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Killer at college: Meningitis threatens students - Page 5  

post #81 of 151
Quote:
Originally Posted by prettypixels View Post
Anyways I definitely agree with Holly on this one. Your average college student is running around day and night and is not even going to think twice about ignoring that random headache and stiff neck.

So rather than educate college students, who we assume are going to college because they're actually individuals interested in learning things, we vaccinate them and assume they're too irresponsible to learn about meningitis? Gosh, the kids I went to college with must've been the smartest college students in America, because I distinctly remember them being capable of learning information like this. From the way some people in this thread are talking, most college kids are so irresponsible they can't be bothered to wash their hands after pooping, much less learn how to take care of themselves and recognize the signs of serious illness.
post #82 of 151
I do not think I have heard anyone say that menigitis is not scary ~ it absolutely is scary. Viral menigitis is scary too. But that doesn't mean run off and get a vaccine because the reality of these types of vaxes is that the evidence is just not there that the overall outcome is a lower incidence of menigitis.

Menigitis is scary ~ so is GBS ~ so are a lot of other things in life that do not have vaxes available for them. The idea here is not that menigitis is not scary ~ but that there are some serious side-effects to killing off one particular serotype and having it replaced. I believe over time the medical community has learned a valuable lesson about antibiotics...same is likely going to be learned about vaxing for menigitis.
post #83 of 151
Quote:
Originally Posted by prettypixels View Post
: When my brother was in school a student died of meningitis in the dorms and everyone was terrified! I don't know that there was a vaccine then, this was a long time ago... say about 19 years ago! (Gosh I feel old now!) Was the vax around then? (ETA, according to a pp it was intro'd in 2001, so definitely not available when my brother was in college!) Anyways I definitely agree with Holly on this one. Your average college student is running around day and night and is not even going to think twice about ignoring that random headache and stiff neck. It just comes on so fast, I think that is part of what is so scary about it.
There was a vax then. Menomune was introduced in the 70's...not sure if its still used in the US anymore. Same as Menactra, it didn't protect against the most common serotype in the US: type B.
post #84 of 151
"Extreme headache and stiff neck that causes severe pain when you attempt to put your chin to your chest. It's not like you just get a headache and then you die from meningitis."

Despite daily (okay... couple times a week) yoga, I occasionally wake up with a horrible crick in my neck that makes me unable to touch my chin to my chest. It's awful. I seriously suspect that this is not recurrent meningitis since there is no accompanying headache. But if you consider morning-after symptoms (headaches, cricks, nausea) and think about the people who are most likely to get infectious diseases, then it should not surprise you that a lot of young people will miss the symptoms of meningitis. Not to mention the fact that most people don't even KNOW the symptoms, and moreover, a lot of people stay in denial about disease symptoms that they have because they don't want to face reality.

I am absolutely opposed to mandatory vaccinations, but I do think that this vaccine has a place, especially where people are sharing living quarters. And yeah, college students can be pretty gross sometimes. Usually colds, flus, and other infectious diseases raged through the whole campus like wildfire. Something about shared eating quarters, shared toilets, showers, and sleeping in the same airspace as four other people.

"A little while back we actually had someone post that docs receive less than 5 hours (their entire medical school career) on average on vaxes...to cover safety, ingredients, side-effects, effectiveness, etc. Basically they get told ~ vaxes are good, vaxes are safe, vaxes are recommended for everyone...very little beyond that."

We have also had people post that they spent much more time than that studying the immune system and vaccinations. That person, a doctor, also pointed out that they discuss (not "are told") vaccines in the context of pros and cons for a large population and for the individual. So it seems that (a) the entire medical community does not receive exactly the same education and (b) that even if they did, they might get different things out of it. Moreover... I hate to point it out, but do any of us know that these people are even doctors? I've read a number of posts here and in other forums by people claiming to have a higher education but who cannot even spell or form a proper paragraph. Not that knowing such things are essential to a medical education but... well. Okay, they are actually essential. In short, I doubt that everyone here on the net is who he or she claims to be. I'll take this "a doctor I know said" more seriously when I see the syllabus.

