The Jenny McCarthy Body Count

virusYes, this is supposed to be a humor blog. But there’s nothing humorous about today’s topic. And since it’s my blog, I can do what I like.

I’m a doctor. I don’t just play one on TV.

So it’s sometimes VERY frustrating to read the mom blogs.

Momlogic ran a story a few weeks ago about Amanda Peet, the actress, who had taken up the cause of educating the public about the lack of danger in vaccinations. All well and good. I chipped in my two cents about how it was nice to see a celebrity taking up a REASONABLE cause for a change.

But if you really want to get your dose of funny (as in pathetic) for the day, check out the comments. Some people accuse Ms. Peet of being a whore for big pharma. Others are simply shocked that she would use her celebrity status to endanger our children.

HUH?

Then MomLogic ran two more posts, featuring Jenny McCarthy and Holly Robinson Peete vilifying Ms. Peet for her pro-vaccine stance.

Which would leave any reader of that online mag with the mistaken impression that there is ACTUALLY a controversy over whether the vaccines we give our children are safe.

WHICH THERE ISN’T.

There are just a lot of folks out there who are massively uninformed and truly misled. And VERY vocal about it.

See, I just didn’t know. I travel in educated circles, with largely medical personnel. I had absolutely NO idea that this anti-vaccination thing was STILL so prominent.

I knew that the Jenny McCarthys and the Holly Robinson Peetes were out there. I just didn’t really believe that anyone LISTENED.

OOPS. My Ivory Tower philosophy gets trumped once again.

Yesterday, though, I ran into a wonderful website, found through SkepticBlog.

The Jenny McCarthy Body Count has been put up by a self-professed statistics geek, who pours through the CDC’s reports every week and collects statistics BY HAND. He’s tabulating the number of preventable illnesses and needless deaths that have been caused by the anti-vaccine movement since Jenny McCarthy came out in 2007.

[If any of you have EVER spent any time on the CDC's site, you are aware of what a monumental undertaking this is. He freely admits on his "FAQ" page that he's probably missing a lot of them, just because what he's doing is so HARD.]

Take a look at the site. The statistics are sobering. He has tabulated over 17,000 unnecessary illnesses and 150 vaccine preventable deaths since Ms. McCarthy started her one woman campaign in 2007.

Now, let’s take a look at the facts (See, this is something I’m trained to do. Read reports, digest information, make reasonable scientific conclusions).

The study that started the whole mess  was written by Andrew Wakefield and his colleagues, and published in Lancet in 1998. He reported 12 cases of autism, and suggested that the onset of some of these cases was related to delivery of the MMR vaccine (measles, mumps, and rubella).

(We happen to give the MMR at about the time that the developmental symptoms of autism happen to appear. That’s not CAUSALITY, it’s coincidence. Kids start walking about the same time; maybe upright stance causes autism?)

NO ONE has ever been able to substantiate Dr. Wakefield’s claims, despite numerous studies designed to do just that. So it wasn’t much of a surprise when his colleagues all started retracting in 2004. Nor that he faced ethics charges for tampering with data in 2007. Nor that in February, 2009, the story broke that he had intentionally manipulated the data in that original paper.

The facts are that autism rates are exactly the same in both vaccinated and unvaccinated cohorts [Madsen, et al., New England Journal of Medicine, 347:1477-1482, 2002--just ONE of the many studies, but a very good one]. Autism rates have NOT dropped as people chose not to vaccinate their children, and in fact seem to be increasing.

What is also increasing is the body count. Currently (conservatively) at 150 and rising.

We unfortunately still do not fully understand autism. It probably isn’t only one disease. It’s probably several different diseases with similar manifestations.

A good example of this is hemophilia. For centuries, everyone with a bleeding disorder had “hemophilia.” Gradually, we began to understand the coagulation system, and we realized that there were a whole host of genetic abnormalities that led to bleeding disorders.

We will, eventually, unravel autism. There are several good theories out there, all of which may be right, for part of the spectrum.

What they all have in common, though, is that they are GENETIC neurodevelopmental diseases. Over 90% of the causality of autism is clearly genetic. There are discordancies, though, as we see in monzygotic twins, who may both show some signs of the spectrum of the disease, but not full-blown autism.

For this discordancy, doctors are looking at the brand new field of epigenetics. Epigenetics is about how the environment affects the way genes are turned on and off. And it does, we’re just not sure about all the different ways this happens. YET.

What we do know is that it isn’t in the vaccines. Vaccines are mostly water. Kids get exposed to lots of that. There is a small amount of killed or attenuated bug (virus or bacterium), enough to trigger the immune system to start a response. Kids get exposed to germs every day. There are far more germs on a square meter of floor or a liter of air than they get in a vaccine. And some vaccines have aluminum salts in them, as a preservative. Kids get lots of aluminum salts in their daily diet, far more than is in the vaccine.

