June 2020 ACIP meeting – meningococcal, influenza, COVID-19 vaccines

June 2020 ACIP meeting

This article about the June 2020 ACIP meeting was written by Dorit Rubinstein Reiss, Professor of Law at the University of California Hastings College of the Law (San Francisco, CA), who is a frequent contributor to this and many other blogs, providing in-depth, and intellectually stimulating, articles about vaccines, medical issues, social policy, and the law.

Professor Reiss writes extensively in law journals about the social and legal policies of vaccination. Additionally, Reiss is also a 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.

During June 2020, the Advisory Committee on Immunization Practices (ACIP) held its second annual meeting for the year. Because we are in the middle of the COVID-19 pandemic, and traveling is challenging for many – including, I suspect, for several of the Committee members, not all of which live near Georgia – the meeting, like most conferences this year (those which were not canceled) was held virtually. The CDC still provided an opportunity for oral comment, though there were some logistical challenges with their new system.

The June 2020 ACIP meeting discussed meningococcal vaccines, influenza vaccines, and then had the opportunity for public comment. The entire afternoon was devoted to COVID-19 and COVID-19 vaccines.

As with previous meetings, ACIP is a geek’s dream meeting and everyone else’s – except the experts, and I suspect – hope – most experts are geeks –  boredom feast. I learned a lot.

One of the most important lessons is that the committee takes vaccine safety very, very seriously. The other is that decisions on vaccines – like most policy decisions – are always made on incomplete knowledge. We never know everything. That is where expert judgment comes in. Incomplete knowledge does not mean there is not enough knowledge to assess benefits/risks, though any such assessment should be reassessed when new knowledge comes in.

Finally, it’s important to remember – and something the anti-vaccine observers of these meetings seem unaware of, but that doctors treating patients likely are not – that a decision not to use a vaccine is a decision with costs and risks – the costs and risks of the disease the vaccine prevents.

The choice is never between no risk and the vaccine because we don’t have vaccines unless a disease causes substantial mortality and morbidity. The choice is always whether, given the information, an informed decision can be made and which risks that information suggests are higher – those of the vaccine or those of not vaccinating.

Finally, my notes are over 14 pages of text for the June 2020 ACIP meeting, and that’s because my computer crashed at the end and I lost my last two pages of notes, which is really frustrating – and I have 153 screenshots of slides (yes, I am surprised too). I really want this post to be shorter. So I’m going to try and be very brief, and I’m happy to share my full notes, just email me at [email protected] Continue reading “June 2020 ACIP meeting – meningococcal, influenza, COVID-19 vaccines”

February 2020 ACIP Meeting review – Ebola, influenza, and coronavirus

february 2020 acip meeting

This article about the February 2020 ACIP meeting was written by Dorit Rubinstein Reiss, Professor of Law at the University of California Hastings College of the Law (San Francisco, CA), who is a frequent contributor to this and many other blogs, providing in-depth, and intellectually stimulating, articles about vaccines, medical issues, social policy, and the law.

Professor Reiss writes extensively in law journals about the social and legal policies of vaccination. Additionally, Reiss is also a 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.

I attended a large part of the February 2020 ACIP meeting (Advisory Committee of Immunization Practices) in Atlanta, GA. I had planned to stay throughout, but my airline changed my return flight and I had to leave before the end on the second day. I did, however, watch the first day and the first two parts of the second.

The coronavirus crisis changed some things. For example, there were multiple international groups visiting the CDC (there was also at least one group that was there for other reasons and sat on part of the meeting). And we had a presentation on the topic from Dr. Nancy Messonnier.

I will describe the meeting in the order it happened, though this is the very abbreviated version. As I said before, an ACIP meeting is a geek’s dream – there’s a lot of data provided and in-depth discussions of details. The committee has a heavy and important responsibility, and since it was targeted by anti-vaccine activists is carrying it out under tricky circumstances. Continue reading “February 2020 ACIP Meeting review – Ebola, influenza, and coronavirus”

Flu vaccine for COVID-19 – why you should be vaccinated soon

Flu vaccine for COVID-19

Yes, this article will discuss the flu vaccine for COVID-19 (the current coronavirus outbreak). But for those of you who don’t just read headlines, no, I am not suggesting that the flu vaccine will prevent a coronavirus infection.

