Tag: pediatricians

Who Are the Anti-Vaccine Pediatricians?

Surprisingly, not all of the members of the American Academy of Pediatrics are on the side of advocating for vaccines!

Who Are the Anti-Vaccine Pediatricians?

Sure, except for a few outliers, most of the members of the AAP are typically strong advocates for vaccines.

In fact, one of the very first actions of the AAP was to establish the Committee on Immunization Procedures in 1936. They soon published the first vaccine recommendations for kids in the 1938 pamphlet, Routine measures for the prophylaxis of communicable diseases.

So what happened?

How did we end up with anti-vaccine pediatricians?

In 1954, Dr. Roger L. J. Kennedy, the president of the AAP, declared that he would not allow his own children to get Salk’s polio vaccine during the Polio Pioneer trials.

New York Times April 8, 1954.

Was he right, considering what happened with the Cutter Incident?

Since none of the polio vaccines produced directly by Jonas Salk caused any problems, no, Kennedy wasn’t right and could have put the whole trial at risk if folks had listened to him.

We next saw Dr. Robert Mendelsohn, a pediatrician who was against many standard practices, including ultrasounds in pregnancy, “water fluoridation, immunization, coronary bypass surgery, licensing of nutritionists, and screening examinations to detect breast cancer.”

He appeared on Donahue in the early 1980s, making claims that “The greatest threat of childhood diseases lies in the dangerous and ineffectual efforts made to prevent them through mass immunization.”

mendelsohn
The AAP Committee on Infectious Disease called out Dr. Robert Mendelsohn in a Red Book Update published in Pediatrics in 1982

Mendelsohn also appeared as an “expert” in Vaccine Roulette, falsely calling the pertussis vaccine “probably the poorest and most dangerous vaccine that we now have.” Of course, none of the claims against the DPT vaccine ended up being true, but we are still left with the DTaP vaccine which is less effective.

Although he wasn’t the last anti-vaccine pediatrician, he was the last to be formally called out by the American Academy of Pediatrics.

Dr. Jay Gordon, a celebrity pediatrician in California and Fellow of the AAP, appeared on Good Morning America with Cindy Crawford in 2000, saying afterwards that “They edited the segment to make me sound like a vaccination proponent. We also have to understand the impact of a person as well-known as Cindy Crawford delaying vaccines for over six months.”

Jay Gordon thinks infants should get vaccines slower, with fewer shots at one time.
Delaying vaccines and leaving infants at risk to get a vaccine-preventable disease doesn’t make any sense to most pediatricians.

Since then, he has continued to push the idea that kids should get vaccines on a slower schedule, perhaps only getting one or two at a time.

Also in California, Dr. Bob Sears,  also a Fellow of the AAP, published his Vaccine Book in 2007, pushing his own alternative vaccine schedule and creating a list of vaccine-friendly pediatricians.

Bob's warning about not sharing their fears appeared in the first edition of his book.
Bob’s warning about not sharing their fears appeared in the first edition of his book.

Although the AAP hasn’t formally called out today’s disease friendly pediatricians by name, they have repeatedly stated that there are no alternative immunization schedules.

“There is no ‘alternative’ immunization schedule. Delaying vaccines only leaves a chil​d at risk of disease for a longer period of time; it does not make vaccinating safer. 

Vaccines work, plain and simple. Vaccines are one of the safest, most effective and most important medical innovations of our time. Pediatricians partner with parents to provide what is best for their child, and what is best is for children to be fully vaccinated.”

Karen Remley, MD, MBA, MPH, FAAP, Executive Director, American Academy of Pediatrics​

And the AAP has said that the views of pediatricians who push alternative immunization schedules “are counter to scientific evidence and clearly they do not reflect Academy policy or recommendations.”

“No alternative vaccine schedules have been evaluated and found to provide better safety or efficacy than the recommended schedule, supported by the Advisory Committee on Immunization Practices of the CDC and the Committee on Infectious Diseases of the AAP (the committee that produces the Red Book).

