Tag: informed consent

Measles Propaganda from The Physicians for Informed Consent

Most people understand that measles can be deadly.

“Measles is a highly contagious, serious disease caused by a virus. Before the introduction of measles vaccine in 1963 and widespread vaccination, major epidemics occurred approximately every 2–3 years and measles caused an estimated 2.6 million deaths each year.”

WHO Measles Fact Sheet

In the United States alone, in the pre-vaccine era, “an average of 549,000 measles cases and 495 measles deaths were reported annually.”

That roughly translates into about one death for every 1,000 cases, or a case-fatality rate of about 0.1%.

That’s in line with the typical case-fatality rate of measles of 0.1 to 0.2%.

Just How Deadly Is Measles?

Not surprisingly, many others have reported a similar case-fatality rate for measles.

Not everyone though.

The ironically named Physicians for Informed Consent suggests that it should be much, much lower.

Why?

Because of a 1989 report that said that “Before measles vaccine was available, more than 400,000 measles cases were reported each year in the United States. However, since virtually all children acquired measles, the true number of cases probably exceeded 4 million per year (i.e., the entire birth cohort).”

Their idea is that if there were more cases (i.e., the entire birth cohort), then even if almost 500 people died each year, the extra cases would make the death rate lower.

There are a lot of problems with that reasoning though…

For one thing, 500 people dying each year of a now vaccine-preventable disease is a lot of people, no matter how you to frame it!

I fixed this graph from The Physicians for Informed Consent to more accurately represent measles mortality data in the pre-vaccine era.
I fixed this graph from The Physicians for Informed Consent to more accurately represent measles mortality data in the pre-vaccine era.

And the traditional stat about the measles fatality rate clearly mentions that this is about reported cases.

You can’t change the number of measles cases to a theoretical number, the entire birth cohort, and keep the number of deaths based on the number of reported cases, and think that you are still talking about the same thing. What if deaths from measles were under-reported too?

“Death from measles was reported in approximately 0.2% of the cases in the United States from 1985 through 1992.”

CDC Pink Book

And there are plenty of more recent statistics, when far fewer people were getting measles, that show a similar case fatality rate.

What Is the Measles Fatality Rate?

How else do we know that The Physicians for Informed Consent is misinforming people?

“…any parent who has seen his small child suffer even for a few days with persistent fever of 105 F, with hacking cough and delirium, wants to see this prevented…”

Alexander D Langmuir, MD on the Medical Importance of Measles

Their measles ‘information’ sheet, made by folks who have likely never treated a child with measles, say that “most measles cases are benign.”

That’s a bit different than Dr. Langmuir’s 1962 account of how the typical child suffered with measles and why he welcomed the new measles vaccine.

“Nevertheless, a resurgence of measles occurred during 1989–1991, again demonstrating the serious medical burden of the disease. More than 55,000 cases, 123 deaths, and 11,000 hospitalizations were reported”

Orenstein et al on Measles Elimination in the United States

What was the case fatality rate during the measles outbreaks in the late 1980s?

It was a little over 0.2%. Did we again under-count cases or was the case-fatality rate so high because most of the cases were in younger, preschool age children?

Anyway, whether the case fatality rate is 1 in 1,000 or 1 in 10,000 (the UK lists their measles case fatality rate at 1 in 5,000), it doesn’t mean that someone will die when you hit case number 1,000, 5,000, or 10,000. It could be the 1st case in an outbreak or the 15,000th.

Measles can be deadly. That’s why most of us choose to have our kids vaccinated and protected.

Do you know how many people had measles in the 2013 outbreak in Brooklyn when a pregnant woman developed measles and had a miscarriage? The outbreak that was started by an unvaccinated teenager included a total of 58 cases.

How about the 2015 outbreak in Clallam County, Washington in which an immunocompromised woman died of pneumonia due to measles? There were only five other cases, almost all unvaccinated.

And in many European countries last year, many of the deaths are in countries with few cases. When the 17-year-old unvaccinated girl in Portugal died, there were just 31 cases. In Switzerland, a vaccinated man with leukemia died in an outbreak with just 69 cases. There were only 163 cases when an unvaccinated 10-month-old died in Bulgaria. And there were fewer than 1,000 cases in Germany when a partially vaccinated mother of three children died.

