So, You're Not Vaccinating. Now What? Session 1: Measles, Mumps, Pertussis, Chicken Pox
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So, you're not vaccinating, now what? Making the decision to not vaccinate means that you'll need to be aware of the risks, symptoms, timeline, and treatment for the diseases that you elect to not vaccinate against. Learn more about Measles, Mumps, Pertussis and Chicken Pox.
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So, You're Not Vaccinating. Now What? Session 1: Measles, Mumps, Pertussis, Chicken Pox
- 1. So You’re Not Vaccinating. Now What? Session One John “Doc” Edwards, DC, CACCP Mama’s Chiropractic Clinic Pathways Connect SWFL doc@mamaschiropractic.com (239) 549-MAMA
- 2. Today… • Measles • Mumps • Whooping Cough • Chicken Pox • What it looks like • Signs & Symptom Timeline • How long to stay home • Death/Injury Risk of Illness • Treatment HealthStory Productions, LLC
- 3. Measles Mottled rash Black dot Koplic Spot
- 4. Measles S/S Full Body Rash Koplic Spots Fever Ends (lasts 4-7 days) HealthStory Productions, LLC Introduction (Droplet) Hacking Cough Runny Nose High Fever RED EYES 7-10 days 10-12 days 14-19 days 4 days after rash starts “Contagious,” stay at home Natural Course 24-26 days Kidshealth.org 4 days before rash starts
- 5. Measles Risk • 1 in 1,000,000 (expect 314 case/yr) (CDC). • .000237% death rate 1963 to .000000% now (vaxtruth) • Africa + Asia = 95% of deaths (WHO) • Pneumonia, croup, and encephalitis are common causes of death; encephalitis is the most common cause of long-term problems (Orenstein et al) • Vit A cuts deaths by 50% (WHO) HealthStory Productions, LLC Image: The Economist (2013)
- 6. Measles Treatment • Pen & Paper Calendar • 200,000 IU Vitamin A, Daily for 2 days & 100,000 IU Infants (Cochrane Review 2005) • Vit C prevents viral pneumonia (Cochrane 2013) • Vit C blood level low in children w/ measles (Cemak 2007) • Vit C reverses cell death in measles infection (Bhaskar 2011) • Paez de la Torre, Klenner: Vit C prevention & treatment of measles epidemics 1945, 1949 (Stone) HealthStory Productions, LLC
- 7. Vitamin C Dosage “Dr. Frederick R. Klenner of Reidsville, North Carolina, who has had more actual clinical experience in megascorbic prophylaxis and megascorbic therapy in the past thirty years than anyone else in the world, routinely prescribes ten grams of ascorbic acid daily to his adult patients for the maintenance of good health. His daily dosage schedule for children is one gram of ascorbic acid per year of age up to ten years and ten grams daily thereafter (e.g. a four-year-old child would receive four grams daily). Dr. Pauling concluded that the optimum daily intake of ascorbic acid, for most human adults, is in the range of 2.3 grams to 9 grams,” (Stone). HealthStory Productions, LLC
- 9. Mumps S/S 1 in 3 children have no symptoms. Orchitis, Fever, Chills, Ab Pain Start. Parotid Swelling Gone 26-28 days 29-35 days 5 days return to school HealthStory Productions, LLC Introduction (Droplet) Fever, Headache, Swelling of Parotid Glands (hard to swallow, talk, chew) 3 days 16-18 days 4 days after symptoms start “Contagious,” stay at home Natural Course Harvard Medical School
- 10. Mumps Risk • 1 in 314,000 or 1000/ year (CDC) • 5 Yr Cumulative Death Risk: 1 in 9,056,604 (smartvax) • 5 yr deafness/encephalitis risk: 1 in 12,938,006. (smartvax) • Sterility: 2-4%, only in post-puberty males w/ bilateral orchiditis (Masarani) HealthStory Productions, LLC Image: The Economist (2013)
- 11. Mumps Treatment • Pen & Paper Calendar • Super super rare, and no-duh things to look for: high fever, stiff neck, headache, nausea and vomiting, drowsiness, convulsions, and other signs of brain involvement (Masarani). • Soft foods, no acidic juices • Compresses for face & testes, if necessary (kidshealth). • Among 33 cases of children, Klenner: “A 23-year-old male developed mumps plus bilateral orchitis; his fever was 105°, and he was in overwhelming pain with “testicles the size of tennis balls.” After one 1000-mg injection of Vitamin C intravenously the pain began to subside and after six more shots spaced every two hours the pain was gone. The fever was normal in 36 hours. He was up, about and well in 60 hours. Total dose 25,000 mg. HealthStory Productions, LLC
