Tag: morals

Why Did Germany Make the MMR Vaccine Mandatory?

Have you seen the news about the new law that called for mandatory measles vaccination in Germany?

A new law that calls for mandatory measles vaccination in Germany.
Maybe we just need laws against this kind of misinformation about vaccines and vaccine-preventable diseases…

It’s true, although it certainly won’t cause “death and injury rates” to sky rocket.

Why Did Germany Make the MMR Vaccine Mandatory?

So why did it happen?

“Often, there is a lack of information or targeted disinformation that prevents people from getting themselves or their children vaccinated and exposure to avoidable health hazards.”

Opinion of the Scientific Advisory Board of the Paul Ehrlich Institute, Federal Institute for Vaccines and Biomedical Drugs, On the Quality and Safety of Vaccines

Germany has been one of the countries most affected by measles outbreaks in Europe over the past few years, with over 5,000 cases since 2015.

And at least three measles deaths, including an unvaccinated toddler. Plus additional deaths from SSPE.

This toddler in Germany who died in 2015 was not vaccinated for measles.
This toddler in Germany who died in 2015 was not vaccinated for measles.

And almost all of the cases are among those who are unvaccinated.

This led to the reestablishment of endemic measles virus transmission in Germany in 2017, even as we are supposed to be working towards eliminating measles.

So what does mandatory measles vaccination in Germany mean?

“The bill stipulates that all children from the age of one on entering the school or kindergarten must have the measles vaccine recommended by the Standing Vaccination Commission. In the case of care by a childminder, proof of measles vaccination usually has to be provided.

The same applies to persons who work in community facilities or medical facilities such as educators, teachers, day care workers and medical staff (if these were born after 1970). Asylum seekers and refugees must also have the vaccine protection four weeks after admission to a shared accommodation.”

Vaccination is designed to protect children from measles

Passage of the Measles Protection Act (Masernschutzgesetz), which goes into effect on March 1, 2020, also means that parents can be fined up to €2,500 if they don’t vaccinate their children, daycare centers can be fined for admitting unvaccinated children, and certain unvaccinated workers, including healthcare workers, can be fined.

“Since measles vaccination is highly effective and very well tolerated, the German Ethics Council is of the opinion that every person is morally obliged to have him- or herself vaccinated against measles and, if applicable, to provide appropriate immunisation for his or her own children.”

Ethics Council: Increasing measles vaccination rate by a package of measures rather than by mandatory vaccination

While some oppose the law, including the German Ethics Council, it is important to note that few people see mandatory vaccination as the first step in getting folks vaccinated and protected. It is typically one of the last measures taken after everything else has failed and outbreaks are once again getting out of control, with people dying needlessly of an easily preventable disease.

Don’t want vaccine mandates to come to your community?

Then stop scaring people away from getting vaccinated and protected with misinformation and propaganda!

Vaccines are safe, with few risks, and are obviously necessary.

More on Mandatory Measles Vaccination in Germany

Getting Vaccinated to Protect Those Who Can’t Get the Vaccines

Most people get vaccinated because those vaccines have the direct benefit of reducing their risk of getting a life-threatening vaccine preventable disease. Protecting those who can’t get vaccines is a secondary benefit.

Should you get vaccinated to protect those who can't get the vaccines?
Does rationalizing your decision in anti-vax Facebook groups help you feel better that you are putting kids with cancer at greater risk to get sick?

A secondary benefit that anti-vax folks go to great lengths to convince themselves isn’t real and justify their decision to leave their kids unvaccinated and unprotected..

Getting Vaccinated to Protect Those Who Can’t Get the Vaccines

Of course, none of their explanations really hold water.

None of the vaccines that are routinely used on the CDC immunization schedule are a risk if you are around kids with cancer or other immunodeficiencies, except for FluMist and those with severe issues, like being in a bone marrow transplant unit.

One of the biggest misconceptions though, is that in getting vaccinated, parents are putting their own kids at great risk to protect someone else.

Don't set your kid on fire to keep mine warm!
Don’t set your kid on fire to keep mine warm!

Of course, that’s not true.

Remember, vaccines are safe, with few risks.

