Tag: #SaidNoDoctor

Ethics and Vaccines

A lot of ethical issues come up around discussions of vaccines and vaccination.

Of course, when you talk about ethics and vaccines, you shouldn’t just think about vaccine mandates and informed consent, but also about the ethics of skipping or delaying vaccines and putting others at risk of getting a vaccine-preventable disease.

And there are also ethical issues around spreading misinformation and propaganda about vaccines (misinformed consent) to scare people away from getting vaccinated and protected.

Ethics and Vaccines

Does it surprise you that many folks don’t actually understand what the real ethical issues are in the “vaccine debate?”

Questions about ethics often come up when Dr. Bob talks about vaccines.
Questions about ethics often come up when Dr. Bob talks about vaccines.

To begin with, there is no real vaccine debate.

Vaccines are safe, effective, and necessary.

“But how can anything with known side effects be forced, knowing some will definitely be harmed?”

Dr. Bob Sears

Dr. Bob’s statement helps illustrate why this isn’t a debate.

No one is forced to get vaccinated.

And how can you say that “some will definitely be harmed” without defining what some actually means?

Severe reactions to vaccines are very rare. Fortunately, they are even more rare than the risks of a complication from a vaccine-preventable disease. And that’s why the great majority of people choose (they aren’t forced) to vaccinate and protect their kids.

Remember, a vaccine mandate that says you have to be vaccinated to attend daycare or school does not force anyone to get vaccinated. Folks still have a choice to not get vaccinated, even without access to non-medical vaccine exemptions, although they might not like what that choice entails, such as homeschooling or not being able to attend daycare or summer camp.

What about the idea of community responsibility?

Should you vaccinate your child just to protect everyone else in the community or should you just try to hide in the herd?

“One is morally free to use the vaccine regardless of its historical association with abortion. The reason is that the risk to public health, if one chooses not to vaccinate, outweighs the legitimate concern about the origins of the vaccine. This is especially important for parents, who have a moral obligation to protect the life and health of their children and those around them.”

The National Catholic Bioethics Center FAQ on the Use of Vaccines

Of course you should vaccinate them. But in getting them vaccinated and protected, you are not just protecting everyone else in the community. Getting vaccinated also protects your own child!

Similarly, when you skip or delay your child’s vaccines, it is not just your own child that is put at risk. If they get sick, especially since many vaccine-preventable diseases have long incubation periods and you can be contagious before you show symptoms, they can expose others and get them sick too. Where’s their choice?

If the people they expose are too young to be vaccinated, too young to be fully vaccinated and protected, or anyone with a problem with their immune system, the results can be tragic.

Is it ethical that someone decides to skip or delay their child’s vaccines and then, through no fault of their own, someone else dies after getting exposed to this unvaccinated child when they develop measles or chicken pox?

Remember the measles outbreaks of 2015? In addition to the large Disney Land measles outbreak, 2015 was infamous for a smaller outbreak in Clallam County.

“The death of a Clallam County woman this spring was due to an undetected measles infection that was discovered at autopsy. The woman was most likely exposed to measles at a local medical facility during a recent outbreak in Clallam County. She was there at the same time as a person who later developed a rash and was contagious for measles. The woman had several other health conditions and was on medications that contributed to a suppressed immune system. She didn’t have some of the common symptoms of measles such as a rash, so the infection wasn’t discovered until after her death. The cause of death was pneumonia due to measles. This tragic situation illustrates the importance of immunizing as many people as possible to provide a high level of community protection against measles.”

Measles led to death of Clallam Co. woman

There were five measles cases in that 2015 Clallam County, Washington outbreak, including four who were not vaccinated. The outbreak cost at least $223,223 to contain and led to the death of a woman who just happened to be at a health clinic as one of the infected people.

Want to dismiss this case as being too rare to worry about? Just look at what is happening across Europe, with the rise in measles cases and measles deaths over the last few years.

Ethically, why should you vaccinate?