- 12. Pertussis (Whooping Cough) • At night, every hour on the hour • Touch center of tongue (food) • After running (Humphries) HealthStory Productions, LLC
- 13. Pertussis (Whooping Cough) S/S HealthStory Productions, LLC Introduction (Droplet) “Cold” runny nose, low-grade fever, mild, occasional cough, infant “apnea” 24 days Symptoms gone “Contagious,” stay at home Natural Course Coughing Lessens, Recovery Centers for Disease Control Mild serial coughing followed by “whoop” on inhale. 1 Month Mucous, vomiting 66 days 80-94 days Red gums, red eyes 7-10 days
- 14. Pertussis (Whooping Cough) Risk • 2008-13 ave 31,000/yr range = 16,800-48,200 • Death rate low vac populations 1 in 99,375. • High vac populations 1 in 9,930,000. All 9 deaths in 2013 <2 mo, not vac eligible. • Risk to infants <6 mo increased due to vac’d generations (smartvax) HealthStory Productions, LLC Image: The Economist (2013)
- 15. Pertussis Treatment • Stone: “Meier (22), in 1945, found a reduction in coughing and that the coughing spells were more easily tolerated, especially in infants. There was general improvement, the children looked better and were more quiet, their appetite increased and vomiting disappeared. He gave 500 milligrams by injection supplemented by six 300-milligram tablets orally, the dosage totaling 2,300 milligrams daily for the first few days.” • Humphries: “The starting dose in children for sodium ascorbate is 200-375 mg per kg over 24 hours. If they are coughing until they are purple, then your doses of vitamin C are much too small. Bump them right up to the level of 375 milligrams per kilo of body weight over the waking hours, as a starting dose • Don’t rely on Vitamin C to get into milk; it can take 8 hours. Breastfeeding moms can express some breast milk into a cup, and put a pinch (250 mg) of vitamin C powder into it, and mix it. Then, using a plastic eyedropper, dribble this into the baby’s mouth gradually over a few minutes. Don’t squirt it in – just drip it in, bit by bit. Or you can insert the dropper in as she breastfeeds, which would make it easier. • Watch the child carefully throughout the day, and write down everything, including how you are feeling. Temperature, what time the child coughs, sound, mucous production, what triggered it. Caretakers/parents can take a large dose (one tablespoon) of cod liver oil, and about 10 grams of vitamin C spread out over waking hours. • You may want to give more towards the end of the day, or whenever the coughing tends to be worse. • If your dose is right, within 8 hours there should be a two-third reduction in the coughing. “ HealthStory Productions, LLC
- 16. Pertussis Treatment • 10 g per day for caregivers min 2 wks • 250-375 mg/kg daily • 30 lb child = 3.4- 5.1 g • 306-460 g over 90 days • You’re going to need the BIG jar. • Out: sugar, dairy, gluten (Humphries) HealthStory Productions, LLC
- 17. Varicella (Chicken Pox) Fluid-filled, small spots Will scab, but individual points HealthStory Productions, LLC
- 18. Compare to Measles Mottled rash Black dot Koplic Spot
- 19. Varicella (Chicken Pox) S/S HealthStory Productions, LLC Introduction (Droplet) Mid-grade fever “Malaise” Headache Sore Throat 14-16 days Vesicular Rash Abdomen, Back, Face Spreads Out Vesicles Crust Over, Natural Course 15-18 days 18-21 days “Contagious,” stay at home Centers for Disease Control
- 20. Varicella (Chicken Pox) Risk • 5 yr Low Vac Death Risk 1 in 218,000 • 5 yr High Vac Death Risk 1 in 1,931,000 (smartvax) • Dehydration, pneumonia, bleeding problems, infection or inflammation of the brain (encephalitis, cerebellar ataxia), bacterial infections of the skin and soft tissues in children including Group A streptococcal infections, blood stream infections (sepsis) (less that 1% of children), toxic shock syndrome bone & joint infections (CDC) HealthStory Productions, LLC Image: The Economist (2013)
- 21. Varicella (Chicken Pox) Treatment • Pen & Paper Calendar • Klenner (10), in 1949, injected eight "shingle" patients with ascorbic acid and seven claimed cessation of pain within two hours after the first injection. Seven also showed drying of the blisters within one day and in three days were clear of the lesions. • Zureick (24), in 1950, treated 237 cases of "shingles" and claimed cures in all in 3 days of injections of ascorbic acid. (Stone) • Schencking et al (2012) confirmed this with 7.5 g/50 mL IV for 67 patients with shingles. HealthStory Productions, LLC