That why the analogy of setting their own kids on fire to keep others warm doesn’t make any sense.

After all, unlike vaccinating their own child, setting their child on fire offers them no benefit!

And they should understand that the one and only reason that their kids don’t get more vaccine-preventable diseases in this dog eat dog world is because the vast majority of us vaccinate and protect our kids.

Herd immunity is indeed real. In addition to protecting those who can’t be vaccinated, it protects the free-riders, those who just don’t want to get vaccinated.

What about the idea that it is unrealistic for folks who are immunocompromised to expect that they can lead normal lives and avoid infections?

You can't avoid all risks of infection, but why not avoid those that you can?

While it is true that there are other infections out there besides those that are vaccine-preventable, wouldn’t you want to at least reduce those risks that you can?

But could it be, as much as they seem to believe in shedding, that they think they are being altruistic in not vaccinating their kids?

Anti-vax folks are all about the shedding...
Anti-vax folks are all about the shedding

They aren’t.

In most cases, there are no restrictions on vaccinating people who have contact with those with immune system problems.

What about the idea that vaccines cause cancer?

Vaccines prevent cancer!
Vaccines prevent cancer!

That isn’t true. In fact, there are several vaccines that prevent cancer!

What other misconceptions do they have?

Most of the reasons folks use to avoid vaccines have been refuted a thousand times.
Most of the reasons folks use to avoid vaccines have been refuted a thousand times.

Let’s look at those last few issues…

  • vaccines are not associated with autism
  • vaccines aren’t perfect, but they do work very well
  • vaccines do help those with immune system problems, sometimes directly and more often because of herd immunity
  • people who have cancer are often vaccinated before they have chemo, but that protection gets wiped out during treatment and they can’t get caught up until after they have completed all of their treatments
  • kids with cancer might get some vaccines, but typically don’t get live vaccines

What about the idea that your unvaccinated child isn’t sick, so can’t get anyone else sick?

While that is a very common argument among anti-vax parents, it is very important that if your child is unvaccinated, then they are at much greater risk to catch a vaccine-preventable disease. And since you are often contagious even before you show symptoms, they might unknowingly expose many other people before they even realize that they are sick.

Hopefully you now understand it was never really a question.

That's why you get vaccinated, to protect those who can't get the vaccines!

Vaccinate and protect your kids.

If you don’t, in addition to putting them at risk to get sick, you put everyone around them at risk, including some who are at very high risk for severe complications from vaccine preventable diseases.

More on Risks from Unvaccinated Kids

V is for Vaccine

The California Assembly Appropriations Committee votes Friday on SB276. Today anti-vaccine folks in Californians who oppose this bill gathered at the state capitol encouraging legislators to continue to allow doctors to write fake medical exemptions.

There was plenty of violent imagery on display at the V for Vaccine rally. How many times did RFK, Jr mention guns and homicide?

In addition to the anti-vaccine propaganda signs that we are getting used to seeing, folks got to hear from the usual suspects.

V is for Vaccine Rally

Surprisingly, Robert F Kennedy, Jr started things off.

Why is that a surprise?

Well, he’s not from California…

He does do a good job of pushing anti-vaccine misinformation.

And it’s all stuff we have heard before.

But he added some new stuff that was suprising.

“They are saying that… any child who is unvaccinated has ever passed measles to another child in a school since 1963. No evidence.”

Robert Kennedy, JR

What?

Although the first measles vaccine was introduced in 1963, it took some time before measles was brought under control and the endemic spread finally eliminated in the United States (2000).

Who was his pediatrician?

No evidence indeed!

He goes on about the MMR being a failed vaccine and that no one should be worried about the unvaccinated if they are vaccinated and protected.

Kennedy even claimed that he read a protocol from Johns Hopkins and not only does it not say anything about immunocompromised people staying away from the unvaccinated, but he says it warns about shedding from the recently vaccinated!

“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. Recommendations for live viral and bacterial vaccines in immunodeficient patients and their close contacts

I don’t know what protocol from Johns Hopkins he might have read, but maybe he should have read the Medical Advisory Committee of the Immune Deficiency Foundation. Recommendations for live viral and bacterial vaccines in immunodeficient patients and their close contacts. It clearly warns about the risks of being around someone who is unvaccinated.

