Tag Archives: vaccine

Report: Vaccines generally safe, some side effects (AP)

WASHINGTON – Vaccines can cause certain side effects but serious ones appear very rare — and there's no link with autism and Type 1 diabetes, the Institute of Medicine says in the first comprehensive safety review in 17 years. The report released Thursday isn't aimed at nervous parents. And the side effects it lists as proven are some that doctors long have known about, such as fever-caused seizures and occasional brain inflammation. Instead, the review comes at the request of the government's Vaccine Injury Compensation Program, which as the name implies, pays damages to people who are injured by vaccines. Federal law requires this type of independent review as officials update side effects on that list to be sure they agree with the latest science. "Vaccines are important tools in preventing serious infectious disease across the lifespan, from infancy through adulthood. All health care interventions, however, carry the possibility of risk and vaccines are no exception," said pediatrician and bioethicist Dr. Ellen Wright Clayton of Vanderbilt University, who chaired the institute panel. Still, the report stresses that vaccines generally are safe, and it may help doctors address worries from a small but vocal anti-vaccine movement. Some vaccine-preventable diseases, including measles, are on the rise. "I am hopeful that it will allay some people's concerns," Clayton said. The review echoed numerous other scientific reports that dismiss an autism link. But it found convincing evidence of 14 side effects: _Fever-triggered seizures, which seldom cause long-term consequences, from the measles-mumps-rubella, or MMR, vaccine. _MMR also can cause a rare form of brain inflammation in some people with immune problems. _The varicella vaccine against chickenpox sometimes triggers that viral infection, resulting in widespread chickenpox or a painful relative called shingles. It also occasionally can lead to pneumonia, hepatitis or meningitis. _Six vaccines — MMR and the chickenpox, hepatitis B, meningococcal and tetanus-containing vaccines — can cause severe allergic reactions known as anaphylaxis. _Vaccines in general sometimes trigger fainting or a type of shoulder inflammation. There's suggestive evidence but not proof of a few other side effects, including anaphylaxis from the human papillomavirus, or HPV, vaccine and short-term joint pain in some women and children from the MMR vaccine. On the other hand, the report cleared flu shots of blame for two long-suspected side effects: Bell's palsy and worsening of asthma. That doesn't mean there aren't other side effects — the review couldn't find enough evidence to decide about more than 100 other possibilities. Some vaccines are just too new to link to something really rare. Another example: Flu shots have long come with a caution about rare, paralyzing Guillain-Barre syndrome, but Clayton said research hasn't settled if that's a coincidence since the disorder is more common during the winter. The Health Resources and Services Administration, which runs the vaccine compensation program, is reviewing the report but said it's too early to predict if it will prompt changes to the injury list. Follow Yahoo! News on Twitter , become a fan on Facebook

Nigeria parents risk jail for skipping polio drops (AP)

KANO, Nigeria – Parents who do not allow their children to be vaccinated against polio now risk jail time for defying a government order aimed at ensuring that the disease is eradicated from Africa's most populous nation, authorities said Friday. Tajuddeen Gambo, the permanent secretary of the Kano state health ministry, told The Associated Press that Nigeria has a law that punishes parents who refuse their children access to health care. "Polio immunization is part of health care," Gambo said. Kano state is located at the heart of Nigeria's impoverished and Muslim-dominated north where polio vaccines have been met with resistance by a minority of people, but health officers say that minority is enough to compromise the entire door-to-door campaign. "When they come to my house, I will tell them there are no children in this house," says a 45-year-old politician in the village of Dungurawa, just outside the city of Kano. "If they insist, I will not let them in." He said he was skeptical about government concern with polio alone. "What about the other diseases?" Separately, a 50-year-old farmer said he had sent his children to their grandparents in another state so that they would be skipped. He believes the vaccine "brings evil." Just over a week ago, UNICEF announced at a meeting held with northern traditional and religious leaders that 20 new polio cases had been found this year in Nigeria's north and that two of them were in Kano state. This came after Nigeria had seen a marked reduction in cases over the past few years from 338 cases in 2009 to a recorded 21 cases of polio in 2010. Several local and international partners have collaborated to address the issue of noncompliant communities who reject the vaccine for various religious, political, and practical reasons. Tommi Laulajainen, the UNICEF chief of communications for polio efforts in Nigeria, explains that it takes four rounds of drops for children to be completely out of danger. "Sometimes, we have to convince the caregivers why they should allow something to be dropped in their children's mouths so many times," he said. Laulajainen said that noncompliance is probably the least prominent reason why children are not vaccinated, but it becomes a problem in a situation where the goal is a polio-free society. "We have to make sure we capture every single child," he said. "Because if one child is not protected against polio, he or she can get the virus and spread it very quickly to other children in the community." He said a collaboration with religious leaders has been particularly fruitful over the years and that health workers have used a variety of communication tools such as drama, radio, street theater, towncriers and strong visuals to remind parents that polio will keep lurking until it's wiped out. "There are so few cases in Nigeria now, so it's possible that caregivers feel, 'it's no threat to my child' or 'I've never seen or heard a case,'" he said. ___ Associated Press reporter Yinka Ibukun in Lagos, Nigeria contributed to this report. Follow Yahoo! News on Twitter , become a fan on Facebook

