My goal in this post is to bring you along with me as I have wrestled through asking questions about childhood vaccinations. The thought processes I've come to use and the questions I've come up with expand beyond just this one issue, and into every medical procedure and practice. My desire is to serve you and equip you to become the most informed, critically-thinking guardian of your child's health that you can be!
While of course I would be thrilled if I "convinced you" of my point of view, I feel like a sucess if you are inspired to research this on your own!! If you start asking questions, digging around, reading studies and books by people smarter than me (doctors, public health specialists, immunologists, naturopaths, etc.),
and come to a different conclusion than I have, that's still great!!! My goal is to help you learn to think!! Medical decisions can be so intimidating, especially since we feel so much is at stake-- our kids' health!-- but we are not helpless, forced to blindly depend on even a brilliant guide. To a certain extent, we can think things through and come to our own conclusions. WE are responsible for our children's health. We can delegate that out to another, but it still comes back to us. I want to help you do even that delegating thoughtfully! Whatever conclusion you come to, if you come to it after critical, intentional thinking and looking from both sides of the issue (and not neglecting prayer for wisdom and trust in God's sovereignty!), I applaud you! THAT is the kind of parent we are called to be!
Ok...
First, three foundational statements to keep in mind:
1. God has created our bodies to heal themselves, living in dominion over all creatures (including microscopic ones) yet not living isolated from all creatures. In other words, we don't "exercise dominion" by killing everything within a 10 mile radius from us.
2. This world is fallen, and man has a battle to survive in front of him-- sickness and pain is a part of that. Neither vaccination nor lack of it is risk-free; both have risks. Additionally, part of our dominion now includes shaping our environment (one example- agriculture instead of tending an already-planted, perfectly yielding Garden of Eden).
3. Vaccines are drugs and should be thought of as such. They come with their own side-effects, risks, and imperfections, just like any other medicine. In each vaccine is not only a weakened form of a disease, but "adjuvants"-- preservatives and metals that kick-start the immune reaction.
Hopefully I'll be able to flesh out the way I see those 3 interacting in my Friday post. For now, just keep them in mind.
Ok, now 10 questions.
1. What disease(s) is this vaccine aiming to protect against?
2. What is the a) probable outcome of this disease, and b) worst-case scenario outcome?
3. Today, is this disease treatable and/or preventable by other/natural means?
4. What are possible dangers in this type of vaccine (look up whole list of ingredients)?
5. What is the a) probable outcome of this vaccine, and b) worst-case scenario outcome?
6. How much has this vaccine been tested, and are those tests by objective testers?
7. How effective is the vaccine?
8. Are there any benefits to gaining immunity to this disease through actual infection, rather than through the vaccine?
9. What is the rationale behind getting the vaccine? Is this valid/applicable to my situation?
10. Is the disease generally worse than the vaccine?
Now before you freak out and think "that's a LOT of questions!," be assured that at least numbers 1-3, 9, and perhaps 10, should be answerable with just a quick search in a medical handbook, reputable website or even by asking your doctor. You may be able to stop there if it's obvious (I felt that varicella was fairly obvious, but am stepping through the whole process in order to explain fully). Look up vaccine information from the manufacturers (your pediatrician can copy the info off of the vaccine box for you, or at least give you the name of the company and you can look it up online or in a vaccine-guide book) to answer numbers 4 & 5. Numbers 6-8 are the hardest to find answers on, and you probably need to enlist a medically knowledgeable source to read study results and findings, but there are GREAT books out there to help with that! You can do this!!
Let me step through those in detail, using the varicella vaccine:
1. What disease(s) is this vaccine aiming to protect against? chicken-pox
2. What is the a) probable outcome of this disease? itchy rash with runny nose, cough, and uncomfortable fever lasting about a week. According to Merck, chickenpox vaccine manufacturer, "Chickenpox is generally a benign, self-limiting disease." (Varivax insert, June 2009)
and b) worst-case scenario outcome? older male (adult) contracts chicken pox and becomes sterile due to the high fever, or infection reaches child's brain and causes encephalitis (this is a risk for nearly every disease). Also a recurrence of chicken-pox (shingles) in an other-wise immune adult.
3. Today, is this disease treatable and/or preventable by other/natural means? chicken pox is not dangerous nor overly uncomfortable for otherwise-healthy children (only one in every 10-15,000 cases requires hospitalization). Oatmeal baths relieving the itching. Avoidance of aspirin during sickness drastically reduces risk of Reye syndrome (type of encephalopathy). As with all diseases, immune-system boosters vitamins A, D, E (for skin) & C help to lessen severity and duration of disease.
