Tag: pertussis deaths

What Do Anti-Vaccine Folks Actually Know About Vaccines?

Anti-vaccine folks are spreading another quiz around…

It’s not the questions that automatically makes you think the quiz is anti-vaccine though. It’s how you just know anti-vaccine answers will be very different from someone who actually does know something about vaccines.

What Do Anti-Vaccine Folks Actually Know About Vaccines?

If you are anti-vaccine, you likely believe that vaccines are dangerous, full of toxins, and that they don’t even work. That gives other folks a giant hint as to how you would answer these 32 questions…

1. Can you name 5 vaccine ingredients?
Yes. I can also name what’s not in vaccines, including heavy metals, hidden ingredients, toxins, antifreeze, lead, glyphosate, vaginal spermicides, etc.
AV answerall vaccines contain toxic ingredients!
2/3. What is MRC-5/WI-38?
These are immortalized cell lines that are used to make some vaccines. These cell lines are derived (they can replicate infinitely) from fetal embryo fibroblast cells from two electively terminated pregnancies (abortions) in the 1960s. The cells used today are descendants of the original cells.
AV answerthere are aborted baby parts in our vaccines!
4. What is vaccine court?
The Vaccine Court is part of the National Vaccine Injury Compensation Program (VICP) and decides if the claims should be compensated or dismissed, etc.
AV answervaccine court proves that vaccine injuries are real.
5. What is the National Vaccine Injury Compensation Program?
The National Vaccine Injury Compensation Program (VICP) was created as “a no-fault alternative to the traditional legal system for resolving vaccine injury petitions.”
AV answerthe National Vaccine Injury Compensation Program (VICP) proves that vaccine injuries are real.
6. What is the 1986 National Childhood Vaccine Injury Act?
The National Childhood Vaccine Injury Act of 1986 established the VICP, the Vaccine Injury Compensation Trust Fund, the National Vaccine Program Office, VAERS, and required that health care providers give a Vaccine Information Statement to anyone getting a vaccine.
AV answerthe 1986 National Childhood Vaccine Injury Act should be repealed because it removed all liability from vaccine manufacturers.
7. How has the CDC schedule changed since 1986?
The immunization schedule has changed to include vaccines to protect kids against meningitis, pneumonia, blood infections, severe dehydration, epiglottitis, and cancer from Hib, pneumococcal disease, rotavirus, hepatitis B, hepatitis A, chicken pox, HPV, and meningococcal disease.
AV answerit has ballooned and exploded with 300 more vaccines in the pipeline!
8. How much money has been paid out by vaccine injury court?
Since the National Vaccine Injury Compensation Program began, in 1988, almost $3.5 billion dollars have been paid out for 4,899 compensated awards, the majority of which were settled, and during which time over 2.5 billion doses of vaccines were given.
AV answer$3.5 billion dollars, which proves that vaccine injuries are real!
9. How many doses of vaccines are in the CDC schedule between birth and age 18?
By age 18 years, today’s kids get 54 doses of 13 vaccines that protect them against 16 vaccine-preventable diseases, with a third of those doses coming from yearly flu vaccines.
AV answer72 doses!
10. Do vaccines contain DNA from aborted fetal cell lines? If so, which vaccines?
Residual, highly fragmented DNA is sometimes found in vaccines that are made using the MRC-5/WI-38 cell lines.
AV answervaccines contain aborted fetal tissue.
11. Do any vaccines contain dog, monkey, pig, or human DNA?
Residual DNA, if found in vaccines, is not a cause for concern. It is typically a function of growing vaccine viruses in mammalian cell lines.
AV answerdog, monkey, pig, and human DNA contaminate vaccines and will turn us all into mutant dog-monkey-pig-human hybrids.
12. What is an adjuvant?
An adjuvant in a vaccine can increase the body’s immune response to an antigen, allowing you to use a smaller amount of antigen, which is important, as it is the antigens that typically cause side effects.
AV answerAdjuvants in vaccines have never been tested and they trigger vaccine injuries and disease.
13. What is an antigen?
An antigen is a substance, often part of a virus or bacteria, that can stimulate an immune response and the production of antibodies. Surprisingly, even though kids get more vaccines than they used to, those vaccines contain far fewer antigens than older vaccines.
AV answerwe don’t care about antigens anymore, because all of the other vaccine ingredients are toxic.
14. Which arms of the immune system do vaccines stimulate?
It actually depends on the vaccine, but this is about the differences between innate (nonspecific and without memory) and adaptive immunity, which typically interact with each other, whether it is to create natural or vaccine induced immunity.
AV answerI don’t care which arm you try to give it to them, my kids aren’t getting vaccinated!
15. Which arms of the immune system do natural diseases stimulate?
As with vaccines, it depends on the disease.
AV answerEven if you offer to give the shot in their legs, my kids aren’t getting vaccinated!
16. What is transverse myelitis?
Transverse myelitis is a type of inflammation of the spinal cord, causing weakness and paralysis, and typically triggered by infections, immune system, inflammatory, and vascular disorders.
AV answertransverse myelitis is a vaccine injury.
17. What is encephalopathy?
Almost anything can cause encephalopathy, leading to diffuse brain disease and dysfunction.
AV answerencephalopathy is a vaccine injury.
18. What is the rate of autism in 2018? What was it in 2000? What was it in 1980?