"If the vax actually matches the serotype. If the vax actually works for the particular person. Then it might make a difference. But there is always an excellent chance that the vax won't match the serotype."

Deborah and Mamakay, I think I might be missing part of your argument here. Please let me know if I've got it right:

1. A treatment (preventative or curative) is appropriate if, and only if, it is guaranteed (i.e., nearly 100% certain) to prevent or cure the illness in question.
2. The meningitis vaccine can only prevent some forms of meningitis.
3. From (2), it is not the case that the meningitis vaccine is guaranteed to prevent or cure the illness in question.
4. From (3) and (1), the treatment in question (meningitis) is not appropriate.

If that is indeed the argument, then I would question the first premise. I would say that a treatmen is appropriate if it lowers the risk of an illness or increases the risk of its being cured, provided the risks incurred from the treatment itself do not then outweigh the risks of the illness.

As we have all posted a bazillion times here, we do need to better understand the risks of these vaccines. However, from what I am reading on the CDC website, even with the vaccine, we are still much better off getting it (at least, if we are in a high risk group, living in public housing and the like) than if we don't.

No, it's not 100% effective. But it helps. And if we're talking about my life or my baby's life, I'm going for lowering the chances of paralysis and death as much as possible.
post #85 of 151
Quote:
Deborah and Mamakay, I think I might be missing part of your argument here. Please let me know if I've got it right:

1. A treatment (preventative or curative) is appropriate if, and only if, it is guaranteed (i.e., nearly 100% certain) to prevent or cure the illness in question.
2. The meningitis vaccine can only prevent some forms of meningitis.
3. From (2), it is not the case that the meningitis vaccine is guaranteed to prevent or cure the illness in question.
4. From (3) and (1), the treatment in question (meningitis) is not appropriate.

If that is indeed the argument, then I would question the first premise. I would say that a treatmen is appropriate if it lowers the risk of an illness or increases the risk of its being cured, provided the risks incurred from the treatment itself do not then outweigh the risks of the illness
No, that's not the argument.
Not mine, at least. My issue with menactra is that mass vaccination against a few serotypes opens up ecological niches for new pathogens to emerge. It has happened with every conjugate vaccine made so far. With Hib, there appears to still be a small net benefit after replacement is accounted for. With Prevnar, meningitis has gotten worse, although less severe infections seem to have gone down. With Menactra, who knows what will happen? The 4th serotype in there...W-135...do you know why it's in there?

The problem is that no one's keeping tabs on the ONE aspect that really matters...OVERALL cases of bacterial meningitis. If you make the cases of serotypes A,C, and Y go down to nothing, but then serotype B goes nuts (and that one's hard to make a vax for because it antigenically mimics some brain protein) and rises 4fold...what good has come of that? All you've done is given people GBS for nothing.
Or...even worse...what if serotype B gains a bunch of new virulence factors(like the Hi-NT strains have in the Hib post-vax era) and overall meningitis skyrockets beyond what it was ever at before?
Menactra's about to be added to the infant schedule, by the way. At the same time that 6 more serotypes are being added to Prevnar. And there is interspecies competition between different species of bacteria. So who knows WHAT will emerge next?
Is just chasing around the emerging serotypes for forever really a great idea?
Coz the experience thus far has been that something new always emerges when one serotype is wiped out through mass vaccination.

