EXPERT VACCINE ADVICE?

[Guest guest]

http://www.immunize.org/askexperts/experts_general.asp

Does this sound a bit DRACONIAN in

places and a lot of minimising risks.

There is lots more in the document

particularly about vaccinating unwell people that seems to be

exposing them to a big insult.

I found most of these as having to give

bad advice by assuming the people it is directed to know nothing

which may or may not be true.

Two bits which are particularly RISKY

are the sections on ALUMINIUM (good one BOB) and the one on MERCURY

which is a mixture of both LIES and BIGGER LIES.

Take the first one which seems to imply

no one gets any vaccines before they have been out in the world a

bit.

The small print says you get the worst

and riskiest vaccine before almost baby draws a breath and often

mom's only sign is a shrieking baby. And further down you see that

permission to INSULT baby doesnt need a parents approval.

As said all DRACONIAN, when in France

the DT at some point in your first 16 years is the TOTAL that a

cautious parent needs to get if you don't want baby pin cushioned with

a mix of NEUROTOXIC elements at a 100 times more than is good for any

one. And COINCIDENTALLY in the first year when 900 000 cases of

babies arrive with bleeding in the brain, eyes and the NERVES are

demyelinated almost before they are myelinated.

Most vaccines are NOW IM or deep into

muscle (hopefully not into bone and separating needle from the

syringe).

But you can see from below this was SC

injected with a small needle under the skin and much safer.

DTP

(NO BRAND NAME) Side Effects Report

#053624DTP

(NO BRAND NAME) vaccine side

effect was

reported on 03/30/1993. Male patient, child 7.4

years of

age, was vaccinated with DTP (NO BRAND NAME). Patient symptoms:

Subcutaneous nodule, Swollen rt arm-described by mom as a knot in the

muscle-some redness & tenderness; taken to MD 2 days p/vax; no tx

given; stated a minor react; NONE . Patient recovered.

I was horrified on the don't bother to check to see if your needle is straight into a vein followed by if you get blood or the vaccine squirts back out (hit bone?), you give another dose. Vaccines into blood are exceptionally dangerous and the expert advice is to leave this to CHANCE.

The tone is to inject EVERYONE with as much stuff as you can, as quick as you can and accept BLINDLY that there are NO RISKS.1 per cent AUTISM et al means NOTHING to these people ably represented by Offit at one point for the state of the art vaccine advice.They really do believe that you can put every vaccine available at one go if you take what is here as the norm.JUST VERY VERY VERY FRIGHTENING and makes that 900 000 figure more and more and more BELIEVABLE (every year).

Why

are vaccines generally not given to infants under 6 weeks of age in

the U.S.?

Mainly

because little safety or efficacy data exist on doses given before 6

weeks of age, and the vaccines aren't licensed for this use. The data

that exist suggest that the response to doses given before 6 weeks is

poor; the response to hepatitis B vaccine is the exception.

When

a 3-month-old infant presents having had no prior immunizations,

would you start the accelerated schedule?

The

accelerated schedule should be used when the child is more than a

month behind schedule, until you get them caught up. You can give the

child the first set of recommended vaccines at age 3 months and then

bring him back at age 4 months and give the second set of

vaccinations. At this point the child will be caught up and can

return to the usual schedule. As long as you observe the minimum

intervals between doses and minimum ages for specific vaccines, this

is fine to do. Once you have them back on schedule, stick with the

recommended ages and intervals on the recommended childhood schedule.

It is also important to educate the parents and talk to them about

the importance of bringing the child in on time.

How

can we quickly determine how to "catch up" children who

have fallen behind on their shots?

As

a general rule, infants or children who are more than 1 month or 1

dose behind schedule should be on an accelerated schedule, which

means the intervals between doses should be reduced to the minimum

allowable. Catch-up schedules for children ages 4 months through 18

years are included with each year's recommended immunization schedule

that is issued by ACIP, AAP, and American Academy of Family

Physicians (AAFP). To obtain a copy, go

tohttp://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm#hcp.

What

is the maximum number of IM or SC doses of vaccines that a child can

receive at a single visit? Is it okay for a child to receive 3 live

vaccines at one visit (e.g., MMR, VAR, and LAIV)?

All

vaccines can be administered at the same visit. There is no limit to

the number of IM or SC injections that can be given at a single

visit. So, an age-appropriate child can get MMR, VAR, and LAIV

vaccines during a single visit. If live parenteral (injected)

vaccines (MMR, VAR, MMRV, zoster, and/or yellow fever) and LAIV are

not administered during the same visit, they should be separated by 4

weeks or more. For details, consult CDC's "General

Recommendations on Immunization"

atwww.cdc.gov/vaccines/pubs/ACIP-list.htm.

What

percentage of vaccine recipients will experience an anaphylactic

reaction?

It

is estimated that for every million doses administered, about one

(~0.0001%) will result in an anaphylactic reaction following

vaccination. With proper screening, most providers who administer

thousands of vaccines in their lifetimes will never see an

anaphylactic reaction.

Do

you need to aspirate before giving a vaccination?

No.

ACIP does not recommend aspiration when administering vaccines

because no data exist to justify the need for this practice. IM

injections are not given in areas where large vessels are present.

