Tag: vaccine choice

False Balance About Vaccines at the Chicago Tribune

As more folks are calling out vocal vaccine deniers, many are also learning the role of the media in helping fuel the anti-vaccine movement.

“Whatever you think about Andrew Wakefield, the real villains of the MMR scandal are the media.”

Ben Goldacre on The MMR story that wasn’t

Believe it or not, there likely would not have been a big scare over the DPT vaccine in the 1970s and 80s or concerns about the MMR vaccine if the media hadn’t given so much attention to the anti-vaccine players involved.

False Balance About Vaccines at the Chicago Tribune

Folks in the media have learned their lesson though, right?

“Balance? There is no balance. There is mainstream, superstrong consensus about the value of vaccination, and on the other side … nothing else, since there is no other side. The media have made parents worry about vaccines in a lame effort to provide balance and all points of view.”

Arthur Caplan on There is no other side to the vaccine debate

Well, apparently not all of them…

If you are quoting anti-vaccine activists, then you are doing something wrong...
If you are quoting anti-vaccine activists, then you are doing something wrong…

Why would the Chicago Tribune devote nearly 20% of an article to a parent who is against vaccines, especially without correcting her misinformation?

Why haven’t they learned that spreading this kind of misinformation is what scares parents away from vaccinating and protecting their kids in the first place?

Are vaccinations about parent choice or public safety? That’s the title of the Chicago Tribune article. And maybe that’s why Illinois is among top 5 states for measles as debate heats up, the rest of the title…

How about we give parents a chance to make informed choices without being influenced by propaganda and misinformation?

More on False Balance About Vaccines at the Chicago Tribune

Why Will Paul Thomas’ Patients Be Excluded from School in Oregon?

Like several other states, Oregon is working to strengthen their vaccine laws by making it harder for parents to skip or delay a child’s vaccines.

An unvaccinated child in Oregon nearly died with tetanus recently...
An unvaccinated child in Oregon nearly died with tetanus recently…

This is in response to growing measles outbreaks in the area and the abuse of non-medical exemptions.

Why Will Paul Thomas’ Patients Be Excluded from School in Oregon?

Not surprisingly, a local pediatrician, Paul Thomas, who seems dead set on becoming the next Bob Sears, complete with a book that pushes a so-called alternative non-standard, parent-selected, delayed protection vaccine schedule, is protesting Oregon’s new vaccine bill.

“Although we give vaccines in my office every day, I oppose HB 3063. As you consider HB 3063, I thought you should have the real-world data from the largest pediatric practice in Oregon with the most patients who will be affected by your proposed bill.”

Paul Thomas

Paul Thomas goes on to explain why his patients haven’t received all of their recommended vaccines.

One reason is that he doesn’t even offer the rotavirus vaccine, although he doesn’t mention that. But how do you make an informed choice about a vaccine when the vaccine isn’t even available to you?

“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

Since he doesn’t think they are at any risk when they are younger, does Dr. Thomas advocate that his patients catch up on their hepatitis B series when they are older? Does he mention that until we switched to a universal vaccination program, some infants were missed and developed perinatal hepatitis B? Or the risks of needle sticks, etc.?

“These are the kinds of details and nuances that we must discuss with every vaccine. Whether we are talking about vaccines, antibiotics, ADD medication, or even a surgical procedure, we spend a good deal of time with our patients providing what we in medicine call “informed consent.” We explain the risks and benefits of the recommended medical intervention, the risks and benefits of not doing the intervention, and the alternatives. These conversations are best had in the privacy of a doctor’s office, not in the state legislature. As each child is different, we do not believe there should be any one-size-fits-all medicine. “

Paul Thomas

Although Paul Thomas talks about informed consent, a very important part of medicine, it is important to keep in mind that like most folks in the modern anti-vaccine movement, he doesn’t really seem to offer it.

He provides misinformed consent, pushing propaganda that overstates that risks of vaccines, underestimating the risks of vaccine-preventable diseases, and rarely stating the benefits of getting vaccinated.