That’s easy, so that your kids don’t get a life-threatening vaccine-preventable disease. And so that they don’t expose others, potentially giving them a life-threatening disease that they are too young to be vaccinated against, couldn’t be vaccinated against because they had a true medical exemption, or were vaccinated against but are still susceptible to because they now have a problem with their immune system.

Are vaccine preventable diseases not common enough for you to be concerned about these days? You know that’s because most folks vaccinate their kids, don’t you? Do we need to go back to the pre-vaccine era before more vaccine-hesitant parents will start vaccinating their kids?

“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

What about the risks of vaccines?

While vaccines are not 100% safe, they do not cause all of the vaccine injuries and vaccine-induced diseases that anti-vaccine folks push. The real risk is believing their propaganda and leaving your child unvaccinated and unprotected.

“It is UNETHICAL to expect me to sacrifice my child for yours—especially when I know that sacrifice won’t even stop the disease from spreading. It’s time for people to stop touting their “moral superiority and selflessness” when it comes to this topic; because if you really understood how this all works, there would be nothing for you to be proud of.”

Melissa Floyd (she apparently does a podcast with Dr. Bob)

Here is where the misinformed consent comes in and ethics go out the window:

And for the record, few of us think that we are morally superior to anyone else for vaccinating and protecting our kids. We just understand that many anti-vaccine folks are victims of their cognitive biases and need to do more research. And we know that it is UNETHICAL for parents to sacrifice their kids to anti-vaccine propaganda.

More on Ethics and Vaccines

The Moral Outrage of the Anti-Vaccine Movement

It doesn’t take much to outrage folks these days.

It seems like there is always someone, someplace that is outraged about something.

Ironically, the latest faux outrage comes from anti-vaccine folks.

The Moral Outrage of the Anti-Vaccine Movement

What do anti-vaccine folks have to be outraged about, besides the idea that they think we are forcing them to vaccinate and protect their kids against life-threatening vaccine-preventable diseases?

“Report this Doctor – Laughing At Injured is not acceptable”

Apparently, they think that a doctor was making fun of autistic kids during a flu shot clinic at a hospital:

T: So after this shot, am I going to be good at math, Z?

Z: You’re going to be really good, because you’re going to be fully autistic, instead of just partially….

Z: You know Tom, I’m wondering if we’ve just been hit with placebo, because I didn’t feel the needle, I didn’t feel the autism coming on. None of it.

This was similar to an unscripted routine Zdogg did last year:

Z: Thomas is getting autistic as we speak, because he is full of mercury right now.

T: I can do math now. It’s awesome.

Z: That’s right. He’s gonna go gamble on the strip and clean house.

In the videos, they also talk a lot about how the flu shot is a scam by the government to control our thoughts…

Are they making fun of autistic kids or adults?

“It was a dumb joke, probably in poor taste, but it didn’t occur to me at the time because it was a live show and we were trying to be funny.”

ZDogg

It wasn’t funny and I’m glad he took down the video, even if it was under pressure from hospital administration and not because he really wanted to.

Joking about vaccines causing autism is offensive and no one should be doing it, even if it is call out and making fun of the folks in the anti-vaccine movement who try and associate vaccines with autism and do actually hurt autistic families.

But did he mock the father of a child who died of SUDC, within a day of getting vaccinated? A father who was carrying a copy of JB Handley’s autism book, who claims that “there is no money in dead babies,” and who is banging on the studio window during his interview with Paul Offit?

No.

He is simply pointing out, and seemed a little excited, that he had anti-vaccine protesters at his studio for the first time.

At a screening for Vaxxed, Paul Thomas, MD, joked that kids with autism were brain damaged. And everyone laughed.
At a screening for Vaxxed, Paul Thomas, MD, joked that kids with autism were brain damaged. And everyone laughed.

But if anti-vaccine folks really feel outrage over this, why is it so selective?

Where is the outrage when the comments don’t come from someone who supports vaccines?

“I want to thank the warrior moms and dads. Those of you who have an autistic child, or a child who is otherwise damaged, you know the damage isn’t always clear-cut autism. Some times it is just some variation – your kids just not quite right.

