Dec. 12
A
chicken pox outbreak at a day care center two years ago found
vaccinations surprisingly ineffective and may suggest that children
should get two shots instead of one, researchers say.
When
there are 20 or 30 estimates, well have a better measure of how well its
truly working.
DR. KARIN GALIL
Lead
author of the study
DR. KARIN GALIL,
lead author of the study in Thursdays New England Journal of Medicine, and
other experts said it is much too early to propose such a change.
When there are 20 or 30 estimates, well have a better measure of
how well its truly working, said Galil, who was an epidemiologist for the
Centers for Disease Control and Prevention when she studied the outbreak and
now works for a company developing a new antibiotic.
Seven earlier studies found the vaccine protected at least 71 percent
of the children who got shots from developing the disease and kept the
disease minor in nearly all those infected by the virus.
But the latest study tracked by far the worst performance of a
vaccine that has cut the number of U.S. chicken pox cases by 80 percent
since it was introduced in 1995.
The outbreak was at a day care center near Concord, N.H. A boy who
had been vaccinated three years earlier came down with the virus on Dec. 1,
2000. By Jan. 11, 2001, it had spread to 24 other children including 17
who also had been vaccinated.
New Hampshire does not require chicken pox vaccinations. About
two-thirds of the children had been vaccinated; six of the seven
unvaccinated children in the boys class got sick.
VACCINE LIMITS SEVERITY OF
ILLNESS
The vaccine did keep the illness
minor, Galil said. One boy was diagnosed with a single blister and developed
only two more after that.
In addition, there is evidence the vaccine protects against shingles,
a painful skin and nerve infection that strikes decades after chicken pox.
The ailments lack of virulence makes it hard to tell how the vaccine
is working, said Dr. Harry Keyserling, a pediatrics professor at Emory
University School of Medicine and chairman of the Georgia Department of
Human Resources Vaccine Registry Advisory Committee.
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The problem
with breakthrough chicken pox is its generally so mild that no one would
seek medical attention, he said. So unless an organized study is done to
look at breakthrough disease after five or 10 years of vaccinations, we
wont have the data that we need to make those types of decisions.
Keyserling, who was not involved in the study, said the most
important finding was that children vaccinated at least three years before
being exposed were more likely to get chicken pox than those who had more
recent inoculations.
ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"