H1N1
PBS interview on H1N1 vaccines and adjuvants
I have been an advocate for vaccine safety for many years. I have been able to influence policy-level change for vaccine safety by my efforts on federal commissions. But this effort is led by all kinds of advocates and we all bring unique strengths to the table. One thing I haven’t had much experience with, mostly by choice, is working with the media. I generally defer media inquiry’s to those who are more of a public voice for our movement. Barbara Loe Fisher, Jenny McCarthy and others have done a magnificent job of raising public awareness.
As I get further into this process I find myself speaking with the press. My most recent opportunity was last week with a correspondent from PBS who works with Jim Lehrer on the News Hour. She wrote a piece focusing on a controversial concern among safety advocates…the potential inclusion of unlicensed adjuvants into vaccines. In order for a vaccine to work, it has to have a substance in it that hyperstimluatesthe immune systems. Egg-culture vaccines usually rely on aluminum to do this. The newest technology are adjuvants. Adjuvants allow for rapid manufacturing of a vaccine using little antigen. The safety profile of adjuvants has yet to be established. The FDA has yet to grant approval for the use of adjuvants in any US product. Additionally, there is some evidence to show that adjuvants were experimented with in the anthrax vaccine and some who believe this is the cause of Gulf War Syndrome. If you are interested in more on that, I suggest reading Vaccine A by Gary Matsumoto.
With the growing demand for the H1N1 vaccine and the limited supply, the concern for safety advocates has been focused on the potential use of unlicensed adjuvants in H1N1. The CDC has stated from the start of the campaign that they would not do this, but as the supply has been slow it’s been a concern. And with H1N1 being declared a national emergency, it would be easy for the government to issue an Emergency Authorization to allow the use of an unlicensed adjvant in the production of the H1N1 vaccine.
Here is the link to the article written by PBS on this topic, which includes statements from my interview with her.
http://www.pbs.org/newshour/updates/health/july-dec09/adjuvants_11-09.html
H1N1: What to do to keep our disabled children safe and healthy?
I try not to use rubysoup as an outlet for just my vaccine beliefs, but H1N1 has been pushed to the forefront of our lives and, ironically, for those of us raising children with disabilities it is of even higher priority. Our children have been identified as a high-risk group for H1N1 and, yet, this is not news to us. In fact, our children are a high-risk group for most viral infections, including the seasonal flu. The underlying medical conditions that most of our children face simply make them more susceptible to catching infection and to having a harder time healing once they have fallen ill. This is not the first, nor will it be the last, winter that we will be super vigilant in keeping Quincy healthy…it’s just part of what we do.
With H1N1 it’s very difficult to know how to separate the hype and hyperbole from the truth. It really doesn’t feel like anyone is being terribly truthful. The CDC clearly has an agenda, which is to achieve herd immunity to H1N1 at whatever cost necessary. The public seems unwilling to have their individual health, or the health of their children, sacrificed to achieve herd immunity…many of us want our individual health to be the priority. The media is using this as a political tool, using this singular topic to either support or rail against our current Administration. It’s interesting and frustrating to watch it all play out, particularly for someone who has spent years working on the issue of vaccine safety in an environment where few really cared. Suddenly, everyone cares, everyone is an expert and everyone has an opinion.
But the ultimate question remains: what to do? I try my best to educate people. You should know if you are a high risk group. You should know that being overweight, having underlying medical conditions or being pregnant makes you high risk. You should read the package insert on any drug or medication you are taking, including vaccines, so you understand the risks. You should see a doctor immediately if you are sick…anti-virals have shown to be somewhat effective. You should practice healthy habits, take your vitamins and exercise. You should consult with a doctor or health care provider that will respect your concerns and decisions and is committed to keeping you healthy.
Recently the American Academy of Pediatrics suggested to their membership that if pediatricians have parents who refused to vaccinate their children they should “fire” them as patients. This is an divisive, ugly, polarizing issue. You absolutely will face criticism for whatever decision you make. You should not be afraid. You should not be bullied into doing something you aren’t comfortable doing. I hope we all get through this winter in good health and if you do get sick, I wish you a speedy recovery. I hope that the winter of 2009-10 goes down in history as nothing more than a huge lesson learned about all the facets of immunization and immunization policy, about individual rights, and about informed consent.
H1N1 shot clinics at all of our Anchorage schools is cause for concern for this parent!
I am sending the following commentary to the Anchorage Daily News, but I have little hope that it will be published. I guess the upside to having your own website is that you can be sure your writing gets published somewhere. Since I’ve labored on this for two days, I figure it’s good enough for rubysoup! 
Earlier this month local news reported that the Anchorage School District would be sending home permission slips for parents to allow their children to receive the H1N1 vaccine at school. Few school districts across the nation have opted to run shot clinics in schools. This decision must raise concern among parents regardless of your position on the vaccine. The most obvious question that comes to my mind is why? Anchorage certainly has plenty of health care facilities, private practitioners and pharmacies that I am sure are all willing to provide access to the H1N1 vaccine and are the obvious choice for medical services for our children. When did the school district become such an expert on our children’s health care?
The concerns about the H1N1 vaccine are valid. If the District intends to administer the nasal spray then they will be giving your children a live virus vaccine. Some hospitals in the Chicago area have declined to have their own health care workers vaccinated with the FluMist because of the small, but very real risk, of actually spreading the virus to sick people. According to Tom Skinner, a spokesman for the CDC, “Theoretically someone who had recently received a FluMist vaccination could spread the virus to someone who was profoundly immunocompromised, such as AIDS patients”. How will a school nurse determine whether or not a person is, or is living with someone who is, immunocompromised? The package insert for FluMist does not recommend use in pregnant women because it can cause “fetal harm or can affect reproduction capacity”. What steps will the District take to assure no pregnant students accidentally receive this vaccine?
