This Is the Way One Father Told His Pediatrician “No” to Vaccines

Looking at various #CDCWhilsteblower tweets the other day, I followed a link to an article on (an anti-vax website) called ‘This Is the Way One Father Told His Pediatrician ‘No’ to Vaccines‘.

“What does an informed parent look like? We’ll show you”, says VacTruth, before reprinting a letter that lays out the reasons a father, Bob O’Kane, gave to his paediatrician for refusing to sign a vaccine waiver for his daughter.

Is VacTruth telling the Truth? Does the letter represent the views of an informed parent? Let’s look at the two main points the letter makes, firstly based around measles statistics, and then about aluminium in vaccines.

Says Bob “… the head of the CDC in an April/May radio show admitted the so called measles outbreak in New York consisted of 23 cases of which 20 people who got the measles had previously been vaccinated and thus nobody could be assured the vaccines actually work. (this [sic] is public information on the CDC website, and put [sic] a dent in the so called “herd immunity” theory). The other three cases involved foreigners.”

There’s no reference to the radio show in question, but I presume he’s referring to the Feb-Apr 2014 outbreak in New York which eventually affected 25 individuals (there was also one other measles case in this time-frame, unrelated to the outbreak).

I don’t know why he’s calling it a so-called outbreak. An outbreak is defined as three or more confirmed measles cases within a localised population in a month. It was an outbreak.

The “20 people who got the measles had previously been vaccinated” statement is way off, and seems to come from a shoddy video hammered together by conspiracy peddler Experimental Vaccines (‘New York Measles Outbreak 90% Vaccinated‘) and unthinkingly copied across the Internet, where they focus on a single sentence in a news report:

According to the New York State Department of Health, two of 20 people infected in a recent measles outbreak in New York City were children who had not been vaccinated by their parent’s choice.”

This is true, but it is not the whole picture and does not mean the remaining 18 people were vaccinated. At the time the outbreak reached 20 cases, 9 were children and 11 were adults; 7 of the children were too young to be vaccinated, two of the children were indeed the children of vaccine-refusers; 3 of the adults were vaccinated; and 8 had no records that could confirm vaccination. Four of the cases required hospitalisation.

While I don’t know the source of the New York outbreak (except it was picked up at a US airport) I can say that the US was declared measles-free in 2000, thanks to the vaccine program, and the disease flares up almost exclusively when unvaccinated travellers come into the US from locations where measles remains endemic. It is mostly spread by and spreads among unvaccinated people. True, a few vaccinated people will get the disease if it’s allowed to get hold within a community – vaccines are ‘only’ 95% effective, which is why herd immunity is so important, and these very statistics prove it works, contrary to Bob’s claim.

As for the fact that the remaining three cases were foreigners, I’m not sure where this comes from, but I don’t think it lessens the potential severity measles can have on your health or how highly contagious it is.

Bob continues … Our last Doctor even told us people are dying … do you know how many people have died in the past 10 years? The number is in fact less than all the fingers I have on my hands. Again, this is public record available through the CDC and not some Google search result.”

I’m guessing Bob’s attitude to foreigners is prevailing here and that he’s not counting the annual global deaths from measles which was 122,000 in 2012. Either that or he has a disproportionate number of fingers “on his hands”.

The last death from measles in the US was in 2003. The next 10 years saw sporadic outbreaks and not quite 1000 individual cases in total. The crazy thing is, Bob, this is thanks to vaccines. The very fact you proclaim is true is thanks to the vaccines you wish to avoid.

While deaths from measles were declining before the vaccine was introduced in 1963, thanks to advances in medical science and hygiene, it’s vaccines that are responsible for wiping out the disease and its deaths from the US altogether. In the years before the vaccine arrived there were still 400-500 reported deaths and 48,000 hospitalisations per year from measles in the US – way down from the over 7,500 deaths back in 1920, but still far too many.

Bob’s next problem with vaccines is aluminium, used as an adjuvant in some vaccines. To prove its dangers he quotes some text that the FDA required a maker of dextrose solution for IVs to include as part of their package insert, reflecting an update to their guidance on labelling parenterals that are contaminated with no more than 25 micrograms (mcg) of aluminium per litre, and referring specifically to research related to babies with poor kidney function.

