Adults need whooping cough booster

Presently Australia is experiencing a major whooping cough (pertussis) epidemic.

It’s been in epidemic proportions since 2008-2009. Interestingly 2007 was the third lowest year on record since notification became compulsory in 1991. 2009 was a notably bad year for pertussis. A major contributor to epidemics is low pertussis vaccination rates, as evidenced here, in the UK and the USA. Adult boosters are crucial in combating this.

Contrary to certain claims this epidemic is not due to the pertussis vaccine nor does it demonstrate inherent flaws in the efficacy of pertussis vaccination. We do know that the age at which pertussis vaccine induced immunity wanes has fallen. Exactly how this relates to the acellular vaccine vs the older whole cell vaccine and the bordetella pertussis bacteria, is complex. However, there is a basic account here, along with interviews on The World Today and some musing on the error in blaming vaccine efficacy.

California experienced a severe epidemic in 2010, confirming the problem with waning immunity. Often used as a trick by antivaccination lobbyists to claim “the vaccinated” mostly get pertussis, the reality is different. Vaccinated individuals can catch a much milder form of pertussis, yet unvaccinated patients experience severe illness, disability and even death. In this same article, under Waning Pertussis Immunity Comes as No Surprise Dr. Carol Baker writes in part:

The California epidemic was caused by underimmunization of some children, and by waning immunity in fully vaccinated children. It showed that we are not where we need to be to have herd immunity. The 2010 California outbreak caught everyone’s attention.

Recently in Australia claims were made about pertussis vaccine inefficacy on ABC which I looked at here. It’s a favourite theme of the AVN and if you’re keen to look at exposing tactics it has popped up here, and here involving abuse of WHO data whilst we even have a cameo from Viera Scheibner pushing much the same at about the 6:45 mark.

Regarding adult boosters of 1 dose, the NCIRS fact sheet on pertussis (below), backed by citations states [my bold]:

The efficacy of the pertussis components of dTpa vaccines administered to adolescents and adults is inferred from the serologic results obtained in infants immunised with paediatric DTPa in pertussis efficacy trials. For both dTpa vaccine formulations, the immune responses to all pertussis vaccine antigens in adolescents and adults 1 month after a single dose of dTpa were non-inferior to those of infants after 3 doses of DTPa.

A large clinical trial in adolescents and adults demonstrated overall vaccine efficacy against confirmed pertussis of 92%, and a clinical trial in adults demonstrated prolonged immunogenicity from a single dTpa booster dose, with pertussis antibodies remaining above pre-booster dose levels in 85% of participants for 5 years after immunisation.

It’s widely known pertussis boosters are or have been available free in many states and territories. This may vary between new parents, family members, foster parents and other adults as a view of this Immunise Australia page suggests. It’s probably best to contact your own health department or just call the local GP. So, how are adults going keeping up with boosters?

According to the Australian Government 2009 Adult Vaccination Survey:

An estimated 11.3% of Australians aged 18 years and over had received a pertussis vaccination as an adult or adolescent. Uptake was substantially higher among parents of infants aged less than 12 months old (51.5%).

Hmmm. It seems we can certainly lift our game. If you haven’t had a booster for 4-5 years please get one. If you’re an adult likely to be in contact with a newborn then definitely get one.

If you’re none too happy with the conduct of the antivaccination lobby the single greatest effect you can have against them is to get a pertussis booster. As adult herd immunity rises less infections will be passed to at risk children, non-immunised infants, other adults and there will be less notification in total. This will serve to deflate the claim that rising diagnoses are ipso facto proof that childhood vaccination is a failure.

The Australian Vaccination Network wrongly compares 95% pertussis vaccination rates in young children (11% of diagnosed age groups) with 11.3% of adult vaccination (89% of diagnosed age groups). Then claim total population infection (100% of all diagnoses) is due to ineffectiveness of childhood vaccination alone.

For example Meryl Dorey compares vaccination rates of small children – which are around 95% – with diagnosis across all age groups – which include adults at around 11.3% – to secure high notification levels. Of the 18 age groups making up notifications only 2 correspond to the 95% vaccination rate. 16 age groups fall outside that at which immunity begins to wane (the 11.3% vaccination rate). Including numbers of infants too young to have completed pertussis vaccination, it’s clear Dorey’s figures come most primarily from the unvaccinated and non immune.