More Myths About Measles

The Physicians for Informed Consent pushes a lot of other myths and misinformation about measles:

  • about using vitamin A to treat measles – where this works, in developing countries, untreated measles has a case fatality ratio of 5 to 40% because of malnutrition! It isn’t usually thought to be very helpful in an industrial country without malnutrition. And no, simply having a picky eater or one who eats a lot of junk food doesn’t mean that he will be helped by vitamin A if he gets measles
  • about using immunoglobulin to treat measles – the MMR vaccine and immune globulin can be used for post-exposure prophylaxis, but it is not a treatment once you have measles!
  • they misuse VAERS data to try and say the MMR vaccine is more dangerous than getting measles
Not surprisingly, the information that The Physicians for Informed Consent provides rarely matches that of the references they cite.
Not surprisingly, the information that The Physicians for Informed Consent provides rarely matches that of the references they cite.

The Physicians for Informed Consent even talks about benefits of getting measles, but somehow leaves out any talk about the risk of getting SSPE after a natural measles infection.

What else do they leave out? The idea that people who survive a measles infection can have some immunosuppression for up to two to three years! This measles-induced immune damage puts them at risk of dying from other diseases and helps explain why kids who are vaccinated against measles are also less likely to die from other childhood infections.

They even published a press release claiming that they “recently reported in “The BMJ” that every year about 5,700 U.S. children suffer seizures from the measles, mumps and rubella (MMR) vaccine.”

Their report? It was a  “letter to the editor” that anyone can submit online…

Get educated so that you aren’t fooled by this kind of propaganda and anti-vaccine talking-points.

What to Know About Measles Propaganda from The Physicians for Informed Consent

The Physicians for Informed Consent push propaganda to make you think that vaccine-preventable diseases, like measles, aren’t that bad and that vaccines are really, really dangerous.

More on Measles Propaganda from The Physicians for Informed Consent

Are You on the Fence About Vaccines?

If you have doubts about vaccinating your kids, but you are still doing research, then you are probably what people like to call a fence sitter.

On the Fence About Vaccines

Folks who are on the fence haven’t made a decision yet and are torn between what they see as two difficult options.

In this case, the two options we are talking about are:

  1. vaccinate your kids
  2. don’t vaccinate your kids

What makes those options difficult?

If you spend a little time on the Internet, those two options get complicated quickly and can turn into:

  1. vaccinate your kids – exposing them to toxins and all kinds of vaccine-induced diseases, from autism to SIDS
  2. don’t vaccinate your kids – risking a deadly disease because they are unvaccinated or the possibility that someone will come and force you to get them vaccinated

How do you figure out the truth to help you make the right decision for your family?

The Truth Behind Your Vaccine Decision

Most parents vaccinate their kids on time and on schedule.

These books about vaccines can help with your research about vaccinating and protecting your family.
These vaccine books can help you make the right decision if you are on the fence about vaccines.

Do they all have a hard time making their decision?

Most don’t.

They understand the risks their children face if they aren’t vaccinated.

“When a well-meaning parent like Jenny McCarthy blames vaccines for her child’s autism, placing the fear of God into every parent who has a baby, it’s not only irresponsible – it’s dangerous. Why? It’s simple math: vaccines are less effective when large numbers of parents opt out. And the more who opt out, the less protected ALL our children are.

Celebrity books come and go . . . but the anxiety they create lives on in pediatricians’ offices across the country. A small, but growing number of parents are even lying about their religious beliefs to avoid having their children vaccinated, thanks in part to the media hysteria created by this book.”

Ari Brown, MD responding to Jenny McCarthy appearing on Oprah

That’s not to say that they don’t think about their decision to vaccinate their kids. Or even think twice about it.

But in the end, they know that:

And they know that their decision might affect others around them.

If your research about vaccines has pushed you off the wrong side of the fence and into your pediatrician’s office with a copy of Dr. Bob’s vaccine book demanding an alternative immunization schedule, then you might want to do a little more research.

Misinformed Consent

Most importantly, parents who choose to vaccinate their kids don’t believe the myths and conspiracy theories that might lead them to skip or delay any recommended vaccines.