The reported rate of autism has increased since 1980 because of better recognition, diagnostic substitution, broadening of the diagnostic criteria, and social influences. Vaccines are not associated with autism.
AV answervaccines cause autism. If it isn’t the MMR vaccine, then it is thimerosal, or maybe aluminum. Or it could be glyphosate. It is definitely vaccines though.
19. What is glyphosate? Is it in vaccines?
Glyphosate, a weed killer (Roundup) made by Monsanto is not in any vaccines.
AV answerbecause glyphosate is everywhere, including in vaccines, half of all children will be autistic by 2025.
20. If your child is injured who will take physical, emotional and financial responsibility?
If a child has a true vaccine injury, compensation from the National Vaccine Injury Compensation Program (VICP) will hopefully help with your financial responsibilities.
AV answeryou can not sue vaccine manufacturers, so they have no liability if your child is injured by a vaccine.
21. What was the Supreme Courts statement on vaccines in 2011?
In 2011, the Supreme Court decided Bruesewitz v. Wyeth, in which they used the infamous unavoidably unsafe terminology, which has been misunderstood by anti-vaccine folks ever since.
AV answerthe Supreme Court said that vaccines can never be safe.
22. Can you find a study showing vaccinated vs unvaccinated health outcomes?
Yes, yes I can. A large study, “Vaccination Status and Health in Children and Adolescents Findings of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS),” found that unvaccinated kids weren’t healthier, they just had more measles, mumps, rubella, and pertussis.
AV answerthe Mawson study (published in a pay-to-publish journal after being retracted two other times) proves that unvaccinated (homeschooled) kids are healthier than vaccinated (homeschooled) kids.
23. Can you find a safety study proving it is safe to inject multiple vaccines?
Yes, yes I can. There are many studies that prove that it is safe to give multiple vaccines at the same time.
AV answervaccines have never been tested together.
24. Do vaccines shed?
A few vaccines do shed, including the rotavirus vaccines (in stool, so wash your hands when changing diapers) and oral polio vaccines, which haven’t been used in the United States since 2000. Although FluMist can shed, since the vaccine contains attenuated viral strains of the flu that are temperature-sensitive, it isn’t a problem, except maybe for someone who is severely immunocompromised.
AV answerour unvaccinated kids are at risk during shedding season!
25. Which vaccines can shed for up to 6 weeks?
The oral polio vaccine, which hasn’t been used in the United States since 2000, can likely shed for up to 6 weeks. This type of shedding is one of the reasons this weakened live virus vaccine is preferred over the inactivated polio vaccine when polio is still common in an area. In areas with poor hygiene and sanitation, the shedding (in stool) can lead to a type of passive immunization and improved herd immunity!
AV answershedding season is coming!
26. Which vaccines are live virus vaccines?
Attenuated, live virus vaccines which contain a weakened version of a virus include MMR, Varivax (chicken pox), the rotavirus vaccines, FluMist, the yellow fever vaccines, the oral polio vaccine, and vaccines against typhoid, cholera, adenovirus, and smallpox.
AV answerunvaccinated children are at risk from shedding if they are around kids who have gotten a live virus vaccine, especially during shedding season.
27. What is the Vaccine Injury Compensation Program (VICP)?
This is the same thing as the National Vaccine Injury Compensation Program (VICP) in question 5…
AV answerwe need to repeal both the NVICP and the VICP!
28. What is SV40?
Simian virus 40 was found to contaminate polio vaccines from 1955 through 1963. Fortunately, it has not been found to cause any disease in the folks who got those vaccines.
AV answervaccines are contaminated with monkey viruses and cause cancer.
29. What is MTHFR and how does it affect the body’s response to vaccines?
True MTHFR gene mutations rarely cause homocystinuria. Folks are more likely to hear about MTHFR polymorphisms, which are typically normal and have no affect on vaccines or anything else.
AV answerno one should not get vaccinated if they have MTHFR mutations or signs of MTHFR.
30. What is an acceptable amount of aluminum to be ingested per day versus the aluminum content in the Hep B shot given at birth, 2 months, and then again at 4 months?
Although there are limits on aluminum that premature neonates and infants getting daily intravenous fluids and IV feeding solutions over prolonged periods of time, that doesn’t mean that aluminum in vaccines that infants get every few months isn’t safe. It is. And they are.
AV answerinfants are getting toxic amounts of aluminum in their vaccines!
31. Can someone who was vaccinated for pertussis still spread pertussis after being exposed to it? If so, for how long?
Maybe. A study in baboons said it is possible. More importantly though, you are much more likely to get pertussis if you are unvaccinated, will have more severe symptoms, and will likely get more people sick.
AV answervaccinated people are the ones starting pertussis outbreaks.
32. What is the death rate from measles in the past 10 years in the U.S. compared to the death rate from the MMR vaccine in the past 10 years?
Deaths from measles are now rare in the United States because most people are vaccinated and protected. And unless you are looking at VAERS reports, the deaths from the MMR vaccine are also very rare. We will have more and more measles outbreaks if folks don’t get vaccinated though, increasing the risk of another measles death.
AV answermeasles is a mild disease that was on the Brady Bunch, and MMR is an unnecessary vaccine kills tons of people.