So what is the mystery agent that is supposed to cause autism?

Thimerosal is often named. But that preservative was never used in the MMR, and hasn’t been used in most vaccines in America for over ten years, and, again, autism rates have not dropped.

The sheer number of vaccines is often cited as weakening the child’s immune system. Except, as I’ve already pointed out, kids get exposed to massive amounts of bugs on a daily basis. If you want to see a weakened immune system, let a child CATCH one of the diseases that we currently vaccinate for. Besides, autism is clearly NOT an immunologic phenomenon. It’s neurodevelopmental.

Jenny McCarthy would be quick to point out, “THERE ARE VIRUSES IN IMMUNIZATIONS!”

Yep. Kinda wouldn’t be much of an immunization without them, would it?

There are also viruses running around out there in the world. Viruses that can kill our children. 150 already. And counting.

I realize that I’m opening myself up to the rants and raves of the wackos who troll the internet for this kind of post. I debated over whether to close comments, but, you know, I’m just not that much of a coward.

And if I’ve convinced just ONE person that this whole vaccine/autism thing is a load of hooey, I’ve done something good with my blog.

We now return you to regularly scheduled humor.

Here’s a teaser–the Goth came home from school the other day and announced, “I’ve been voted the Best Dad in my class!”

Gulp.

Update: Liz from My Other Car is a Tardis made an important point in her comment. People don’t remember what it was like before immunizations. For a real head-turner on the subject, I highly recommend David Oshinsky’s excellent Polio: An American Story, about that most dreaded disease of childhood (that once swept through towns killing a THIRD of the children), the public determination to solve the problem, and the doctors who took it on and won (not always nicely or cooperatively). You will never look at immunizations the same way again.
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22 Comments

I am happy that you took on this topic. The fact is, there is just not enough easily accessible, unbiased information available to new parents. It’s easy to get scared. I like to think of myself as a logical, scientifically minded person. I’m a nurse. I think medicine and science are very good things. I think vaccination is the magnificent public health breakthrough that it really is – but when I heard the anecdotal stories, I got worried.

I researched all over again, even though I had two healthy, fully vaccinated children. I didn’t find enough information to dispute the claims, but that’s because it’s hard to prove a negative. In the end, I went with a delayed schedule, prioritized by illness. It was a huge pain in the ass, but I’m still a little uncomfortable with babies getting 7-8 vaccinations at a time. I still don’t understand why babies need vaccinations against Hepatitis, other than from a pragmatic standpoint. There’s not a lot of IV drug using, sexually active one months olds out there. I’m sure my doctor thinks I’m insane, and he should just tell me so. He won’t though. I work with a lot of physicians, and most take the stance of telling the patient what to do with no alternative, or letting the patient determine their own course with inadequate information. Explaining things seems to be too much work.

The medical establishment needs to learn to talk to patients. It would help to drown out the mass hysteria and straighten out some simple confusion. Most patients either feel bullied or ignored, and that’s not a good public health policy.

Stepiphany’s last blog post..slightly lighter nest syndrome

themother Replies:

No question, the average doc doesn’t spend enough time with his patients explaining the risk/benefit of ANY therapy, let alone vaccinations. But the thing is, docs don’t recognize the controversy, BECAUSE THERE ISN’T ANY. And since there’s no point in arguing with someone whose mind is made up, they just don’t waste the time.

I think a lot of people fall into the category you describe. They’ve heard the media hype, and they just don’t know. Yes, docs could do a better job dispelling the junk science out there.

As for the vaccination schedule, most of it is predicated on picking the absolutely earliest time that an infant will mount a response to a particular vaccine. Some of this is for herd immunity, of course, since a number of the things we immunize for are teratogens that affect babies in utero, so it’s important to prevent transmission to the MOMS.

As for Hep B–it’s fairly rare in babies. But getting people to come in for vaccinations gets harder and harder as you move past the infant stage, which is why they tend to give them all while the kids are there for the routine infant visits.

The science shows that there’s no real risk to giving a bunch of vaccines at once. In fact, there is even an adjuvant effect from many of them–that is, giving vaccines together increases the response to each.

But delaying vaccines is a whole lot better than not giving them. My kids didn’t get hep B until they were much older (because they just started vaccinating for it, routinely, when they were older). I got hep B in med school, because it had just been approved.

Let me tell you, the vaccine is a lot better than what we used to do with Hep B exposure–the patients got enormous gamma globulin shots, in several doses. That stuff WILL muck with your immune system. Nasty.

YES! THANK YOU! I wrote about the topic last July (http://myothercar.blogspot.com/2008/07/why-i-vaccinate.html) and I agree with you.