Pediatricians who routinely recommend limiting the numbers of vaccines administered at a single visit such that vaccines are administered late are providing care that deviates from the standard evidence-based schedule recommended by these bodies.”

Countering Vaccine Hesitancy

Are there others?

Unfortunately, there are.

“Most of my patients make the educated decision not to give one vaccine-hepatitis B – to their infants. This is because you catch hepatitis B from sex and IV drug use so if a child is born to a mother that does not have hepatitis B, the child is at no risk of getting this disease. Preschool and young school-aged children are not at risk for hepatitis B, which is why most countries in the developed world only recommend this vaccine for at-risk groups and not for everyone.”

Paul Thomas

Paul Thomas is another pediatrician and Fellow of the AAP who has written a book about vaccines that pushes his own alternative vaccine schedule.

And even though he has written a book about vaccines, it seems clear that he doesn’t really know which vaccines most countries in the developed world actually give to their kids.

Larry Palevsky spoke at an anti-vaccine rally in New York in the middle of a record setting measles outbreak.

Then there is Larry Palevsky, the pediatrician “who utilizes a holistic approach to children’s wellness and illness…”

Some folks are likely wondering how Larry Palevsky still has a medical license after the things he said at the so-called vaccine symposium in Rockland County this year. Yeah, that Rockland County with the longest active measles outbreak since the endemic spread of measles was declared eliminated.

“The pediatrician who spoke on Monday night, Dr. Lawrence Palevsky, is regularly cited in pamphlets circulated in New York City that urge women not to get their children vaccinated. His views have no basis in science, experts said.”

Despite Measles Warnings, Anti-Vaccine Rally Draws Hundreds of Ultra-Orthodox Jews

Most others who are familiar with things he has said in the past aren’t surprised by his statements though. After all, he was an “expert” for the anti-vaccination movie The Greater Good.

Are you really going to pay extra for a pediatrician that follows a made up schedule that leaves your kids at risk to get a vaccine-preventable disease?
Are these alternative pediatricians encouraging parents to only give their kids one vaccine at a time?

And they are familiar with other holistic and integrative pediatricians who are obviously anti-vaccine.

What Makes a Pediatrician Anti-Vaccine?

Although none consider themselves anti-vaccine, preferring to think of themselves as pro-safe vaccine, pro-vaccine choice, or pro-informed consent, as they continue to push myths and misinformation about vaccines, it should be clear who they are and what they are doing.

No, a pediatrician isn’t anti-vaccine just because some of their patients follow a non-standard, parent-selected, delayed protection vaccine schedule. They are anti-vaccine if they encourage parents to skip or delay vaccines, scaring them away from vaccinating and protecting their kids.

“The American Acade​my of Pediatrics is dedicated to the principle of a meaningful and healthy life for every child. As an organization of physicians who care for infants, ​​children, adolescents, and young adults, the Aca​demy seeks to promote this goal by encouraging ​and assisting its members in their efforts to meet the overall health needs of children and youth; by providing support and counsel to others concerned with the well-being of children, their growth and development; and by serving as an advocate for children and their families within the community at large.”

preamble to AAP Constitution​​

It’s time that more pediatricians call them out, even if they aren’t members of the AAP, as we see more outbreaks and more parents following their advice, leaving more kids unvaccinated, unprotected, and at risk to get vaccine-preventable diseases.

More on the Anti-Vaccine Pediatricians

Vaccine Signs You Might See at Your Pediatricians Office

Does your pediatrician have any signs or posters up on the doors or walls?

If they do, it is probably just a sign alerting you that flu vaccines are available or a reminder to cover their cough when they are sick.

Or maybe they have some educational posters up to educate parents about the overuse of antibiotics, how to wash your hands, or when to call poison control.

Vaccine Signs You Might See at Your Pediatricians Office

Some pediatricians also have signs and posters about vaccines and vaccine preventable diseases:

Do your kids get a lollipop after their vaccines, or just protection against life-threatening diseases?
Do your kids get a lollipop after their vaccines, or just protection against life-threatening diseases?