How did you answer the questions?

What Do Anti-Vaccine Folks Actually Know About Vaccines?

Have Normal Childhood Diseases Become More Deadly?

Weren’t measles and chicken pox once a rite of passage for kids?

Yes, in the pre-vaccine era, almost all kids got measles, chicken pox, and other now vaccine-preventable diseases in early childhood.

It was considered a rite of passage.

That she doesn't understand survivorship bias doesn't mean that you shouldn't vaccinate your kids.
That she doesn’t understand survivorship bias doesn’t mean that you shouldn’t vaccinate your kids.

But these diseases were never benign.

They were considered a rite of passage only because we all had to endure them. They weren’t something anyone looked forward to.

Benign diseases don't kill kids.
Benign diseases don’t kill kids.

After all, you don’t typically die from a benign disease.

Have Normal Childhood Diseases Become More Deadly?

But what about the idea that folks never used to worry about these diseases, at least not until vaccines were developed? Or that we only fear diseases that are vaccine-preventable?

It’s easy to say that no one worried about measles in the pre-vaccine era when you are just trying to scare folks away from getting vaccinated.

That’s one of the more ridiculous arguments anti-vaccine folks make.

A measles epidemic hit New York City in 1951, as this front page NYTimes article reports.
A measles epidemic hit New York City in 1951 and made headlines in the New York Times. That’s not surprising, as there were 683 measles deaths in the United States that year.

And also one of the easiest to refute.

When was the last time that you saw a headline warning about congenital rubella syndrome?
When was the last time that you saw a headline warning about congenital rubella syndrome?

These diseases that are now vaccine-preventable routinely made headlines in the pre-vaccine era.

Even the schools were closed in San Antonio when polio came to Texas in 1946.
Even the schools were closed in San Antonio when polio came to Texas in 1946.

And it was surviving these diseases that was considered a rite of passage, at least for those who were fortunate enough to survive.

So no, childhood diseases have not become deadlier.

They have always been serious and life-threatening!

Of course, not everyone died who got them, but they were rarely a walk in the park. Remember, even a mild case of measles includes a high fever for 4 to 7 days. That’s why folks often end up seeking medical attention multiple times, even if they don’t end up having any complications and don’t need to get admitted to the hospital

Lassie got shot, but ended up saving the day, getting help for Timmy, after they ran out of gas taking a short cut rushing home.
The Lassie episode about measles, in 1958, was called ‘The Crisis.” There were 552 measles deaths in the United States that year.

But what about the Brady Bunch measles episode, Is There a Doctor in the House? Is that really why you think vaccine-preventable diseases are mild?

In 1969, when that episode first aired, there were 25,826 reported cases and 41 deaths from measles in the United States.

Why don’t we see that many deaths now?

That’s easy.

We don’t see as much measles now. Most folks are vaccinated and protected.

