FOX Health

Swine Flu and Fear

siegel1I have been writing articles lately about the reasons for the H1N1 vaccine shortage and what to do about it. You can find these pieces in Forbes.com, Slate, and most recently as an oped in Wednesday’s NY Daily News. I believe that fear has played a major role in governing our public health response to H1N1 swine flu and the pressing need for a plentiful pandemic vaccine. I realize that it is easy to bludgeon our officials with the retrospectoscope, on the other hand, many of these nervous responses are chronic, and require significant adjustment going forward:

  • Vaccine fear mongers do significant harm. Fear of thimerosal (a mercury-containing preservative that is used to bundle doses and has been shown not to cause autism) led to too much time spent trying to produce single vaccine doses without it.
  • The CDC’s fear of overreacting to a possible pandemic, as they did in 1976 when 40 million people were vaccinated unnecessarily for a pandemic that never came, led to too much caution here, where instead a shift in vaccine production to the H1N1 vaccine could have led to many more million doses available now.
  • Fear of seasonal flu, which doesn’t peak until much later, if at all (maybe crowded out by the H1N1 pandemic strain), led to 115 million doses of seasonal flu vaccine produced, when there is no seasonal flu around.
  • Fear of new vaccines in the U.S. has led the FDA to fail to approve several new vaccines which use more up to date technologies such as mammalian cell culture instead of hen eggs, or additives known as adjuvants which make vaccines more potent so a smaller supply can be used for more inoculations. One American company, Baxter, makes a mammalian cell vaccine that will be used extensively in Europe, especially for those with egg allergies, but is not approved for use here.
  • Fear of vaccines has led to poor compliance, especially for children, the group that currently seems to be most at risk for complications of the disease.
  • Fear of admitting error has led our public health officials to delay in acknowledging the shortage or in correcting it, delay in accepting that it is H1N1 that is the predominant flu this year, not the seasonal strains.
  • Fear of the spreading flu may be useful to combat fear of the vaccine, but a better approach would be a rational discourse based on statistics and real risk.

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News medical contributor and writes a health column for the LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel’s new Ebook: Swine Flu; the New Pandemic, will be published in early October. Dr. Siegel is also the author of “False Alarm: The Truth About the Epidemic of Fear and “Bird Flu: Everything You Need to Know About the Next Pandemic.” Read more at www.doctorsiegel.com

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13 Responses to “Swine Flu and Fear”

Comment by Jeff

It is bizarre to refer to those who would decline the shot as “fear-mongers”. They are not the ones who changed the official WHO definition of “pandemic” so that this mild flu would qualify. They are not the ones who declared a national state of emergency.

Now the media aims to create a shortage by fiat, despite the fact that fewer people want this vaccine than ever before. Et tu, Fox News? How about reporting the real story, that CBS News found more than 80% of swine flu cases to be falsely reported?!

 
Comment by Amy Gaunt

Dear Fox News:

I heard you say this morning that Wallstreet companies have access to the Swine flu vaccine while pediatricians do not. I am an obstetrician and we ordered vaccines as soon as they were offered, but just received a letter from our health department that we would not be receiving any. Although my hospital now has them for it’s staff, I cannot get them for my pregnant patients. I was only able to get an appointment for a vaccine for my asthmatic child with the health department 2 weeks from now.

Thanks for reporting on this discrepency.

Sincerely,

Amy Gaunt, M.D.

 
Comment by Frances

Maybe the reason the pandemic never hit was becasue all those people were vaccinated.

 
Comment by Sylvia

I have news. Last Sunday my neighbor had a stroke. He is only 54. While his wife was waiting, she started talking to a doctor. He said, ” Be thankful your husband is only 54, we have been given ORDERS to do nothing to anyone 59 and older if they come in the hospital in the shape your hubby is in.” Obamacare has not passed and already we are disposable. Thankfully, he was saved and is doing better.

 
Comment by B. J. Stroh

Why do you and the media continue to wrongly identify this flu as swine. It is H1N1!! There is NO connection between this flu and swine. The Center For Disease Control has said repeatedly that to call this flu “swine” is terribly wrong. This erroneous tag has caused undue alarm with the public, and practically destroyed the hog industry in this country.

 
Comment by Jennifer Johnson

Sylvia, it’s good to know your husband is doing well. Obama and his death squads are already in force, there’s no need for universal health scare. First they’ll say let’s get rid of the elderly. Next in line will be chronically ill or handicapped children and adults. Does any of this have a familiar tone to it? Last time I checked this was tried over 60 years ago by a certain man who wanted to create a master race. This time it might not be trying to get a race of blond hair blue eyed people but it sounds to mean that the country’s trying to become a nation of “perfects.”

As for the vaccine phobes who would rather their kid get seriously ill than take a chance on them turning out less than perfect, I’m sick of it. I have autism, my son does, my roommate does and several members of mine and my husband’s family have it. This pseudo expert Miss Imus wants to say that autism didn’t exist until the 70’s that’s bull. Temple Grandin is autistic and she happens to be one of the world’s foremost experts in animal husbandry and is a professor at Colorado State University. Anyone who reads on her will find that autism does not have to be a barrier, and that a diagnosis of autism does not mean a lifetime of non achievement or purpose. Did it ever occur to Imus or those like her that autism’s been around longer than vaccines, we’re just better able to see and diagnose it. Einstein had autistic traits, so did many other geniuses.

