Are vaccinations worth the cost?

Absolutely.

As a parent would you rather comfort a crying child for a couple hours of discomfort after receiving vaccinations, or spend days or even months trying to comfort that child in a hospital bed, or prepare to bury your child? To me, it seems simple to pick to pay the cost for the vaccination, rather than the latter. Not only would that be a huge financial burden, but an emotional burden as well. Vaccines have been shown to have provided more benefit to society than expense, and they have been estimated to save society more than $5 for each dollar spent on most routine pediatric vaccinations. If spending days in the hospital don’t scare you enough, let these numbers do the talking for themselves. These numbers come from a 2007 study. One case of measles is estimated to cost 23 more times the amount spent to vaccinate 1 child against measles. For every dollar spent on MMR more than $21 is saved in direct medical costs. For every dollar spent on diphtheria-tetanus-acellular pertussis vaccine, more than $24 is saved. For every dollar spent on the H. influenzae type b vaccine, more than $2 is saved. It was estimated that the net cost per meningococcal case adverted ranged from $0.6 million to $1.9 million and from $7million to $20 million per death prevented. The cost of many vaccinations is less than the cost needed to treat preventable diseases.

Indirect costs include considerations for cost savings resulting from the preventive elements of vaccines, such as fewer missed work days. Another benefit that is considered is that since vaccines prevent death, vaccines allow children to mature into productive members of society, rather than paying funeral costs.

Source: Supplement to Journal of Managed Care Pharmacy

http://www.amcp.org/data/jmcp/pages%2012-15.pdf

If enough people vaccinate their child, I won’t need to

False.

This statement could not be more wrong. Herd immunity or community immunity exists, yes. Community Immunity affects those people who can not be vaccinated, for whatever reason. People who depend on herd immunity are newborns, immunocompromised, or pregnant, these people can not physically receive vaccinations. These people are protected from contagious diseases when the spread of diseases are contained by people who can be vaccinated, receive their vaccinations, and do so on the CDC recommended timeline, thus the people create a bubble that cannot be penetrated with contagious diseases, and those that are around them that are unvaccinated are protected in this bubble as well. The principle of community immunity applies to control of a variety of contagious diseases, including influenza, measles, mumps, rotavirus, and pneumococcal disease. They are protected because the spread of contagious diseases is contained.

There are parents who depend on other parents to vaccinate their children, because for whatever reason, these people rely on using herd immunity because it is the only way that they, or their child can remain healthy. This immunity depends on people receiving their vaccinations when told to, by the medical community. The following picture represents people  cannot be vaccinated, who are protected by the number of people who were vaccinated, and when people are not vaccinated how disease can be spread.herd immunity picture thing

Source: www.vaccines.gov/basics/protection

Current California measles outbreak

To start, measles can be prevented with the Measles, Mumps and Rubella vaccination (MMR) that children receive at the age of 12 months for the first dose, and 4-6 years old for the second dose. (CDC guide) For more information on the timeline of vaccinations, check out this post: https://kjones2016.wordpress.com/2014/04/24/vaccination-timeline/

As defined by the Centers for Disease Control and Prevention, measles is a respiratory disease that causes fever, runny nose, cough and full-body rash. In extreme cases, it can cause death, and cause women to miscarry.

As of the end of March-beginning of April 2014, 49 cases of Measles have been reported in California. This is up from only 4 cases during the previous year. This outbreak is reigniting public health concern over the anti-vaccination movement. At the end of March, the California Department of Public Health urged residents to consider the startling outbreak’s implications.

This is the first year that the number of measles cases in California has passed 40 since 2000, when the disease was declared eradicated in the United States.

Sources:

http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html

http://www.huffingtonpost.com/2014/04/04/measles-outbreak-californ_n_5092537.html

Do vaccinations really cause autism?

Vaccinations do not in any way shape or form cause autism. The specific vaccination in question is the Measles, Mumps, and Rubella Vaccination (MMR). Thanks to one guy, Dr. Andrew Wakefield and he his fellow colleagues, who thought he knew everything, there are thousands of parents who believe this myth. They performed their study in 1998. Whitefield is one guy, who did one study that supposedly shows vaccines cause autism; there are several studies that have been done since then, that show otherwise. Whitefield’s original claim was that the vaccine contained toxins that could penetrate the gastrointestinal (GI) tract and then work its way to the Central Nervous System (CNS). This was later proved false. Autism is a genetic trait. The original study had only 12 patients. This is not a number even close enough to be considered a representative of the rest of the population. A number that is generally considered to be a correct representation of the general population is anywhere from hundreds to thousands of people. All 12 of Whitefield’s patients had been admitted to the hospital in the pediatric gastroenterology unit with some type of developmental disorder to begin with. This taints with their ability to be a reliable patient, with reliable results, that can be duplicated in other people. For a study to have to be considered to be successful, it has to be able to be repeated by other people in the same, or similar fields. Whitefield’s medical license has since been revoked. After all why would we keep someone doing harm in the medical community? One rotten tomato ruins the whole jar. As we can see from the numerous studies that have had to be done to prove that his one study was in fact a large false tale, that has spun wildly out of control.