That’s why I didn’t stand and say that I have an autistic child, because my kids, I tease them and say that they are brain damaged. Uh. Sorry son.”

Paul Thomas

I don’t remember any outrage over Paul Thomas’ comments or when Del Bigtree said “Eve is autistic, that’s right, otherwise, why would she have eaten the apple,” and made this statement on his show:

“When I go visit my grandma, why don’t I see any autistic people flapping in the corner of the room.”

Apparently, the idea of autistic adults doesn’t fit into their narrative that vaccines are associated with autism.

But that isn’t even the worse thing Del has been recorded as saying…

“But I would think when you have a child with autism, you know, or on the spectrum, you have no reference point. You have no…

I don’t want this to sound wrong, but it’s a little bit more like having a dog or a Doberman or something that you don’t understand how it thinks, you don’t know. I mean, I mean a better figure than animal reference except… you don’t have their brain.

Or you hear about stories of people that bring home of exotic you know of chimpanzee or something where they can’t, and this is not sounding right.”

At least he didn’t want it to sound wrong…

“They get the shot. That night they have a fever of 103. They go to sleep, and three months later their brain is gone. This is a holocaust, what this is doing to our country.”

Robert F. Kennedy, Jr

The anti-vaccine world is full of talk of autistic kids being broken and damaged, they push dangerous and expensive “cures” on parents, and spread propaganda to scare parents away from vaccinating and protecting their kids.

Dr. Jerry is a pediatrician who practices Translational Medicine and wrote the forward to Jenny McCarthy's autism book.
Dr. Jerry is a pediatrician who practices Translational Medicine and wrote the forward to Jenny McCarthy’s autism book.

And they hijack every disease, story, and tragedy to make folks think that everything is a vaccine injury.

As a physician, I assure you this story isn’t believable at any level. In my opinion, the “health officials” are conjuring meningitis fairy tales about an “unvaccinated” boogeyman to cover for the much more probable cause of this child’s death: VACCINES.

The much more likely cause is right in front of us: “The child had just received his 4-month-old vaccinations two days beforehand.”

Jim Meehan

Jim Meehan, for example, is so upset that he thinks Zdogg should lose his medical license, but he had no problem harassing the family of an infant who had just died of meningitis, claiming it was a cover up for a vaccine injury.

This is the modern anti-vaccine movement.
This is the modern anti-vaccine movement.

Have I mentioned that some of them lie about religious and medical exemptions to avoid getting their kids vaccinated and protected? And others sell those vaccine exemptions?

“A Clallam County woman in her 20s died this year from an undetected measles infection discovered only after an autopsy, state health officials said Thursday. The case is the first confirmed measles death in the U.S. in 12 years.

The woman was likely exposed to the highly contagious infection at a local medical center during a recent outbreak in Clallam County. She was at the site at the same time as someone who later developed a rash and was determined to be contagious for measles.”

Undetected measles led to death of Clallam County woman in her 20s

Where is the outrage when someone dies from a disease that could have easily been prevented by a safe and effective vaccine?

Those of us who understand the hypocrisy of the anti-vaccine movement know exactly where it is.

More on The Moral Outrage of the Anti-Vaccine Movement

Is the La Leche League Anti-Vaccine?

Why would anyone think that the La Leche League, an organization who’s mission is to support breastfeeding, might be against vaccines?

“Many parents have questions about the compatibility of vaccines and breastfeeding. Your healthcare provider can address any questions that come up for you.”

la leche league international on Vaccines

They certainly don’t make any strong statements supporting vaccines…

“The LLLI Health Advisory Council suggests families discuss the pros and cons of influenza vaccines with their health care practitioners.”

la leche league international on Influenza

The cons of influenza vaccines?

What are those exactly? That the protection babies get from their mother’s pregnancy flu shot doesn’t last until they go to college?

What’s the greatest evidence that they might not support vaccines? I mean, besides anti-vaccine La Leache League leaders who actively say that they are against vaccines?

