Who are the Anti-Vaccine People?

A recent article in the Chicago-Sun Times with the title, “Why do rich people hate vaccines?” brought the anti-vaccination movement back to the forefront of media discussion. The author noted that anti-vaccination was picking up steam in many of the country’s wealthier, educated enclaves where parents are interested in living “natural” lifestyles.

For instance, a public elementary school in Malibu reported that only 58 percent of their students are immunized, which is well below the recommended 90 percent. Even worse, at some of Los Angeles’ private schools, only 20 percent of kids are vaccinated.

“Yes, that’s right,” Nina Shapiro, a professor at UCLA medical school and mother of two states. “Parents are willingly paying up to $25,000 a year to schools at which fewer than 1 in 5 kindergartners has been immunized against the pathogens causing such life-threatening illnesses as measles, polio, meningitis and pertussis (whooping cough).”

The situation is not unique to California. In Boulder, Colorado close to 30 percent of children are exempted from at least one vaccine. Ashland, Oregon has some schools where two-thirds of students have exemptions. Michigan, Vermont, Idaho and Oregon all now have more than 5 percent of people choosing not to get vaccines. Illinois is close with 4.8 percent. The national median is 1.8 percent.

Paul Offit is a pediatrician at Children’s Hospital of Philadelphia and notes that a high education level can enhance anti-vax beliefs. “They’re people who believe that they can know anything and know as much as their doctor – if not more – by simply studying it, reading about it,” he said.

This is a well-known problem in Australia. “These are parents who have good information available and yet they are not vaccinating their children,” states Steve Hambleton, president of the Austalian Medical Association. “People have forgotten about the devastating effects of diseases like mumps and measles. That’s probably one reason they are willing to take chances.”

Vaccine Watch encourages people to look for more sources of information about vaccines than information available on the Internet. Doctors and pediatricians have years of education and first-hand knowledge of the dangers of disease and safety and benefits of vaccines. Parents should consult their pediatrician when making vaccine choices for their children.

The Ethics of Not Vaccinating

The anti-vaccine movement has been in the news a lot lately. Well-known anti-vaccination advocate Jenny McCarthy started on television’s The View this week, measles outbreaks struck Texas and Wales and children are headed back to school; prompting parents to question vaccine schedules.

During a Season 10 episode of Law & Order: Special Victims Unit, the hypothetical scenario was a mother who decided not to vaccinate her child for measles based on rumors that the vaccine causes autism. The child contracts measles at age four and passes it on to a one-year old child at the daycare center who is too young for the vaccine. The baby dies in the episode with the title “Selfish.”

A paper in the Journal of Law, Medicine and Ethics explores whether people can be held legally accountable for damage they cause by not vaccinating their children. Bioethicist Arthur L. Caplan is a co-author on the paper and states: “One can make a legitimate, state-sanctioned choice not to vaccinate, but that does not protect the person making the choice against the consequences of that choice for others.” The paper argues that a parent who decides not to vaccinate and endangers another child is clearly at fault and could be charged with criminally negligent homicide or sued for damages.

“Parents who choose not to vaccinate their kids for reasons of personal belief pose a serious danger to the public,” stated Jed Lipinski of the Albuquerque Journal. “Take the San Diego measles outbreak of 2008. After unknowingly contracting the disease on a trip to Switzerland, an unvaccinated 7-year old boy infected 11 other unvaccinated kids, according to the Centers for Disease Control and Prevention (CDC).”

“The majority of the cases occurred in kids whose parents had requested personal belief exemptions through the state of California,” Lipinski continues. “But three of the infected were either too young or medically unable to be vaccinated. And overall, 48 children too young to be vaccinated were quarantined, at an average cost to the family of $775 per child. The CDC noted that all 11 cases were ‘linked epidemiologically’ to the 7-year old boy and the outbreak response cost the public sector $10,376 per case.”