- 28. Mama’s Chiropractic (239) 549-MAMA (6262) HealthStory Productions, LLC
- 29. Thursday July 17th 6:30 pm • The “D” & “T” in DPT • The “R” in MMR • Influenza • Traveling with unvaxxed kids? What are the actual risks and is it something to seriously consider? • If we decide not to vax, and our child gets the disease and dies what could happen to us? (Horrible, I know...) HealthStory Productions, LLC
- 30. References Babcock-Papple D. (2012). “Putting Measles Into Perspective.” http://vaxtruth.org/2012/01/putting-measles-into-perspective/ Bhaskar et al (2011). “Expression of measles virus nucleoprotein induces apoptosis and modulates diverse functional proteins in cultured mammalian cells.” PLoS One. 2011 Apr 14;6(4):e18765. http://www.ncbi.nlm.nih.gov/pubmed/21533140 Centers for Disease Control (2013) “Measles — United States, January 1–August 24, 2013.” Morbidity and Mortality Weekly Report (MMWR) http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6236a2.htm Centers for Disease Control (2014). “Chickenpox (Varicella).” http://www.cdc.gov/chickenpox/about/complications.html Cemek et al (2007). “Oxidant and non-enzymatic antioxidant status in measles.” J Trop Pediatr. 2007 Apr;53(2):83-6. http://www.ncbi.nlm.nih.gov/pubmed/17158812 Economist.com (2013). “Daily Chart: Danger of Death!” http://www.economist.com/blogs/graphicdetail/2013/02/daily-chart- 7 Harvard Medical School (2014). ”Mumps.” http://patienteducationcenter.org/articles/mumps/ Hemila et al (2013). “Vitamin C for preventing and treating pneumonia. “Cochrane Database Syst Rev. 2013 Aug 8;8:CD005532. http://www.ncbi.nlm.nih.gov/pubmed/23925826 Huiming et al (2005). “Vitamin A for treating measles in children.“Cochrane Database Syst Rev. 2005 Oct 19;(4):CD001479 http://www.ncbi.nlm.nih.gov/pubmed/16235283 Humphries S (2012). “The Vitamin C treatment for Whooping Cough.” http://www.vaccinationcouncil.org/2012/09/07/vitamin-c-for-whooping-cough-updated-edition-suzanne-humphries-md/ Kidshealth.org (2014). “Infections: Chickenpox.” http://kidshealth.org/parent/infections/skin/chicken_pox.html# Kidshealth.org (2014). “Infections: Measles.” http://kidshealth.org/parent/infections/lung/measles.html# HealthStory Productions, LLC
- 31. References Kidshealth.org (2014). “Infections: Whooping Cough (Pertussis).” http://kidshealth.org/parent/infections/bacterial_viral/whooping_cough.html# Masarani et al (2006). “Mumps Orchitis.” Journal of the Royal Society of Medicine 99(11) 573-575. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1633545/ Orenstein et al (2004). “Measles Elimination in the United States.” J Infect Dis. (2004) 189 (Supplement 1): S1-S3. http://jid.oxfordjournals.org/content/189/Supplement_1/S1.long Orenstien et al (2004). “The Clinical Significance of Measles: A Review” J Infect Dis. (2004) 189 (Supplement 1): S4-S16. http://jid.oxfordjournals.org/content/189/Supplement_1/S4.short?rss=1&ssource=mfr National Vaccine Information Center (2014). “Varicella Zoster (Chickenpox).” http://www.nvic.org/Vaccines-and- Diseases/Chickenpox.aspx smartvax.com (2014). “Disease Risk Analysis.” http://www.smartvax.com/index.php?option=com_content&view=article&id=75 Schnecking (2012). “Intravenous vitamin C in the treatment of shingles: results of a multicenter prospective cohort study.” Med Sci Monit. 2012 Apr;18(4):CR215-24 http://www.ncbi.nlm.nih.gov/pubmed/22460093 Smith, L. (2014). “Clinical Guide to the Use of Vitamin C: The Clinical Experiences of Frederick R. Klenner, M.D., abbreviated, sumarized and annotated by Lendon H. Smith, M.D.” http://www.seanet.com/~alexs/ascorbate/198x/smith-lh-clinical_guide_1988.htm Stone, I (1972). “The Healing Factor: Vitamin C Against Disease.” online: http://vitamincfoundation.org/stone/ World Health Organization (2014). “Media Center Fact Sheet: Measles.” http://www.who.int/mediacentre/factsheets/fs286/en/ HealthStory Productions, LLC
Editor's Notes
- Measles looks like a specific kind of rash- flat, mottled, reddish pink, but the #1 diagnostic feature of the rash are something called Koplic spots. These are circles with a black or dark blue center.
