28 Eylül 2012 Cuma

CDC - Blogs - Bridging the Health Literacy Gap – Health Literacy Around the World

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CDC - Blogs - Bridging the Health Literacy Gap – Health Literacy Around the World

Bridging the Health Literacy Gap

Health Literacy for Better Public Health


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Health Literacy Around the World

Categories: International Health LiteracySeptember 28th, 2012 11:01 am ET  -  Cynthia Baur On September 24, the Institute of Medicine Roundtable on Health LiteracyExternal Web Site Icon (Roundtable) convened health literacy leaders from the United Nations and a dozen countries to discuss activities and progress around the world.
There was general agreement that educational systems have not provided the majority of people with the literacy skills they need to find, read, listen to, analyze, understand and use health information and access health services. Participants also agreed that health care systems – public and private – are not prepared to address the low levels of health literacy skills in the populations they serve.
Dr. Ilona Kickbusch of Switzerland noted that the population data on health literacy skills show how poorly we have done around the globe with our health promotion programs. According to Dr. Kickbusch, if our health promotion efforts had been more successful, our populations would be better prepared to access and use health information and services. She proposes that people are empowered when they have choice, control and skills. (An audio recording of all the speakers is on the Roundtable page under the webinar link.)
Despite common problems, each country has its own approach to health literacy improvement. In Australia, health literacy work is part of the national Commission on Safety and Quality in Health Care. Canada has a long history of connecting health literacy with health promotion and the public health sector leads the health literacy work. Ireland’s health literacy activities are linked to the country’s adult literacy agency and its efforts to improve the population’s literacy skills not only in health but also in family literacy and workforce readiness.
The U.S. National Action Plan to Improve Health LiteracyExternal Web Site Icon has influenced some countries’ approaches. For example, Canada’s “inter-sectoral” approach echoes the multi-sectoral approach in the U.S. plan. Participants expressed interest in the U.S. Action Plan as an example of a comprehensive framework for health literacy work.
If you attended the meeting (in person or by webinar), which developments were most interesting to you? If your country wasn’t represented at the meeting, what health literacy activities are happening where you live?

CDC - Blogs - Bridging the Health Literacy Gap – Plain Language is Essential in Public Health Emergencies

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CDC - Blogs - Bridging the Health Literacy Gap – Plain Language is Essential in Public Health Emergencies

Plain Language is Essential in Public Health Emergencies

Categories: Plain languageSeptember 21st, 2012 5:01 pm ET  -  Cynthia Baur This week, Dagny Olivares from CDC’s Emergency Communication team blogs about plain language and public health emergencies.
September is National Preparedness Month. Across the country, it’s a time to take stock of how prepared we are to withstand and respond to emergency situations that affect us, our families, and our communities. At CDC, we make sure that we are prepared to protect the nation’s health from whatever threatens it, be that natural disaster, disease outbreak, or emerging hazard. To do that, we are working to ensure that plain language is a part of our emergency communication planning. Steps we are taking include
  • Training staff to understand and use the principles of plain language when developing and reviewing emergency communication  materials;
  • Prioritizing plain language along with such message characteristics as accuracy, timeliness, and consistency; and 
  • Working with subject matter experts to review our existing emergency materials so that we can make them more understandable and accessible.
The updated  CDC 2012 edition of the Crisis and Emergency Risk Communication (CERC) manual states, “Technical language and jargon are barriers to successful communication with the public. In low-trust, high-concern situations, empathy and caring carry more weight than numbers and technical facts.” Public health professionals must make plain language a core tenet of their emergency and risk communication strategies because people need to be able to understand and act upon health information quickly in times of stress and uncertainty.
What are you doing in your organizations to make plain language a part of your preparedness planning? What challenges are you facing in undertaking that mission? We’d love to hear about your experiences, tips, and lessons learned.

Natural Rubber Latex Allergy in Spina Bifida - Spina Bifida Association

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Natural Rubber Latex Allergy in Spina Bifida - Spina Bifida Association

MedlinePlus

Latex Allergy Update

New on the MedlinePlus Latex Allergy page:

Natural Rubber Latex Allergy in Spina Bifida09/20/2012 08:00 PM EDT
Source: Spina Bifida Association of America

