“Vaccine Shedding”: Time Up For Another Vaccine Myth

One myth often pulled out by antivaccination lobbyists to malign vaccine safety is the senseless term “Vaccine Shedding”.

Whilst in context we all know what is meant, it’s worth pausing to consider that the term is a byproduct, if you will, of the antivaccination movement’s skill at sowing misinformation. The unrivaled ability to scan a headline and regurgitate some ghastly tale about vaccines. To squeeze another fallacious vaccine “danger” onto the shelf, content in the knowledge it will soon have a life of it’s own.

The colloquial use of this nonsensical term seeks to convey that an individual who has been vaccinated can readily shed part of the vaccine and cause infection in the unvaccinated. Which by definition demands them to have shed not a vaccine but an infectious agent. Indeed a virus or bacterium. Which by extension demands the vaccine to contain a live virus or bacteria. This then opens the door to viral shedding the vast complexities of vaccine induced immunity and viable modes of excretion – aka shedding. That won’t stop your garden variety anti-vaxxer claiming any vaccine can lead to infection of the unvaccinated via this ghastly “vaccine shedding”.

But that’s only part of the story. “Vaccine shedding” is a double barrelled myth in that transmission is assumed to occur ipso facto. Shedding is not transmission. Period. Yet denial of vaccine efficacy requires internalisation of some whacky stuff. Including the erroneous belief that viral shedding follows MMR vaccination. Yet worse is the myth that inactivated vaccines pose the risk of infection due to “vaccine shedding”.  Pertussis often brings out the malicious side of anti-vaxxers. DTaP is inactivated. Indeed the pertussis component is acellular. Update: The acellular pertussis vaccine is an example of a subunit vaccine.

So, you may wonder at the nature of Cynthia Janak who writes in Will the vaccinated infect the unvaccinated? That is the question with Whooping cough:

Before I continue I want to tell you about a fact that is known by the CDC, etc. That is called vaccine shedding. This is the transmission of the virus from a vaccinated person to an unvaccinated person. [….] I want you to understand that this is true for vaccines including the Whooping Cough. What you could have happen is that all these parents and child care workers are going to get the vaccine and then take care of children. [….] The vaccinated have the potential to infect the unvaccinated child. This could cause the next epidemic of disease like what happened with the small pox epidemic.

So, in Cynthia’s mind “vaccine shedding” is, “…transmission of the virus from a vaccinated person to an unvaccinated person”. Wrong. And it’s true for whooping cough. Impossible. Yet Cynthia Janak asserts there’s potential for an epidemic like smallpox? Pure fiction. Contracting pertussis because an unvaccinated and infected child or adult who ignores boosters has breathed on someone is, however, a simple fact. Aiming to inflate the danger of her misguided concern about “vaccine shedding” as “known by the CDC”, Cynthia uses references to FluMist.

FluMist a live attenuated influenza vaccine (LAIV) sprayed into the nostrils and well understood regarding shedding. Concerns about administering a live virus this way should be respected. So should the facts about any risks. It sheds in low concentration for short periods via nasal discharge. It is not associated with person to person transmission. Given that wild type influenza sheds at far higher concentration, is found on fixtures, objects, skin and is strongly associated with transmission, severe illness and complications it seems Cynthia has been selective about what’s “known by the CDC”.

“Vaccine shedding” is better suited to mid 19th century notions like the infectious miasma, wafting about in terrifying unseen clouds held aloft by our lack of knowledge. Nor does the rare instance of shedding suddenly turn any agent into a virus with the infectious capability of Ebola. But anti-vax voices are often raised in triumph that the crime of “vaccine shedding” places the community at greater risk than the rising numbers of unvaccinated.

The scale of error associated with this belief is akin to the myth of potential vaccine injuries outweighing the benefits of vaccination. Serious injuries that do occur are primarily in populations genetically predisposed to latent complications and manifestation is extremely rare. Injuries, disability and death from vaccine preventable disease would occur at magnitudes many hundreds or thousands of times greater and can manifest in anyone. Vaccine injuries are artificially inflated by confusing correlation (sometimes years apart) with causation, and by including red marks, crying, sleep disturbance or omitting that event X was a serious allergic reaction to latex syringe components. Similarly, arguing ones unvaccinated child is at risk from, or has been infected by, a recently vaccinated child is quite a claim.