It seems to me like an environmental policy of eradicating mosquitoes worldwide, and then saying "Oh, we'll figure out what to do for the birds later. Maybe they'll be fine."
post #86 of 151
This is the vaccine I am currently struggling with. My kids will attend a DOD school next year and it is mandatory for 11-12 years old. That is 3 of my children. (The 4th being an unvaccinated 1 year old) I do not plan on my children living in a dorm. I am selfish that way and want them home. And I think 11 is WAY too young, so I am working on my religious exemption in a DoD school. Now, my husband IS a PhD, in Physics, and he is against it. Me, well, I am an internet Mom. Thanks Mamakay and of course, plummeting for your posts, very informative. I think I will at least hold off for now.
post #87 of 151
Quote:
Originally Posted by holly6737 View Post
Really? Have you been to college?
I was. And my year in res, I ate better than I think I ever did before, and slightly better than I manage to pull off now. (no meal plan, I cooked it)
post #88 of 151
quote from here:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5353a1.htm

U.S. surveillance data from the 1998--99 school year (29) indicated that the overall rate of meningococcal disease among undergraduate college students was lower than the rate among persons aged 18--23 years who were not enrolled in college ( 0.7 and 1.4/100,000, respectively) (Table 1). Rates were somewhat higher among freshmen (1.9/100,000).

So is being in the dorm really an issue? OR is it the age range?

Does anyone have any more recent info?
post #89 of 151
Again, sudden stiff neck and headache...Sounds kind of like a hangover, no? I knew people who had one of those at least once a week. And their neck was pretty stiff. And the student health center is closed on the weekends, so the only choice is the emergency room. It was hard enough for them to remember to wear a condom during sex, much less wash their hands ten times a day, cover their mouth when they cough, not to drink after anyone, not to kiss anyone, eat three servings of veggies and three of fruit every day, take their vitamins, watch their carb/fat intake, exercise, drink sufficient water, etc. I mean, maybe I was just really gross, but I never did any of those things and I knew the symptoms of meningitis and how it was transmitted. Good thing I had my vaccine.
post #90 of 151
Quote:
Originally Posted by krizzanne View Post
quote from here:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5353a1.htm

U.S. surveillance data from the 1998--99 school year (29) indicated that the overall rate of meningococcal disease among undergraduate college students was lower than the rate among persons aged 18--23 years who were not enrolled in college ( 0.7 and 1.4/100,000, respectively) (Table 1). Rates were somewhat higher among freshmen (1.9/100,000).

So is being in the dorm really an issue? OR is it the age range?

Does anyone have any more recent info?
That is interesting. Hopefully there is more updated information ~ but that would indeed lead one to see that the dorm thing isn't the factor here! Wish I could stay and search but kiddo is awake.
post #91 of 151
Anecdote:
3 months after 5 years in college, all of them in the dorm, I got bacterial meningitis. I went to the doctor with ALL the symptoms and they sent me home with 'the flu'. Thank god I was at home with my RN mom who later took me to the ER.

Education would be a good thing, for doctors and patients!

Looking at the numbers and the whole serotype replacement issue, I still come out with not vaxing outweighs vaxing...
post #92 of 151
Quote:
Originally Posted by holly6737 View Post
Again, sudden stiff neck and headache...Sounds kind of like a hangover, no?
I once went to the ER with a headache and "stiff" neck severe enough to justify them ordering a LP. I've had many hangovers in my (younger) life : and the symptoms are nothing alike. I couldn't MOVE my neck, my less touch my chin to my chest. My neck was painfully IMMOBILE and accompanied by a headache so severe I couldn't even hold my head up.

Quote:
It was hard enough for them to remember to wear a condom during sex, much less wash their hands ten times a day, cover their mouth when they cough, not to drink after anyone, ...
See, I'd be WAY more concerned about my kid catching an STD (or HIV infection) or getting pregnant at college, than contracting bacterial meningitis. When I was in college I knew people who had abortions and were treated for STDs, but I don't know of anyone who contracted meningitis.

And there ain't no vax for STDs (save four strains of HPV) or HIV or AIDS ... yet.
So why isn't anyone afraid of those? *cough*becausethere'snovaccine*cough* STDs can be life-threatening, if untreated.
post #93 of 151
Quote:
Originally Posted by spero View Post
I once went to the ER with a headache and "stiff" neck severe enough to justify them ordering a LP. I've had many hangovers in my (younger) life : and the symptoms are nothing alike. I couldn't MOVE my neck, my less touch my chin to my chest. My neck was painfully IMMOBILE and accompanied by a headache so severe I couldn't even hold my head up.



