A Positive Spin on Vaccines

Negative stories about vaccines dominate the news, as activist groups continue to spread misinformation. But, vaccines are important to our health and safety, and many are speaking out about their positive effects.

NASCAR driver Jeff Gordon joined the Sounds of Pertussis campaign with the March of Dimes and Sanofi Pasteur. The campaign is a national education program educating adults about the importance of getting an adult Tdap (tetanus, diptheria and acellular pertussis) vaccination. The booster vaccine prevents adults from contracting pertussis and passing it along to unvaccinated infants, who will receive the vaccine at two months of age.

The Centers for Disease Control and Prevention (CDC) reported there were more than 41,000 cases and 18 deaths reported in 2012 for pertussis, the largest outbreak in fifty years.

“Eighty percent of the time…these young infants are getting it from family members so it’s really about prevention (efforts),” Gordon states. “Prior to the baby being born, family members, when they come to the hospital, when they come to the home to visit, you know they need to make sure they’re protected.”

Gordon is not the only person speaking in favor of vaccines.  Jeanne Sager wrote an impassioned blog post for The Stir about the importance of vaccines. She asks parents to also consider all of the diseases that vaccines prevent, rather than just focusing on vaccine safety.

Sager references Amy Parker’s story on Voices for Vaccines. Parker grew up un-vaccinated in a “health nut” family. Parker states:

As healthy as my lifestyle seemed, I contracted measles, mumps, rubella, a type of viral meningitis, scarlatina, whooping cough, yearly tonsillitis, and chickenpox, some of which are vaccine preventable. In my twenties I got precancerous HPV and spent 6 months of my life wondering how I was going to tell my two children under the age of 7 that mummy might have cancer before it was safely removed...

If you’ve never had these illnesses you don’t know how awful they are -- I do. Pain, discomfort, the inability to breathe or to eat or to swallow, fever and nightmares, itching all over your body so much that you can’t stand lying on bed sheets, losing so much weight you can’t walk properly, diarrhea that leaves you lying prostrate on the bathroom floor, the unpaid time off work for parents (and if you’re self employed that means NO INCOME), the quarantine, missing school, missing parties, the worry, the sleepless nights, the sweat, the tears and the blood, the midnight visits to A and E, sitting in a doctor’s waiting room on your own because no one will sit near you because they’re rightfully scared of those spots all over your kid's face.

Dr. Daniel Gilstrap of Durham, North Carolina notes that, “The list of vaccines for adults has expanded quite a lot in the last few years. Not only that, the knowledge of the safety of these vaccines has increased.”

Vaccination efforts have enabled entire generations to grow up without knowledge of the severity of

polio, measles, whooping cough, and others. Gilstrap and other physicians are working to educate people on the importance of vaccines because they don’t know how bad the diseases can be.

Finally, Lisa Murakami wrote a blog post last September, Vaccination: A Layperson’s Perspective. Her post generated 482 comments and tackles all of the vaccination myths.  Her husband is a medical resident at Dana Farber.

She notes, “That means, he has 14.5 years of grueling medical training that I don’t have. And – conservatively estimated – 28,160 hours. My father has infinitely more; he’s seen tens of thousands of patients over the course of his forty-year career as a pediatrician. Clearly, I can’t run a Google search on a complex medical topic and eventually cobble together a better answer on it than these two can.”

Murakami concludes by noting that she can’t link to many of the sources she used when debunking vaccine myths because you have to pay for a subscription to major medical journals and other legitimate scientific sources. She has subscriptions to these sources, but the average person does not. The best information on vaccines isn’t available by Googling the Internet, however the worst information is available.

Those with questions about vaccines should consult their pediatrician. The Internet and other sources is not a substitute for years of medical training, and the diseases are much worse than the vaccines.

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.

Whooping Cough Vaccine Stirs Debate

New research has shown that protection from whooping cough (pertussis) weakens a few years after preschool children get their final diptheria, tetanus and pertussis (DTaP) shot. The current recommendation from the Centers for Disease Control and Prevention (CDC) is that children receive a booster between ages 11 and 12.

It’s likely that the trend is linked to a change in the vaccine in the 1990s. An acellular pertussis vaccine with fewer side effects was introduced and replaced the original whole-cell vaccine. The new research notes that children may be at risk of developing whooping cough before age 11 because their immunity is declining from a weaker vaccine.

Dr. H. Cody Meissner is a pediatrician at Tufts University School of Medicine in Boston and notes, “There’s a fairly dramatic and startling increase in pertussis [whooping cough] in children in the seven to ten-year old age group.”

Sara Tartof from the Southern California Permanente Medical Group in Pasadena led the group of researchers on the new study. Immunization records of 400,000 Minnesota and Oregon children who received the recommended series of five DTaP shots were analyzed.

“An important thing to remember is the kids who do receive all five doses on time generally have milder [whooping cough] than those who are under-vaccinated or unvaccinated,” Tartof said. “Even though there is waning immunity…getting the five doses on time is still the best protection you can give your kid.” Parents should continue to follow the CDC’s vaccine schedule.

The CDC Advisory Committee on Immunization Practices has decided not to recommend an alternative revaccination schedule despite the waning pertussis protection. The group cited that the risks of pertussis decrease with age.

“It is so important that people do not interpret this as the vaccine doesn’t work, and then not get vaccinated at all,” Meissner concludes. “Because then we would really have a problem.”

In New York, this is already becoming a problem as the rise in religious exemptions for children is paralleling a rise in whooping cough cases. “It’s troubling from an ethical standpoint,” Dr. Jana Shaw, a professor of pediatrics at SUNY Upstate Medical University states. “If you have gotten an exemption for your child, not only are they at high risk of [whooping cough], but you’re putting other children at risk – even those who have been vaccinated.”

Clay County in Missouri is having a vaccination campaign for childcare workers, parents and grandparents in July. The Public Health Center believes that vaccinating those who come into contact with infants will decrease the cases of whooping cough in the county. Whooping cough is often unknowingly spread from unvaccinated adults to children who don’t have full immunity until they are 12-15 months of age.

‘Buffy the Vampire Slayer’ actress Sarah Michelle Gellar is also supporting the pertussis vaccine. Gellar, who has two small children, has partnered with March of Dimes to increase awareness about the importance of childhood vaccines. She also recommends adults be vaccinated for whooping cough.

Vaccines are one of the best forms of protection for children. Parents should consult their child’s pediatrician if they have questions or concerns about the vaccine schedule or a particular vaccine.