Tag: immunocompromised

About That Johns Hopkins Protocol of Immunocompromised Kids…

We know that immunocompromised kids are especially at risk from vaccine preventable diseases, both because they are immunocompromised and because they often can’t get vaccinated or fully vaccinated.

That why herd immunity is important and there are immunization protocols for immunocompromised kids.

About That Johns Hopkins Protocol of Immunocompromised Kids…

One of the most commonly followed protocols, 2013 IDSA Clinical Practice Guideline for Vaccination of the Immunocompromised Host, was recently published by the Infectious Diseases Society of America.

“Healthy immunocompetent individuals who live in a household with immunocompromised patients should receive the following live vaccines based on the CDC annual schedule: combined measles, mumps, and rubella (MMR) vaccines; rotavirus vaccine in infants aged 2–7 months; varicella vaccine (VAR); and zoster vaccine (ZOS). Also, these individuals can safely receive the following vaccines for travel: yellow fever vaccine and oral typhoid vaccine.”

2013 IDSA Clinical Practice Guideline for Vaccination of the Immunocompromised Host

There are also guidelines from the Medical Advisory Committee of the Immune Deficiency Foundation, the ACIP, and the American Academy of Pediatrics.

All of the protocols support kids getting vaccinated and protected, unless they have a medical exemption, and that their contacts get vaccinated and protected.

Is it any wonder that some parents are scared to vaccinate their kids after listening to these folks speak at these rallies?

That’s why it is surprising to hear what Robert F. Kennedy, Jr had to say about the protocol he reviewed from Johns Hopkins.

“So I went to the Johns Hopkins protocols for immunocompromised children. And I read it. And when I read it, it’s a long, dense document, but there’s no place in that entire document that said immunocompromised children should be kept away from unvaccinated children. Do you know what there is? Ah! It says that the real danger to immunocompromised children is vaccinated children, because, whatever you do, don’t let your immunocompromised child near a child who has recently, meaning six weeks, had a chickenpox vaccine. Don’t let your child anywhere near a child who has had a polio vaccine. Or a pertussis vaccine. And that’s the worst one. Because the child with pertussis has no knowledge that he has pertussis. He is an asymptomatic carrier. But he can pass it to your child. And he is more likely to pass it to your child if he is vaccinated!”

Robert F. Kennedy, Jr

Where is this Johns Hopkins protocol that Kennedy read?

Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and the The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.
Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and the The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.

He can’t be referring to the old version of the Johns Hopkins Hospital Patient Information Guide for the Immunocompromised Patient, can he? The revised Johns Hopkins Hospital Patient Information Guide no longer routinely warns about contact with children who were recently vaccinated.

Although anyone with a severe immunodeficiency should avoid those who have recently received the oral polio vaccine, that vaccine hasn’t been used in the United States since 2000. Also, you don’t have to avoid folks who have received the chickenpox vaccine, unless they get a rash and it is uncovered. And you certainly don’t have to avoid anyone who has received the pertussis vaccine, as it is not a live vaccine.

The Johns Hopkins Hospital Patient Information Guide does warn those who are immunocompromised to “Tell friends and family who are sick not to visit.”

Who’s more likely to get sick with things like measles, chickenpox, and pertussis?

Folks who are unvaccinated!

“The threat of pertussis and other childhood communicable diseases to children with immunodeficiency is particularly alarming. The increased risk of disease in the pediatric population, in part because of increasing rates of vaccine refusal and in some circumstances more rapid loss of immunity, increases potential exposure of immunodeficient children. The immunosuppressed subject is particularly at risk in crowded living conditions because of the spread of these diseases by aerosol droplets or through the oral-fecal route.”

Medical Advisory Committee of the Immune Deficiency Foundation on Recommendations for live viral and bacterial vaccines in immunodeficient patients and their close contacts

Has Kennedy read the protocols from the Immune Deficiency Foundation? They do warn of the risk from intentionally unvaccinated kids!

Has he read the Johns Hopkins Hospital Patient Information Guide, which was updated at least two years ago?

Have you, especially if you are thinking about skipping or delaying your child’s vaccines?

More on the Johns Hopkins Protocol of Immunocompromised Kids…

Reactions to SB 276 Passing the Assembly

On the same day that the LA Times wrote what some are calling a false balance about Bob Sears, SB 276 passed the California Assembly and Gavin Newsom called for the addition of amendments that would protect doctors who have been writing an excessive amount of medical exemptions.

Gavin Newsom's proposed amendments could weaken SB276.
Exempting individual medical information on exemptions from the Public Records Act is not a bad idea.

Coincidence?

Reactions to SB 276 Passing the Assembly

As the amendments only serve to weaken SB276, Governor Newsom should consider backing off on his request to change the bill, especially as he had previously said he would support it.

Protecting kids from vaccine preventable diseases is unethical and evil???
Protecting kids from vaccine preventable diseases is unethical and evil???

While the amendments will protect those who have been writing inappropriate medical exemptions, they won’t appease most people who are against SB 276.

Who is talking about forcibly injecting people with vaccines? Remember, mandates don't force anyone to get vaccinated and protected...
Who is talking about forcibly injecting people with vaccines? Remember, mandates don’t force anyone to get vaccinated and protected…

Especially as most of those folks still don’t understand exactly what SB276 does!

SB 276 does not eliminate all medical exemptions.
SB 276 does not eliminate all medical exemptions.

What silent loophole are these folks talking about?

The nephew of California State Assemblymember Lorena Gonzalez is immunocompromised.

