Posts tagged: safety

5000 Reasons (and Counting) To Get Your H1N1 Vaccine

By , October 30, 2009 3:23 am

The H1N1 flu vaccine became available in Canada as of this Monday and health workers across the country are scrambling to administer the shots as widely and efficiently as possible. So far, there have been nearly 5000 deaths worldwide due to swine flu (H1N1) and overflowing clinics and long waits are a reality for the time being.

What I have been hearing, however,  is a far cry from eager anticipation of a life-saving medicine. I have been hearing cynical, suspicious critiques of the very governmental agencies and people who have been working around the clock to get the vaccine out in time for this year’s flu season. I have been hearing worry and concern about the safety of the vaccine. People are confused and don’t know what to believe.

There is a general climate of distrust when it comes to vaccines, I think, due to the highly publicized (and bogus) theory that childhood vaccinations are linked to rising autism rates. (See here how it impacts parents’ decisions regarding H1N1.) Much has been made of the rush to get these vaccines out and of the presence of thimerosal and an adjuvant in the vaccine. I have argued before that standard vaccines are safe and necessary and will now argue in favour of the H1N1 flu vaccine. You should absolutely get vaccinated and I’ll tell you why.

“But it’s just the flu.”

  • Actually, the World Health Organization (WHO) states on its web site that: “This is a new influenza A(H1N1) virus that has never before circulated among humans. This virus is not related to previous or current human seasonal influenza viruses.” We do not, therefore, have any natural immunity to this virus.
  • It is highly contagious and remains so even after the illness seems to have passed. The virus has been found present even 13 days after the onset of fever. (Globe and Mail)
  • Most cases thus far have been mild and most healthy adults should be able to fight it off on their own. We think. Health Canada states on its web site that: “The H1N1 flu virus has caused primarily mild illness in Canada, but Canadians need to be prepared to respond to a potentially more severe form of the virus that may emerge this fall.”
  • There has been an increase in mortality rates for healthy young adults and especially pregnant women when compared with other seasonal flus.
  • The current issue of Atlantic Monthly has an article about this vaccine,  “Shots in the Dark,” that says:  “Whether this season’s swine flu turns out to be deadly or mild, most experts agree that it’s only a matter of time before we’re hit by a truly devastating flu pandemic—one that might kill more people worldwide than have died of the plague and aids combined.” This might not be it. But then again it might.
  • Health Canada was concerned enough to purchase enough vaccine for everyone in Canada who wants it. They don’t do that every year.
  • Barack Obama has declared the virus to be a national emergency. Again, not the normal response to “just the flu.”
  • The Spanish Flu was also just the flu. It was a world-wide pandemic that seemed to target otherwise young and healthy adults and killed anywhere from 50 million to 100 million people from 1918 – 1920, seven times the casualty rate of WWI.

“But the vaccines contain mercury which is a known toxin.”

  • It is true that the H1N1 vaccine available in Canada contains thimerosal, a form of mercury, that serves to preserve and stabilize the vaccine.
  • This form of mercury is considered perfectly safe in low doses. Health Canada says: “The amount in the H1N1 adjuvanted flu vaccine is much less than the daily limit recommended for environmental exposure to mercury.  For example, there is significantly less mercury in the vaccine than you would find in a can of tuna fish.”
  • Even the unadjuvanted vaccine which contains 10 times as much thimerosal is well within the safe range.
  • Remember, the vaccine is administered once. Even in cases with relatively low levels of mercury (but still much higher than those in the vaccine) it is chronic exposure that causes adverse reactions.

“Then why did the US stop using thimerosal in childhood vaccines in 2006?”

