Under these new requirements, parents must present proof of vaccinations to gain admission into preschools, while parents of children of mandatory school age face fines of up to €500 (US$591) for noncompliance. The requirements cover 10 vaccinations, including diphtheria, tetanus, measles, mumps, rubella and chicken pox. Two vaccines were dropped from an initial list of 12 – meningococcal B and meningococcal C.
During the parliamentary debate, Italian health officials faced a measles outbreak that caused the US to issue a travel warning. In addition, a scandal arose in northern Italy that involved a nurse who claimed for years to have vaccinated children but had not.
Of course, anti-vaccine activists protested outside of the parliament building using some fo the same tropes and myths pushed by those groups in the USA. In California, anti-vaccine protests were a regular event while the state legislature was considering SB277 which, in effect, mandated vaccines for the state’s children.
The Italian parliament was convinced by data that showed only 85.3% of Italian 2 years had been vaccinated in 2015. this is well short of the 95% herd effect threshold that is recommended by many public health agencies.
Furthermore, there were 3,232 cases of measles in Italy between January and June of 2017. This is a significant increase over the 478 cases during the same period 2016.
Governments, like France and Italy, have no choice but to reject the anti-science beliefs of segments of the population, and subsequently they mandated vaccines to protect children from diseases that can kill. Maybe if Italy had mandated these vaccines a few years ago, the children who died from measles would be alive now, sharing wonderful lives with their parents.
Right now, only California, West Virginia and Mississippi, in the United States, eliminate all personal belief exemptions and mandate that children must be fully vaccinated before entering school. West Virginia and Mississippi have some of the highest vaccination rates in the country, and even after just one year, California’s rates are way up.
I hope that this is the early part of the trend to make vaccines mandatory. There simply is no reasonable evidence that vaccines are anything but safe and effective. Most of the reasons used by the anti-vaccine crowd is easily debunked with the simplest of scientific reasoning.
The trend to mandate vaccines are not examples of government overreach. They are attempts for cooler heads to prevail over the myths and lies pushed by those opposed to vaccines. They are attempts to make certain our children are protected against vaccine preventable diseases.
Editor’s note – this index of articles by Dorit Rubinstein Reiss has been updated and published here. The comments here are closed, and you can comment at the new article.
Dorit Rubinstein Reiss – Professor of Law at the University of California Hastings College of the Law (San Francisco, CA) – is a frequent contributor to this and many other blogs, providing in-depth, and intellectually stimulating, articles about vaccines (generally, but sometimes moving to other areas of medicine), social policy and the law. Her articles usually unwind the complexities of legal issues with vaccinations and legal policies, such as mandatory vaccination and exemptions, with facts and citations. I know a lot of writers out there will link to one of her articles here as a sort of primary source to tear down a bogus antivaccine message.
Professor Reiss writes extensively in law journals about the social and legal policies of vaccination–she really is a well-published expert in this area of vaccine policy, and doesn’t stand on the pulpit with a veneer of Argument from Authority, but is actually an authority. Additionally, Reiss is also member of the Parent Advisory Board of Voices for Vaccines, a parent-led organization that supports and advocates for on-time vaccination and the reduction of vaccine-preventable disease.
Below is a list of articles that Dorit Rubinstein Reiss has written for this blog, organized into some arbitrary and somewhat broad categories for easy reference. Of course, she has written articles about vaccines and legal issues in other locations, which I intend to link here at a later date. This article will be updated as new articles from Dorit are added here.
They were charged under two legal provisions–a provision in the Code of Public Health (le code de la santé publique, art. L.3116-4) that imposes a find of 3750 euros and up to six months in jail for those who do not receive, or allow those under their guardianship to receive, mandatory vaccinations, including parents (“Le refus de se soumettre ou de soumettre ceux sur lesquels on exerce l’autorité parentale ou dont on assure la tutelle aux obligations de vaccination prévues aux articles L. 3111-2, L. 3111-3 et L. 3112-1 ou la volonté d’en entraver l’exécution sont punis de six mois d’emprisonnement et de 3 750 Euros d’amende”).
And a provision in the criminal code that criminalizes neglect of parental duties “to the point of risking the health… of a minor child”, with a fine of 30,000 euros and up to two years in prisons as penalty (article 227-17: “Le fait, par le père ou la mère, de se soustraire, sans motif légitime, à ses obligations légales au point de compromettre la santé, la sécurité, la moralité ou l’éducation de son enfant mineur est puni de deux ans d’emprisonnement et de 30 000 euros d’amende”).
I have a special affinity for France, you could even consider me a Francophile. There are a lot of reasons for this, including living there for a bit of time, but most of it highly personal.
On the other hand, I also have a special affinity for debunking nonsense from the antivaccination cult. I don’t debunk it all, because there are so many good writers out their that have fun mocking, debunking, and criticizing the vaccine deniers.
However, if someone combines France and vaccinations – well, I’m just going to have to focus on it. Especially, when the information is so patently wrong and unsupported by real evidence.
