Steven Novellais is frustrated with the anti-vaccine bias of media:
At this time there are two slow panics spreading through the community – fear of the H1N1 “swine” flu pandemic, and fear of the vaccine to prevent H1N1 flu. Regarding the pandemic itself – this is a real threat, it is just not known at this time how severe it will turn out to be. So far it is looking like another seasonal flu in severity, but with some different features, such as a greater tendency to severely affect otherwise healthy individuals.
The panic over the vaccine, however, is entirely manufactured, primarily by dedicated conspiracy theorists and anti-vaccinationists, and then aided by irresponsible media. There have been two stories in particular about alleged severe reactions following vaccines recently, one dealing with the HPV vaccine and the recent cased of what is being called dystonia following the seasonal flu vaccine. The young girl who died within hours of getting the HPV vaccine was found to have a heart defect, and her death had nothing to do with the vaccine, so that story was rather short-lived.
The new case making the rounds, however, appears to have some legs. It is getting international news attention, and I am being flooded with e-mail requests to analyze the case.
This is the story of Desiree Jennings, who is a 28 year old cheerleader who was apparently healthy until August when she received the seasonal flu vaccine. Ten days later she developed a severe respiratory illness, probably the flu, requiring hospitalization. She then developed an apparent neurological reaction in which she has difficulty speaking and walking, with involuntary muscle contractions and contortions. Her symptoms (including speech) are relieved, however, by walking backwards or by running. She also seems to have attacks of muscle contortions.
Several medical specialists are quoted, and he concludes:
It is therefore highly unlikely that whatever Jennings is suffering from now had anything to do with the flu vaccine she received in August. Unfortunately, this is not stopping irresponsible news coverage or exploitation by anti-vaccinationists. Further, Jennings is now in the hands of the Generation Rescue anti-vaccine quacks. I predict that they will be able to “cure” her, because psychogenic disorders can and do spontaneously resolve. They will then claim victory for their quackery in curing a (non-existent) vaccine injury.
There are elements in our society that prefer to react to rare dangers, rather than reacting to common dangers. It is an irrational preference. Novellais mentions the odds:
The medical community is always careful to point out that there are very rare reactions to vaccines. No one is claiming that they are 100% safe – no medical intervention is. But severe reactions are very rare. Meanwhile, about 36,000 people die each year in the US alone from the seasonal flu. That figure is likely to be higher this year, as seasonal strains are combined with the H1N1 strain to form a particularly bad flu season. We are fortunate that there are vaccines both for the seasonal flu and the H1N1 flu, which is particularly well targeted because we know the strain.
This type of irrationality is similar to the kind of irrationality that causes some people to prefer driving over flying, even though 34,000 Americans die each year on the roads, whereas the big headline on 1/12/2009 was Airlines go two years with no fatalities:
For the first time since the dawn of the jet age, two consecutive years have passed without a single airline passenger death in a U.S. carrier crash.
No passengers died in accidents in 2007 and 2008, a period in which commercial airliners carried 1.5 billion passengers on scheduled airline flights.
So for those 2 years, the death totals were roughly 70,000 versus 0. And yet I still know people who feel safer driving than flying. I suppose it is the illusion of control that driving one’s own vehicle gives. And, to be sure, there are airplane crashes in the future. I do not know when or where, but I am sure an airplane will crash at some point, causing deaths. There will always be some risk associated with flying. However, to believe that driving is safer than flying, you have to overlook all the risks of driving and only focus on the risks of flying. Likewise, to believe that taking a vaccine is more dangerous than not taking a vaccine, you either have to have a good reason for believing you will not be exposed to a particular pathogen, or you have to entirely overlooks the risks of not taking a vaccine, and focus only on the risk of taking the vaccine.
The CDC is serious about the issue of side-effects arising from vaccines. Helpfully, they have a page on their website that lists every known side-effect that doctors have been able to document, arising from any of the most common vaccines. As the page says in the introduction:
Any vaccine can cause side effects. For the most part these are minor (for example, a sore arm or low-grade fever) and go away within a few days. Listed below are vaccines licensed in the United States and side effects that have been associated with each of them. This information is copied directly from CDC’s Vaccine Information Statements, which in turn are derived from the Advisory Committee on Immunization Practices (ACIP) recommendations for each vaccine.
Remember, vaccines are continually monitored for safety, and like any medication, vaccines can cause side effects. However, a decision not to immunize a child also involves risk and could put the child and others who come into contact with him or her at risk of contracting a potentially deadly disease.
