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           Welcome to Call to Decision 
November 27, 2008
Bottom Line's Daily Health News

In This Issue...

  • Medicine's Hushed-Up 100
  • Vaccine Layering Extra Risky -- Few Studies Say Multiple Vaccines Are Safe, While Plenty Suggest They're Not
  • Why Don't These Doctors Get Sick?
  • Mushrooms May Generate Infection-Fighting Antibiotics -- Foraging for Mushrooms May Yield Many Effective New Antibiotics

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MEDICINE'S HUSHED-UP 100

 

The shocking new findings that follow were buried by networks dependent on drug advertising!
You would never believe what researchers are up to behind the locked gates of the world's top research labs. And the fat cats who run modern medicine are determined you'll never find out. But the doctors who've made these discoveries are spilling the beans...

Vaccine Layering Extra Risky

You're planning a trip to Central Africa so you need a vaccination for Yellow Fever... your doctor has urged you to get immunized against shingles... and you still haven't gotten a flu shot this season. Getting all three at once may seem efficient -- but not so fast. Multiple simultaneous vaccinations are commonly given to people of all ages, but there's little evidence that this is safe to do -- and in fact, a growing list of research studies indicates it's actually quite dangerous. Having more than one vaccine at a time increases the risk you'll have a reaction, possibly a severe one.
There are significant safety concerns regarding multiple simultaneous vaccinations, cautions Vicky Debold, PhD, RN, volunteer director of patient safety at the National Vaccine Information Center (NVIC), a non-profit dedicated to the prevention of vaccine injuries and deaths. We talked about why this may be risky.

VACCINES: NOT JUST FOR KIDS

In addition to immunizations needed for certain types of travel, many adults assume that the vaccinations they received as children are sufficient -- but, in fact, immunity may have faded over the years. Newer and stronger vaccines are available today, and as people grow older they become more susceptible to infections such as flu and pneumonia. The CDC now urges adults age 50 and over to get an annual flu shot (younger adults as well, depending on work, health or lifestyle) ... a tetanus-diphtheria or diphtheria-tetanus-pertussis booster shot every 10 years... and vaccinations against pneumococcal pneumonia and varicella (the virus that causes chickenpox).
For the sake of convenience, it has become commonplace to administer more than one vaccine at a time, but unless a vaccine is licensed as a combination it may not have been tested for interaction with other ones -- and there are no regulations requiring evidence that administering it with another is safe. Once a vaccination is licensed by the FDA, safety issues are primarily evaluated through reporting of adverse reactions to the government's Vaccine Adverse Event Reporting System (VAERS, http://vaers.hhs.gov/) and Dr. Debold estimates at best 10% of adverse effects are reported.
Another issue: Drug company clinical trials (which is how vaccines are studied) typically test them on healthy adults. Little is known about vaccine effectiveness or safety when vaccines are given in combination... especially to older adults who may also be taking other medications or have multiple chronic illnesses, says Dr. Debold.

WHY ARE WE WORRIED?

Several studies highlight the risks of co-administration of multiple vaccines...
  • In an NVIC analysis of Gardasil (HPV or human papillomavirus vaccine) reports submitted to VAERS through May 31, 2007, investigators found that people who were vaccinated with Gardasil and the Menactra meningococcal vaccine simultaneously were at least twice as likely to experience serious adverse events, such as seizures and Guillain-Barré syndrome, a paralyzing neurological disorder that has been linked to vaccinations.

  • Joint research from the CDC and the FDA found an association with seizures when DTP (diphtheria, tetanus and pertussis) and MMR (measles, mumps and rubella) were administered on the same day or even within 14 days of one another.

  • In a study of adverse reactions to vaccines in travelers, researchers found that the rate of local (skin) reactions increased from 45% with one injection to 78% in people who had more than three.

  • In Japan, where multiple vaccination is uncommon, people who had simultaneous vaccinations reported significantly more frequent adverse events than those who had single vaccinations.
Awareness is growing and leading to more research on the problem, which is good news. But there are many nuances that must be explored as well. For instance, many vaccine clinical trials are small and conducted over a short time, sometimes only a few weeks or months -- which means not much has been studied about the relationship between vaccines and unexpected and rare events, as well as to chronic illness. Dr. Debold believes many more studies of this type are needed. 

PROTECT YOURSELF

Multiple vaccinations should be avoided if at all possible, as they may indeed magnify the likelihood of problems. And for all vaccinations, even single ones, Dr. Debold recommends...
  • Educate yourself about the risks and benefits -- Web sites such as www.cdc.gov/vaccines and www.nvic.org are a good place to start.