Thank vaccines and herd immunity.
Thank vaccines and herd immunity.

Skipping some vaccines? Are you going to say sorry if your kids get a vaccine-preventable disease?
Skipping some vaccines? Are you going to say sorry if your kids get a vaccine-preventable disease?

Does your pediatrician have separate waiting rooms for unvaccinated kids?
Does your pediatrician have separate waiting rooms for unvaccinated kids?

There is no benefit, just extra risks, if you delay your child's vaccines.
There is no benefit, just extra risks, if you delay your child’s vaccines.

Vaccine preventable diseases are just a plane ride away.
Vaccine preventable diseases are just a plane ride away. Get vaccinated before you travel.

Parents of Earth, are your children fully immunized?
Long ago, everyone vaccinated their kids.

Unvaccinated children exposed to measles are quarantined for at least 21 days.
Hopefully you will never see a quarantine sign at your pediatrician’s office.

Got questions about vaccines?

Get your answers before your pediatrician puts up a sign that they are firing all unvaccinated kids.

More Vaccine Signs and Posters

Do Pediatricians Vaccinate Their Own Kids?

The American Academy of Pediatrics, an organization of 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists, has long advocated for the health and safety of our children.

“Pediatricians who routinely recommend limiting the numbers of vaccines administered at a single visit such that vaccines are administered late are providing care that deviates from the standard evidence-based schedule recommended by these bodies.”

American Academy of Pediatricians

Their advice to keep kids safe and healthy includes that all children, unless they have a medical exemption, be fully vaccinated on time and on schedule.

Do Pediatricians Vaccinate Their Own Kids?

Does that mean that all pediatricians vaccinate their kids on time and on schedule?

Not surprisingly, it does not.

There are enough vaccine friendly and holistic pediatricians out there that push non-standard, parent-selected, delayed protection vaccine schedules that you would expect some of them to leave their own kids unvaccinated and unprotected.

Not that many though.

Most pediatricians vaccinate their own kids.

Pediatricians Vaccinate Their Own Kids

One study, How Do Physicians Immunize Their Own Children? Differences Among Pediatricians and Nonpediatricians, found that “Ninety-three percent of the surveyed physicians agree with the current official vaccination recommendations and would apply them to their own children.”

Rotavirus vaccines are associated with a very small risk of intussusception, but that is not a good reason to miss the benefits of this vaccine.
This pediatrician’s kids are all fully vaccinated. Photo by Vincent Iannelli, MD

The numbers were even higher for some vaccines, like diphtheria (100%), tetanus (100%), pertussis (98.7%), polio (99.2%), measles (97.4%), mumps (95.2%), and rubella (95.7%). It was lower for those vaccines that were newer to the schedule (the study was in Switzerland in 2005), like Hib and hepatitis B.

Up to about 29% of the pediatricians gave their own kids vaccines that weren’t even on the routine schedule in Switzerland yet, including hepatitis A, flu, Prevnar, and the chicken pox vaccine.

Another study, Vaccination practices among physicians and their children, came to similar conclusions. At least 95% of pediatricians said that they followed the recommendations of the ACIP, and the “over-all rates for individual vaccines were considerably high ranging from 97% to 100%.”

That’s right! At least 99% of pediatricians said that they would give their child the MMR, Varicella, Menactra, flu, and Gardasil vaccines.

An even higher percentage would give hepatitis B, polio, Prevnar, Hib, and DTaP!

Fewer would give rotavirus (94%) and hepatitis A (98%) to their own kids, which is not that surprising, as those are among the newest vaccines.

It is a myth that a large number of pediatricians don’t vaccinate their own kids.

What to Know About How Pediatricians Vaccinating Their Own Kids

Almost all pediatricians vaccinate and protect their own kids with all of the recommended vaccines on the CDC immunization schedule.

More on How Pediatricians Vaccinate Their Own Kids

Expert Statements on Vaccines

The AAP published their first recommendations on vaccines in 1938.
The AAP published their first recommendations on vaccines in 1938.

