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Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
1
10x
2
Guillain-Barre Syndrome (GBS)
Transverse Myelitis
Encephalopathy
Seizure Disorder
Death
Brachial Neuritis
Acute Disseminated Encephalomyelitis
Chronic Inflammatory Demyelinating
Polyradiculoneuropathy (CIDP)
Premature Ovarian Failure
Bell’s Palsy
Juvenile Diabetes
Idiopathic Thrombocytopenic Purpura(ITP)
Rheumatoid Arthritis
Multiple Sclerosis (MS)
Fibromyalgia
Infantile Spasms
Anaphylaxis
Ocular Myasthenia Gravis
Hypoxic Seizure
Short list of Vaccine Adverse Events
Autoimmune Diseases
Food Allergies
Asthma
Eczema
Juvenile Diabetes
Rheumatoid Arthritis
Tics
Tourette Syndrome
ADD/ADHD
Autism
Speech Delay
Neurodevelopment Disorders
SIDS
Seizure Disorder
Narcolepsy
Epilepsy
Multiple Sclerosis
(Listed on Vaccine Inserts)
(Compensated in Vaccine Court)
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
ADD
ADHD
Autism
Hearing Loss
Learning Disability
Mental Disability
Seizures
Stammering
Stuttering
According to the CDC:
1 in 6 children has a developmental disability
Anxiety Problems
Asthma
Behavioral Problems
Bone and Muscle Disorders
Chronic Ear Infections
Depression
Diabetes
Digestive Allergies
Environmental Allergies
Epilepsy
Rheumatoid Arthritis
Seizure Disorder
According to an HHS Funded Publication:
54% of children have chronic illness
†Bethel et. al, 2011, A National and State Profile of Leading Health Problems and Health Care Quality for US Children: Key
Insurance Disparities and Across-State Variations, Academic Pediatrics.*Source: https://www.cdc.gov/ncbddd/developmentaldisabilities/about.html
†
*
3
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
4
11 53 12.8% 54%
1986 schedule 1986 prevalence 2011 prevalence2017 schedule
Number of Childhood Vaccine
Injections Administered
Childhood Chronic Illness &
Developmental Disability Prevalence
†Bethel et. al, 2011, A National and State Profile of Leading Health Problems and Health Care Quality for US Children: Key
Insurance Disparities and Across-State Variations, Academic Pediatrics.
* Cleave et. al, 2010, Dynamics of Obesity and Chronic Health Conditions Among Children and Youth, JAMA.
* †
5
Intro
Who is Responsible for Vaccine Safety
Structural Conflicts of Interest in Vaccine Safety
Post-Licensure Vaccine Safety Surveillance
Simple & Immediate Solutions
I.
II.
III.
IV.
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
Who is Responsible for Vaccine Safety?
6
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
78
National Childhood Vaccine Injury Act
The 1986 Act
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
8
Consequences?
1. No incentive to conduct safety studies
2. Liability free market of 78 million American children
3. Strong incentive to develop more vaccines
National Childhood Vaccine Injury Act
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
9
DTP (2 months)
Polio (2 months)
DTP (4 months)
Polio (4 months)
DTP (6 months)
MMR (15 months)
DTP (18 months)
Polio (18 months)
DTP (4 years)
Polio (4 years)
Tetanus (14 years)
198611 Vaccines
Hepatitis B (one day)
Hepatitis B (one month)
DTaP (2 months)
Polio (2 months)
Hib (2 months)
PCV (2 months)
Rotavirus (2 months)
DTaP (4 months)
Polio (4 months)
Hib (4 months)
PCV (4 months)
Rotavirus (4 months)
DTaP (6 months)
Polio (6 months)
Hepatitis B (6 months)
Hib (6 months)
PCV (6 months)
Rotavirus (6 months)
Influenza (6 months)
MMR (12 months)
Varicella (12 months)
Hib (12 months)
Hepatitis A (12 months)
PCV (12 months)
DTaP (15 months)
Hepatitis A (18 months)
Influenza (18 months)
Influenza (2 years)
Influenza (3 years)
Influenza (4 years)
DTaP (4 years)
MMR (4 years)
IPV (4 years)
Varicella (4 years)
Influenza (5 years)
Influenza (6 years)
Influenza (7 years)
Influenza (8 years)
Influenza (9 years)
Influenza (10 years)
HPV (11 years)
Men ACWY (11 years)
Influenza (11 years)
TDaP (11 years)
HPV (11 ½ years)
Influenza (12 years)
Influenza (13 years)
Influenza (14 years)
Influenza (15 years)
Men ACWY (16 years)
Influenza (16 years)
Influenza (17 years)
Influenza (18 years)
201753 Vaccines
Influenza (pregnancy)
Tdap (pregnancy)
Hepatitis B (one day)
Hepatitis B (one month)
DTaP (2 months)
Polio (2 months)
Hib (2 months)
PCV (2 months)
Rotavirus (2 months)
DTaP (4 months)
Polio (4 months)
Hib (4 months)
PCV (4 months)
Rotavirus (4 months)
DTaP (6 months)
Polio (6 months)
Hepatitis B (6 months)
Hib (6 months)
PCV (6 months)
Rotavirus (6 months)
Influenza (6 months)
MMR (12 months)
Varicella (12 months)
Hib (12 months)
Hepatitis A (12 months)
PCV (12 months)
DTaP (15 months)
Hepatitis A (18 months)
