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vaccinations/immunization
Posted: 30 April 2008 05:19 AM   [ Ignore ]   [ # 61 ]
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[ Edited: 30 April 2017 03:25 PM by Shoefly ]
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Posted: 30 April 2008 05:22 AM   [ Ignore ]   [ # 62 ]
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Oh so what do we do instead of vaccinate our children?  Pray?  Like that’s going to do a whole lot of good when the child gets Whooping Cough or Polio.  Vaccinations is what has helped to reduced the mortality rates of children.

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Posted: 30 April 2008 08:55 AM   [ Ignore ]   [ # 63 ]
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A much better website on why to immunize

HERE is an excellent, detailed, point-by-point discussion of many safety and efficacy concerns about vaccines, illustrating quite effectively, and with real data, why the anti-vaccine argument is misinformed and mistaken.

[ Edited: 30 April 2008 09:03 AM by mckenzievmd ]
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Posted: 30 April 2008 09:11 AM   [ Ignore ]   [ # 64 ]
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[ Edited: 30 April 2017 03:26 PM by Shoefly ]
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Posted: 30 April 2008 09:28 AM   [ Ignore ]   [ # 65 ]
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As usual weldesgin, you’re wrong and misleading. Several examples are given in the article I referenced above of both the risk/benefit relationship for specific vaccines and the correlation of disease incidence and mortality with level of vaccination in the population. Plenty of diseases in the period you refer to did decrease due to advances in nutrition and sanitation. However, the evidence is clear that the diseases for which we routinely vaccinate were serious health threats until vaccination became widespread and routine, and then the incidence of harm done by these diseases decreased dramatically, with MUCH smaller harm being done by the vaccines themselves than had been done by the diseases before vaccination for them. Se=ome of theses diseases (e.g. pertussis and measles) have experienced increases n their incidence and mortality when vaccination declined due to the kind of fear and misunderstanding you are promoting, but once people saw this and immunization levels increased again, the disease incidence declined. Pretty clear proof of the case for continuing vaccinagtion.

Nobody, except you, is trying to say that vaccines are harmless, 100% effective, or the only factor in reducing diseases. None of these contentions are true, and none of them need to be in order for vaccination to be beneficial. You cherry pick and spin data in deceptive ways to support your erroneous conclusions. Luckily, there is plenty of information easily available to show the truth about vaccines, and anyone interested can look at the sources I and others have provided.

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Posted: 30 April 2008 10:05 AM   [ Ignore ]   [ # 66 ]
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Like any medicine there is not perfect one, but the benefits typically out weigh the risks. 

By Laura A. Stokowski, RN, MS
Staff Nurse, Inova Fairfax Hospital for Children, Falls Church, Virginia; Editor, Medscape Ask the Experts Advanced Practice Nurses

The nation’s voluntary reporting system for adverse events following vaccine administration confirms that vaccine side effects are surprisingly uncommon. Vaccine Adverse Event Reporting System (VAERS) data reveal that 11.4 adverse events occur per 100,000 vaccine doses distributed. Adverse events often depend upon the nature of the vaccine itself. The events and the frequency of events are similar to those that occur with placebo injections in controlled trials and include pain, swelling, and redness at the injection site. (Zhou W, Pool V, Iskander JK, et al. Surveillance for safety after immunization: Vaccine Adverse Event Reporting System)

Most adverse reactions to vaccines can be classified into 3 groups:
1.  Vaccine-induced (eg, pain at the injection site, allergic reactions);
2.  Programmatic error (eg, administering an intramuscular vaccine by the subcutaneous route); or
3.  Coincidental (having a temporal association with the vaccine but would have occurred even in the absence of vaccination).

VAERS is a national “early warning” reporting system that accepts and monitors reports on adverse health effects following immunization. Jointly administered by the CDC and the FDA, VAERS was established in 1990 to provide a mechanism for the collection and analysis of adverse events associated with vaccines currently licensed in the United States. Adverse events are defined as detrimental health effects that occur after immunization that may or may not be related to the vaccine. VAERS data are continually monitored in order meet the following primary objectives:
·  Detect new, unusual, or rare adverse events;
·  Monitor increases in known adverse events;
·  Determine patient risk factors for particular types of adverse events;
·  Identify vaccine lots with increased numbers or types of reported adverse events; and
·  Assess the safety of newly licensed vaccines.

