Purified preparations obtained from viruses or bacteria grown in laboratories

Modified to prevent the disease

Dead or live organisms

Usually injected, rarely oral or nasal

Diseases exist and are potentially serious

Public vs. individual rights (to protect the public from epidemics)

Concept of herd immunity (prevent epidemics if enough vaccinated)

Protect the individual

What are the risks of the disease?

How likely is my child to get the disease: general health (i.e. constitution), risk factors, etc.

What are the risks, efficacy of the vaccine?

When, what vaccines, how to give

Legal considerations

Diphtheria

Tetanus

Pertussis (whooping cough)

Polio

Hemophilus Influenza type B

Hepatitis A and B

Pneumococcus (Prevnar or PCV 7)

Measles (L) [L=live virus vaccine]

Mumps (L)

Rubella (German Measles) (L)

Varicella (Chicken Pox) (L)

Influenza (L)

Rabies

Meningococcus

Typhoid

Smallpox

Anthrax

Tuberculosis (BCG)

Others for special circumstances, e.g. yellow fever, Japanese encephalitis, Lyme, etc.

Others in development (rotavirus, HPV)

Now a rare disease, <10/yr. In U.S.

Corynebacterium diphtheriae bacteria

80% of cases <15 yr. Old

Mostly in poor and crowded conditions

Respiratory spread

1-6 day incubation period

Toxin produces tissue necrosis in nose, lungs, trachea, throat membranes

Toxin in bloodstream: may affect heart, nerves and kidneys

Treatment (conventional): antitoxin, antibiotics, bed rest, fluids, tracheotomy (rare)

Mortality 10%

Rare disease, <50/yr

Clostridium tetani bacteria (toxin)

Bacteria found in soil, house dust, fresh and salt water, animal feces

Most common age 1-5 yr old, neonatal tetanus still occurs in areas

Colonization at umbilicus, traumatic injury

Incubation usually 3-14 days

Toxin inhibits nerves that relax muscles, may move along the nerves

Generalized disease most common, also local and cephalic (brain)

Seizures, muscle spasm may cause lack of oxygen to tissues

Treatment: antibiotics, muscle relaxants, neuromuscular blocking agents, supportive care in hospital

Mortality of 30-65%, highest rates in younger and older

Still a common illness, 1000-8000/yr. in U.S.

Bordatella pertussis bacteria

97-100% contagious, affects all ages

Respiratory spread

Respiratory tissues swollen, thick mucous, obstruction of airways

Liver and brain may be affected

Incubation period 6-20 days

Begins with cold-like symptoms 1-2 wk.

Severe symptom period follows, 2-4+ wk.

1-2 wk. of gradual recovery

Treatment: antibiotics, steroids, fluids, supportive

Less than 1% mortality, higher in young

Becoming increasingly rare

Only cause in U.S. since 1979 is live vaccine

Live vaccine last sold (U.S.) 1/2000

Caused by Poliovirus

Fecal-oral spread (items contaminated by virus in feces)

Incubation 3-7 days

Most cases have minor or no symptoms

Intestinal, respiratory and muscle symptoms

Treatment mostly supportive

Mortality unknown, was 5-7 % prevaccine

Unexpected improvement may occur

Almost exclusively in children <7 yr.

Bacterial illness

Rate has declined since vaccine

Was major cause of meningitis 1 mo.-3 yr., other infections incl. epiglottitis

peak in 6-9 mo. 80% <18 mo.

More common in day care

Respiratory spread

Meningitis mortality 2-18%, permanent nerve damage 20%, additional 5-10% hearing deficits

Treatment: antibiotics, steroids, fluids

Common virus

Mostly in epidemics or "endemic" (usually "developing") countries

Affects the liver

May easily spread in day care-hygiene

Highly contagious, fecal-oral spread

Incubation period 4-6 wk.

Doesn’t affect baby of infected mother

Treatment supportive, fluids

Illness may last for months, usually complete recovery

Rarely a serious illness

Vaccine recently recommended 1-23 months old

Uncommon in young children

Risk factors sexual contact, birthing, shared needles, blood, institutional living, (possibly) breast milk

Viral infection

Exchange of blood and body fluids, detected in saliva

Routine prenatal blood test

Incubation period 2-5 mo.

May cause progressive liver failure

Associated with an increase of liver cancer

Affects all ages

Bacterial infection

More than 80 strains of this bacterium

Seven most common strains of childhood illness in the PCV 7

Meningitis in children 6 mo.-4 yr.

Also other infections, e.g. pneumonia, ear infections, etc.

More serious in sickle cell, asplenia, immunodeficient, nephrosis

Frequently follows upper resp. infection (cold)

Treatment, antibiotics, steroids, fluids, supportive

5-10% mortality, increased risk of neurological events

Rare disease now

Viral infection, respiratory spread

Occurs in epidemics about every 2-4 yr.

Highly contagious, >90% if susceptible

Incubation period 10-12 days

Contagious for up to 3 days before illness

Have occurred in highly vaccinated populations, especially adults

Treatment supportive

Complications of encephalitis and subacute sclerosing panencephalitis potentially cause permanent nerve damage

Rarely fatal, 68 deaths-last epidemic of ~38,000 cases in U.S.