Influenza (18 months)
Influenza (2 years)
Influenza (3 years)
Influenza (4 years)
DTaP (4 years)
MMR (4 years)
Rubella (4 years)
Varicella (4 years)
Influenza (5 years)
Influenza (6 years)
Influenza (7 years)
Influenza (8 years)
Influenza (9 years)
Influenza (10 years)
HPV (11 years)
Influenza (11 years)
TDaP (11 years)
HPV (11 ½ years)
Influenza (12 years)
HPV (12 years)
Influenza (13 years)
Influenza (14 years)
Influenza (15 years)
MCV (16 years)
Influenza (16 years)
MenB (16 years)
Influenza (17 years)
Influenza (18 years)
DTaP (6 months)
Polio (6 months)
Hepatitis B (6 months)
Hib (6 months)
PCV (6 months)
Rotavirus (6 months)
Influenza (6 months)
MMR (12 months)
Varicella (12 months)
Hib (12 months)
Hepatitis A (12 months)
PCV (12 months)
DTaP (15 months)
Influenza (pregnancy)
Tdap (pregnancy)
Hepatitis B (one day)
Hepatitis B (one month)
DTaP (2 months)
Polio (2 months)
Hib (2 months)
PCV (2 months)
Rotavirus (2 months)
DTaP (4 months)
Polio (4 months)
Hib (4 months)
PCV (4 months)
Rotavirus (4 months)
DTaP (6 months)
Polio (6 months)
Hepatitis B (6 months)
Hib (6 months)
PCV (6 months)
Rotavirus (6 months)
Influenza (6 months)
MMR (12 months)
Varicella (12 months)
Hib (12 months)
Hepatitis A (12 months)
PCV (12 months)
DTaP (15 months)
Hepatitis A (18 months)
Influenza (18 months)
Influenza (2 years)
Influenza (3 years)
Influenza (4 years)
DTaP (4 years)
MMR (4 years)
Rubella (4 years)
Varicella (4 years)
Influenza (5 years)
Influenza (6 years)
Influenza (7 years)
Influenza (8 years)
Influenza (9 years)
Influenza (10 years)
HPV (11 years)
Tdap (pregnancy)
Hepatitis B (one day)
Hepatitis B (one month)
DTaP (2 months)
Polio (2 months)
Hib (2 months)
PCV (2 months)
Rotavirus (2 months)
DTaP (4 months)
Polio (4 months)
Hib (4 months)
PCV (4 months)
Rotavirus (4 months)
DTaP (6 months)
Polio (6 months)
Hepatitis B (6 months)
Hib (6 months)
PCV (6 months)
Rotavirus (6 months)
Influenza (6 months)
MMR (12 months)
Varicella (12 months)
Hib (12 months)
Hepatitis A (12 months)
PCV (12 months)
DTaP (15 months)
Influenza (pregnancy)
Tdap (pregnancy)
Hepatitis B (one day)
Hepatitis B (one month)
DTaP (2 months)
Polio (2 months)
Hib (2 months)
PCV (2 months)
Rotavirus (2 months)
DTaP (4 months)
Polio (4 months)
Hib (4 months)
PCV (4 months)
Rotavirus (4 months)
DTaP (6 months)
Polio (6 months)
Hepatitis B (6 months)
Hib (6 months)
PCV (6 months)
Rotavirus (6 months)
Influenza (6 months)
MMR (12 months)
Varicella (12 months)
Hib (12 months)
Hepatitis A (12 months)
PCV (12 months)
DTaP (15 months)
Hepatitis A (18 months)
Influenza (18 months)
Influenza (2 years)
Near Future100s of Vaccines
10
HHS
National Childhood Vaccine Injury Act
Who is responsible for vaccine safety?
11
Intro
Who is Responsible for Vaccine Safety
Structural Conflicts of Interest in Vaccine Safety
Post-Licensure Vaccine Safety Surveillance
Simple & Immediate Solutions
I.
II.
III.
IV.
Vaccine Safety
vs.
Promote/Defend Vaccines
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
13
How Vaccines are Licensed, Recommended, Promoted, Defended
Recommended
Age
(First Dose)
Vaccine/ Manufacturer
Safety Review
Period Prior to
Licensure
Subject Group Placebo Group
1 Day Old Hep-B (Engerix)/ GlaxoSmithKline 4 Days Hep-B No Placebo
1 Day Old Hep-B (Recombivax)/ Merck 5 Days Hep-B No Placebo
14
Recommended
Age
(First Dose)
Vaccine/ Manufacturer
Safety Review
Period Prior to
Licensure
Subject Group Placebo Group
1 Day Old Hep-B (Engerix)/ GlaxoSmithKline 4 Days Hep-B No Placebo
1 Day Old Hep-B (Recombivax)/ Merck 5 Days Hep-B No Placebo
2 Month Old Polio (PVI- Monkey Kidney)/ Sanofi Pasteur 48 hours Polio + DTP DTP
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
15
FDA’s Vaccine and Related Biological Products Advisory Committee (“VRBPAC”)
• “The overwhelming majority of members, both voting members and consultants, have
substantial ties to the pharmaceutical industry.”
2000 Investigation Into VRBPAC by U.S. House Government Reform Committee:
How Vaccines are Licensed, Recommended, Promoted, Defended
• “conflict of interest rules employed by the FDA… have been weak, enforcement has been lax,
and committee members with substantial ties to pharmaceutical companies have given waivers
to participate in committee proceedings… In many cases, significant conflicts of interest are not
deemed to be conflicts at all.”
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
16
• For instance, “3 out of 5 FDA advisory committee [VRBPAC] members
who voted to approve the rotavirus vaccine in December 1997 had
financial ties to pharmaceutical companies that were developing
different versions of the vaccine.”
