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Family Forum / Parenting / Children's Health / July 2006



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vax quote of the year

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john - 14 Jul 2006 17:39 GMT
In fact, Dr. Offit's studies show that in theory, healthy infants could
safely get up to 100,000 vaccines at once.
http://www.chop.edu/consumer/jsp/division/generic.jsp

Pharmaland, or la la land
Mark Probert - 14 Jul 2006 19:49 GMT
> In fact, Dr. Offit's studies show that in theory, healthy infants could
> safely get up to 100,000 vaccines at once.
> http://www.chop.edu/consumer/jsp/division/generic.jsp
>
> Pharmaland, or la la land

La-la land, Johnny:

We’re Sorry!

We couldn't find the page you are looking for on The Children's Hospital
of Philadelphia Web site, www.chop.edu. This may have happened for one
of the following reasons:
The page has been removed from our Web site
The page has been moved to another location and has a new address
The URL (web address) that you typed in is incorrect
CWatters - 16 Jul 2006 10:00 GMT
I think he missed a bit off the URL...

http://www.chop.edu/consumer/jsp/division/generic.jsp?id=81553

"Children have an enormous capacity to respond safely to challenges to the
immune system from vaccines," says Dr. Offit. "A baby's body is bombarded
with immunologic challenges - from bacteria in food to the dust they
breathe. Compared to what they typically encounter and manage during the
day, vaccines are literally a drop in the ocean." In fact, Dr. Offit's
studies show that in theory, healthy infants could safely get up to 100,000
vaccines at once."
Mark Probert - 16 Jul 2006 15:38 GMT
> I think he missed a bit off the URL...
>
[quoted text clipped - 7 lines]
> studies show that in theory, healthy infants could safely get up to 100,000
> vaccines at once."

Thanks. John was wrong, and, of course, Offit is correct.
Bryan Heit - 17 Jul 2006 15:35 GMT
>> I think he missed a bit off the URL...
>>
[quoted text clipped - 11 lines]
>
> Thanks. John was wrong, and, of course, Offit is correct.

The quotation is misleading.  Offit's work shows that it would take
100,000 vaccinations (with different antigens) to saturate the immune
system of a child.  That doesn't necessarily mean that it is safe to
give that much at once, particuarily of the same antigen (vaccine).  The
point he was trying to make was that multiple vaccinations we give to
kids doesn't even come close to overwhelming the babies immune system,
as the number of antigens administered by these vaccinations dosen't
come close to approaching a saturating level.  It is unfortunate that
the hospital has chosen to use his research in this fashion, as it
provides ammo to the anti-vax nuts, and doesn't actually reflect what
his work showed:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra
ct&list_uids=11773551&query_hl=10&itool=pubmed_docsum


Long story short, dosage plays an important role in vaccination and it
is important to get the dosage correct.  Not enough = no response, too
much = tolerance.  Repetitive doses, too close together, occasionally
may lead to hypersensitivity responses and even death.  Best bet, follow
your doctors instructions, and make sure to stay on the recommended
vaccination schedule.

Bryan
Mark Probert - 17 Jul 2006 23:35 GMT
>>> I think he missed a bit off the URL...
>>>
[quoted text clipped - 21 lines]
> as the number of antigens administered by these vaccinations dosen't
> come close to approaching a saturating level.  

Agreed. I have mentioned this study in the past, although I could never
find it on Medline. The journalist who wrote the article said it was
10,000. This probably explains why I could not find it.

It is unfortunate that
> the hospital has chosen to use his research in this fashion, as it
> provides ammo to the anti-vax nuts, and doesn't actually reflect what
> his work showed:
>
> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra
ct&list_uids=11773551&query_hl=10&itool=pubmed_docsum
 

Agreed. Thanks for the new bookmark.

> Long story short, dosage plays an important role in vaccination and it
> is important to get the dosage correct.  Not enough = no response, too
> much = tolerance.  Repetitive doses, too close together, occasionally
> may lead to hypersensitivity responses and even death.  Best bet, follow
> your doctors instructions, and make sure to stay on the recommended
> vaccination schedule.

I have a problem with the way this, from the abstract, is worded:

"6) the fact that infants actually encounter fewer antigens in vaccines
today than they did 40 or 100 years ago".

It sounds as if there were vaccines 100 years ago. I suspect that it
means that 100 years ago an infant was exposed to far more antigens in
their environment (regardless of the source) than they are today.
Bryan Heit - 18 Jul 2006 14:41 GMT
> I have a problem with the way this, from the abstract, is worded:
>
[quoted text clipped - 4 lines]
> means that 100 years ago an infant was exposed to far more antigens in
> their environment (regardless of the source) than they are today.

I don't think this statement is all that incorrect.  50+ years ago most
vaccines were attenuated live, or killed whole organisms.  This means
that people were receiving the whole pathogen in either an inhibited or
dead state.  Even those which consisted of isolated proteins/toxins were
often contaminated with large amounts of other bacterial materials.
Today, most vaccines consist of specific pathogen proteins, rather then
the whole vaccine.  Likewise, our purification methods are much better,
and contamination is extremely rare.  As such the total number of
antigens, as well as the risk of vaccine-associated infections, is
dramatically reduced.

And there were at least three commonly used vaccines 100 years ago -
smallpox (cowpox inoculation), rabies and plague.  By 1950 there was at
least 5 more - diphtheria, pertussis, TB, tetanus and yellow fever (DPT
wasn't given as a single vaccination until much later).  Vaccines aren't
nearly as new as people often think...

Bryan
Mike McWilliams - 18 Jul 2006 19:54 GMT
> wasn't given as a single vaccination until much later).  Vaccines aren't
> nearly as new as people often think...

Exactly... Variolation arose sometime in Africa, and was used
extensively prior to a proper understanding of immunization.
Mike McWilliams - 17 Jul 2006 15:40 GMT
>> I think he missed a bit off the URL...
>>
[quoted text clipped - 11 lines]
>
> Thanks. John was wrong, and, of course, Offit is correct.

well, it all depend on how much antigen is being loaded. Whats the
typical total protein loaded in a shot? 20mg would be 2kg, which is a
lot for some babies. I imagine its in the microgram range which would
still give 2g. Not insurmountable, but I wouldnt want 2g of protein
injected at once.
Mark Probert - 17 Jul 2006 23:30 GMT
>>> I think he missed a bit off the URL...
>>>
[quoted text clipped - 16 lines]
> typical total protein loaded in a shot? 20mg would be 2kg, which is a
> lot for some babies.

It would be a lot for adults.

I imagine its in the microgram range which would
> still give 2g. Not insurmountable, but I wouldnt want 2g of protein
> injected at once.

I would think that Offitt was referring to mcg doses.
 
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