Caplan, Lipinski and others all agree that the government’s interest in protecting children from getting measles should trump parents’ interest in making medical decisions for their kids. Lipinski believes extra measures need to be taken to ensure non-vaccinators understand the risk they pose to other people’s children.

Vaccine Watch urges parents to seek answers to vaccine questions from their child’s pediatrician. As Caplan and Lipinski point out – choosing not to vaccinate your child can have much greater consequences than most parents realize.

Vaccine News on Hulu TV

Bill Gates
Photo: Getty Images

Hulu TV has several short documentaries dedicated to vaccines and increasing education and awareness about them.  Outer Limits The Vaccine was produced by MGM and is a 45-minute video about a city where a deadly virus has killed most people, but a vaccine becomes available. The plot thickens when only a limited number of vaccines are available.

The other documentary that intrigued Vaccine Watch was The Vaccine According to Bill Gates. This 50-minute presentation that was released in 2013 talks about the search for a malaria vaccine and public health being funded by private funds. One of Bill Gates’ personal goals is to eradicate malaria from the planet. The Bill and Melinda Gates Foundation has invested over $200 million into funding the research of the RTS,S malaria vaccine with the goal of protecting millions of children and saving thousands of lives.

Research into a malaria vaccine is not new, and has been going on for the last twenty-five years. Other researchers are also developing several other malaria vaccines. Malaria is a difficult vaccine to develop because of the radically different stages of the disease, both morphologically and physiologically. It also mutates once in the bloodstream and builds resistance to drugs. The different vaccines are targeting different stages of malaria in humans; MSP3 is another of the vaccines being developed. Both RTS,S and MSP3 are still developing the best way to increase efficacy rates of their respective vaccines, which have been well below expectations.

Bill Gates notes, “…vaccines are a great technology and investment.” The Gates Foundation is the second largest contributor to the World Health Organization (WHO) behind the United States Government.  Some have questioned private funds in the realm of public health – and noted that the Gates Foundation began in 2000 while Microsoft was facing an anti-trust lawsuit from the U.S. Government. Questions about the price of the malaria vaccine when it is developed have also arisen, and the correlation was made that the price of the vaccine will be related to the patent. Those who believe that private funds shouldn’t be involved in public health state it’s a citizen’s right to have access to a vaccine. Even at a profit of five percent, the development and sale of a malaria vaccine will be very lucrative for the company that manufactures it. Gates counters that technology should not just be for the richest, and that the vaccine will be available for everyone.

The definitive results of the RTS,S vaccine will not be known until 2014. The other vaccines continue to be researched as well. Vaccine Watch supports the development of life-saving vaccines. In this situation, private funds have allowed decades-long research to progress more quickly.

When Measles Strikes

The media has been full of reports on the Texas mega-church with a measles outbreak because their pastor preaches against vaccination. The irony and coincidence of the situation has caused national news outlets, blogs and others to comment.

The Eagle Mountain International Church in Newark is a division TV evangelist Kenneth Copeland, who advocates faith healing and has talked of his belief in the vaccine-autism link. His daughter Terri Pearsons is the senior pastor at Eagle Mountain. The measles outbreak at the church has infected 21 people ranging in age from 4-months to 44-years old. The majority of the infected people were never vaccinated. Health officials expect the outbreak to grow.

A person who contracted measles in Indonesia visited the church and caused the outbreak. The Centers for Disease Control and Prevention(CDC) notes that measles is spread by coughing, sneezing and close personal contact. It is recommended that children get two doses of the MMR vaccine, which covers measles, mumps and rubella.

Measles is a highly contagious disease, 90% of people who aren’t vaccinated or immune to it will get sick if exposed to the disease. Symptoms of measles include a fever, cough and rash. The outbreak has led the church to hold vaccination clinics and encourage those who won’t be vaccinated to self-quarantine.

