Graphic of infection,
image 34735824. 123RF stock photographs
NECESSARY VACCINATIONS FOR BOYS AND GIRLS
The HPV vaccination is covered at the end of this Section.
The German Measles (Rubella) Virus is
Making an Alarming Come Back
in Western Europe, and is Endemic in parts of Eastern Europe
There is a requirement of 95% vaccination cover to
give a 'herd immunity' required to stop the disease from spreading.
The Health Service Executive (HSE), which is the National body in Ireland governing the Country's health care, has an Integrated Care Group for Children, and Dr Kevin Kelleher is
on its Steering Group, and is also Assistant National Director for Public and Child Health. Dr Kelleher was interviewed on the subject of Rubella outbreaks in parts of North Dublin and an adjacent County. This
is because around 8 per cent of babies nationally do not get the vaccination, and 13-15 per cent of babies are not vaccinated in North Dublin.
There is no reason to think this profile is not replicated all over the 'Developed World'.
Measles had previously been almost completely eradicated in
the 'Developed World' according to the programme.
Kelleher was asked why there was not full uptake of the vaccination (it is free in Ireland), he said that there is "a very stubborn group of people who are very anti-vaccination" and "who
put out stories" via the internet, media, social media, which put people off having their children vaccinated.
Dr Kelleher told of of his experience of treating babies with measles when he was a young doctor, and ended by stating the following vehemently.
"Let nobody ever think measles is a mild disease. IT
He mentioned the group of people in the population who have not been vaccinated,
especially in the "nadir" years 2001 / 2002.
People who do not have their babies vaccinated at 12 months as part of the MMR, and the booster vaccination when they start school, are not just risking the health and possibly the life of their
babies, but they risk the health and welfare of all who come in contact with their babies and children.
Do you know for certain if you were vaccinated as a child? The age group of approximately 40-35 years and younger, is more likely NOT to have been vaccinated due to the unsubstantiated scare over the three-in-one vaccination causing autism, during that period. The MMR vaccine (Measles, Mumps, Rubella), can be
TAKEN AT ANY AGE if a GP immunity test shows you have no immunity.
The 6-in-1 vaccine protects a baby against six diseases: diphtheria; hepatitis B; haemophilus influenzae
type B (Hib); polio; tetanus and whooping cough.
Visit the above mentioned links for further information, plus the next two Sections.
Digest of the Study
"Common Arguments Against Vaccination,
And The Answers to Them"
by Dr Ramesh Manocha, can be found at the end of this Post.
THE WHOLE COMMUNITY MUST BE CONSIDERED
Of course, your health and that of your children is very important, but so is that of other family members who may be older or frail, most especially pregnant women, and any women you know who may
be planning a pregnancy. Catching RUBELLA in early pregnancy carries a risk of miscarriage.
Nine out of ten babies affected by Rubella in the uterus WILL HAVE major birth defects such
as deafness, blindness, brain damage, or heart disease.
first signs of German Measles are a high temperature and a sniffy nose ~ just like the common cold. In fact, some have no symptoms at all. By the time
the telltale red splodges appear, two to three days in, you have already infected others.
Proximity is enough
to infect another, so being in the same room is sufficient to pick up or spread the infection. If you feel you have the sniffles, do not go out.
PLEASE visit your GP to discuss this and other matters
that affect you as parents / guardians / carers (PGCs) and the infants, children and young people in your life. Please take time to visit www.immunisation.ie for further very important information on immunisation in general. You may not remember if your child received his or her first MMR vaccination
or the booster when he or she started pre-school or at the age of four. You GP should have records of all these vaccinations. If you've moved location or cannot access your children's medical files, a very simple test
will let you know if your children have been vaccinated.
You need to keep up-to-date on what's happening
in the various fields of vaccination.
Pregnant women may need to learn about getting the WHOOPING COUGH (pertussis) vaccination while pregnant to protect the foetus in the
womb and during the first few months of life.
