Why you SHOULD vaccinate your children....

musicmom

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Somewhere there has to be a genetic mutation in the DNA, why can they just not find it? Geneology should be that hard for figure out.
 

Ari2

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musicmom said:
And quit being so smart Ari or I'll have to good rep you again.
:p

The possible genetic cause(s) of autism (more properly, "autism spectrum disorders" = ASD) is a hot topic. But it's complicated.

Autism spectrum disorders are classified as "pervasive developmental disorders". Pervasive developmental disorders include 1) autistic disorder (the "classic" Kanner autism), 2) Rett disorder, 3) childhood disintegrative disorder, 4) Aspbergers, 5) and a throw-away, catch-all label of "pervasive developmental disorder - not otherwise specified", which is frequently referred to just as PDD-NOS.

Research so far on ASD and on just autistic disorder suggests possible involvement on several chromosomes, including the X chromosome (which would explain the male predominance of these disorders, with the exception of Rett's) and chromosomes 15-17.

But there's a few problems. First, the concordance rate among identical twins varies by studies but usually is not as high as you would expect for a genetic disorder. This means that unlike other "pure" genetic disorders you don't find the rate among identical twins to be at or near 100%. Instead, with ASD you find more cases than you would expect in which one identical twin has ASD and the other doesn't. Second, the rate of ASD in kids with parents with ASD is lower than you would expect for a genetic disorder.

There is an association with parental age at conception and autism: The older either parent is, the greater the chance the kid will have ASD. This might suggest either spontaneous = new mutations and/or problems with genetic imprinting.

Related to imprinting, what might be involved is something called epigenetics. Epigenetics is a theory that believes environmental factors can cause DNA to behave differently while not changing the actual DNA sequence. So different genes can be turned off or on, but no genetic mutation has occurred. This sort of sounds like what you were getting at Fallon, when you were talking about possible environmental effects without getting into changes to the genetic sequence (and thanks for the compliment).

Hope that makes some sense.
 

HappyMomma

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I just came across this story. I didn't realize there was a current case on this.

<I>WASHINGTON (AP) -- Parents claiming that childhood vaccines cause autism should not be rewarded by the courts when the scientific community has already rejected any link, government lawyers argued Monday on the first day of a hearing in federal court.</I>

<I>Overall, nearly 4,900 families have filed claims with the U.S. Court of Claims alleging that vaccines caused autism and other neurological problems in their children. Lawyers for the families are presenting three different theories of how vaccines caused autism. The theory at issue Monday was whether vaccines containing the preservative thimerosal caused autism.</I>

<I>Lynn Ricciardella, a Justice Department lawyer, said that theory has not moved beyond the realm of speculation. She said that the Institute of Medicine and the</I><I>Centers for Disease Control and Prevention</I>[/URL]<I> have rejected any link between thimerosal and autism.</I>

<I>"There is no scientific debate," Ricciardella said. "The debate is over."</I>

Families argue autism-vaccine link in special U.S. court - CNN.com
 

musicmom

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Couldn't it be argued that something neurologically is not developed enough in a child brain to accept what ever chemical it's taking in? Therefore, the brain counter acts and deforms?
What if a childs brain was developed substatially and THEN given the vaccine? Some of these vaccines can wait.
 

Kaytee

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I don' tknow about the brain formation info, but I have heard that children who are vaxed later (after 6 months or some say after 2 years) have a much less risk of severe reactions
 

Ari2

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Kaytee said:
I don' tknow about the brain formation info, but I have heard that children who are vaxed later (after 6 months or some say after 2 years) have a much less risk of severe reactions
But it is a balancing act.

Some vaccine-preventable diseases (VPDs) most severely effect kids under the age of 2. An example is the rotavirus. Currently, the first dose is given at 2 months, with others at 4 and 6 months. If kids didn't get the vax until after age 2, the biggest danger period from the virus would have passed.