As I wrote recently, a coronavirus vaccine is years away from reality. Any suggestion otherwise depends upon magical thinking and beliefs, not in evidence. But there are many things we can do that may prevent the most severe complications from the disease. Continue reading “Flu vaccine for COVID-19 – why you should be vaccinated soon”

Maternal flu vaccine – it protects the health of both mother and baby

maternal flu vaccine

I know that many people, even healthcare professionals, make lame excuses about a maternal flu vaccine. We have heard everything from “the vaccine gives me the flu” to “I never get the flu” to “the flu isn’t dangerous.” These anti-vaccine beliefs betray the overwhelming facts about the safety and effectiveness of the flu vaccine, especially for pregnant mothers.

A new study published in a real high-quality biomedical journal supports the claims that the maternal flu vaccine protects the health of the mother, the developing fetus, and the newborn child. Let’s take a look. Continue reading “Maternal flu vaccine – it protects the health of both mother and baby”

Flu vaccine facts – countering those anti-vaxxer myths and tropes

flu vaccine effects

It’s that time of year again, where we urge you to get the flu vaccination. And it’s time to provide you with the flu vaccine facts to debunk the anti-vaxxer fear, uncertainty, and doubt. Or we can just call them lies.

This article is not going to focus on every pseudoscientific anti-vaccine claim about the flu vaccine. It would take 10,000 words, and none of you, no matter how loyal you are to this old dinosaur, is going to read that many words. The goal of this post is to present flu vaccine facts for the biggest myths we read every year about the vaccine.

So, here we go. Continue reading “Flu vaccine facts – countering those anti-vaxxer myths and tropes”

Flu vaccine beliefs – the annual epic G-rated Mark Crislip rant

Since we’re entering the 2019-2020 flu season in the Northern Hemisphere, it’s time for the annual epic Mark Crislip rant about flu vaccine beliefs. For the past eight years at the start of the flu season, I reprint Dr. Mark Crislip‘s hysterical and outstanding rant about “slow-witted Equus africanus asinus” healthcare workers who invent flu vaccine fallacies, tropes, and myths in an effort to justify their belief that the flu vaccine is dangerous, useless, or whatever else that hits their brain.

Dr. Crislip’s humorous compilation of these flu vaccine myths, which were originally published in A Budget of Dumb Asses 2011, describes the different types of vaccine-refusing healthcare worker individuals. I resurrect this list every year at the beginning of the flu season not only for humor (because it is funny) but also to point the finger at flu vaccine deniers who also happen to be healthcare workers.

Any nurse, pharmacist, therapist, physician, or surgeon that refuses the flu vaccine by relying upon pseudoscientific nonsense about the vaccine rather than protecting their patients and themselves is appalling. I may be harsh, but maybe their employment ought to be terminated for their lack of concern about patients.

But the true adherents to the flu vaccine beliefs aren’t just healthcare workers. You know neighbors, friends, family, and even fellow vaccine supporters who refuse to get the flu vaccine. And they rely on the same ridiculous myths as healthcare workers.

These vaccine deniers believe that the flu vaccine is not necessary because the disease is not dangerous. Nothing could be further from the truth.

flu vaccine fallacies

During the 2018-19 flu season, 129 American children died of the flu. But, there’s more:

  • 37.4 – 42.9 million Americans contracted the flu
  • 17.3 – 20.1 million of those had a medical visit because of the flu
  • 531-647 thousand of those had to be hospitalized as an inpatient
  • Finally, 36,400 – 61,200 died
  • Worldwide, it is estimated that there will be approximately 290-650 thousand deaths. 

The flu season is just starting, and it’s almost impossible to not find a place to get the vaccine. Your family doctor, clinics, pharmacies, and many other places currently have the flu vaccine. And I am not a hypocrite – I will my flu vaccination next week. Of course, my healthcare insurance provides them out for free to all members.

And if you think you can prevent or cure the flu with vitamin C, echinacea, or bone broth (yes, it’s a thing), they don’t work. You are not going to be able to boost your immune system to destroy the flu virus unless you get vaccinated.

We’ve dispensed with many of the cherished flu vaccine beliefs of the anti-vaccine religion. Moreover, many studies have shown that getting the flu vaccine can improve health outcomes.

But too many people refuse this life-saving vaccine.

Continue reading “Flu vaccine beliefs – the annual epic G-rated Mark Crislip rant”

Flu vaccine fallacies – the annual epic Mark Crislip rant

flu vaccine fallacies

Since we’re entering the 2019-2020 flu season in the Northern Hemisphere, it’s time for the annual epic Mark Crislip rant about flu vaccine fallacies. For the past eight years at the start of the flu season, I reprint Dr. Mark Crislip‘s hysterical and outstanding rant about “Dumb Ass” healthcare workers who invent flu vaccine fallacies, tropes, and myths in an effort to justify their belief that the flu vaccine is dangerous, useless, or whatever else that hits their brain..