PERTUSSIS is a highly contagious disease that can be life threatening and is most serious in children less than six months of age ~ possibly resulting in hospitalisation
for pneumonia and brain damage.
PLEASE see your GP if you are pregnant, hoping to be pregnant, or working in an environment with women of child bearing years, for their sake and for your own.
PLEASE MEET YOUR GP FOR ADVICE ON DECISIONS REGARDING VACCINATIONS, IMMUNISATIONS, AND ANY POSSIBLY REQUIRED
SUPPLEMENTS TO YOUR DIET.
DUTY OF CARE
Having considered the matter of vaccination and the possible consequences
of contracting any of the illnesses contained by the MMR vaccine (Measles, Mumps, Rubella), plus the duty of care any school or educational establishment has to its employees and students, I have come to believe
it is reasonable for an interview board to ask any potential employee, at interview, if he or she knows if he or she has had the MMR vaccine.
Some people do not know if they had this three-in-one vaccine at a very young age, but a GP immunity test can show if a person
has no immunity.
If a potential employee does not know if he or she has been vaccinated, or knows he or she is not vaccinated, I believe it is the duty of a educational establishment to indicate they WILL EMPLOY STAFF who have been vaccinated with
the MMR vaccine. An adult can have the vaccine from a GP very easily.
Whatever is the personal choice of someone regarding having or not having the MMR vaccine, I have come to believe the COMMON WELFARE of all the staff, students, and their families, in a early education school / Montessori / kindergarten, junior and secondary schools, college or university, MUST OUTWEIGH a
personal choice not to be checked for an immunity test, or not vaccinated, if shown not to have been vaccinated.
I consider no-one can reasonably expect to be employed in a place of work, particularly full of women of child-bearing
years, plus female students without having had the MMR vaccine and, of course, their partners and offspring of male teachers. We each have a societal duty.
This is just the front line of infection defence. The infection could easily be brought home to the family by anyone working in or attending the educational establishment.
WHY HAVE PARENTS STOPPED VACCINATING?
Click, click, click. That is all it takes to fall down the rabbit hole of the anti-vaccine movement that has taken
root on social media.
Just a few taps on Instagram, for
example, and one is taken deep into the realm of ‘anti-vax’ conspiracies, ranging from pseudo-scientific vindications for the disgraced British scientist Andrew
Wakefield's bogus links between the MMR jab and autism in children, to hashtags such as #vaccineskill (with some 18,236 posts), to mocked up images of
youngsters punctured by a barrage of needles.
This is viral content in the most literal sense. The World Health Organisation (WHO) has pinpointed “vaccine hesitancy” as one of the 10 biggest global health threats for 2019.
Similarly, the number of measles infections across Continental Europe tripled to 82,500 in 2018, compared
to the previous year - a surge which killed 72 children and adults.
Recently, Rockland County in New York State took the “extremely unusual” step of banning non-vaccinated children from public places for 30 days, in a bid
to halt an outbreak of measles – a disease declared eradicated from the US in 2000 which has infected at least 153 people in the area since October.
Across the world, the anti-vaccine movement is
drawing together disparate supporters from US President, Donald Trump, who prior to election scatter-gunned numerous anti-vaccine tweets, to Russian trolls, from Hollywoodcelebrities to hipster parents in
the English Home Counties and Orthodox Jewsin London.
Dr Heidi Larson, director of the Vaccine Confidence Project established 10 years ago at the London School of Hygiene and Tropical Medicine, says the sheer scale of the anti-vaccine messages online have become far harder for health professionals to contest.
“These emotions and views don’t start with social media companies
but are amplified by them,” she says. “But as a society we need to think seriously about what we can do because something has broken in a big way.”
