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VPD at all time low in US - Page 8

post #141 of 186
Quote:
Originally Posted by Plummeting View Post
Not everyone agrees with cloistering infants, so please remember that when you make an association between taking babies out in public and people "flinging around" babies.
She was literally flinging her around. I really mean it as I wrote. I do not mean it that her baby was nestled safely in a car seat and just out with mom. It was very disturbing.

And I think out at a LLL meeting rather than just hanging at the mall is in my book quite different. Not all exposure is avoidable. You do have to shop for food and single moms are faced with more difficult choices in that regard. But what I see around me is folks out with newborns in what appears to be just having fun which is ok, but not something I would do. See below....

Quote:
Originally Posted by Plummeting View Post
I know it's your opinion that babies should be kept at home and I appreciate you sharing your concerns. I just think you may be putting your own personal spin on what "type" of people take infants out in public, when you throw in a story about a woman "flinging" her baby around. Most of us who go out in public with babies hold them just like you hold yours, lol.
I think you read into the "type of people". But to be honest with you, it does seem that many of those "types" are very, very young moms in my area. But beyond that, I have no judgement on their type. And like I said, this mom was really flinging this baby around; I would not have chosen that word to imply something more judgemental. That was not my intent.

Whether those "types" are the ones in this group of babies who got pertussis is anyone's guess. But I do believe that as an overall question it brings up the public exposure factor that is up there with daycare risks.
post #142 of 186
Quote:
Originally Posted by Science Mom View Post
I was one of those mothers that takes their days old children out and about (no flinging though) so such things are inevitable (don't worry anewmama, I don't take affront to your characterisation).

SM
Thanks SM. I probably should not have put in that decription of that one woman. See my response above... she really was flinging her. The image of her was coloring my response so I should have thought how it would read. My bigger question was about how those babies were exposed and died and wondered about the public factor. They very much recommend keeping babies home for 2 months and although that might then coincide neatly with the first immunizations (ugh), I think it's a good thought to have out there. Whatever choices someone then makes is purely personal, right up there with immunization.
post #143 of 186
Well, if the baby has to stay home for a couple months, then the whole family ought to stay home. Babies don't typically get pertussis from strangers. They get it from their own family members. It's the whole basis for the doitforyourbaby campaign. Except the pertussis vax doesn't prevent tranmission. The whole thing makes me a little : when I think about them playing on the guilt of parents to protect their babies from a disease when the vax doesn't work that way!
post #144 of 186
Quote:
Originally Posted by TanyaS View Post
Well, if the baby has to stay home for a couple months, then the whole family ought to stay home.
That's too black and white for me. All families are different and for our family, there are no other children (and no one else in the household) and my husband was not working for the first 6 weeks, so staying close to home was a very good option. And in that case, going out in public WAS our greatest risk factor. Although someone did have to go food shopping.
post #145 of 186
Quote:
Originally Posted by yellowpansy View Post
This makes no sense. If many more children are surviving infancy than did in previous generations in the USA then what is your point? Infant mortality may be bad in the USA compared to other countries but I think that relates to the state of birthing in this country, not to vaccines. Let's focus on children who survive birth. Premies are surviving more than before, children are suriving childhood cancer more than before. Children were dying in your childhood of things they do not die of today. That is a fact .
in general, your arguements make sense to me. we might be one of few in this particular forum, but i hear what you are saying.
post #146 of 186
Quote:
Originally Posted by mamakay View Post
Do they have lots of kids or something?
To some degree that but low vaccine uptake, some areas of crowded living conditions so higher endemicity, probably some other factors that my brain is too mushy to think of.

SM
post #147 of 186
Quote:
Originally Posted by Science Mom View Post
To some degree that but low vaccine uptake, some areas of crowded living conditions so higher endemicity, probably some other factors that my brain is too mushy to think of.