Next up was Joshua Coleman.

“These are all undisputed facts. Everyone should know these things.”

Joshua Coleman

Coleman is talking about the “facts” on his anti-vaccine propaganda signs.

He basically hit every anti-vaccine talking point that there is…

We also heard about hot lots and Vaccine Court compensation claims.

“Cesar Chavez did this. We are the new Cesar Chavez generation.”

Latinos for Medical Freedom

Cesar Chavez did not work to put kids at risk for life-threatening vaccine preventable diseases!

Who did the V is for Vaccine Rally end with?

Del Bigtree.

Is he anti-vaccine?

He says that he is against forced vaccination, which makes you wonder why he is there, as there is no forced vaccination in the United States.

He also says that he has debunked the idea of herd immunity!

“Gavin Newsom if you can hear me, please, please ask yourself, what is the need for this law?”

Del Bigtree

What’s the need for SB276?

How about all of the abuse of medical exemptions that has led to clusters of unvaccinated kids in California schools?

To be very clear – SB276 doesn’t eliminate medical exemptions.

It stops doctors from writing inappropriate medical exemptions.

“My concern with this bill, is that it’s going to take every exemption I’ve ever done under those guidelines, which are not restricted to CDC contraindications – under those old guidelines, they can now review every single one of my exemptions I’ve done and disqualify each and every one of them and kick those kids out of school. They are sort of retroactively changing the guidelines – so all of the exemptions that I’ve ever done, and other physicians have ever done, and to me that’s a very very concerning precedence for a government to go back like that and negate years of medical care that’s been done legally and properly under the guidelines of 277.”

Bob Sears SB 276 Assembly Health Committee Testimony

SB276 is needed because too many doctors took advantage of SB277.

And because too many parents are scared to vaccinate their kids because they listen to folks like Del talk about mercury in vaccines, VAERS, 400 deaths a year from vaccines, vaccinated vs unvaccinated studies, placebo studies, infant mortality rates, and the rise in childhood illness because our kids get 72 vaccines.

“What else needs to be said?”

Del Bigtree

It should be clear what else needs to be said…

The Catholic Church teaches that it is lawful to get vaccinated to protect "our children, public health, and the common good."
The Catholic Church teaches that it is lawful to get vaccinated to protect “our children, public health, and the common good” and that we have a “moral obligation to protect the life and health of their children and those around them.”

Stop listening to these folks and their misinformation.

Anti-vax folks will never win if they try to talk about science, but they will lose even faster if they use people to push their agenda.
Anti-vax folks will never win if they try to talk about science, but they will lose even faster if they use people to push their agenda.

Vaccines are safe, with few risks, and they are obviously necessary.

More on the V is for Vaccine Rally

Do Anti-Vaccine Pediatricians Lose Millions Not Vaccinating Kids?

Paul Thomas is upset…

He thinks that Willamette Week, an alternative weekly newspaper in Portland, is trying to discredit him.

How are they using their platform “to try to discredit an ethical top Pediatrician in the community?”

An “ethical top pediatrician” who made up his own immunization schedule???

Paul Thomas was barred from the Vaccines for Children Program.
Paul Thomas was barred from the Vaccines for Children Program.

Willamette Week published a story about how Paul Thomas was kicked out of the Vaccines for Children Program.

“VFC (Vaccines for Children) does not provide any funding (no real dollars) just free vaccines for the underprivileged. What I lost was the ability to provide this free federal program to my patients who qualify for this program. This is simply a major inconvenience to those affected. Financially it is neutral to me.

My clinic had actually stocked the vaccines Rachel mentions – we just didn’t comply in a timely manner, so you got this part right “I didn’t jump through their hoops fast enough.”

Paul Thomas

To make a long story short, he got kicked out of the Vaccines for Children Program because he didn’t follow the rules of the program.

What about the idea that he “just didn’t comply in a timely manner?”

This all started over two and a half years ago???

Although Paul Thomas says in his post that his “clinic had actually stocked the vaccines Rachel mentions,” the order kicking him out of the VFC program says otherwise.