“Finally, I am also concerned that thousands of families will either leave Oregon-as tens of thousands of families have left California – or leave the public school system and homeschool instead. While I have nothing against homeschooling, I believe this would result in a large and unfortunate loss of revenue for Oregon’s already underfunded public schools. “

Paul Thomas

Perhaps Paul Thomas missed it, but California is doing just fine after they passed their vaccine law, despite issues with some California doctors have taken advantage of fearful parents, and instead of doing the work to help parents understand that vaccines are safe with few risks, they are writing unjustified medical exemptions.

After years of declines, the vaccination rates for kids in California entering kindergarten in 2017 were at the highest rate since at least 1998!
After years of declines, the vaccination rates for kids in California entering kindergarten in 2017 were at the highest rate since at least 1998!

It’s a good reminder that the one lesson Oregon can learn from California is to make stricter rules on what counts as a medical exemption…

“We all have the same goal, which is to help Oregon’s children survive and thrive. No one wants a recurrence of infectious diseases in Oregon or anywhere in the United States. “

Paul Thomas

If Paul Thomas’ real motivation was to stop the outbreaks of vaccine-preventable disease and keep states from passing new vaccine laws, then maybe he should stop scaring parents away from vaccinating and protecting their kids.

“I hired an independent data expert, Dr. Michael Gaven, MD, to analyze the outcomes from my practice as part of a quality assurance project. Dr. Gaven studied the outcomes for those patients born into my practice during the past decade, since I opened my doors on June 1 2008.”

Paul Thomas

What outcomes? Is it how many of the kids in his practice developed vaccine-preventable diseases unnecessarily?

No, Paul Thomas published data that he thinks says that his unvaccinated kids get less autism than everyone else, except that there is a lot of bias in the numbers, we don’t know how many kids left his practice (especially any who might have developed autism), or even what criteria he uses to diagnose kids with autism. The numbers likely aren’t even statistically significant.

Vaccines are safe, with few risks, and they are necessary. And they are not associated with autism. Stop listening and spreading propaganda, vaccinate your kids, and let’s stop these outbreaks.

More on Paul Thomas

The Ethan Lindenberger Story Isn’t Over

As most folks know, Ethan Lindenberger is the Ohio teen who got himself vaccinated over the objections of his mother, who had always believed that vaccines are dangerous.

What will Thanksgiving dinner be like at the Lindenberger home?

During his testimony before Congress, Sen Isakson joked that “I would love to be at Thanksgiving dinner at your house. It would be a heck of a discussion.”

Hopefully the family is talking again by Thanksgiving…

The Ethan Lindenberger Story Isn’t Over

Surprisingly, instead of simply supporting her son’s decision, even if she didn’t agree with it, Ethan’s mom is actually speaking out against him.

“Ethan has had no education at all in this,” said Wheeler. “None, again, he was asking three months ago where to go to get vaccinated and now he’s sitting on a committee voicing his opinion for research he’s done on the internet?”

She even seems to have bought into some of the conspiracy theories folks have created about them.

“They’ve made him the poster child for the pharmaceutical industry.”

Jill Wheeler

And unfortunately, as if they hadn’t done enough damage to this family, anti-vaccine folks are doubling down and continue to exploit them.

Ethan’s mom and brother even went out to California and appeared with Del Bigtree on his “show.”

So what led Ethan’s mom on the road to questioning vaccines?

“I remember going in and getting the chicken pox vaccine and after they had administered it, they said, well, you’re going to have to come back in about 10 to 15 years to have it redone. He’s going to have it again. I said well wait a minute, I thought that these vaccinations were forever. They were like well, no, you’re going to have to get it again in 10 years and probably 10 years after that.

I said then why don’t I just let him get the chicken pox? I had it. All my sisters had it. Everyone I know has had the chicken pox. Why don’t I just let him have the chicken pox? Oh no, you don’t want to do that. Just come every 10 years…

That’s when I went home and said somethings not adding up, somethings not adding up, I was always under the assumption that vaccines were a forever thing… I started researching…”

Jill Wheeler

What jumps out the most about this story? There has never been a recommendation to repeat the chicken pox vaccine every ten years. In fact, when it first came out, it was thought that it would be a one time dose. A second dose was later added because we were seeing some mild breakthrough infections.

The only vaccine that we get every 10 years is the one that protects us against tetanus, diphtheria, and pertussis. Would you like your child to get tetanus, diphtheria, and pertussis so that they have natural immunity and don’t need the shot?