• 1 of the 5 voting members’ employer had a $9,586,000 contract for a
rotavirus vaccine.
• 1 of the 5 voting members was the principal investigator for a Merck
grant to develop a rotavirus vaccine.
• 1 of the 5 voting members received appx. $1,000,000 from vaccine
manufacturers toward vaccine development.
Example of Conflicts of Interest
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
17
Advisory Committee on Immunization Practices (“ACIP”)
An ACIP vote to recommend a vaccine results in:
• Mandating the vaccine to millions of children.
• Immunity from liability for the manufacturer.
• Inclusion in the Vaccine for Children program.
Liability free captive market of 78 million American children with
guaranteed payment
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
18
2000 - Investigation Into ACIP by U.S. Government Reform Committee:
• “The CDC grants blanket waivers to the ACIP members each year that
allow them to deliberate on any subject, regardless of their conflicts, for
the entire year.”
• ACIP reflects “a system where government officials make crucial
decisions affecting American children without the advice and consent of
the governed.”
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
19
2009 – HHS Office of Inspector General Investigation
• “CDC had a systemic lack of oversight of the ethics program”
• 97 percent of committee members’ conflict disclosures had omissions.
• 58 percent had at least one unidentified potential conflict.
• 32 percent had at least one conflict that remained unresolved.
• CDC continued to grant broad waivers to members with conflicts.
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
20
*Numbers are approximate
How Vaccines are Licensed, Recommended, Promoted, Defended
Vaccine Purchase &
Promotion,
$4,900,000,000
Immunization Safety
Office, $20,000,000
Other, $2,380,000,000
Preparedness & Response, $1,400,000,000
HIV, $1,200,000,000
Chronic Disease, $1,000,000,000
Global Health, $500,000,000
CDC’s Budget: $11.5 Billion
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
21
2002-2009: Former CDC Director, Julie Gerberding oversaw
numerous vaccine studies, many of which were recently
deemed unreliable by the IOM.
2010: Became President of Merck Vaccines with estimated
$2.5 million annual salary and lucrative stock options.
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
22
Americans Injured by a Vaccine Must File a Claim in the VACCINE
INJURY COMPENSATION PROGRAM (“VICP”) where:
• All filings are submitted under seal.
• They must fight against HHS (the Respondent)
• They must fight against DOJ (the Respondent’s counsel)
• They must fight without any discovery as-of-right
• They must almost always prove causation
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
23
Despite extremely high hurdle to obtain compensation,
VICP has paid over $3.7 billion for vaccine injuries and this
is with cap of $250k for pain and suffering and death.
$3,737,884,487
How Vaccines are Licensed, Recommended, Promoted, Defended
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
24
Representative Bill Posey
How Vaccines are Licensed, Recommended, Promoted, Defended
Click picture to play video
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
25
How Vaccines are Licensed, Recommended, Promoted, Defended- click to play video
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
26
• Industry incentivized to not conduct proper safety testing
• Regulatory agency incentivized to not conduct safety testing
• Regulatory function subsumed to promoting, distributing and
defending vaccines
Conflict of Interest Summary
27
Intro
Who is Responsible for Vaccine Safety
Structural Conflicts of Interest in Vaccine Safety
Post-Licensure Vaccine Safety Surveillance
Simple & Immediate Solutions
I.
II.
III.
IV.
28
1986 Act: Vaccine Adverse Events Reporting System (VAERS)
In 2016, VAERS received 59,117 reports including:
“fewer than 1% of adverse events are reported”
(Source: Report Funded by HHS)
“Former FDA Commissioner David A. Kessler has estimated that VAERS reports currently represent only a
fraction of the serious adverse events.”
(Source: U.S. Congressional Report)
432 deaths,
1,091 permanent disabilities,
4,132 hospitalizations, and
10,284 emergency room visits.