Today, ABC AM interviewed a parent who lost a four week old to pertussis. She said:

I hadn’t had a booster and the most heart-wrenching thing for us is that we were not warned, there was meant to be a yellow warning sticker go on [her] blue book in the hospital, we didn’t get one.

We didn’t know about adults requiring boosters, nor did any of the adults around us, none of our family or friends knew and we also didn’t know that the area I was living in was in the grip of an epidemic.

Well, now we do know. There’s really no excuse if you’re able to be vaccinated.

Please get your pertussis booster ASAP.

Listen here:

Or download mp3 here

NCIRS pertussis Fact Sheet

Quick Pertussis Facts

Meryl Dorey’s Supercalifragilistichomeoprophylaxis 2011 W.A. tour

Even though the sound of it
Is something quite atrocious
If you say it loud enough
You’ll always sound precocious
Um diddle diddle diddle um diddle ay
Um diddle diddle diddle um diddle ay

Meryl Dorey of the Australian Vaccination Network hasn’t been her usual fun loving self since returning from her W.A. 2011 Tour.

Things, it would appear, did not go to plan. It was supposed to have been all so simple. Meryl Poppins was going to float in with her carpet bag of all singing all dancing vaccine myths and in just 15 days tear up the stage in an extravaganza of adoration over a very special seven performance tour.

All of W.A. would turn out to hear one of Australia’s most loved fairy tales. Toils and struggles of the real world would be left behind for two weeks as fantasy and magic came to town. Scarred, battered and exhausted from the toxins in vaccines, this is just what this entire state of sickly people needed.

The favourites were eagerly anticipated.

Supercalifragilistichomeoprophylaxis, would have the kiddies tongue tied and flushed.

The delightful song and dance duo with Big Pharma Myth Conspira Conspira Conspira-see would have the adults on their feet. And everyone of course would sing along to Just A Spoonful of Oscillococcinum.

Step Back In Time with backing vocals from the very talented myths, Diseases Are Harmless and Vaccines Cause Disease were billed as “mind blowing”. For the totally unvaccinated, Meryl planned to team up with Diseases Provide Immunity and finish each show with the moving favourite that any parent can sing to kids, Stay Alive. She would be loved, adored by the media and interviewed at length on air.

But things seemed to go wrong almost immediately. Channel 10 withdrew sponsorship of The Conscious Living (or Lying) Expo after seeing Meryl Dorey’s name on the list. She summoned the Flying Monkeys. She published a piece on Dr. Peter Dingle who was there presenting his Great Cholesterol Myth. This conspiracy theory is a favourite of David Icke, so Meryl was certainly in good company. Dorey – self appointed defender of free speech – then spent two lengthy pieces on her blog whining about Liberal MP Barry Haase for having his say in defence of vaccines – below. Dorey twice more summoned the Flying Monkeys.

In a rushed round up, Meryl Dorey herself reported on the “smallish groups” to turn out to the Meryl Poppins shows. Despite billing herself as a “vaccine expert” Dorey was completely lost when it came to the rubella vaccine in Australia. In a piece that sounds half made up Dorey recounts testimonials from nameless people. At one of her shows Dorey spoke with a midwife who told her of a 22 week pregnant woman who was found to have low rubella antibodies “so her doctor just gave her a rubella vaccine on the spot”.

Here’s why you should never listen to Meryl Dorey and why her misplaced confidence and immediate conclusions are potentially dangerous.

First of all, rubells (sic) is only a risk for women in their first trimester of pregnancy (the first 12 weeks) so there was no need to panic about rubella levels for someone who was already 22 weeks pregnant.

According to The Australian Immunisation Handbook, regarding rubella:

The risk of damage declines to 10 to 20% by 16 weeks’ gestation. After this stage of pregnancy, fetal damage is rare but has been reported up to 20 weeks’ gestation.

Meryl Dorey:

Second, this vaccine has never been tested for safety during pregnancy and except in the case of an emergency, it should not be used at that time.

