Vaccination - Pros and Cons

[Guest guest]

Hi Emmanuel & All,

 

Emmanuel wrote:

> I've noticed that pediatricians tend to wait, like Yehuda, to some

> point past 2 years of age to immunize their own children.

 

Yes, some do that. However, see:

http://pediatrics.aappublications.org/cgi/content/full/116/5/e623

 

It concludes: " 93% of the surveyed physicians agree with the current

official vaccination recommendations and would apply them to their

own children. However, the observation that 5% of nonpediatricians

would not use Haemophilus influenzae type b vaccine if they had a

child born in 2004 is unexpected and concerning. In contrast, both

groups [pediatricians and nonpediatricians] gave additional vaccines

than those recommended to their own children. Among physicians in

Switzerland interested in immunization, a significant proportion of

nonpediatricians decline or delay the immunization of their own

children with the recommended MMR- or DTP-based combination vaccines,

which indicates that clarification of misconceptions such as fear of

" immune overload " has not yet reached important targets among health

care providers who thus are unlikely to answer parental concerns

adequately. "

 

> I love the study of immunology, anaphylaxis, and the paradigms of

> endogenous recovery from imbalance.

 

Emmanuel, from your background training and personal experiences,

what is YOUR.view on vaccination of the children of your loved ones?

 

See this:

 

Commun Dis Intell. 2008 Jun;32 Suppl:S2-67.|Vaccine preventable

diseases and vaccination coverage in Aboriginal and Torres Strait

Islander people, Australia 2003 to 2006.|Menzies R, Turnour C, Chiu

C, McIntyre P.|National Centre for Immunisation Research and

Surveillance of Vaccine Preventable Diseases, Australia.|This, the

second report on vaccine preventable diseases and vaccination

coverage in Aboriginal and Torres Strait Islander people, brings

together the relevant sources of routinely collected data on vaccine

preventable diseases - notifications, hospitalisations, deaths, and

childhood and adult vaccination coverage. As a result of continued

improvements in the collection of data on Indigenous status, this

second report is considerably more comprehensive, with data available

from more jurisdictions, and more detailed presentation, including

time trends and vaccination coverage by jurisdiction. Vaccination

coverage data provide evidence of successful program delivery and

highlight some areas for improvement. For universally funded vaccines

in children, coverage is similar in Indigenous and non-Indigenous

children by 24 months of age. However, delayed vaccination is more

common in Indigenous children, with 6-8% fewer children fully

vaccinated at 12 months of age. More timely vaccination, particularly

within the first 6 months of life, is particularly important in

reducing the disproportionate burdens of disease due to pertussis and

Haemophilus influenzae type b (Hib). For vaccination programs

targeted specifically at Aboriginal and Torres Strait Islander

children and adults, coverage is substantially lower than for those

programs targeted at all Australians. This is true for hepatitis A

and polysaccharide pneumococcal vaccine for children, and influenza

and polysaccharide pneumococcal vaccine for adults. Targeted

vaccination programs present a particular challenge for health

services in urban areas. Nevertheless, the impact of vaccination

programs in preventing disease and reducing the disparity of disease

burden between Aboriginal and Torres Strait Islander and non-

Indigenous people has been substantial. This is evident in data on

notifications, hospitalisations and deaths. Diseases which, in the

past, have had devastating and often disproportionately high impact

on Indigenous people, such as diphtheria, measles, poliomyelitis,

smallpox and tetanus, are now completely or almost completely absent

from Australia. Hepatitis B infection, another disease responsible

for high levels of infection and substantial serious illness and

death in the pre-vaccine era, is also now well controlled in age

groups eligible for vaccination. Although invasive Hib disease is now

rare in Australia since the introduction of vaccination in 1993,

higher rates of disease persist in Aboriginal and Torres Strait

Islander children. More research is needed into the contribution of

environmental factors, delayed vaccination and vaccine failure to

this continued disparity. Hepatitis A has disproportionately affected

Aboriginal and Torres Strait Islander children in the past.

Vaccination programs in north Queensland and in various other

countries have been very successful in reducing the burden of

hepatitis A. It is too early to assess the impact of the vaccination

program for Aboriginal and Torres Strait Islander children that

commenced in regions outside north Queensland in November 2005. For

some other diseases the situation is more complicated. The

substantial impact of the national meningococcal C vaccination

program since 2003 is evident in this report, although the higher

proportion of non-vaccine preventable serotype B disease in

Aboriginal and Torres Strait Islander people underlines the need for

a new vaccine to cover this serotype. Pneumonia remains the most

important communicable disease contributor to premature mortality in

Aboriginal and Torres Strait Islander people of all ages. In young

Indigenous adults, the eightfold higher rate of hospitalisation

compared with their non-Indigenous peers, and the 11-fold higher rate

of invasive pneumococcal disease, suggest the need for more

widespread use of influenza and pneumococcal vaccines in this age

group. Current coverage for Indigenous 15-49 year olds, where

influenza and pneumococcal vaccines are funded only for those with

risk factors, is low even though some 70% of this age group have one

or more risk factors. Overall, the data provide powerful evidence for

the impact of vaccines in reducing disease in Aboriginal and Torres

Strait Islander people, and also point to areas for further

improvement. Immunisation programs are an example of how preventive

health programs in general can be enhanced to close the gap in

morbidity and mortality between Indigenous and non-Indigenous

Australians.|PMID: 18711998 [PubMed - indexed for MEDLINE]

 

Gust D, Weber D, Weintraub E, Kennedy A, Soud F, Burns A.|Physicians

who do and do not recommend children get all vaccinations.|J Health

Commun. 2008 Sep;13(6):573-82.|Immunization Services Division,

National Center for Immunizations and Respiratory Diseases, Centers

for Disease Control and Prevention, Atlanta, Georgia 30333, USA.

dgg6|The objectives of this study were to determine (1) the

proportion of physicians who do and do not recommend that children

receive all available vaccines and (2) physician characteristics,

attitudes, and behaviors associated with not recommending children

receive all vaccines. A self-administered, cross-sectional electronic

survey of physicians was conducted in 2005. Analyses were restricted

to pediatricians (n = 250) and family practitioners (n = 484) who

indicated they see at least five pediatric patients per week. A total

of 1,935 surveys were distributed, and 1,251 (65%) physicians

responded. 11% of the physicians included in the analysis did not

recommend to parents that children receive all available vaccines.

Compared with physicians who recommended all vaccines for children,

physicians who did not were more likely to be family practitioners

versus pediatricians (OR = 2.9, CI = 1.4-5.8), agree or be neutral

versus disagree that they have some concerns about childhood

immunization safety (OR = 3.1, CI = 1.8-5.2), and have <or= 3 versus

>or= 8 physicians in their practice (OR = 2.0, CI = 1.1-3.7). We

conclude that physician characteristics and concerns about childhood

immunizations are associated with not recommending all childhood

vaccines.|PMID: 18726813 [PubMed - indexed for MEDLINE]

 

Best regards,

 

[Guest guest]

Phil i am sure these reports are done by the great international

conspiracy project

 

 

 

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