4. What are possible dangers in this type of vaccine (look up whole list of ingredients)? it's a live-virus vaccine (this kind causes the most adverse reactions), containing a weakened form of the virus which remains in the body indefinitely, MSG (a soy-based neurotoxin), the antibiotic neomycin, and fetal bovine serum. MSG is a no-no, especially for my likely-to-be-allergic-to-soy-child. Over-exposure to antibiotics results in a whole host of problems. The chickenpox virus can reactivate any time immunity declines, causing herpes zoster (shingles). The vaccine can also transmit chicken-pox to others, including vulnerable pregnant women only having the partial vaccine immunity.
5. What is the a) probable outcome of this vaccine? My child will probably have a mild fever, and nothing else at the time, but her immunity will fade with time, allowing her to experience relapses (shingles) during times of stress in adulthood, and could quite possibly infect others who may be vulnerable to the disease. b) worst-case scenario outcome? my child's vaccine-gained immunity fades to the point of contracting full-blown chickenpox as an adult, rendering a son sterile or causing a daughter's unborn baby to have fetal defects; alternatively could cause life-altering vaccine reactions and/or all the risks of the wild version of the disease.
6. How much has this vaccine been tested, and are those tests by objective testers? This vaccine is relatively new; as late as 1985 the CDC's position was that the costs of treating chickenpox were too low to justify spending money on a national vaccination campaign. The studies used to test the vaccine contained up to 17,000 units of chickenpox virus (as opposed to the 2700 units in our vaccine), and no placebo-controlled trial was carried out using the current vaccine. So... no valid testing, and unknown future effects.
7. How effective is the vaccine? In all pre-licensing trials, some children contracted chickenpox. According to an FDA report, about 1 in 10 (10% of) vaccinated children contract "breakthrough" chickenpox when exposed to a wild version of the virus (the longer from the vaccination date, the more serious the case). The vaccine manufacturer claims a 98% success rate after 2 doses in trials, which sounds amazing-- BUT in the clinical trials, the shots used contained up to 17,000 units of the chickenpox virus, while the shots used today contain no more than 1,350 units. This means that there actually are no clinical trials using the current vaccine. We do know that about 10% of the cases of chickenpox today occur in vaccinated children. (see product insert, part 14.1) It is also difficult to judge vaccine failure rate, because doctors are hesitant to label a chickenpox-like rash "chicken pox" in a vaccinated child. During a recent outbreak, doctors did not count vaccinated children who contracted chicken pox as "vaccine failures" because they claimed that they had fewer poxes, meaning the vaccine did not fail (though the children still did contract varicella.) To sum it up, it's hard to judge the actual efficacy of the shot, but we do definitely know that any protection it does give significantly drops 5 years post-vaccine.
8. Are there any benefits to gaining immunity to this disease through actual infection, rather than through the vaccine? Yes, for both the patient in question and those around them. Wild chickenpox in children is usually benign, and confers a more lasting immunity than the vaccine. Immunized children can still contract wild chickenpox-- and will suffer far more as teens or adults. A child with chickenpox also re-immunizes adults & children around them against the disease: those who have the natural antibody gain an antibody boost every time they come in contact with the live varicella virus, and this further protects them from a relapse (shingles).
9. What is the rationale behind getting the vaccine? Is this valid/applicable to my situation? The main justification is "primarily to reduce the loss of parental income[of parents taking sick days to care for sick children]." On average, the vaccine "saves" parents 1 day of work per child vaccinated. This seems a fairly poor reason to vaccinate for anyone, much less me as a stay-at-home mom. The vaccine was originally developed for immuno-suppressed children (for ex. those with leukemia). So, no; not applicable.
10. Is the disease generally worse than the vaccine? NO!
Our conclusion: we will not get the varicella vaccine for our children, but will instead seek to put them in contact with a wild form, while boosting their immune systems with plenty of real foods, sunshine & good bacteria. To protect our vulnerable babies (the vaccine isn't safe for children under 1 anyway), we will breast-feed them for 15-18 months each. The vaccine is untested, relatively ineffective, has its own set of risks plus all the risks of the disease, a disease which is harmless in healthy children anyway! If our children do not contract chickenpox by age 11 or so, we will consider the vaccine to give them at least partial protection as they leave the "safe infection zone" of childhood.