Some parents are still confused about who they should listen to for advice about vaccines.

Is there really a controversy or a real debate going on about whether or not getting vaccinated is a good decision?

What do the experts say?

They say that:

And no, it’s not just one or two of them…

“Vaccines protect the health of children and adults and save lives. They prevent life – threatening diseases, including forms of cancer. Vaccines have been part of the fabric of our society for decades and are one of the most significant medical innovations of our time.”

More than 350 medical, professional and advocacy organizations in a 2017 letter to President Trump

It is the hundreds of thousands of experts at every major health organization around the world!

American Academy of Pediatrics

The American Academy of Pediatrics, an organization of 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists, has long advocated for the health and safety of our children.

“Vaccines are safe. Vaccines are effective. Vaccines save lives.

Claims that vaccines are linked to autism, or are unsafe when administered according to the recommended schedule, have been disproven by a robust body of medical literature. Delaying vaccines only leaves a child at risk of disease. Vaccines keep communities healthy, and protect some of the most vulnerable in our society, including the elderly, and children who are too young to be vaccinated or have compromised immune systems.”

Fernando Stein, MD, FAAP, President and Karen Remley, MD, MBA, MPH, FAAP, CEO/Executive Vice President, American Academy of Pediatrics

Vaccine friendly pediatricians who are pushing non-standard, parent-selected, delayed protection vaccine schedules are leaving kids at risk for vaccine-preventable diseases.

“Pediatricians who routinely recommend limiting the numbers of vaccines administered at a single visit such that vaccines are administered late are providing care that deviates from the standard evidence-based schedule recommended by these bodies.”

AAP on Countering Vaccine Hesitancy

Vaccines are necessary.

“Because rare medically recognized contraindications for specific individuals to receive specific vaccines exist, legitimate medical exemptions to immunization requirements are important to observe. However, nonmedical exemptions to immunization requirements are problematic because of medical, public health, and ethical reasons and create unnecessary risk to both individual people and communities.”

AAP on Medical Versus Nonmedical Immunization Exemptions for Child Care and School Attendance

Society of Pediatric Nurses

“Immunizations are safe and effective in promoting health and preventing disease.”

SPN Position Statement on Immunizations

National Association of Pediatric Nurse Practitioners

Established in 1973, with more than 8,500 members, the National Association of Pediatric Nurse Practitioners (NAPNAP) is the professional association for pediatric nurse practitioners (PNPs) and all pediatric-focused advanced practice registered nurses (APRNs).

“NAPNAP supports the prioritization of immunization education for parents, guardians and other caregivers of infants, children, and adolescents. This education must include the most current scientific evidence related to vaccine safety, risk, benefits and current resources available to ensure that parents and caregivers receive adequate information about immunizations. This includes, when necessary, relaying the risk of not immunizing their child and potential devastation that can occur when a child is infected with a vaccine-preventable disease. It is incumbent that a PNP also be aware of misinformation in the public domain and provides the correct information to the public as well as the health care community.”

NAPNAP Position Statement on Immunizations

American College of Preventive Medicine

“Vaccine-preventable diseases were a major cause of mortality and morbidity in the United States in the 20th century. With the advent of immunizations, there have been dramatic rates of decline in these diseases. Clinical studies have shown vaccines to be efficacious and cost effective.  ”

ACPM on Childhood Immunizations

American College of Obstetricians and Gynecologists

Founded in 1951, the American College of Obstetricians and Gynecologists (The College) represents more than 58,000 members.

“Health care providers and patients should be aware that the reassuring safety data for use of the aforementioned vaccines in pregnancy are compelling, and there is no link to vaccine administration and miscarriage. An added benefit to immunizing during pregnancy is the potential for disease prevention in newborns by way of passive antibody transfer to the fetus. Hence, offering pregnant patients influenza and Tdap vaccines is an avenue to protect newborn infants at a critically vulnerable time and before neonates can be vaccinated.”