The decision to leave a child
unvaccinated, she points out, is not just a threat to them, individually, but also the so-called ‘herd immunity’– the resistance among any given population to a disease.
think it is irresponsible to not vaccinate,” she says, given measles is deadly in one in every thousand cases, while infection can damage the entire immune system and lead to serious complications such as pneumonia and encephalitis (inflammation
of the brain).
Dr Larson believes matters are reaching a point where the British government might need to reconsider its current position of leaving the choice entirely down to parents.
“I wouldn’t wait until there is a crisis,” she says. “If I were in government I would seriously consider putting requirements in place. Going to school, I don’t think
it’s unreasonable to say a child needs to be vaccinated because they put others at risk.”
Religious beliefs are believed to play a role. The number of vaccinated children
living in the ultra-orthodox Charedi Jewish community in Stamford Hill in north London, for example, is estimated to be well under 80 per cent, while Dr Larson says some Muslim communities have also raised concerns about gelatine in some vaccines.
But it is also in affluent areas where parents, inspired by the natural health movement, are choosing not to vaccinate their child.
“The way we live our life is to stay well and really focus on being healthy,”
one mother says. “There are vaccinations now for things that wouldn’t even make a child that ill. I don’t want him to suffer, obviously, but he never gets ill. I really don’t understand this need to protect ourselves
from things that won’t do our child too much harm.”
she is “pro-choice rather than anti-vaccine”, she admits she has been criticised for her approach and lost one friend altogether. Another mother from an affluent area, says she, too, is wary of admitting that she hasn’t vaccinated her
“There’s not enough information out there,” she says. “You’re just told, if you don’t vaccinate your kids they’ll get measles, and you’re a stupid hippy.
You’re chastised by the health system if you don’t do things by the book, in the same way as if you don’t breastfeed. It’s really hard as a parent to navigate.”
the public health community has little time for such arguments. According to Professor Helen Stokes-Lampard, Chair of the Royal College of GPs, “one unvaccinated child is one too many” and
recent measles outbreaks are a sharp reminder of how serious the disease can be.
“We need to cut through the fake news, with evidence-based, easy to understand health advice for patients such as that provided by Public Health England,” she
should feel equipped and confident to challenge any spurious claims they might encounter so that they can make sensible, informed decisions about the long-term health and wellbeing of their children.”
spectre of British doctor Andrew Wakefield, drummed out of the British medical profession for his 1998 paper that made a link between MMR and autism, still looms large over the modern day vaccine info-wars.
Twenty years on, he has rehabilitated his reputation in the US to such an extent that he is in a relationship with supermodel, Elle Macpherson, and has amassed avowed supporters who
fervently believe his (professionally) debunked claims.
Anna Merlan, a US-based journalist and author of a forthcoming book, Republic of Lies, on the
rise of conspiracy theorists in America, has interviewed Wakefield, shadowed him giving talks on a cruise ship and attended a sell-out screening of his documentary, Vaxxed,
in New York.
“He is very charismatic and feeds into long-standing suspicions [in the US],” she says. Whenever asked about his exile from Britain, she says he is “able to skilfully talk about it as a vendetta against him by a medical establishment who felt he was getting too close to the truth”.
In April of this year, Facebook agreed to ban advertisements with anti-vaccination content while Instagram has announced it will also introduce controls.
[The above are excerpts from an article in The Telegraph, 27 March 2019.]
WHY SOME INFECTIOUS DISEASES ARE ON THE RISE WORLDWIDE
WANING IMMUNITY IS NOW A SCIENTIFIC FACT FOR WHOOPING COUGH, MEASLES, MUMPS
Dr Muiris Houston
The Irish Times, 28 April 2019.
Among children who get all doses of DTaP vaccine on schedule, effectiveness is very high within the year following the final
dose – at least nine out of 10 children are fully protected.
Despite having effective vaccines, infectious diseases such as mumps, measles and whooping cough are on the rise
globally. And while false news about vaccine safety – leading to vaccine hesitancy – has undoubtedly played a part, are there other reasons for this unwelcome trend?