Viral shedding itself is by no means ignored by the medical community. It’s of primary concern in the management of immune compromised patients, pregnant women and newborns. Varicella is an excellent example in that a.) viral shedding is well understood and b.) the risk from shedding can be discerned from precautions taken. Following varicella vaccination, viral shedding can be detected in the stools for six weeks.

In the case of immunodeficiency disorders or immune suppression from drugs, transfusions, stem cell transplant, chemotherapy etc, the recommendations are to avoid contact with fecal matter of vaccinated subjects and to observe good hygiene. To put this in context, unvaccinated children who spend one hour in a room with an infected child (shedding varicella) stand a 95% chance of contracting varicella (chicken pox). This is why vaccination against varicella is vital and choosing to not vaccinate your child places him or her and by extension countless others at risk of serious complication.

For nursing mothers post natal varicella vaccination need not be delayed if they are varicella-susceptible as varicella hasn’t been found in breast milk post maternal vaccination. There is no problematic risk of viral shedding to newborns provided hand washing and other hygiene measures are followed.

Whilst rare, a post-varicella immunisation vesicular rash can form. Again whilst quite rare, viral shedding can occur at this site. Plainly stated it’s incredibly rare for an unvaccinated child to be infected with varicella from a vaccinated subject and a series of events, including transmission, must occur within a small window of opportunity. Greatest precautions must be taken in the case of immune suppression. Writing in Vaccines in immunocompromised patients, Janet R. Serwint, MD Consulting Editor notes:

Because the varicella virus rarely can be shed through a postimmunization vesicular rash that may develop, recommendations include avoiding contact until the rash resolves.

In March this year there was an interesting case of viral shedding. The antivaccination lobby bellowed that Varicella zoster virus DNA had been found in the saliva of people over 60 vaccinated with the live Zostavax vaccine manufactured by Merck. In this age group Herpes zoster (shingles) is the target. Shingles is the result of infection with VZV earlier in life which may reactivate as immunity declines or from novel infection. Despite blog headings like Vaccinated people SHED LIVE HERPES for up to a month AFTER vaccination, be aware it was 2 of 36 “vaccinated people” who made the grade.

There was no indication of infection risk at the time. Today transmission is considered rare. Packet inserts carried the standard warnings found in varicella immunisations to avoid contact with infants, nursing mothers and immunocompromised individuals. “Doctors never tell you this”, lied the anti-vax lobby. The end result is that, fortuitously, it appears a saliva test could be developed allowing for detection and antiviral therapy before the painful rash appears. All up with rare potential for transmission from about 5% of recipients of a vaccine that’s not widely used it was a non event.

With MMR the lack of viral shedding renders any risk of horizontal transmission in this manner null and void. If challenged with the claim of “vaccine shedding” specific to Measles, Mumps, Rubella vaccination you’re being misled.

Peak shedding of Rotavirus occurs on “post-vaccination days 6 through 8”. Published in The Lancet Rotavirus vaccines: viral shedding and risk of transmission, notes:

Immunocompromised contacts should be advised to avoid contact with stool from the immunised child if possible, particularly after the first vaccine dose for at least 14 days. Since the risk of vaccine transmission and subsequent vaccine-derived disease with the current vaccines is much less than the risk of wild type rotavirus disease in immunocompromised contacts, vaccination should be encouraged.

The “vaccine shedding” bogeyman got a free kick with the FluMist LAIV vaccine. You may remember the hype. The spraying of “living influenza virus” straight into children’s brains was going to lead to mutation and death on an unprecedented scale. It would genetically revert to the wild type. Transmission would thus be uncontrolled. It would quickly prove useless against changing seasonal strains. ADR’s would rise…. and so on. Ultimately the cost proved to be a deterrent. Mayo Clinic have produced a welcome article on LAIV Myths.