  • There has been a lot of speculation that vaccines (and thimerosal) are causally linked to autism. There have also been several studies that show absolutely no link between vaccines and autism.
  • The current issue of Wired has an excellent article about this vaccine phobia. Amy Wallace describes a culture of parents who are desperate for an explanation of the rising rates of autism and of their own child’s diagnosis. The vaccine theory gives them something to hold onto.
  • As rates of vaccine refusal rose (and outbreaks of nearly eradicated diseases sprang up as a result) the American medical establishment decided it would be best to remove thimerosal from vaccines altogether. This was essentially a PR move designed to placate the autism activists even though thimerosal is perfectly safe and there is no known link to autism. It didn’t work. The vaccine wary are still convinced there is some sort of link and, as Amy Wallace reports, the pediatrician and vaccine inventor Paul Offit thinks it was “a public relations mistake because it seemed to indicate to the public that thimerosal was toxic.”
“What about the adjuvant vs unadjuvanted vaccines? Why do pregnant women get a safer one than the rest of us?”

  • The adjuvant that is added to the majority of vaccines serves to boost our immune systems and accelerate the effectiveness of the vaccine. “The adjuvant in Canada’s H1N1 flu vaccine is made up of natural ingredients such as water, squalene oil and vitamin E. An unadjuvanted vaccine has no “booster” element.” (Health Canada)
  • The adjuvant actually makes the vaccine more effective and is recommended against this strain of flu. The same adjuvant has been used for years in the regular flu shot and is not new.
  • In the absence of any studies of the adjuvant on pregnant women specifically, the government has ordered just enough unadjuvanted vaccines to administer to expecting mothers just to be safe. In fact, the threat of swine flu to pregnant women is such that they should go ahead and use the adjuvanted version if it is the only one available.
“This vaccine is too new and has not been properly tested.”
  • The WHO and Health Canada have no motive to hurt people or to instill panic in order to push vaccines. They make no money off this. Of course this vaccine has been tested and has met with safety standards. “The requirements for vaccines approved for sale in Canada are stringent. Every vaccine lot is safety-tested by the manufacturer and by the Biologics and Genetic Therapies Directorate at Health Canada. Health Canada will review all available test results, including international data, to ensure the vaccine is safe and effective before it is authorized for use in Canada.” (Health Canada)
  • While obviously this particular vaccine is new and long-term effects cannot be known, we do know that the majority of its components have been in use in other vaccines for years.

“I hear that the government and the media are in bed with Big Pharma and have created all this hype in order to make money off our fears.”

  • Consider that Canada bought these vaccines at cost and they were sold for a loss to the developing world.
  • If you were going to develop a drug for profit it would not be a vaccine which is used only once. Rogain, Viagra, antidepressants, those are the money makers.
  • Governments, as a rule, have no motive for panicking their population. In fact, they like to avoid public hysteria at all costs. The Canadian government just quietly ordered enough vaccine for the entire population. Maybe they know something you don’t.
  • The media reports everything, including crazy conspiracy theories and unfounded fears.
“Okay, but I’m not really at risk so why should I assume any risk from the vaccination, however minuscule?”

  • This was my original position on the vaccine, admittedly. I don’t usually get the flu shot, I thought, and I have a strong immune system. Why bother?
  • First, the risk is less than minuscule. The risk of any serious adverse affects (beyond soreness at the injection site and minor aches the day of) from the vaccine is infinitesimal, one in a million. Your odds of contracting the flu far outweigh the vanishingly small odds of a side effect from the vaccine.
  • Second, even the regular flu just plain sucks and this swine flu is far worse. (Here’s a post by a woman whose entire family is just getting over swine flu.) So why not try to avoid having to take a week off work to nurse your entirely preventable illness?
  • You probably know someone, or someone who knows someone, who is at risk. Do you really want to be responsible for spreading this flu?
  • We are trying to prevent a full-scale pandemic and that means everybody should participate. At a 90% inoculation rate diseases are kept at bay. As soon as rates start to drop again the disease rears it’s head. (Flu shots are much less effective because only about a third of the population gets them and they are not always targeted at the right strain. We have the right strain this year.)
  • There is a three to four per cent rate of inefficiency for most vaccines. So for every 100 people vaccinated three or four will still be susceptible to the illness. If nearly everyone is vaccinated, though, that doesn’t matter. What if someone you love is one of those three per cent?
  • Not everybody can be vaccinated. Newborns, people with egg allergies, and anyone with a high fever are not eligible. Prominent blogger Catherine Connors has a toddler son, for example, with a serious respiratory infection that means he is not a candidate for the vaccination. His condition also makes him much more susceptible to serious complications should he contract H1N1. Anyone who cannot get vaccinated themselves is at the mercy of the general public to contain this virus.
  • You are the general public. Each and every one of us should feel obliged to do everything in our power to eradicate this virus. All we need to do is get a shot. I know that x number of people die of all kinds of other things all the time — far more than will die of swine flu this year. But I don’t care. People are dying of this right now and we can all stop it.
Vanetia Warner was a healthy ten year old girl living in Cornwall, Ontario with no underlying medical problems whatsoever. She was admitted into hospital last weekend with the swine flu and then died.

