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Don’t Forget To Add This To Your Back-to-School Checklist

 

This post was developed in association with the Ontario Ministry of Health and Long-Term Care. The opinions of the author are her own.

Vaccines Up To Date

The school year was already in full swing when I got the letter. I almost ignored it at first, tossing it onto the stack of mail piling up in the front hall. You know the one. It’s next to the pile of shoes, jackets and hats; across the room from Lego mountain; and down the hall from the pile of school forms yet to be signed.

But the official-looking envelope caught my eye and I opened it. It said that my daughter was behind on her shots and would be expelled from school if we didn’t get caught up asap. What? I have always been steadfastly and vocally in favour of vaccinating my children. How did this happen?

So my first reaction was that there was some sort of mistake. Obviously.

Pshaw. My kids have had all their shots. This is just some sort of mix-up.

I would just need to dig up that yellow vaccination record to clear it all up. Easy peasy. So easy, in fact, that I can safely put it off to do later, you know, when I get around to it.

Ahem. So eventually I got a second letter that was basically all, like, we already warned you so now we are for real going to kick your kid out of school if you don’t prove her shots are up to date by this specific date in the very near future.

Oops.

So I went down to my basement office and found the vaccination records of all three kids and realized that I hadn’t bothered bringing them in to get updated by the doctor for several years. They were no help at all.

I called the doctor’s office and was able to get my daughter’s actual record emailed to me. I cross checked it against the shots she was supposed to have received and discovered that she really was missing one. I was actually shocked.

As it turns out, that particular shot had only recently been made mandatory and had somehow slipped through the cracks. Perhaps if I had been bringing in my yellow card for regular updating, my doctor would have noticed. But let’s not point fingers!

In the end, I managed to squeeze in an appointment to get the shot before the quickly approaching deadline and had the doctor update all three of my kids’ vaccination records while we were there. Then I hopped online and updated the public health records and all was right with the world.

Well, I could still use some help with the piles of stuff in the front hall, truth be told.

BUT THE GOOD NEWS IS YOU CAN LEARN FROM MY MISTAKES.

Scheduling regular check ups and making sure our vaccination records are up-to-date is now part of my back-to-school routine. Add it to your own checklist and cross another worry off your list. This Ontario vaccination schedule is super helpful for keeping track of your kids’ Immunizations.

This post was developed in association with the Ontario Ministry of Health and Long-Term Care. The opinions of the author are her own.

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Autism is only one small part of the anti-vaccination story. It’s time we looked past it.

more to anti-vax movement than autism
Photo credit via Flickr cc license.

This is not a post about the relative merits of vaccinating versus not vaccinating your children. That question is not up for debate.

Throughout history, populations have been decimated by new viruses introduced by explorers and settlers from abroad. Entire tribes of Native people were wiped out after European contact with the Americas. And even where exposure to a disease had already been established, epidemic viral outbreaks continued to wreak havoc on large numbers of people throughout the world.

Wouldn’t it be wonderful if we could somehow protect ourselves? Somehow build up immunity against those viruses without actually contracting them? If only there were some sort of shot that could magically protect us from the ravages of disease.

It turns out that we didn’t need magic because we have science. Vaccines have worked to prevent the spread of disease wherever they have been widely adopted. They have worked so well, in fact, that many of the diseases we are immunized against haven’t been seen for generations.

As medical science continued to develop more and better vaccines, parents happily vaccinated their children against more and more illnesses. Until now.

* * *

Suddenly, within the past 10 or 15 years, vaccination rates steadily began to drop.

Don’t get me wrong; there have always been outliers. There are religious communities like the Amish and Christian Science that largely don’t believe in vaccines or modern medicine. There are other fringe communities and individuals who are distrustful of the establishment in general and opt out of standard medical treatment like vaccines for various reasons.

But that’s not what we’re talking about. We’re talking about a significant number of mainstream parents, many of whom are well-educated, who decided to either forego or significantly delay vaccinating their children. (These parents may be into “alternative” health practices and lifestyles, but they live in urban centres, hold down jobs and send their kids to public schools. They are alternative like Nirvana was alternative.)

I want to know why.

The prevailing theory is that a widely publicized (and since discredited) study that was published by the prestigious medical journal, The Lancet, linked the MMR vaccine (measles, mumps and rubella) to autism and caused widespread fear and distrust of that vaccine and vaccines in general. This is also the Jenny McCarthy theory of vaccine denial since she was an early advocate of the so-called link between vaccines and autism.

But I’m not so sure. Certainly, the suggestion that vaccines could trigger autism in some people gave many parents pause. And I can absolutely understand how a parent who has a child who suddenly begins to show symptoms of autism after receiving a vaccination could want to believe that theory. Still, I’ve known enough people who haven’t vaccinated their children to wonder if that wasn’t an oversimplification.

The autism theory, in other words, is one part of the story, but I think there’s more to it than that.

I think the rising popularity of natural childbirth throughout the ’90s and 2000s fostered distrust of the medical establishment and, at the same time, sowed the idea that we should be the ones making medical choices for ourselves and our children — and all those choices should be equally respected. The internet further facilitated the democratization of medicine as every lay man and woman decided they could interpret the science for themselves, thankyouverymuch. And, finally, I think the medical establishment itself was extremely slow to respond to these sea changes in a meaningful way.

* * *

Continue reading “Autism is only one small part of the anti-vaccination story. It’s time we looked past it.”
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We’ve got measles. Now what?

sick baby

We’ve got measles. The collective we, I mean. Nobody in my actual family has contracted the disease, thank goodness. But the latest in a string of localized outbreaks across the country is in the Toronto suburb of Mississauga, and that’s close enough to get my attention.

The measles vaccine became available in 1963 and by 1998 Canada had officially eliminated measles. 400,000 children in Canada alone used to get measles every year and 75 of those would die from it. It’s a highly contagious virus that begins with flu-like symptoms and develops into a rash and dangerously high fever. Complications arising from measles can include an ear infection, bronchitis, laryngitis, croup, pneumonia, encephalitis, pregnancy loss or low platelet count. There is no treatment for an established case of the measles. We can only prevent it through vaccinations.

So you know where there is going.

Continue reading “We’ve got measles. Now what?”
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5000 Reasons (and Counting) To Get Your H1N1 Vaccine

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
Wired, “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.)

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Why Some Parents Choose To Not Vaccinate

It used to be that doctors prescribed the medicine and we gratefully took it. No questions asked. Modern medicine had been able to treat and prevent so many diseases, to save so many lives, and doctors were given unquestioning authority by the majority of people.

Welcome to the information age. Magazines, newspapers, t.v. and now the internet report on all the latest medical news and the general population now knows about every new study, each inconsistency and all the dissenting opinions. We know about how the medical establishment let us down by over-prescribing antibiotics and ushering in the age of super bugs. (Though it was us begging our doctors for something to treat this sore throat.) We know about the many flip-flops of opinions about diet and nutrition. (But we still lock onto the latest tidbit of information as though it were gospel. Trans fats bad for you? Ban them! Blueberries good? Eat them by the bushel.) We know that formula was good but now it’s bad and that babies should be put to sleep on their tummies, er, sides … what’s that? Backs. Yes, for sure backs.

Continue reading “Why Some Parents Choose To Not Vaccinate”