43,200
109,100
413,200
1,028,400
5,911,700
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
29
AUTOMATING VAERS
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
30
AUTOMATING VAERS
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
31
Year of IOM
Report
Vaccines
Reviewed
# of
Conditions
Studied
Literature
Supports
Causation
Literature Rejects
Causation
Literature Inadequate to
Accept or Reject Causation
1991 DTP 22 6 4 12
Aseptic meningitis; Chronic neurologic damage; Learning disabilities and attention-
deficit disorder; Hemolytic anemia; Juvenile diabetes; Guillain-Barre syndrome;
Erythema multiforme; Peripheral mononeuropathy; Radiculoneuritis and other
neuropathies; Thrombocytopenia; Thrombocytopenic purpura
Institute of Medicine Reports on Vaccine Safety
Lack of Vaccine Safety Science
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 32
•
Year of IOM
Report
Vaccines Reviewed # of Conditions
Studied
Literature Supports
Causation
Literature Rejects
Causation
Literature Inadequate to
Accept or Reject
Causation
1994 DT, MM, Hep-B & Hib 54 12 4 38
A partial list of the 38 conditions: Demyelinating diseases of the central nervous
system, Sterility, Arthritis, Neuropathy, Residual seizure disorder, Transverse
myelitis, Sensorineural deafness, Optic neuritis, Aseptic meningitis, Insulin-
dependent diabetes mellitus, SIDS
Institute of Medicine Reports on Vaccine Safety
Lack of Vaccine Safety Science
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
33
Year of IOM
Report
Vaccines Reviewed # of
Conditions
Studied
Literature Supports
Causation
Literature Rejects
Causation
Literature Inadequate to
Accept or Reject Causation
2011 Varicella, T, Hep-B, MMR 155 16 5 135
Institute of Medicine Reports on Vaccine Safety
Lack of Vaccine Safety Science
A partial list of the 134 conditions: Encephalitis, Encephalopathy, Infantile Spasms, Afebrile
Seizures, Seizures, Cerebellar Antaxia, Anataxia, Autism, Acute Disseminated Encephalomyelitis,
Transverse Myelitis, Optic Neuritis, Neuromyelitis Optica, Multiple Sclerosis, Guillain-Barre
Syndrome, Chronic Inflammatory Demyelinating Polyneuropathy, Brachial Neuritis, Amyotrophic
Lateral Sclerosis, Small Fiber Neuropathy, Chronic Urticaria, Erythema Nodosum, Systemic Lupus
Erythematosus, Polyarteritis Nodosa, Psoriatic Arthritis, Reactive Arthritis, Rheumatoid Arthritis,
Juvenile Idiopathic Arthritis, Arthralgia, Autoimmune Hepatitis, Stroke, Chronic Headache,
Fibromyalgia, Sudden Infant Death Syndrome, Hearing Loss, Thrombocytopenia, Immune
Thrombocytopenic Purpura
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
34
Institute of Medicine Reports on Vaccine Safety
Lack of Vaccine Safety Science
2011 IOM Report
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
35
Childhood Vaccines
Hepatitis B (1 day)
Hepatitis B (1 month)
DTaP (2 months)
Polio (2 months)
Hib (2 months)
PCV (2 months)
Rotavirus (2 months)
DTaP (4 months)
Polio (4 months)
Hib (4 months)
PCV (4 months)
Rotavirus (4 months)
DTaP (6 months)
Polio (6 months)
Hepatitis B (6 months)
Hib (6 months)
PCV (6 months)
Rotavirus (6 months)
Influenza (6 months)
MMR (12 months)
Varicella (12 months)
Hib (12 months)
Hepatitis A(12 months)
PCV (12 months)
DTaP (15 months)
Hepatitis A(18 months)
Influenza (18 months)
Influenza (2 years)
Influenza (3 years)
Influenza (4 years)
DTaP (4 years)
MMR (4 years)
IPV (4 years)
Varicella (4 years)
Influenza (5 years)
Influenza (6 years)
Influenza (7 years)
Influenza (8 years)
Influenza (9 years)
Influenza (10 years)
HPV (11 years)
Men ACWY (11 years)
Influenza (11 years)
TDaP (11 years)
HPV (11 ½ years)
Influenza (12 years)
Influenza (13 years)
Influenza (14 years)
Influenza (15 years)
Men ACWY (16 years)
Influenza (16 years)
Influenza (17 years)
Influenza (18 years)
Vaccine Ingredients
(Partial List)
2-phenoxethanol
Complex fermentation medium
Detergent
5 rdimethyl
1-beta-cyclodextrin
Eagle MEM modified medium
Enzymes
Formaldahyde
Gelatin
Glutaraldehide
Heminchloride
Hydrolyzed galtin
Lactalbumin hydrolysate
Medium 199
Minimum Essential Medium
Modified Mueller’s growth medium
Modified Stainer-Scholte liquid medium
Neomycin
Neomycin Sulphate
Phenol polymyxin B
Polymyxin B Sulphate
Polysorbate 80
Soy Peptone
Stainer-Scholte medium
Streptomycin
Yeast
Yeast Protein
thimerosal
36
Lack of Vaccine Safety Science – click to play video
Dr. Bernadine Healy, Former Head of NIH
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
37
Lack of Vaccine Safety Science
2013 IOM Report on Safety of Entire Immunization Schedule
2008 Interview 5 years later
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
38
• CDC’s VACCINE SAFETY DATALINK (VSD) has Health
Records of Approximately 10 Million Individuals
Including Hundreds of Thousands of Children
• IOM in 2011 “It is possible to make this comparison
[vaccinated v. unvaccinated children] through
analyses of patient information contained in large
databases such as VSD.”
Vaccinated vs. Unvaccinated
Who is the CDC trying to protect by not conducting this study?
Lack of Vaccine Safety Science
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
39
Vaccinated vs. Unvaccinated
Lack of Vaccine Safety Science
10x
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
Odds ratio of chronic diseases for vaccinated
children vs. unvaccinated children
40
Vaccinated vs. Unvaccinated Study (Homeschoolers, 2017)
Rhinitis
30
Allergy
3.9
ADHD
4.2
Autism
4.2
Eczema
2.9
Learning
Disability
5.2 Neurodev.
Disorder
3.7
600 kids
Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
41
Double Blind Flu Study
Lack of Vaccine Safety Science
• Flu shot group and placebo group had same rate
of influenza infection.
• Flu shot group had 4.4x higher rate of non-
influenza infection.
42
HHS’s Ethical, Moral and Statutory Duty
Lack of Vaccine Safety Science
Paralysis resulting in Quadriplegia – click image to play video (2 mins)
43
1. HHS grant open access to Vaccine Safety Datalink for independent studies.
2. Prohibit any conflict waivers for members of HHS’s vaccine committees.*
3. Require members of HHS’s vaccine committees* to contractually agree not to accept any
compensation, directly or indirectly, from any vaccine manufacturer for at least five years.
4. Require vaccine safety advocates comprise at least fifty percent of HHS’s vaccine committees.*
5. Test all existing and future vaccines against a saline placebo for a duration sufficient to identify chronic
illness.