According to The Australian Immunisation Handbook, under Groups with special vaccination requirements:

The need for… rubella vaccination should be assessed as part of any pre-conception health check. Although the use of most vaccines during pregnancy is not usually recommended on precautionary grounds, there is no convincing evidence that pregnancy should be an absolute contraindication to the use of any vaccine, particularly inactivated vaccines.

Meryl Dorey:

Last, there IS no rubella vaccine in Australia – there hasn’t been for ten years or more since the monovalent rublla(sic) vaccine, Meruvax, was withdrawn and rubella is now only available as part of the combined MMR shot. This woman was vaccinated without being given any of this information and was told outright that she was getting a monovalent vaccine when in fact, she received a three-in-one shot!

Australian Immunisation Handbook, on rubella vaccination:

Rubella vaccine is available as either MMR vaccine or as a monovalent rubella vaccine. Monovalent rubella vaccine: Meruvax II – CSL Biotherapies/Merck & Co Inc (rubella virus vaccine).

I’ll wage good money you can keep returning to Meryl’s post to read, “This woman was vaccinated without being given any of this information and was told outright that she was getting a monovalent vaccine when in fact, she received a three-in-one shot!” for a long, long time. Wrong, wrong, wrong and making up stories. That’s our Meryl.

Then there’s an assumption another person was “misinformed”. Needing a tetanus shot the woman was offered the ADT Booster which has diptheria and tetanus toxoid, or dTap which is diptheria, tetanus and pertussis. You can read the Immunisation Handbook on tetanus here. The woman seems to remember being offered “tetanus and pertussis” which doesn’t exist. Even Dorey realises the potential for patient confusion, but we get:

Whether she misunderstood what she had been offered or the staff member had no idea what was in the vaccine, I’m not sure. But if she had been misinformed, it would not have been the first (or hundredth) time someone had told me a similar story.

Yes, yes indeed. Just like the rubella story above.

Hepatitis B vaccine is to be administered within 72 hours of birth, but Meryl heard from a nurse it is being given as early as 10 minutes. There is no issue here but Dorey seems to think it should be given “three days later”. To make this more absurd, information on the HBV vaccine being given within 72 hours of birth is available on the AVN website. Oh, Meryl!

She also spoke to someone representing someone else who Dorey claims has Guillain-Barre Syndrome. Apparently the person was vaccinated for H1N1 and “within days” was hospitalised. Dorey writes:

She tried to ask the staff if this could be related to the flu vaccine and they all insisted that there was no link…. This link has been known since 1976 when the flu vaccine was first brought into disrepute…. For staff today to be either so ignorant of this link or, even worse, to lie about it and cover it up, is unforgivable.

She finishes off by reminding readers that this is why the AVN exists. So, why you may ask. To publish without checking facts? To spread fear? To make up fallacies and draw impossible conclusions? To insinuate wrongdoing? So it would seem. To be sure however, there’s more to her ranting.

After the 2010 Fluvax debacle in which 3.3 per 1000 children suffered seizures, the appalling conduct of manufacturer CSL coupled with the TGA’s poor response to both, Dorey assumed she’d be welcomed with open arms. Only a year earlier she let Judy Wilyman loose to tell an audience that, “We’re being educated by the media who have pharmaceutical interests”. Time and again Wilyman claimed the media, as part of the Government, Pharma, Media triad, “run fear campaigns” such as “reporting the deaths of three babies from ‘flu”. In this way the community are “coerced into vaccinating”.

The Fluvax issue was why “hundreds of families” as Dorey claimed this year had children in hospital. Comparing all media reports it appears 23 were hospitalised, 47 taken to hospital and over 60 children effected. This is a serious matter deserving it’s own post to sort the concerns from the hysteria. Meryl made – and still makes – incorrect claims about the suspension in 2010 of paediatric flu vaccines by Australia’s chief medical officer.

She claims that parents were unaware their children were being used in a secret trial. As serious as the W.A. event was, this in no way gives Dorey an excuse to be libellous, falsely suggesting that:

[No] parent who gave permission for their precious child to be vaccinated in this campaign was informed that their babies were being used as guinea pigs in a trial that was paid for by the drug companies involved.

