HPV and HepB vaccines are not associated with multiple sclerosis

hepb-vaccine-and-cancerI didn’t know it was an issue, but apparently there was some concern that there was a small possibility that vaccines, specifically the hepatitis B (HepB) and human papillomavirus (HPV) vaccines, might increase the risk of multiple sclerosis (MS) or some other acquired central nervous system demyelinating syndrome (CNS ADS). Apparently, there have been numerous studies examining the possibility that vaccines are related to these neurological disorders with mixed results. However, most of the studies showed no association between vaccines and these disorders, though most of the studies had significant limitations based on small numbers of patients included and some other factors.

If there is actually a causal relationship between vaccines and MS or CNS ADS, it could cause a sea change in the acceptance of vaccines, especially HepB and HPV, which are critical to preventing a number of serious cancers. A recent study, led by Annette Langer-Gould, M.D., Ph.D., of Kaiser Permanente, Southern California, examined the relationship between vaccines, especially HPV and HepB, and MS and CNS ADS, using electronic data from a broad group of Kaiser Permanente Southern California members.

Dr. Langer-Gould and her colleagues conducted a nested case-control study, a type of case-control study that more carefully matches control risk factors, using that data from Kaiser. The authors identified 780 cases of CNS ADS and 3,885 control group patients; 92 cases and 459 control patients were females between the ages of 9 to 26 years, which is the indicated age range for HPV vaccination.

The researchers found that there were no associations between HepB, HPV or other vaccines and an increase risk of MS or CNS ADS, even up to three years post-vaccination. Just to be clear, vaccination of any type was associated with an increased risk of CNS ADS within the first month, but this association disappeared after one month. The researchers suggested that vaccines (like any infection) could accelerate the transition from a subclinical to clinical autoimmunity (including MS) in patients with preexisting autoimmune disease. In other words, any challenge to the immune system, whether from vaccines or from any of hundreds of infections, would have accelerated the autoimmune disorder. Let me repeat–the vaccination was irrelevant, it could have been any infection that caused it during those initial 30 days.

hpv-STD-cancerAccording to the research, “there were no associations between HepB vaccination (odds ratio [OR], 1.12; 95% CI, 0.72-1.73), HPV vaccination (OR, 1.05; 95% CI, 0.62-1.78), or any vaccination (OR, 1.03; 95% CI, 0.86-1.22) and the risk of CNS ADS up to 3 years later.”

They concluded that, “our data do not support a causal link between current vaccines and the risk of MS or other CNS ADS. Our findings do not warrant any change in vaccine policy.”

Once again we find that vaccines are not associated with with serious neurological conditions. And the HPV vaccine, as I’ve written on numerous occasions, is incredibly safe and effective in preventing several types of cancer. This is another study in support of the safety of HPV vaccines.

 

Key citations:

The one study to rule them all–the vaccine denier’s dream

If you spend any time in the “debate” (actually, one side has scientific evidence and the antivaccination side denies all science, so to avoid falling for a false equivalency, debate gets scare quotes), you’ll hear every dumb argument to deny science. But one thing that you’ll see repeatedly from the vaccine deniers is that they would support vaccinations if there were better clinical trials.

The problem with the vaccine denier’s clinical trial proposals is that they are a moving target, relying on a form of the Argument from ignorance, claiming that if we can’t absolutely “prove” that vaccines are safe, then it must be absolutely unsafe. For example, there are dozens of articles, including one of the latest (published here and discussed here).

The actual process for vaccine clinical trials.
The actual process for vaccine clinical trials.

My good friend Allison Hagood, co-author of Your Baby’s Best Shot: Why Vaccines Are Safe and Save Lives, wrote a commentary about the antivaccine community’s perfect clinical trial. Follow along! (Allison’s commentary is presented in whole, but I’ve edited the formatting and added links where necessary).

Continue reading “The one study to rule them all–the vaccine denier’s dream”

Vaccine to block gluten sensitivity in celiac disease

Celiac disease (also known as coeliac disease in British English speaking countries) is an autoimmune disorder that afflicts the small intestine of certain  individuals who are genetically predisposed to it. The disease afflicts between 1 in 1,750 and 1 in 105 people in the United States (or about 200,000 to 3,000,000 people) and usually, but not always, results in chronic diarrhea, low pediatric weight gain, and fatigue. This disease is caused by a reaction to a gluten protein found in wheat, and similar proteins found common grains such as barley and rye

Upon exposure to gluten, the immune system causes an inflammatory reaction of the lining the small intestine. This interferes with the absorption of nutrients. The only known effective treatment is a lifelong gluten-free diet. This disease should not be confused with wheat allergy, which is also caused by a reaction to wheat proteins. Continue reading “Vaccine to block gluten sensitivity in celiac disease”