 
Comment by Jennifer Johnson

As someone who has autism, I find it wonderful that so much attention has been brought to it, and more and more people are getting the services they need. But I find it almost disheartening that there’s so many quacks out there (McCarthy and her cronies) feeding lies that all vaccines are dangerous and we need to wipe them out. I pray polio and other dangerous diseases don’t come back. I for one don’t see a need for a cure for autism. That implies autism is some kind of horrible disease or a way of saying that one is doomed to a non purposeful life. There’s far too much focus on what autistic people cannot do, as opposed to what they can. I was diagnosed at age 4 back in 1981. I am a full time mom of a mildly autistic boy. I say this to anyone who cares for an autistic child or adult-I know it’s hard sometimes, but don’t give up. Especially to the newly diagnosed-think of this as your child’s own unique way of learning and seeing the world. Find their strengths, their gifts. Take them to museums show them learning programs on TV, expose them to real knowledge. They may not respond right away but don’t quit. I wonder sometimes if we as a people need to accept autism as just something that makes us different rather than trying to eradicate it as if it were the bubonic plague.

 
Comment by Glenn Goodman

Why don’t you read what’s going on in the civilized world. In Europe they are concerned with the events and facts and research that we never get. In Poland they are upset about Baxter sending their labs 158 pounds of flu vaccine material contaminated by Bird Flu. There is also a lot of concern about Novartis using squalenes. Here we just hear denials from our press – which is really just PR for the drug companies. In Canada a doctor named Andrew Mouldon has presented a convincing case that it is the vaccine sludging agents, not the thimerisol, that causes autism, and alzhiemers and more. How about a review of his work. We are justified in not trusting these companies that stand to make billions liability free.

Why don’t you do an informative article instead of fluff?

 
Comment by Julie

Doctor Marc

I have a 2 year old son that stays at home with his father do i really need to take him to get the h1m1 shot how many kids at his age has died from the h1m1 shot and how many have died that did not take the shot. i really need to know. thanks for your time.

sincerlly

julie

 
Comment by Jennifer Johnson

Glenn, I hate to disappoint you, but there’s plenty of scientific back up on genetics playing a very strong role in autism. As a matter of fact there was quite a bit of research done by British scientists on DNA’s role in autism and they found that yes it is true, that there is evidence pointing to autism being a hereditary condition. Autism in and of itself, didn’t really start to get any kind of real attention till the 90’s. When I was in school, the only people that knew anything about autism were the EC teachers or the parents/caregivers of autistic people. Nowadays it’s hard to go anywhere and not hear of people talking about how they know someone who has it. Part of being autistic is wanting to say things, but not knowing how to properly convey the message. My personal favorite quote happens to be something I read on a shirt “Autism. ” and underneath it says “Just because I do not speak does not mean I have nothing to say.” And you know, I think that everyone has a need to be accepted, quirks and all. Autistic people are no different. It can be quite lonely sometimes. I definitely think it’s what made me stand out in school as being “odd” or “different”, like being such was a bad thing. Why do we all have to be alike? I mean no two people with autism are going to behave the same way or do anything the same way. That’s why still yet, autism is a puzzle, henceforth why autism’s ribbon has puzzle pieces.

 
Comment by Jennifer Johnson

http://www.autismspeaks.org

Not fluff.

DNA link to autism. Also, not fluff.

I think I’d much rather get my kid vaccinated than let him chance on getting sick because I didn’t want him to be “different.” He is autistic and I love him and wouldn’t change him for a “normal” kid. So called “normal” kids don’t always have hugs for everybody, he does and he’s always telling those close to him that he loves them. If he sees me cry, he never fails to put his arm around me and tell me not to cry and that he loves me. He has a tender heart and gets his feelings hurt quite easily, and he loves to talk, and will at times act like he’s running on a motor. He gets hyper, distracted easily (especially at school) strong willed and doesn’t want to listen sometimes. Just not interested in “curing ” him, really I’m not.

Also, what of the kids that can’t be vaccinated, such as those with HIV, or certain forms of cancer or other conditions that prohibit them from the shots. They don’t get the luxury of choice, they have to rely on the “most people will get the shot, thus I’m covered” theory. But if enough people get scared and say no to vaccines, what will the new epidemic be? Don’t they deserve to be given a chance to not catch something that could kill them? Think like this-if your kid couldn’t get vaccines, wouldn’t you want everyone including yourself to get the vaccines and give him or her at least a fighting chance? And will the new epidemic be worth saving people from autism?

 
Comment by writermommy

I consider myself an intelligent person and I was a nervous wreck when deciding whether or not to vaccinate my preschooler against H1N1! I made my appointment two weeks ago, still not knowing for sure if I’d do it. There are fear mongerers out there making us think this vaccine is unsafe although it is made the same way as the seasonal. I was letting fear overcome me rather than the facts and was literally shaking when the nurse brought the vaccine out on her tray. I closed my eyes and said “do it.” At least I knew I was doing what I thought would best keep my daughter safe. What made me more comfortable was remembering several doctors explaining that if the H1N1 strain emerged earlier, it would’ve absolutely been put in the seasonal shot. So, with that being said, I had my daughter vaccinated and now I can breathe again!

 
Comment by jeet

Thanks for sharing this great article!, very useful indeed, keep the good work :) Thanks.
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