Being welcomed as some anti-vaccine Messiah with a magical carpet bag was not exactly how things flowed. Cathy O’Leary, medical editor for The West Australian reminded readers of how much trouble the AVN was in and brought up the “rape with full penetration” analogy to vaccination that Meryl strongly stood by at the time. The article included:

Australian Medical Association WA president Dave Mountain said the group was trying to whip up anti-vaccine hysteria again.

“They are zealots who pick and choose bits of information to make it look like they’re presenting real evidence,” he said. This led to parents refusing to get children and themselves vaccinated, which affected everyone, particularly the most vulnerable who benefited from herd immunity and, in that respect, they were a danger.

Liberal party member and Federal Member for Kalgoorlie, Barry Haase wrote a piece in The Kimberly Page on immunisation and the impact of the AVN. He noted:

Recent reports state the Australian Vaccination Network, an anti-vaccine lobby group; have been holding meetings in Western Australia. I find it illogical that sane parents would pay $15 to hear why they should not save the lives of their children.

For some, obscure to me, reason, this group has a snout on about saving lives. Vaccination has all but wiped out a number of childhood illnesses.

This radical group, based at Bangalow, near, of course, Byron Bay, was stripped of its charity status by the NSW Office of Liquor, Gaming and Racing, after health authorities found its information to be biased.

This led to an opinion piece in The Kimberly Page from Ken McLeod, who has had his complaint against the AVN upheld resulting in a NSW HCCC order for the group to publish web site warnings. The HCCC have further published their own public health warning about the Australian Vaccination Network. Ken has also been instrumental in urging the OLGR to pursue the AVN over what became 23 legislative breaches.

As already noted here another W.A. article quoted Dorey as admitting to pro bono legal help in her appeals against the HCCC and OLGR. This raises more questions of what may have happened to pledges or donations secured for legal funds.

Then just recently Cathy O’Leary reported on the fact Consumer Protection is investigating the AVN’s grab for donations in W.A., in light of the OLGR NSW revocation of their charitable fundraising licence.

All in all the Supercalifragilistichomeoprophylaxis W.A. Tour 2011 was a big flop for Meryl Dorey.

Floreani, Golden and the myth of homeopathic immunisation

For a mob that officially professes “no position” on vaccination the Chiroprctors’ Association of Australia disseminate ample false, misleading and quite dangerous antivaccination hanky panky.

Take CAA NSW branch vice president, Nimrod Weiner. The Weiner from Newtown Community Chiropractic whose Nimroddery was pegged as a “rant on vaccines” by The Australian. Although he feverishly ran for cover after outraging real doctors, not-a-real-doctor Weiner’s “rant” bibliography can be found here. A hodge podge of dusty conspiracy twaddle and outright lies, much from the Australian Vaccination Network it alone refutes Weiner’s claim:

I’m good at knowing how to read a research aritcle, and knowing whether it’s viable or not. I’m also good at collecting a lot of research. This vaccine topic I update every single week. So what we’re looking at is new as of yesterday morning.

He didn’t write that, but announced this to attendees of his seminar Vaccinations: An informed choice, in what can quite justifiably be called a lie. There’s more on the entire debacle along with a Radio National segment here. At times we’ve met other crackpots from the CAA. Jason Parkes and Rob Hutchings, both of whom approach their profession like a religious fundamentalist approaches taking up arms. Warren Sipser who believes vaccines cause harm yet chiropractic “repairs DNA”. Genevieve Keating is another pleasant sounding predator who specialises in convincing parents chiropractic builds super human kids. They lean toward the weird beliefs of founder Daniel David Palmer and his views on “God given energy flows”.

Sipser was the subject of an article in The Australian headed The Chiro Kids which brought home just how ludicrous (and scurrilous) the new brand of Mystical Chiropractors really are. Thanks to Dr. Rachael Dunlop we can read the CAA’s Media Release warning CAA members of that article. It’s disturbing stuff given these quacks are subsidised by our government (Medicare foots the bill for five sessions per year) and health insurers. Written by CAA national president Simon Floreani, it is a straight out attempt at damage control, obfuscation and dodging questions.

Floreani himself has run antivaccination clinics and is a member of the Australian Vaccination Network. He describes Dorey’s little fraudulent scheme as a valuable resource for patients. Simon is married to Jennifer Floreani, famous for writing an article supposedly describing (Update – as noted below the bogus article has been removed but can be found here pp. 348-349) her newborn’s battle with pertussis, picked up from an older sibling. Given the outcome and treatment the article is almost certainly fraudulent, but if perchance the diagnosis is correct then at best it is reckless neglect and at worst simple child abuse.
She writes (bold hers):

This experience did indeed test our resolve and we were forced to draw on our support network of healthcare providers. We performed chiropractic checks on our baby daily and utilised a whooping cough homeopathic. I dosed myself with an array of vitamins to boost his immunity via breast milk and kept him hydrated with constant breastfeeding.

Whooping cough is often slow to develop and may respond well to conservative management, including chiropractic, osteopathy, homeopathy, herbs, acupuncture or acupressure. Within two days, the severity of our baby’s symptoms cleared and within a two week period, each of our boys had a complete resolution of their symptoms.

Fortunately for the Floreani’s this little tale is just that – a tale and a comical one too. Every type of “conservative management” is absolutely non efficacious. Babies with pertussis gag, choke and may have profound difficulty breathing making this nonsense of super fortified breast milk as a realistic option seem laughable. More so, there’s no evidence an increase of maternal vitamin intake when breastfeeding will do anything but produce expensive maternal urine. Even more farcical is the notion of “boosting immunity” with vitamins. Either way, if their baby did have pertussis there’d be no magic recovery after two days but admission to intensive care many days later as the insanity of their hokery pokery gradually sank in. Yet, that’s not really the point.

The dangerous, deluded and unconscionable message pushed on parents here is that using your breasts, vitamins and witch doctor spells, you can clear up a potentially fatal disease within two days. It’s outrageous and a bald faced lie that I cannot even begin to comprehend the motivation for. What’s infuriating is that chiropractors exploit the confirmation bias in parents and the Floreani’s are prime examples.

Parents who believe these nonsense manipulations cure everything report that yes treatment keeps children healthy. They also report inaccurately that lapses in treatment lead to poor health. Knowing this, chiropractors are famous for setting treatment frequencies, with some even insisting on treatment contracts. That the locus lies with parental bias has been shown splendidly in trials on colic.

As we know, chiropractors claim they can “successfully treat” colic or – in their lingo – Irritable Baby Syndrome. Trials show that if parents believed their baby received chiropractic care, whether they did or did not, they reported improvement. If they believed that no chiropractic care was applied – even when it was – they reported a worsening of colic. You can catch up with Simon Floreani admitting no proper trials exist here on Lateline back in July 2009.

He’s caught out claiming injuries from neck manipulation are one in 5.85 million cases when in fact they are gauged at 1.3-5 per 100,000 manipulations, by insurer Kaiser Permanente, who refuse to cover the practice. In short Floreani is claiming instance of vertebral injury is 60 – 300 times less than it is.

On August 21st this year, a video entitled “Homeopathy evidence and research” filmed by Simon Floreani and featuring homeopath and fraud Isaac Golden, appeared on YouTube. The video below looks initially at the rise of the Mystical Chiropractors and then picks through Golden’s claims of Cuban “homeopathic immunisation” and his own so-called PhD on “homeopathic immunisation”.

When used to defend against a complaint to the TGA about homeoprophylaxis, Golden’s PhD actually helped uphold the CRP decision of misleading claims by fellow crook, Fran Sheffield. This is because even Golden admits in his thesis text that his sample was flawed in size and there was no chance of contracting infection. In short he showed nothing.

Enjoy…

Polio – Unconditional Surrender (1956)

From The National Foundation for Infantile Paralysis, Unconditional Surrender looks more closely at the steps involved in making the polio vaccine.

The makers of this movie seek to educate how important the vaccine manufacture protocol, thus safety and efficacy, is. Following production comes testing and retesting. And cute bunnies. Then off to The National Institutes for Health complex where the protocol is examined. Samples from every batch end up in the labs of the NIH, tested for sterility, tissue culture, incubation tests, monkey tests… all designed to ensure safety and efficacy. Many are repeats of those done during manufacture.

