Children
House debates vaccine safety
Critics say mandatory inoculations may do more harm than good. But what about all the lives that have been saved?
“We as a government can no longer keep our heads buried in the sand like
an ostrich, pretending there is no problem,” said Rep. Dan Burton, R-Ind., the
arch-conservative, hatchet-faced chief of the House Government Reform
Committee, as he waved a sheath of documents that he said showed thousands of casualties over the past year.
Burton’s rather surprising target: mass immunizations. The shots we get with our mother’s milk constitute the single most effective medical intervention of the past
century — but in front of a packed hearing Tuesday, Burton described mandatory
vaccination as “a good intention gone too far” that “creates an inherent
conflict between the interests of the individual and the community.” He
promised to lead a thorough reexamination of the nation’s vaccination
program.
Burton’s hearing marked the triumph of an Internet-based coalition of
vaccination critics who have claimed for years that inoculation does more harm
than good. The critics, who range from legitimate scientists to prodigious
yarn-spinners, claim the government is obscuring the danger of vaccines and
urge the abolition of mandatory vaccinations for schoolchildren.
The movement is swimming against a tide of new vaccines that have entered or
are about to enter childhood inoculation schedules. In the past decade,
shots to protect against meningitis, hepatitis B and viral diarrhea have
been added to the regimen protecting against polio, measles, mumps,
rubella, whooping cough, tetanus and diphtheria. Public health officials
also hold up vaccination as a key tool against the worrisome threat of
drug-resistant bacteria: By priming the body’s immune system to fight a
particular organism, they argue, vaccines preempt the need for antibiotics to fight the
bacteria later, after infection.
But Tuesday’s hearing showed that despite these promising developments, the tide could easily turn against vaccines unless public officials
convincingly show they are taking pains to keep vaccines safe. And while
there are surveillance systems in place — such as the one that detected
problems in the rotavirus vaccine last month — blunders have the capacity to undermine confidence.
The Pentagon, for one, hasn’t helped matters. Since announcing in December
1997 that it would immunize 2.3 million service members against anthrax, it
has been forced to use stocks of a relatively crude anthrax vaccine that
was licensed in the 1960s and manufactured at a laboratory with quality
control problems. Coincidentally or not, many troops receiving the vaccine
have reported illness, provoking a culture of resistance within the
military — with scores and perhaps hundreds of experienced reserve pilots
and others threatening to quit rather than take a vaccine they think is
unsafe.
Meanwhile, right-wing Christian groups have glommed onto the anti-vaccine
movement through their objection to the mandatory hepatitis B vaccine — on
the grounds that only sinful drug addicts and fornicators get hep B.
(Actually, 19,000 kids contract it each year, and as much as a third of its
transmission is through means other than sex or shared needles.) Vaccination critics
have also been angered by the fact that a no-fault court created in 1986 to
compensate people killed or hurt by vaccines has ended up using such strict
guidelines to determine whether an injury was caused by a vaccine that most
alleged victims are now being turned away.
Clinton administration efforts to track mandated childhood vaccinations have led paranoids to accuse it of “Chinese Communist-style” social controls, in the words of right-wing
activist Phyllis Schlafly, who has also jumped onto the anti-vaccine bandwagon.
Tuesday’s hearing was a moment of vindication for Barbara Loe Fisher, a
cherubic, brown-haired woman who sits at the center of the anti-vaccine web. Fisher has championed the battle since 1982 at the helm of a Vienna,
Va.-based group called the National Vaccine Information Center. She
claims that two of her children were damaged by vaccines (though she admits that a third, unvaccinated child almost died from whooping cough). Fisher professes not to oppose vaccination but to
favor “choice” and greater government acknowledgement of the risks of
vaccination; her group touts homeopathic and other alternatives to
vaccination. At Tuesday’s hearing, Fisher wore a bright purple suit and was
surrounded by parents pinned with tiny white ribbons symbolizing children
injured by vaccines. “This issue has hit a critical mass,” she said. “At
this point everybody knows somebody who had a reaction.”
In fact, as it transpired during the afternoon, Dan Burton himself had a
personal interest in vaccine safety. His infant granddaughter, Burton said,
ended up in the emergency room 12 hours after receiving a hepatitis B
vaccine. (Surgeon General David Satcher, on the witness stand when Burton
revealed this fact, diagnosed it as anaphylactic shock –”which can happen
with any medication.”) Burton added that his grandson had received a DTP
shot (diphtheria-tetanus-pertussis) and “is now somewhat autistic … you
can call it a coincidence, but I think it’s a concern, and that’s why we’re
having this hearing,” Burton said.
