Anti-science quacks find success in Maine in their fight against health and vaccines

Vaccine rates for young people entering school has been declining in recent years:

The rate of unvaccinated kindergartners in Maine continues to climb and is now the fifth highest in the nation, according to a U.S. Centers for Disease Control and Prevention report released Friday.

The percentage of Maine parents voluntarily opting out of vaccines for their children is alarming state public health officials who have been working to bolster immunization.

Nearly 800 public school kindergartners in Maine started the 2013-14 school year without receiving the required vaccinations for diseases such as whooping cough and measles because their parents opted not to immunize. That represents 5.2 percent of all kindergartners in the state, up from 3.9 percent the previous year.

This is in large part due to the anti-vax movement that has been steadily gaining ground since the 90’s. Indeed, although disgraced British doctor Andrew Wakefield had his 1998 study linking vaccines and autism debunked – no one ever reproduced his results, and it was no wonder since he outright made them up – he remains a hero of the anti-vax crowd.

One of the more favored canards of anti-vax quacks is to call herd immunity a myth. Do a quick search and one is liable to find any given quack claiming that herd immunity makes no difference to the health of a state. I recall reading some random anti-vax nobody argue that because vaccines are between 60-80% effective, even with 100% compliance, we could still see an epidemic. Of course, while he spoke of vaccines at-large in an intentionally general sense, he actually linked to CDC statistics on the flu vaccine. I guess it was a coincidence that he found it inconvenient to tell his readers that he was talking about one specific vaccine, huh? So is the high bar set by quacks.

At any rate, for herd immunity to be effective, there needs to be about a 95% vaccination rate. Of course, 100% would be the ideal because we’re talking about saving human lives, but with all the anti-government and anti-science kooks out there, 95% is actually a very achievable number that allows for some bumper space. Unfortunately, sometimes we see areas that fall well below that bumper space. For instance, when vaccine rates for whooping cough fell to 91% in California, communities there saw an outbreak in the disease. Thousands got sick and at least 10 infants died. What makes this all the more heart-breaking is that these infants were too young to be vaccinated, meaning they relied upon the herd immunity around them to remain safe. Anti-vax parents and the quacks they trust are at fault for these deaths. Frighteningly, Maine is on a similar path.

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Get vaccinated

It never ceases to amaze me just how many anti-vax people there are out there. Every time I bring up the topic it isn’t the pro-vaccine people who come out in support. No, instead it’s almost exclusively the anti-vax quacks. I suppose the same thing happens with circumcision, 9/11, and a history of Obama’s life: the anti-circumcision crowd, truthers, and birthers are going to immediately overwhelm the discussion. But even with this massive selection bias, the sheer number of nuts out there is incredible. I suspect to see as much regarding this post, should it garner a response at all. However, as a decent human being with a little bit of knowledge, I feel duty-bound to present a few vaccine facts.

Vaccines are incredibly safe. This is true of all vaccines, but especially of the flu vaccine. The most likely side effects anyone is going to suffer are mild soreness or a low grade fever. A study from about 10 years ago did find that one version of the swine flu vaccine from the mid-70’s was associated with a tiny increase in Guillain-Barré syndrome, but correlation is not causation. No one knows why there was such an association, but for this reason those with a history of the syndrome are cautioned and should speak with their doctor to assess their exact situation. Also, those with severe egg allergies are cautioned, plus those who are currently sick with one thing or another should wait.

Vaccines change each year because of evolution. From time to time I’ll hear an objection to the fact that the flu vaccine is different each year. Why, the argument seems to go, scientists are just guessing. That’s not true. While they are making an educated guess, it’s more than just throwing up a prayer and hoping they get it right. Each year’s vaccine is based upon the most recent research and information available. This is necessary because of the speed of a virus’ evolution.

Everyone over 6 months old should get vaccinated. This, of course, takes into account the caveats I’ve already presented, but for the vast majority of people, vaccination is recommended. Vaccines save lives, and if that’s not important enough to you for some crazy reason, they also save money by cutting down on sick days.

The flu vaccine is effective. Exactly how effective the flu vaccine is will vary from year to year, as well as from age group to age group. A person’s overall health is also a factor. In general, though, the vaccine’s effectiveness ranges from 50-80%. The most common (and most annoying) ‘counter’ to this is to look at absolute risk reduction. A person who does this is usually either a quack or has gathered information from a quack. It isn’t that absolute risk reduction is invalid. It’s a perfectly good way to understand how wide-spread a disease or sickness is and how our health policies are dealing with it. For the flu vaccine, the actual reduction in risk is about 1.5%. That sounds miniscule, but we can make a lot of things sound miniscule. What’s happening here is we’re looking at the total population and calculating the number who would get the flu without any vaccine. That’s a very small percentage. Then we’re looking at how likely it is that of the percentage that actually gets vaccinated is going to not get the flu as a result. Again, this is useful. However, when presented in the context of this discussion, it isn’t useful. It would be as if someone argued that since the absolute risk of contracting HIV in Tanzania is very low over, say, intercourse with 5 different partners, the 97-99% effectiveness of condoms is moot. Why, who needs condoms? You probably won’t contract it anyway! Pshaw.