In a comprehensive 2008 study with a sample aged 2 – 49 years, shedding “of short duration and at low titers” was detected in nasal swabs on days 1 – 11. LAIV recipients “should only avoid contact with severely immunocompromised persons for 7 days after vaccination”.

On Shedding and Transmission of Vaccine Viruses, in a larger piece on influenza vaccination of HCP, the CDC write:

One concern regarding use of LAIV among HCP has been the potential for transmitting vaccine virus from persons receiving vaccine to nonimmune patients at high risk. Available data indicate that children and adults vaccinated with LAIV can shed vaccine viruses for >2 days after vaccination, although in lower titers than typically occur with shedding of wild-type influenza viruses. Shedding should not be equated with person-to-person transmission of vaccine viruses, although transmission of shed vaccine viruses from vaccinated persons to nonvaccinated persons has been documented in rare instances among children in a day care center.

One study conducted in a child care center assessed transmissibility of vaccine viruses from 98 vaccinated persons to 99 unvaccinated controls aged 8–36 months; 80% of vaccine recipients shed one or more virus strains (mean duration: 7.6 days). [….] The estimated probability of acquiring vaccine virus after close contact with a single LAIV recipient in this child care population was 0.6%–2.4%.

It was also documented that should HIV positive children be exposed to LAIV shedding, “… serious adverse outcomes would not be expected to occur frequently”. So the combination of live virus shedding and immune deficiency in the case of LAIV presents low risk. Certainly the overall risk associated with the rare transmission following shedding after LAIV is insignificant given the risk of regular influenza virus transmission.

We’re running out of dramatic scenarios for the antivaccination lobby to cling to. With polio the wild virus replicates in the intestine and is shed in stools for up to a month. Transmission in developed nations is thus faecal-oral like other stool shed viral components. It is of course so rare as to be unheard of. However, given that the IOM report into evidence and causality of vaccine adverse effects found a causal link between the oral polio vaccine (OPV) and vaccine associated paralytic polio (or Vaccine Derived Polio Virus), we should seriously consider shedding in areas where this is documented.

In fact the question has been asked if prolonged VDPV shedding could be a source of reintroduction following polio eradication. The more compromised the immune system the more likely the individual is to have problems with vaccine induced immunity. A study looking for VDPV shedding in immune deficient subjects in Abidjan, Cote d’Ivoire found no cases in a sample of 419, and therefore a “minimal risk of reintroduction [after eradication]”. In respect of general exposure to shedding in these environments transmission of the wild type polio virus eliminates any concern over post vaccination viral shedding. Crowding, sewerage, water quality etc all contribute to wild polio spread in ways that do not apply to the developed world.

Remembering that viral shedding is of paramount concern in the management of immune deficiency and immunocompromise, let’s revisit the Janet R. Serwint, MD of Vaccines in immunocompromised patients. Rather than warn against exposure to immunised children the recommendation is to ensure schedules are up to date and an annual inactivated influenza vaccine is on board. Pay attention to reference to MMR, varicella and rotavirus:

One strategy worth emphasizing is the immunization of household contacts, particularly other children and adolescents in the family. This procedure is essential to try to minimize exposure of the immunocompromised patient to household contacts who might contract vaccine-preventable illnesses. Pediatric health-care clinicians need to update and review the vaccine status of all siblings and pediatric-age household members. Annual influenza vaccination of all family members with inactivated influenza vaccine is recommended in addition to ensuring routine immunization of all other recommended vaccines.

MMR, varicella, and rotavirus vaccines, although live viral vaccines, are recommended for immunocompetent household contacts because transmission of the virus is rare. The lack of viral shedding with MMR eliminates concern regarding transmission. Because the varicella virus rarely can be shed through a postimmunization vesicular rash that may develop, recommendations include avoiding contact until the rash resolves. For the rotavirus vaccine, avoidance of contact with the stools by the immunocompromised patient and good hand hygiene measures by all family members for at least 1 week after vaccination should be implemented.