*HHS’s Vaccine Committees = ACIP, VRBPAC, NVAC, ACCV
Transparent Surveillance
Increase Safety Profile
Reduce Conflict
Solutions that can be implemented immediately:

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Vaccine Safety Crisis: Overview

  • 1. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 1 10x
  • 2. 2 Guillain-Barre Syndrome (GBS) Transverse Myelitis Encephalopathy Seizure Disorder Death Brachial Neuritis Acute Disseminated Encephalomyelitis Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP) Premature Ovarian Failure Bell’s Palsy Juvenile Diabetes Idiopathic Thrombocytopenic Purpura(ITP) Rheumatoid Arthritis Multiple Sclerosis (MS) Fibromyalgia Infantile Spasms Anaphylaxis Ocular Myasthenia Gravis Hypoxic Seizure Short list of Vaccine Adverse Events Autoimmune Diseases Food Allergies Asthma Eczema Juvenile Diabetes Rheumatoid Arthritis Tics Tourette Syndrome ADD/ADHD Autism Speech Delay Neurodevelopment Disorders SIDS Seizure Disorder Narcolepsy Epilepsy Multiple Sclerosis (Listed on Vaccine Inserts) (Compensated in Vaccine Court)
  • 3. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions ADD ADHD Autism Hearing Loss Learning Disability Mental Disability Seizures Stammering Stuttering According to the CDC: 1 in 6 children has a developmental disability Anxiety Problems Asthma Behavioral Problems Bone and Muscle Disorders Chronic Ear Infections Depression Diabetes Digestive Allergies Environmental Allergies Epilepsy Rheumatoid Arthritis Seizure Disorder According to an HHS Funded Publication: 54% of children have chronic illness †Bethel et. al, 2011, A National and State Profile of Leading Health Problems and Health Care Quality for US Children: Key Insurance Disparities and Across-State Variations, Academic Pediatrics.*Source: https://www.cdc.gov/ncbddd/developmentaldisabilities/about.html † * 3
  • 4. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 4 11 53 12.8% 54% 1986 schedule 1986 prevalence 2011 prevalence2017 schedule Number of Childhood Vaccine Injections Administered Childhood Chronic Illness & Developmental Disability Prevalence †Bethel et. al, 2011, A National and State Profile of Leading Health Problems and Health Care Quality for US Children: Key Insurance Disparities and Across-State Variations, Academic Pediatrics. * Cleave et. al, 2010, Dynamics of Obesity and Chronic Health Conditions Among Children and Youth, JAMA. * †
  • 5. 5 Intro Who is Responsible for Vaccine Safety Structural Conflicts of Interest in Vaccine Safety Post-Licensure Vaccine Safety Surveillance Simple & Immediate Solutions I. II. III. IV.
  • 6. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions Who is Responsible for Vaccine Safety? 6
  • 7. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 78 National Childhood Vaccine Injury Act The 1986 Act
  • 8. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 8 Consequences? 1. No incentive to conduct safety studies 2. Liability free market of 78 million American children 3. Strong incentive to develop more vaccines National Childhood Vaccine Injury Act
  • 9. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 9 DTP (2 months) Polio (2 months) DTP (4 months) Polio (4 months) DTP (6 months) MMR (15 months) DTP (18 months) Polio (18 months) DTP (4 years) Polio (4 years) Tetanus (14 years) 198611 Vaccines Hepatitis B (one day) Hepatitis B (one month) DTaP (2 months) Polio (2 months) Hib (2 months) PCV (2 months) Rotavirus (2 months) DTaP (4 months) Polio (4 months) Hib (4 months) PCV (4 months) Rotavirus (4 months) DTaP (6 months) Polio (6 months) Hepatitis B (6 months) Hib (6 months) PCV (6 months) Rotavirus (6 months) Influenza (6 months) MMR (12 months) Varicella (12 months) Hib (12 months) Hepatitis A (12 months) PCV (12 months) DTaP (15 months) Hepatitis A (18 months) Influenza (18 months) Influenza (2 years) Influenza (3 years) Influenza (4 years) DTaP (4 years) MMR (4 years) IPV (4 years) Varicella (4 years) Influenza (5 years) Influenza (6 years) Influenza (7 years) Influenza (8 years) Influenza (9 years) Influenza (10 years) HPV (11 years) Men ACWY (11 years) Influenza (11 years) TDaP (11 years) HPV (11 ½ years) Influenza (12 years) Influenza (13 years) Influenza (14 years) Influenza (15 years) Men ACWY (16 years) Influenza (16 years) Influenza (17 years) Influenza (18 years) 201753 Vaccines Influenza (pregnancy) Tdap (pregnancy) Hepatitis B (one day) Hepatitis B (one month) DTaP (2 months) Polio (2 months) Hib (2 months) PCV (2 months) Rotavirus (2 months) DTaP (4 months) Polio (4 months) Hib (4 months) PCV (4 months) Rotavirus (4 months) DTaP (6 months) Polio (6 months) Hepatitis B (6 