Myths About Warnings and Adverse Reactions in the MMR Package Inserts
Is that really in the MMR package insert?
Let’s see, 42 paragraphs of warning and adverse reactions???
The Warning Section, which lists all adverse reactions and safety hazards that may occur after getting a vaccine and what you should do if they occur, actually only contains five paragraphs!
There are 23 more paragraphs in the Adverse Reactions section, but as most folks understand, this section includes clinical trials experience, postmarketing experience, and voluntary reports, so it is not always possible to establish a causal relationship to vaccination for the adverse effects listed here.
What does the MMR package insert say about seizures, encephalitis, hearing loss, and death?
“Measles is also known as rubeola. It is a serious illness. Measles virus can be passed to others if you have it. Measles can give you a high fever, cough, and a rash. The illness can last for 1 to 2 weeks. In rare cases, it can also cause an infection of the brain. This could lead to seizures, hearing loss, mental retardation, and even death.
Mumps can also be passed to others. This virus can cause fever and headache. It also makes the glands under your jaw swell and be painful. The illness often lasts for several days. Sometimes, mumps can make the testicles swell and be painful. In some cases, it can cause meningitis, which is a mild swelling of the coverings of the brain and spinal cord.
Rubella is also known as German measles. It is often a mild illness. Rubella virus can cause a mild fever swollen glands in the neck, pain and swelling in the joints, and a rash that lasts for a short time. It can be very dangerous if a pregnant woman catches it. Women who catch German measles when they are pregnant can have babies who are stillborn. Also, the babies may be blind or deaf, or have heart disease or mental retardation.”
So the package insert is telling folks to get vaccinated and protected to avoid seizures, encephalitis, and death. Why don’t anti-vaccine folks ever mention that part of the package insert?
That measles reduces your risk of cancer is probably one that you haven’t heard.
Neither are you likely to have heard of the conspiracy theory that Big Pharma wants you to get vaccinated and protected so that you don’t get measles, just so you are at increased risk of cancer later.
Does Having Measles Protect You from Cancer?
The idea of a viral infection protecting you from cancer doesn’t make much sense, after all, many viral infections actually cause cancer.
That’s why we have vaccines to protect us against hepatitis B and HPV infections! So much for the idea that Big Pharma wants you to get cancer. If they did, then why did they develop vaccines that prevent cancer?
Kind of. She has a study, “Febrile infectious childhood diseases in the history of cancer patients and matched control,” that was published 20 years ago in the journal Medical Hypothesis. A study that consisted of a questionnaire that was sent to cancer patients who were seen by anthroposophic general practitioners in Switzerland.
Anthroposophic general practitioners? Think Rudolf Steiner and Waldorf Schools.
That’s a risk that you might be unfamiliar with, but it is the increasing popular theory that a natural measles infection resets your immune system to that of a newborn, so that you are once again susceptible to many infectious diseases. That’s likely why mortality rates from other diseases besides measles goes down when folks start to get vaccinated against measles.
Measles and Cancer Risks
What about the association of measles and cancer?
Unlike the idea that a natural measles infection might be protective against cancer, there are more than a few studies that actually associate measles with a risk of developing cancer, including:
Are these associations real?
Probably not, after all, why don’t rates of these cancers go way down after measles gets under control or eliminated?
And we understand the most dangerous association between measles and cancer that affects the most people – when unvaccinated people get measles and expose children and adults on chemotherapy who are immunosuppressed and can’t be vaccinated.
Many news organizations ran with a story about a multi-state measles outbreak recently.
They got something wrong though.
There is no ongoing, single, multi-state outbreak of measles this year.
Fake News About Measles Outbreaks?
Is it understandable that some media outlets would have been confused by recent CDC reports?
The CDC Measles Cases and Outbreaks page hadn’t been updated since late-July and is still reporting case numbers that are “current as of July 14, 2018,” so there really was no recent CDC report to generate all of this extra attention.
“From January 1 to July 14, 2018, 107 people from 21 states (Arkansas, California, Connecticut, Florida, Illinois, Indiana, Kansas, Louisiana, Maryland, Michigan, Missouri, Nevada, New Jersey, New York, North Carolina, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, and Washington) and the District of Colombia were reported to have measles.”