- This is the sign and symptom timeline for measles. I use the terms “Introduction,” “Contagious,” and “Natural Course” to describe how the body gets introduced, how long a child should be kept home for, and when the body has run the course of processing the symptoms. I put the word contagious in quotation marks because it’s pretty rare to see a virus overtake a perfectly healthy host. This is the “soil versus seed” argument that has been present since Claude Bernard, the father of modern physiology, who developed the concept of homeostasis in the human body. Bernard challenged the foundational ideology of Louis Pasteur and the germ theory of disease back in the 1850’s. Although Pastuer admitted Bernard was right on his deathbed (http://susandoreydesigns.com/insights/pasteur-recant.html), this theory is still the major premise of modern medical care and the premise under which the vaccination program was promoted and developed. “Droplet” refers to sneezes, saliva, etc. At 10-12 days the first signs appear, and the only thing that looks odd is the red eyes and high fever. A few days later the rash breaks through. The fever will last 4-7 days. A child should be kept home during outbreaks, because introduction is possible before symptoms appear.
- Risk for all diseases of childhood should be put into context; it’s the lack of context that generates fear. On the right is a graph of the risk of death in America ranging from heart disease and car accidents to being struck by lightning. An important highlight here is that the vast majority of measles deaths happen in Africa and Asia, and half of those deaths could be prevented with two doses of Vitamin A. Risk of contracting measles: Your child is twice as likely to die from a firearm discharge than to catch measles. No one dies in the US from the actual measles virus. There are secondary issues to be aware of, all of which according to the WHO are manageable. In terms of media reporting “outbreaks,” the CDC expects to see 314 cases in a normal year. If you hear of an outbreak of 30-50 children, subtract that from the number of expected cases and know you have that many more to go.
- Vitamin C is going to be featured prominently in this slideshow. Dr. Frederick Klenner was one of the pioneers of high dose Vitamin C as a pediatrician. His work inspired others, including Dr. Linus Pauling, who later won the Nobel Prize in Science for his work on Vitamin C. Irwin Stone assembled Klenner’s papers into a book, and this presentation combines the pre-vaccination era work with current research in PubMed to educate the public on clinically tested and evidence based information related to the treatment of the diseases of childhood.
- A toddler with mumps. You will notice the swelling in jaw and throat as one of the glands, called the parotid gland, is inflamed.
- Droplet vector introduction, and a child should be kept home in case of outbreak because children can give others the virus for three days before their own symptoms appear. In 1/3 of cases there are no symptoms, so a child gets the benefit of exposure without the swelling. This is a disease that used to only infect young children, but the burden of disease has been pushed into post-puberty. This is something for mothers of teenage boys to know, because once the s/s of mumps has gone, if the boy starts getting fever and chills with abdominal pain, that’s an important flag.
- The CDC expects 1000 cases of mumps every year. Over the span of 5 years, an unvaccinated child has a five times great risk of death from a storm as from dying after contracting mumps. A child is more likely to die from a dog bite than to go deaf or produce swelling of the brain from mumps. A third of mumps cases produce zero symptoms. Again, the burden of disease has shifted to older children since the vaccination program began. Sterility only happens if male children aren’t exposed to mumps before puberty, and both testes have to be involved and untreated. The question is, what are you doing to help your teenage boy be in the 96-98%?
- A parent who chooses not to vaccinate MUST know the signs and symptoms of brain swelling.