See, I'd be WAY more concerned about my kid catching an STD (or HIV infection) or getting pregnant at college, than contracting bacterial meningitis. When I was in college I knew people who had abortions and were treated for STDs, but I don't know of anyone who contracted meningitis.

And there ain't no vax for STDs or HIV or AIDS ... yet.
So why isn't anyone afraid of those? *cough*becausethere'snovaccine*cough* STDs - and certainly, AIDS - can be life-threatening, if untreated.
Glad to know it's more obvious than I thought! And I totally agree with you about the STD/HIV issue. If you've seen any of my other posts in other forums, I'm all about some STD/HIV education, giving condoms out at public schools and that everyone who is sexually active who is not in a monogamous relationship where both partners don't know their status at all times should be tested at least every 6 months for the whole panel. Believe me, and I know you don't know me, but if any one health issue is important to me, other than bringing evidence-based birthing practices to America, it's HIV/STD education and prevention. I'm definitely more afraid of HIV than bacterial meningitis and I would wager that all parents who send their kids off to school are as well, which is why I would think along with getting them a vaccine against bact menin if it's something they want, you'd also load them down with condoms and make sure they knew where at the student health center they could go to get tested regularly for STDs/HIV. It's much more likely they'll get an incurable STD than bact. menin., sure, that's a no brainer I'd think. And there is a vaccine for HPV, which is an STD, but I wouldn't get that vaccine and I wouldn't want my kids to get it either because I don't think it's been tested enough, seems too political right now and hasn't been on the market long enough for me to trust it. And HOPEFULLY one day we WILL have a vaccine for HIV. It would save millions and millions of lives. It would change the face of the world. Jebus I hope there's a vax for HIV coming soon. Sorry off topic.

ETA: Did you just say AIDS can be life-threatening if left untreated?!?! Where did you learn that? Because it's wrong, and I don't mean to be snarky, I just don't want anyone telling their kids that as long as AIDS is treated it's not fatal or life-threatening. AIDS IS ALWAYS LIFE-THREATENING TREATED OR UNTREATED! It's 100% fatal. No one has ever been cured of AIDS, ever, ever, ever, ever. I believe some people of Eastern European descent with a certain gene have partial or complete immunity to HIV (the highest estimate I've seen is 10%, but it's debated), but AIDS is always fatal.
post #94 of 151
Quote:
Originally Posted by holly6737 View Post
HOPEFULLY one day we WILL have a vaccine for HIV. It would save millions and millions of lives. It would change the face of the world. Jebus I hope there's a vax for HIV coming soon.
How lucky for you, there is one in development (Merck).
post #95 of 151
Quote:
Originally Posted by spero View Post
How lucky for you, there is one in development (Merck).
Really? Do you have any links? I knew they were testing several out- one in particular in China, but it's going to take several years to gather data, etc. Is there one closer than that?
Nevermind- found it, thanks. Again, I really didn't mean to be snarky about the AIDS being fatal thing. Maybe you just typed it wrong or were thinking of something else. I'm not trying to say you're uneducated about it, just wanted to put it out there that AIDS is always fatal, for right now, just in case anyone was doing any HIV education with their kids or whatnot.
post #96 of 151
post #97 of 151
Quote:
And there ain't no vax for STDs or HIV or AIDS ... yet.
don't forget about HPV. yet another vax that protects against a few strains and says "don't worry 'bout the rest"
post #98 of 151
Will edit accordingly for HPV and the AIDS booboo ... trying to post and multi task at the same time :
post #99 of 151
like Ph.D's are completely unbiased & not have their own agendas ??
- hmmmm maybe some got study funding by some of these big pharma companies ?
boy,
post #100 of 151
Quote:
Originally Posted by polka123 View Post
like Ph.D's are completely unbiased & not have their one agendas ??
- hmmmm mabe some got study funding by some of these big pharma companies ?
boy,
Now you now that NEVER happens!


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