What’s IV dextrose solution got to do with vaccines, you may ask? This comes from Dr Robert SearsThe Vaccine Book where an entire section is dedicated to showing that vaccines contain aluminium in far higher concentrations than the FDA recommend for IV solutions. Sears does attempt to cover the core of his idea (that aluminium will damage your child) with a gloss of science and an impression of balance, but the reader can be left in no doubt that, yet again, something evil is lurking in the vaccines.

Of course, any flaccid attempt at caution by Sears is left behind as soon as the idea leaves his domain and starts replicating within the hive of anti-vax websites, where ‘Mercury In Vaccines Was Replaced With Something Even More Toxic‘ becomes the new battle-cry. And our letter-writing parent lends his voice too …

The HEP-B shot alone is almost 14 TIMES THE AMOUNT OF ALUMINUM THAT IS FDA-APPROVED. The MMR? The dTap? All have similar amounts.

Note the move to capital letters – the inevitable Act III of nearly all conspiracy argument, starting out reasoned and calm before the underlying fear and paranoia break through, and shouting and screaming fill up the holes where facts no longer fit.

The trouble is, the aluminium argument just doesn’t hold together where vaccines are concerned. IV solution tends to be used on sick people, and if that sick person is a baby, especially a premature baby with weak renal function, then you want to severely limit any aluminium going directly into their bloodstream because they will not be able to eliminate it as efficiently as they should. The FDA recommendation of 25 mcg per litre takes into account that other aluminium contamination will be likely (it is the third most abundant element in the Earth’s crust) and that the patient will almost certainly be taking in many litres over many days in a single period.

Patients who take in intravenously infused aluminium could potentially retain from 40% (adults) to 75% (newborns) of the element, whereas normally the body will eliminate 95% through kidney function, with only 0.3% becoming absorbed. This is why IV fluids, especially for premature babies, have such a strict and low limit.

With vaccines, the shots that contain aluminium salts (which are poorly absorbed anyway) are spread out over many months and are not injected directly into the bloodstream. You cannot compare the FDA limit set for IV fluids, which are administered over long periods in greater amounts, with the minuscule amount in even an entire schedule of vaccines. And, Bob, the MMR vaccine does not contain aluminium.

What does contain aluminium? Well, breast milk contains about 40 mcg per litre and infants’ formula contains about 225 mcg per litre. We’re eating the stuff all the time – unprocessed foods can contain between 100 mcg and 20,000 mcg per kg.

Children will get about 4,400 mcg (4.4 mg) of aluminium salts spread across their first six months through vaccination, just over half of what they’d get from their own mother’s breast milk and almost ten-times less than the amount ingested through formula in the same time. That’s about 1/1250th of a teaspoon.

Seeing as Bob does recognise the FDA’s advice for aluminium control, perhaps he’d  like to move away from the world of parenteral dextrose solutions and look at what they actually recommend for vaccines, which is no more than 850-1250 mcg per individual dose. The largest amount in any vaccine is 625 mcg in DTaP (though it can be as low as 170 mcg), and most vaccines, if they contain it, are no more than 225 mcg.

2014 is a bad year for measles in the US, with more cases from January to August than the country saw in the last five years put together. The vast majority of these are among the unvaccinated – as of May 2014 69% of this year’s cases were unvaccinated and 20% had unknown vaccination status (probably largely unvaccinated); of those who were unvaccinated 85% had declined vaccination (or had it declined on their behalf by their parents), 6% were missed opportunities, and 5% were too young to receive vaccinations.

Ohio has seen a particularly bad outbreak among its Amish populace, where unvaccinated missionaries brought the disease back from the Philippines and it then spread easily among their largely unvaccinated community.

So, have we seen what an informed parent looks like? Does VacTruth spread the truth? No. Bob O’Kane – if he exists – seems to be pretty highly misinformed, probably thanks to websites such as VacTruth, who seem to be in the business of spreading fear and misinformation where vaccines are concerned, and contributing greatly to many parents’ decision not to get their children vaccinated, in turn leading to sick children, sick adults, hospitalisations, and, if the US outbreaks continue at their current pace, eventually, the first measles-related death since 2003*

* Update: a few months after this article was written, a woman died due to measles in Washington State.


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