For a discussion of this partially Merck funded study, please click here.)
http://www.healthcentral.com/news/newsfulltext.cfm?id=47083&
News
Large
study confirms that MMR vaccine safe
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January
12, 2001
NEW YORK
(Reuters Health) - The largest study conducted to date has found that the
measles/mumps/rubella (MMR) vaccine is safe and is not linked with a higher
risk of autism or bowel disease. The findings may allay the fears of many
parents who have been afraid to vaccinate their children due to hypothetical
and controversial risks.
The study
includes data from Finland, which launched a nationwide MMR vaccination program
in 1982. Between that year and 1996, 1.8 million people were given 3 million
doses of the vaccine.
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In that time,
there were 173 serious reactions to the vaccine, including 1 death. The most
common serous side effect was fever-related-seizures. No cases of inflammatory
bowel disease or autism were detected during the study.
Dr. Annamari
Patja, of Helsinki University, and colleagues conclude that about 45% of the
side effects were probably caused by some other factor not related to
vaccination. Overall, they say that there are 3.2 side effects per every
100,000 doses of the vaccine. The study, which was funded by MMR-manufacturer
Merck pharmaceutical company, is published in the December issue of The
Pediatric Infectious Disease Journal.
The findings
may reassure not only parents, but health care workers as well. A recent survey
of doctors in the UK shows that they often harbor reservations about giving a
second dose of the MMR vaccine, even though children need the booster in order
to fight off the measles.
In the January
13th issue of The Lancet, researchers report that nearly half of health
professionals surveyed said they had reservations about giving children a
second MMR shot. In order to be effective, the vaccine must be given when
children are between 12 and 15 months of age, and again between the ages of 4
and 6 years. However, in 1988, children in the UK began receiving only one
dose.
Following
measles outbreaks in 1993, routine use of the second MMR shot was introduced in
1996, Dr. Marko Petrovic of the North Wales Health Authority in Flintshire, UK,
told Reuters Health.
Petrovic's
team surveyed about 500 doctors and nurses in North Wales. Besides expressing
their unease about giving the second MMR, many would not
"unequivocally" recommend the second dose to a "wavering"
parent. In addition, a survey of one group of nurses found that 27% believe
there is a link between the vaccine and autism, and 33% believe there is a link
to Crohn's disease, a condition characterized by diarrhea, cramps and weight
loss due to scarring and destruction of intestinal tissue.
These
findings, according to Petrovic, do not indicate whether children are not
getting the necessary vaccines. He said it is possible that a health
professional with reservations about the second dose "may, albeit
subconsciously, negatively influence a wavering parent."
Educating
health professionals on the MMR vaccine "is a matter of urgency if measles
epidemics are to be prevented," Petrovic said.
On Friday, the
UK's Committee on Safety of Medicines issued a statement after an extensive
review of data.
"MMR
vaccine is very safe. There is no question mark whatever over its
licensing," said Professor Alasdair Breckenridge, the chairman of the
committee. A second UK group, the Joint Committee on Vaccination and
Immunisation, came to the same conclusion."
"MMR
remains the safest way to protect out children," according to Professor
Liam Donaldson, the chief Medical Officer.
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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.