ACOG on Immunization for Pregnant Women

American Public Health Association

The American Public Health Association was founded in 1872, the APHA represents over 25,000 public health professionals.

“And further noting that the Institute of Medicine has recently released a report10 describing the U.S. immunization system as “a national treasure that is too often taken for granted” and calling for substantial increases in federal and state allocation of funds to support immunization infrastructure; therefore

Reaffirms its support for immunization as one of the most cost-effective means of preventing infectious diseases;”

APHA on The Need for Continued and Strengthened Support for Immunization Programs

American Medical Association

The American Medical Association, which was founded in 1847, has just over 240,000 members.

“The AMA fully supports the overwhelming body of evidence and rigorous scientific process used by the Advisory Committee on Immunization Practices which demonstrate vaccines are among the most effective and safest interventions to both prevent individual illness and protect the health of the public.”

William E. Kobler, MD, member of the AMA Board of Trustees.

Immune Deficiency Foundation

“The development of immunizations for common bacterial and viral infections has represented a major advance in the battle against microbial organisms that constantly threaten the welfare of humankind and particularly the pediatric population. However, the alarming increase in nonimmunized persons could lead to a return of the epidemics seen in the past.

…critical need for maintenance of herd immunity in the population at large. It is particularly important for family members of patients with defective T and B lymphocyte–mediated immunity to receive all of the available standard immunizations (excluding live poliovirus).”

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

American Nurses Association

The American Nurses Association (ANA), founded in 1896, represents “the interests of the nation’s 3.6 million registered nurses.”

“To protect the health of the public, all individuals should be immunized against vaccine-preventable diseases according to the best and most current evidence outlined by the Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP). All health care personnel (HCP), including registered nurses (RNs), should be vaccinated according to current recommendations for immunization of HCP by the CDC and Association for Professionals in Infection Control and Epidemiology (APIC).

As stated in the Code of Ethics for Nurses (ANA, 2015, p. 19), RNs have an ethical responsibility to “model the same health maintenance and health promotion measures that they teach and research…,” which includes immunization against vaccine-preventable diseases.”

ANA Position Statement on Immunizations

Autism Science Foundation

“Multiple studies have been completed which investigated the measles, mumps and rubella vaccination in relation to autism. Researchers have also studied thimerosal, a mercury-based preservative, to see if it had any relation to autism. The results of studies are very clear; the data show no relationship between vaccines and autism.”

Autism Science Foundation on Vaccines and Autism

The American Association of Immunologists

The American Association of Immunologists (AAI) is the largest professional association of immunologists in the world, representing more than 7,600 basic and clinical immunologists.

“Recent outbreaks have brought increased attention to vaccine- preventable diseases and have highlighted the need for robust and timely immunization to reduce preventable sicknesses and deaths. AAI strongly urges full adherence to recommended vaccination schedules and views vaccines as efficacious for individuals and crucial to public health.

Research has repeatedly confirmed that vaccinations are safe and highly effective for all healthy children and adults, and any suggestions to the contrary have been discredited. Ongoing vaccine research continually reaffirms its safety and efficacy, including the number of vaccines administered at any one time and the recommended vaccination schedule.”

The American Association of Immunologists Statement on Vaccines

American Osteopathic Association

“The American Osteopathic Association supports the Centers for Disease Control and Prevention in its efforts to achieve a high compliance rate among infants, children and adults by encouraging osteopathic physicians to immunize patients of all ages when appropriate ; supports the HHS National Vaccine Implementation Plan; and encourages third- party payers to reimburse for vaccines and their administration.”

AOA on Immunizations

National Association of School Nurses

#TodaysSchoolNurse is “grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential.”

“It is the position of the National Association of School Nurses (NASN) that immunizations are essential to primary prevention of disease from infancy through adulthood.

The school nurse is well-poised to create awareness and influence action to increase the uptake of mandated and recommended immunizations. The school nurse should use evidence-based immunization strategies, such as school-located vaccination clinics, reminders about vaccine schedules, state immunization information systems (IIS), strong vaccination recommendations, and vaccine education for students, staff, and families.”