In conclusion it’s clear that “vaccine shedding” is a nonsense phrase. The lack of accounts of children transmitting viruses to younger siblings and friends after vaccination is a dead giveaway. Whilst viral shedding is a reality we can be confident that:

  • Viral shedding applies only to live virus vaccines and is significantly low, low risk
  • Post vaccination viral shedding of rotavirus and varicella is detected in the stools for 4-6 weeks respectively. It’s of such low risk as to be of cautionary interest regarding immunocompromised individuals
  • Genuine concern about viral shedding in these groups is managed with sound hygiene and avoiding contact with stools
  • In rare cases of post varicella immunisation vesicular rash shedding may occur. Transmission is still unlikely
  • The lack of viral shedding following MMR eliminates any concerns about transmission
  • Claims of DTaP shedding and transmission are bogus
  • Stories about whooping cough transmission from vaccine shedding are demonstrably false
  • Stories of polio infection being a risk due to shedding are designed to scare
  • Antivaccination lobbyists use false and incomplete information about shedding to create fear of vaccines/the vaccinated
  • Shedding of LAIV is at markedly low concentration, short duration and transmission is dwarfed by seasonal influenza transmission
  • Accurate information about the topic is drowned out by antivaccination sites and “mothering” forums making inaccurate claims

Update: April 13th 2015 – Added references;
Is the MMR vaccine spreading the measles virus?: The question of shedding

Case of vaccine-associated measles five weeks post-immunisation, British Columbia, Canada, October 2013: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20649
Live Attenuated Influenza Vaccine [LAIV] (The Nasal Spray Flu Vaccine): http://www.cdc.gov/flu/about/qa/nasalspray.htm
Live Attenuated Vaccines (LAV): http://vaccine-safety-training.org/live-attenuated-vaccines.html
Measles – Q&A about Disease & Vaccine: http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm
Measles: Questions and Answers: http://www.immunize.org/catg.d/p4209.pdf?q=measles
Measles Vaccination: http://www.cdc.gov/measles/vaccination.html
Rotarix WHO leaflet – tube: http://www.who.int/immunization_standards/vaccine_quality/Rotarix_liquid_tube_product_insert_text_2009.pdf?ua=1
Rotavirus: http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/rota.pdf
Transmission of Measles: http://www.cdc.gov/measles/about/transmission.html

Pediatric Chiropractic integrity faces new challenges

Yesterday the BBC reported that the University of Wales is to cease validating “other degrees”.

Accrediting degrees from private colleges has no doubt been lucrative for the Uni of Wales. But it’s also proven to be a slur on expected standards. Early last November the BBC reported on the Uni. of Wales suspending accreditation of degrees from a controversial Malaysian business college. Overseas accreditation was always a risky venture and this debacle led to Leighton Andrews, Minister for Education in Wales to claim that Wales itself had been brought into disrepute. The university he said, had let down Higher Education. The Quality Assurance Agency for Higher Education ultimately requested that the Uni. of Wales review the entire caper.

The decision places doubt upon McTimoney Chiropractic College, having its degrees approved. This is nothing less than tremendous news for thinking Australians and anyone concerned about a discipline that runs “seminars” designed to lure paying customers into entrusting their child’s health to unproven guesswork. Such as, How to create the ‘It’s normal for children to be adjusted’ mindset with your clinic and your community, or How to have the majority of your patients as children. These are just a couple of the gigs run by RMIT graduate Glenn Maginness of the Mt. Eliza Family Chiropractic Clinic.

All this comes together if we consider that McTimoney College offer degrees in the McTimoney Chiropractic Method, named after the late John McTimoney. These guys are famous for ordering all members to remove their entire websites at the beginning of the Singh libel case because they were veritable cornucopias of bogus claims. McTimoney always knew they were in the business of scamming when it came to claims about children and feared justified complaints. They also hold claims to fame for having atrocious academic standards in “make believe degrees” as espoused by David Colquhoun.

One of the “special” degrees from McTimoney College happens to be in Pediatric Chiropractic. Indeed, to my knowledge the only degree worldwide in Pediatric Chiropractic comes from McTimoney, and is validated by The University of Wales. From this hub radiates the dangerous and unproven practices and claims from the RMIT pediatric clinic – subject to a highly supported request to close it down reported in the BMJ – the greed of people like Glenn Maginness, potentially lethal antivaccination misinformation from Warren Sipser and Nimrod Weiner and the overarching mystical philosophy of Simon Floreani’s Chiropractors’ Association of Australia.