In that wonderful victorious lilt of 1950’s narration viewers were held in confidence by such turns of phrase as “man’s enemy becomes his servant”. Of course, the unstated purpose was also to maintain confidence following The Cutter Incident named after Cutter Laboratories – the first lab to unwittingly dispense live virus vaccines instead of killed. This resulted in infections, and still later it became plain not only Cutter lab’s were struggling with Salk’s protocol.

It resulted in a suspension of only one fortnight. A good deal of Paul Offit’s book The Cutter Incident can be found at Google Books.

Unconditional Surrender

 

The Polio Crusade

For an American citizen, Meryl Dorey, president of The Australian Vaccination Network pays scant attention to her homelands recent history.

The tragedies caused by polio were fierce and unrelenting. ‘‘It was an atmosphere of grief, terror, and helpless rage,’’ remembered a nurse who worked on the medical wards at a Pittsburgh hospital. ‘‘It was horrible. I remember a high school boy weeping because he was completely paralyzed and couldn’t move a hand to kill himself. I remember paralyzed women in iron lungs giving birth to normal babies.’’ [….]

Four of the boys got polio that summer. One day no one could find our head counselor, Bill Lilly. He took what happened to those boys pretty hard. The police were called and, after they searched all around the lake, they found that Bill had hung himself from a tree – hung himself. We were all huddled around the beach when the police came to tell us. I’ll never forget it.’’ [Source]

As is plain in the video below by 1950 33,000 polio cases in which 50% affected children under 10 were reported. Whilst it was uncommon to catch, remote to be injured by, and extremely rare to die from polio, Americans feared it almost as much as the atomic bomb. As one who claims vaccination had no impact on polio at all – personal hygiene, public sanitation, clean water and mama’s apple pie eliminated vaccine preventable diseases – this video holds a surprise for Meryl Dorey.

In the post war years clean water and public sanitation meant less prevalence of a milder, wild type of polio virus. Previously maternal antibodies and/or exposure to this wild type from very young ages had equipped the young with sufficient immunity. Polio is taken in orally and water or vapour are it’s most common mode of infection. In a more prosperous America exposure was occurring later in life, particularly during summer months. The virus itself was more virulent and within a few seasons was also striking adults severely.

In a nutshell, as described by eloquently by Dr. Paul Offit, as sanitation improved exposure occurred later and cases rose. And so pfft! goes another well worn antivaccination lie, recently peddled by Viera Scheibner on Sunrise TV.

Of course today, anti-vaxxers carry the burning Stupid as a beacon to light their way and tend to blame almost any outbreak on vaccination. Indeed only a day or so before the video below aired, Meryl Dorey refers to this viral polio outbreak in China as “vaccine associated polio”, blaming the vaccine. Even worse, she linked to the same article as here, which kinda informs the reader by paragraph two. Even worse… well no, actually so incredibly stupid it hurts to comprehend, Dorey thinks the file picture is an account of it’s own as to what’s happening. I shag you not. She writes;

What type of vaccine do they use in China – is it oral or injected? The picture looks like someone getting oral in which case, that is most likely where the outbreak is coming from

That’s our girl! “Australia’s leading expert on vaccines” looked at the picture.

A member of her Facebook page decided to point this out. The brave Emma Hill was banned, her comment deleted to make room for vaccine blaming and business briskly resumed. Meryl hates suppression of dissent or impinging on free speech as she often opines. She just has a unique way of showing it.

Pre Ban Hammer

Post Ban Hammer

As Emma notes the outbreak is caused by WPV1 spreading from Pakistan. But in defence of Meryl, we’re now getting into facts and that just won’t do. So, back to 1950’s America.

This doco looks at the impact of increasingly devastating outbreaks, infantile paralysis, the quest for a vaccine under Jonas Salk and the development of government quality control following the Cutter Incident. As documented well, also by Dr. Paul Offit poor quality control led to live virus vaccines being distributed and consequent infection in some cases.  Program centres around Wytheville in the US.

Enjoy…