The latest figures from the World Health Organisation suggest
there have been a 300 per cent increase in the number of measles cases worldwide in the first three months of 2019.
It noted that many
countries are in the midst of sizeable measles outbreaks, with all regions of the world experiencing sustained rises in cases. Coming on top of sequential increases in measles cases in the previous two years, it is clear
we have a problem with a potentially fatal infectious disease, that – until relatively recently – we thought could be eradicated.
SLOWER TO VACCINATE CHILDREN
Uptake of MMR vaccine in several wealthy areas slides, according to official figures.
Tuesday 27 August 2019, The Irish Times.
Parents in some of the wealthiest parts of the State (Ireland) have been slowest to
have their children vaccinated, unpublished figures show. Uptake of the MMR (measles, mumps, rubella) vaccine among infants in South-east Dublin, Dún
Laoghaire, South County Dublin and east Wicklow was 87 per cent in the first three months of this year, compared with 95 per cent in the Mayo,
Galway and Roscommon area.
The Health Service Executive data, to be communicated
to Community Health Organisation (CHO) areas this month (August 2019), show the lowest uptake of the vaccine between January and
March was in the eastern region of CHO 6, making it most vulnerable to an outbreak of measles or mumps.
The western region of CHO 2 had the highest uptake of the vaccine in the first quarter.
As children and adolescents return to schools and colleges this week the HSE is urging parents to check their children’s
vaccination records and ensure they are up to date.
for MMR have fallen to 91 per cent nationally – from up to 93 per cent in recent years – and are as low as 85 per cent in some parts of the Country.
In some ways we are a victim of our own success in that people don’t hear about cases of measles.
Dr Suzanne Cotter, HSE specialist in public
health medicine, said the “slippage” in recent years was disappointing. “As a Country we need to see a vaccination rate of 95 per cent, to protect the community. These are not just numbers. They
are children and we are talking about children’s lives.”
spokesman for the Irish College of General Practitioners, Dr Liam Twomey, said there had “always been difficulties
convincing parents [immunisation] is important. Parents have lots going on, they let it slip, they forget about it.”
He did not believe anti-vaccination misinformation
had much impact, but suggested “in some ways we are a victim of our own success in that people don’t hear about cases of measles, don’t believe it’s a real danger and so don’t see immunisation as a priority”.
However, when there are outbreaks in areas this “can jolt people out of their complacency”,
he said. Asked about the disparity between uptake rates in different areas, he replied: “Those rates could turn around and next year be completely different.”
Dr Cotter said immune-compromised children who could not tolerate vaccinations depended on their more robust peers to get their vaccinations to protect them. “Parents
have a responsibility to their own children and to the community,” she said.
Symptoms to look out for are irritation, ‘flu-like symptoms, a rash in the case of measles and swelling along the jaw line with mumps. Anyone with such symptoms should stay at home so they do not infect other people.
Adults can avail of the free vaccine with the only charge being their GP administration charge. Children are routinely vaccinated at 12 months, with a booster in Junior
COULD WANING VACCINE IMMUNITY BE ONE OF THE
decades of declining pertussis (whooping cough) and mumps incidence, for example, recent years have seen a resurgence of each disease despite maintenance of high vaccine coverage.
Cases have mainly been among young-adult age groups
For mumps, protection appears to wane over decades, prompting the use of additional doses of vaccine for outbreak control. And doctors are seeing an increasing
number of adults with the interminable “whoop” of whooping cough.
In April of this year, Toronto researcher Dr Jeff Kwong and his colleagues published a study in the journal Vaccine suggesting that the vaccine for pertussis works well at protecting people from the disease during the first decade of life, but that immunity later falls.
seems vaccination is more complex than we might have thought
Pertussis vaccines are effective, but not perfect. They typically offer good levels of protection within the first two years after getting the vaccine, but then protection decreases over time. Public health experts call this “waning immunity”.
Similarly, natural infection may also only protect you for a few years.