“If you see a turtle sitting on top of a fence post, it didn’t get there by accident.”

President Bill Clinton

Ironically, the anti-vaccine “experts” and websites that scare some parents often talk about choice and informed consent.

Understand though, that by exaggerating the risks of vaccines and vaccine injury (no, vaccines are not full of toxins), playing down the risks of vaccine-preventable diseases (no, they are not mild diseases that should be thought of as a rite of passage), and ignoring the benefits of vaccines (yes, vaccines do work), they are violating the basic tenets of informed consent themselves.

And that limits your ability to make the right choice for your family.

Making the Right Decision About Vaccines

There is nothing wrong with asking questions and being skeptical about the answers you get.

No one wants to return to the days when reports of measles epidemics made the front page of the New York Times.
No one wants to return to the days when reports of measles epidemics made the front page of the New York Times.

With all of the things you see and hear about vaccines, there is nothing wrong with being a little scared and wanting to do more research, instead of blindly following the advice of your pediatrician.

But remember that if you are going to be skeptical and are not going to blindly follow the advice of someone you know and maybe trust, then don’t blindly believe everything you read on the Internet that says vaccines are bad.

“My husband and I agreed we would just not have our new baby vaccinated until she was at least 1 year old, which seemed like enough time to continue looking for information. Also, we were not concerned that she was at risk of contracting any serious childhood illnesses.

We were wrong.

A week before our baby girl’s first birthday, she was feverish and listless. When she refused to nurse for 24 hours, I took her to see our pediatrician. She was hurriedly admitted to intensive care with the diagnosis of spinal meningitis caused by Haemophilus influenzae, type B, which is a vaccine-preventable disease.”

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

Suzanne Walther discovered that “it is easy for parents to be misinformed. It is a real challenge to be well informed.”

What questions did she want answers to?

  • Are vaccines really effective at preventing diseases? – Yes, although they aren’t 100% effective, vaccines do work well at preventing and controlling 16 different vaccine-preventable diseases on our childhood immunization schedule. And yes, vaccines did help eliminate smallpox and herd immunity is real.
  • How are vaccines made? – Vaccines are made in a multi-step process that begins with generating the antigens that will go in the vaccine and then moves to releasing and isolating the antigen from the growth medium, purifying the antigen, strengthening and stabilizing the vaccine, and then combining it all into the final vaccine. Unlike videos you may have seen on the Internet, there is nothing scary about this very scientific process.
  • Are they tested for safety? – Vaccines are extensively tested in Phase I, II, and III trials before they are approved and added to the immunization schedule. This entire vaccine development process may take as long as 10 to 15 years.
  • Are there ongoing clinical trials to rule out the possibility that vaccines cause diseases later in life? – Yes, after vaccines are approved and are added to the immunization schedule, ongoing Phase IV studies continue to monitor their safety and efficacy. In addition, Vaccine Adverse Event Reporting System (VAERS), the Clinical Immunization Safety Assessment (CISA) Project, and the Vaccine Safety Datalink (VSD) help make sure vaccines are safe after they are approved.
  • Have allegations of adverse reactions been studied and confirmed or refuted? – Yes. In addition to several Institute of Medicine Vaccine reports, study after study have shown that vaccines don’t cause autism, SIDS, ASIA, or any of the other vaccine induced diseases “they” come up with.
  • And, last but not least, where can I get truthful, clear answers to my questions? – In addition to your pediatrician, there are plenty of vaccine books, sites, and groups that can help you get educated about vaccines.

Today, she might also have had questions about package inserts, aluminum, MTHFR mutations, shedding, vaccine mandates, the CDC Whistleblower, and the HPV vaccine. These and a hundred more have been answered over and over again.

Suzanne Walther learned about vaccines the hard way – after her infant contracted Hib meningitis, a vaccine-preventable disease. She also discovered that you can sometimes delay or wait too long to vaccinate your child.

What will you do to be well informed and to make sure you are making the right choice?

What to Know If You Are on the Fence About Vaccines

It is easy to be misinformed about vaccines, especially if you are on the fence and aren’t sure what to do. Get educated and and be sure you are making the right decision for your family.

More About One the Fence About Vaccines