Hib is similar. Currently, Hib mainly affects under-/unvaxed kids and infants too young to be vaxed (the dosing schedule is the same for the rota vax). If the vax were delayed to past 2 years, it would shift the incidence curve to the older kids. As about 5% of HiB cases are fatal and 20% result in permanent damage, this would increase the deaths and long-term harm from Hib (the cases of Hib in the US has dropped 99% since the Hib vax came out in 1990 - obviously, sanitation hasn't improved in this country by the same amount).

Another example is Hep B. Most Hep B infections begin in infancy or early childhood, and Hep B infections at this early time are most likely to become chronic, life-long problems and an increased risk for liver cancer. So waiting may increase the number of kids who become infected with Hep B, go on to develop chronic Hep B (which can be miserable), and then be at risk for cancer.

Also, the majority of vaccine reactions occur in kids over 1 year of age. Is this because the vaxes given (such as MMR)? Maybe. Is it because older kids have a stronger immune system and thus can mount an overly aggressive response at times? Maybe, and because of this later is not always better (for an example look at the problems with contracting chicken pox later in life).

In terms of waiting for brain development, even forgetting the problem of early VPD infection, I don't think there would be an answer as to when to start vaxing later. Studies that I'm aware of haven't shown a benefit to delaying vaxes or separating out the combined vaxes like MMR. Instead, they show no decrease in adverse effects or autism rates.

I agree that the sheer number of vaxes infants get is scary. It scared me when my kids were tiny, especially as they were premature. But the risk of VPDs at a very young age also scared me. The best one can do, I guess, is to do as much peer-reviewed research as one can (and this might not be a lot) and work to find a ped/FP whom you can trust.
 

Ari2

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Lissa said:
Ari, what are your feelings on the varicella vax?
I think the CDC's thinking was a bit misguided, but I can see the benefit.

In general, I would rather my kids get varicella naturally at an early age. The natural immunity appears to be much longer-lasting than the vax immunity. Even with boosters, it is unclear whether vaxed people will have lasting immunity into their 30s and beyond. This threatens to push the age of first infection to later in life, when varicella is much more dangerous. Unfortunately, it is hard for most non-vaxers to find a contagious kid, so their children may not get the natural immunity at a young age.

And chicken pox is not a completely harmless disease. In wild-type infections, the kid usually missed 5-6 days of school, which may place a huge burden on working families. Even relatively mild cases can make a kid completely miserable. There is the small chance of serious complications such as bacterial infections, encephalitis, and pneumonia. In the vast majority of vaxed kids, any case of varicella that does occur is very mild, with much less risk of serious complications. Lastly, there are more and more people walking around with compromised immune systems, and varicella is extremely contagious. Decades ago you just didn't have the same number of people on immune-suppressing drugs or out in the community with a weakened immune system. In these folks and in non-immune pregnant women, varicella is a much more serious disease.

Overall, I think the vax's benefit outweighs the risk, so my kids got the vax. But I'm a bit divided and can understand why some parents would rather opt out and other are strong believers in the vax.
 

Kaytee

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Some vaccine-preventable diseases (VPDs) most severely effect kids under the age of 2. An example is the rotavirus. Currently, the first dose is given at 2 months, with others at 4 and 6 months. If kids didn't get the vax until after age 2, the biggest danger period from the virus would have passed.
They won't even administer it unless they get the first dose at 2 months. But isn't the biggest threat of this for children under 2 months anyways?

Can't say I know much about the Hib as that is one that is not reccomended for Nichole

Another example is Hep B. Most Hep B infections begin in infancy or early childhood, and Hep B infections at this early time are most likely to become chronic, life-long problems and an increased risk for liver cancer. So waiting may increase the number of kids who become infected with Hep B, go on to develop chronic Hep B (which can be miserable), and then be at risk for cancer.
its transmitted from infected mothers at birth also through iv drug use. Its mainly given because many mothers hav emore hten one sexual partner and do not know if they carry the disease themselves. Last time I check my child would not be having unprotected sex or drug use in infancy. I believe they give this one to catch the under the radar cases. Personal opinion there.