VAERS is passive in the sense that it depends upon health professionals, vaccine manufacturers, or members of the public to submit reports of suspected adverse events—VAERS does not solicit reports from immunizing clinics or agencies. For this reason, the greatest weakness of the VAERS program is underreporting of events. (Each VIS gives information about VAERS and how to file a report, including the toll-free number and the Web site address.)

Data collected from 1991 to 2001 revealed that VAERS reports were received primarily from vaccine manufacturers (36.2%), state and local health departments (27.6%), and healthcare providers (20%). Only 4.2% were submitted by parents or patients, with the remaining 7.3% attributed to others.

“The simple fact,” said Tamara Tempfer, RNC, MSN, PNP, “is that healthcare providers, including nurses, just aren’t reporting adverse events.” Tempfer, a member of the US Department of Health and Human Services, Health Resource and Services Administration’s Advisory Commission on Childhood Vaccines, continued, “Practitioners who are aware of any kind of significant event following a vaccine should be reporting it.” This means any clinically important medical event that occurs after vaccination, even if the reporting person can’t be certain that the event was caused by the vaccine.

In a review of the VAERS database from 1991 to 2002, the most frequently reported adverse event was fever (25.8% of all reports), followed by injection-site hypersensitivity (15.8%), unspecified rash (11.0%), injection-site edema (10.8%), and vasodilatation (10.8%). A total of 14.2% of all reports described serious adverse events, which by regulatory definition included life-threatening illness, hospitalization or prolongation of hospitalization, permanent disability, or death. (Edlich RF, Olson DM, Olson BM, et al. Update on the National Vaccine Injury Compensation Program. J Emerg Med).

A report to VAERS is, however, just that—a report. It cannot establish a cause-and-effect relationship between an adverse effect and the vaccine that preceded it. (Varricchio F, Iskander J, Destefano F, et al. Understanding vaccine safety information from the Vaccine Adverse Event Reporting System).

Limitations of passive surveillance programs like the VAERS are the reporting of temporal or coincidental associations, unconfirmed diagnoses, and lack of denominator data and unbiased comparison groups. Basically, VAERS data raise the red flag, leading to the kind of rigorous, controlled studies that will determine if actual causation exists. (Miller ER, Iksander J, Pickering S, Varricchio F. How can you promote vaccine safety?)

VAERS was instrumental in identifying the potentially serious complication of intussusception following the first rotavirus vaccine, which is no longer licensed or available.( Iskander JK, Miller ER, Chen RT. The role of the Vaccine Adverse Event Reporting System (VAERS) in monitoring vaccine safety)

Why aren’t these adverse effects identified before the vaccine goes to market? Elaine Miller, who works with the VAERS program at the CDC Immunization Safety Office, explained, “Vaccines undergo extensive clinical evaluation of safety and efficacy in stages over several years prior to licensure. However, rarer side effects or events may occur only in a sub-group of the population that was not represented in pre-marketing studies, and may show up only after the vaccine is licensed for the general public’s use.”

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Posted: 30 April 2008 10:48 AM   [ Ignore ]   [ # 67 ]
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[ Edited: 30 April 2017 03:26 PM by Shoefly ]
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Posted: 30 April 2008 11:03 AM   [ Ignore ]   [ # 68 ]
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Posted: 30 April 2008 12:48 PM   [ Ignore ]   [ # 69 ]
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[ Edited: 30 April 2017 03:27 PM by Shoefly ]
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Posted: 30 April 2008 06:26 PM   [ Ignore ]   [ # 70 ]
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[ Edited: 30 April 2017 03:28 PM by Shoefly ]
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Posted: 30 April 2008 06:52 PM   [ Ignore ]   [ # 71 ]
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I don’t accept your assessment that a conflict of interest exists with regard to all vaccines regardless of the fact that Dr. Offit holds a part of a rotavirus vaccine patent. He is reconized widely as an EXPERT on vaccines and immunology, and it is not surprising that this includes working to invent new vaccines. Who should be inventing vaccines if not scientists who believe they work and are beneficial and who are experts in the science of immunization? Regardless, the fact that he has done so does not answer the arguments or statistics he provides for vaccination. If your prefer another source, here is the CDC HepB Fact Sheet.

