In light of recent outbreaks of measles and other vaccine preventable illnesses, and the refusal of anti-vaccination advocates to acknowledge the problem, I thought it was past time for this post.
They say that measles isn't a deadly disease.
But It is.
They say that chickenpox isn't that big of a deal.
But It can be.
They say that the flu isn't dangerous.
But It is.
They say that whooping cough isn't so bad for kids to get.
But It is.
They say that vaccines aren't that effective at preventing disease.
But 3 million children's lives are saved every year by vaccination, and 2 million die every year from vaccine-preventable illnesses.
They say that "natural infection" is better than vaccination.
But they're wrong.
They say that vaccines haven't been rigorously tested for safety.
But vaccines are subjected to a higher level of scrutiny than any other medicine. For example, this study tested the safety and effectiveness of the pneumococcal vaccine in more than 37,868 children.
They will say that doctors won't admit there are any side effects to vaccines.
But the side effects are well known, and except in very rare cases quite mild.
They say that the MMR vaccine causes autism.
It doesn't. (The question of whether vaccines cause autism has been investigated in study after study, and they all show overwhelming evidence that they don't.)
They say that the aluminum in vaccines (an adjuvant, or component of the vaccine designed to enhance the body's immune response) is harmful to children.
But children consume more aluminum in natural breast milk than they do in vaccines, and far higher levels of aluminum are needed to cause harm.
They say that the Vaccine Adverse Events Reporting System (and/or the "vaccine court") proves that vaccines are harmful.
They say that if other people's children are vaccinated, there's no need for their children to get vaccinated.
This is one of the most despicable arguments I've ever heard. First of all, vaccines aren't always 100 percent effective, so it is possible for a vaccinated child to still become infected if exposed to a disease. Worse, there are some people who can't receive vaccinations, because they are immune deficient, or because they are allergic to some component. Those people depend upon herd immunity to protect them. People who choose not to vaccinate their children against infectious diseases are putting not only their own children at risk, but also other people's children.
They say that 'natural', 'alternative' remedies are better than science-based medicine. They aren't.
The truth is that vaccines are one of our greatest public health achievements, and one of the most important things you can do to protect your child.
I can predict exactly the sort of response I will be getting from the anti-vaccine activists. Because they can't argue effectively against the overwhelming scientific evidence about vaccines, they will say that I work for Big Pharma. (I don't and never have). They will say that I'm not a scientist (I am), and that I'm an "Agent 666" (I don't know what that is, but I'm pretty sure that I'm not one).
None of these things are true, but they are the reflexive response by the anti-vaccine activists because they have no facts to back up their position. On some level, deep down, they must understand this, and are afraid of the implications, so they attack the messenger.
Why are they lying to you? Some are doing it for profit, trying to sell their alternative remedies by making you afraid of science-based medicine. I'm sure that many others within the anti-vaccine movement have genuinely good intentions, and do honestly believe that vaccines are harmful. But as a certain astrophysicist recently said "The good thing about science is that it's true whether or not you believe in it." In the case of vaccine truthers, this is not a good thing. Good intentions will not prevent microbes from infecting and harming people, and the message that vaccines are dangerous is having dire consequences. There are outbreaks of vaccine-preventable illnesses now throughout the United States because of unvaccinated children.
In only one respect is my message the same as the anti-vaccine activists: Educate yourself. But while they mean "Read all these websites that support our position," I suggest you should learn what the scientific community says. Learn how the immune system works. Go read about the history of disease before vaccines, and talk to older people who grew up when polio, measles, and other diseases couldn't be prevented. Go read about how vaccines are developed, and how they work. Read about Andrew Wakefield, and how his paper that claimed a link between the MMR vaccine and autism has been withdrawn, and his medical license has been revoked. Read the numerous, huge studies that have explicitly examined whether autism is caused by the vaccine...and found nothing. (While you're at it, read about the ongoing research to determine what IS the cause -- or causes -- of autism, which is not helped by people continuing to insist that vaccines cause it).
That may seem like a lot of work, and scientific papers can seem intimidating to read. But reading scientific articles is a skill that can be mastered. Here's a great resource for evaluating medical information on the internet, and I wrote a guide for non-scientists on how to read and understand the scientific literature. You owe it to your children, and to yourself, to thoroughly investigate the issue. Don't rely on what some stranger on the internet says (not even me!). Read the scientific studies that I linked to in this post for yourself, and talk to your pediatricians. Despite what the anti-vaccine community is telling you, you don't need to be afraid of the vaccines. You should instead be afraid of what happens without them.
This video is an outstanding summary of many of these issues. I encourage you to watch it.