I’ll pick out one of the vaccines that I’ve personally been injected with: DTaP. This is the vaccine for tetanus. I’ve been injected with this vaccine 3 times, once in the 70s, once in the 80s, and once in the 90s (They say you should renew it once every 10 years, and I manage to either cut myself on rusty metal, or step on a rusty nail, once every 10 years). Here are the severe reactions:
Serious allergic reaction (less than 1 out of a million doses) Several other severe problems have been reported after DTaP vaccine. These include:
* Long-term seizures, coma, or lowered consciousness
* Permanent brain damage.
These are so rare it is hard to tell if they are caused by the vaccine.
Controlling fever is especially important for children who have had seizures, for any reason. It is also important if another family member has had seizures.
I’ve been lucky in that I’ve never had any side-effects at all, but even if I had, I understand the risk of serious side-effects is small compared to the risk of getting a tetnus infection. Consider the cost: a tetnus shot costs something around $45, but if you’ve never been vaccinated, and you get a tetnus infection, you will spend weeks on IV antibiotics, and the cost will be in the thousands. And the risk to your life will be much greater.
The CDC has a page caled Vaccine Safety Information for Parents that tries to remind parents of the balance of risks:
Immunizations, like any medication, can cause adverse events. However, a decision not to immunize a child also involves risk. It is a decision to put the child and others who come into contact with him or her at risk of contracting a disease that could be dangerous or deadly. Consider measles. One out of 30 children with measles develops pneumonia. For every 1,000 children who get the disease, one or two will die from it. Thanks to vaccines, we have few cases of measles in the U.S. today. However, the disease is extremely contagious, and each year dozens of cases are imported from abroad into the U.S., threatening the health of people who have not been vaccinated and those for whom the vaccine was not effective.
I suspect that the public will always be afflicted by some popular delusion regarding safety. It doesn’t help that some delusions have well-financed organizations promoting them, such as Jenny McCarthy’s organization Generation Rescue. (In case you don’t know, Jenny McCarthy’s child has autism, though McCarthy claims that, through the grace of God, her child is now healed.) This is anti-vaccine organization that promotes a narrative built around these 3 assertions:
1.)Neurological Disorders (NDs) in children are growing at a rate well in excess of population growth and are not the result of better diagnosis or widening diagnostic criteria.
2.) Children with NDs exhibit much higher levels of toxicity in their bodies.
3.) The ingredients in vaccines are neurotoxic and are capable of creating many of the medical issues children with NDs are suffering from.
When they speak of toxicity, they generally mean mercury, a dangerous heavy metal, which is found in thimerosal, a perservative used in vaccines. Here is the usual statement made against thimerosal:
You have probably seen your nurse insert a syringe into a large vial, extract some liquid, and then leave a substantial amount of vaccine in the original container. If you’ve witnessed this seemingly benign procedure, you’ve seen how vaccine manufacturers are saving money at the expense of public health. In order to store larger amounts of vaccine at a lower cost, companies began offering “multi-dose units” while adding preservatives to prevent contaminations. That way doctors can open and close a vaccine container, inviting germs into the once-sterile solution, while assuring the public that those contaminants are quickly killed by the preservative. Sound familiar? It’s the same story of corporate America’s love affair with preservatives. It saves them money, while posing an undue risk to your health. But like many toxic preservatives found in food, a vaccine preservative kills more than just bacteria and fungi; it can lead to extensive neurological damage in your children, and has even been implicated in autism.
However, the mercury is never free floating, but always bound, and humans ingest it just like they injest other deadly minerals – in bound form. For instance, no human being could safely swallow pure potassium, and yet we all eat food with bound potassium in it, and we would die if we did not get sufficient potassium.
Point #1 above raises the point that autism seems to be increasing in the population. I think this has been well-documented at this point. Strangely, Jenny McCarthy’s organization seems to think that this fact helps their cause, though in fact it undermines it. Thimerosal was introduced into vaccines in the 1930s. If it was going to cause an epidemic of autism, then the epidemic would have happened in the 1930s.
There is even better evidence. The theory that there is a link between thimerosal and autism is clearly disproven by the experience of Denmark, which banned the use of thimerosal back in 1992 – and yet the rate of autism kept increasing, demonstrating that there was no link between thimerosal and autism. Here is the conclusion of one study that looked at the experience of banning thimerosal in Denmark:
Conclusions. The discontinuation of thimerosal-containing vaccines in Denmark in 1992 was followed by an increase in the incidence of autism. Our ecological data do not support a correlation between thimerosal-containing vaccines and the incidence of autism.
All the same, the United States followed the lead of Denmark and banned the use of thimerosal in 2001:
Thimerosal is a mercury-containing preservative used in some vaccines and other products since the 1930s. There is no convincing scientific evidence of harm caused by the low doses of thimerosal in vaccines, except for minor reactions like redness and swelling at the injection site. However, in July 1999, the Public Health Service agencies, the American Academy of Pediatrics, and vaccine manufacturers agreed that thimerosal should be reduced or eliminated in vaccines as a precautionary measure.