Good luck.

In addition to being very deadly, neither tetanus nor diphtheria infections provide you with natural immunity. And even natural pertussis infections don’t provide lifelong immunity.

We also learned that Ethan’s mom didn’t start her research on Facebook, which isn’t surprising, as Facebook didn’t exist when she first got started. But the anti-vaccine misinformation was there, as the anti-vaccine movement isn’t new. And at some point, she shifted to Facebook, YouTube and other internet sources, and that’s what she used to “debate” her son.

Del Bigtree: Sounds like a kid that goes off and you know starts smoking pot and shooting heroin.

Jill Wheeler: That’s what I’m saying, instead of that, he went and got vaccinated.

Del Bigtree: That’s how you rebel.

Jill Wheeler: That’s how you rebel.

Del Bigtree: Keep your pharmaceutical products I could get hooked on oxycontin, but I’m gonna go with vaccines.

For folks that talk about vaccine choice a lot, they don’t seem to like the choice that Ethan Lindenberger made…

“Well I think that us, taking a voice against what my brother is doing is going to be able to make an effort towards the Liberty movement to make sure that this lies an individual decision. “

Isaac Linderberger

They also ignore the fact that vaccine mandates don’t force anyone to get vaccinated and that their choice to skip or delay vaccines puts others at risk.

“If you believe in Liberty, that’s fine, don’t get immunized. But I don’t think that you need to necessarily expose others to disease.”

Sen Bill Cassidy

They also miss that by making a decision based on misinformation, they aren’t truly making an informed decision.

More on The Ethan Lindenberger Story


Why Did Anti-Vaccine Folks Applaud Rand Paul’s Testimony at the Senate Health Committee Hearing on Vaccines and Outbreaks?

Wait, what?

Why Did Anti-Vaccine Folks Applaud Rand Paul's Testimony at the Senate Health Committee Hearing on Vaccines and Outbreaks?

Anti-vaccine folks actually applauded Rand Paul’s testimony at the Senate Health Committee Hearing on Vaccines and Outbreaks?

Why Did Anti-Vaccine Folks Applaud Rand Paul’s Testimony at the Senate Health Committee Hearing on Vaccines and Outbreaks?

Surprisingly, many of the things he said weren’t anti-vaccine.

I guess they ignored those parts…

  • …given the choice, I do believe that the benefits of most vaccines vastly outweigh the risks.
  • I’m not hear to say don’t vaccinate your kids… if this hearing is for persuasion, I’m all for the persuasion. I vaccinated myself. I vaccinated my kids.
  • For myself and my kids, I believe that the benefits of vaccines greatly outweigh the risks…

So why were they cheering?

Because that’s not all he said…

“Today, instead of persuasion, many governments have taken to mandating a whole host of vaccines, including vaccines for non-lethal diseases.”

Sen Rand Paul

While some vaccine-preventable diseases are more deadly than others, they can all be deadly. From rotavirus and HPV to hepatitis A, these diseases can kill people.

Which vaccine-preventable disease does he think is non-lethal?

“Sometimes these vaccine mandates have run amok. As when the government mandated a rotavirus vaccine that was later recalled because it was causing intestinal blockage in children.”

Sen Rand Paul

That’s an interesting example of “the government” that has run amok…

Which “government” mandated that the original rotavirus vaccine be given to children?

As Senator Paul hopefully understands, the Federal government doesn’t mandate vaccines for anyone. And since it must be given at such a young age, even states don’t actually mandate that the rotavirus vaccine be given to children…

Even today, there are no mandates for the rotavirus vaccine.

If there were, it still wouldn’t mean giving up your Liberty, after all, vaccine mandates don’t mean forced vaccination.

“It is wrong to say that there are no risks to vaccines. Even the government admits that children are sometimes injured by vaccines. Since 1988, over $4 billion has been paid out from the Vaccine Injury Compensation Program. Despite the government admitting to and paying $4 billion for vaccine injuries, no informed consent is used or required when you vaccinate your child. This may be the only medical procedure in today’s medical world where an informed consent is not required. “

Sen Rand Paul

No one says that there are no risks to vaccines. That’s a classic anti-vaccine talking point.

What folks actually say is that vaccines are safe, with few serious risks.