Natural Rubber Latex Allergy in Spina Bifida


Natural Rubber Latex Allergy in Spina Bifida
People with Spina Bifida are at high risk for latex allergy
What is Natural Rubber Latex?
Natural rubber latex (NRL) is a milky substance tapped from the Hevea Brasiliensis (a tropical rubber tree). It can be heated and molded into hard rubber products like tires; or it can be dipped to make softer products like balloons or medical examination gloves.
What is latex allergy?
Latex allergy means that a person is allergic to proteins in the natural rubber latex. Although anyone can develop a latex allergy, it is thought to be caused by significant long term exposure to latex proteins that are released during processing of the rubber. The amount of latex exposure needed to produce sensitization or an allergic reaction is unknown, but softer rubber products that have been processed longer (like gloves and balloons) are seen as more allergenic; and frequent exposure to latex products increases the risk of developing a sensitivity.
People who have Spina Bifida and catheterize; or have several surgeries from very early in life, such as bladder surgery or shunt revisions, are at very high risk for allergy because of a “cumulative” effect over time. Symptoms of latex sensitivity can be minor, but without warning, may become life threatening. Many people are unaware that they are sensitized to latex because the symptoms can be vague and non-specific. Those people are at risk for a serious reaction.
What are the symptoms of latex allergy?
Itching
Skin redness, hives or rash
Sneezing
Runny nose
Itchy, watery eyes
Scratchy throat
Cough
Wheezing

The most serious allergic reaction to latex is anaphylaxis, a type of shock. An anaphylactic response to latex is a medical emergency.
Signs and symptoms include:
Difficulty breathing caused by swelling of lips tongue or windpipe
Severe wheezing
Severe drop in blood pressure (hypotension)
Dizziness
Loss of consciousness
Confusion
Slurred speech
Rapid or weak pulse
Blue hue of the skin, including lips and nail beds
Diarrhea
Nausea and vomiting
Latex items
Because of its low cost, durability and versatility, natural latex has been widely used in the United States for over a century; and is used in the production of many common items. Although most medical products are labeled, household or recreational items which contain latex may not be labeled. For that reason, the Latex Allergy Association and the Spina Bifida Association work diligently to keep a current list of products that contain latex; and their “safe” (non-latex) alternatives.
What are cross reactions to latex allergy?
People allergic to latex may also be allergic to the proteins in some fruits and vegetables. Some of them include: banana, avocado, chestnut, kiwi, apple, carrot, celery, papaya, potato, tomato, melon, and avocado. Due to nutritional risks, people should not avoid eating these foods unless they have had a reaction to them and are advised by a dietary or medical professional to avoid them.
What steps should I take to prevent developing latex allergy?
The best way to prevent developing latex allergy is to avoid contact with latex or latex-contaminated powder. Contact occurs through contact with skin, inhaling latex spores, or internally through medical procedures or surgery, when latex touches the skin, mouth, eyes, genital areas or bladder. Severe reactions can occur if latex enters the bloodstream. Powder from latex balloons or gloves gets into the air. Therefore, people with Spina Bifida are at high risk for latex allergy and should avoid exposure to natural latex products from birth. Products made of silicone, plastic, nitrile or vinyl can be used instead.
Those who have had a serious reaction to latex should:
  • Wear a medic-alert bracelet or necklace
  • Carry auto-injectable epinephrine; and
  • Carry sterile non-latex gloves and other non-latex medical items for emergencies.
Discuss latex allergy and avoidance with health care providers, schools, day care, camps, visitors and anyone else who is involved with the person who has Spina Bifida.
This information does not constitute medical advice for any individual. As specific cases may vary from the general information presented here, SBA advises readers to consult a qualified medical or other professional on an individual basis.
Additional resources
www.aaaai.org
www.asbah.org
www.latexallergyresources.org
www.latexallergylinks.org
www.osha.gov/SLTC/latexallergy

Download the Natural Rubber Latex Allergy Health Info Sheet here

Secretary’s Minority AIDS Initiative Fund Supports $14.2 Million in Awards to 8 States to Improve HIV Testing and Engagement in Care | blog.aids.gov

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Secretary’s Minority AIDS Initiative Fund Supports $14.2 Million in Awards to 8 States to Improve HIV Testing and Engagement in Care | blog.aids.gov

Secretary’s Minority AIDS Initiative Fund Supports $14.2 Million in Awards to 8 States to Improve HIV Testing and Engagement in Care