If more people skip or delay their vaccines though, we will see more and more outbreaks, with greater chances that people will die.

Believe it or not, we still don’t have cures for measles, chicken pox, congenital rubella syndrome, and hepatitis B, etc. So while these diseases haven’t become any more deadly, they haven’t become any less deadly either, even with all of the advances of modern medicine.

More on Childhood Diseases as a Rite of Passage

Do More Vaccinated or Unvaccinated Kids Get Pertussis?

While this seems like a simple question, the answer is a bit more complicated than most people imagine.

Do More Vaccinated or Unvaccinated Kids Get Pertussis?

For anti-vaccine folks, the answer is clear – more vaccinated kids get pertussis. They put all of the blame for pertussis outbreaks on waning immunity. Of course, that’s not the whole story.

While 10% of kids got pertussis, unless you are at a Waldorf school, it is unusual to find that many completely unvaccinated children.
While 10% of kids got pertussis, unless you are at a Waldorf school, it is unusual to find that many completely unvaccinated children. Plus, we don’t know the vaccine history of 40% of these kids.

While it might technically be true that more vaccinated kids get pertussis in the average outbreak, that’s only because there are many more vaccinated kids!

A more accurate and useful answer, taking into account attack rates, makes it clear that a higher percentage of unvaccinated kids get pertussis in these outbreaks.

“In conclusion we have described a school-based outbreak of pertussis that may have been fueled by moderate vaccine effectiveness combined with a failure to vaccinate.”

Terrenella et al on Vaccine effectiveness of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine during a pertussis outbreak in Maine

In a pertussis outbreak in Maine, attack rates were much higher in unvaccinated kids, even though more vaccinated kids got pertussis. While 29 of 214 vaccinated kids got pertussis, a much higher percentage of unvaccinated kids got sick – 6 of 28.

That means your risk of getting pertussis was much higher if you were unvaccinated.

A 2013 pertussis outbreak in Florida is a good example that even with all the bad press it gets, the DTaP and Tdap vaccines work too. This outbreak was started by an unvaccinated child at a charter school with high rates of unvaccinated kids. About 30% of unvaccinated kids got sick, while there was only one case “in a person who reported having received any vaccination against pertussis.”

In another 2013 pertussis outbreak in Florida, this time in a preschool, although most of the kids were vaccinated, the outbreak started with “a 1-year-old vaccine-exempt preschool student.” And the classroom with the highest attack rate, was “one in which a teacher with a laboratory-confirmed case of pertussis who had not received a Tdap booster vaccination, worked throughout her illness.”

Why do so many unvaccinated kids get pertussis these days?

“We found evidence of an increase in exemption rates, spatial clustering of nonmedical exemptions, and space-time clustering of pertussis in Michigan. There was considerable overlap between the clusters of exemptions and the clusters of pertussis cases.”

Omer et al on Geographic Clustering of Nonmedical Exemptions to School Immunization Requirements and Associations With Geographic Clustering of Pertussis

Besides the fact that they are unvaccinated and unprotected?

“Children of parents who refuse pertussis immunizations are at high risk for pertussis infection relative to vaccinated children. Herd immunity does not seem to completely protect unvaccinated children from pertussis.”

Glanz et al on Parental refusal of pertussis vaccination is associated with an increased risk of pertussis infection in children.

They can’t get away with hiding in the herd.

Another important consideration – in addition to the fact that more unvaccinated kids get pertussis, when they get pertussis, it is more severe than those who are vaccinated.

“Serious pertussis symptoms and complications are less common among age-appropriate number of pertussis vaccines (AAV) pertussis patients, demonstrating that the positive impact of pertussis vaccination extends beyond decreasing risk of disease.”

McNamara et al on Reduced Severity of Pertussis in Persons With Age-Appropriate Pertussis Vaccination-United States, 2010-2012.

Still thinking of skipping or delaying your child’s pertussis vaccine?

More on Do More Vaccinated or Unvaccinated Kids Get Pertussis?

Does Japan have the Lowest Infant Mortality Rate Following a Ban on Mandatory Vaccinations?

Vaccines don’t affect infant mortality rates as much as you would expect, because there are many other things that kill infants besides vaccine-preventable diseases. Things like birth defects, prematurity, injuries and complications during pregnancy.

Unfortunately, that gives anti-vaccine folks lots of opportunities to misuse statistics about infant mortality rates.

Does Japan have the Lowest Infant Mortality Rate Following a Ban on Mandatory Vaccinations?

