Attack of the Vaccine Nazis
It was predictable that the spike in measles cases (I hesitate to call it an epidemic) would lead to the active promotion of immunisation, but the latest pronouncement by MoH suggests that the place has been completely over-run by Vaccine Nazis. They are now saying that un-immunised children will be denied schooling for up to two weeks if they have been in contact with a known measles case.
Superficially, this might seem like a logical thing to do, until you recall that 33% of partially immunised kids and 10-15% of “fully” (two dose) immunised kids will also catch measles. It therefore makes absolutely no sense whatsoever to keep non-immunised children from school, if you are going to allow immunised contacts free access. As it is, the practice of keeping children home for a fortnight is a fairly dubious one, unless you also insist that the child and his/her entire family stay out of contact with everyone during this time. Also Measles can take up to 21 days to incubate and is not infectious until 1-2 days before the rash appears. It is also vastly more infectious than the flu, making isolation futile.
One has to assume that this is simply another way of pressurizing families into having their kids immunised.
The irony of advocating a compulsory assault of a child with a needle “for their own good” while simultaneously objecting to the use of smacking for corrective purposes has apparently escaped these people.
Make no mistake here. I think the measles vaccine is a worthwhile addition to our immunisation schedule. It is the least benign of the childhood diseases and the vaccine works well, with few side effects. The dark myth of autism from the vaccine has now been dispensed with by a number of excellent clinical trials. It is mildly annoying that the measles vaccine is packaged with mumps and rubella, both very benign childhood diseases (Rubella should be given separately to girls when they are older). There is some evidence that the immunity developed from having a benign childhood disease is much better than the immunity acquired by vaccination. Childhood diseases like chicken pox and mumps are far more serious in adults than in children. It may therefore be better to catch these diseases in childhood, rather than be immunised for them. Note that I do not include measles in this.
Having said all that, I think that immunisation for measles should still be a choice. Coercive methods are unwarranted and have no place in a modern society. If we cannot persuade people the immunise their children because it is the logical thing to do, we have no business trying to bully them into it by restricting their children’s education of the flimsiest of grounds.
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Aug 20 09 1:14 am
I think your post is an intelligent response to the vaccine issue, especially from an NZ medical doctor- sorry to say. I know personally for a fact that some or most of your colleagues are not willing to talk openly about fear-based approaches, despite that fact that this approach will quickly destroy the doctor-patient relationship if the patient spots it, and is often the first port of call if a patient expresses reluctance to accept a course of treatment.
Trying to induce a fear-based response in people is basically for doctors with no emotional intelligence at all, and I find the use of it completely patronizing from any health professional- I watch for it keenly. Pity the tone is being set from the top with regard to vaccines. The MOH need to be given a huge kick up the backside.
Aug 24 09 3:09 pm
“There is some evidence that the immunity developed from having a benign childhood disease is much better than the immunity acquired by vaccination.”
I’d appreciate it if you could provide some links to this evidence.
PS: I just discovered your blog via Google. Nice, though I suspect I will find myself disagreeing with you on one or 2 things.
I’m certain you will
The evidence is not a specific trial but is deduced from the immunogenicity of the vaccines. The immunity from vaccines wanes with time, particularly if the incidence of the disease in the community is very low (so the body does not get a chance to boost immunity by fighting off an infection). Catching the disease, of course, confers life-long immunity.