Health officials across the country have taken note and urge precaution. “We don’t take chances with our kids when we have them in a car, we should not take chances with our kids when they’re out in the world,” Dr. Ken Haller of Cardinal Glennon Children’s Medical Center in Missouri states. “Kids need to be vaccinated. I feel so sorry for these people who got measles down in Texas and I hope none of them end up dying as a result of it.”

“It is really important, as parents, if you have fears for your kid’s safety, for those fears to be rational; the fear of the diseases we’re trying to prevent and not the best means of preventing it,” Dr. Haller adds.

Vaccine Watch encourages everyone to get vaccinated. Diseases like measles are serious and can lead to death – but vaccination is a simple and safe preventative action. Ask your doctor if you have questions about vaccines, don’t depend on the wisdom of the non-medical community or the Internet. 

Back to School - Time for Vaccines

As children and parents across the country gear up to go back to school, the Centers for Disease Control and Prevention (CDC) released a report showing high vaccination coverage among U.S. kindergarteners in the 2012-13 school year. Exemption levels remained stable in the report.

CDC used data from federally funded immunization programs to conduct their research. While optimistic about vaccination levels, the CDC did warn that even with high levels of vaccination, vaccine-preventable disease outbreaks can still occur among clusters of unvaccinated people at local levels in schools and communities.

“Vaccination exemptions have been shown to cluster geographically,” the CDC stated. “If exemption levels are high in a school or community, the number of unvaccinated kindergarteners might be sufficient to permit transmission of vaccine-preventable diseases, if introduced. Assessing and reporting school vaccination coverage at the local level is critical for state education and health departments to protect kindergarteners and the community from vaccine-preventable diseases.”

Health departments and schools are encouraged to use the data provided by CDC to develop health communication strategies based on the specific vaccine-preventable disease risk at a local school caused by low coverage or high exemption.

Illinois is now requiring all students in grades 6-12 to have a Tdap vaccination by October 15^th. The new rule was caused by the rise in whooping cough cases in Illinois over the last six years. Public health officials in Michigan are worried about their low immunization rate, citing philosophical waivers as one of the issues. The Michigan State Medical Society plans to organize more awareness events across the state.

Unfortunately, the number of teens vaccinated for HPV is not as high as the kindergarten coverage, with only half of U.S. teenage girls vaccinated. “We’re dropping the ball,” said Dr. Thomas Frieden, head of CDC. “This is a huge disappointment.” The CDC worries that family doctors aren’t encouraging patients to get HPV shots as forcefully as they recommend other vaccines.

A letter by Dr. David Horowitz in Contemporary Pediatrics recently stated that pediatricians are providing all the education they can to parents about vaccines and that educating parents isn’t sufficient. While there is a group of parents, known as the worriers, that education reaches; there are other groups of parents for whom education about vaccines will not be enough.

“The simple answer is that if simply educating patients about vaccines were sufficient, then we would not have a problem in the first place,” Dr. Horowitz states.

An earlier study done by researchers in upstate New York and published in Pediatrics cited community partnership as a way to increase vaccination rates in poor children. “Multi-component interventions aimed at increasing immunization coverage rates are more successful than single interventions, perhaps with the exception of patient reminder and recall systems,” researchers wrote. “The most successful interventions described allow families to explain their health concerns, address perceived barriers to vaccination, improve community awareness of services already available, and engage health care outreach liaisons.”

“Future programs should continue to focus on interactive vaccine education, with special attention on the risks of influenza infection and the benefit of influenza vaccination,” the study concluded.

As schools across the country get back into session, Vaccine Watch encourages parents to take necessary steps to protect their children. Education and talking to your child’s pediatrician, school nurse and other health officials is the best way to find reliable information about vaccines.

Lyme Vaccine

In the last fifteen years, concern over tick-borne diseases has begun to over shadow the enjoyment of recreational summer activities. The ticks that carry Lyme disease can be found in grassy areas like lawns, shrubs and woodlands.

Lyme disease in particular has become so wide spread in the United States that it is the number one vector borne illness. Public health experts are most concerned about children and adults who work or spend a lot of time outside and are urging the development of a Lyme vaccine.

