H1N1 Vaccination, should you get it?

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Get rid of the myths on flu vaccination

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  • And is the 2009 H1N1 flu shot expected to be associated with Guillain-Barre Syndrome (GBS)?
    In 1976, an earlier type of swine flu vaccine was associated with cases of a severe paralytic illness called Guillain-Barre Syndrome (GBS) at a rate of approximately 1 case of GBS per 100,000 persons vaccinated. Some studies done since 1976 have shown a small risk of GBS in persons who received the seasonal influenza vaccine. This risk is estimated to be no more than 1 case of GBS per 1 million persons vaccinated. Other studies have shown no increase in risk of GBS. Pregnant women should tell the person giving the shots if they have ever had GBS.

    According to a new study in The New England Journal of Medicine, vaccines have prevented more than 100 million cases of serious contagious diseases in the U.S. since 1924.
    “If you’re anti-vaccine, that’s the price you pay,' said Dr. Donald Burke, the dean of Pittsburgh’s graduate school.

    http://www.thedailybeast.com/cheats/2013/11/29/vaccines-prevent-100m-diseases.html
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  • All pseudo science is pharmaceutical funded. No safety studies have ever been done on the individual ingredients or combination of ingredients in children such as thimerosal (mercury), Aluminum, formaldehyde (embalming fluid), antifreeeze. polysorbate 80, squalene. We do know that these ingredients are highly neurotoxic and damaging to the body and brain causing inflammation up to two years after the last vaccine leading to encephalitis and many neurodegenerative diseases and even death while at the same time providing little to no protection from the disease. The first year that thimerosal was used in vaccines (1931) was the diagnosis of the first autistic child. There has never been a study of vaccinated children versus unvaccinated children until now. Finally! An official 3 year study of vaccinated versus unvaccinated children until now

    STUDY TITLE: “Vaccination Status and Health Outcomes among Homeschool Children” is underway and will be a nationwide study. The lead investigator is a visiting professor in the School of Health Sciences at Jackson State University, has MPH and Dr. PH degrees in epidemiology from Tulane School of Public Health and Tropical Medicine and an MA in sociology from the University of Essex (UK). The study already has ethics approval and is ready to roll. The survey* is to be completed by homeschooling mothers of 6- to 12-year-olds in the states of *Florida, Louisiana, Mississippi, and Oregon* No information is requested that could personally identify anyone. We are requesting only state and zip code of residence. Responses to the online questionnaire are dumped anonymously into a database from which no individual can be personally identified. This is a pilot study* involving at this time only the four states of *Florida, Louisiana, Mississippi, and Oregon* Please forward this information and link to homeschool families in only these four states. If you homeschool your children and live in *Florida, Louisiana, Mississippi, and Oregon* you can complete the survey Online http://jsu.qualtrics.com/SE/?SID=SV_3BLtATLAva9aHHu . It is funded by personal donations and $900,000 more is needed to complete the study. You may donate here https://ssl.charityweb.net/genrescue/index.htm?DonorIntent=Vaccinated%20Unvaccinated%20Study This is the first study that should have been done by any government agency and pharmaceutical corporation but they are afraid of the results and that is why it has never been done.
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  • For those listed myths, you can easily find a lot in google search. In 2009 when the H1N1 broke out, there were a lot defended by some media too.
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  • Where is your data backing up your myth and belief system?
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  • Important liability to both the public and the economic health The direct and indirect costs of a pandemic influenza largely surpass the cost of a vaccination program.
  • H1N1 Vaccination, should you get it?

