Vaccines

All Articles in the Category ‘Vaccines’

Something In The Air: It’s Measles

Something is in the air right now. There’s a strange mix of vaccine-preventable illness sweeping the country (measles) and a strange bump in media coverage for celebrities and vocal opponents to tested and recommended vaccine schedules. Part of me thought we might be done with that but pageviews, clicks, and views all sell.

My hope is the coincidence of coverage and outbreaks is just that, a coincidence. But as a mom, pediatrician, author and media reporter, the view from here is unsettling. We can’t prove that mishandled media coverage is changing the way we immunize our children (or at least I haven’t seen the data) and how parents protect them, but there are moments like this it feels it’s possible that trust is simply being eroded with this 24-hour online/TV/print news cycle. Parents might be vulnerable to bad medicine when gowned as good business. A couple of examples:

Two weeks ago Kristin Cavallari (a wife to an NFL player and reality TV star) went on Fox News to discuss her career (and parenting) and ended up discussing her theories on a group of vaccine refusers and autism. Perhaps talking about medical theories is a really good model for accelerating a career? Next up was Huffington Post where she dropped the bomb, “’I’ve read too many books’ to vaccinate my child.” I suspect she’s yet to read mine. Particularly chapter number 57 entitled Measles In America. Read full post »

2013-2014 Flu Is Here

Influenza December 2013

Influenza currently has widespread activity here in Washington and fortunately the news media has really picked up the story the last couple of days. I say fortunately, because as we know more about flu in our community, the better we can work to protect our families. There’s no question clinic was full of coughs and colds yesterday!

At of the end of last week, the CDC reported that 25 states in the US have widespread influenza (see above map). In addition, public health officials confirm that H1N1 Influenza A is causing more serious, sometimes deadly disease in young adults. This post is simply a reminder that flu is here in our communities, work, and schools. The best way to reduce the risk of serious influenza infection is still to get a flu shot. Particularly if you’re a middle-aged adult (!!), as young adults are bearing a particular burden of serious disease this season. In fact,there have already been a number of deaths in WA state. Many of the individuals who died were unvaccinated.

This is still true: pregnant women, young children, those over 65 years, and anyone with underlying medical conditions are at higher risk for serious infection from influenza. Read full post »

Yes, Vaccines Are Naturopathic!

Dr. Mary Alison HigiThis is a guest blog from Dr. Mary Alison Higi. Dr. Higi is a naturopathic physician in her final year of residency at Cascade Natural Medicine specializing in pediatrics under Dr. Candace Aasan. She studied at Bastyr University where she earned her Doctor of Naturopathic Medicine. She emphasizes the importance of the physician’s role in preventative medicine and public health. Dr. Higi has a special interest in implementing Naturopathic Medicine programs for under-served communities. 

I’m publishing this post because I think there is significant confusion about naturopathic physicians’ support of vaccines. I’m hoping this sheds a little light. Would love to learn more from you all about your experiences with naturopathic medical care and vaccines. Please leave comments!

 

 

I have frequently heard from parents, “You give vaccines? I thought you were a naturopath!” I can only reply, “Vaccination follows three of our most important guiding principles”

1. Premum non Nocere — First do no harm; weigh out risks and benefits and follow the least harmful path.
2. Docere – A physician should be a teacher to her patients.
3. Preventir – Practice preventative medicine.

By providing routine vaccinations to my patients I have the opportunity to help them weigh risks and benefits of vaccine preventable disease versus costly, painful and the often dangerous consequences of preventable infections.

When I counsel and give vaccines I get to teach about disease prevention and public health; I get to help patients prevent some truly life threatening diseases. So yes, vaccines are naturopathic! In that light, following our naturopathic principles, there are a few vaccination myths that I’ve heard so often, I feel compelled to dispel them:

Read full post »

Numbers For You On Flu

It’s time for flu shots. Winter respiratory season is on its way and, “The single best way to protect against flu is to be vaccinated every year.” Ideally your child (and you) will have had the flu shot at least 2 weeks prior to any exposure to the virus. If your infant, child, or teen hasn’t yet had their flu shot call today for an appointment. Waiting provides no added benefit and only increases the time a child is more susceptible to getting influenza this season.

Listen to the video for information on quadrivalent versus trivalent flu shots, options for nasal flu spray (NO POKES!), and new viruses included in this year’s flu shot.