Since 2001, with the exception of some influenza (flu) vaccines, thimerosal is not used as a preservative in routinely recommended childhood vaccines.
This ban had no effect on the rate of autism, which continues to increase. Clearly there is no link between thimerosal and autism.
Incidentally, 2 weeks ago I had a conversation with a researcher who’d investigated a type of mycoplasma that infects people’s genitals but which causes no symptoms and therefore is usually undetected. But, using primates as a test specicies, he found that the mycoplasma (when found in pregnant females) was associated with a lack of purkinje cells in the cerebellum of new babies. The primary physical symptom of Autism is a lack of purkinje cells in the cerebellum. Therefore, it was possible that the current epidemic of autism is actually caused by a previously unknown species mycoplasma, and therefore the epidemic of autism might be ended by liberal use of antibiotics in women who test positive. He pointed out that other bacterial infections of the mother, such as syphillis, are known to cause mental defects in children (for instance, syphillis in the mother is associated with the eventual development of schizophrenia in the child).
As to the benefits of vaccines, Brent Simmons has an interesting point to make, about his own, unusually bad, case of Chicken Pox:
It was just a thing. We thought we were modern because it was just chicken pox — not polio or smallpox or one of those scarier diseases that had been conquered.
But now there is a vaccine, and I wish like crazy there had been a vaccine when I was a kid.
…I remember vomiting so much that the vomiting itself didn’t even bother me any more. I started crying out of frustration. Just when I started to feel a little better, a little cooler, and hungry and thirsty, I’d try the smallest sip of water, and whatever was left in me to come up would come back up. It just went on and on.
…But I was looking at someone else’s paper. Because I couldn’t see the chalkboard anymore and I couldn’t read the questions to copy them down.
…It was a few weeks before news got to my parents and they took me for an eye exam.
Chicken pox had ruined my eyesight.
…Which brings me back to the subject of vaccines. And, you know, I thought I was going to, but I don’t really need to state the obvious.
Because he had such a bad case, he will likely suffer episodes of awful pain throughout his adult life:
I later got shingles when I was 20. I won’t be surprised to get it again, but I sure hope not. Shingles hurts.
The organizations, such as Jenny McCarthy’s, that are devoted to spreading misinformation about vaccines are doing real harm to the overall health of the public. Why do such organizations, and their irrational agendas, flourish? John Gruber quotes a recent article from Wired, about parents who skip vaccine shots for their children:
The rejection of hard-won knowledge is by no means a new phenomenon. In 1905, French mathematician and scientist Henri Poincaré said that the willingness to embrace pseudo-science flourished because people “know how cruel the truth often is, and we wonder whether illusion is not more consoling.” Decades later, the astronomer Carl Sagan reached a similar conclusion: Science loses ground to pseudo-science because the latter seems to offer more comfort. “A great many of these belief systems address real human needs that are not being met by our society,” Sagan wrote of certain Americans’ embrace of reincarnation, channeling, and extraterrestrials. “There are unsatisfied medical needs, spiritual needs, and needs for communion with the rest of the human community.”
Looking back over human history, rationality has been the anomaly. Being rational takes work, education, and a sober determination to avoid making hasty inferences, even when they appear to make perfect sense. Much like infectious diseases themselves — beaten back by decades of effort to vaccinate the populace — the irrational lingers just below the surface, waiting for us to let down our guard.
There is also this:
Current public opinion about childhood vaccinations sometimes seems to be influenced less by science and more by Jenny McCarthy. But here’s something that rarely gets discussed: the threat posed by the nonvaccinated to children who are immunosuppressed. Last year, while searching for child care for our 2-and-a-half-year-old son, my husband and I thought we had we found the perfect arrangement: an experienced home day care provider whose house was an inviting den of toddler industriousness. Under her magical hand, children drifted calmly and happily from the bubble station to the fairy garden to the bunnies and the trucks, an orchestrated preschool utopia. But when I asked: “Are any of the children here unvaccinated?” the hope of my son’s perfect day care experience burnt to a little crisp. As it turned out, one child had a philosophical or religious exemption—a convenient, cover-all exemption that many doctors grant, no questions asked, when a parent requests one. (I still do not understand how the state can allow one to attribute his or her fear of vaccines and their unproven dangers to religion or philosophy. But that’s a question for another day.)
Ordinarily I wouldn’t question others’ parenting choices. But the problem is literally one of live or don’t live. While that parent chose not to vaccinate her child for what she likely considers well-founded reasons, she is putting other children at risk. In this instance, the child at risk was my son. He has leukemia.