The latest propaganda about vaccines and infant mortality rates relates to Japan.

“It may come as no surprise to many that the Japanese Government banned a number of vaccines that are currently mandatory in the United States and has strict regulations in place for other Big Pharma drugs and vaccines in general.”

Jay Greenberg on Anti-Vaccine Japan Has World’s Lowest Child Death Rate, Highest Life Expectancy

Most folks will understand why this is simply propaganda.

Japan never banned any vaccines.

The 2016 routine and voluntary immunization schedule in Japan.
The 2016 routine (Hib, Prevnar, hepB, DTaP, IPV, BCG, MR, Varicella, Japanese Encephalitis, DT, and HPV) and voluntary (mumps, rotavirus, hepA, meningococcal) immunization schedule in Japan.

Japan is not anti-vaccine. Although their immunization schedule is certainly a lot more complicated than ours, they give many of the same vaccines as every other developed country.

“Following a record number of children developing adverse reactions, including meningitis, loss of limbs, and even sudden death, the Japanese government banned the measles, mumps, and rubella (MMR) vaccine from its vaccination program, despite facing serious opposition from Big Pharma.”

Was the MMR vaccine banned in Japan?

The MMR vaccine was introduced in Japan in 1989, and four years later, the government withdrew its recommendation for the vaccine.

Why? Reports of aseptic meningitis. This was likely due to the Urabe strain of the mumps component in their MMR vaccine, which was not used in the United States.

“The data up to now have revealed low rates of aseptic meningitis and no cases of virologically proven meningitis following the use of Jeryl–Lynn and RIT 4385 strains.”

WHO on Safety of mumps vaccine strains

They didn’t ban the vaccine or vaccination though.

They returned to giving children separate measles, rubella, and mumps (optional) vaccines. Tragically, because many kids didn’t get vaccinated against mumps, the rate of aseptic meningitis from people who actually got mumps was 25 times higher than the rate from the MMR vaccine!

When comparing risks vs benefits, it clearly favored getting vaccinated.

“Due directly to these gaps in ‘herd’ immunization resulting from politicized transitions in vaccination policy by the government, there were outbreaks of rubella with 17,050 cases reported between the years of 2012 and 2014, and 45 cases of congenital rubella syndrome reported to the National Epidemiological Surveillance of Infectious Diseases from week 1, 2012 to week 40, 2014.”

Yusuke Tanaka on History repeats itself in Japan: Failure to learn from rubella epidemic leads to failure to provide the HPV vaccine

The switch over also lead to outbreaks of rubella and increased cases of congenital rubella syndrome.

That’s no surprise to those who remember what happened in 1975, when routine pertussis vaccinations were halted in Japan following the deaths of two children. That eventually lead to epidemic cases of whooping cough in the country and at least 41 deaths in children (in 1979) before the vaccine was restarted.

Unfortunately, once they moved to DTaP vaccines, they started to see an increase in allergic reactions after kids got their MMR vaccine. Why? Their version of the DTaP vaccine contained poorly hydrolyzed bovine gelatin, which likely sensitized infants, who then developed an allergic reaction after getting an MMR vaccine with gelatin. While gelatin was removed from their DTaP vaccines, these extra side effects likely scared some folks in Japan.

Japan’s Vaccine Problem

Japan has more vaccine-preventable diseases than many other industrial countries.

Is it because Japan is anti-vaccine?

Of course not.

By impulsively halting and withdrawing vaccines, the Japanese government has done a good job of scaring folks though. They have also been very slow to introduce new vaccines, although they are catching up, as hepatitis, B, rotavirus, Hib, pneumococcal, meningococcal, HPV, and the chicken pox vaccine are all now available in Japan.

Have there been any benefits?

Nope.

They might have lower infant mortality rates, but that has nothing to do with vaccines.

There is no correlation between the number of vaccines that a country gives and their infant mortality rate.

If infant mortality rates are linked to vaccines, how do you explain Finland?
If infant mortality rates are linked to vaccines, how do you explain Finland?

Just look at the immunization schedules in Finland, Portugal, and other countries.

What about autism?

Rates of autism have increased in Japan, just as they have in other countries. So much for the idea that the MMR vaccine is associated with autism, right?

It should be obvious now that if anti-vaccine folks did any research at all, they wouldn’t use Japan as an example when they talk about vaccines.

With higher rates of vaccine-preventable disease and deaths from vaccine-preventable diseases, especially right after they impulsively halt a vaccine, Japan’s vaccine history simply demonstrates that vaccines work and that they are still very necessary.