Leave a commentHIV Policy & ProgramsSeptember 28, 2012
By Ronald Valdiserri, M.D., M.P.H., Deputy Assistant Secretary for Health, Infectious Diseases, and Director, Office of HIV/AIDS and Infectious Disease Policy, U.S. Department of Health and Human ServicesRonald ValdiserriDr. Ronald ValdiserriThis week, our partners at CDC announced that eight state health departments have been awarded a total of $14.2 million in first-year funding under a new, innovative, three-year cross-HHS demonstration project aligned with the National HIV/AIDS Strategy (NHAS). The eight states – Georgia, Illinois, Louisiana, Mississippi, Missouri, North Carolina, Tennessee, and Virginia – have a high burden of HIV among African-Americans and Latinos and the demonstration project is designed to reduce HIV-related morbidity, mortality, and related health disparities among racial and ethnic minorities by addressing social, economic, clinical and structural factors influencing HIV health outcomes.
“This new program funding represents a carefully planned movement that specifically joins together HIV prevention and treatment into a holistic statewide continuum of service. That is what people with HIV need and it is what we intend to deliver,” observed Dr. Jonathan Mermin, Director of CDC’s Division of HIV/AIDS Prevention
The Care and Prevention in the United States (CAPUS) Demonstration Project was open to 18 state/territorial health departments in the United States with disproportionately high burdens of HIV/AIDS among minority communities. Specifically, the eligible jurisdictions had more than 5,000 HIV cases among African Americans and Latinos and an AIDS diagnosis rate of over 6 per 100,000, which focuses this initiative on disproportionately affected geographic areas.
The primary goals of the project are three-fold:
  1. Increase the proportion of racial/ethnic minorities with HIV who have diagnosed infection by expanding and improving HIV testing capacity
  2. Optimize linkage to, retention in, and re-engagement with care and prevention services for newly diagnosed and previously diagnosed racial/ethnic minorities with HIV
  3. Address social, economic, clinical, and structural factors influencing HIV health outcomes
The demonstration project is funded by the Secretary’s Minority AIDS Initiative Fund (SMAIF), which is administered by my office, the Office of HIV/AIDS and Infectious Disease Policy (OHAIDP). (Read my earlier blog post about how the rest of the Fiscal Year 2012 SMAIF was allocated.) In keeping with the spirit and goals of the NHAS, and in recognition of the complex, interrelated, and multi-sectorial nature of the demonstration project’s goals, a multi-agency federal partnership will provide leadership for the activities. CDC serves as the lead agency, with participation from OHAIDP, Office of Minority Health, Office on Women’s Health, HRSA’s HIV/AIDS Bureau and Bureau of Primary Health Care, and the Substance Abuse and Mental Health Services Administration.
By concentrating these resources in communities that bear a disproportionate burden, providing assistance from multiple HHS agencies and offices, and requiring the grantees to use a minimum of 25% of the total award to fund community-based organizations serving racial/ethnic minority populations, we expect that the CAPUS project will contribute significantly to NHAS goals over the next three years.
Over the coming year, we’ll share occasional updates and highlights from the CAPUS demonstration project. In the meantime, what interventions would you suggest that could improve HIV testing or engagement/retention in care among racial/ethnic minorities? Share your suggestions in the Comments section below.

Whooping Cough, Make sure you're vaccinated!

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Eight children in Hunterdon have recently been diagnosed with whooping cough — including those whose families declined to have them vaccinated or failed to get all of their necessary shots, state and county health officials said today.
An Ocean County health department spokeswoman also confirmed two infants who developed symptoms in December have been diagnosed with the highly contagious bacterial respiratory infection.
The infected children in Hunterdon County range in age from 4 to 15, and are all getting treated at home, said Carl Rachel, spokesman for the Hunterdon County Division of Public Health.
Whooping cough mimics the symptoms of a cold but then develops into "uncontrolled coughing spells," according to the county website. Nationally, the illness annually kills 10 to 20 people who are typically less than a year old, the website said.
New Jersey requires children enrolled in preschool or day care public to be vaccinated against whooping cough, also known as pertussis. But state law allows parents to cite religion and medical conditions as a reason to seek an exemption.
Most people can avoid contracting the infection — spread by coughing and sneezing — with a series of four shots beginning when a child is two months old. Public health professionals recommend people ages 10 to 64 get booster shots.
Of the eight children sickened in Hunterdon County, "several were immunized; of those immunized cases, some did not have the complete series of pertussis vaccines appropriate for their age," said state health department spokeswoman Donna Leusner.
"Vaccines in general are not 100 percent effective in preventing infections, but vaccinations still can lessen the degree of illness, even if a child is not fully immunized," she said.
Rose Puelle of the Hunterdon County Division of Public Health Preparedness, confirmed some of the sick children "were vaccinated in the past, and some not for personal or medical reasons."
"Most people who complete a vaccine series including the recommended boosters have the maximum protection available to prevent illness," Puelle said. "It affords everyone in the community, including those most susceptible such as infants and immuno-compromised, the best chance of avoiding the serious consequences of disease."
In Ocean County, neither of the infected infants was vaccinated against whooping cough, county health department spokeswoman Leslie Terjesen. Both babies required hospital care, although one has since been discharged, she said.
A vocal minority of parents oppose mandatory vaccines. Sue Collins, co-founder of the New Jersey Alliance for Informed Choice in Vaccination, said vaccines are not guarantees against disease. "I know that Hunterdon had several cases a few years ago and those were in vaccinated children," she wrote in an e-mail. "From what I understand now, the strain of pertussis seems to be circulating in some communities and other states does not match the strain in the vaccines."
Since January 2011, 51 confirmed cases of whooping cough in New Jersey have been reported to the state health department. In 2009, health officials confirmed 39 cases of whooping cough in Hunterdon County.
The outbreak in Hunterdon began in the fall, according to the state.