SM
I dunno...
We REALLY have a lot of pertussis here, too.
Since a sterilizing immune response to it is possible though short lived, I can kinda see in my head how the incidence might end up being more or less the same all over the planet.
I know the epidemiology is basically the same in the US as it is in Germany...
I wonder if the average age of infection is lower in developing countries?

I wonder if anyone's looked at serology in developing countries to see when kids start getting infected on average...
That should answer it, I think...
I bet it's about the same, though.
post #148 of 186
Quote:
Originally Posted by mamakay View Post
I dunno...
We REALLY have a lot of pertussis here, too.
Since a sterilizing immune response to it is possible though short lived, I can kinda see in my head how the incidence might end up being more or less the same all over the planet.
I know the epidemiology is basically the same in the US as it is in Germany...
I wonder if the average age of infection is lower in developing countries?

I wonder if anyone's looked at serology in developing countries to see when kids start getting infected on average...
That should answer it, I think...
I bet it's about the same, though.
I think crowded living conditions would be a major factor in the number of cases.

In the U.S., one thing that keeps it spreading is denial. People cough their "bronchitis" and "asthma" all over everyone because they are not told they have a communicable illness.
post #149 of 186
Quote:
Originally Posted by Deborah View Post
In the U.S., one thing that keeps it spreading is denial. People cough their "bronchitis" and "asthma" all over everyone because they are not told they have a communicable illness.
How would this be any different than in a place like Indonesia where it's just as unlikely that people would be told they are contagious? And while they are not told here and go about their business, even if there is less crowding in some areas the net effect is almost the same..... people exposing to people.
post #150 of 186
Quote:
Originally Posted by anewmama View Post
How would this be any different than in a place like Indonesia where it's just as unlikely that people would be told they are contagious? And while they are not told here and go about their business, even if there is less crowding in some areas the net effect is almost the same..... people exposing to people.
Yes, different situations, similar results. Probably a bit worse in Indonesia because of people living closer together.
post #151 of 186
“Yes,they need more money for water and food and that's why it infruiates me that 5 billion went to vaccinations instead of put towards clean water and food. We need to help people get the basics first then worry about things like vaccines (of course we obviously do not feel the same about vaccines), in general”

But they have different purposes, in some senses. Vaccines prevent against these diseases where there is no clean water and where it cannot be provided immediately, such as in emergency situations. Both are needed, especially in the short term! Neither can replace the other.

“FWIW, I wasn't putting down volunteers at all (that was all your assumption)”

It wasn’t an assumption. First of all, it’s not volunteers who do that work, it is usually paid professionals. Volunteers are (generally) not decision-makers and make up a minority of people working on these issues. And second of all, governments do have big policies, but they also follow request systems. It takes them a long time to deal with attitude surveys, but they do do such surveys, and they do also give discretionary funding. And this is where field-level staff and HQ staff in aid organizations have a lot of influence over how the money is spent.

“I have a great deal of respect for them. I was questioning policies, Gov' funding ect.”

There has been a misunderstanding, because I thought that you understood how policies were made. Now I see that you believed that big governments (presumably in the hands of Big Pharma?) make all or most of these decisions.

It’s not true.

Just like not all pediatricians are part of some huge conspiracy to dole out drugs to babies.

These systems of vaccine distribution, in rich countries and poor alike, are made up of human beings who usually (though not always) are trying to help other people and make a living while they do it. Maybe there are Mr. Burnses out there plotting all our deaths (not that anyone here thinks there are) but most of us who are carrying out these policies are doing it in the best of faiths, to save lives.

If you don't want to deal with anger, you don't have to. But you might want to consider how your blanket statements make people who work in these fields (the medical field, the humanitarian field, the government) feel.

Quote:
Sorry, but this argument doesn't quite work right. Vaccination rates and overall list of vaccines vary by country. Europe has high vaccine rates, but a shorter list of vaccines. Find a country that vaxes with every vaccine used in the U.S. and THEN we can compare apples to apples.