The audience, including many parents who have struggled for years to get an
explanation and decent care for severely damaged children, was clearly
primed for Burton’s routine. Listening to some of the stories, you couldn’t
blame them. Pamela Lynn Wood, a 43-year-old woman from Colt’s Neck, N.J., described a 10-year odyssey following her injection with a rubella
vaccination in 1989. Wood developed connective tissue disease — a rare but
scientifically recognized side effect of that particular vaccine. A year
later she gave birth to her second son, Grant, who after 15 normal months
went into a developmental tailspin ending in autism. Wood believes her
son’s illness resulted from a measles-mumps-rubella (MMR) shot; an
overabundance of rubella antibodies in his blood, she believes, caused
auto-immune disease and swelling in his brain.
While Wood delivered her written testimony to the committee, her husband and sons stood outside the hearing room against the yellow brick wall. Grant Wood, a beautiful 8-year-old with cloudy blue eyes, alternately stared into space and gripped his father’s legs. “There was some chain of events that led to this, and we’re sure the vaccine played a role,” said Tom Wood as he tousled his son’s hair. “And we feel that if the medical system was
willing to give some credence to the idea that vaccines can cause harm — if
they weren’t so dead set on vaccinating everyone with every shot — maybe we might have avoided giving Grant the MMR, given his mother’s problems with rubella.”
“The science isn’t out there to answer some of these questions,”
acknowledges Dr. Bruce Gellin, who directs an initiative to counter
misinformation about vaccines. But as painful as it is to observe families
stricken with life-altering illnesses, Gellin cautions, one has to
recognize that poorly understood illnesses like autism have prompted a
plethora of hypothetical causes — everything from viral infections to
genetic predisposition to environmental toxins. Given the subtleties
involved, Gellin said, “you do wonder whether a Congressional hearing is
the best place to objectively consider these questions.”
During the six-hour hearing, Burton’s remarks were frequently incautious or
wrong. He claimed, for example, that five vaccinated researchers had been
killed by exposure to airborne anthrax; in fact the four researchers who
died several decades ago, in the incident Burton referred to, were
unvaccinated — the vaccinated ones survived. He waved around documents from the FDA’s Vaccine Adverse Event Reporting System that he claimed showed large numbers of vaccine-related injuries, a gross exaggeration. The numbers, from a
surveillance system the FDA set up in 1986 to improve vaccine safety,
recorded every possible vaccine reaction phoned or mailed in to FDA — but
careful examination often found that the vaccine did not cause the problem.
Burton has insisted on further hearings — but what Tuesday’s forum demonstrated, more than anything, is that the public
health system has been a victim of its own success. Vaccines have been so
effective in reducing the diseases they aim to attack that it is the
uncommon side effects, rather than the threatened diseases, which draw
attention. In 1900, 30 percent of all deaths were children age 5 or
under. In 1997, about one in 70 deaths was a small child. This is due mainly
to clean water and vaccinations. Satcher, who is 58, remarked to Burton
that he, Satcher, had almost died of whooping cough at age 2 back in
Alabama. The disease, caused by pertussis bacteria, killed 3,500 people
that year. In 1997, six people died of the disease, and some of them may
have been exposed to it as a result of the anti-vaccine movement.
In the past three decades, vaccine scares in Britain, Japan and other
countries led to huge epidemics of infectious disease when large
populations stopped getting vaccinated. The breakdown of the Russian public
health service has resulted in hundreds of deaths each year from
diphtheria, a disease that peaked in 1921. And in the United States,
whooping cough has made a small comeback in recent years, particularly in
parts of Northern California where anti-government or alternative-medicine
movements have induced parents to refuse to vaccinate their children.
There are whooping cough outbreaks every fall in Santa Cruz and Sonoma
counties; two children died of the disease last year. And when even
relatively small populations stop getting vaccinated, endemic whooping
cough and measles germs easily jump into the breach. A study published in
JAMA last month showed that unvaccinated children in the United States are 35 times more likely to contract measles than their vaccinated peers.
“We are becoming complacent about our success against infectious
diseases,” said Henry Waxman, the California Democrat and minority leader
on Burton’s committee. “If children are frightened and parents discouraged
about vaccines, we will quickly become vulnerable to infectious diseases.”
Arthur Allen writes on health, science and other issues for Salon. He lives in Washington. More Arthur Allen.
Saturday Morning Gift
A short film based on a real interview with a young boy who survived the 2006 war in Lebanon
Filmmaker Bassel Shahade, who directed “Saturday Morning Gift,” is 28 years old, a graduate of Syracuse University’s School of Visual and Performing Art and a very brave young filmmaker. Unfortunately, he is also missing. Shahade traveled to Syria to document the unrest and, he hasn’t been heard from in months. If you have any information on his whereabouts, please notify us via studio [at] salon.com.