Information For Parents Online: Protection from Flu Shots

Undervaccination

There isn’t a lot of research on children’s safety when a child is on an alternative vaccine schedule. While we clearly know that the longer you wait to immunize a child for vaccine-preventable illnesses, the longer the window of time a child is left susceptible, there isn’t a huge data set on children who are late to get shots or who are considered “undervaccinated.” Although it’s intuitive to think that a child who is not getting immunizations on time is at higher risk for infections (particularly during times of epidemics), it’s helpful when the science backs up our instinct and thinking.

This is likely something you already knew but there’s new research to compound our understanding.

Children Late On Shots Are At Risk For Whooping Cough

Recent pediatric research found that when it comes to whooping cough, children who were late on getting their shots are more prone to infection. In fact the more doses of the DTaP shot that a child misses, the more likely it is that they could be diagnosed with whooping cough.

A JAMA Pediatrics study published online in September 2013 evaluated children between 3 months to 36 months of age. During the first three years of life children are recommended to have 4 doses of the DTaP (Diphtheria, Tetanus, and Pertussis) shot starting at 2 months of age. In the JAMA matched case-control study children who were late on 3 doses of DTaP were 18 times as likely be diagnosed with whooping cough compared to children who were up to date on their shots. Children unvaccinated (missing 4 doses of DTaP) were 28 times more likely to be diagnosed with whooping cough when compared with fully vaccinated children.

The takeaway reminder? When you start a series of immunizations for your children, make sure you complete all shots in the series. Most experts believe children aren’t fully protected from whooping cough until they’ve received 4 doses of DTaP (at 15 months of age if on-schedule).

We have to finish what we start — another reason to get in on-time for well-care visits during the first few years of a your child’s life. And as a final note, the value of well-child care extends well past immunization.

It’s Time For Flu Shots

Please don’t tune me out on this one. Don’t let this post resemble Gary Larson’s The Far Side cartoon where you only hear, “Blah, blah, blah, Flu shot, blah, blah, blah, Flu shot, blah, blah, blah”

I write about flu every year because it’s one infectious disease that is not only more aggressive and dangerous for babies and young children, it’s vaccine preventable. The flu causes high fever, terrible cough, body aches, and significant discomfort. It can also potentially cause more serious infections like pneumonia. Unlike viruses that cause the common cold (rhinovirus or RSV), we have a vaccine for influenza.

I’ve had multiple patients in only 7 years of pediatric practice refuse the flu shot and subsequently get influenza. A few of my patients have required hospitalization for influenza and several have had serious infections requiring multiple visits to clinic, ER trips, and respiratory distress. Whenever this happens in an unvaccinated patient, I feel I’ve failed.

The great news with flu is that we can improve protection for our children and teens easily. The majority of the 150+ children who died last year from flu in this country were not vaccinated. And although it’s true that the vaccine doesn’t protect 100% of those who get it, it does protect most from life-threatening illness. Getting a flu shot is the #1 best way to prevent a life-threatening infection from the flu.

It’s flu shot season. You thinking, “blah, blah, blah…?”

The American Academy of Pediatrics has a new policy statement out this month. Their big message is to get all children up to date on their flu shots as early as possible. Read full post »

Simply Not Factual

No-SymbolSimply not factual. That’s really all that needs to be said in response to Michael Edwards’ opinion piece entitled “Vaccine Side Effects and Why You Shouldn’t Vaccinate” published in Organic Lifestyle Magazine last week. This is clearly a non-peer reviewed, non-fact-checked online publication that Mr Edwards edits and owns. Fortunately, the magazine is reported to get about the same amount of traffic as my blog so it’s not exactly the Washington Post…

That being said, Edwards’ piece is so egregious I’m unable to hold my breath. Although I’m no watchdog, the dangerous writing demands physician attention partly because it’s been published amidst a noteworthy week in the world of vaccine misinformation:

  1. A segment aired last week by a local TV station in Las Vegas claimed doctors debating a need for vaccines. The TV station reported false information and misrepresented a chiropractor as a “holistic physician.” There was a noted uproar online, especially when original comments from physicians were, at first, taken down. Here’s more from news watchdog Gary Schwitzer, “Back To School Anti Vaccination Woo.”
  2. Mr. Edwards published false information claiming families shouldn’t vaccinate. More below.
  3. Jenny McCarthy’s credibility erodes further as it’s announced she is now advertising e-cigarettes. A pediatric colleague wrote a blog post entitled, “Jenny McCarthy continues tireless crusade to kill us all.”