AP IMPACT: Millions of vaccine doses to be burned (AP)

ATLANTA – About a quarter of the swine flu vaccine produced for the U.S. public has expired — meaning that a whopping 40 million doses worth about $260 million is being written off as trash. "It's a lot, by historical standards," said Jerry Weir, who oversees vaccine research and review for the U.S. Food and Drug Administration . The outdated vaccine , some of which expired Wednesday, will be incinerated. The amount, more than twice the usual leftovers, likely sets a record. And that's not even all of it. About 30 million more doses will expire later and may go unused, according to one government estimate. If all that vaccine expires, more than 43 percent of the supply for the U.S. public will have gone to waste. Federal officials defended the huge purchase as a necessary risk in the face of a never-before-seen virus. Many health experts had feared the new flu could be the deadly global epidemic they had long warned about, but it ended up killing fewer people than seasonal flu. "Although there were many doses of vaccine that went unused, it was much more appropriate to have been prepared for the worst case scenario than to have had too few doses," said Bill Hall, spokesman for U.S. Department of Health and Human Services. Most leading health experts generally agree with that. Millions of doses of flu vaccine generally go unused every year and are marked for burning, but in recent years the leftovers amounted to closer to 10 percent of the supply, rather than the 25 percent expiring now. Government flu experts couldn't recall throwing away anything close to 40 million doses before. The new H1N1 swine flu emerged in April last year, hitting children and young adults particularly hard. It was difficult to predict how deadly it might be or how easily it might spread. Federal health officials pushed five vaccine manufacturers to produce a vaccine as quickly as possible. What's more, they wanted a lot of it — many experts thought most people would need two doses for it to work. The government placed three orders last year for a combined total of nearly 200 million doses — an unprecedented amount and almost double the amount of vaccine produced in recent years for seasonal flu. About 162 million doses were meant for the general public. Another 36 million included doses for the military and other countries. But demand never took off, for several reasons: _Tests of the vaccine soon showed only one dose was enough to protect most people. _Much of the vaccine was not ready until late 2009, after the largest wave of swine flu illnesses passed. _Swine flu turned out not to be as deadly as was first feared. About 12,000 deaths have been attributed to it — or roughly a third of the estimated annual deaths from seasonal flu. So while people were waiting hours for swine flu vaccinations in some cities in October and November, by January local health departments were trying gimmicks to get anyone at all to come in for a shot. Government officials have known for months that they were looking at a huge surplus. According to an Associated Press calculation based on federal purchasing information, the dollar value of the 40 million expired doses is about $261 million. The government didn't release an official figure, but Hall said the AP estimate was approximately correct. In Europe, where nations also found themselves with millions of unused doses, some commentators have attacked the World Health Organization , which declared swine flu a global epidemic, or pandemic . The critics have questioned the motivation of some WHO advisers who had links to the pharmaceutical industry . Some critics have simply lamented that a lot of anxiety was raised and money wasted, not just during the swine flu scare but also in government responses to bird flu and SARS , a respiratory virus that swept parts of Asia in 2003. "Each time the so-called experts told us that millions of people would be killed worldwide by the respective viruses. We have learned that the experts were utterly wrong," said Dr. Ulrich Keil, a professor at Germany's prestigious University of Muenster and a WHO adviser. "This behavior is irresponsible because the angst campaigns ... confuse the priority setting in public health," he said. The death toll from influenza epidemics is much smaller than the number killed annually by chronic illnesses like heart disease, cancer, stroke and diabetes, he added, in an e-mail. Unused flu vaccine is a common problem. The June 30 expiration date is set by the FDA and has less to do with the vaccine's shelf life than the desire to tweak the recipe each year to protect against the three flu strains expected to cause the most illness. "It's not necessarily because it's degraded or not potent," said Dr. Mark Mulligan, an Emory University vaccine researcher. In the past year, about 114 million doses of seasonal flu vaccine were distributed. The government thinks most of that was used — demand was unusually high because of fears about swine flu. In the flu vaccination campaign for this coming fall, swine flu vaccine is being combined with two seasonal strains in single doses. Manufacturers have told the government they expect to make about 170 million doses. An influential government advisory panel this year recommended that virtually all Americans get flu shots each year. Still, that doesn't mean it will all get used. "No doubt there will be unused doses. This happens every time," said Dr. John Treanor, an immunology specialist at the University of Rochester Medical Center. Follow Yahoo! News on Twitter , become a fan on Facebook