“His doctor said no, he can’t have live vaccines, so no, he can’t be immunized against measles or chicken pox. Every time he is not in the hospital, he wants to be in school, but those diseases could kill him. Definitely put him back in the hospital. These are the children, the truly medically fragile children that we are trying to prevent from getting these diseases and why it’s so important.”

California State Assemblymember Lorena Gonzalez Assembly Floor Session, Tuesday, September 3rd, 2019

He has a medical exemption to getting vaccinated.

Unless the medical exemption is to all vaccines and not just live vaccines, he won’t lose his exemption and won’t need a “silent loophole.”

Having a “known severe immunodeficiency” is a well known contraindication to getting live vaccines, including MMR and the chickenpox vaccine.

Not only would his exemption be allowed, it not be one of only 5 exemptions that his doctor is allowed to make!
Not only would his exemption be allowed, it would not be one of only 5 exemptions that his doctor is allowed to make!

SB276 also doesn’t limit the number of medical exemptions that doctors can write. It just states that if a doctor writes 5 or more exemptions in a calendar year, then those exemptions will be reviewed by a medical panel to make sure that they are legitimate.

Why do 5 exemptions trigger a review? Because the average doctor will likely not need to write that many medical exemptions, as there are very few true medical reasons to avoid or skip vaccines. What if a doctor writes 10 or 15 legitimate medical exemptions? If they are reviewed and found to be legitimate, then 10 or 15 of their patients will have medical exemptions!

How will they revolt - because they don't want to vaccinate and protect their kids?
How will they revolt – because they don’t want to vaccinate and protect their kids?

Are Newsom’s amendments going to stop folks who are talking about revolutions?

Wait, which amendment is she talking about???

Is it going to protect kids from those who might continue to get unnecessary, permanent exemptions until the protections of SB 276 finally do take effect?

More on SB276

Is SB 276 a Civil Rights Issue?

Wait, what? SB 276? The vaccine bill in California? Why are some folks thinking that SB 276 is a civil rights issue?

How is SB 276 a civil rights issue?
How is SB 276 a civil rights issue?

Oh, it’s the usual suspects again…

Is SB 276 a Civil Rights Issue?

Surprisingly, this isn’t the first time that Bob Sears has promoted the idea that vaccine laws were the same as segregation and other civil rights issues.

“In my opinion, this is a new type of discrimination at its worst. It’s taking a new class of vulnerable children — the vaccine-compromised — and saying that because they refuse to finish their damn shots, they don’t get school. Forget separate but equal. This is separate … and NOTHING! No school at all. Soon it’s going to be no playgrounds and no drinking fountains either. Hey, the last time our government did this to a group of people, at least they GOT drinking fountains. They even got to ride buses, as long as they sat in the back. Because our government said “those people” were not safe for the rest of us to be around, and our society stood by and let it happen. And the discrimination we perpetrated on our equals so many years ago is one of the great evils our country is still guilty of. Is that what this article, and the California SB 276 bill it’s supporting, is asking us to go back to?”

Bob Sears

Are parents who can’t send their kids to school because they choose to intentionally skip or delay vaccines really the same as kids who are discriminated against because of their race?

SB 276 promotes segregation?
SB 276 promotes segregation?

Is SB 276, which simply eliminates the loophole that allows doctors to write inappropriate medical exemptions, really a civil rights issue?

An upside down American flag to protest a law to get kids vaccinated and protected?
An upside down American flag to protest a law to get kids vaccinated and protected?

Is SB 276 really like racism, human trafficking, LGBT discrimination, gun violence, refugee rights, sexual harassment and assault, and continued discrimination for people with disabilities, etc.?

If anything, SB 276 protects the civil rights of students with disabilities.

Consider kids with true medical exemptions who get quarantined when an intentionally unvaccinated child starts an outbreak.

“During an outbreak or potential outbreak of a vaccine-preventable disease such as measles, school officials should follow existing laws and policies in a non-discriminatory manner, and should seek guidance from and defer to public health authorities in considering whether, for these students with disabilities, school officials can continue to safely make a reasonable modification to a policy, practice, or procedure that otherwise requires vaccinations in order to attend school.”

Addressing the Risk of Measles in Schools while Protecting the Civil Rights of Students with Disabilities

By eliminating unnecessary exemptions and getting more kids vaccinated and protected, SB 276 will help to stop the outbreaks that have been on the rise. It will help kids with true medical exemptions avoid quarantines and stay in school.

More on Vaccine Discrimination

St. Jude Inpatient Visiting Guidelines

How do anti-vaccine folks get away with using St. Jude inpatient visiting guidelines to convince people that shedding from vaccines is a problem?

Outdated information anti-vaccine folks push as the latest St. Jude Inpatient Visiting Guidelines.
Outdated information anti-vaccine folks push as the latest St. Jude Inpatient Visiting Guidelines.

They keep sharing guidelines that are out-of-date.

St. Jude Inpatient Visiting Guidelines

What does St. Jude tell visitors these days?

The latest Patient Visitor Guidelines from St Jude
The latest Patient Visitor Guidelines from St. Jude.

They mostly emphasize that folks should get vaccinated and protected so that they don’t get a vaccine-preventable disease, which would increase the chances that others could get sick too.

What about shedding?

It is rarely a problem.

“…the increased risk of disease in the pediatric population, in part because of increasing rates of vaccine refusal and in some circumstances more rapid loss of immunity, increases potential exposure of immunodeficient children.”

Medical Advisory Committee of the Immune Deficiency Foundation

More folks not getting vaccinated? That is a problem

More on St. Jude Inpatient Visiting Guidelines