months) Hib (6 months) PCV (6 months) Rotavirus (6 months) Influenza (6 months) MMR (12 months) Varicella (12 months) Hib (12 months) Hepatitis A (12 months) PCV (12 months) DTaP (15 months) Hepatitis A (18 months) Influenza (18 months) Influenza (2 years) Influenza (3 years) Influenza (4 years) DTaP (4 years) MMR (4 years) Rubella (4 years) Varicella (4 years) Influenza (5 years) Influenza (6 years) Influenza (7 years) Influenza (8 years) Influenza (9 years) Influenza (10 years) HPV (11 years) Influenza (11 years) TDaP (11 years) HPV (11 ½ years) Influenza (12 years) HPV (12 years) Influenza (13 years) Influenza (14 years) Influenza (15 years) MCV (16 years) Influenza (16 years) MenB (16 years) Influenza (17 years) Influenza (18 years) DTaP (6 months) Polio (6 months) Hepatitis B (6 months) Hib (6 months) PCV (6 months) Rotavirus (6 months) Influenza (6 months) MMR (12 months) Varicella (12 months) Hib (12 months) Hepatitis A (12 months) PCV (12 months) DTaP (15 months) Influenza (pregnancy) Tdap (pregnancy) Hepatitis B (one day) Hepatitis B (one month) DTaP (2 months) Polio (2 months) Hib (2 months) PCV (2 months) Rotavirus (2 months) DTaP (4 months) Polio (4 months) Hib (4 months) PCV (4 months) Rotavirus (4 months) DTaP (6 months) Polio (6 months) Hepatitis B (6 months) Hib (6 months) PCV (6 months) Rotavirus (6 months) Influenza (6 months) MMR (12 months) Varicella (12 months) Hib (12 months) Hepatitis A (12 months) PCV (12 months) DTaP (15 months) Hepatitis A (18 months) Influenza (18 months) Influenza (2 years) Influenza (3 years) Influenza (4 years) DTaP (4 years) MMR (4 years) Rubella (4 years) Varicella (4 years) Influenza (5 years) Influenza (6 years) Influenza (7 years) Influenza (8 years) Influenza (9 years) Influenza (10 years) HPV (11 years) Tdap (pregnancy) Hepatitis B (one day) Hepatitis B (one month) DTaP (2 months) Polio (2 months) Hib (2 months) PCV (2 months) Rotavirus (2 months) DTaP (4 months) Polio (4 months) Hib (4 months) PCV (4 months) Rotavirus (4 months) DTaP (6 months) Polio (6 months) Hepatitis B (6 months) Hib (6 months) PCV (6 months) Rotavirus (6 months) Influenza (6 months) MMR (12 months) Varicella (12 months) Hib (12 months) Hepatitis A (12 months) PCV (12 months) DTaP (15 months) Influenza (pregnancy) Tdap (pregnancy) Hepatitis B (one day) Hepatitis B (one month) DTaP (2 months) Polio (2 months) Hib (2 months) PCV (2 months) Rotavirus (2 months) DTaP (4 months) Polio (4 months) Hib (4 months) PCV (4 months) Rotavirus (4 months) DTaP (6 months) Polio (6 months) Hepatitis B (6 months) Hib (6 months) PCV (6 months) Rotavirus (6 months) Influenza (6 months) MMR (12 months) Varicella (12 months) Hib (12 months) Hepatitis A (12 months) PCV (12 months) DTaP (15 months) Hepatitis A (18 months) Influenza (18 months) Influenza (2 years) Near Future100s of Vaccines
  • 10. 10 HHS National Childhood Vaccine Injury Act Who is responsible for vaccine safety?
  • 11. 11 Intro Who is Responsible for Vaccine Safety Structural Conflicts of Interest in Vaccine Safety Post-Licensure Vaccine Safety Surveillance Simple & Immediate Solutions I. II. III. IV. Vaccine Safety vs. Promote/Defend Vaccines
  • 12. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions
  • 13. 13 How Vaccines are Licensed, Recommended, Promoted, Defended Recommended Age (First Dose) Vaccine/ Manufacturer Safety Review Period Prior to Licensure Subject Group Placebo Group 1 Day Old Hep-B (Engerix)/ GlaxoSmithKline 4 Days Hep-B No Placebo 1 Day Old Hep-B (Recombivax)/ Merck 5 Days Hep-B No Placebo
  • 14. 14 Recommended Age (First Dose) Vaccine/ Manufacturer Safety Review Period Prior to Licensure Subject Group Placebo Group 1 Day Old Hep-B (Engerix)/ GlaxoSmithKline 4 Days Hep-B No Placebo 1 Day Old Hep-B (Recombivax)/ Merck 5 Days Hep-B No Placebo 2 Month Old Polio (PVI- Monkey Kidney)/ Sanofi Pasteur 48 hours Polio + DTP DTP How Vaccines are Licensed, Recommended, Promoted, Defended
  • 15. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 15 FDA’s Vaccine and Related Biological Products Advisory Committee (“VRBPAC”) • “The overwhelming majority of members, both voting members and consultants, have substantial ties to the pharmaceutical industry.” 2000 Investigation Into VRBPAC by U.S. House Government Reform Committee: How Vaccines are Licensed, Recommended, Promoted, Defended • “conflict of interest rules employed by the FDA… have been weak, enforcement has been lax, and committee members with substantial ties to pharmaceutical companies have given waivers to participate in committee proceedings… In many cases, significant conflicts of interest are not deemed to be conflicts at all.”