One thing is true though. Japan’s infant mortality rate has been dropping, but then so has the infant mortality rate in almost all other countries, including the United States, which is at record low levels.

It certainly isn’t true that Japan’s infant mortality rate started to drop following a ban on mandatory vaccinations. How do we know that? Like many other countries, Japan has never had mandatory vaccinations. And not surprisingly, their infant mortality rate has continued to drop as they have added more vaccines and improved their immunization rates.

More on Vaccines and Infant Mortality Rates

How Many People Die from Vaccine Preventable Diseases These Days?

People don’t often die from vaccine-preventable diseases these days.

At least not in industrial countries.

Deaths from Vaccine-Preventable Diseases Today

Well, they aren’t supposed to.

Dr. Bob Sears actually reassured parents that measles wasn't deadly in developed countries, neglecting to mention the dozens of people who have died in outbreaks in Europe - another well-nourished population with lower vaccination rates than the U.S.
Dr. Bob Sears actually reassured parents that measles wasn’t deadly in developed countries, neglecting to mention the dozens of people who have died in outbreaks in Europe – another well-nourished population with lower vaccination rates than the U.S.

Tragically, we are seeing more and more deaths from vaccine-preventable diseases every day in countries that once had these diseases under good control:

  • over 100 measles deaths across Europe and a measles death in the United States a few years ago
  • diphtheria deaths in Australia, Belgium, South Africa, and Venezuela
  • life-threatening tetanus cases in Australia, Canada, New Zealand, and Ukraine
  • a rabies death in the United States in a child who’s parents skipped the post-exposure rabies vaccine
  • pertussis deaths in the United States
  • influenza – a record number of deaths in the United States, with most kids unvaccinated
  • rotavirus – yes, unvaccinated kids still die of rotavirus in the United States in the 21st Century! In a recent outbreak in California, in which a child died, almost all of the kids were unvaccinated.

And not surprisingly, these deaths are almost always in unvaccinated children.

Deaths from Vaccine-Preventable Diseases in the Pre-Vaccine Era

While tragic, we are still fortunate that these deaths are no where close to the levels we once saw before we had vaccines to protect our kids.

In the pre-vaccine era, we used to see:

  • up to 15,000 deaths and 200,000 diphtheria cases each year until the 1940s
  • an average of 175,000 cases of pertussis each year in the early 1940s, with about 1,118 deaths from pertussis in 1950 and 467 deaths from pertussis in 1955
  • up to 20,000 cases of paralytic polio each year until the early 1950s
  • an average of about 186,000 cases of mumps each year before 1967, with an average of 40 deaths a year
  • up to 500 deaths and 500,000 measles cases each year until the early 1960s
  • a rubella epidemic in 1964-65 that caused 12.5 million rubella virus infections and “resulted in 11,250 therapeutic or spontaneous abortions, 2,100 neonatal deaths, and 20,000 infants born with congenital rubella syndrome”
  • up to 20,000 cases of invasive H. influenzae (Hib) disease each year, with more than half of them having meningitis, and about 300 to 600 deaths, mostly children under age 2 years. In 1980, 45 children died with epiglottitis and there were an additional 222 deaths from Hib meningitis.
  • up to 11,000 hospitalizations and 100 chicken pox deaths each year until 1995
  • up to 17,000 cases of invasive pneumococcal disease in children younger than 5 years each year (before 2000), including 13,000 cases of bacteremia (blood infection) and 700 cases of pneumococcal meningitis, with 200 deaths.
  • just over 400,000 visits to the doctor and up to 272,000 visits to the emergency room, 70,000 hospitalizations and 20 to 60 deaths each year in children under age 5 years because of rotavirus infections until 2006

But that deaths from vaccine-preventable diseases aren’t common is hardly a reason to skip or delay your child’s vaccines, as some might suggest. It is just testament to the fact that vaccines work.

That these deaths from vaccine-preventable diseases quickly rise as rates of vaccinations drop is a tragic reminder that vaccines are necessary.

As more people are vaccinated and diseases disappear, they forget how bad those diseases are, skip or delay getting their vaccines, and trigger outbreaks.
As more people are vaccinated and diseases disappear, they forget how bad those diseases are, skip or delay getting their vaccines, and trigger outbreaks. Photo by WHO

And what makes it even more tragic is that this was all predicted and could have been prevented if folks didn’t listen to anti-vaccine propaganda that scares them away from vaccinating and protecting their kids.

