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In metro area, 90 percent of parents vaccinate children, poll finds
Vaccinations Against Smallpox and Tuberculosis Are Associated With Better Long-Term Survival: A Danish Case-Cohort Study 1971-2010
A Rieckmann et al. Int J Epidemiol 46 (2), 695-705. more
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BACKGROUND: When vaccinations with vaccinia against smallpox and Bacillus Calmette-Guérin (BCG) against tuberculosis were phased out in some high-income countries around 1980, the impact on overall mortality was not examined. Recent studies from low-income countries have suggested that these vaccines are associated with mortality reductions, not explained by specific disease protection. We examined whether vaccinia and BCG administered in childhood were associated with long-term mortality reductions in a high-income population.
METHODS: In this case-cohort study, we followed 47 622 schoolchildren from Copenhagen, Denmark, born 1965 to 1976, from their first health examination to 2010. This cohort experienced the phase-out of vaccinia and BCG vaccination programmes.
RESULTS: A sub-cohort of 5 316 individuals (699 excluded) was followed for 164 450 person-years (0.2% were lost to follow-up), and 401 deaths due to natural causes (841 deaths in total) occurred in the full cohort. Compared with individuals who had not received vaccinia or BCG, those who had received both vaccinia and BCG had an adjusted hazard ratio (aHR) of 0.54 [95% confidence interval (CI): 0.36-0.81] for mortality due to natural causes of death; those who only received BCG had an aHR of 0.58 (95% CI: 0.39-0.85). Vaccinia and BCG were not associated with any protection against deaths by accidents, suicide or murder, the combined aHR being 0.94 (95% CI: 0.62-1.42).
CONCLUSIONS: Vaccinia and BCG vaccinations were associated with better long-term survival, which was not explained by specific protection. Vaccines with beneficial non-specific effects may reduce overall mortality even after the target diseases are eradicated.
- PubMed: 27380797
- DOI: 10.1093/ije/dyw120
Nine of 10 parents in the metropolitan area say they have had their children vaccinated, even though 40 percent of those polled expressed uncertainty about its benefits, a Long Island hospital survey found.
Of the 40 percent with doubts, 10 percent said they believed that vaccines had a direct link to autism, despite reams of data to the contrary, the new poll found.
South Nassau Communities Hospital in Oceanside has taken the public’s pulse on vaccines and vaccination in its third poll of the year on subjects that broadly affect public health. Pollsters’ questions were answered by 600 parents of school-age children in Nassau, Suffolk and New York City.
“We were happily surprised to find the percentage that expressed a belief that vaccines cause autism was so low,” said Dr. Adhi Sharma, South Nassau’s chief medical officer. “The percentage of those who were unsure was consistent with what we expected.”
The good news, Sharma added, was that even among parents who said they were unsure about vaccines, their children were vaccinated despite parental doubts, according to the poll.
Among other findings, 88 percent of respondents said vaccines are safe, necessary and effective. In a question about vaccine exemptions for school attendance, 24 percent of respondents from the Island said children should receive exemptions for personal or religious reasons while 56 percent of Long Islanders said they disagreed with opting out for nonmedical reasons.
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“Every major authority in medicine supports vaccination,” said Dr. Aaron Glatt, a specialist in infectious diseases who chairs the department of medicine at South Nassau and serves as the hospital’s epidemiologist. He listed state and local health departments, the American Academy of Pediatrics, the Centers for Disease Control and Prevention, the American Medical Association and the World Health Organization, among a host of others.
“The only disease we have ever eradicated was smallpox and that happened through vaccination,” added Glatt, a national spokesman for the Infectious Diseases Society of America.
He said the influence of nonmedical information has affected parental thinking about vaccines, which can put individual children and communities at risk.
Vaccine-preventable diseases are on the rise worldwide in rich, developed nations, including the United States. The CDC has counted 118 cases of measles, for example, nationwide from Jan. 1 through Aug. 12, the most recent period with complete statistics.
Outbreaks swept across Minnesota this year, raising concerns among public health experts in that the state was on the verge of a measles resurgence. Public health experts attributed the measles upsurge to anti-vaccination influences.
Globally, Romania this year has had one of the worst measles outbreaks in decades, which has caused the deaths of more than 30 children in an epidemic that has stricken about 9,000 youngsters.
The South Nassau poll was conducted in June by cell and landline phones. It is the third in a series of surveys of local residents in what the hospital calls its Truth in Medicine polls. The first dealt with the flu and flu vaccination, the second with attitudes about antibiotics. The current poll, whose results will be released Wednesday, carries a sampling error of plus or minus 3.9 percentage points.
Vaccination as a subject has grown increasingly controversial over the years following the publication of a report in a British medical journal by Andrew Wakefield, a now-defrocked doctor who linked the measles, mumps and rubella vaccine to autism in the late 1990s. His report in the medical journal, The Lancet, was retracted by the editors.
“Once those bells were rung, it has been hard to unring them,” said Sharma referring to the unscientific messages about vaccines and autism. “Vaccination made us forget how horrible many of these diseases can be.”
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