A death that was also a birth
As a midwife, I've spent the last 30 years taking care of women in pregnancy. But nothing prepared me for this
(Credit: Clara via Shutterstock) The call came early in the morning. The 3-month-old granddaughter of my neighbor had finally succumbed to the illness she was born with. I am a midwife, but this call wasn’t about a birth. This time the call was from the mortuary.
I have spent the last 30 years taking care of women in pregnancy, birth and beyond. I use my hands to help bring life into this world. Over the past few years, however, I found myself using those very same hands in the performance of a Taharah, a Jewish ritual that prepares a dead woman for burial. Birth, life, joy, beginnings vs. death, decay, finality. Such a contrast! What could be more different? And yet, somewhere in my consciousness, there was a commonality. Caring for a woman in her life, preparing a woman for birth had a parallel in preparing a woman for burial. The act of helping a woman and her baby through their many transitions seemed analogous to helping the soul transition from this plane of existence to the next.
Continue Reading CloseTova Hinda Siegel is a writer who lives in Los Angeles. More Tova Hinda Siegel.
“Why won’t you answer me?”
Kids' questions may be annoying -- but they're more crucial to learning than we've ever thought. An expert explains
(Credit: Bonita R. Cheshier via Shutterstock) Children can ask a lot of very annoying questions. Starting at about 2 years of age, they begin barraging their parents with endless queries, from “Are we there yet?” to “Why is the moon round?” — questions that often seem more like desperate ploys for parental attention than anything else. And, to make things worse, cooperative parents are often treated to a relentless barrage of follow-up questions, many of which involve one word: “Why?” Is this process infuriating? Yes. But is it crucial to their development? Far more than most of us think. And furthermore, the frequency and form of those questions can tell us a lot, not only about how children learn but also about cultural and class differences in America.
Continue Reading Close
Thomas Rogers is Salon's Arts Editor. More Thomas Rogers.
Child acting’s new golden age
From Chloe Grace Moretz to "Shameless," kids aren't just getting more roles -- they're actually good. What changed?
Chloë Moretz in "Hick" “Never work with children or animals” is an old W.C. Fields chestnut that, for a while in the ’90s and ’00s, everyone outside of children’s entertainment seemed to be holding sacred. Child actors were off on their own in a parallel entertainment universe created by Disney and Nickelodeon, while adults held down the fort in dramas and reality shows. There were some notable exceptions, like Haley Joel Osment and Christina Ricci, but by and large, children were almost entirely absent from grown-up entertainment.
Continue Reading CloseMichael Barthel is a PhD candidate in the communication department at the University of Washington. He has written about pop music for the Awl, Idolator, and the Village Voice. More Michael Barthel.
My dad’s 30-year coming out
I thought my father kept secrets because he was gay. Turns out all parents have a walled-off life -- and that's OK
Gideon Lewis-Kraus (Credit: Rose Lichter Marck) I must’ve been eight or nine the one time my dad took me along to meet Bart. This was somewhere near Tompkins Square Park. What I recalled was a shaggy shock of blue hair, and feelings of both elation and terror: On the one hand thrilled to be old enough to be taken along one night to the city to meet a guy with blue hair, and on the other frightened of the jagged dark in the Alphabet City of the late ’80s. In my memory Bart looked like Warhol, but maybe that was just part of the dream pedigree I had for my dad, the one that looked to White and Genet and not “Will & Grace.” But I did think that my dad once said he’d gone with Bart to sell drugs to Allen Ginsberg, so maybe in this case my retrospective fantasy — that if he’d had a secret life, it could at least have been an exciting one, something worth escaping his surface life for — was accurate. I remembered hearing for the first time about AIDS, and I remembered my dad walking around for some months, maybe years, as though accompanied by ghosts. It was selfish and obscene for me to look back and want his secrets, the secrets I’d come here to try to clear up, to have hidden amazing things: It meant I have at best ignored and at worst aestheticized the fact of what must have been unimaginable pain. Like any gay man of his age, he’d watched a great number of his close friends die of AIDS, but unlike many of those men, he was not able to talk about it to the people closest to him, the people he lived with. Maybe the reason he liked “Will & Grace” and not so much White and Genet — though, now that I think of it, I did give him “The Married Man” once and he told me it was the best novel he’d ever read — was that all he wants now is to be normal and happy. He wanted to marry Brett and drink boxed wine and take Yoshi out for walks and watch “Mamma Mia!” until their DVD player caught fire. I myself had never been less than loathsome on the subject of “Mamma Mia!” and I felt terrible about it, but I didn’t want to digress into overemphatic apology, and I would stand by my derision of “Mamma Mia!”
Continue Reading CloseGideon Lewis-Kraus is the author of "A Sense of Direction: Pilgrimage for the Restless and Hopeless." He has written for Harper's, the Believer, McSweeney's, Bookforum and other publications. More Gideon Lewis-Kraus.
Page 1 of 67 in Children