    1. 1. H 1 N 1 Vaccination Dr Kenneth T. Tran , B.Pharm, MD President | YCPA A network of young Chinese and Asian professionals and entrepreneurs Should you get it? December 2009
    2. 2. Plan <ul><li>Myths </li></ul><ul><li>History of flu and flu vaccines </li></ul><ul><li>Cost of vaccines vs cost of flu </li></ul><ul><li>Safety of vaccines </li></ul><ul><li>Efficacy of vaccines </li></ul><ul><li>Facts </li></ul>
    3. 3. Myths <ul><li>Complot to exterminate part of the population to benefit the most powerful </li></ul><ul><li>Conspiracy between pharmaceutical companies and certain politicians </li></ul><ul><li>Scheme to redirect the focus on the actual financial crisis </li></ul><ul><li>A way to make the population more dependent on vaccination </li></ul>
    4. 4. Myths <ul><li>Flu is not serious. The H1N1 virus so far hasn't been more dangerous than seasonal flu </li></ul><ul><li>The government is running a mandatory vaccination campaign </li></ul><ul><li>It costs too much money to get an H1N1 vaccine </li></ul><ul><li>This new vaccine is untested and unsafe </li></ul>
    5. 5. Plan <ul><li>Myths </li></ul><ul><li>History of flu and flu vaccines </li></ul><ul><li>Cost of vaccines vs cost of flu </li></ul><ul><li>Safety of vaccines </li></ul><ul><li>Efficacy of vaccines </li></ul><ul><li>Should you get flu vaccine? </li></ul>
    6. 6. Seasonal flu Distribution Virus Population infected Estimateddeaths Death rate Seasonal flu worldwide Influenza A, B 5-15% (600 millions) 250 000 to 500 000 per year <0.1%
    7. 7. 20 th Century Influenza pandemics Pandemics/large epidemics Distribution Influenza subtype Estimated deaths Death rate 1889–1890 (first documented pandemic) Worldwide H 3 N 2 unreported 1918-19 “Spanish flu” Worldwide H 1 N 1 20-40 million >1.5% 1956-58 “Asian flu” (initiated in China) Worldwide H 2 N 2 2 million <0.1% (1/4000) 1968-69 “Hong Kong flu” Hong Kong H 3 N 2 1-2 million <0.1% 1976 “Swine flu” New Jersey, USA H SW N 1 unreported
    8. 8. 20 th Century Influenza pandemics As of 26 th Nov 2009, Canada H1N1 cumulative death from H1N1: 310 Pandemics/large epidemics Distribution Influenza/subtype Estimated deaths Death rate 1997 “Avian flu” worldwide H 5 N 1 150 million birds 262 humans 60% 2003 SARS >30 countries coronavirus ~ 1000 10% 2009 “AH1N1” worldwide H 1 N 1 > 8000 ?
    9. 9. History of Influenza Viruses Collier L, Mahy BWJ, ed. Virology. In:Topley and Wilson’s Microbiology and Microbial Infections. 9 th ed. London, England:Arnold Publishers;1998;1:387. 1880 1890 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 B H 3 N 2 H 1 N 1 H 2 N 2 H 3 N 8 H 3 N 2 H 1 N 1 Seroarcheology Virus Virus Isolation H 5 N 1 H 1 N 1
    10. 10. Flu pandemics similarities <ul><li>Rapid surge in the number of cases and their exponential increase over a very brief time </li></ul><ul><li>Apart from the inherent lethality of the virus, its capacity to cause severe disease in non-traditional age groups, namely young or healthy adults </li></ul>
    11. 11. History of Flu and its vaccines <ul><li>Influenza virus identified in the 1930s </li></ul><ul><li>Mid-1940s, vaccine given to soldiers in World War II </li></ul>
    12. 12. Plan <ul><li>Myths </li></ul><ul><li>History of flu and flu vaccines </li></ul><ul><li>Cost of vaccines vs cost of flu </li></ul><ul><li>Safety of vaccines </li></ul><ul><li>Efficacy of vaccines </li></ul><ul><li>Facts </li></ul>
    13. 13. Influenza virus 16 9
    14. 14. Natural History of Clinical Influenza Symptoms: Oral temperature Onset of Illness Ref: Dulin, Ann Fam Phys, 1976 Coryza Sore Throat Myalgia Headache Cough Anorexia Malaise 0 1 2 3 4 5 6 7 Days after Onset 38.5 36.5 C 3.0 4.5 5.0 4.5 3.0 1.0 in (log10 TCID50)/ml Virus Shed
    15. 15. Impact in Canadian population <ul><li>~ 15-20% of all Canadians develop influenza annually </li></ul><ul><li>Mortality due to influenza and pneumonia is the sixth leading cause of death in Canada </li></ul>Ref: Statistics Canada, Health Statistics Division. Available at http://www.statcan.ca/english/Pgdb/People/Health/death.htm