I think we are so spoiled and ignorant as to how “times were” before now, that we make up these mythologies to compensate.

“Gee back in the day no one had autism and women had natural childbirths without any medical intervention and it was this natural, healthy, happy utopia!”

BULL. Thank your lucky stars that we’re not burying kids and the moms who couldn’t expel them, or got an infection from it, by the dozen like “they” used to.

Go take a trip to Africa or a third world nation and see for yourself what these diseases we shouldn’t be concerned with are doing.

Liz’s last blog post..Like Bandwidth for Chocolate

themother Replies:

No one had autism “back in the day” because we didn’t recognize them. They were all classed as “insane,” then as “retards.”

We’ve come a long way. But people forget how much of this is NEW. Fifty years ago, antibiotics were NEW.

Now we take them for granted, like water.

Fifty years from now, we’ll have epigenetic cures for autism.

I completely and wholeheartedly agree with what you wrote. I can’t believe there are parents still not vaccinating their kids. I’m sorry but the thought of my child dying from a preventable disease is something I’m not willing to risk. I know as parents we have to be good (and smart) advocates for our children…children don’t have a say in this matter so we just gotta hope that parents will make good choices on their children’s behalf. There are so many other horrible things in the world, like kidnappings, cancer…you know, things that are not preventable….those are the things I worry about constantly.

With that said, I do believe in adjusting the vaccine schedule so children are not receiving so many vaccines at once. With the live viruses, I made sure my children got just that shot in that visit and then I rescheduled the other ones at various times to spread them out. Not out of fear for autism or anything, but more out of the concern that if they do have a bad reaction to a vaccine, at least I’ll know which vaccine caused the reaction so I can let our dr know for the next time my child needs that vaccine.

This was a great post …thanks for sharing your thoughts

Helene’s last blog post.."You put WHAT in your ear?"

Ooops, I just read my comment and I made it sound like kidnappings weren’t preventable. I should have just written “etc, etc, etc” after that comment!!

Helene’s last blog post.."You put WHAT in your ear?"

I really appreciate your post. I often feel I’m in the minority for vaccinating my children. Some moms who found out how premature my daughters were at birth really gave me an earful for vaccinating my kids. Well, that’s WHY I vaccinated. With such fragile immune systems I did what I could to not put them at an even higher risk of various diseases. Thanks not just for your post but for backing it up with facts.

Quadmama’s last blog post..Friends are Friends Forever… Or are They?

When my oldest was born in 94 I don’t remember there being such a controversy over vaccinations. It never would have occurred to me to delay or deny them altogether. As my other children were born, we always vaccinated on schedule because it seemed like the logical thing to do. Luckily my kids never had any adverse reactions. Why wouldn’t I choose to protect my children against these potentially deadly illnesses?

mrsbear’s last blog post..Here We Go Again – Spin Cycle?

I give both my children all the recommended vaccines. In my opinion, why would I take the chance of them catching something that could have been avoided.

Thank you for this post. I had no idea either that it was such a heated topic as well.

Maria@Conversations with Moms’s last blog post..Small Talk Six Saturday – It’s Breakfast Time

All I have to say is ” You go girl” !!! I am so very sick and tired of this topic on the con basis. Sometimes I just want to ring people’s necks.
With a Masters in nursing, I very often get questions and debates regarding this very same topic. More often than not, the topic isn’t debatable thanks to mass ingnorance and celebrity status.
The next one: Fillings give you AIDS..

dani’s last blog post..Huh ?

themother Replies:

It is, indeed, impossible to have a real discussion with folks whose minds are made up by massive amounts of hype and misinformation.
Celebrities need to keep their mouths shut. Their celebrity status DOES NOT give them the knowledge and expertise to talk about medicine. Or politics, usually.

My first ex husband’s current wife has refused to immunize/vaccinate their children. She blames their first child’s somewhat autistic symptoms on the mercury in the vaccinations. I don’t know if the little boy is autistic. I doubt it as he acts nothing like the autistic kids I used to work with. I know more and more kids are being diagnosed with autism or Asperger’s or something on the spectrum but I don’t think this kid is in that group. I am not a doctor, I don’t play one on tv but if the doctors haven’t diagnosed him as autistic I don’t think she should. Ex is pussy whupped and just goes along with whatever she says but seems to me they are really taking a risk with this kid and the one that came after him.

Thanks for explaining how all of this stuff works it is very interesting.

Jen’s last blog post..Entrecard and my fat ass

themother Replies:

As I pointed out, there is NO mercury in the common vaccines in America today. So your ex’s current wife is uninformed AND scary.

i have been keeping up with this topic in the news. whenever i hear a story or see one on the web, i make sure i read it – just so i know.

the thing about research and findings that bother me is that the information changes so frequently, you don’t know who to believe. i totally agree with what you said, we don’t know enough about what causes autism and usually when people don’t know, rather than to say so, it becomes the blame game. sometimes the answer is “we don’t know”.

my child has received all of her shots from day 1 and we have no regrets.