“The fact that there is no vaccine for an infection causing some 20,000 annual cases of Lyme is an egregious failure of public health,” states emeritus professor of medicine Stanley A. Plotkin of the University of Pennsylvania.

Baxter International is currently developing a Lyme vaccine, but is moving slowly because of backlash earlier Lyme vaccines had from anti-vaccine groups. The Food and Drug Administration approved two Lyme vaccines in the 1990s, although only one of them made it to the market.

Lymerix was put on the market in 1998, but false claims were made that Lymerix caused arthritis. Anti-vaccine groups went so far as to claim that Lymerix caused Lyme disease. Although the claim was later proved wrong, the vaccine was pulled from the market in 2002 because of a class action lawsuit based on the false claims and declining sales.

Lorraine Johnson is the chief executive of LymeDisease.org, an advocacy group and states: “I’m cautious about vaccines. Everyone wants a good vaccine, but no one wants a vaccine that enriches researchers and harms patients like the last one.”

Meanwhile, a group at the University of Rhode Island (URI) is working to develop another vaccine. The group is using the protein from deer tick saliva to create the vaccine. After being vaccinated, anyone who is bit by a tick will have an itching sensation and their body’s immune system will be triggered to attack any pathogens the tick delivers.

With this previous history in mind, Baxter International and the group at URI continue to develop vaccines to combat this terrible disease. Their goal is to explain that the vaccine is safe and effective and will not cause Lyme disease, while helping thousands of people avoid this debilitating disease. Vaccine Watch encourages people to learn more about vaccines and speak with their doctors – especially if a vaccine has the potential to combat a terrible disease.

Voices for Vaccines

A group of parents has created an organization that advocates for vaccinating children. Voices for Vaccines provide information through a community of parents who are supportive of vaccination and discuss the benefits of on-time vaccination. Although the organization is parent driven, scientists, healthcare professionals and public health officials also support it.

One of the most compelling pages on the Voices for Vaccines website is the “Parents Who Vax” section, where parents explain why they chose to vaccinate their infants. Dr. Torre McGowan, MD is a practicing emergency physician in California and the mother of two little boys. She wrote an essay on the consequences of not vaccinating.  She states:

“I fully support parents’ rights to choose not to vaccinate, but there are consequences to that decision. I have had many conversations with parents in the middle of the night when their child has a fever and had to explain to them that because of their decision to not vaccinate, research indicates that their child is at a significantly increased risk for life-threatening diseases, and so will need invasive testing in the ER. It will take hours, and it will hurt their child. I tell them that the diseases we vaccinate against aren’t just nuisances; they kill and maim children every day, and they are almost completely preventable by vaccination.

I tell parents that I have worked in several developing countries, and I have seen children disfigured by diseases that we only read about in history books. I’ve seen babies die of diseases that in the U.S. we don’t even think about as a cause of illness because vaccination has nearly eliminated the illness. However, these illnesses are starting to make a comeback because of the anti-vaccine movement.

I also tell them that as a parent of two boys, I carefully research every vaccine and medicine that my children are given. I read the medical journals on the topic; examine the evidence for myself about all of the controversies about thimerosal and autism and invasive disease. Then I tell them that after many hours of studying the best research available, I am first in line to have my children vaccinated every time they are due.”

The parents at Voices for Vaccines aren’t alone. Nurses Who Vaccinate is a blog that advocates the safety and reliability of vaccines. Families Fighting Flu is a website that advocates for the flu shot to protect children from the flu.  Pfizer Australia created the smart phone app VaxiMate to help parents keep children’s immunization records organized and on time. The app is free and also includes the Australian immunization schedule and details on the diseases the child is being vaccinated against.

While there are numerous resources available on the Internet in favor and against vaccines, one of the best resources parents have is their child’s pediatrician. Vaccine Watch encourages parents to study all of the information, ask questions and make an informed decision for their child’s health and wellbeing.