Back to the piece in “Organic Lifestyle” though. What is so dangerous is not just Mr. Edwards’ misinformation but the way his article appears to the eye. Mr. Edwards published his vaccine opinion in a structure that misleads a reader to believe it’s based in fact. There are sections with headers, subtitles with supposed historical reference, and a list of resources at the end. All the while Mr Edwards warps truth and paints a picture of a fictitious world—one where those diseases now eradicated (small pox) or nearly so (polio) thanks to vaccines, aren’t.

Small pox has been eradicated by worldwide vaccination and thanks to vaccines married with a remarkable commitment from the Gates Foundation, polio is nearly gone too. Read full post »

Your Social Network, Your Kids’ Vaccines

network

We live in a profoundly different time today when it comes to caregiving, parenting, and gaining health care/advice than we did even 5 or 10 years ago. The internet has changed things dramatically. During an interview recently a reporter asked, “You were raised on digital media, yes?”  Well, no. I didn’t started using email until late 1995 just prior to leaving college, didn’t get a cell phone until I was teaching, didn’t have a working computer in my apartment until I started my master’s degree (after med school), and didn’t join social media until 2008. It was bedrest with my second pregnancy that urged the establishment of a profile on Facebook. That online community changed everything.

I’m no digital native but I may act like one.

My husband, my friends, and the doctors I’ve chosen to help me raise my boys certainly do color my belief about the world. So do the things I read and watch online.

There has been 3 measles cases in Seattle this July and 58 cases of measles in Brooklyn, NY since March. Measles is preventable with a very effective vaccine. The vaccine is so good that after 2 doses of the MMR shot, over 99% of people are protected against measles for life. However, often our community shapes our decisions to vaccinate…

An insightful Pediatrics study and accompanying editorial published earlier this year illuminate the reality that social networks carry big weight for parents making decisions about immunizations. We do make decisions in the context of our lives and the social network we choose to use as a sounding board really does help us determine what to do in moments of confusion. Read full post »

Measles In Seattle

There is a report of more measles here in Seattle. Measles is a highly contagious and potentially severe infection that causes fever, rash, cough, and red, watery eyes. It is mainly spread through the air after a person with measles coughs or sneezes. King County Public Health released information today detailing new cases and potential places for public exposure to measles infections between July 9th & July 15th. These two new cases are unrelated to the measles case earlier this month in a traveler at the Sea-Tac airport. Much of the information here is thanks to the public health department.

Local public health officials have confirmed measles infections in two siblings, an adult and a child, who were in several public locations during the time that they were contagious. The siblings have been visiting from out of state and public health officials believe that they acquired measles outside of Washington State.

Locations where possible exposures may have occurred:

Screen Shot 2013-07-17 at 11.19.58 PM

Read full post »

Jenny On The View

450px-Jenny_McCarthy_Addresses_AudienceJenny McCarthy is officially joining The View. “Do I have opinions?” one reporter asked today. Yup.

My concerns center around Jenny McCarthy’s past willingness to trade-in her experience for expertise. That is, she widely shared her theories and anecdotes about her son’s experience with learning challenges and falsely placed blame on vaccines for his then-diagnosed autism. I will not discount her private experience. What I discount is her decision to leverage a modeling/pornography career to message about health. She aligned herself with pseudoscience. She mistook “mommy instinct” for fact. She partnered with the debunked Andrew Wakefield and has been an ardent spokesperson for Generation Rescue. She directed families away from life-saving vaccines and pointed them towards costly and unproven treatments like chelation for learning and behavioral challenges. In sum, she created fear.

She created myths around “greening” vaccines, a concept that lives on today and make very little sense.

Her myth (stating the MMR vaccine caused her son’s autism) has potentially increased disease burden. Outbreaks of measles in Europe have overwhelmed France and Wales in the past few years and under-vaccinated communities persist here in the US. In part, this is because of Jenny’s megaphone.

The auspicious truth is when Andrew Wakefield was debunked her fervor slowed. I hear less about Jenny McCarthy in the exam room these days. She’s retreated from the vaccine discussion. Trouble is, I still hear about the myth she methodically created. Some families remain scared and confused about true benefits/risks when it comes to life-saving vaccines. I’m angry she’s made so many parents falter. Read full post »