And the $4 billion that Rand Paul and anti-vaccine folks often talk about has been paid out over more than 30 years, during a time that we have given nearly 300 million doses of vaccines each and every year!

But what’s that he said about informed consent?

Why wouldn’t informed consent be given or be required before getting a vaccine?

Of course, parents get informed consent before getting vaccines.

They don’t get informed consent if they decide to skip or delay their child’s vaccines after getting bad information.

“Now proponents of mandatory government vaccination argue that parents who refuse to vaccinate their children risk spreading these diseases to the immunocompromised community. There doesn’t seem to be enough evidence of this happening for it to be recorded as a statistic, but it could happen. But if the fear of this is valid, are we to find that next we will be mandating flu vaccine?”

Sen Rand Paul

Lastly, why didn’t Sen Paul find evidence that intentionally unvaccinated kids are spreading disease to the immunocompromised community?

Maybe he didn’t look…

It happens.

Do we need it to happen more often so that it becomes a large statistic before he and others will advocate that folks get vaccinated to attend school?

Do you understand have a better understand now why anti-vaccine folks were cheering after his testimony?

“If you believe in Liberty, that’s fine, don’t get immunized. But I don’t think that you need to necessarily expose others to disease.”

Sen Bill Cassidy

It should give you a better understanding both of Rand Paul’s ideas and those of the anti-vaccine movement.

More on Rand Paul’s Testimony at the Senate Health Committee Hearing on Vaccines and Outbreaks

Ask 8 Questions Before You Skip a Vaccine

As anti-vaccine folks get more attention because of the rise in outbreaks of vaccine-preventable disease, in addition to more folks getting vaccinated, we are seeing some of the leaders of the anti-vaccine movement get more vocal.

Are measles outbreaks a sign that the anti-vaccine movement is “winning?”

Meetings, dinners, rallies…

They are doing everything they can to get their misinformation and propaganda out so that you don’t vaccinate and protect your kids.

Ask 8 Questions Before You Skip a Vaccine

If you see any of these folks, ask them a few questions…

  1. If Andrew Wakefield was right, and the MMR vaccine is associated with autism, then why are you worried about thimerosal? The MMR vaccine never contained thimerosal…
  2. If Robert F. Kennedy, Jr is right, and it is all about thimerosal, then why are you worried about the MMR vaccine? The MMR vaccine never contained thimerosal…
  3. If you are worried about thimerosal and aluminum, then why are you worried about the MMR vaccine? Not only has it never contained thimerosal, as a live vaccine, but it has also never contained aluminum.
  4. If vaccines are associated with autism, then why don’t the counties with the highest immunization rates have the highest rates of autism?
  5. If better hygiene and sanitation got rid of vaccine-preventable diseases, then why didn’t it do it for all diseases at the same time? And why hasn’t it gotten rid of RSV, Ebola, Zika, HIV, Norovirus, and all of the diseases that we don’t have vaccines for?
  6. If measles is so mild, then during the measles epidemics from 1989 to 1991 in the United States, why were 11,000 people hospitalized and why did 123 people die?
  7. If you are concerned about vaccines that have a distant association with abortion, then why don’t you vaccinate your kids with all of the vaccines that don’t use WI-38 and MRC-5 cells lines?
  8. If your arguments are so solid, then why do you need to keep moving the goalposts (it’s autoimmune diseases they are worried about now, not autism) and why are they so easy to refute (vaccines aren’t associated with autoimmune diseases either)?

The answers will be predictable.

They will revolve around three basic core beliefs of the anti-vaccine movement.

  • The belief that vaccines are toxic, full of poison, and always cause damage and injuries.
  • The belief that vaccine-preventable diseases are mild and you are better off getting natural immunity.
  • The belief that vaccines don’t even work.

Is that what you believe?

Will you let those kinds of beliefs scare you away from vaccinating and protecting your kids?

Are you going to put our kids at risk because you believe those things?

Are you really making an informed choice to skip or delay a vaccine when all of the scary things that people are telling you about vaccines aren’t even true?

More on Questions to Ask Before You Skip a Vaccine


What is the Natural Immunity Model?

It’s becoming a little clearer why some folks think it is safe to not vaccinate their kids, leaving them at risk to get vaccine-preventable diseases.