Natural’s last blog post..My Two Left Feet

The current vaccine schedule makes sense from a public health standpoint in an effort to get the maximum number of children fully vaccinated early, when they are more likely to be more compliant with frequent office visits.

All of my children are fully vaccinated but I did choose a delayed schedule. Since my kids were not in child care while infants I felt more comfortable with them being a little further along in development in case they did have an adverse reaction. I made an informed choice and followed through on my obligation to make sure their care was completed.

Celebrities exploit the situation and give often misguided advice on a whole slew of topics (economics, politics, immunizations, the family bed, you name it) Anyone with half a brain should rely on their own health care provider and their own research rather than the celebrity of the week.

At the same time we all need to develop relationships with our health care professionals where we can conclude what works best for each family and decide on a schedule that everyone is comfortable with.
Vaccines are a great defense against many dangerous pathogens and we are fortunate to have safer vaccines developed over the last 20 years.
Celebrities need to stick to their acting, singing and not portray themselves as medical experts.

the Mayor’s last blog post..My Favorite Things

The scary thing too, is we adults are going to have to get a bunch of booster shots for when all the un-immunized kids start getting sick!

Liz’s last blog post..The Jenny McCarthy Body Count

I have spent the past two years doing a TON of research on this subject because it is (obviously) very important to me to do the best thing for my son. When I started out, I was open-minded to both sides. . .now I personally don’t agree with either. We are not comfortable not vaccinating at all, but also not comfortable giving him all of the standard shots together. So, we have been separating them, which means he gets them all, there are just breaks/delays between them so that his immune system can stay strong because there are a lot of nasty ingredients in them that do lower the immune system. There really is no reason that a tiny two month old needs 6 vaccines at once. Splitting them up to do 2 or 3 at a time means you have to go to the pediatrician’s more often, but that’s not a problem for us. Plus, our son doesn’t even cry because they can do them in one prick. My son has been super healthy (only having 2 colds virus’ in his first year when the average is 8) and I have peace of mind that we are doing the best we can for him – we’re still protecting him against diseases but also hopefully avoiding autisim, add, hyperactivity, a lowered immune system, and other brain disorders which there is still info out there swearing there is a link. I wish that I would hear more about the option to separate/delay vaccines because that seems like the happy medium, a great compromise, but instead so many people are getting turned off by the two opposite sides that they’re not even considering an alternative. ANYWAY, I’m glad you got the award the other day!

Andrea’s last blog post..What Do You Think?

P.S. I saw that I’m not the only one who responded that they are doing the delayed schedule. My doctor is 100% on board with it (and willing to answer all of my questions and talk with me as long as necessary; he said that there is not enough evidence either way so if this makes parents feel more comfortable then so what)! The Vaccine Book by Dr. Sears is another very objective, open-minded doctor who tells the good & bad of both sides for parents to make their own decisions. More & more doctors are supporting this delayed schedule – it used to be that my friends couldn’t find a pediatrician that would allow it, now most all in my city do because there is nothing wrong with it.

Andrea’s last blog post..What Do You Think?

themother Replies:

Allow it? The doctor works for you. If you don’t like his attitude, find new doctor.

People forget. Healthcare is a two way street.

You have every right to find someone who is willing to work with you on this issue. As I’ve pointed out, there’s no real medical reason to delay the vaccinations, but the vaccine schedule certainly isn’t written in stone. It’s designed for practicality and herd immunity.

I have my 3 girls on a delayed schedule also. When interviewing pediatricians I specifically asked if they would help educate me and guide me through this process. The doctor I choose has real, 2-way discussions with me about which vaccine should be next according to our current circumstances. He passes me articles and asks me questions as well as answering mine. THAT is how it should be.

Thanks for the straight talk Mother!

AmyAnne’s last blog post..Judy Blume – Curse You!

themother Replies:

Sounds like you’ve found a keeper pediatrician. Not everyone is so lucky. But they should ALL be like that.

Right on. I keep seeing these moms who say things like “I’m an informed parent; I DON’T vaccinate!” and every time I think, “wow, I thought you kinda LOOKED stupid but you had to go and open your big mouth and remove all doubt, huh?” I often wonder if these mothers are either lemmings (following other morbidly stupid parents off the cliff to their kids’ deaths) or sloths (just plain too lazy to keep up with the immuniation schedule). Either way, we need more people like you to push the truth about immunizations and the falsehoods surrounding them. Good work. *applause*

Soonerchick’s last blog post..What’s Your Moment of Obligation?