Studies that I'm aware of haven't shown a benefit to delaying vaxes or separating out the combined vaxes like MMR. Instead, they show no decrease in adverse effects or autism rates.
they just had a thing about this on the news last night. More and more doctors are agreeing with parents that it is too many diseases injected in tese young babies bodies. They did a cold call study (so nothing official or anything) that in this area ( I live in the Dallas Tx area) are only doing single vaccines and very selective on what they think each child should get, not just a one schedule for all kid kinda thing! To me that is wonderful. It should be a child to child situation.

I agree that the sheer number of vaxes infants get is scary. It scared me when my kids were tiny, especially as they were premature. But the risk of VPDs at a very young age also scared me. The best one can do, I guess, is to do as much peer-reviewed research as one can (and this might not be a lot) and work to find a ped/FP whom you can trust.
ain't that the truth!!!!
 

Ari2

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&lt;r&gt;&lt;QUOTE author="Kaytee;53442"&gt;&lt;s&gt;
Kaytee said:
&lt;/s&gt;They won't even administer it unless they get the first dose at 2 months. But isn't the biggest threat of this for children under 2 months anyways?&lt;e&gt;
&lt;/e&gt;&lt;/QUOTE&gt;

That is not my understanding of rotavirus epidemiology.&lt;br/&gt;
&lt;br/&gt;
From &lt;URL url="&lt;/s&gt;MayoClinic.Com&lt;e&gt;&lt;/e&gt;&lt;/URL&gt;: &lt;COLOR color="Blue"&gt;&lt;s&gt;&lt;/s&gt;Rotavirus infections are most common in children ages 4 months to 24 months — particularly those who spend time in child care settings. Older adults and adults caring for young children have an increased risk of infection as well.&lt;e&gt;&lt;/e&gt;&lt;/COLOR&gt;&lt;br/&gt;
&lt;br/&gt;
From &lt;URL url="&lt;/s&gt;US FDA/CFSAN&lt;e&gt;&lt;/e&gt;&lt;/URL&gt;: &lt;COLOR color="Blue"&gt;&lt;s&gt;&lt;/s&gt;Humans of all ages are susceptible to rotavirus infection. Children 6 months to 2 years of age, premature infants, the elderly, and the immunocompromised are particularly prone to more severe symptoms caused by infection with group A rotavirus&lt;e&gt;&lt;/e&gt;&lt;/COLOR&gt;&lt;br/&gt;
&lt;br/&gt;
From &lt;URL url="&lt;/s&gt;eMedicine&lt;e&gt;&lt;/e&gt;&lt;/URL&gt;: &lt;COLOR color="#000000"&gt;&lt;s&gt;&lt;/s&gt;oung children aged 4-24 months, particularly those in group daycare settings, are at increased risk for acquiring this infection.&lt;e&gt;&lt;/e&gt;&lt;/COLOR&gt;&lt;br/&gt;
&lt;br/&gt;
&lt;COLOR color="Blue"&gt;&lt;s&gt;&lt;/s&gt;Newborn infants seem more resistant to this disease than their slightly older peers. They may shed the virus without being symptomatic. This phenomenon occurs in both breastfed babies and formula-fed babies; therefore, the protective effect of breastfeeding does not explain this phenomenon.&lt;e&gt;&lt;/e&gt;&lt;/COLOR&gt;&lt;br/&gt;
&lt;e&gt;[/COLOR]&lt;/e&gt;&lt;/COLOR&gt;&lt;/r&gt;
 

musicmom

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Rota virus is also common at that age because parents are taking their children to the parks and this is where they are getting it. My son got it from a public swing. No one informed me on this virus as a new mother. I wish they had.
 