Evan Frustaglio was a 13 year old hockey player from Toronto with no health problems at all. While at a hockey tournament in London he began to feel slightly ill. By Saturday his fever wasn’t being helped by over-the-counter medication and his parents brought him to a clinic on Sunday. He was sent home with nothing to worry about as his breathing was regular and the fever was being controlled. He got out of the bath on Monday and collapsed. He was pronounced dead at the hospital. [Update: From the Toronto Star: "Dr. David McKeown, Toronto's medical officer of health, said Evan had "mild asthma," something his father disputed."Evan didn't have asthma; he had been prescribed puffers a few years ago when he had a cold," Frustaglio said.]

The truth is that we don’t know who the victims are going to be with this flu. This is a brand new strain that nobody has any natural immunity against. It isn’t just the flu.

We are lucky enough to live in an age where scientists are tracking these illnesses and identifying them and projecting what they will look like. And they are mostly right. Untold numbers of people do not have to die before a vaccine is found. The victims of the Spanish Flu should have been so lucky. Let’s be able to look back on this and laugh. Remember how worried we were? Turned out to be nothing.

Further reading:
Health Canada’s Vaccine Myths
World Health Organization’s Influenza A(H1N1) Frequently Asked Questions
, “An Epidemic of Fear,” and the follow up, “H1N1 Flu Shot: 3 Major Fears Debunked” (highly recommended)
The Atlantic Monthly, “Does the Vaccine Matter?”

(Image courtesy of Zaldylmg on Flickr.)

Rattle Tattle

By , April 22, 2009 3:00 am

Post Updated

I tend not to complain much. I can probably count the times I’ve returned a product to a store on one hand. I will hardly ever send food back in a restaurant, and I don’t expect kids’ toys to last forever. But this really bothers me. I bought a little Sassy rattle as a stocking stuffer this Christmas. It was over a month before L’il I was actually able to play with it, but it was a perfect little baby rattle — an easy to hold ring with rubber grips for chewing and a soft and cheerful fish. She loved it. Well, she loved it for a whole month before I found it in pieces at the bottom of her bouncy chair. Continue reading 'Rattle Tattle'»

Cradle Safety: It starts at home

By , November 11, 2008 9:15 pm

The hardest thing about breaking a months-long blogging hiatus is finding the time and energy to write the all-encompassing, profound post that will leave your readers in both tears and gales of laughter and praising your blogging muse. The kind of post that will instantly make up for the weeks of nothingness and leave instead a readership sated on a gratitude and fulfillment never before found within the confines of a mommy-blog.

Let me instead, then, dear reader, tell you about the mesh bumper pads I bought for Irene’s cradle today. This cradle was made for my husband by his grandfather at the time of his birth. It is truly beautiful and nowhere close to meeting today’s safety standards. My primary concern is the space between the bars is probably big enough to trap a baby’s head. (Particularly a head so tiny and round as my dear Irene’s.) The easy solution — and what we did when Colum was using the cradle — is to use bumper pads to protect the baby from the bars. Alas, those are also not recommended anymore (and haven’t been since well before Colum was born) as they are suffocation hazards and have been linked to SIDS. Still, the SIDS-inducing bumper pads lined her cradle for the first ten nights of her life as I weighed the risks of bumper pad vs. bare bars vs. the less beautiful and seemingly more wobbly bassinet we aren’t using vs. co-sleeping because she wasn’t having any of this sleep-on-your-back-in-your-own-bed business anyway. And then I thought why not just line the cradle with some sort of mesh netting that would both protect baby’s head and be unlikely to smother baby. Why, I could probably fashion such a thing myself out of the right material. Wait. I can barely make it to the shower every ( … other …) day. (Why it is that having a newborn makes me want to do things — crafty things — that I have neither the time nor ability for, I’ll never know.) Instead, I Googled “mesh baby bumpers”, or some such thing, and found that I could just buy one ready made, which I did. There are two layers of meshing, which I worry might make the product somewhat less “breathable” than it claims, and I’m not convinced that this bumper would be strictly recommended by the safety powers that be either. It is lacking the pretty eyelet lace and satin ribbons of the other bumper pads. “Don’t take off the ribbons, Mommy!” Colum pleaded. Nonetheless, I will be able to sleep easier with this bumper pad in place — even if Irene would rather sleep cradled on my forearms as I type than spend one sleeping minute in her cradle.

I am still on a babymoon of sorts since I have my husband home until next Monday. In preparation for the upcoming week I am lowering expectations on what I might hope to accomplish on all fronts. In that spirit, then, you might look forward to blog posts on such topics as “how I spent my pregnancy”, midwifery and natural childbirth, Irene’s birth story (and Colum’s for that matter), and breastfeeding: dos and don’ts. But, really, I wouldn’t bank on it.

Let me also throw to another Junction mommy-blog, one that actually delivers on it’s promise of regular posts, and is both informative and entertaining: Junction Parents. And who knows? Maybe I’ll also get around to making up a proper blog roll and resource list, too.

Tainted Toys: Do we have a right to safe products?

By , November 9, 2007 5:28 pm

Another massive toy recall makes headlines and I’m starting to get dizzy. Are those fumes coming from my keyboard? Maybe I’m sitting dangerously close to Colum’s toy box. This latest mishap resulted in several children falling into temporary, drug-induced comas! It’s enough to make you nostalgic for good old fashioned lead poisoning. Asbestos anyone?

I’m not sure what to think of all this. It’s tempting at first to chime in with the “kids don’t need that crap anyway” school of thought. And, sure, it’s possible that one hand-carved wooden train set, an Indian rubber ball, a library card, and a healthy imagination is all any boy needs to get through childhood. (If you have a daughter, simply substitute a baby doll and skipping rope for the train set and ball. Oh, and the library card, too. Girls don’t need to read.) But it’s not 1934 and I’m not planning to move to the heartland and start homeschooling. My kid will have toys, lots of toys, maybe even more than I did. (But my generation will be hard to beat.) And after a scant year and a half I can already tell that many of those toys will not have my express approval. There will be blinking and beeping toys, squishy and smelly toys, glow in the dark toys and, I supose, even video games. Need them or not, want them or not, they will be there.

These recalls do remind us, though, that our world is not bubble-wrapped. (And even if it were, that’s a suffocation hazard.) Our safety conscious, hygiene obsessed, health and well-being oriented society is buoyed by a delusive trust in science and technology. We really believe that the answers are there to be found and that we can guarantee our children’s safety with enough research and the right gadgets. The right diet can prevent cancer and diabetes and heart disease and the right car seat will protect our babies. So it is good to re-examine those assumptions every so often and recognize their limits.

We should, nonetheless, continue to make every effort to ensure the safety of our children. When Colum takes a bite of crayon, or chews on a board book, or smears finger paint all over his face, it’s nice to know those things are non-toxic. When he wins dollar store prizes at a local fair or gets a new toy from Walmart, I’m not so sure, and that’s a shame. The free market is a ruthless, amoral creature that’s only aim is to increase profit. And while it’s one thing to get what you paid for in terms of aesthetics and durability, no price is cheap enough to entail compromised safety measures. I am planting myself, then, squarely in the “we need better regulation” camp on this one. The Bush administration has announced a planned increase in the funding and power of the Consumer Product Safety Commission. (Critics argue that it’s not nearly enough, though.) It’s high time we had an international regulatory body because even though we can expect corporate responsibility, we cannot count on it.

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