Panel recommends annual flu vaccinations for all (AP)

ATLANTA – A government panel is now recommending that virtually all Americans get a flu shot each year, starting this fall. The Advisory Committee on Immunization Practices had gradually been expanding its recommendation for flu shots — 85 percent of Americans were already included. On Wednesday, the panel voted to recommend a seasonal flu vaccination for everyone except babies younger than 6 months and those with egg allergies or other unusual conditions. The panel's recommendation now goes to the Centers for Disease Control and Prevention . The CDC usually follows the panel's advice and spreads the message to doctors and hospitals across the country. "Now no one should say 'Should I or shouldn't I?'" said Dr. Anthony Fiore, a CDC flu specialist. CDC vaccination recommendations tend to be influential with the doctors who give the shots and the health insurers who pay for them. Flu shots are already recommended for 85 percent of the U.S. public, including pregnant women, children older than 6 months, adults 50 and older, people with certain chronic health conditions, health care workers and those who take care of people in a recommended group. The only people who weren't specifically included were healthy people ages 19 to 49 who don't have close contact with anyone at risk of flu and its complications. But only about 33 percent of Americans actually get a flu shot, and unusually millions and millions of doses get thrown away annually. The swine flu pandemic that hit last year caused a new momentum for flu vaccinations. Virtually all the 114 million doses of seasonal flu vaccine doses made were distributed, and more young adults and children got the swine flu vaccine than usually come out for seasonal flu. The panel voted 11 to 0 — with one abstention — for the recommendation, prompting a short round of applause in the CDC auditorium where the meeting was held. Some public health experts and physicians had been pushing for a universal flu vaccination recommendation for more than 10 years. Also on Wednesday, the panel gave its nod to a proposed formulation of next year's seasonal flu vaccine. The vaccine will be built to protect against three strains of flu scientists think will be circulating next fall and winter. Swine flu is to be one of the strains incorporated into the vaccine. At past meetings, the panel stopped short of recommending flu shots for everyone. Panel members were mindful of a history of temporary flu vaccine shortages in the United States. They worried a universal recommendation might cause demand to far surpass supply and endanger those at the highest risk of life-threatening flu complications. "Yet every year we wasted millions and millions of doses," said Dr. Gregory Poland, a Mayo Clinic infectious diseases expert who for years has passionately pushed the panel to recommend flu shots for all. The swine flu vaccine campaign appears to be ending the same way. Doses were scarce when the swine flu vaccine first became available in early October, but now roughly 90 million people have been vaccinated, demand is dying and millions of doses are unused. Swine flu provided another argument for universal vaccination. The new virus proved to be unusually dangerous to young adults, and also took a surprising toll on Native Americans and obese people. Many of those hospitalized and killed by swine flu were not in groups previously recommended for annual flu shots, and that fact was another reason to expand the vaccination recommendation, experts said. There are a few exceptions to the universal recommendation. Children under 6 months of age, who have undeveloped immune systems , will continue to be exempt. So too will people who have egg allergies (the vaccine is made using eggs) and those who have had certain severe reactions to flu shots in the past. The panel also decided that elderly people can consider a new, revved-up version of the seasonal flu shot . It's a Sanofi Pasteur vaccine for adults 65 and older. In years when the flu shot is well matched to circulating flu viruses, vaccine is 70 to 90 percent effective in people younger than 65, the CDC estimates. But it tends to be only 30 to 70 percent effective in those who are older because they generally have weakened immune systems. The Sanofi vaccine — called Fluzone High-Dose — has four times as much immunity-building antibodies as a standard dose. The U.S. Food and Drug Administration approved the vaccine in December, and it should be available for the 2010-2011 flu season . It would cost about $25 a shot, or about twice the standard version. The panel did not state a preference for the vaccine, however. The U.S. Food and Drug Administration approved the vaccine through an accelerated process, and Sanofi is to do further studies to show the shot reduces flu illnesses. ___ On the Net: ACIP: http://www.cdc.gov/vaccines/recs/acip/default.htm