Rates aren't the only piece.

And I bet if you lived in the U.S. you would turn down some of the additional vaxes on our list.
Deborah, first of all, we do selectively vaccinate. I think that vaccination in and of itself can be a good thing for a great many people, but I do not think that all vaccines are good for all people. Some people shouldn’t get any vaccines, and there are some vaccines that nobody should get (as they are right now). Just to clear that up. J

Second of all, since the non-active ingredients of most vaccines contain a lot of the supposedly evil toxins that so many here go on and on about, shouldn’t we think that Europe’s short (but growing) list of vaccines should have some effect on cancer rates? Unless you think there’s some threshold that the US has surpassed, but that Europe hasn’t? Or am I totally misunderstanding your argument?

And moreover, if we look at steadily rising childhood cancer rates, I think it’s important to note that we haven’t always had more vaccines than Europe.

And anyway, why, among all the changes in lifestyle that we see here in the United States and around the world, would you single out vaccines? I mean… why not car exhaust?

“I have seen babies out in public that could be as young as 3-4 weeks old. I saw one mom at a store flinging around this tiny baby and it just made me so sad. The poor baby looked so overwhelmed.”

Well I flew across three continents with my eight-week-old. We also took her to the airport to see off her dad when she was three weeks old. I won’t go into our specific circumstances but in short, it was lose our livelihoods, or give birth in the country with one of the worst infant mortality rates in the world, or be separated from one another for a year. And then of course there was getting her passport, for which both parents have to be present, for which we had to go to… oh, you get the picture. My cousin actually has more than one kid. In order to fulfill her obligations to her older kids, she sometimes had to take out the tiny baby in public places. Somehow, I think she manages to live with herself. No flinging, of course, but our babies are pretty exposed. We also take our kids to farms. My child actually had a farm dog stick its tongue in her mouth before she was two months old. Some would call me a bad mother, but for me, it’s just another kind of vaccination. Heh.

Regarding Indonesia: It’s crowded but it’s not THAT crowded. I would venture to guess, however, that there is a strong chance, given different vaccination rates, different effectiveness, and different access to treatment, as well as genetic differences and other habits (I know that Indonesians eat with their hands, and though they wash their hands, I don’t think all the kids always sing “Twinkle Twinkle” and use antibacterial soap, you know?), could be a good reason to think that their rates of pertussis just might be different to ours. It’s just different. Our rate might even be higher. I wouldn’t count on a study in one country to work in another one, especially in such different ones.
post #152 of 186
Quote:
Originally Posted by Mahtob View Post
(I know that Indonesians eat with their hands, and though they wash their hands, I don’t think all the kids always sing “Twinkle Twinkle” and use antibacterial soap, you know?), could be a good reason to think that their rates of pertussis just might be different to ours. .
Actually the use of antibacterial soap here just adds to the spread of bigger bacteria/viruses resistant to antibiotics. Soap and water works just fine....
post #153 of 186
Mahtob,I really don't mind that we see things differently nor would I mind hearing about your experiences but I don't think I'm alone in my dislike of being talked down to.
post #154 of 186
Quote:
Originally Posted by mykdsmomy View Post
Actually the use of antibacterial soap here just adds to the spread of bigger bacteria/viruses resistant to antibiotics. Soap and water works just fine....


that and


Quote:
And moreover, if we look at steadily rising childhood cancer rates, I think it’s important to note that we haven’t always had more vaccines than Europe.
I believe "we" have.
Can you post a year when Europe vaccinated more than the US?
post #155 of 186
Well, I guess there's no sense in posting my study, since SM thinks pertussis immunity studies from outside the developed world are useless. But I'll link for those who are interested : http://www.ncbi.nlm.nih.gov/sites/en...indexed=google

I caught pertussis when I was about 17...of course, they first told me I had bronchitis, then asthma. When DD caught it from my dad, when I was 25, I didn't catch it - either from my dad, his girlfriend or DD. Clearly I was already immune and my immunity helped DD a LOT. We never needed to do anything for her other than sit her up to make sure she didn't choke when all that mucous came up.