- There are a couple of things that will trigger the characteristic cough of pertussis. This cough is stimulated by either touching the center of the tongue, or watching what happens when your child plays. They cough, cough, cough, cough, cough, cough, and when you think they can’t do it anymore, they take a big inhaling “whoop.” The other sign is a cough that happens at night, every hour on the hour. The mucous builds up in the lungs, the body pushes it out, and as they lay down it builds up again.
- This is a long timeline. Pertussis is also known as the 100 day cough, and that’s pretty accurate for the natural course. However, this is one of those cases where early introduction of large amounts of Vitamin C at the outset of symptoms works exceptionally well. You can see that pertussis travels through droplet, and different from measles and mumps is considered “contagious” at the outset of cold symptoms.
- When you read a pertussis outbreak in the 1000’s, again remember that we expect 31,000 cases a year on average since 2008. If you’re traveling to countries that don’t immunize, you child is twice as likely to be struck by a car than to be killed by pertussis. However in the US, we’re again at the point where a child is 5 times more likely to die in a storm than die from pertussis. In fact, all of the deaths in 2013 could not be prevented by vaccination since they happened in children under 2 months. This is where the medical community has started pushing parents and caregivers to get innoculated. It’s an interesting argument; if mothers haven’t been exposed to pertussis, then they can’t confer immunity to their infants through shared blood and breastfeeding. But the more women who are innoculated, the less women who actually have long term immunity to give to their children. We’re seeing this as the risk to infants under 6 months has actually increased since the introduction of the pertussis vaccine.
- I cannot stress this slide enough. This is a combination of Stone’s compilation of ascorbic acid research and Dr. Suzanne Humphries’ instructions on managing pertussis with large doses of Vitamin C.
- The signs of chicken pox are fluid filled blisters. One of the hallmarks is you can have all 3 stages- blister, weeping, and crusted- at the same time.
- Go back and forth between this and the previous slide to familiarize yourself with the difference between measles and chicken pox rashes. See how measles are flat and aren’t pus-filled? Also, notice the Koplic spots inside the mouth.
- If you’re looking to host a chicken pox party, you only have 3-6 daysfrom the time the blisters appear to the time they crust over.
- In a low vaccination population like most parents reading this grew up in, the risk of a child dying from chicken pox over the first 5 years of their life was lower than dying from falling down the stairs. The death risk now isn’t really from chicken pox; it’s from complications of not taking care of the symptoms in front of you- fever, congestion, and keeping the child clean. Still, a child is five times as likely to die from riding a bicycle than chicken pox.
- Giving Vitamin C to adults with shingles keeps the symptoms to the short end of the timeline. Shingles, the adult version of chicken pox, is increasing as less adults are getting natural exposure boosters from the children around them. http://webcache.googleusercontent.com/search?q=cache:CzlP6Uz-YDoJ:www.vaccinationcouncil.org/wp-content/uploads/from_nick/PowerPoints/Goldman/SOT1.pptx+&cd=7&hl=en&ct=clnk&gl=us&client=firefox-a
- One thing all four of these have in common: The time between exposure and symptoms is 1-2 weeks. This means by the time symptoms occur, the child has already been exposed. This puts the focus on building the soil in preparation for health, rather than heroic measures to treat the symptoms.
- The best tools you have then are regular supplementation and getting in the habit of tracking symptoms. But what about taking care of the system that alerts the immune system about the challenge? What about the system that directs the immune system to act?
- If the lungs, the gut, and the reproductive organs are areas of susceptibility, how do they get their information about how to act?
- The brain directs all the activities, and communicates what to do through the nerves.
- The body then tells the brain what else it needs, and this cycle of communication needs to be free and clear to work optimally.
- What happens if there’s disconnect? Interference? You’re essentially seeing why the gold standard of pediatric chiropractic care is a visit every 2 weeks. This frequency allows the child to be checked for interference at an interval so that if the body is dealing with an immune system challenge, the subluxation can be corrected before the body goes through the process of producing symptoms.
- This is what we do at Mama’s Chiropractic Clinic. A lot of our parents choose either to selectively delay or provide natural immunity for their children. They know they have a larger responsibility to be proactive with their children’s health, and one of the things they do is bring their children to our office to make sure the one system that controls and regulates every other organ, tissue, and system in the body is able to communicate clearly. Pediatric chiropractors are the only health professionals trained to detect and correct subluxations in children.
- Our next Slideshare will cover diphtheria, tetanus, rubella, and influenza.