NASN Immunizations Policy Statement

American Academy of Family Practice

“With the exception of policies which allow for refusal due to a documented allergy or medical contraindication, the AAFP does not support immunization exemption policies.”

AAFP Immunization Policy Statement

American Academy of Allergy, Asthma & Immunology

The American Academy of Allergy, Asthma & Immunology (AAAAI) is a professional organization with over 7,000 members, including allergists/ immunologists, in the United States and 73 other countries.

“Immunization is perhaps the greatest public health achievement of all time, having significantly reduced the morbidity and mortality of many infectious diseases. Routine immunization of children, adolescents, and adults provides substantial protection from a large number of infectious diseases…

Patients who have experienced adverse reactions to vaccines might unnecessarily be advised to avoid subsequent immunization, which could have important adverse personal and population health consequences. Although there are some adverse reactions to vaccines that constitute absolute contraindications to administration of future doses, most such reactions do not preclude subsequent immunization. Patients who have experienced an apparent allergic or other serious adverse reaction after receiving a vaccine warrant evaluation by an allergist/immunologist. Also, patients with preexisting health conditions that might predispose to adverse reactions to vaccines could benefit from such an evaluation. In most cases, a risk-benefit analysis will favor subsequent immunization.”

AAAAI Practice Paramater on Adverse Reactions to Vaccines

CJ First Candle

“There seems to be a common misconception that vaccines are somehow associated with SIDS deaths. This is not true! Experts warn that the risk of leaving your baby unprotected is 1,000 times greater than any increased risk for SIDS. Because infants receive many immunizations during the critical development period from two to six months of age, and 90 percent of SIDS deaths occur within this time frame, it is only logical that many SIDS victims have recently received vaccines. This does not mean that the immunization had anything to do with the infant’s subsequent sudden and unexpected death. The cause and effect of immunizations and SIDS has been comprehensively studied for more than two decades. In fact, in countries where immunization schedules are different from those in the United States, the peak incidence of SIDS is still between two to four months.”

CJ First Candle on Immunizations

Infectious Disease Society of America

Founded in 1963, the Infectious Diseases Society of America (IDSA), with over 9,000 members, represents physicians, scientists and other health care professionals who specialize in infectious diseases.

“The Infectious Diseases Society of America (IDSA) recognizes the great benefits that vaccines provide for the public health. Substantial scientific evidence demonstrates vaccines’ enormous value in protecting individuals and populations from serious and life-threatening infections. Scientific evidence also demonstrates the overall safety of vaccines. Communities are most effectively protected when all are immunized.

Studies demonstrate that the easier it is to receive an exemption, the higher the rate of exemptions in a particular state. As the number of exemptions increases, the risk of vaccine – preventable disease increases. Therefore, states must make every effort to minimize the number of its citizens exempted from immunization mandates. Such exemptions make the state legislatures who grant them, as well as the individuals who receive them, responsible for placing the remaining state population at greater risk of acquiring potentially fatal infections.”

IDSA Policy Statement on State Immunization Mandates

The Arc of the United States

“Prior to widespread immunization in the United States, infectious diseases killed or disabled thousands of children each year. The near elimination of intellectual disability due to measles encephalitis, congenital rubella syndrome, and Haemophilus influenzae type b meningitis or Hib can be contributed to vaccines.”

The Arc Facts About Childhood Immunizations

American College Health Association

“The American College Health Association (ACHA) strongly supports the use of vaccines to protect the health of our individual students and our campus communities. In recognition of the vital role that vaccine coverage plays in community immunity (herd immunity), ACHA discourages use of nonmedical exemptions to required vaccines.”

ACHA on Immunization Recommendations for College Students

What to Know About Expert Statements on Vaccines

Over the years, hundreds of organizations representing millions of families, health care providers, researchers, patients, and consumers,  have repeatedly expressed their unequivocal support for vaccines, because they understand that vaccines work and that they are safe and necessary.

More on Expert Statements on Vaccines