Polio Vaccine and Rotary Clubs - Page 2

[Healthy Skeptic]

So back to OP. Anyone have any info on Rotary and the truth?

[Jugs]

Originally Posted by aniT

This is not true. The switch was made somewhere between 1993 and 1998. Since the older dd had the live and the younger had the inactivated. So more than 10 years ago.

If I recall correctly, in 1997 the CDC changed the schedule to 2 doses of IPV and 2 doses of OPV, then did away with OPV in 2000.

[aniT]

Originally Posted by Jugs

If I recall correctly, in 1997 the CDC changed the schedule to 2 doses of IPV and 2 doses of OPV, then did away with OPV in 2000.

DD was born in late 98 and never had any OPV period. However I was addressing the fact that the other poster said they just did away with it 4 years ago.. so even by your schedule that was nearly 10 years ago.

[Asiago]

I just was repeating something I learned from Dr Ronald Schultz, if anything blame me if I didn't take notes at the lecture correctly, not him, the man is the leading veterinary vaccine researcher in the U.S. He also studies human vax, but his primary work is veterinary. He's in that roundtable discussion with Jonas Salk also.

As I said though, blame me if I gave the wrong number. My apologies.


ETA, I found some interesting info pertaining to the switch in 2000 (thank you Jugs, I just went to the CDC page) .
So then I found this in American Academy of Pediatrics. It seems the OPV was still permitted in certain circumstances in the US beyond the 2000 switch, it appears only for 6 months but then when you read the second article I am not really sure. Please read through 'Conclusions' all the way down through the end of 'Reccomendations'.
http://aappolicy.aappublications.org...104/6/1404.pdf

Maybe I did hear Dr Shultz correctly (?) I don't know.

Then Johns Hopkins School of Public Health had this release in 2000:

The Academy also allows for the use of OPV for children of parents who do not accept the recommended number of injections needed to complete the current childhood immunization schedule, but the AAP notes that OPV should not be given for the first or second dose for these reasons. The only other exception noted by the Academy is the potential use of OPV for unvaccinated children who will be traveling in less than four weeks to polio endemic countries because there would be insufficient time for administering the needed 2 doses of IPV. One wonders whether any OPV will be available for these circumstances. In the situation noted above, physicians could give a single dose of IPV and either provide parents with a second dose of IPV to take with them or make arrangements for the child to obtain the remaining doses of vaccine in the country on arrival. John Salamone, President of Informed Parents Against VAPP, has publicly criticized allowing continued use of any OPV [see New York Times achieves] because some physicians could continue to use OPV for primary immunization in infancy.

http://www.vaccinesafety.edu/All-IPV.htm

[Marnica]

Originally Posted by Jugs

If I recall correctly, in 1997 the CDC changed the schedule to 2 doses of IPV and 2 doses of OPV, then did away with OPV in 2000.

You would be correct

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4905a1.htm

the Advisory Committee on Immunization Practices (ACIP) recommended in June 1996 a change from an all-OPV schedule for routine childhood poliovirus vaccination to a sequential IPV-OPV vaccination schedule (i.e., two doses of IPV at ages 2 and 4 months, followed by two doses of OPV at ages 12--18 months and 4--6 years). These recommendations were officially accepted by CDC and published in January 1997 (9). The sequential schedule was intended to be a transition policy in place for 3--5 years until eventual adoption of an all-IPV schedule

Thus, ACIP recommended in June 1999 that the all-IPV schedule begin January 1, 2000

[aniT]

Thus, ACIP recommended in June 1999 that the all-IPV schedule begin January 1, 2000

My last vaxed daughter was born on Nov. 8th of 1998. I don't remember the exact polio schedule, doesn't it follow DPaT? She would have received her first two doses in 1999. Then possibly not received the others until after 2000? Or her doctors office knew this was coming and stopped ordering the OPV.

Of course.. I received small pox after they stop giving it because my doctor still have some. So it is possible that other children were still receiving the OPV until the doctors ran out of their stock or it expired.

[Asiago]

Originally Posted by aniT

Of course.. I received small pox after they stop giving it because my doctor still have some. So it is possible that other children were still receiving the OPV until the doctors ran out of their stock or it expired.

That is what I gathered also from these sources. It sounds like the American Academy of Pediatrics permitted Peds to administer OPV until the supply ran out beyond the 2000 switch, the same with CDC, they call it "special circumstances":

OPV should be used only for the following special circumstances:

Mass vaccination campaigns to control outbreaks of paralytic polio.
Unvaccinated children who will be traveling in less than 4 weeks to areas where polio is endemic.

Children of parents who do not accept the recommended number of vaccine injections. These children may receive OPV only for the third or fourth dose or both; in this situation, health-care providers should administer OPV only after discussing the risk for VAPP with parents or caregivers.

Availability of OPV is expected to be limited in the future in the United States. ACIP reaffirms its support for the global polio eradication initiative and use of OPV as the vaccine of choice to eradicate polio from the remaining countries where polio is endemic.