CDC on Measles Cases and Outbreaks
Although it has been changed to say “107 individual cases of measles have been confirmed in 21 states,” there was nothing to indicate it was a single outbreak that the CDC was monitoring as many sites reported:
NBC2 – Measles outbreak spreads to 21 states, infecting more than 100 people
Unfortunately, many of these reports are still online.
How did it happen?
It’s likely because you have reports from organizations and websites that seem to want to push out content, but don’t have much of a budget to pay health or medical writers to make sure it is accurate.
2018 Measles Cases and Outbreaks
It’s also unfortunate that some of these sites, in trying to correct the idea of a single, nation-wide outbreak, are now trying to minimize this year’s measles outbreaks.
No, there isn’t one large outbreak that is spreading across the United States, but there are a lot of smaller outbreaks, some of which are still ongoing.
And these outbreaks are not something that should still be expected, as we have had a safe and effective measles vaccine for over 50 years and measles was declared eliminated in the United States in 2000!
There is also something very much different about 2018, that not surprisingly, no one is reporting about.
With over 107 cases, things seem very similar to last year right, when we had about 118 cases?
It’s because some folks think that everything that happens to their kids is a vaccine injury.
Personal Stories About Vaccine-Preventable Diseases
If you are going to watch those videos and listen to their stories, getting scared in the process, be sure to also listen to the stories of parents who’s kids have suffered through actually getting a vaccine-preventable disease.
While it’s great that these diseases are much less common because most people vaccinate and protect their kids, one side effect of that progress is that we don’t have many reminders of just how terrible these diseases are anymore.Have you ever seen a baby with congenital rubella syndrome?
“Kimberly Coffey was buried three days before her high school graduation in the prom dress she didn’t get to wear. She didn’t have the opportunity to be vaccinated against Meningitis B.”
Kim’s Meningitis Story
In Kimberly‘s case, the Men B vaccine wasn’t yet available, but in many other cases, parents have shared their stories of unvaccinated children who suffered with a disease that was vaccine preventable at the time.
“From 2010 to 2016, young children continued to be at the greatest risk for influenza-associated pediatric deaths. Children without preexisting medical conditions accounted for half of all deaths. Vaccination coverage was low among influenza-associated pediatric deaths.”
Shang et al. on Influenza-Associated Pediatric Deaths in the United States, 2010–2016
Are the stories supposed to scare you into vaccinating your kids?
Of course not. Just like you shouldn’t let the myths and propaganda from the anti-vaccinate movement scare you away from vaccinating and protecting your kids.
Instead of being motivated by fear, you should make your decision because you understand that the many benefits of vaccines are far greater than their small risks.
What to Know About Vaccine-Preventable Disease Stories
Reading stories of vaccine-preventable diseases are a good reminder that these diseases are not so mild as some folks suggest, and they are instead life-threatening diseases that are best avoided by getting fully vaccinated.
If you haven’t guessed yet, as in other countries in Europe, we are seeing more deaths from measles simply because folks aren’t vaccinated and more people are getting measles.
Measles is a life-threatening disease, even in an age of modern medicine, indoor plumbing, sewage systems, clean water, whole foods, vitamins and minerals, etc.
Italy, with about 1/5 the population of the United States, but about equal to the size of California, has had over 600 times as many cases of measles as we have had in the United States over the last few years. To put it in perspective, that would be like having 33,000 cases of measles in the United States.
But shouldn’t folks have a choice about getting vaccinated?
Even with the new vaccine laws, parents have a choice. As with vaccine laws in the United States, Italy’s new vaccine mandates had nothing to do with forced vaccination.
That’s unlike most of the people who died of measles in Italy. Most of them didn’t have a choice about being vaccinated and getting measles. Some were immunocompromised and couldn’t be vaccinated and at least one was too young to be vaccinated.
Parents had been set a July 10th deadline to provide schools with the relevant documentation, but it will now be possible for parents to simply submit their own confirmation that the child has been vaccinated, according to Giulia Grillo, Italy’s Health Minister, who was speaking at a press conference on Thursday.
Mandatory vaccinations: Italian parents will no longer need to provide doctor’s note
And that’s why it’s unfortunate that the a newly elected government severely watered down a vaccine law that had made getting vaccinated mandatory to go to school.
And it’s unfortunate that people continue to push misinformation about vaccines and vaccine-preventable diseases.