Worldwide Deaths from Vaccine-Preventable Diseases

Of course, talk of deaths from vaccine-preventable diseases shouldn’t stop with the developed or industrial world.

Even as a lot of progress is being made, as more and more people get vaccinated, worldwide, there were:

  • about 89,780 measles deaths, mostly young children
  • about 215,000 deaths from rotavirus infections
  • at least 1 million deaths from hepatitis B
  • almost 200,000 deaths from Hib
  • over 4,200 deaths from chicken pox
  • about 50,000 deaths from meningococcal infections
  • about 160,000 deaths from pertussis
  • about 826,000 deaths from pneumococcal infections
  • almost 60,000 deaths from rabies
  • just over 70,000 deaths from tetanus
  • about 222,000 deaths from typhoid
  • between 30,000 to 60,000 deaths from yellow fever

As you can see, most of these diseases are still big killers around the world.

“You hear about people who don’t like to vaccinate their kids in the Western world, which I suppose is a personal choice, but when you’re out there, the result of your children not being vaccinated is that they’ll likely die, or be horribly maimed. So yes, I saw a real desire to have their children protected, and also a real understanding of it – I didn’t seem to come across anybody who went ‘What is it?’ Or ‘What does it do?’ They all seemed to know about it.”

Ewan McGregor on Cold Chain Mission

In most of these countries, the problem is access to vaccines though, not parents refusing to get their kids vaccinated.

What to Know About Deaths from Vaccine Preventable Diseases

Unvaccinated kids are still dying from vaccine-preventable diseases.

More on Deaths from Vaccine Preventable Diseases

What to Do If Your Child Is Exposed to Pertussis

Although things are much better than they were in the pre-vaccine era, we still have pertussis outbreaks in the United States.

How does that work?

Waning immunity and folks who are unvaccinated.

How Contagious is Pertussis?

Pertussis is very contagious, but not quite as contagious as other vaccine-preventable diseases, such as measles.

That’s why the focus on controlling pertussis outbreaks is usually looking at close contacts – those who were within about 3 feet for at least 10 hours a week or who had direct face-to-face contact with the person when they were contagious.

Have you gotten a letter from your child's school about pertussis yet?
Have you gotten a letter from your child’s school about pertussis yet?

So when you get a letter about a possible case of pertussis in your child’s school, it may be a a general warning and not that your child is at risk.

How do you get pertussis?

“Persons with pertussis are infectious from the beginning of the catarrhal stage through the third week after the onset of paroxysms or until 5 days after the start of effective antimicrobial treatment.”

Manual for the Surveillance of Vaccine-Preventable Diseases

Spread by respiratory droplets (coughing and sneezing), pertussis symptoms usually start about 5 to 10 days after being exposed to someone else who is in the early stage of their pertussis infection.

While pertussis symptoms can linger for up to 10 weeks, someone who has pertussis is most contagious during the first 2 or 3 weeks of symptoms.

Is Your Child Protected Against Pertussis?

Two pertussis vaccines, DTaP and Tdap, help protect us against pertussis.

In the Unites States, they are routinely given as a primary series (DTaP) at 2, 4, and 6, and 15 to 18 months, with a booster dose at age 4 years. And then a booster of Tdap at age 11 to 12 years. Later, Tdap is given again during each pregnancy, between 27 and 36 weeks gestation. Adults who have never had a dose of Tdap should get caught up, especially if they will be around a baby.

Protection from the pertussis vaccines wanes or wears off, so even fully vaccinated children and adults can still get pertussis. Of course, you are much more likely to get pertussis if you are unvaccinated and you will likely have more severe illness if you are unvaccinated.

Postexposure Antimicrobial Prophylaxis for Pertussis

Fortunately, as with meningitis was caused by Neisseria meningitidis and Haemophilus influenzae type b (Hib), taking antibiotics after being exposed to someone with pertussis can help prevent you from getting sick.

There are only specific situations for which this type of postexposure antimicrobial prophylaxis is recommended though, so for example, you wouldn’t usually give everyone in a school antibiotics because a few kids had pertussis.

Why not give antibiotics to everyone who might have been exposed to someone with pertussis?

“…there are no data to indicate that widespread use of PEP among contacts effectively controls or limits the scope of pertussis outbreaks.”

Postexposure Antimicrobial Prophylaxis

In addition to the fact that it likely wouldn’t stop our pertussis outbreaks, overuse of antibiotics can have consequences.