When it comes to waning immunity, it seems that the acellular pertussis vaccines (DTaP and Tdap) used now may not protect for as long as the whole-cell vaccine
(DTP) doctors used to use. Whole-cell pertussis vaccines are associated with higher rates of minor and temporary side effects such as fever and pain and swelling at the injection site. Serious neurologic adverse
reactions, including chronic neurological problems, occurred rarely among children who had recently received whole-cell vaccines, prompting the development of the acellular version.
In general, DTaP vaccines are 80 to 90 per cent effective. Among children who get all doses of DTaP on schedule, effectiveness
is very high within the year following the final dose – at least nine out of 10 kids are fully protected. There is a modest decrease in effectiveness in each following year. In the first year after getting
vaccinated with Tdap, it protects about seven out of 10 people who receive it.
About three or four out of 10 people are fully protected four years after getting this version of the whooping cough
vaccine. And receiving the newer (acellular) version of the vaccine was associated with twice the odds of contracting whooping cough compared with those who received the older vaccine when they were infants.
Resurgence in Mumps
Meanwhile, Scottish researchers have found evidence that the resurgence in mumps cases
is due to waning immunity.
They wanted to know why a vaccine-preventable disease is re-emerging in highly vaccinated
In 2015 some 67 per cent
of those infected with mumps in Scotland were fully vaccinated individuals. Most of these cases occurred in adolescents and young adults, in contrast to the pre-vaccine era where outbreaks were among primary school children.
So it seems vaccination is more complex than we might have thought. What was traditionally viewed as a “done and dusted” task for childhood may now need to extend to adult life. With
waning immunity a scientific fact for whooping cough, measles and mumps, booster vaccinations throughout life are likely to become part of future national immunisation programmes in Ireland.
WHY BOYS AS WELL AS GIRLS NEED TO BE VACCINATED FOR HPV
Gender-neutral HPV vaccine can help to eradicate cancers for future generations.
Mon, Aug 26, 2019, The Irish Times.
Wherever you live, you will need to have a conversation in the near future with your early-teenagers, especially boys, about the HPV vaccine, what it helps prevent, and why boys as well as girls should get vaccinated. Most teenage girls are up
to speed but it would be good to check with her also. There appears to be an erroneous notion that HPV vaccination only applies to girls ~ this is so dangerously incorrect.
The HPV vaccine is being launched this September in Ireland. I suggest you prepare yourself with the information in this Section and if you wish to use a search engine, logging into the NHS site gives
one reliable and easily digestible information.
The HPV vaccine is being made available to both boys and girls for the first time in Ireland from September.
This is a hugely positive step that will help to prevent HPV-related cancers in men and women and save many lives into the future. The HPV vaccine was first made available
to 12-year-old girls in 2010 with the purpose of reducing the effects of HPV-related infections, predominately cancerous changes that can happen in the cervix and result in cervical cancer.
It is important to be aware that the
human papillomavirus (HPV) causes cancer in areas beyond the cervix, particularly the anal area, and head and neck cancers.
These cancers don’t discriminate on the basis of gender – males get cancers from HPV too.
Globally it is estimated that 85 per cent of anal cancers are attributable to HPV infections, and we are now seeing a 20 per cent increase in the incidence of head and neck cancers in Ireland.
Facts Show that the Side Effects from these Vaccines are Very, Very Few
Nearly 50 per cent of these cancers are caused by HPV and the majority occur in men. Some 20 countries have now introduced
the vaccination for boys, including Australia where the uptake rate is up to 90 per cent. By vaccinating both boys and girls, we are creating what is known as herd immunity or reducing the incidence of the HPV infection
being passed on to other people across our communities.
If only females
get the vaccine, then males can still pick up the HPV infection and could infect other people, while being themselves at risk of the associated cancers.
[I added headlines, edited text, made additions, added colours and emphasis of text to the above article, ICOB.]