  • Be aware that there are scientists who believe that the immune system actually benefits from experiencing illness -- in a way that is more robust, providing complete and life-long immunity from the disease, compared with the vaccine that may provide only partial and time-limited immunity, Dr. Debold explains. Note: For vulnerable seniors, for whom the risk of complications from illness is greater than risk from vaccines, immunization may still be advisable.

  • Check on reports of reactions to a vaccine at the government's Vaccine Adverse Event Reporting System (VAERS) Web site at http://vaers.hhs.gov/. Also the National Vaccine Information Center at http://www.nvic.org/Report/report.htm, has maintained a vaccine adverse event database, which is based on VAERS data, since 1982.

  • If you have a personal or family history of reactions to vaccinations, discuss the risks and benefits of immunization with your physician before coming to a decision, and avoid having multiple vaccinations at the same time. If you have a history of seizures or neurological disorders, severe allergies or immune system disorders, likewise carefully consider which vaccines you need and weigh their risks and benefits.

  • Consider rescheduling if you are ill. Reason: You are more apt to suffer a reaction.

  • Always try to spread out vaccines by one or two months.
There's nothing to be lost and likely much to be gained by spacing vaccines out by one or two months or even longer, Dr. Debold notes -- it's a way to increase the likelihood you will stay healthy.

Source(s):

Vicky Debold, PhD, RN, volunteer director of patient safety at the National Vaccine Information Center (NVIC), a national non-profit organization dedicated to vaccine education and the prevention of vaccine injuries and deaths.

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Mushrooms May Generate Infection-Fighting Antibiotics

Antibiotic-resistant bacteria continue to be a growing menace, especially in hospitals where outbreaks can be lethal. The search for replacement drugs to combat drug-resistant bacteria is difficult and ongoing, but one avenue of research looks quite promising. Wild mushrooms appear to be a source for a substance that can generate a powerful new class of antibiotics and antivirals. Because these drugs will be new, they may prove effective against bacteria that have developed resistance to current drugs.
Biomedical researcher Michael Zasloff, MD, PhD, director of Surgical Immunology at Georgetown University Medical Center, is one of the chief researchers leading this project, being conducted with Danish biotechnology company Novozymes. He told me that the critical substance is a peptide called plectasin, which can be found in the black European mushroom. It's thought likely that the other 200,000 or so species of fungi will also have peptides with antibacterial/antimicrobial properties. Plectasin is particularly useful since it belongs to a class of molecules called defensins, which can target specific kinds of bacteria. For example, in mice studies plectasin has been found to combat s. pneumoniae bacteria that causes peritonitis and pneumonia. Antibiotics in use today are generally broad-spectrum, more like a shotgun approach that disables not only the bug causing the problem but also most good bacteria -- these defensin-based antibiotics would theoretically work to target specific bacteria, perhaps with a more selective effect.
Researchers have already figured out how to turn the plectasin molecule into an antibiotic that is effective against staph bacteria, and are now ready to undergo FDA phase-one trials. Animal studies have demonstrated that plectasin is safe and effective, so it has a good chance of performing well in clinical trials, Dr. Zasloff told me. He said that if plectasin and other defensin-based antibiotics are approved, they'll be reserved for in-hospital use against drug-resistant bacteria. This, however, is several years away, Dr. Zasloff says, cautioning that the new drugs must be then used judiciously to prevent hardy bacteria from developing resistance against them, too.

Source(s):

Michael Zasloff, MD, PhD, director, Surgical Immunology at Georgetown University Medical Center, Washington, DC.

 
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Be well,

Carole Jackson
Bottom Line's Daily Health News


Required Disclaimer: The information provided herein should not be construed as a health-care diagnosis, treatment regimen or any other prescribed health-care advice or instruction. The information is provided with the understanding that the publisher is not engaged in the practice of medicine or any other health-care profession and does not enter into a health-care practitioner/patient relationship with its readers. The publisher does not advise or recommend to its readers treatment or action with regard to matters relating to their health or well-being other than to suggest that readers consult appropriate health-care professionals in such matters. No action should be taken based solely on the content of this publication. The information and opinions provided herein are believed to be accurate and sound at the time of publication, based on the best judgment available to the authors. However, readers who rely on information in this publication to replace the advice of health-care professionals, or who fail to consult with health-care professionals, assume all risks of such conduct. The publisher is not responsible for errors or omissions.



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