Situations in which postexposure antibiotics (azithromycin, clarithromycin, and erythromycin, or Bactrim) likely would be a good idea include:

  • household contacts of a known pertussis case
  • to help control an outbreak in a limited closed setting, like a daycare
  • contacts of a pertussis cases who are at high risk for severe pertussis, including pregnant women, infants, especially infants less than 4 months old, and people with chronic medical problems
  • contacts of a pertussis cases who are also contacts of someone who is at high risk for severe pertussis

What if you were exposed to someone with pertussis and have already gotten sick?

If your child was exposed to pertussis and is now coughing, then in addition to antibiotics, pertussis PCR testing and/or culture will also likely be done to confirm that they have pertussis. And remember that their contacts might need postexposure antibiotics.

Kids who have been exposed to pertussis and who have been coughing for more than 3 weeks won’t need antibiotics or testing, as it is too late for the antibiotics to be helpful and likely too late for testing to be accurate. Fortunately, after 3 weeks, they should no longer be contagious.

What to Do If Your Unvaccinated Child Is Exposed to Pertussis

Unvaccinated kids who are exposed to pertussis should follow the postexposure antimicrobial prophylaxis guidelines.

They should also get caught up on their immunizations, including DTaP if they are between 2 months and 6 years, or Tdap if they are older.

What to Do If Your Vaccinated Child Is Exposed to Pertussis

Since protection from the pertussis vaccines wanes, even kids who are fully vaccinated should follow the postexposure antimicrobial prophylaxis guidelines if they are exposed to pertussis.

Then why get vaccinated?

Again, being vaccinated, your child will be much less likely to get pertussis than someone who is unvaccinated. Even though the pertussis vaccine isn’t perfect, it has been shown that children who had never received any doses of DTaP (unvaccinated children) faced odds of having pertussis at least eight times higher than children who received all five doses.

What to Know About Getting Exposed to Pertussis

Talk to your pediatrician if your child gets exposed to pertussis to make sure he doesn’t need post-exposure prophylaxis to keep him from getting sick, even if you think he is up-to-date on his vaccines.

More on Getting Exposed to Pertussis

How Can the Unvaccinated Spread Diseases They Don’t Have?

Folks who are intentionally unvaccinated often have a hard time understanding why the rest of us might be a little leery of being around them.

That’s especially true if we have a new baby in the house, younger kids who aren’t fully vaccinated and protected, or anyone with a chronic medical condition who can’t be vaccinated.

Why? Of course, it is because we don’t want them to catch measles, pertussis, or other vaccine-preventable diseases.

“How can you spread a disease that you don’t even have?”

It’s true, you can’t spread a disease that you don’t have.

But infectious diseases don’t magically appear inside our bodies – we catch them from other people. And if you have skipped or delayed a vaccine, then you have a much higher chance of getting a vaccine-preventable disease than someone who is vaccinated and protected.

So, just avoid other people when you are sick, right?

“…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

That works great in theory, but since you are often contagious before you show signs and symptoms and know that you are sick, you can very easily spread a disease that you don’t even know that you have.

An infant hospitalized during a measles outbreak in the Philippines in which 110 people died.
Children with measles are contagious 4 days before through 4 days after their rash appears, but you often don’t recognize that it is measles until they get the rash! Photo by Jim Goodson, M.P.H.

There’s the trouble:

  1. being unvaccinated, you or your child are at higher risk to get sick
  2. when you get sick, you can be contagious several days before you have obvious symptoms
  3. you can spread the disease to others before you ever know that you are sick, or at least before you know that you have a vaccine preventable disease

This makes intentionally unvaccinated folks a risk to those who are too young to be vaccinated, are too young to be fully vaccinated, have a true medical exemption to getting vaccinated, or when their vaccine simply didn’t work.

measles-santa-clara-county
Folks with measles often expose a lot of other people because they don’t yet know that they have measles and aren’t showing signs and symptoms yet.

In fact, this is how most outbreaks start. Tragically, kids too young to be vaccinated get caught up in these outbreaks.

Keep in mind that these parents didn’t have a choice about getting them protected yet. Someone who decided to skip their own vaccines made that choice for them.

And remember that while you can’t spread a disease that you don’t even have, you can certainly spread a disease that you don’t realize that you have.

What to Know About The Unvaccinated Spreading Disease

If you aren’t going to get vaccinated or vaccinate your kids, understand the risks and responsibilities, so that you don’t spread a vaccine-preventable diseases to others that you might not even know that you have yet.

More on the Unvaccinated Spreading Disease