You are clearly continuing the process of cherry picking information you can spin to support your conviction about vaccines, which indicates no openness to the possibility you are wrong. Fair enough. As I’ve said, you’re entitled to your interpretation of the facts. But I think it is an erroneous interpretation not justified by the reality or science. Trying to refute a substantive and well-referenced article like this by implying venal motives on the part of the author is a desparate and unconvincing tacttic. But as I’ve also said, we’re clearly not going to convince each other, so I don’t see much point to continuing. I was willing to let you have the last word, but I felt I had to counter the misinformation in your most recent post for the benfit of any other parties following the thread. If you have any serious research evidence to present, I’m happy to consider it, but anti-vaccine propaganda web sites cherry picking their numbers and making misleading arguments is not going to get us anywhere.

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Posted: 30 April 2008 07:18 PM   [ Ignore ]   [ # 72 ]
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[ Edited: 30 April 2017 03:28 PM by Shoefly ]
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Posted: 30 April 2008 07:43 PM   [ Ignore ]   [ # 73 ]
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HERE is testimony before Congress by the NIH doctor in charge of the Hepatitis division discussing the vaccine for Hep B. The reason to vaccinate infants is because people infected at children are at the greatest risk from chronic undetected infections, which the statistics show have decreased substantially since infant vaccination began. The longer you wait to vaccinate, the greater the risk of getting infected before vaccination and the more severe the consequences of infection. But I suspect the issue of vaccinating infants is a red-herring for you, since I don’t imagine you support vaccinating older children (or even adults?) anyway. You just oppose the vaccine on principle and then try to find ways to argue against how it is used on that basis.

Cherry picking means such things as reporting the incidence of side-effects without pointing out that they are rarely serious and that the risks of harm from the disease is greater than from the vaccine. You do what you can to show the dangers of vaccines without the context that explains why vaccination is on balance the better choice. Of course, you don’t accept this is true, so I wouldn’t expect you to argue the point. But you try to convince people it is not true by reporting facts that can convey a negative impression of vaccines and ignoring facts that show their benefits, so you “cherry-pick” the facts you present to fit the bias or a priori position you are arguing.

I’m not going to hunt down the sources of the pertussis death numbers and figure out for you who is right. Niggling over the details and ignoring the context or the whole picture is just a debating strategy, not a path to true understanding, and I don’t have the time for it. If I found the “correct” number somewhere, you would just dismiss it and move on to the next point in your campaign, so I don’t see the point.

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Posted: 30 April 2008 11:42 PM   [ Ignore ]   [ # 74 ]
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I know this is anecdotal, but I grew up in a military family and we spent most of our time ‘overseas’, mostly in second and third world countries. At that time, it was military policy to repeat your entire series of vaccines every 6 months while you were overseas. From birth until I was 15, I received about 12 vaccines (it seemed), four a week, two in each arm, until the series was complete. These vaccinations included smallpox, tetanus, typhoid, cholera, typhus, diphtheria and many more that I can no longer remember, and may even be obsolete (such as the smallpox vaccine).Everyone on the base and off(we were usually off base in the community), went through the same series every 6 months. We were in effect, the guinea pigs for the rest of the USA. It was my understanding that military studies helped to determine the frequency of some of the vaccinations now used.
I spent many years (1950s-1960s) in impoverished countries where the chance of dying from some of these diseases was very real and present. Anecdotally, I do not recall anyone I knew (or heard of through the very efficient military grapevine) having any side effects from the vaccines other than the obvious which is pain (cholera and tetanus are especially painful), and a fear of ‘shots’ which I still dealing with, but does not prevent me from getting vaccinated on a regular basis.
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Posted: 01 May 2008 11:36 AM   [ Ignore ]   [ # 75 ]
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[ Edited: 30 April 2017 03:29 PM by Shoefly ]
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