SM, are you crediting the abx with your son's amazingly short bout of pertussis? I've never heard of anyone recovering completely within one week. It's pretty miraculous, because the body has to completely repair all the damaged cilia in order for the lungs to effectively remove the normal mucous build up that causes the coughing in pertussis. Antibiotics cannot speed that process and the coughing doesn't start until the ciliated epithelium is already damaged. Nor have antibiotics been shown to reduce the length or severity of illness, according to the Cochrane review, probably because abx treatment isn't usually started until after the coughing starts, which doesn't happen until after the cilia are damaged. Your child really did experience a miraculous recovery from pertussis - you guys were very fortunate. I wish our case had been so short, but I guess we were also lucky in that we did not require treatment, so I guess we were both fortunate.

In answer to mamakay's question as to why Indonesian women would be more likely to have pertussis antibodies and if it might be that they had more children, you replied,

Quote:
Originally Posted by ScienceMom
To some degree that but low vaccine uptake...
So you are saying that low vaccine uptake = better immunity in adults, which in turn = more pertussis specific antibodies in breastmilk. Since none of the vaccines on the market prevent transmission, do you think continuing the US vaccine policy is a good idea? If low vaccine uptake = more mothers immune to pertussis and more infants protected by transplacental and breastmilk antibodies, then do you think the US policy of vaccinating everyone is wise?

As far as I can tell, the only way it would help would be if all women got vaccinated right before getting pregnant.....every time they got pregnant, if the pregnancies were more than a few years apart, which of course is never going to happen. And that depends upon the vaccine actually working well enough to protect the babies as well as immunity after exposure (in the mother, I mean, not the baby).
post #156 of 186
Quote:
Originally Posted by Plummeting View Post
Well, I guess there's no sense in posting my study, since SM thinks pertussis immunity studies from outside the developed world are useless. But I'll link for those who are interested : http://www.ncbi.nlm.nih.gov/sites/en...indexed=google
Plummeting, if you wish to cast aspersion upon my credentials, at least be accurate. A well-done study is my prerequisite, not where it is done.

Quote:
SM, are you crediting the abx with your son's amazingly short bout of pertussis? I've never heard of anyone recovering completely within one week. It's pretty miraculous, because the body has to completely repair all the damaged cilia in order for the lungs to effectively remove the normal mucous build up that causes the coughing in pertussis. Antibiotics cannot speed that process and the coughing doesn't start until the ciliated epithelium is already damaged. Nor have antibiotics been shown to reduce the length or severity of illness, according to the Cochrane review, probably because abx treatment isn't usually started until after the coughing starts, which doesn't happen until after the cilia are damaged. Your child really did experience a miraculous recovery from pertussis - you guys were very fortunate. I wish our case had been so short, but I guess we were also lucky in that we did not require treatment, so I guess we were both fortunate.
I most certainly credit the use of antibiotics early in the course of infection in part. Breastfeeding and that 1 hit of DTaP along with my son's apparently excellent immune function would also be factors in reducing the severity and duration of the illness in spite of his vaccine-corrupted, little body and my older son did not get it.

Quote:
So you are saying that low vaccine uptake = better immunity in adults, which in turn = more pertussis specific antibodies in breastmilk. Since none of the vaccines on the market prevent transmission, do you think continuing the US vaccine policy is a good idea? If low vaccine uptake = more mothers immune to pertussis and more infants protected by transplacental and breastmilk antibodies, then do you think the US policy of vaccinating everyone is wise?
You are assuming that the naturally acquired immunity of these women is somehow better for them and their infants. The very short-lived and incomplete protection that naturally occurring anti-pertussis toxin antibodies may confer is hardly a guarantee that these infants will survive. Many don't so I don't see the benefit of high endemicity of pertussis and low vaccination uptake for some natural immunity down the line when malnutrition and disease have such devastating consequences.
http://www.ncbi.nlm.nih.gov/sites/en...ubmed_RVDocSum
To answer your question, until a better pertussis vaccination comes to the worldwide market, I think that U.S. (and other countries') vaccination policy regarding DTaP is sound.