Dr. Crislip’s humorous compilation of these flu vaccine myths, which were originally published in A Budget of Dumb Asses, describes the different types of vaccine-refusing healthcare worker Dumb Asses. I resurrect this list every year at the beginning of the flu season not only for humor (because it is funny) but also to point the finger at flu vaccine deniers who also happen to be healthcare workers.

Any nurse, pharmacist, therapist, physician, or surgeon that refuses the flu vaccine by relying upon pseudoscientific nonsense about the vaccine rather than protecting their patients and themselves is appalling. I may be harsh, but maybe their employment ought to be terminated for their lack of concern about patients.

But the flu vaccine myths true believers aren’t just healthcare workers. You know neighbors, friends, family, and even fellow vaccine supporters who refuse to get the flu vaccine. And they rely on the same ridiculous myths as healthcare workers.

These vaccine deniers believe that the flu vaccine is not necessary because the disease is not dangerous. Nothing could be further from the truth.

flu vaccine fallacies

During the 2018-19 flu season, 129 American children died of the flu. But, there’s more:

  • 37.4 – 42.9 million Americans contracted the flu
  • 17.3 – 20.1 million of those had a medical visit because of the flu
  • 531-647 thousand of those had to be hospitalized as an inpatient
  • Finally, 36,400 – 61,200 died
  • Worldwide, it is estimated that there will be approximately 290-650 thousand deaths. 

The flu season is just starting, and it’s almost impossible to not find a place to get the vaccine. Your family doctor, clinics, pharmacies, and many other places currently have the flu vaccine. And I am not a hypocrite – I will my flu vaccination next week. Of course, my healthcare insurance provides them out for free to all members.

And if you think you can prevent or cure the flu with vitamin C, echinacea, or bone broth (yes, it’s a thing), they don’t work. You are not going to be able to boost your immune system to destroy the flu virus unless you get vaccinated.

We’ve dispensed with many of the cherished flu vaccine fallacies of the anti-vaccine religion. Moreover, many studies have shown that getting the flu vaccine can improve health outcomes.

But too many people refuse this life-saving vaccine.

Continue reading “Flu vaccine fallacies – the annual epic Mark Crislip rant”

ACIP vaccine recommendations – updates for HPV, HepA, MenB, flu

vaccine recommendations

On 26-27 June 2019, the CDC’s Advisory Committee for Immunization Practices (ACIP) updated vaccine recommendations for several vaccines including the human papillomavirus (HPV), hepatitis A (HepA), and serogroup B meningococcal disease (MenB). These vaccine recommendations do not become official until they are published in the CDC’s peer-reviewed journal, Morbidity and Mortality Weekly Report (MMWR)

This article will review the ACIP process and new recommendations. Continue reading “ACIP vaccine recommendations – updates for HPV, HepA, MenB, flu”

Flu vaccine lawsuit – a non-win, non-revelation regarding pregnant women

On 11 February 2019, Health Impact published an article about a flu vaccine lawsuit which an anti-vaccine group called the “Children’s Health Fund” described as a legal win and revelation. The claim was based on a response to a Freedom of Information Act (FOIA) request that did not, in fact, reveal any new information.

The flu vaccine lawsuit also did not counter the basis of expert agencies and organizations recommendations that pregnant women be vaccinated against influenza to protect themselves and their newborns. This article will review the facts of this action. Continue reading “Flu vaccine lawsuit – a non-win, non-revelation regarding pregnant women”

WHO’s top 10 public health threats – vaccine deniers included in the list

public health threats

The World Health Organization (WHO) recently published their top 10 world public health threats in 2019. It includes all of the public health threats that you can imagine, plus what they call “vaccine hesitancy,” or what I call the anti-vaccine religion’s ignorance, misinformation, and lies.

Yes, the anti-vaccine fiction and deception are one of the greatest dangers to the world’s public health. Their tropes, memes, and falsehoods are convincing enough people to delay or avoid vaccinating their children that diseases we thought weren’t a threat anymore are coming back. Europe and the USA are experiencing an unprecedented measles outbreak because of slightly lower measles immunization rates.

I want to review the WHO public health threats list because it’s interesting to those of us who fight the good fight for science. Of course, I’m going to focus on the vaccine deniers because that’s what we do here. Continue reading “WHO’s top 10 public health threats – vaccine deniers included in the list”