“Dr. Thomas submitted a Declaration signed under penalty of perjury stating his office does not keep stock of HPV vaccines and instead sends patients to pharmacies.”

Default Order Terminating Integrative Pediatrics from VFC

He also did not have any rotavirus vaccine in his office.

Not exercising medical judgement in accordance with accepted medical practice? Where is the Oregon Medical Board???

To get to the point of being terminated and which Paul Thomas characterizes as “I didn’t jump through their hoops fast enough,” actually involved:

  • ignoring an offer for a probationary agreement (August 2018)
  • asking for a contested case hearing (October 2018) which was scheduled for July 12, 2019
  • withdrawing his request for a contested case hearing on July 10, 2019

I’m surprised they gave him that much time!

Did he lose Medicaid funding?

I’m not sure he even takes Medicaid, but he did lose the ability to give his patients vaccines that he didn’t have to pay for.

“One huge misconception, and I see the comments on this, is that pediatricians don’t make money on vaccines or that they are not financially incentivized to vaccinate. There are profits from vaccine mark-ups and huge profits from vaccine administration fees. The average admin fee is about $35 per vaccine. For the 715 patients born into my practice who have refused to give any vaccines (each child would have had 28 vaccines by age 2 and over 60 vaccines in their childhood) amounting to income of $700,000 for the 2 years and $1.5 million over their childhood. Those are real dollars lost for Integrative Pediatrics. The money lost when considering that we serve over 15,000 patients, with most being selective about how they vaccinate would have driven most practices out of business.

There are also built in incentives in many contracts with health plans. Vaccines are a quality measure (if your practice does not reach a bench mark in numbers vaccinated) you loose a % on all services provided to patients under that insurance contract.

Is it any wonder most of my peers discharge patients from their practices who won’t follow the CDC schedule? Often these patients are told to call Dr. Thomas (Integrative Pediatrics).

Let us be clear. It is not a good business decision to allow families not to vaccinate or to permit selective vaccination.”

Paul Thomas

Let us be clear. He certainly doesn’t understand vaccine administration fees…

Some things he gets wrong?

  • pediatricians might charge $35 as an admin fee, but they are lucky if insurance companies pay them 1/3 or 1/2 that or even less. Your average vaccine administration fee is only going to be $35 if you don’t take insurance and can set your own fees!
  • you get a lower vaccine administration fee for the second vaccine component given (you use a different CPT code – 90461) vs the first (90460), and it pays less, so doctors make less when they give multiple vaccines at the same visit. Is that why many vaccine friendly doctors recommend giving one vaccine at a time?

And he misses the whole point behind vaccine administration fees.

It costs pediatricians money to order, stock, monitor, and give vaccines!

“This study shows that the variable costs of vaccine administration exceeded reimbursement from some insurers and healthplans.”

Glazner et al on Cost of Vaccine Administration Among Pediatric Practices

Do they make any money?

Hopefully they do, as health care is a business in the United States, but they certainly aren’t making millions in net profit as Paul Thomas suggests. And if they aren’t very careful, after considering all of the factors that go into giving a vaccine, it is very easy to lose money.

How Do Anti-Vaccine Pediatricians Make Money?

Which brings us back to the business decision of being a pediatrician who scares parents away from vaccinating and protecting their kids.

Is there any money in that?

Paul Thomas doesn't mention that he gets a big cut of the sales for a "free" summit that costs $197 as he promotes his anti-vaccine lecture.
Paul Thomas doesn’t mention that he gets a big cut of the sales for a “free” summit that costs $197 as he promotes his anti-vaccine lecture.

Books, seminars, supplements, essential oils – there are lots of things to sell parents who don’t vaccinate their kids.

Compared to these pediatricians in California, Paul Thomas is a bargain at just $295/year.

Don’t forget the annual membership fees that many of these pediatricians charge for the privilege of skipping or delaying vaccines and at extra risk to get a vaccine-preventable disease.

And the vaccine exemptions that some of them sell…

More on Do Anti-Vaccine Pediatricians Lose Millions Not Vaccinating Kids?