In 2004 the Autism Speaks Foundation launched the Autism Genome Project. During this project, roughly 50 academic and research institutions participated; scientists have found that 15% of individuals have identifiable genetic etiology. This research is still ongoing.

A result of not receiving the MMR vaccine can result in respiratory disease. This respiratory disease causes symptoms that can affect the lungs, throat and other areas of the body, that can present as fever, cough, and full body rashes. Contraction in pregnant women can result in miscarriage. According to the Centers for Disease Control (CDC) roughly 200,000 people die from measles every year.  While the measles virus has been eliminated here in the United States since 2000, it does not mean that the strain does not exist in the US; rather, it is in the intermittent transmission of the infection throughout the year. A recent deadly outbreak in California is proof that without vaccinations, children are not protected.

Source: The Immunization-autism myth debunked. International Journal of Childbirth Education

http://go.galegroup.com/ps/i.do?action=interpret&id=GALE%7CA334177983&v=2.1&u=psu_main&it=r&p=HRCA&sw=wauthCount=1

Immunizations needed for school

Several states have immunization requirements that must be met before your child(ren) can start attending school. Certain states even require certain immunizations before your child can attend a childcare/daycare of any sort. There are certain states that allow exemptions to immunizations. In Kansas you can refuse vaccinations for religious purposes and temporarily for medical reasons. In Missouri you can refuse vaccinations for religious purposes as well as temporarily and permanently for medical reasons.

I got my information at this site: http://www2a.cdc.gov/nip/schoolsurv/schImmRqmt.asp

You can also use this site to search for any other state.

Vaccination Timeline

For vaccinations to be most effective, it is important that your child receives them on schedule.The Centers for Disease Control (CDC) has set specific guidelines with a timeline of when each immunization should be given, as well as if there is a booster, when that should be given as well. These timelines are set up to give the highest preventative level possible in preventing deadly diseases. There is a timeline for infants-18, as well as for adults. These timelines are in place to keep the disease outbreaks to a minimum.

The CDC has a Birth-18 Years Recommended Immunization Schedule, a Catch-up Immunization Schedule, as well as a schedule that combines the two. While it is not recommended that you fall behind on vaccinating your children,the Catch-up schedule is meant to help you get back on track. After all, parents are only human and allowed to make a mistake every now and then, just make sure you correct your mistake! Finally, there is a schedule put in place for adults. There are the normal schedules you would see hanging on the wall at your doctor’s office, as well as a parent friendly post link:)

For Birth-18 years check here: http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html

For a Catch-Up schedule check here:

http://www.cdc.gov/vaccines/schedules/hcp/imz/catchup.html

For adults check here:  http://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html

If those do not make any sense to you, there are easy to read parent versions that can be found for birth-6 years old: http://www.cdc.gov/vaccines/parents/downloads/parent-ver-sch-0-6yrs.pdf

For 7-18 years: http://www.cdc.gov/vaccines/who/teens/downloads/parent-version-schedule-7-18yrs.pdf

Common Abbreviations

Medical Terminology can be a challenge for students wanting to enter the medical field, let alone the rest of the population. Here is a list of common words and abbreviations that I will be using throughout the blog, and will most likely update as I need to. If you see something that’s not explained in that post, or on this list, I would be happy to add an explanation (within reason) for you!

MMR- Measles, Mumps & Rubella vaccination

CDC- Centers for Disease Control and Prevention

Immunity- normal or adequate resistance to disease

Herd/community Immunity- a form of immunity that can take place when enough people in a given area have received their vaccinations

Immunocompromised-having an impaired immune system

GI- Gastrointestinal Tract

CNS- Central Nervous System

Medical community- for the purpose of this blog, the medical community are those that have received degrees in their field of study, such as doctors, nurses, nurse practitioners, some medical assistants, pharmacists, and chiropractors*.

*Chiropractors however, towards to lean towards more natural approaches, vs scientific approaches that are seen in other practices of medicine.