What to Know About the Measles Deaths in Italy
A drop in vaccination rates has led to measles outbreaks and a number of measles deaths in Italy.
Well, unlike most other vaccines, the meningococcal B vaccines are not thought to decrease nasal carriage of the meningococcal B bacteria. So if you are vaccinated and an asymptomatic carrier of the bacteria, you could theoretically spread it to someone else, as could someone who is unvaccinated.
Still, the MenB vaccines can protect you from getting actual meningococcal B disease, and if you don’t have meningococcemia or meningococcal meningitis, you won’t expose and spread it to someone else. That’s why the MenB vaccines are especially useful in outbreak situations.
Any others? After all, Dr. Bob did say that “most vaccines don’t prevent the spread of a disease.”
Vaccines That Don’t Prevent the Spread of a Disease
There are a few other examples of vaccines that don’t prevent the spread of a disease.
“I also warn them not to share their fears with their neighbors, because if too many people avoid the MMR, we’ll likely see the diseases increase significantly.”
Dr. Bob Sears in The Vaccine Book
Of course, any vaccine that is delayed or skipped won’t work to prevent the spread of a disease.
Just like they are seeing measles outbreaks and deaths now, because of low vaccination rates, in Ukraine there were 17,387 cases of diphtheria and 646 deaths from 1992 to 1997. Also high, were cases of measles (over 23,000 cases in 1993) and pertussis (almost 7,000 cases in 1993).
And because of waning immunity, vaccines don’t do as good a job of preventing the spread of pertussis and mumps as we would like. Still, that’s only when the vaccines don’t work, and even then, as Dr. Bob says, they do work to reduce the severity of symptoms. During recent mumps outbreaks, the rates of complications are far below historical levels. The same is true for pertussis.
We typically see the same thing with flu. Even when the flu vaccine isn’t a good match or isn’t as effective as we would like, it still has a lot of benefits, including reducing your risk of dying.
“IPV induces very low levels of immunity in the intestine. As a result, when a person immunized with IPV is infected with wild poliovirus, the virus can still multiply inside the intestines and be shed in the faeces, risking continued circulation.”
Inactivated poliovirus vaccine
Does the fact that IPV, the inactivated polio vaccine, can sometimes lead to infections and shedding mean that it doesn’t prevent infections?
Of course not!
“IPV triggers an excellent protective immune response in most people.”
Inactivated poliovirus vaccine
Most people vaccinated with IPV will be immune, won’t get wild polio, and so won’t be able to get anyone else sick.
“Vaccines reduce disease by direct protection of vaccinees and by indirect protection of nonimmune persons. Indirect protection depends on a reduction in infection transmission, and hence on protection (immunity) against infection, not just against disease. If a vaccine were to protect only against disease, and not at all against infection, then it would have no influence on infection transmission in the community and there would be no indirect protection (vaccination of one person would have no influence on any others in the community). It would be possible to reduce disease with such a vaccine but not to eradicate the infection.”
But because IPV doesn’t provide indirect protection, we still use OPV in parts of the world where polio is more of a problem.
Vaccines work. Even the few that don’t prevent the spread of infections, still help to reduce disease.
What’s the Difference Between Infections and Disease?
Wait, is there a difference between infection and disease?
Yes there is, something that Dr. Bob, who actually wrote a book about vaccines, seems to have overlooked.
An infection is simply the presence of a virus, bacteria, or other organism in your body.
A disease, on the other hand, is a virus or bacteria in your body causing signs and symptoms.
All vaccines work to prevent disease, or at least they do when you actually get vaccinated.
A very few don’t prevent infections and the spread of infections, but that is not a good reason to skip or delay your child’s vaccines. In fact, it is one of the reasons why it is important to have high vaccination rates! Even natural infections don’t always keep you from becoming asymptomatic carriers that can infected others. Many people who have natural typhoid (remember Typhoid Mary?) and hepatitis B infections go on to become chronic carriers without any symptoms, but still able to infect others.
If you understand that a few vaccines don’t prevent the spread of infections, then you should understand that you can’t hide in the herd and expect to be protected, even though most folks around you are vaccinated.
What to Know About Vaccines and the Spread of Disease
Despite what Dr. Bob says, almost all vaccines work to prevent the spread of disease and infections, at least they do when you get your kids vaccinated.