Ari2

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Kaytee said:
they just had a thing about this on the news last night. More and more doctors are agreeing with parents that it is too many diseases injected in tese young babies bodies. They did a cold call study (so nothing official or anything) that in this area ( I live in the Dallas Tx area) are only doing single vaccines and very selective on what they think each child should get, not just a one schedule for all kid kinda thing! To me that is wonderful. It should be a child to child situation.
In a kid who has never had an adverse reaction to vaxes or never been vaxed, how would you determine the schedule and what would it be?
 

Kaytee

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talking to the parents. Is your child in daycare? Do they go to public places often? Are they exposed to older siblings? Things like that.

a personal history is always a good place to start
 

Ari2

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Kaytee said:
talking to the parents. Is your child in daycare? Do they go to public places often? Are they exposed to older siblings? Things like that.

a personal history is always a good place to start
So the kid is a newborn. No other kids in daycare. Not a huge amount of public time. A 3 year old sibling. How you would design the schedule?
 

Kaytee

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it depends on the situation. They do this with animals now and it doesn't seem to be an issue, why do you seem to take offense to each family will have different situations and be at higher or lesser risks?

well me personally I like Dr. Sears alternative vaccine schedule and is the one I will follow pretty much wiht my next child. Of course he starts at 2 months and i will wait till 6.

2 mo DTaP, Prevnar
4 mo DTaP, Hib
6 mo Hib, Prevnar
9 mo DTaP, Prevnar
12 mo Hib
15 mo Hib, Prevnar
5 years Tetanus booster
 

Kaytee

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heres a bit more on it

[BHe recommended giving them only 1 or 2 at a time to decrease the chances of side effects, and talked about the use of Vitamins A and C prior to and after the shots to help decrease the chances of a reaction.

He considered Meningitis and Pertussis to be the most possible and most serious for infants.

He considered Meningitis possible AND serious for toddlers, but rare beyond age 2.

He considered polio, heb b, diptheria, adn tetanus as diseases that are very serious, but that your young child would NOT catch them.

He considered Measles, Mumps and Rubella as rare adn not serious for infants and toddlers.

He considreed chickenpox to be common and not serious.

He said that if you plan to travel outside the US, that the following shots were important,
Polio- Africa and Asia
Tetanus- wounds more likely on vacation, and less access to a shot while traveling
Hib
Diptheria- check with CDC

He said to consider the following shots for your teens-
Hep B
Chicken pox
Rubella- important for women of child bearing age
Tetanus- boosters every 10 years

He said to ask for blood tests to see if the teen had developed natural immunity already to Measles, Mumps, Rubella, and Chicken Pox.

His nutshells
Hib, rare but serious meningitis. safe ingredients, side effects minimal, no mercury, rated 4/5 score , recommended

DTaP, pertussis serious under age 1, side effects minimal, beef extract the only worry, tripedia vaccine is low mercury in single vial dose (less than .3 micrograms). Most cases of pertussis are unvaccinated. recommended for pertussis, 4/5 score recommended

Prevnar, common and serious meningitis, safe ingredients, more chance of side effects, 4/5 score recommended

MMR, disease usually mild in kids, fairly rare, side effects and ingredients considerable, 50 cases of Measles per year in CA, rubella shot can cause arthristis in women, this shot has the most serious side effect profile. 1/5 score

Heb B, STD, rare in kids, but serious if caught, side effects considerable, ingredients safe, does contain residual formyldehyde, kids 2/5 score, teens, 3/5 score

Chicken pox, disease mild but common, side effects and ingredients considerable, used to have 55 deaths per year, disease waning, kids 2/5 score, 3/5 score for teens

Polio, diseases not in Western Hemisphere, side effects safe, but ingredients questionable, 2/5 score

Of all of these, the serious concerns to public health risk if most decided not to vaccinate, would be Diptheria, Pertussis, and Hib. Obviously Diptheria is not a problem currently, but we would see cases of Pertussis and Hib meningitis increase rapidly if we saw a sudden drop of vaccinations against these diseases.[/B]