Bob Sears is giving two lectures  on vaccines at an upcoming La Leche League breastfeeding conference.
What exactly will Bob Sears be talking about during his two lectures on vaccines at this upcoming La Leche League breastfeeding conference?

Bob Sears is giving two lectures on vaccines at an upcoming La Leche League breastfeeding conference.

Will he really discuss the benefits of vaccines for pregnant and post-partum mothers and their families?

“Dr. Bob Sears, a renowned Dana Point pediatrician who has been sought out by parents who wish to opt out of the state’s mandatory vaccine requirements, has been placed on probation for 35 months by the Medical Board of California.”

Dr. Bob Sears, renowned vaccine skeptic, placed on probation for exempting child from all vaccinations

And considering that he nearly lost his medical license over giving an improper vaccine exemption, what can we really expect from his talk on California’s vaccine law?

“Remember that La Leche League is exclusively focused on breastfeeding support and has no stance on vaccinations.”

La Leche League USA

No stance on vaccinations?

Actually, with bringing Dr. Bob to their conference, it seems like they made a very clear stance…

“Nursing also allows your baby to give germs to you so that your immune system can respond and can synthesize antibodies! This means that if your baby has come in contact with something which you have not, (s)he will pass these germs to you at the next nursing; during that feeding, your body will start to manufacture antibodies for that particular germ. By the time the next feeding arrives, your entire immune system will be working to provide immunities for you and your baby. If you are exposed to any bacteria or viruses, your body will be making antibodies against them and these will be in your milk.”

Can Breastfeeding Prevent Illnesses?

And they have also done a good job of making it sound like breastfeeding infants don’t need vaccines.

They do!

While breastfeeding is great, it is not a substitute for getting vaccinated. In fact, antibodies in breast milk will not protect a baby against most vaccine-preventable diseases.

If the La Leche League truly wants to support what’s best for kids, they should move away from pushing non-evidence based therapies, especially craniosacral therapy and referrals to chiropractors for breastfeeding problems, and they should take a stand supporting vaccines.

The La Leche League is on this list of other organizations that speak out against vaccines.
The La Leche League is on this list of other organizations that speak out against vaccines.

Then maybe they wouldn’t appear on any lists from the NVIC.

More on Vaccines and the La Leche League

Why Don’t People with HIV or HepB Have to Wear Badges?

There is a very good reason why people with HIV and hepatitis B don’t have to wear distinctive badges.

Have you ever thought that people with HIV should wear badges???
Have you ever thought that people with HIV should wear badges???

And whether or not they work in a hospital, it has nothing to do with the fact that they don’t pose a risk to others, and it has nothing to do with health care workers who refuse to get a flu shot and have to wear a mask.

Confidentiality Rules and Civil Rights

Hopefully we have gotten over a lot of the misinformation and stigma that once kept kids with HIV and hepatitis B out of schools and teens and adults out of work.

“Ryan White confidentiality guidelines have helped allay the fears that many people living with HIV have around unwanted disclosure and HIV discrimination.”

Building Trust: Confidentiality and the Ryan White HIV/AIDS Program

And of course, that’s why people with HIV and hepatitis B don’t have to “wear any distinctive badges or clothing.”

The Americans with Disabilities Act (ADA) is the most powerful law safeguarding the rights of children in public and private schools and daycare centers. The law also prevents any organization or business from discriminating against a person because of a real or perceived disability, such as an infectious disease.

A second law, Section 504 of the Rehabilitation Act, bars schools, colleges and other organizations receiving federal funding from discriminating against children with disabilities. Section 504 identifies chronic liver disease as a “hidden disability.”

Legal Protections for Children with Viral Hepatitis

In fact, laws protect people with HIV/AIDS and other conditions, so that no one would try and make them “wear any distinctive badges or clothing.”

“Almost 30 years after the onset of the epidemic, HIV stigma and discrimination—fed largely by ignorance and animus—persist and continue to have a forceful impact on people living with HIV.”

HIV Stigma and Discrimination Persist, Even in Health Care

Or at least you would hope no one would try and make them wear a badge…

More on Rights of People with HIV and Hepatitis B