    16. 16. Leading Causes of Death in Canada Ref: Statistics Canada, Health Statistics Division. Available at http://www.statcan.ca Cause of death % Cancer 27% Heart Disease 26% Cerebrovascular Diseases 7% Chronic Obstructive Lung Disease 5% Accidents and adverse effects 4% Pneumonia and influenza 3.7% Diabetes 2.6% HIV 0.3%
    17. 17. Impact in Canadian population <ul><li>Estimated 2000 - 8000 deaths per year </li></ul><ul><li>An average of 20 000 hospital admissions per year </li></ul>Ref: http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/diseases-maladies/pandem-eng.php
    18. 18. Cost of influenza <ul><li>Direct costs </li></ul><ul><ul><li>Mortality </li></ul></ul><ul><ul><li>Morbidity </li></ul></ul><ul><ul><li>Hospitalization </li></ul></ul><ul><ul><li>Medications </li></ul></ul><ul><li>Indirect costs </li></ul><ul><ul><li>Absenteeism, replacement, OT </li></ul></ul><ul><ul><li>Interruption of service and, or product delivery </li></ul></ul><ul><ul><li>Lost or reduced sales and productivity </li></ul></ul><ul><ul><li>Health benefit costs </li></ul></ul><ul><ul><li>Intangible cost – pain, grief, social disruption </li></ul></ul>
    19. 19. Direct and Indirect costs <ul><li>UK: </li></ul><ul><ul><li>Over 6 million working days lost </li></ul></ul><ul><li>USA, France, Germany: </li></ul><ul><ul><li>Indirect costs of influenza 5-10-fold higher than direct costs </li></ul></ul><ul><li>Germany: </li></ul><ul><ul><li>average direct costs are US$100 and indirect costs US$862 per patient (1995-1996) </li></ul></ul>
    20. 20. Direct and indirect costs <ul><li>US: </li></ul><ul><ul><li>Annual direct medical costs (hospitalization, doctors’ office visits, medications, etc.) : up to $4.6 billion . </li></ul></ul><ul><ul><li>Each year, up to 111 million workdays lost  > $7 billion a year in sick days and lost productivity to American businesses. </li></ul></ul><ul><ul><li>Total direct and indirect costs (work days lost, school days lost, etc.) of a severe influenza epidemic are at least $12 billion </li></ul></ul><ul><li>Other intangible costs: </li></ul><ul><ul><li>impaired performance </li></ul></ul><ul><ul><li>adverse effects on the quality of life of patients and their families . </li></ul></ul>
    21. 21. Individual cost <ul><li>Lost of 3-5 working days </li></ul><ul><ul><li>Income lost </li></ul></ul><ul><ul><li>Caring from family member </li></ul></ul><ul><li>2 weeks of impaired performance </li></ul><ul><ul><li>lost of personal credibility, productivity </li></ul></ul><ul><ul><li>stress for colleagues and boss </li></ul></ul><ul><li>Risk of complications and/or death </li></ul>
    22. 22. Societal cost <ul><li>Contagion </li></ul><ul><ul><li>family member, colleagues, friends, society </li></ul></ul><ul><li>Complicatons – Death </li></ul><ul><li>Hospitalization – Medications </li></ul><ul><li>Working days and productivity’s loss </li></ul><ul><li>$$$$ </li></ul>
    23. 23. Cost in Canada <ul><li>Predicted: 16$ per dose  around $806 million </li></ul><ul><li>But already 1,5 billion  so $30 a shot . </li></ul>
    24. 24. Vaccines vs Influenza
    25. 25. Influenza costs more than vaccination Vaccination cost Influenza costs Vaccine Staff Administration Travel cost Lost of productivity Doctor consultation Hospitalization Side effects Mortality < Deaths Hospitalization Morbidity Travel cost Loss of productivity Impaired performance Doctor consultation Medication cost Social disruption
    26. 26. Plan <ul><li>Myths </li></ul><ul><li>History of flu and flu vaccines </li></ul><ul><li>Cost of vaccines vs cost of flu </li></ul><ul><li>Safety of vaccines </li></ul><ul><li>Efficacy of vaccines </li></ul><ul><li>Facts </li></ul>
    27. 27. Safety of vaccines <ul><li>Inactivated influenza virus vaccines have been available for more than 50 years </li></ul><ul><li>Millions of doses of AH1N1 vaccines given </li></ul><ul><li>Excellent safety profile </li></ul>
    28. 28. “ This new vaccine is not safe and is untested”? <ul><li>Produced the same way as seasonal flu vaccine </li></ul><ul><li>Simply a new virus strain. </li></ul><ul><li>Would have been included as part of this year’s seasonal flu shot… </li></ul><ul><li>No safety shortcuts: clinical trials have shown the new H1N1 vaccine is both safe and effective.  </li></ul>