Who's calling the measles outbreaks a national emergency?
Who’s calling the measles outbreaks a national emergency?

Their idea of a natural immunity model of getting disease simply involves hiding in the herd and any outbreaks they trigger magically stopping.

What is the Natural Immunity Model?

Bob Sears thinks he has exposed some big news, that not everyone who gets measles dies.

Fortunately, that’s very true and something folks have always known.

With a death rate of about 1 in 1000 cases, you wouldn’t expect to have had any deaths after just 50 or 60 cases. But you never know. It’s not like every 1000th case dies. It could be the second case, the 562nd, or the 3043rd.

The hospitalization rates work the same way. They are statistical averages of what typically happens when people get measles.

That’s why measles was once called a “harmless killer.” It is often harmless, if you call having a high fever and feeling miserable for a week harmless, but it is sometimes a killer.

So is what we are seeing in Washington “what an outbreak looks like with the natural immunity model,” when no one is vaccinated and protected?

Of course not!

In a natural immunity model, up to 90% of the people who are exposed to someone with measles get sick!

In the pre-vaccine era, everyone got measles. That's the natural immunity model.
In the pre-vaccine era, everyone got measles. That’s the natural immunity model.

In a natural immunity model, everyone gets measles.

Not everyone survives having measles though.

Remember, the last measles death in the United States was during a 2015 outbreak in Washington. A immunocompromised women got caught up in an outbreak of mostly unvaccinated people, got measles, and died.

That’s the natural immunity model.

This family didn't have a choice about their son getting sick - he was too young to be vaccinated when he was exposed to an unvaccinated child with measles.
This family didn’t have a choice about their son getting sick – he was too young to be vaccinated when he was exposed to an unvaccinated child with measles.

Not having a choice about getting measles.

That’s the natural immunity model.

Worry about your child with leukemia after an exposure to measles…

That’s the natural immunity model.

“Well, what does this mean? Much like the outbreak in 2014 in a large Amish community (around 400 cases), and the recent NY outbreak in an orthodox Jewish community (around 100 cases), these types of outbreaks are centralized and self-limiting—which means they don’t spread like wildfire. These cases are also almost exclusively in communities who are CHOOSING not to be vaccinated. In other words, they are not random people “victimized” by measles. #dontfeelsorryforthem”

Melissa Floyd

Do anti-vaccine folks really think that these outbreaks are self-limiting? That they just stop on their own?

Do they not understand that the only thing that keeps them from “spreading like wildfire” is the intensive work of the local and state health departments, efforts to get folks vaccinated, and quarantines?

The Disneyland measles outbreak, for example, was hardly centralized or self-limited. It spread to Arizona, Nebraska, Utah, Colorado, Washington, Oregon, Mexico, and Canada.

And like many other large outbreaks, it cost millions of dollars to contain.

“Measles outbreaks can be very costly to communities, a new report suggests. For example, the 2013 measles outbreak in New York City cost the city’s health department nearly $395,000 and more than 10,000 personnel hours, according to a report in JAMA Pediatrics. And there were other non-monetary costs, including the loss of a pregnancy, researchers reported.”

Measles outbreaks come with serious consequences

That hardly sounds like something that is harmless or self-limited.

“Now, the ACIP is preparing to add a 3rd dose for all college-age students to try to stop adults from getting and spreading measles—THAT’S how common adults cases are. Yet in Washington, there were only three??”

Melissa Floyd

Not only is there no call for a third dose of MMR to help stop the spread of measles, the CDC actually says a third dose isn’t necessary.

“In the event that a HCP who has 2 documented doses of MMR vaccine is tested serologically and determined to have negative or equivocal measles titer results, it is not recommended that the person receive an additional dose of MMR vaccine. Such persons should be considered to have presumptive evidence of measles immunity.”

Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP)

Any talk about a third dose of MMR has to do with outbreaks of mumps…

“Is this all a coincidence my friends? Is the panic generated because of motive rather than data? In other words, could the media actually be encouraged to shift public beliefs on an issue to help pass legislation with a vested interest? #HerdImmunityDoesntApplyToVaccines”

Melissa Floyd

It’s not a coincidence that we are seeing so much anti-vaccine measles panic and propaganda these days. Outbreaks always bring it out.

Why?