  • 16. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 16 • For instance, “3 out of 5 FDA advisory committee [VRBPAC] members who voted to approve the rotavirus vaccine in December 1997 had financial ties to pharmaceutical companies that were developing different versions of the vaccine.” • 1 of the 5 voting members’ employer had a $9,586,000 contract for a rotavirus vaccine. • 1 of the 5 voting members was the principal investigator for a Merck grant to develop a rotavirus vaccine. • 1 of the 5 voting members received appx. $1,000,000 from vaccine manufacturers toward vaccine development. Example of Conflicts of Interest How Vaccines are Licensed, Recommended, Promoted, Defended
  • 17. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 17 Advisory Committee on Immunization Practices (“ACIP”) An ACIP vote to recommend a vaccine results in: • Mandating the vaccine to millions of children. • Immunity from liability for the manufacturer. • Inclusion in the Vaccine for Children program. Liability free captive market of 78 million American children with guaranteed payment How Vaccines are Licensed, Recommended, Promoted, Defended
  • 18. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 18 2000 - Investigation Into ACIP by U.S. Government Reform Committee: • “The CDC grants blanket waivers to the ACIP members each year that allow them to deliberate on any subject, regardless of their conflicts, for the entire year.” • ACIP reflects “a system where government officials make crucial decisions affecting American children without the advice and consent of the governed.” How Vaccines are Licensed, Recommended, Promoted, Defended
  • 19. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 19 2009 – HHS Office of Inspector General Investigation • “CDC had a systemic lack of oversight of the ethics program” • 97 percent of committee members’ conflict disclosures had omissions. • 58 percent had at least one unidentified potential conflict. • 32 percent had at least one conflict that remained unresolved. • CDC continued to grant broad waivers to members with conflicts. How Vaccines are Licensed, Recommended, Promoted, Defended
  • 20. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 20 *Numbers are approximate How Vaccines are Licensed, Recommended, Promoted, Defended Vaccine Purchase & Promotion, $4,900,000,000 Immunization Safety Office, $20,000,000 Other, $2,380,000,000 Preparedness & Response, $1,400,000,000 HIV, $1,200,000,000 Chronic Disease, $1,000,000,000 Global Health, $500,000,000 CDC’s Budget: $11.5 Billion
  • 21. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 21 2002-2009: Former CDC Director, Julie Gerberding oversaw numerous vaccine studies, many of which were recently deemed unreliable by the IOM. 2010: Became President of Merck Vaccines with estimated $2.5 million annual salary and lucrative stock options. How Vaccines are Licensed, Recommended, Promoted, Defended
  • 22. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 22 Americans Injured by a Vaccine Must File a Claim in the VACCINE INJURY COMPENSATION PROGRAM (“VICP”) where: • All filings are submitted under seal. • They must fight against HHS (the Respondent) • They must fight against DOJ (the Respondent’s counsel) • They must fight without any discovery as-of-right • They must almost always prove causation How Vaccines are Licensed, Recommended, Promoted, Defended
  • 23. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 23 Despite extremely high hurdle to obtain compensation, VICP has paid over $3.7 billion for vaccine injuries and this is with cap of $250k for pain and suffering and death. $3,737,884,487 How Vaccines are Licensed, Recommended, Promoted, Defended
  • 24. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 24 Representative Bill Posey How Vaccines are Licensed, Recommended, Promoted, Defended Click picture to play video
  • 25. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 25 How Vaccines are Licensed, Recommended, Promoted, Defended- click to play video
  • 26. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 26 • Industry incentivized to not conduct proper safety testing • Regulatory agency incentivized to not conduct safety testing • Regulatory function subsumed to promoting, distributing and defending vaccines Conflict of Interest Summary
  • 27. 27 Intro Who is Responsible for Vaccine Safety Structural Conflicts of Interest in Vaccine Safety Post-Licensure Vaccine Safety Surveillance Simple & Immediate Solutions I. II. III. IV.
  • 28. 28 1986 Act: Vaccine Adverse Events Reporting System (VAERS) In 2016, VAERS received 59,117 reports including: “fewer than 1% of adverse events are reported” (Source: Report Funded by HHS) “Former FDA Commissioner David A. Kessler has estimated that VAERS reports currently represent only a fraction of the serious adverse events.” (Source: U.S. Congressional Report) 432 deaths, 1,091 permanent disabilities, 4,132 hospitalizations, and 10,284 emergency room visits. 43,200 109,100 413,200 1,028,400 5,911,700
  • 29. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 29 AUTOMATING VAERS
  • 30. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 30 AUTOMATING VAERS
  • 31. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 31 Year of IOM Report Vaccines Reviewed # of Conditions Studied Literature Supports Causation Literature Rejects Causation Literature Inadequate to Accept or Reject Causation 1991 DTP 22 6 4 12 Aseptic meningitis; Chronic neurologic damage; Learning disabilities and attention- deficit disorder; Hemolytic anemia; Juvenile diabetes; Guillain-Barre syndrome; Erythema multiforme; Peripheral mononeuropathy; Radiculoneuritis and other neuropathies; Thrombocytopenia; Thrombocytopenic purpura Institute of Medicine Reports on Vaccine Safety Lack of Vaccine Safety Science