If the District does not plan to administer FluMist then they will be using an inactivated flu virus by injection. Each injection will contain 25 micrograms of mercury per dose. Is the District prepared to offer a mercury-free version of the vaccine for those parents who object to having a neurotoxin injected into their children? Are they publicizing the availability of this option? If that is not cause for enough concern, how about the fact that to-date there is no clinical trial data on the safety of either vaccine on pregnant women, children with asthma or on the interaction of this vaccine with other childhood vaccines?
Vaccines are a medical procedure. Patients medical records should be reviewed before giving a vaccine to be sure they are not susceptible to having a reaction. Both types of vaccine, for example, are grown in chicken eggs so anyone with an egg allergy should not be vaccinated. Additionally, any underlying or chronic medical condition should be known and discussed with a practitioner prior to vaccination. Will the District have access to our children’s medical records? Who is making sure that parents are given the opportunity to read and review the Vaccine Information Statement or the product inserts? Who will be recording in our children’s charts the shots they received, the manufacturer, the lot number and any adverse event that may occur? Most of the public is aware that we’ve lost our right to sue the pharmaceutical companies or the government when it comes to vaccines, but what happens if the negligence happens at the point of distribution? Will this become potential liability issue for the District?
By providing free, easy-to-access shot clinics in our schools for the H1N1 vaccine, the District is downplaying the serious, valid concerns about safety and necessity of the H1N1 vaccine. Whether or not to vaccinate yourself or your children against a flu that has proven to be relatively mild for healthy individuals is an important decision that should not be made lightly or because of convenience. The Anchorage School District has no business running shot clinics in our schools. They need to use their time, energy and expertise to educate our children and leave medical interventions in the hands of our primary care physicians.
Important meetings on vaccines and vaccines safety, including the H1N1 vaccine, Sept 15-16 and 17-18
I am heading out early Sunday morning for a week of meetings in DC. The National Vaccine Advisory Commission (NVAC) meeting will be Sept 15-16 in Washington, DC. Pre-registration for those who wish to attend in person closed on Thursday because the conference room was filled to capacity. Up to 500 participants are expect by phone. Because of the unusually high interest (due mostly to the H1N1 vaccine) this meeting will also be webcast. The meeting agenda and webinar information can be found on the National Vaccine Program Office (NVPO) website.
The quarterly meeting of the Advisory Commission on Childhood Vaccines (ACCV) will be held Sept 17-18 in Rockville, MD. Meeting information, including the agenda and call-in info, is supposed to be available at the Vaccine Injury Compensation Program (VCIP) website, although at last check nothing had been posted.
This will be my last meeting as a consumer representative on the ACCV and my first meeting a voting member and consumer representative for NVAC. Consequently, I will be in DC all week. Although I have good intentions of writing on rubysoup, I know the reality is that I won’t have the time. These trips are jammed pack with little to no downtime, so you probably won’t hear from me until the week of Sept. 20.
H1N1 and other fears: the complexity of making serious medical decision for our disabled children
Vaccines are my thing…I think most of my readers know this by now. It is what brought me into the world of disability. God (if there is one) gave me a healthy, perfect daughter. It was a man-made whole cell pertussis vaccine that took her from me and led me down the path I walk today. It was my choice as Quincy’s mother to vaccinate her…to do what I thought was best. It turned out to be a bad decision. I no longer take any decision regarding my children’s health lightly. I have learned the hard way that if there is a risk, and there is always a risk, then that risk can become reality in an instant.
Today we face the amped up threat of H1N1 influenza. We have the CDC and the federal government using intense pressure to have us vaccinate ourselves and our children. There are many theories out there about all this. Here are some facts to ponder: The federal government has spent nearly $2 billion dollars to purchase vaccines from pharmaceutical companies. The vaccines began clinical trials two short weeks ago…when they are offered to the public they will be virtually untested and will have a questionable safety profile. Insurance companies have joined with the federal government in the vaccination campaign. Insurance companies do not make money when they have to pay claims for doctor visits, medication and hospital bills. The H1N1 virus is mild at this point in time, but it does take a stronger hold on those with underlying medical conditions.
So, as parents of children who are medically fragile we must face this threat and make our own decisions. Do we use a vaccine that hasn’t been thoroughly tested? Quincy was given a vaccine that had been on the market for almost two decades and still suffered tragic consequences. Do we refuse the vaccine and risk our children getting ill? Who do we believe?
My advice is this…do your homework and educate yourself as much as you can. One thing you can do is watch what is occurring in the southern hemisphere where it is winter (the flu virus thrives in cold weather, which is why it was mostly dormant in the summer) and see what is being reported. In the age of the Internet it is quite simple to read newspapers from all over the world. Watch the trends in your community. Talk to a doctor or health care professional that you trust. Many health care professionals are voicing concerns about using an untested vaccine and you may be surprised at their advice. Purchase lots of hand soap, Purell and Kleenex and teach your children the importance of washing their hands and avoiding the germs of others as much as possible..
Parents shoulder the burden of their children’s health care decisions and it is an enormous responsibility. You must understand that we do the best we can. You have to forgive yourself if your choice leads to a result that you didn’t expect. We don’t always win. Quincy is living proof of that.
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National Vaccine Information Center (NVIC)