Humans try to make sense of the world by seeing patterns. When they see a disease or condition that tends to appear around the time a child is a year or so old, as autism does, and that is also the age that kids get particular shots, they want to put those things together. Parents watch kids more carefully after they get shots. Sometimes they pick up on symptoms then. Just because two things happen at the same time doesn't mean that one caused the other. This is why we need careful scientific studies.
This post originally appeared on the author's personal blog. Click here to participate in more discussion about it.
According to new national figures released in November, the preterm birth rate in the United States dropped for a seventh consecutive year, to a 17-year low of 11.4 percent of all births in 2013. (Though the report was released in 2014, the figures are for the previous year.) Experts with the March of Dimes, which released the report, characterized the results as promising, up to a point, saying there is still much work to be done at a public health level. The report emphasizes that while many risk factors for preterm birth are unknown or outside of parents' control, efforts to change modifiable risk factors, such as smoking during pregnancy, have made a measurable difference in outcomes.
A study published in the journal Pediatrics in July, which investigated the factors linked to sleep related deaths in babies, found that "bed-sharing" (i.e., an infant sleeping on the same surface as another person or pet) was the top risk factor for those age 4 months or younger. In older babies -- those between 4 months and 1 year -- rolling onto objects in the sleep environment, such as a blanket or pillow, was the top risk factor linked to death. It is important to note, however, that the study looked only at correlations; it did not establish cause and effect.
Despite known concerns over the safety of objects in the sleep environment (see finding number 4 in this list), more than half of parents in the U.S. put their babies to bed with blankets or other loose bedding, according to a government report issued in December. As Reuters' Andrew Seaman reported, the percent of parents who put their infants to sleep with loose bedding has dropped since the 1990s. And those who have not adopted the American Academy of Pediatrics' guidelines may be confused by magazine and catalogue images depicting babies in cribs with unnecessary -- and potentially unsafe -- plush blankets and pillows.
A small but startling study published in October, which focused on one Oregon hospital, found that more than 90 percent of moms, dads or caregivers made at least one important error in how they installed their newborn's car seat, or how they positioned the baby within the seat itself when leaving the hospital after birth. The researchers found an average of 4.2 "misuses" per family, while 50 percent of the families who participated in the study made five or more mistakes. Though it was impossible for the researchers to quantify the effect those errors might have, they said the findings clearly highlight the need for improved resources enabling parents to keep their children safe in the car.
Every eight minutes, a child under the age of 6 experiences a medication error when not in the doctor's office or hospital, an October study found. Fortunately, the majority of the errors were not life-threatening, though they were widespread, affecting more than 200,000 children in the United States annually. The rates of errors were highest among children age 1 and younger, suggesting new parents may be particularly susceptible to making medication-related mistakes.
A review released by researchers with the RAND Corporation in July added to the substantial body of evidence supporting the safety of vaccines, finding that serious adverse reactions to 11 common vaccines generally given to children under the age of 6 are rare. (It also found no link between those vaccines and increased risk of Autism Spectrum Disorders.) In an editorial accompanying the report, Dr. Carrie Byington of the University of Utah's Department of Pediatrics, wrote that the findings "should be reassuring to parents of young children and to the clinicians who care for them."
In June, the American Academy of Pediatrics issued its first-ever statement on the promotion of childhood literacy, urging pediatricians to speak with parents about the importance of reading aloud to their kids at visits, just as they would discuss important medical and emotional concerns. The benefits of reading together, the AAP emphasized, go beyond literacy promotion -- reading to children helps nurture them emotionally and strengthens familial bonds.
According to figures released by the Centers for Disease Control and Prevention in March of 2014, 1 in 68 children in the United States have now been diagnosed with an autism spectrum disorder, or ASD. That figure is roughly 30 percent higher than the previous national estimate of 1 in 88 children that was reported in 2012. The reasons behind the increase are not fully understood: Awareness of ASD has increased, which has led to more diagnoses, but experts also believe that certain risk factors may be on the rise.
In a September policy statement, the American Academy of Pediatrics recommended that intrauterine devices (IUDs) and implants -- both reversible, long-acting forms of hormonal contraception -- be the first-line contraceptive option for teenage girls who are sexually active. However, because neither method protects against sexually transmitted infections, condoms should also be used when teens have sex, the AAP urged.
In August, the American Academy of Pediatrics took steps to emphasize the critically important role that sleep plays in teenagers' overall health, pushing for middle schools and high schools to start no earlier than 8:30 a.m. in order to help reduce widespread sleep deprivation and encourage tweens and teens to get the 8.5 to 9.5 hours of nightly sleep recommended for them. (As HuffPost's Rebecca Klein reported, roughly 40 percent of high schools in the U.S. currently start before 8 a.m.)
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