  • 32. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 32 • Year of IOM Report Vaccines Reviewed # of Conditions Studied Literature Supports Causation Literature Rejects Causation Literature Inadequate to Accept or Reject Causation 1994 DT, MM, Hep-B & Hib 54 12 4 38 A partial list of the 38 conditions: Demyelinating diseases of the central nervous system, Sterility, Arthritis, Neuropathy, Residual seizure disorder, Transverse myelitis, Sensorineural deafness, Optic neuritis, Aseptic meningitis, Insulin- dependent diabetes mellitus, SIDS Institute of Medicine Reports on Vaccine Safety Lack of Vaccine Safety Science
  • 33. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 33 Year of IOM Report Vaccines Reviewed # of Conditions Studied Literature Supports Causation Literature Rejects Causation Literature Inadequate to Accept or Reject Causation 2011 Varicella, T, Hep-B, MMR 155 16 5 135 Institute of Medicine Reports on Vaccine Safety Lack of Vaccine Safety Science A partial list of the 134 conditions: Encephalitis, Encephalopathy, Infantile Spasms, Afebrile Seizures, Seizures, Cerebellar Antaxia, Anataxia, Autism, Acute Disseminated Encephalomyelitis, Transverse Myelitis, Optic Neuritis, Neuromyelitis Optica, Multiple Sclerosis, Guillain-Barre Syndrome, Chronic Inflammatory Demyelinating Polyneuropathy, Brachial Neuritis, Amyotrophic Lateral Sclerosis, Small Fiber Neuropathy, Chronic Urticaria, Erythema Nodosum, Systemic Lupus Erythematosus, Polyarteritis Nodosa, Psoriatic Arthritis, Reactive Arthritis, Rheumatoid Arthritis, Juvenile Idiopathic Arthritis, Arthralgia, Autoimmune Hepatitis, Stroke, Chronic Headache, Fibromyalgia, Sudden Infant Death Syndrome, Hearing Loss, Thrombocytopenia, Immune Thrombocytopenic Purpura
  • 34. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 34 Institute of Medicine Reports on Vaccine Safety Lack of Vaccine Safety Science 2011 IOM Report
  • 35. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 35 Childhood Vaccines Hepatitis B (1 day) Hepatitis B (1 month) DTaP (2 months) Polio (2 months) Hib (2 months) PCV (2 months) Rotavirus (2 months) DTaP (4 months) Polio (4 months) Hib (4 months) PCV (4 months) Rotavirus (4 months) DTaP (6 months) Polio (6 months) Hepatitis B (6 months) Hib (6 months) PCV (6 months) Rotavirus (6 months) Influenza (6 months) MMR (12 months) Varicella (12 months) Hib (12 months) Hepatitis A(12 months) PCV (12 months) DTaP (15 months) Hepatitis A(18 months) Influenza (18 months) Influenza (2 years) Influenza (3 years) Influenza (4 years) DTaP (4 years) MMR (4 years) IPV (4 years) Varicella (4 years) Influenza (5 years) Influenza (6 years) Influenza (7 years) Influenza (8 years) Influenza (9 years) Influenza (10 years) HPV (11 years) Men ACWY (11 years) Influenza (11 years) TDaP (11 years) HPV (11 ½ years) Influenza (12 years) Influenza (13 years) Influenza (14 years) Influenza (15 years) Men ACWY (16 years) Influenza (16 years) Influenza (17 years) Influenza (18 years) Vaccine Ingredients (Partial List) 2-phenoxethanol Complex fermentation medium Detergent 5 rdimethyl 1-beta-cyclodextrin Eagle MEM modified medium Enzymes Formaldahyde Gelatin Glutaraldehide Heminchloride Hydrolyzed galtin Lactalbumin hydrolysate Medium 199 Minimum Essential Medium Modified Mueller’s growth medium Modified Stainer-Scholte liquid medium Neomycin Neomycin Sulphate Phenol polymyxin B Polymyxin B Sulphate Polysorbate 80 Soy Peptone Stainer-Scholte medium Streptomycin Yeast Yeast Protein thimerosal
  • 36. 36 Lack of Vaccine Safety Science – click to play video Dr. Bernadine Healy, Former Head of NIH
  • 37. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 37 Lack of Vaccine Safety Science 2013 IOM Report on Safety of Entire Immunization Schedule 2008 Interview 5 years later
  • 38. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 38 • CDC’s VACCINE SAFETY DATALINK (VSD) has Health Records of Approximately 10 Million Individuals Including Hundreds of Thousands of Children • IOM in 2011 “It is possible to make this comparison [vaccinated v. unvaccinated children] through analyses of patient information contained in large databases such as VSD.” Vaccinated vs. Unvaccinated Who is the CDC trying to protect by not conducting this study? Lack of Vaccine Safety Science
  • 39. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 39 Vaccinated vs. Unvaccinated Lack of Vaccine Safety Science 10x
  • 40. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions Odds ratio of chronic diseases for vaccinated children vs. unvaccinated children 40 Vaccinated vs. Unvaccinated Study (Homeschoolers, 2017) Rhinitis 30 Allergy 3.9 ADHD 4.2 Autism 4.2 Eczema 2.9 Learning Disability 5.2 Neurodev. Disorder 3.7 600 kids
  • 41. Intro I. Who is Responsible? II. Conflicts III. Surveillance IV. Solutions 41 Double Blind Flu Study Lack of Vaccine Safety Science • Flu shot group and placebo group had same rate of influenza infection. • Flu shot group had 4.4x higher rate of non- influenza infection.
  • 42. 42 HHS’s Ethical, Moral and Statutory Duty Lack of Vaccine Safety Science Paralysis resulting in Quadriplegia – click image to play video (2 mins)
  • 43. 43 1. HHS grant open access to Vaccine Safety Datalink for independent studies. 2. Prohibit any conflict waivers for members of HHS’s vaccine committees.* 3. Require members of HHS’s vaccine committees* to contractually agree not to accept any compensation, directly or indirectly, from any vaccine manufacturer for at least five years. 4. Require vaccine safety advocates comprise at least fifty percent of HHS’s vaccine committees.* 5. Test all existing and future vaccines against a saline placebo for a duration sufficient to identify chronic illness. *HHS’s Vaccine Committees = ACIP, VRBPAC, NVAC, ACCV Transparent Surveillance Increase Safety Profile Reduce Conflict Solutions that can be implemented immediately: