Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Anti-Vax Doctors Lack Competence and Ethics

 
 

Effective July 27, 2018, the latest anti-vax doctor to have his license revoked will be Dr. Bob Sears. Yes, he promotes his image as Dr. Bob.

Who are the dangerous doctors Bob Sears will be joining?

Andrew Wakefield‘s fraudulent research, unnecessarily painful research on children, lack of ethical approval for research, and other corruption, convinced the British General Medical Council to revoke his license. Wakefield was also trying to sell a vaccine of his own, to compete with the MMR (polyvalent Measles, Mumps and Rubella) vaccine. Wakefield’s attempts to discredit the MMR vaccine would have helped him to sell his own competing vaccine.
 

the lawyers responsible for the MMR lawsuit had paid Wakefield personally more than £400,000, which he had not previously disclosed.[67] [1]

 

Andrew Wakefield claims that he is not a fraud and sues a lot of people.

All of the cases have been thrown out by the courts or have been withdrawn by Wakefield.[2]

Do those who claim to be trying to protect their children, by avoiding vaccines, based on a trust of this fraudulent doctor, know what Wakefield has done?

The kiddie castrators – David Geier and Mark Geier.

David Geier was never a doctor, but has been caught faking it.[3] In the make believe world of anti-vaxers, why let reality get in the way of pretending to have credibility?

Mark Geier was a doctor, but had his license revoked in every state where he had a license (Maryland, Washington, Virginia, California, Missouri, Illinois, and Hawaii). Why do the Geiers castrate children? Chemical castration is an approved treatment for some rare conditions. Mastectomy is an approved treatment for some breast cancers, but that does not mean that it is at all ethical, or competent, to recommend mastectomy as treatment for other medical conditions. The Geiers claim to believe that castration cures autism. There is no valid evidence to support their hunch.

Consider this. You have an autistic child and someone tells you there is a cure. The person says that they know their expensive chemicals work. The person may even say, I’ve seen it work.[4] All you have to do is give permission for this doctor (before his license was revoked), and his son the fake doctor, to use chemicals to castrate your child.

Do you ask for evidence?

Their is no valid evidence. You just have to trust the castrators and their excuses for the absence of evidence.

The “evidence” has been retracted, because the research is junk science. All human research has to be approved by an independent IRB (Institutional Review Board) to make sure that there are not any conflicts of interest or unnecessary risks to the children participating in the research. The members of the independent IRB were the Geiers, the Geier’s employees, and the Geier’s lawyer. That is not independent.

If chemical castration doesn’t work, the Geiers can sell you other expensive and dangerous treatments that do not work, such as chelation. Chelation is the use of chemicals to remove heavy metals from the body, based on the assumption that mercury causes autism. Chelation is harmful, so it is only indicated, when there is a good reason to believe the benefit will be greater than the harm. There is no valid evidence to support this hunch of the Geiers.

The motto of the company run by the Geiers is First do no harm. Are they completely unaware of the harm they cause, or so dishonest that they tell the boldest lies? Does it matter why they harm children?

What did Bob Sears do to get his license revoked? He claimed to assess patients, but did not keep records of what he claimed to do. His incompetence/negligence endangered patients.[5] ,[6]

For example, a mother frequently brought J.G., a 2 year old, to see Dr. Bob. One visit was for a head ache a couple of weeks after the child’s father hit the child on the head with a hammer. The only apparent concern of the mother and Dr. Bob was to prevent the child from receiving vaccines. There is no record of any neurological assessment, or referral to a competent doctor for a neurological assessment.

J.G. had visited Dr. Bob the previous month for constipation. Assessment and treatment plans were documented. Constipation can be very serious, but so can hitting a child on the head with a hammer. The reason for the difference in approaches was determined to be gross negligence. Another visit, following apparent resolution of otitis media following treatment with Omnicef (cefdinir), there was a diagnosis of a sudden onset of flu, with a prescription for Tamiflu (oseltamivir), so there is no apparent hesitation to use ineffective, or minimally effective, treatments. Is J.G.’s last name Munchausen, or is he just unlucky in his choice of parents?

Bob Sears does not appear to be hesitant to prescribe drugs based on hunches, but he does appear to recognize that being anti-vax can be very profitable. Sears has written 4 books, but still fails to document assessments.

Bob Sears will have to be monitored by another physician for 35 months, following this revocation, to be able to get his license reinstated. He must follow all laws, not be negligent, and not deviate from the standard of medical care. He cannot just take the 3 years off and write books, because he has to be monitored while working to get his license back.

It looks like Bob Sears will be vaccinating children, just as real doctors do.

Vaccines save millions of lives every year.

Vaccines are probably the safest and most effective medical intervention we have, and anti-vaxers hate that.

If some of us do not see the need for vaccines, it is because of the success of vaccines. Vaccines are an important part of the reason that the average life expectancy has doubled in a little over 100 years.

For a great review of the effect of vaccines on vaccine-preventable illnesses, there is a study in JAMA (Journal of the American Medical Association), which shows how the rate of each illness, and deaths from each illness, declined after the introduction of each vaccine. There are anti-vaxers who claim that it wasn’t the vaccines, but sanitation that stopped these illnesses. Don’t fall for that.[7]

Sanitation is important at preventing the spread of illnesses, but sanitation does not wait for each different vaccine to be introduced for each different vaccine-preventable illness to change the illness and fatality rates.

Look at the evidence.

Historical comparisons of morbidity and mortality for vaccine-preventable diseases in the United States.
Roush SW, Murphy TV; Vaccine-Preventable Disease Table Working Group.
JAMA. 2007 Nov 14;298(18):2155-63.
PMID: 18000199

Free Full Text Article from JAMA.

Footnotes:

[1] Aftermath of initial controversy
Andrew Wakefield
Wikipedia
Article

The referenced article by Brian Deer is:

Huge sums paid to Andrew Wakefield
The Sunday Times
December 31 2006
Brian Deer
Article

Andrew Wakefield has repeatedly sued Brian Deer and lost or run away every time.

[2] Deer counter-response
Andrew Wakefield
Wikipedia
Article

[3] Medical licenses revoked
Mark Geier
Wikipedia
Article
 

In 2011, his son David Geier was charged by the Maryland State Board of Physicians with practicing as if a licensed physician when he only has a Bachelor of Arts degree in biology,[42] and was fined $10,000 in July 2012.[40]

 

Charges by the Maryland Medical Board
In the Matter of David A. Geier before the Maryland State Board of Physicians
Practicing without a license
PDF document of charges
 

The Respondent is not and never has been licensed to practice medicine or any other health profession in the State of Maryland or any other State.

 

[4] I’ve Seen It Work and Other Lies
Tue, 21 Jun 2011
Rogue Medic
Article

[5] Antivaccine pediatrician Dr. Bob Sears finally faces discipline from the Medical Board of California
Respectful Insolence
Orac
June 29, 2018
Article

[6] Stipulated Settlement and Disciplinary Order
Decision of the Medical Board of California
Department of Consumer Affairs
State of California
Case No. 800-2015-012268
OAH No. 2017100889
PDF of Decision

[7] “Vaccines didn’t save us” (a.k.a. “vaccines don’t work”): Intellectual dishonesty at its most naked
Science-Based Medicine
David Gorski
March 29, 2010
Article

.

Hundreds of Medical Groups Send a Vaccine Safety Letter to the President

autism-organic
Image credit
 

The rate of autism diagnosis has increased dramatically as people eat more organic food, but that does not mean that organic food causes autism. The way to find out is to study this.

Researchers have looked for any reason to believe that vaccines, or vaccine ingredients, cause autism. The results are the same, regardless of whether the study is in America, Europe, Asia, . . . , and regardless of whether the study is run by private organizations, governments, corporations, or universities.[1]

For example, does thimerosal cause autism? Here is just one study looking for causation. There isn’t even a correlation.
 

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.
[2]

 

If thimerosal causes autism, why does the rate of diagnosis of autism continue to increase after the removal of thimerosal?
 

Hundreds of medical organizations sent a letter to President Trump in an attempt to get the president to look at the evidence, rather than listen to the scientifically naive activists promoting conspiracy theories.
 

On behalf of organizations representing families, providers, researchers, patients, and consumers, we write to express our unequivocal support for the safety of vaccines.[3]

 

Unequivocal support means that they are completely confident that vaccines are safe, not that vaccines are 100% safe, Nothing is 100% safe, so demanding for 100% safety is an argument against everything – even breathing isn’t 100% safe.
 

Globally, vaccines prevent the deaths of roughly 2.5 million children per year.1 And, data shows that just for children born in the United States in 2009, routine childhood immunizations will prevent approximately 42,000 early deaths and 20 million cases of disease with savings of more than $82 billion in societal costs.2 [3]

 

Scare stories discourage us from doing what is best for our children.
 

RESULTS:
A greater than 92% decline in cases and a 99% or greater decline in deaths due to diseases prevented by vaccines recommended before 1980 were shown for diphtheria, mumps, pertussis, and tetanus. Endemic transmission of poliovirus and measles and rubella viruses has been eliminated in the United States; smallpox has been eradicated worldwide. Declines were 80% or greater for cases and deaths of most vaccine-preventable diseases targeted since 1980 including hepatitis A, acute hepatitis B, Hib, and varicella. Declines in cases and deaths of invasive S pneumoniae were 34% and 25%, respectively.
[4]

 

Polio would have been eradicated by now, if it weren’t for the opposition of anti-vaxers.

Should we listen to those who, although they may mean well, do not understand what they are doing, or should we listen to doctors?

Doctors vaccinate themselves and their children because they understand that vaccines are safe and vaccines work.

Footnotes:

[1] 75 studies that show no link between vaccines and autism UPDATED to 107
Just the Vax
Friday, March 7, 2014
Edited to fix links and to add more studies for a new total of 107 on 11 March 2014
Guest blog, compiled by Allison Hagood, Luci Baldwin, Kathy McGrath and Nathan Boonstra and originally published on the “Your Baby’s Best Shot” Facebook page. I am grateful for the permission to repost!
List of studies

[2] Thimerosal and the occurrence of autism: negative ecological evidence from Danish population-based data.
Madsen KM, Lauritsen MB, Pedersen CB, Thorsen P, Plesner AM, Andersen PH, Mortensen PB.
Pediatrics. 2003 Sep;112(3 Pt 1):604-6.
PMID: 12949291

[3] Dear Mr. President:
February 7, 2017
AAP (American Academy of Pediatrics)
Letter in PDF format

[4] Historical comparisons of morbidity and mortality for vaccine-preventable diseases in the United States.
Roush SW, Murphy TV; Vaccine-Preventable Disease Table Working Group..
JAMA. 2007 Nov 14;298(18):2155-63.
PMID: 18000199

Free Full Text from JAMA

.

Lack of Association of Guillain-Barré Syndrome With Vaccinations

ResearchBlogging.org
 

Don’t expect the self-proclaimed vaccine safety organizations to write about this, unless they are claiming that it is a part of some sort of international conspiracy of governments, universities, private companies, and other research organizations.

They are not interested in safety.

They are interested in creating fear and making money off of the fear they create.
 

Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy affecting primarily motor neurons, which in severe cases can progress to complete paralysis and even death. Estimates of GBS incidence are in the range of 1–2 cases per 100 000 person-years worldwide, and increase with age [1, 2]. Although the causes are unknown, GBS is thought to be an autoimmune process that is triggered by antigenic stimulation [3, 4], resulting in demyelination and destruction of peripheral nerves.[1]

 

Vaccines affect the immune system, so there is the hypothetical possibility of a physiologic justification of a connection between vaccination and GBS.

Is that the way GBS works?
 

In many cases, the syndrome is temporally associated with an infectious disease; most published case series report that approximately two-thirds of all cases are preceded by a gastrointestinal or respiratory infection within the prior 3 months [1]. Campylobacter enteritis is the most common trigger, but influenza [5], cytomegalovirus, Epstein-Barr virus, human immunodeficiency virus (HIV), and Mycoplasma pneumoniae, among others, have been implicated as well [4, 6, 7]. [1]

 

Vaccines affect the immune system by strengthening the immune system to better fight infection.

Infection appears to be a cause, while vaccination protects against infection.
 


 
Click on the image to make it larger/display fully.

There is an editorial in the same issue. The authors have no conflicts of interest, but they provide further information about the possible association of GBS with vaccination.
 

Questions have been raised about Guillain-Barré syndrome (GBS) after vaccinations since the 1976 Swine flu vaccine was associated with a 7- to 8-fold increased risk for GBS in the 6 weeks after vaccination, resulting in about 1 excess case of GBS per 100 000 vaccinees.[2]

 

Has there been any other association in the 37 years since 1976?
 

In this issue of Clinical Infectious Diseases, Baxter and colleagues [15] examined the risk of GBS after administration of various vaccines, including influenza, tetanus, diphtheria, pneumococcal polysaccharide, and others, and they found no evidence of an association between GBS and vaccination.[2]

 

No evidence of any association of any vaccine with GBS.

The conclusion of the editorial is something the vaccine denialists need to understand.
 

Even if there was a risk of 1–2 cases per million for GBS, this risk is greatly outweighed by the benefits of vaccination.[2]

 

Vaccine denialism is about ignoring the real risks of not getting vaccinated, but complaining about the much more rare risks of vaccination.

Are the vaccine risks real?

Probably not, but even if vaccines cause some harm, the danger from not getting vaccinated is much greater.

Whether for our children, or ourselves, vaccination is the safe thing to do.

Footnotes:

[1] Lack of association of guillain-barre syndrome with vaccinations.
Baxter R, Bakshi N, Fireman B, Lewis E, Ray P, Vellozzi C, Klein NP.
Clin Infect Dis. 2013 Jul;57(2):197-204. doi: 10.1093/cid/cit222. Epub 2013 Apr 11.
PMID: 23580737 [PubMed – in process]

[2] Editorial commentary: guillain-barre syndrome and vaccinations.
Salmon DA, Halsey NA.
Clin Infect Dis. 2013 Jul;57(2):205-7. doi: 10.1093/cid/cit218. Epub 2013 Apr 11. No abstract available.
PMID: 23580736 [PubMed – in process]

Baxter R, Bakshi N, Fireman B, Lewis E, Ray P, Vellozzi C, & Klein NP (2013). Lack of association of guillain-barre syndrome with vaccinations. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 57 (2), 197-204 PMID: 23580737

Salmon DA, Halsey NA. (2013). Editorial commentary: guillain-barre syndrome and vaccinations. Clin Infect Dis., 57 (2), 205-207 DOI: 10.1093/cid/cit218

.

Informed Consent and Vaccines

 

Oregon is changing its policy for vaccine exemptions, but only by requiring parents to be informed about the risks they are dealing with.

Vaccines are not 100% effective and doctors do not pretend that vaccines are 100% effective, but anti-vaccine propagandists claim that nobody is endangered when they do not vaccinate their children.

That claim is a lie.

There will always be some people for whom the vaccine is not effective. These children are endangered by unvaccinated children transmitting vaccine-preventable diseases.

There will always be people who cannot get vaccinated for medical reasons. Cancer patients are just one example of a large group of people endangered by unvaccinated children transmitting vaccine-preventable diseases.
 

Proponents point to the current 6.4 percent of Oregon kindergartners whose parents exempted them on religious grounds from at least one vaccination this year — the highest rate in the nation and one that has increased steadily over the past decade.[1]

 
 

Image credit. Click on images to make them larger.
 


 

This is measles, but the same is true of other vaccine-preventable diseases. They have been increasing since Andrew Wakefield tried to discredit the MMR vaccine in order to sell his own competing vaccine.

Vaccine-preventable diseases are not good for children.

Opponents of the bill claim that this is discrimination against religious people because the exemption waiver states that the child is not vaccinating for religious reasons.

This is also a lie.

While the waiver does state that it is for religious reasons, the anti-vaccine propagandists have encouraged their followers to claim that they have religious objections. This does nothing to prevent parents with religious reasons for refusing vaccination for their children from continuing to refuse vaccination for their children.

There is no current requirement that parents know anything about vaccines before preventing their children from being vaccinated. this bill would require that they receive accurate information from an online video or receive information from a doctor before preventing their children from being vaccinated.

Parents will still have the option of receiving inaccurate information about vaccines from the few anti-vaccine doctors out there, like Dr. Jay Gordon,[2] an anti-vaccine propagandist. They will still be able to have their biases reinforced by an anti-vaccine doctor. Yes, the terms anti-vaccine and doctor do indicate a lack of understanding of medicine.
 

Sen. Doug Whitsett of Klamath Falls said he personally believes vaccination is “the right thing to do.”

But “who are we to tell the parents of children that they must vaccinate … their children? Where do we get that right?” he asked.[1]

 

That is suggesting that the bill would force vaccination, which is not true, but why should we expect truth from politicians?

Informed consent is the standard of care and this bill is attempting to present parents with accurate information, rather than the misinformation that anti-vaccine groups use to try to scare parents.

Parents are only trying to do what is best for their children.

We should be helping them to make good decisions based on information that is true.
 

A similar law implemented in Washington state in 2011 reduced by 25 percent the rate of kindergartners with at least one religious exemption from immunization, officials said.[1]

 

We are faced with a return of diseases that killed children at the beginning of the last century, but were almost completely eliminated near the end of the century. These diseases are coming back and killing children again, due to the actions of anti-vaccine propagandists.

This is a simple action to help parents protect their children from vaccine-preventable diseases.

Footnotes:

[1] Vaccine opt-out change advances – Senators vote to require parents who don’t want a child vaccinated to get a science lesson first
By Saul Hubbard
The Register-Guard
Published: 12:00 A.M., June 7
Article

[2] Dr. Jay Gordon’s profound misunderstanding of science
Respectful Insolence
Posted by Orac on February 18, 2011
Respectful Insolence
Article

.

Naturopaths are Trying to Be Licensed to Practice Scams in Pennsylvania

 

Pennsylvania House Bill 612[1] will allow for the licensing of magic with a scope of practice that would encourage and defend dangerous treatments.

Naturopaths prescribe a variety of treatments, from harmless to dangerous. One dangerous example is homeopathic vaccines.

Are you going to a country where malaria is endemic?

Naturopaths will sell you a vaccine made out of nothing and tell you that this will protect you from malaria.

At least there is some evidence that homeopatic malaria vaccines work. Right?
 


Image source. Click on images to make them larger.
 

As you can see, there is absolutely nothing.

PubMed even includes the journal Homeopathy, but even that journal does not have any papers on a vaccine for malaria.

Go to PubMed and try it yourself.

What about real medical prophylaxis for malaria?
 


Image source.
 

14,876 papers. That is slightly more than zero.

The graph on the right shows how many papers, that meet the search terms, by year of publication. This goes from a single paper published in 1900 to 780 malaria prophylaxis papers published in 2012.

What about homeopathy prophylaxis for malaria?

Three papers are listed. Two are critical of homeopathic prophylaxis for malaria[2],[3] and one seems to be there because all three of the words appear in a review of the Indian health system.[4]

Malaria kills about 660,000 people each year, mostly in children under five years of age,[5] so selling a fraudulent vaccine is something that should be aggressively punished.

There is a scene in The Third Man, where the charming villain is explaining to his friend why he doesn’t care that his diluted drugs kill people. Diluted drugs could be a definition of homeopathy.
 

[youtube]8i47-QBL4Qo[/youtube]
 
 

Victims? Don’t be melodramatic. Look down there. Tell me. Would you really feel any pity if one of those dots stopped moving forever? If I offered you twenty thousand pounds for every dot that stopped, would you really, old man, tell me to keep my money, or would you calculate how many dots you could afford to spare? Free of income tax, old man. Free of income tax – the only way you can save money nowadays.[6]

 

£20,000 would be worth over half a million pounds today, or about $800,000.

Recommending that anyone use a malaria vaccine is something that should be prosecuted as at least reckless endangerment, but too many people are worried about offending the superstitious. The alternative medicine industry has a lot of money to contribute to politicians.
 

We are not much better in EMS, since many of us believe in giving treatments that have no good evidence of safety or efficacy.
 

Licensing naturopaths suggests that they are safe and effective. That is not true.

We should stop lowering our standards and oppose this fraud.
 

There is an article at Science-Based Medicine that provides more detail on this move to use our tax dollars to pay for these superstitious practices.

Naturopathic organ repositioning coming soon to Pennsylvania?

Footnotes:

[1] House Bill 612
Pennsylvania Legislature Regular Session 2013-2014
Bill Information

These are the people to contact to oppose this attempt to further dumb down medicine.

Pennsylvania Professional Licensure Committee Members
Harhart, Julie, Chair”” jharhart@pahousegop.com
Readshaw, Harry, Chair” hreadsha@pahouse.net
Hickernell, David S.”” Dhickern@pahousegop.com
Brooks, Michele” ” mbrooks@pahousegop.com
Benninghoff, Kerry A. kbenning@pahousegop.com
Christiana, Jim” ” jchristi@pahousegop.com
Cutler, Bryan”” ” bcutler@pahousegop.com
Gillespie, Keith” ” kgillesp@pahousegop.com
Helm, Susan C.” ” shelm@pahousegop.com
Maher, John” ” ” jmaher@pahousegop.com
Mustio, Mark”” ” mmustio@pahousegop.com
O’Neill, Bernie” ” boneill@pahousegop.com
Sonney, Curtis G.” ” csonney@pahousegop.com

[2] Homoeopathy may not be effective in preventing malaria.
Delaunay P, Cua E, Lucas P, Marty P.
BMJ. 2000 Nov 18;321(7271):1288. No abstract available.
PMID: 11082104 [PubMed – indexed for MEDLINE]

Free Full Text from PubMed Central.

[3] [False safety with homeopathic agents. Swedes became ill with malaria in spite of prophylaxis].
Carlsson T, Bergqvist L, Hellgren U.
Lakartidningen. 1995 Nov 22;92(47):4467-8. Swedish. No abstract available.
PMID: 7500719 [PubMed – indexed for MEDLINE]

[4] Status of health in India and its future prospects.
Wasan RK.
Nurs J India. 1990 Aug;81(8):253-4.
PMID: 2267169 [PubMed – indexed for MEDLINE]

[5] World Malaria Day
World Health Organization
Web page

[6] The Third Man
Quotes
IMDb.com
Web page

.

Anti-Vaccine Legislator Trying to Raise the Cost of Vaccines

 

Representative Andrea Boland is trying to make it harder to vaccinate children.

Why?

She appears to be just another scientifically illiterate person who thinks that chemical names are scary, even though there is no medical justification for her alarmist bill.

Vaccines are probably the safest and most effective medicines we have.

 

Image credit.
 

The measure, LD 754, sponsored by Democratic Rep. Andrea Boland, ran into stiff opposition from doctors, who said that requiring ingredients be disclosed specifically for vaccines — while not imposing similar requirements for antibiotics and prescription drugs — would signal that vaccines are disproportionately dangerous.[1]

 

Is anyone trying to hide the ingredients of vaccines?

Absolutely not.

The ingredients for every vaccine are available, but before you start making the mistake of assuming that scary sounding names are dangerous, take less than 4 minutes to watch the video below.
 

[youtube]uwcRxssifo8[/youtube]
 

Why only the ingredients of vaccines?

To make them seem scary.

In case you think that Rep. Boland is trustworthy, here is what she says about vaccine safety.

 

“When you read some of [the ingredients], it does sound kind of scary. The provider is there to counsel their patients, and they can assure them that they will not have any serious side effects and it’s the best thing to do.”[1]

 

It’s the best thing to do.
 

If vaccination is the best thing to do, why create obstacles to vaccination?

Is Rep. Bolton trying to push some sort of hidden agenda?

Here is the information provided on her government web page.

 

Occupation: Self-Employed Title Examiner; Independent Nutraceutical Distributor[2]

 

Rep. Bolton appears to be letting her personal nutraceutical business interests get between her and what is best for the children she is supposed to represent.

If you have a bit more time than the less than 4 minutes it took to watch the video, then listen to a 33 1/2 minute podcast, where Dr. Mark Crislip explains what is wrong with a silly claim by a naturopath.[2] “9 Questions That Stump Every Pro-Vaccine Advocate and Their Claims.” by David Mihalovic, ND. Really?

If you believe that vaccines are dangerous, then you need to listen to this podcast.

Footnotes:

[1] Sanford lawmaker wants doctors to disclose vaccine ingredients
By Matthew Stone, BDN Staff
Posted April 29, 2013, at 3:27 p.m.
Bangor Daily News
Article

[2] QuackCast 44. Nine questions.
Dr. Mark Crislip
Quackcast
Nine questions, none answers. An ND suggests there are 9 questions that pro-vaccine proponents can’t answer. Ha. My 12 year old can find the answers.
Podcast in mp3 format – click to play or right click and save to download.
 

QuackCast 44. Nine questions, none answers. An ND suggests there are 9 questions that pro-vaccine proponents can’t answer. Ha. My 12 year old can find the answers.

 

The print version, with links to the referenced research, is at the link below.

Nine Questions, Nine Answers.
Published by Mark Crislip
May 07, 2010
Science-Based Medicine
Article

.

Do Anti-Vaccinationists Have Any Clue About Science? – Part I

 

Early anti-vaccine propaganda. The claims have not become more sensible. Click on image to make it larger.
 

Do vaccines work?

The anti-vaccine conspiracy theorists claim that vaccines do not work.

Vaccines are all part of some conspiracy among all of the governments which have studied vaccines, or part of some conspiracy among all of the universities which have studied vaccines, or part of some conspiracy among all of the drug companies which have studied vaccines, or part of some conspiracy among all of the doctors who have studied vaccines, or . . . .

I am kidding, of course. The anti-vax conspiracy theorists claim that this conspiracy includes all of the above. They believe in a conspiracy that makes the JFK assassination conspiracy, the moon landing conspiracy, and the 911 inside job conspiracy seem tiny and insignificant.

There must be some kind of science that supports their fanaticism. Right?

There is no science to support these conspiracy theories.

Some people with children think that it is dangerous to inject non-infectious material into their children in order to provoke the immune system to produce immunity.

The language of Penn & Teller may not be appropriate for children, but their message is.
 


 

Here is some evidence from various countries.

Are these studies, and many more, all just part of some massive conspiracy?
 

From America –
 

Results A greater than 92% decline in cases and a 99% or greater decline in deaths due to diseases prevented by vaccines recommended before 1980 were shown for diphtheria, mumps, pertussis, and tetanus. Endemic transmission of poliovirus and measles and rubella viruses has been eliminated in the United States; smallpox has been eradicated worldwide. Declines were 80% or greater for cases and deaths of most vaccine-preventable diseases targeted since 1980 including hepatitis A, acute hepatitis B, Hib, and varicella. Declines in cases and deaths of invasive S pneumoniae were 34% and 25%, respectively.[1]

 

From Australia –
 

Since the introduction of childhood vaccination for diphtheria in 1932 and the widespread use of vaccines to prevent tetanus, pertussis (whooping cough) and poliomyelitis in the 1950s, deaths in Australia from vaccine preventable diseases (VPDs) have declined by more than 99%. It is important, however, that the downward trend in morbidity and mortality from VPDs is maintained and carefully monitored, and that changes are interpreted in relation to vaccination coverage.[2]

 

From Germany –
 

The incidence rate in the eastern federal states is lower than in the western federal states owing to a smaller portion of endangered risk groups in the population. The trend on the whole is declining.[3]

 

From Switzerland –
 

Since the mid-1970s, the widespread establishment and implementation of the Expanded Programme on Immunization (EPI) has led to remarkable achievements in controlling vaccine preventable diseases worldwide. Today, more children than ever are being reached with immunization; interruption of poliomyelitis transmission has occurred in most countries; mortality due to measles, tetanus, diphtheria and pertussis has been reduced to record low levels.[4]

 

From Mexico –
 

Rotavirus is the leading recognized cause of diarrhea-related illness and death among infants and young children.1-5 Every year, rotavirus is associated with 25 million clinic visits, 2 million hospitalizations, and more than 600,000 deaths worldwide among children younger than five years of age.6,7 [5]

 

The efficacy of the vaccine against severe rotavirus gastroenteritis and against rotavirus-associated hospitalization was 85 percent (P<0.001 for the comparison with placebo) and reached 100 percent against more severe rotavirus gastroenteritis. Hospitalization for diarrhea of any cause was reduced by 42 percent (95 percent confidence interval, 29 to 53 percent; P<0.001).[5]

 

Is any other medicine as effective as a vaccine?

Is any other medicine as safe as a vaccine?

This last paper is a placebo controlled comparison that makes it abundantly clear that vaccines do work, even though vaccines are not 100% effective.

Nothing is 100% effective or 100% safe, but that is what anti-vaxers claim to want.

Anti-vaxers appear to believe the lie that doing nothing is 100% safe.

The anti-vax conspiracy theorists would suggest that there is something wrong in giving our children a treatment that will safely and dramatically decrease our children’s risk for severe illness.

Complications were greater in the placebo group (the children who did not get the vaccine).

Avoiding vaccination is not safe.
 

Opposition to vaccination does not depend on science.

Opposition to vaccination depends on the country you are in, because the opposition is not scientific.

The opposition is emotional and political, which is expected with a conspiracy theory.

Science does not follow political boundaries, but conspiracy theories change with the politics.

Footnotes:

[1] Historical comparisons of morbidity and mortality for vaccine-preventable diseases in the United States.
Roush SW, Murphy TV; Vaccine-Preventable Disease Table Working Group.
JAMA. 2007 Nov 14;298(18):2155-63.
PMID: 18000199 [PubMed – indexed for MEDLINE]

Free Full Text from JAMA.

[2] Vaccine preventable diseases and vaccination coverage in Australia, 1993-1998.
McIntyre P, Amin J, Gidding H, Hull B, Torvaldsen S, Tucker A, Turnbull F, Burgess M.
Commun Dis Intell. 2000 Jun;Suppl:v-83. Review.
PMID: 12049363 [PubMed – indexed for MEDLINE]

[3] [The status of vaccine preventable diseases in Germany].
Oppermann H.
Gesundheitswesen. 2001 Feb;63(2):102-6. German.
PMID: 11285747 [PubMed – indexed for MEDLINE]

[4] The expanded programme on immunization: a lasting legacy of smallpox eradication.
Okwo-Bele JM, Cherian T.
Vaccine. 2011 Dec 30;29 Suppl 4:D74-9. Review.
PMID: 22486980 [PubMed – indexed for MEDLINE]

[5] Safety and efficacy of an attenuated vaccine against severe rotavirus gastroenteritis.
Ruiz-Palacios GM, Pérez-Schael I, Velázquez FR, Abate H, Breuer T, Clemens SC, Cheuvart B, Espinoza F, Gillard P, Innis BL, Cervantes Y, Linhares AC, López P, Macías-Parra M, Ortega-Barría E, Richardson V, Rivera-Medina DM, Rivera L, Salinas B, Pavía-Ruz N, Salmerón J, Rüttimann R, Tinoco JC, Rubio P, Nuñez E, Guerrero ML, Yarzábal JP, Damaso S, Tornieporth N, Sáez-Llorens X, Vergara RF, Vesikari T, Bouckenooghe A, Clemens R, De Vos B, O’Ryan M; Human Rotavirus Vaccine Study Group.
N Engl J Med. 2006 Jan 5;354(1):11-22.
PMID: 16394298 [PubMed – indexed for MEDLINE]

Free Full Text from NEJM.

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Mandatory Flu Shots for EMS? First do no harm?

Greg Friese asks Influenza Vaccination: Is it Our Duty?

He has a poll, but before you take the poll, listen to the following podcast by an infectious disease doctor.

The ERCast – Dr. Rob Orman interviewing Dr. Mark Crislip about vaccination for influenza –
 
Mark Crislip on Vaccines and Why You Should Get a Flu Shot
 

Dr. Crislip points out the flaws in the excusesc of the people who do not want to get the flu shot. Here is the first of 12. Go read the rest.
 

1. The vaccine gives me the flu. Dumb Ass.

It is a killed vaccine. It cannot give you the influenza. It is impossible to get flu from the influenza vaccine.

Did Mary Mallon have a duty to avoid cooking for others?

She didn’t feel sick, so she didn’t think that she could make anyone else sick.

One of the places where she worked as a cook was a hospital.

By simply cooking food for people, she passed typhoid to dozens of people and two of those people died of typhoid.

She felt fine. She did not think that there was any reason for her to change her behavior because of some doctors.

Mary Mallon refused to see any connection between her work and the transmission of illness.

 

Part of the New York American article of June 20, 1909, which first identified Mary Mallon as “Typhoid Mary.” Photo Credit: New York County Clerk Archives
 

Many health care workers claim not to see any connection between working with patients during our asymptomatic, but highly infectious prodromal period of influenza infection; that delay between the start of our ability to infect others with influenza and the start of influenza symptoms; and development of fatal influenza complications by the already sick patients we care for.

Why is it too much to ask us to get a flu shot?

Like Mary Mallon (Typhoid Mary), some of us think that we will not make others sick if we do not feel sick.

Unlike Mary Mallon, we have some medical education.

When Mary Mallon started giving fake names in order to get work as a cook, she could no longer claim that she did not know she was dangerous.

What’s our excuse?

[youtube]-vQOM91C7us[/youtube]
 
Immunize by ZDoggMD

CDC estimates that from the 1976-1977 season to the 2006-2007 flu season, flu-associated deaths ranged from a low of about 3,000 to a high of about 49,000 people. Death certificate data and weekly influenza virus surveillance information was used to estimate how many flu-related deaths occurred among people whose underlying cause of death was listed as respiratory or circulatory disease on their death certificate.[1]

We do need better evidence of the amount of transmission of influenza by medical personnel to our patients, but it is not reasonable to assume that it does not happen.

My freedom ends when I begin to harm others. When I harm others by avoiding a shot (or nasal spray) that is a minor inconvenience, I am not exercising any kind of due regard for my patients.

We work with some of the sickest patients – the ones going to the emergency department, often from nursing homes.

These patients are not just vulnerable to the influenza complications that have killed 3,000 to 49,000 people a year over the past 31 years, but they may be too sick to be vaccinated. They depend on others to be vaccinated to protect them. These are our parents and grandparents. they may be veterans who served our country or people who never fought in any war, but they depend on us to protect them.

If you haven’t already, go listen to the ER Cast – Dr. Rob Orman interviewing Dr. Mark Crislip about vaccination for influenza –
 

Mark Crislip on Vaccines and Why You Should Get a Flu Shot
 

Updated 00:15 10/04/2012 – Thank you to Dr. Brooks Walsh of Mill Hill Ave Command and Doc Cottle’s Desk for the correct link for the podcast.

Footnotes:

[1] How many people die from seasonal flu each year in the United States?
Estimating Seasonal Influenza-Associated Deaths in the United States: CDC Study Confirms Variability of Flu
Centers for Disease Control and Prevention
Web page

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