Viral illness spread through direct, respiratory, fomites (saliva)

Incubation period 14-24 days

30-40% subclinical

Usually mild except perinatal (near birth)

Affects salivary glands, pancreas, brain, testes, ovaries

Meningoencephalitis 2.5/1,000, leading to death in 2% of those affected

Orchitis in 14-35%, impairment in fertility 13% male, not in female

Deafness in 1/15,000

Treatment is supportive

Usually mild self-limited illness

Hazard is to fetus only, except in very rare cases

Viral illness, respiratory or transplacental spread

Highly contagious, up to 100%

Epidemics every 6-9 years

Incubation period 14-21 days

Risk of congenital defects prenatally: ~100% 1^st mo., 40% 2^nd mo., 10% 3^rd mo., 4% thereafter—neurologic, hearing, immune, rashes, diabetes, (rarely) death

Childhood complications rare, include arthritis, neuritis, no specific treatment

Very common illness prior to vaccine

Since vaccine ~1996 declining frequency

Rarely serious in children after neonatal period (perinatal varicella 20% mortality)

Becomes more serious in teens, adults

Incubation period 11-21 days

Subclinical (not diagnosable) in ~15%

Viral illness; direct contact or droplet spread; highly contagious

Complications mostly skin infections, rarely hemorrhage, Reyes, congenital malformations (rare), pneumonia (mostly adult), encephalitis and other neurologic (rare); immunosuppressed more susceptible to complications

NO ASPIRIN in children with varicella (may cause Reyes Syndrome)

Viral infection, attack rates up to 50%; respiratory spread

Newest recommended vaccine

Epidemics occur every 2-3 years (minor), 4-7 years (major), due to changes in virus

Incubation period 2-3 days

Vaccine previously only for children with severe lung, heart or immune disease

Most common complications of disease are bacterial infections: respiratory, ear, also heart and Reyes syndrome (NO aspirin)

Prognosis generally good except for high risk children, (possibly) healthy infants and toddlers

My natural recommendations are listed at www.kidswellness.com

DTaP: diphtheria, tetanus and pertussis

HIB: hemophilus influenza type B

HBV: hepatitis B

PCV 7: pneumoccus

MMR: measles, mumps, rubella

VZV: varicella (chicken pox)

HAV: hepatitis A

FLU: influenza

Prevent serious illness in recipient

Possibly prevent illness in unvaccinated

Several small doses cause immune response

Conventional medicine touts success

Alternative practitioners-success from other factors

Who is right?

Live vs. "attenuated", dead organism

Culture media (e.g. beef heart, monkey kidney, eggs, aborted fetal lines [Varicella, Rubella], etc.) the organism grown in

Thimerosal (mercury-in some dead vaccines)

Aluminum (0.11-0.625 mg./dose [dead])

Formaldehyde [dead]

"Piggyback" or contaminant viruses [live]

Multiple antigens/proteins

Buffers

Polysorbate 80

Gelatin

Glycine

Lysine

Sucrose

Polyethylene glycol

Ether

Antibiotics

Yeast

Soy

Dextrose

Detergents

2-phenoxyethanol (preservative)

Sodium, potassium chloride

Sorbitol

MSG

Others, incl. preservatives, buffers, etc.

Most immediate (first 2-3 days) vaccine reactions are mild

Severe reactions can and do occur to each vaccine

Vaccines thought (by "alternative/integrative") to shift immune system toward autoimmunity (immune system attacking normal body tissues)

Long-term, slowly progressive and permanent reactions unknown

Some are vehemently debated

Frequency ~25%, most minor, include:

Reactions, continued:

Approx 20%, listed ones include

Reported "possible" side effects include:

Overall over 30-40% reactions include:

Reactions, continued:

40+% fever, irritability, tiredness, also anorexia, vomiting, local reactions, fever, fussiness, sleepiness, crying, GBS, death (uncertain)

Overall approximate frequency 30-40%

Reactions, continued:

Reactions, continued:

Reaction frequency 10-64%, include:

Rare complications:

Immune depression

Autoimmune reactions (MS, diabetes, lupus, CFIDS)

Other viral infections

Reactions to foreign tissue

Others, presently unknown

BEFORE GIVING VACCINES:

Never, never, never give any vaccine when a child has any acute illness or infection

If necessary wait until most of the symptoms are gone, otherwise when completely well for several days

Remember that vaccines require the immune system to act—immune stress

Each vaccine causes a stress on the immune system

The younger the child, the weaker the immune system, but same dose given

All vaccines contain other chemicals that require detoxification

We never get more than one illness at a time naturally

Immune preparation

Detoxification

Information: www.kidswellness.com

Consider how important each vaccine is

School requirements and options

Medical situations-hospitals, M.D. office

Child protection (state) services

Colleges and universities may require

Healthy diet, daily supplements, lifestyle

Avoid chemicals and as many medicines as possible

Homeopathic "constitutionals", designed to build health

Homeopathic "nosodes"

Preparations/medicines taken from infected tissues

Sterilized

Potentized or strengthened according to homeopathic principles

My experience is that they have few or no side effects

Efficacy unknown, my experience reveals probable efficacy

Different practitioners have different schedules

I use the schedule listed previously in this presentation

Vaccines are likely the most controversial aspect of pediatric medicine today. The diseases are often serious, but all vaccines have potentially serious side effects. I personally believe that the vaccines are effective in preventing illness, but are not without risk. (Continued, next slide)

I strongly recommend my patients educate, choose wisely, pray about their decision and then prepare their children. Information regarding preparation is and homeopathic preparations used by some practitioners for disease preparation (nosodes) will soon be available at kidswellness.com. Also see: www.909shot.com.