Martin Bright and Miles
Barter
Sunday August 27, 2000
The Observer
The Government was last night accused of a cover-up over the safety of its
mass meningitis immunisation programme after The Observer obtained
confidential documents that show at least 11 people have died after
injections to prevent the disease.
Although doctors have reported the deaths as part of routine monitoring
of effects of the vaccine to the Medicines Control Agency (MCA), the
Government has not published the figures and last night insisted the
programme was safe.
Documents from the MCA obtained by The Observer show that since the
immunisation programme began last year there have been more than 16,000
adverse reactions reported by GPs under the so-called Yellow Card system.
The Department of Health estimates only 10-15 per cent of reactions are
reported under the scheme so the real figure is likely to be far higher.
Britain is the first European country to introduce the vaccine. Although
GPs have been told it cannot induce symptoms of meningitis, two of the
deaths after vaccination have been attributed to 'septicaemia meningicoccal',
the infection of the blood that results from the disease.
Each year around 1,500 people contract meningitis C, with about 150
fatalities. The Government has said the programme had reduced cases by 70
per cent since it was introduced last year. So far 13 million babies,
children and adults have been immunised.
Shadow Health Secretary Liam Fox last night called on the Government to
launch an inquiry into meningitis C immunisation, which was rushed in
because of an expected rise in cases over the winter. 'If information has
been withheld, it will lead to suspicions that officials have not been
entirely frank. If 11 deaths have not been made public, the Government risks
the public losing faith in the system. This is woefully incompetent.'
Fox, a GP himself, added: 'Immunisation is about a balance of risks.
Although the balance is almost always in favour of immunisation, without
information parents cannot be expected to make an informed decision.'
A Department of Health spokeswoman said it chose not to make the deaths
public for fear of panicking parents into withdrawing their children from
inoculation. The Medicines Control Agency had investigated all the deaths
and decided there was no evidence of a link to the vaccines. 'We maintain
the vaccine is safe,' she said last night.
A report from the Government's Committee on the Safety of Medicines last
Thursday gave the vaccine the all-clear after extensive inquiries into the
level of reactions. The main supplier of the drug, US company Wyeth, said it
had not been informed of any fatalities by the Department of Health.
Spokesman Don Barrett said: 'We are always in contact with the Department
and the rate of reactions is considered to be at a very low level for the
number vaccinated.'
Isabella Thomas, of vaccination support group Jabs (Justice Awareness
Basic Support), said she had had reports of children having fits after being
given the vaccine: 'I am not convinced by government reassurances. We are
receiving daily calls from parents whose children have had serious
reactions. We believe the Government introduced it far too quickly.'
Dr Jayne Donegan, a London GP who has seen an increase in reactions among
children at her surgery, spoke of a campaign, encouraged by the Government,
to brand people who do not have their children vaccinated as irre sponsible.
'This is not necessarily true, especially with something as untried as the
meningitis C vaccine.'
Adam Finn, a paediatric expert at Sheffield Children's Hospital who is
carrying out trials of the vaccine, said he believed the drug was safe,
although it had induced extreme reactions in some children. 'We don't want
children having fits as a result of a drug that hasn't been properly tested,
but equally we wouldn't want a perfectly good drug maligned on the basis of
hearsay.'
He said the normal trials on a new vaccine were not possible in Britain
because of the relatively small numbers of people who contracted the
disease. Instead scientists had tested whether the vaccine produced
sufficient antibodies.
He said the Government had a duty to give the public all relevant
information about the drug: 'The public has sufficient intelligence to make
the decision for themselves. The way to get them to accept it is to tell the
whole story.'
Liberal Democrat health spokesman Euan Harris said he had already raised
questions in Parliament about the vaccine. 'I am very pro-vaccinations,' he
said, 'but I have been concerned about this.'
martin.bright@observer.co.uk