Is this a vaccine worth getting?
post #1 of 17
3/29/09 at 7:36pm
So how many cases of tetanus occured in children under 15 if the data presented in this paper is wrong?
This is something that was crucial to my decision regarding this vaccination and different numbers could mean a different decision. Where can I go to get correct and reliable information?
To be honest, your posts kind of confuse me. On the "vaccination" board, you seem to have a ton of answers to people's very technical questions. But on this board you ask relatively simple questions... I can't figure you out!
|Most of my research isn't based on firm numbers, because I don't believe that those are helpful or reliable sources of information.|
|the tetanus numbers are tiny, and it certainly doesn't present any evidence that would convince me that an infant needs this vax.|
|ETA: The reason I find those stats somewhat misleading is that it doesn't give any information about the patient. We don't know how they got tetanus, if they have compromised immune systems, or anything. Since tetanus isn't communicable, I wonder how the babies got it.|
I think you are confused because it is a logical fallacy to transfer authority in one subject area to another subject area. I know a lot about molecular pathogenesis, a little about immunology and not so much about the epidemiology of vaccination.
If I went on just the pathogenesis of tetanus alone, vaccination would be a no-brainer but (underlined because it is an important but) knowing that tetanus is extremely rare sure does put the necessity of the vaccine into perspective as you conclude your post with:
So perhaps the paper was more helpful to you in your decision to not vaccinate than you originally thought?
Table 1 in the paper tells you the child's age, gender, state, year they got sick, vaccine history, description of the injury, when/if they got TIG, length of hospital stay, whether they needed a ventilator or not, and the reason they kids weren't vaccinated (which is irrelevant to my decision, IMHO) for each case. http://pediatrics.aappublications.or...ll/109/1/e2/T1
As for their immune systems, the pathogenesis of tetanus is not dependent on that. The bacteria produce the toxin, the toxin binds to the nerves, muscles contract. The presence of antibodies to neutralize the toxin before the toxin binds to the nerves is the only way to prevent tetanus once the toxin is produced. People with tetanus do not produce protective antibodies in the presence of the toxin. Proper wound care may prevent infection of the wound with the bacteria in some cases, but not all (a previous paper I posted showed that). Considering that most of the wounds were puncture wounds, I don't think it would be fair to assume that the parents were somehow negligent in administering proper first aid to their children and that's why the kids got tetanus. You're right that the paper does not say what precautions were taken at the time of the injury, but I find it hard to believe that a parent just ignored their child's pain and suffering. So many parents on this forum have been insulted that someone else accused them of being negligent for not vaxing their kids. If the non-vaxing parents here aren't negligent, why would the non-vaxing parents of these kids be negligent?