Given the 95% vaccine uptake rate, it begs the questions of why I push so hard for vaccination–because I want to protect the lives of children, and those 5% who aren’t vaccinated are at risk of serious disease and even death. And vaccines are the safest way to protect a child–protect them from death.
Nearly 55% of the readers of this blog are not American (a couple of years ago,this blog got a regular reader from Iran, which meant that all countries were represented amongst this blog’s readers). I have been accused of being a bit American-centric, but at the same time, I was also curious about vaccine uptake worldwide. Continue reading “Worldwide vaccine uptake-2014”
A few months ago, I covered a story about a French teenager who had filed a lawsuit against a French vaccine manufacturer, Sanofi Pasteur (but the patents and trademarks are owned by Merck), along with French health regulators. The lawsuit claimed that side-effects from the HPV quadrivalent vaccine, known as Gardasil (or Silgard), induced multiple sclerosis (MS), a neurological disease that results from inflammation of neurons, in a teenage girl.
As with most of these antivaccination stories and tropes, I analyze them, debunk them, and then move on. I didn’t even bother check up to see if there was a legal decision, mainly because my French reading skills barely go beyond reading a menu and ordering a croque-monsieur at a sidewalk café in Lyon (headquarters of Sanofi Pasteur). But mostly, I just assumed it was one of those silly stories where the antivaccination cult tries to make a mountain out of a tiny pebble on the beach.
More fear mongering from the antivaccination forces, this time claiming that “mainstream news media is widely reporting today that a French teenager has filed a lawsuit against French pharmaceutical company, Sanofi Pasteur, and France’s health regulators, over side-effects that were caused by the Gardasil HPV vaccine.” The plaintiff is claiming that the vaccine induced multiple sclerosis (MS), a neurological disease that results from inflammation of neurons. The best available evidence is that MS is caused by a virus, which someday will be prevented with a vaccine!
Formally known as the HPV quadrivalent vaccine, Gardasil (or Silgard in Europe) is a vaccine that prevents infection by the human papillomavirus, a sexually transmitted disease. The vaccine specifically targets subtypes 16 and 18, that cause not only approximately 70% of cervical cancers, but they also cause most HPV-induced anal (95% linked to HPV), vulvar (50% linked), vaginal (65% linked), oropharyngeal (60% linked) and penile (35% linked) cancers. It also targets HPV6 and HPV11, which account for approximately 90% of external genital warts. The viruses are generally passed through genital contact, almost always as a result of vaginal, oral and anal sex.
Let’s be clear here. Gardasil prevents cancers–serious, life threatening cancers.
Furthermore, the HPV quadrivalent vaccine has been shown to be extraordinarily safe in two different and large epidemiological studies, one with over 700,000 doses and the other with over 350,000 doses. The relative safety of the HPV vaccine is not in question except by those who engage in logical fallacies and anecdotes. The size of these two studies were so large, so impressive, that they would have uncovered extremely rare events, and there were none.
We have discussed this issue before. Teenagers are at risk of many chronic diseases that are coincidental to vaccines. For example, the rate for MS in some populations in Europe is close to 200 per 100,000. Without any substantial and incontrovertible evidence that the HPV vaccine is linked to MS, and with substantial evidence that MS is caused by viruses and is fairly prevalent in Europe, one can only conclude scientifically that this child had a coincidental MS attack. That is sad, and I wish we could have prevented the disease, and someday we might–but blaming Gardasil is simply irresponsible, since we have evidence it saves lives.
So, let’s debunk some of the crazy points made by the fear-mongering anti-Gardasil article:
No, we have no evidence that Gardasil caused MS. In fact, we have evidence otherwise, since the background rate of MS in Europe is substantial.
A lawsuit certainly does not imply causality, especially since nothing has been adjudicated so far. And even if the French legal system finds for the plaintiff, it does not provide evidence of causality. Courts are terrible evaluators of scientific data.
Japan did not stop using Gardasil vaccine. The Japanese Health Ministry, under pressure from the anti-science crowd, withdrew its recommendation for the vaccine based on adverse events that were actually BELOW the rates of those same events in the general population. In other words, they failed to take any epidemiology courses.
Therefore, the HPV vaccine is safe, based on over 1 million doses in controlled studies. HPV vaccine prevents the virus that causes some serious, deadly cancers. Multiple sclerosis is probably not caused by the HPV vaccine (or any vaccine to be factual). Multiple sclerosis is probably caused by a virus that one day will be prevented by a vaccine developed by real scientists (and if I’m still writing then, rest assured the vaccine deniers will risk their children contracting MS to whine nonsensically about that new vaccine).
Gardasil saves lives. And I’ve shown that scientific fact based on solid scientific, published evidence.
What’s worse than all of this is that 22% of Americans believe in an impending Armageddon in their lifetime (the highest rate along with Turkey). This compares to obviously better science educations in France, where only 6% believe in this silliness, in Belgium, only 7% believe, and the United Kingdom, only 8%. The poll also indicated that individuals with lower education or household income levels, as well as those under 35 years old, were more likely to believe in an apocalyptic end of the world. Maybe the History Channel has a broader reach than originally thought. Continue reading “Americans believe in debunked myths–shocking news”