Parent: My child had a fever last night to 102 degrees and isn’t taking in anything. He’s one year old tomorrow

Me (looking at what appears to be a very ill child): Does your child have any other medical problems? Are his vaccinations up to date?

Parent: We were waiting until after his first birthday. We were afraid of the vaccines.

germ theory n. The doctrine holding that infectious diseases are caused by the activity of microorganisms within the body.

The local web log decided to weigh in on the vaccination controversy last week. In an article that presented both sides equally weighted, several physicians were quoted as imploring their patients to follow the vaccination guidelines. Speaking against vaccination, Michael Bucknell, DC, BS was interviewed:

Bucknell said that many parents who choose not to vaccinate their children don’t just stop at reading one blog. “I’ve never met a parent who heard one study and said I’m not going to do it,” Bucknell explained. On his business website, Bucknell has listed numerous articles he cites in his decision not to vaccinate his sons. He also said his oldest who is 10 years old was sick for the first time in his life recently.

I really don’t want to litigate the germ theory of disease in this space though it turns out there is a long history in chiropractic thought, beginning with Palmer, of disbelief of germs as a causative agent and thus vaccination as a mechanism of prevention. Let’s concede that although not all human disease is caused by germs and not all exposure to a germ leads to disease, there is a lot of overlap between germ exposure and diseases linked to the germ. For those of you who are unwilling to concede this, you can stop reading here and move onto this article. If you have doubts but are “germ questioning,” here is a very nice article about why your personal observations (I smoke and don’t have cancer) often conflict with empiric evidence.

Now that they’re gone, let’s address the broad issue of vaccine safety and the more narrow issue of what the kids won’t catch. First, to the broad issue of vaccine safety. Turns out over half of parents have such concern with a quarter of them specifically thinking the vaccine will increase their child’s chances of being autistic. As the media clearly is unwilling to pick sides on this, let me help (thanks to the American Academy of Pediatrics):

Almost every vaccine contains an immune stimulator (antigen) in a liquid (adjuvant). If you are worried about the adjuvant having mercury – the type of mercury found in thimerosal is  ethylmercury which is broken down and leaves the body very quickly and has NEVER been shown to be harmful. Because of parental concern, however, anything that contains the word mercury has been removed from almost all vaccines given to children (some influenza preparations are the exception).

If you are worried about the adjuvant containing aluminum (used to boost the effect), there is less aluminum in the shot as there is in a weeks worth of formula or breast milk. We need it to live.

The vaccines work by exposing the body to a part of the germ, allowing the body to develop an immune response the first time it is exposed. Many people are concerned that this “revved up” immunity leads to certain disease, specifically autism. The initial autism correlation was based on a bad study where scientists lied, a study that has since been retracted from the medical literature and described as an “elaborate fraud.” There have subsequently been A LOT of studies that fail to show any correlation.

Lastly, many parents worry about “why so many shots?” Through vaccines, we protect against 14 diseases. To do that it takes a lot of shots, given that it takes about 3 shots 6 months apart to confer immunity to a specific disease. Why so young? Many of the diseases that kill children occur prior to the child turning 2. In perspective, however, we expose the child to 150 antigens over the entire schedule through the age of 2. That same child, eating doodle bugs outside, is exposed to up to 2000 antigens a day.

As a medical student, I cared for children who became seriously ill from Haemophilus Influenza B. It affected approximately one child in every 1000 and in New Orleans we would almost always have 2 or 3 children in the pediatric intensive care unit on a ventilator because of it. Of those, one in 10 would die and about 1/3rd of the survivors would be deaf or neurologically devastated. The HIb vaccine was introduced into the vaccine schedule in 1989. With vaccination, the occurrence of the disease is for all intents and purposes, 0. I haven’t seen a case in 25 years. This is why I believe in vaccines. What can I do to further convince you?