One hopes this abuse of Higher Education will be challenged, given the lack of evidence for chiropractic in general and the total absence of evidence for pediatric hanky panky. You may have heard of the KiroKids franchise chain in Victoria. In which case you’ll be delighted to know that the “course leader” for the Masters Degree at McTimoney is none other than the brains behind the unconscionable KiroKids scam. Not-a-real-doctor Neil J Davies himself. He boasts:

The MSc degree course now offered to the chiropractic profession by McTimoney College of Chiropractic was designed and written by the Course Leader, Dr Neil J Davies in conjunction with a group of leading paediatricians and other medical specialists and chiropractic advisors.

The course was in development for a period of 4 years and in August 2003 it was duly validated by the University of Wales. The course has been so well accepted by the chiropractic profession that enrolment applications have been received from 14 different countries including the United Kingdom.

Davies waffles about Intelligent Neurological Chiropractic. He has not one research paper published. He does have a text book however, and has won the auspicious Fishslapper of the week prize. Given that UK criticism of chiropractic has been scathing of the “new breed” of outright cons if you will, it may be that validation of McTimoney chiropractic degree ceases. This will put a welcome abrupt halt to the growth of one of the most unfortunate exploitations of vulnerable parents ever witnessed. But it goes further than just scamming a gullible public. They not only cause harm to children’s musculo-skeletal integrity and inflict stroke and death through cervical manipulation. By peddling misinformation and indirectly sustaining falsehoods about conventional medicine their status as a one stop shop for quackery is firm.

Consider this from the abstract of Pediatric vaccination and vaccine-preventable disease acquisition: associations with care by complementary and alternative medicine providers:

Children who saw chiropractors were significantly less likely to receive each of three of the recommended vaccinations. Children aged 1-17 years were significantly more likely to be diagnosed with a vaccine-preventable disease if they received naturopathic care. Use of provider-based complementary/alternative medicine by other family members was not independently associated with early childhood vaccination status or disease acquisition.

Pediatric use of complementary/alternative medicine in Washington State was significantly associated with reduced adherence to recommended pediatric vaccination schedules and with acquisition of vaccine-preventable disease. Interventions enlisting the participation of complementary/alternative medicine providers in immunization awareness and promotional activities could improve adherence rates and assist in efforts to improve public health.

Still, we must remember whilst the claims of chiropractic are primarily nonsense, John Reggars, past president of the Chiropractors Registration Board of Victoria and present vice president of the Chiropractic and Osteopathic College of Australasia, is a voice of sanity. Reggars has been scathing toward tactics (presently backed and encouraged by the CAA), used to increase income for chiropractors and. His article Chiropractic at a crossroads or are we just going around in circles, [Archived copy] published in Chiropractic and Manual Therapies, May 2011, is a compelling read.

Reggars claims the “all-encompassing alternative system of healthcare is both misguided and irrational”. And;

“Chiropractic trade publications and so-called educational seminar promotion material often abound with advertisements of how practitioners can effectively sell the vertebral subluxation complex to an ignorant public,” Mr Reggars said.

“Phrases such as ‘double your income’, ‘attract new patients’ and ‘keep your patients longer in care’, are common enticements for chiropractors to attend technique and practice management seminars.” Mr Reggars, who stressed his support for the “mainstream majority” in the profession, also condemned the use of care contracts, where patients signed up to a fixed number of treatment sessions.

“Selling such concepts as lifetime chiropractic care, the use of contracts of care, the misuse of diagnostic equipment such as thermography and surface electromyography and the X-raying of every new patient, all contribute to our poor reputation, public distrust and official complaints.”

“For the true believer, the naive practitioner or undergraduate chiropractic student who accepts in good faith the propaganda and pseudoscience peddled by the VSC teachers, mentors and professional organisations, the result is the same, a sense of belonging and an unshakable and unwavering faith in their ideology.”