    29. 29. Safety of vaccine <ul><li>The risk of the flu , </li></ul><ul><li>especially for pregnant women, children, and people with underlying health conditions, </li></ul><ul><li>is higher than any risk that might come from the H1N1 vaccine. </li></ul>
    30. 30. Thimerosal in vaccine <ul><li>Is Thimerosal contained in vaccines unsafe for children and pregnant women? </li></ul>
    31. 31. Squalene in vaccine <ul><li>The H1N1 vaccine includes adjuvants, such as squalene. Is it safe? </li></ul>
    32. 32. Vaccine and GBS <ul><li>Guillain-Barr é Syndrome </li></ul>
    33. 33. Danger of influenza <ul><li>Influenza and H1N1 is not that dangerous. Why vaccine? </li></ul><ul><ul><li>Even though the H1N1 virus so far hasn't been more dangerous, on average, than seasonal flu, it does seem to be more severe in children, healthy young adults and pregnant women. </li></ul></ul><ul><ul><li>No one could predict the virulence of the virus </li></ul></ul>
    34. 34. Plan <ul><li>Myths </li></ul><ul><li>History of flu and flu vaccines </li></ul><ul><li>Cost of vaccines vs cost of flu </li></ul><ul><li>Safety of vaccines </li></ul><ul><li>Efficacy of vaccines </li></ul><ul><li>Facts </li></ul>
    35. 35. Efficacy of vaccine <ul><li>Efficacy of 70-90% in <65 y/o </li></ul><ul><ul><li>maybe less in elderly persons </li></ul></ul><ul><li>Only effective against the strains of the virus that match the vaccine. </li></ul><ul><ul><li>Strains vary from flu season to flu season each year. This is the reason that revaccination is required annually </li></ul></ul><ul><li>The vaccine is generally effective against the influenza virus within two weeks of administration. </li></ul>
    36. 36. Efficacy of vaccine
    37. 37. Efficacy of flu vaccine
    38. 38. Efficacy of flu vaccine
    39. 39. Plan <ul><li>Myths </li></ul><ul><li>History of flu and vaccines </li></ul><ul><li>Cost of vaccines vs cost of flu </li></ul><ul><li>Safety of vaccines </li></ul><ul><li>Efficacy of vaccines </li></ul><ul><li>Facts </li></ul>
    40. 40. Facts <ul><li>Complot to exterminate part of the population to benefit the most powerful </li></ul><ul><ul><li>There has never been more death due to vaccine than the disease itself </li></ul></ul><ul><li>Conspiracy between pharmaceutical companies and certain politicians </li></ul><ul><ul><li>No government would be able to conspire publicly like this </li></ul></ul>
    41. 41. Facts <ul><li>Scheme to redirect the focus on the actual financial crisis </li></ul><ul><ul><li>A pandemic would make the financial crisis even worse </li></ul></ul><ul><li>A way to make the population more dependent on vaccination </li></ul><ul><ul><li>Virus mutates every year. The vaccine effective against the strains of virus of last year is not effective to new mutated virus. That’s reason why revaccination is required </li></ul></ul>
    42. 42. Facts <ul><li>Flu is not serious. The H1N1 virus so far hasn't been more dangerous than seasonal flu </li></ul><ul><ul><li>Yes, flu is serious. Otherwise healthy person can easily die of </li></ul></ul><ul><li>The government is running a mandatory vaccination campaign </li></ul><ul><ul><li>No, it’s a voluntary program. It’s everyone’s responsibility </li></ul></ul>
    43. 43. Facts <ul><li>It costs too much money to get an H1N1 vaccine </li></ul><ul><ul><li>No, vaccination program costs less than an epidemic flu </li></ul></ul><ul><li>This new vaccine is not safe and is untested </li></ul><ul><ul><li>There is no safety shortcut. New vaccine is tested for its safety and efficacy </li></ul></ul>
    44. 44. Prevention <ul><li>3 very simple and useful advices </li></ul>
    45. 45. Coughing/Sneezing Spray radius 15 feet Speed: 100 km/h 40 000 droplets 4 meters
    46. 46. Coughing/Sneezing
    47. 47. Hands wash
    48. 48. Mask
    49. 49. IN BRIEF
    50. 50. Flu sick
    51. 51. Flu recover
    52. 52. Flu dead
    53. 53. Take your responsibility <ul><li>Don’t take risk </li></ul>
    54. 54. Get your shot   All Canadians over age of six months

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