Sunday, February 10, 2019

On Vaccination

There is overwhelming evidence that the majority of vaccination programmes have between them saved millions of people from premature death, improved the quality of life for millions more and massively improved public health.

A healthy democracy needs to be able to have robust debate about the effectiveness of vaccination programmes like any other aspect of health policy. There are particular patients who may have an adverse reaction to specific vaccinations; they are usually a small minority but they do exist. Anyone who has concerns about the safety of vaccination can and should discuss those concerns with their doctor.

It is however, important to recognise that vaccination programmes are one of the main reasons that infant and child mortality was massively reduced in Britain in the 20th century. For example, five diseases in particular - pneumonia, tuberculosis, diphtheria, measles and whooping cough - between them used to kill in infancy more than a quarter of babies born alive a hundred years ago, and tens of thousands more in childhood. Between the second decade of the last century and the 1970's, infant and child death rates from these diseases had been dropped by a factor of more than ten for pneumonia and factors in the hundreds for the others, with antibiotics and vaccination the most important among a range of improvements in healthcare which drove these improvements.

Overall in England and Wales between 1901 and 1974, infant mortality dropped by 91% and child mortality at ages 1 to 14 by 94%. (Source: Office of Health Economics report 1975.)

I have quoted the figures for the drop in mortality between the early 20th century and the 1970s because, although vaccination was discovered and it's benefits proved to the scientific community by Sir Edward Jenner in 1796, it was in the 1920's that vaccines against diphtheria, tetanus, whooping cough and tuberculosis (TB) became widely available and widely used, and therefore it is in the 50 years from that decade that very widespread vaccination is likely to have made it's greatest contribution to the reduction in infant and child mortality.

Between 1956 and 1980 a programme of vaccination by the World Health Organisation eradicated smallpox - one of the greatest achievements in the history or medicine.

It is the view of many medical professionals - and the NHS - that vaccination has saved more lives than any other medical product or procedure.

The belief that vaccination has saved millions and millions of lives and done vastly more good than harm is perfectly consistent with recognising that not every vaccination is the right prescription for every patient and accepting that a proper, grown-up and honest discussion of the impact of vaccines needs to be possible.

A few days ago, the Word Health Organisation reported that measles caused the premature death of 72 children and adults in the European region in 2018,

That's 72 avoidable tragedies. There ARE a small number of people who should not take the measles vaccine but if 95% of every community were immune from measles through vaccination or being a survivor of the disease it would rapidly go the way of smallpox 

Anyone who has any concerns about vaccine safety or whether a particular vaccination is right for you or your child should seek professional medical advice and treat anything you read on social media on the subject with extreme caution unless you know exactly where it came from. Talk to your own doctor or genuine experts whose identity you know and whose interest is your good health.

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