Vaccines, not sanitation, have eradicated or nearly eradicated disease. While it’s obviously true that increased bathing, hand washing, and better filtered water have made us healthier and less likely to contract various diseases, these alone cannot get rid of disease. Smallpox has been eradicated for over 30 years now because of vaccines, not because more people than ever are buying bars of Irish Spring soap. Polio is nearly eradicated because of vaccines; India was recently declared polio free – that isn’t a country exactly known for its impeccable sanitation practices. Yellow fever persists because so many people go unvaccinated (even though the vaccine is 99% effective), and no amount of sanitation is going to change how many people die from it each year since its primary vector is the mosquito.

There are far more thorough sources out there that have vaccine facts covered in much better detail than I have here, so this is far enough for me. I simply wanted to address some of the issues that bother me the most about the vaccine misinformation floating about. For nearly every single person, vaccination is the smart option. The caveats are small and specific, the side effects minor and manageable. Get vaccinated.

New warning labels for junk alt-med vaccines

The alt-med crowd is notoriously anti-vaccine despite the high level of safety of vaccines – even despite how many lives vaccines save every year. Real medicine being so effective against what were once devastating, wide-spread diseases just doesn’t fit the alt-med narrative. Yet does that stop them from peddling their own ‘vaccines’? Of course not. And would you believe it? Their vaccines aren’t even effective:

Health Canada is cracking down on the sale of so-called homeopathic vaccines that are falsely promoted by some naturopaths and homeopaths as safer and more effective than traditional vaccines.

The department has altered the document that outlines how homeopathic vaccines should be used, saying they must now contain the following warning: “This product is not intended to be an alternative to vaccination.” The document, called a product monograph, was updated June 24, one month after The Globe and Mail published a story outlining the concerns with homeopathic vaccines.

“We’re very glad … they’ve taken this step,” said Jamie Williams, executive director of Bad Science Watch, a Canadian advocacy organization that led a campaign against homeopathic vaccines. “We feel that it will be a help to consumers who might not have been getting the full information to make a more informed health choice before this.”

But what’s in these so-called vaccines, you ask? Well, ultimately nothing. But they made sure to take a gross path to that nothing:

Homeopathic vaccines, also known as nosodes, are made from infected saliva, feces or other material. The substance is mixed with alcohol and diluted until it is harmless, according to the homeopathic and naturopathic practitioners who sell the products. They say nosodes produce an immune response and that research shows it protects as well, if not better, than traditional vaccines.

In other words, they disinfect some feces or spit before essentially filtering it back to water. Anyone looking to imbibe this malarkey would be better off spitting into their Brita water filter and drinking the purified water that comes out. At least then they would have a water filter in addition to having wasted their time. And as for what research shows? It’s a lie. People who promote this sort of quackery cite poorly done studies with a tiny number of participants; the studies are never replicated and they never appear in any journal with any dignity. It’s all agenda-driven drivel that, in the end, makes the homeopath a butt-load of undue money. Take this advice from Jamie Williams, executive director of Bad Science Watch:

“Do not listen to somebody in a health store who’s trying to sell you $30 worth of sugar pills,” he said.

Marty Soule is a good person

It always makes me feel good when I see people promoting smart ideas:

The March 13 letter to the editor warning about not supporting Planned Parenthood because it offers the Gardasil vaccine would have wide-reaching effects if the warning were followed.

One would need to avoid all pediatric and family medicine practices; all physicians, nurse practitioners, physician assistants and nurses; the American Academy of Pediatrics, and the U.S. Centers for Disease Control.

The reason that health-care providers support the use of Gardasil and other vaccines is that they help to protect our children from terrible diseases. Immunizations given early in life allow our immune system to prepare so that it can protect us from disease later in life.

Gardasil helps to prevent cervical cancer. A friend of mine died of cervical cancer several years ago. I want to do what I can to protect others from that same fate.

Marty Soule

Readfield

Well done, Marty.

An elaborate fraud

Andrew Wakefield is the disgraced research who claimed to have found a link between vaccines and autism in a 1998 study. This resulted in many deaths, increased illness, and his removal from the medical register in the U.K. Now a little investigative journalism has found that Wakefield outright made up a lot of his data.

A new examination found, by comparing the reported diagnoses in the paper to hospital records, that Wakefield and colleagues altered facts about patients in their study.

The analysis, by British journalist Brian Deer, found that despite the claim in Wakefield’s paper that the 12 children studied were normal until they had the MMR shot, five had previously documented developmental problems. Deer also found that all the cases were somehow misrepresented when he compared data from medical records and the children’s parents.

And then children died because of Andrew Wakefield. I wonder when the public will get an apology from the media for promoting this pure horseshit? I’m not holding my breath.

In an accompanying editorial, BMJ editor Fiona Godlee and colleagues called Wakefield’s study “an elaborate fraud.” They said Wakefield’s work in other journals should be examined to see if it should be retracted.

I only include this because I had a different original source, so I hadn’t read this part of the article when I made the title to this post. I guess it’s just the most accurate way of describing the work of Andrew Wakefield.

Update: via PZ, watch Anderson Cooper engage in some responsible journalism by not letting Wakefield off the hook.

Real medical professionals: Flu season is picking up

So get vaccinated.

Flu season appears to be picking up.

The Centers for Disease Control and Prevention says five states had widespread reports of flu last week, up from zero two weeks earlier.

A CDC report released Thursday says four of the states were in the South — Alabama, Mississippi, Georgia and Virginia. The other was New York.

The report also says that tests of about 120 virus samples show the circulating flu strains seem to be well-matched to this season’s flu vaccine.

Health officials say an estimated 23,600 flu-related deaths occur each year.

(Emphasis mine.)

I think we can add a few to that number thanks to the irresponsibility of the anti-vax crowd.