Integrity like that of Reggars reminds us that the option of subjecting students to proper education will always come up in this debate. Many will argue that a change at the institutional level will result in professionalism at the clinical level. Yet chiropractic has always had difficulty selling its song as much more than a jingle. It hasn’t just recently gone awry with brats the like of Floreani, Weiner and Davies, all of whom should be vigorously prosecuted for false claims and fraud under the appropriate health act and advertising codes. There have always been crooks and there probably always will be.

It’s not a discipline. It’s a belief system and it peddles subjective faith on so many levels. Many like Reggars have done an admirable job and we can remain thankful for the attempts of the Chiropractic Boards to address complaints. Yet today chiropractors are expected to provide for the new age worried well. In the eyes of so many real disciplines they are not health practitioners. They practice rituals. The superstitious “result” is achieved by so-called “patients” who think themselves into a state of wellnesss – whatever that is.

The very last demographic we need pushed into this anything-goes nonsense are impressionable children. Let’s hope the decision by the University of Wales has far reaching consequences.

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…

Selenium: to supplement or not to supplement

Selenium is present in many foods and available as a supplement. Expensive urine however, may not always be the worst case scenario for those duped by the vitamin/supplement industry.

Not to mention the “multi-dose” capers which are almost certainly increasing vitamins and minerals you don’t need, keeping you chronically dosed on those you need in tiny quantities and overdosing you on supplements or fat soluble vitamins you’re getting in sound quantities from your diet. Selenium dietary levels vary due to the origin of the plants or animals in ones diet.

A large, long term Selenium trial had to be suspended due to onset of many adverse effects including diabetes in participating subjects. Now you expect me to say something about supplement-pushing anti-vaccine lobbyists who blame vaccination for diabetes, don’t you? Wouldn’t dream of it.

Consider the poor chap in the MJA document below, who erroneously diagnosed impending prostrate cancer using the internet and natural remedy websites. He then ordered selenium online and with no monitoring from any health professional died from acute selenium poisoning. Serum selenium levels of below 100 ng (nanogram) per ml and above 160 ng per ml can be problematic. Which of course means absolutely nothing to those of us who didn’t get a fully staffed pathology laboratory for Christmas.

So, don’t be swayed by little warnings of doom on supplement bottles. Do appreciate that the range from insufficient to excessive is not only minor but demonstrably unaided by the swallowing of supplements.

Regarding the gentleman below, well he got hold of 200 grams of sodium selenite powder and went to town on it. The authors conclude;

A brief Internet search revealed 287 000 sites discussing the use of selenium in prevention and treatment of prostate cancer. This provides the public with large amounts of information that is not critically evaluated for validity. After reading Internet information on the possible link between selenium and prevention and treatment of prostate cancer, our patient was able to purchase 200 g of sodium selenite powder without adequate instructions.

He selected a dose himself, with catastrophic consequences. This case highlights the risks associated with failure to critically evaluate Internet material and exposes the myth that natural therapies are inherently safe. Internet sites which fail to disclose the potentially fatal effects of advocated treatments are an emerging threat to health. The World Health Organization has devised guidelines to help consumers evaluate medical information on the Internet, which are available online through the Therapeutic Goods Administration.12 Adverse outcomes of complementary and alternative medicines should be better publicised and more stringently reported to the Adverse Drug Reactions Advisory Committee (ADRAC), in tandem with adverse outcomes of conventional medications, to create a database of side effects of all current therapies

This Tonic clip originally aired on the ABC, Sunday August 14th and looks at the rather rash linking of low serum selenium to various cancers – a notable problem in NZ with their low selenium content soils, and high levels of prominent cancers. How ever, the issue of genetics may also play a role. Australia has varying selenium levels in soil.

Be sure to chat to your doctor about using any supplements. Get a blood test if you wish and have the results explained. Try to avoid selenium supplements and the advice of beaming naturopaths.

If you’re worried about selenium scoff down a hand full of Brazil nuts every week rather than popping pills of dubious quality and concentration.

Accidental Death From Acute Selenium Poisoning