Given the size of the needle and the angle at which you inject the

vaccine, it is difficult to cannulate a vessel without rupturing it

and even more difficult to actually deliver the vaccine

intravenously. We are aware of no reports of a vaccine being

administered intravenously and causing harm in the absence of

aspiration.

While

giving an injection, a nurse had blood return in the syringe upon

aspirating. What should she have done with the vaccine?

Although

aspiration is no longer recommended, if you do aspirate and get a

flash of blood, then the procedure is to withdraw the needle and

start over. The syringe, needle, and contaminated dose of vaccine

should be discarded in a sharps container, and a new syringe and

needle should be used to draw up and administer another dose of

vaccine. This is a waste of expensive vaccine that could be avoided

by simply not aspirating.

Why

are some vaccinations given subcutaneously while others must be given

intramuscularly?

In

general, vaccines containing adjuvants (a component that enhances the

antigenic response) are administered IM to avoid irritation,

induration, skin discoloration, inflammation, and granuloma formation

if injected into subcutaneous tissue. This includes most of the

inactivated vaccines, with a few exceptions (e.g., IPV and

pneumococcal vaccines may be given either SC or IM). Vaccine efficacy

may also be reduced if not given by the recommended route.

What

should we do if we give an injection by the wrong route (e.g., IM

instead of SC)?

Vaccines

should always be given by the route recommended by the manufacturer

because data regarding safety and efficacy of alternate routes are

limited. If this does inadvertently happen, ACIP recommends that

vaccines given by the wrong route be counted as valid with two

exceptions: hepatitis B or rabies vaccine given by any route other

than IM should not be counted as valid and should be repeated. This

and other information on vaccine administration is discussed in the

ACIP "General

Recommendations on Immunization".

Where

can I find names of vaccines used outside the U.S.?

Appendix

B of the CDC publication Epidemiology and Prevention of

Vaccine-Preventable Diseases ("The Pink Book") contains a

list of vaccines used outside the U.S. You'll find Appendix B

atwww.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/B/foreign-products-tables.pdf.

Is

a parent signature required for vaccination?

Federal

law does not require parent signatures, but state or local

requirements may apply. Providers should check with their state

immunization program to determine whether additional requirements

exist under state law. For information on state contacts, go

to www.immunize.org/coordinators.

Some

parents are requesting that we space out their infant's vaccinations

because they are concerned that receiving multiple vaccinations at a

single office visit might overwhelm the infant's immune system. What

do you think about using alternative schedules?

Vaccine

recommendations are determined after extensive studies in large

clinical trials. They include studies on how vaccine recipients

respond to multiple vaccines given simultaneously. The overall aim is

to provide early protection for infants and children against

vaccine-preventable diseases that could endanger their health and

life. No scientific evidence exists to support that delaying

vaccinations or separating them into individual antigens is

beneficial for children. Rather, this practice prolongs

susceptibility to disease, which could result in a greater likelihood

of the child becoming sick with a serious or life-threatening

disease. There could also be added expense (e.g., multiple office

visits), additional time off from work for parents, and increased

likelihood that the child will fail to get all necessary

vaccinations.

Many

of my patients are reading The Vaccine Book, in which the author, Dr.

W. Sears, cites studies that he interprets as showing that the

amount of aluminum found in certain vaccines might be unsafe. He

thinks it is better to separate aluminum-containing vaccines, rather

than give them according to the recommended U.S. immunization

schedule. I would love any information you have about this.

Offit, MD, and Charlotte Moser, BS, of the Vaccine Education Center

(VEC) at the Children's Hospital of Philadelphia, published an

article, "The Problem with Dr. Bob's Alternative Vaccine

Schedule," in the January 2009 issue of Pediatrics. It includes

a section about aluminum. You can read it in its entirety

athttp://pediatrics.aappublications.org/cgi/content/full/123/1/e164.

Here

are some additional sources of related information:

Here

are two sources of related information:

"Aluminum

in Vaccines: What you should know" is available from VEC

at www.chop.edu/export/download/pdfs/articles/vaccine-education-center/aluminum.pdf.

"Vaccine

Ingredients: What you should know" is available from VEC

at www.chop.edu/export/download/pdfs/articles/vaccine-education-center/vaccine-ingredients.pdf.

Does

the thimerosal in some of the injectable influenza vaccines pose a

risk?

Thimerosal,

a very effective preservative, has been used to prevent bacterial

contamination in vaccine vials for more than 50 years. It contains a

type of mercury known as ethylmercury, which is different from the

type of mercury found in fish and seafood (methylmercury). At very

high levels, methylmercury can be toxic to people, especially to the

neurological development of infants.

In

recent years, several large scientific studies have determined that

thimerosal in vaccines does not lead to neurologic problems, such as

autism. Nonetheless, because we generally try to reduce people's

exposure to mercury if at all possible, vaccine manufacturers have

voluntarily changed their production methods to produce vaccines that

are now free of thimerosal or have only trace amounts. They have done

this because it is possible to do, not because there was any evidence

that the thimerosal was harmful.

Why

aren't people in the United States vaccinated with BCG?

BCG

vaccine is used in countries of high endemicity to help prevent

tuberculosis disease. A more effective strategy for the prevention of

tuberculosis in countries where the endemicity is low is to identify

infected people through tuberculin skin test screening, and eliminate

the infection with antituberculous drugs. This is the strategy used

in the United States.