Tuesday, September 22, 2009

Should i get swine flu vaccine?

Approved by the FDA on September 15 after only a few short months of development it seems impossible that we can know the long term effects of mass H1N1 Vaccination as such I do not feel the benefits of getting a swine flu vaccination out weigh the risks. The 1976 outbreak of swine flu was combated with similar vaccination attempts and although occurrence were rare the 1976 vaccine has been associated with the debilitating auto-immune disorder Guillain-Barre Syndrome. Thomas J. Safranek, Dale N. Lawrence, Leonard T. Kuriand, David H. Culver, Wigbert C. Wiederholt, Norman S. Hayner, Michael T. Osterholm, Peter O'Brien, James M. Hughes, and Expert Neurology Group reported in "Reassessment of the Association between Guillain-BarrĂ© Syndrome and Receipt of Swine Influenza Vaccine in 1976–1977: Results of a Two-State Study "(1991) in the American Journal of Epidemiology “excess cases of Guillain-BarrĂ© syndrome during the first 6 weeks attributed to the vaccine was 8.6 per million vaccinees in Michigan and 9.7 per million vaccines in Minnesota.” Certainly 9.7 in a million is not a very large occurrence of severe side affects but the must be compared against the virulence of the disease and the fact that the efficacy of the vaccine cannot be guaranteed in all cases. The World Health Organization reports 3486 death out of 296471 cases world wide (http://www.who.int/csr/don/2009_09_18/en/index.html) but, when compared to the 36,000 people who die of seasonal flu each year, as reported by the National Institute of Allergy and Infectious Disease (http://www3.niaid.nih.gov/topics/Flu/understandingFlu/DefinitionsOverview.htm) these number hardly sound menacing. In a press release yesterday the US department of Health and Human Services (http://www3.niaid.nih.gov/news/newsreleases/2009/H1N1PedTrial.htm) reported that in a group of 25 children 24% showed no strong immune response meaning at least one in four vaccines administered will have no effect. In a younger group of children 3-9 64% showed no strong immune response after being given a dose of the vaccine.

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