SM
post #157 of 186
Well, the CDC is hoping to get all women vaccinated DURING pregnancy...so, there ya' go.
post #158 of 186
Quote:
You are assuming that the naturally acquired immunity of these women is somehow better for them and their infants. The very short-lived and incomplete protection that naturally occurring anti-pertussis toxin antibodies may confer is hardly a guarantee that these infants will survive. Many don't so I don't see the benefit of high endemicity of pertussis and low vaccination uptake
From what I understand, it's IgA that's used in seroepidemiology studies, because it's an Ig that you can only get from natural infection and not vaccination.
And it's also the Ig in breastmilk.
So...
post #159 of 186
Quote:
Originally Posted by Science Mom View Post
Plummeting, if you wish to cast aspersion upon my credentials, at least be accurate. A well-done study is my prerequisite, not where it is done.
Casting aspersion upon your credentials? lol Relax, SM. You said:

Quote:
I just ordered the first article, the abstract is sketchy so I would like to see the numbers even though it is a small sample. I will read the second but if they are referring to Indonesian women, guess why that would be.
You clearly suggested that a study of Indonesian women cannot be used to form any opinions about what's happening in the US. You said, I will read the second, but..." That little "but" is very important. It's very clear that you were saying it's not relevant to what's happening in the developed world. Please don't insult our intelligence by claiming you meant to suggest anything other than that what's happening in Indonesia doesn't relate to what's happening in the US, when it comes to pertussis immunity in adults. Perhaps I should've said, "SM thinks pertussis immunity studies from outside the developed world are useless in this context." I thought that what I meant was clear, so if you didn't understand due to my failure to include those three words, then I apologize.

Quote:
I most certainly credit the use of antibiotics early in the course of infection in part.
Okay, but the Cochrane people disagree with you. I guess we all pick and choose which studies to believe and even the scientists among us aren't immune to basing those decisions on personal preference and not just the validity of the science.

Quote:
Breastfeeding and that 1 hit of DTaP along with my son's apparently excellent immune function would also be factors in reducing the severity and duration of the illness in spite of his vaccine-corrupted, little body and my older son did not get it.
SM, please save your vitriolic sarcasm for someone else. I've never been one to say that vaccinated kids were sickly, sad, weak, glassy-eyed or any of the other things you are apparently inaccurately assigning to me. In fact, whenever the topic comes up here, if I address it at all, it's usually to say something along the lines of how I can't tell whether a kid has been vaccinated or not by looking or how I think breastfeeding is a much bigger determinant in the health of a child. It really doesn't help your cause any to mischaracterize me or my position - especially when anyone who wants to know can just look through my old posts on the subject. Clearly you are very confused about what I believe, but that really doesn't make it okay for you to get rude....and especially not when, you know, you're wrong.

Oh, and regarding high endemicity of pertussis....it is endemic in the US already. The vaccine didn't change that, as you yourself seem to be admitting, when you acknowledge that the vaccines don't prevent transmission. The vaccination program has nothing to do with endemicity of pertussis, since it doesn't prevent transmission, so using or not using the vaccine is very unlikely to change it.
post #160 of 186
Quote:
Originally Posted by mamakay View Post
Well, the CDC is hoping to get all women vaccinated DURING pregnancy...so, there ya' go.
Does the adult vax contain thimerosal? Any other ingredients that are contraindicated during pregnancy?

I'm seriously creeped out by the growing recommendation of vaxing to pregnant women without doing the necessary research to demonstrate safety. First the flu vax and now a DTap?

There are some crazy people around and I don't think I'm one of them.:
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