It becomes harder to justify your decision to leave your kids unvaccinated and unprotected when you actually start to see that intentionally unvaccinated kids are getting sick.

More on the Natural Immunity Model

Is My Fully Vaccinated Child at Risk from Your Unvaccinated Kids?

Parents who skip or delay their own child’s vaccines often seem surprised that the rest of us are so concerned about their decision.

If vaccines work, they say, why do we care if their kids aren’t vaccinated?

Vaccines are protecting our kids, so they shouldn’t be at risk, right?

“Think of camping as an analogy. If everyone at a campground properly stores their food, bears won’t be enticed to come around. If even one person leaves their food unprotected, it invites bears in to investigate all the campsites for opportunities to eat.”

How does choosing not to immunize affect the community?

Of course, the issue isn’t just the risk to our fully vaccinated kids, but also the risk to those who are too young to be vaccinated, too young to be fully vaccinated, and those who can’t be vaccinated because of true medical contraindications.

In addition to those who are intentionally unvaccinated, these others often get caught up in outbreaks of vaccine-preventable diseases.

Is My Fully Vaccinated Child at Risk from Your Unvaccinated Kids?

But there is also a risk to those who are fully vaccinated, and no, that doesn’t mean that vaccines don’t work.

It just means that they don’t work 100% of the time.

And most of us don’t think that your vaccine choice should put our kids at extra risk.

Anti-vaccine propaganda pushes some folks to make bad decisions about vaccines.
Anti-vaccine propaganda pushes some folks to make bad decisions about vaccines.

Did you hear about the one measles outbreak in 2011 that was started by someone who was fully vaccinated?

“She had documentation of receipt of MMR vaccination at 3 years and 4 years of age. There was no travel during the incubation period and no known sick contacts. However, the index patient worked at a theater frequented by tourists.”

Outbreak of Measles Among Persons With Prior Evidence of Immunity, New York City, 2011

The thing about that outbreak, is that of the 222 cases that year, she was the only one known to be vaccinated. So she was almost certainly exposed to measles by someone who wasn’t vaccinated.

As someone who was fully vaccinated, is it fair that she got caught up in those outbreaks?

It is especially unfair that our kids are at extra risk for vaccine-preventable diseases because some folks make a decision to leave their kids unvaccinated and unprotected because they believe anti-vaccine misinformation like:

  • you have nothing to worry about because your child is vaccinated – again, vaccines aren’t 100% effective, so there is still some risk until a disease is finally eradicated
  • someone who is vaccinated could also get your child sick – yes, but someone who is vaccinated would be less likely to get sick than someone who is unvaccinated
  • vaccinated kids are shedding virus, making everyone sick – no, they aren’t, not even during “shedding season
  • getting vaccinated doesn’t prevent disease, it just makes it so you have fewer symptoms, but you still get others sick – in most cases, vaccines keep you from getting sick altogether – they so prevent disease in most cases, but yes, if you still got sick, you will likely have milder symptoms than if you were completely unvaccinated
  • you can’t spread a disease you don’t have – that’s true, but if you are unvaccinated and unprotected, you are at much higher risk to get these diseases and then spread them to others
  • vaccines don’t prevent diseases from spreading anyway – if you don’t get a disease because you are vaccinated, you aren’t going to spread it
  • getting vaccinated just turns you into a carrier – this is about the study in baboons, but it doesn’t mean you shouldn’t get vaccinated

What about the idea that you will just keep your unvaccinated kids home if they do catch something?

What are the chances that you could be exposed to measles during an outbreak?
What are the chances that you could be exposed to measles during an outbreak?

Looking at all of the places that the folks in the Clark County measles outbreak exposed others, it should be clear that waiting to quarantine your child if they get sick isn’t very effective.

What’s the problem?

An infant with measles during the 2014 outbreaks in the Philippines.
An infant with measles during the 2014 outbreaks in the Philippines. Photo by Jim Goodson, M.P.H.

With many diseases, you are contagious before you show symptoms. That is especially true with a disease like measles, when you may not even realize it is measles until you finally break out in a rash, after having 3 to 5 days of high fever.

That’s why it is important to vaccinate and protect your kids. When you skip or delay a vaccine, it is not just your own family that you are putting at risk.

More on Risks from Unvaccinated Kids