, at least 4 deaths.

Are Reported Pertussis Cases up by 114% Since 1967?

How does that compare to the the pre-vaccine era?

Cases are still well below what they were in the pre-vaccine era, before we were routinely using DPT and DTaP vaccines.

Reported cases of pertussis are still down from the prevaccine era and there are far fewer deaths, from 37 deaths in 1967 to 6 in 2015.
Reported cases of pertussis are still down from the prevaccine era and there are far fewer deaths, from 37 deaths in 1967 to 6 in 2015.

What about the idea that pertussis cases are up 114% since 1967?

While that may be true, the first thing you should ask yourself when looking at Lauren Novelli’s little graph, is why did she choose 1967?

Reported Pertussis Cases Are Down Since the Pre-Vaccine Era

We did start using a new vaccine in 1967, but it was the measles vaccine, not the DPT vaccine. Vaccines against diphtheria, pertussis, and tetanus had been available for some time and were used more routinely beginning in the 1950s.

And that explains the drop in pertussis cases from just over 120,000 in 1950 to about 40,000 in 1959.

More importantly, even as pertussis cases are increasing again, we aren’t seeing as many people dying from pertussis.

In 2018, there were 13,439 reported pertussis cases and 10 deaths.
In 2018, there were 13,439 reported pertussis cases and 10 deaths.

Is that because of better hygiene, sanitation, and nutrition?

No.

We had those in most of the United States in the 1950s and 60s. The big change is that even though the current pertussis vaccine might not be perfect, having issues with waning immunity, it can still protect you from severe disease.

Vaccinating against pertussis is far from useless and there is absolutely no evidence of dormant bacteria carriers being triggered into becoming active infections.

This is pure propaganda, but you should expect no less from someone who describes themselves as an intuitive nurse and sells CBD oil.

More on Reported Pertussis Cases

What Are the Greatest Tricks Anti-Vaccine Folks Use to Persuade Parents to Skip Vaccines?

We are hearing a lot about anti-vaccine misinformation these days.

John Birch (B) and the other anti-vaccine heroes of the day on their way to fight the vaccination monster.
John Birch (B) and the other anti-vaccine heroes of the day on their way to fight the vaccination monster.

And how the anti-vaccine movement is using social media to persuade parents to skip their child’s vaccines, leaving them unprotected.

So how do they do it?

What Are the Greatest Tricks Anti-Vaccine Folks Use to Persuade Parents to Skip Vaccines?

If you want to understand the anti-vaccine movement, the first thing to know is that they have been around for centuries. That they are using social media is of course new, but their messages are basically the same.

They use scare tactics to try and make you believe that:

  1. vaccines are dangerous and injure people
  2. vaccines aren’t necessary because diseases are mild
  3. vaccines don’t even work

And you need all three elements, after all, even if you thought that vaccines were sometimes dangerous, you might want to vaccinate your kids if you thought that vaccines could stop an even more dangerous vaccine-preventable disease, right?

That’s why they keep all of your fear focused on the vaccines!

It is this fear that allows several cognitive biases, heuristics, and logical fallacies to take hold and change your perception of risk into something that is much different from reality.

And that’s maybe the ultimate trick – making you think that the risks of vaccines are greater than the risks of catching a vaccine-preventable disease or even greater than the risks of having a vaccine-preventable disease.

But what about the graphs they have, the autism studies, the vaccine injury stories, Whistleblowers, complaints about saline placebos, the idea that better hygiene and sanitation fixed everything, and all of the claims of toxins and the conspiracy theories about Big Pharma?

Anti-vaccine folks are constantly moving the goalposts

These and every new argument they come up with are easily refuted.

When will you stop listening to them?

“Thank you Chairman Alexander, Senator Murray, and distinguished committee members for the opportunity to speak today. Good morning, everyone. My name is Ethan Lindenberger and I am a senior at Norwalk High School. My mother is an anti-vaccine advocate that believes vaccines cause autism, brain damage, and do not benefit the health and safety of society despite the fact such opinions have been debunked numerous times by the scientific community. I went my entire life without vaccinations against diseases such as measles, chicken pox, or even polio. However, in December of 2018, I began catching up on my missed immunizations despite my mother’s disapproval, eventually leading to an international story centered around my decisions and public disagreement with my mother’s views.”

Testimony of Ethan Lindenberger Student at Norwalk High school Before the Senate Health, Education, Labor, and Pensions Committee March 5th, 2019

Should kids really have to hope that they grow up without getting a vaccine-preventable disease so that they can get themselves vaccinated?

“I have discovered along the way that it is easy for parents to be misinformed. It is a real challenge to be well informed.”

Suzanne Walther on A Parent’s Decision on Immunization: Making the Right Choice

Vaccines are safe, with few risks, and necessary.

It might be a challenge, but it is worth the effort to be well informed about vaccines. It is worth knowing that your kids are vaccinated and protected.

More on the Greatest Tricks Anti-Vaccine Folks Use to Persuade Parents to Skip Vaccines


Ask 8 Questions Before You Skip a Vaccine

As anti-vaccine folks get more attention because of the rise in outbreaks of vaccine-preventable disease, in addition to more folks getting vaccinated, we are seeing some of the leaders of the anti-vaccine movement get more vocal.

Are measles outbreaks a sign that the anti-vaccine movement is “winning?”

Meetings, dinners, rallies…

They are doing everything they can to get their misinformation and propaganda out so that you don’t vaccinate and protect your kids.

Ask 8 Questions Before You Skip a Vaccine

If you see any of these folks, ask them a few questions…

  1. If Andrew Wakefield was right, and the MMR vaccine is associated with autism, then why are you worried about thimerosal? The MMR vaccine never contained thimerosal…
  2. If Robert F. Kennedy, Jr is right, and it is all about thimerosal, then why are you worried about the MMR vaccine? The MMR vaccine never contained thimerosal…
  3. If you are worried about thimerosal and aluminum, then why are you worried about the MMR vaccine? Not only has it never contained thimerosal, as a live vaccine, but it has also never contained aluminum.
  4. If vaccines are associated with autism, then why don’t the counties with the highest immunization rates have the highest rates of autism?
  5. If better hygiene and sanitation got rid of vaccine-preventable diseases, then why didn’t it do it for all diseases at the same time? And why hasn’t it gotten rid of RSV, Ebola, Zika, HIV, Norovirus, and all of the diseases that we don’t have vaccines for?
  6. If measles is so mild, then during the measles epidemics from 1989 to 1991 in the United States, why were 11,000 people hospitalized and why did 123 people die?
  7. If you are concerned about vaccines that have a distant association with abortion, then why don’t you vaccinate your kids with all of the vaccines that don’t use WI-38 and MRC-5 cells lines?
  8. If your arguments are so solid, then why do you need to keep moving the goalposts (it’s autoimmune diseases they are worried about now, not autism) and why are they so easy to refute (vaccines aren’t associated with autoimmune diseases either)?

The answers will be predictable.

They will revolve around three basic core beliefs of the anti-vaccine movement.

  • The belief that vaccines are toxic, full of poison, and always cause damage and injuries.
  • The belief that vaccine-preventable diseases are mild and you are better off getting natural immunity.
  • The belief that vaccines don’t even work.

Is that what you believe?

Will you let those kinds of beliefs scare you away from vaccinating and protecting your kids?

Are you going to put our kids at risk because you believe those things?

Are you really making an informed choice to skip or delay a vaccine when all of the scary things that people are telling you about vaccines aren’t even true?

More on Questions to Ask Before You Skip a Vaccine