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27 Eylül 2012 Perşembe

Amy Wallace & Yellow Journalism

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by Barbara Loe Fisher On October 17, 2009 I was at the Atlanta airport on my way back to Washington, D.C. when I stopped at a newsstand. Like most weary travelers waiting for a plane, I was looking for something to read that would give me a break from my work, which included, two weeks earlier, hosting the large Fourth International Public Conference on Vaccination 1 for an audience of 700 concerned scientists, health care professionals, journalists, legal experts, ethicists and parents from around the world.

Suddenly, my eye caught the distorted, photo-shopped image of a baby with the word FEAR in bold letters imprinted on the baby’s chest. I paged through Wired magazine2 to find out who wrote the article and discovered it was a woman named Amy Wallace, one of the many journalists I had talked with in 2009, who had contacted the National Vaccine Information Center3, a non-profit, educational organization I co-founded in with parents of vaccine injured children in 1982.

As I scanned the article to find out why it was entitled “An Epidemic of Fear: One Man’s Battle Against the Anti-Vaccine Movement,” I quickly realized it was a puff piece for vaccine patent holder, Dr. Paul Offit, who alleges that vaccine injuries and deaths are largely a myth. Then, I saw my name. And then, I saw the words, “She lies.”

I felt a knot in the pit of my stomach as I read the unsubstantiated, unchallenged slur made by Offit against me. And in those two words “SHE LIES,” I knew that the propaganda tactic of character assassination was being used to attack the credibility of my nearly 30 years4 of work as a vaccine safety consumer advocate.

Now, I have never met Amy Wallace. We have never shaken hands or shared so much as a cup of coffee together. We had one interview on the telephone in 2009. In a sworn statement5 she stated that she did not use any quotes from our telephone interview in her Wired article. No, she didn’t.

She also did not tell Wired readers what I told her, which is that I have always encouraged everyone to become educated6 about the risks of diseases and risks of vaccines and consult one or more trusted health care professionals before making an informed decision - just like every intelligent person should do before using any pharmaceutical product. Instead, Ms. Wallace said she based her description of me on a speech I gave at a conference, a speech that she did not attend.

Nobody at Wired magazine called me while they were presumably fact checking Wallace’s article to ask me point blank, “Dr. Offit said that you lie. Do you have a response?” Wouldn’t a responsible journalist or editor have made some attempt to verify such a serious attack on another person’s character? No, Dr. Offit’s defamatory statement remained in the article, unchallenged.

I was left with two options: 1) I could ignore it; or (2) I could take action to defend my integrity. After consulting Jonathan Emord7, a constitutional and libel law attorney, I selected option number two. I sought justice in a civil court, which is my constitutional privilege as an American citizen and my responsibility as the president of a non-profit organization, whose supporters depend upon the accuracy, honesty and integrity of what I say and do, as does everyone I know.

Requesting a jury trial in a U.S. civil court to sue for slander or libel is not for the faint of heart. You have to review and be prepared to defend the truthfulness of every statement you have ever made and every action you have ever taken in your life. You, your family, friends and colleagues could be subpoenaed and drawn into a potentially very public, drawn-out battle, especially if those you are suing are wealthy, influential and politically connected.

I had never sued anyone before and I certainly never thought I would find it necessary to sue a journalist. The majority of journalists I have worked with over the years have been honest men and women, who have taken care to do their research and fairly report the facts without prejudice, including accurately describing who I am and what I do.

This was different. I had never been defamed before and I knew I had no choice but to take steps to defend my integrity. I was confident that, if my case was presented to a jury of my peers, I would win. I had no doubt I would win on the facts because I do not lie and there was no evidence that could be produced to substantiate the defamatory statement made by Offit, amplified by Wallace, and printed by Wired magazine published by Conde Nast.

After Mr. Emord filed a Complaint with Demand for a Jury Trial8 on Dec. 23, 2009 in a Virginia U.S. District Court asking for one million dollars in damages, we waited for a response from the defendants. When I read the Motion to Dismiss brief filed on Jan. 22, 20109 by the defendants attorneys, I could not believe what I was reading. That CYA brief is better reading material than anything I can write or say here.

Instead of providing one piece of solid evidence to support Offit’s defamatory statement, Wallace claimed I could not sue her because she is a resident of California. And Offit, who has no trouble keeping a straight face when he states flatly that it is absolutely safe for a child to get 10,000 vaccines at once and 100,000 vaccines in a lifetime, claimed he was simply having an emotional meltdown when he hysterically told Wallace “flatly” that I lie. And to draw attention away from the seriousness of engaging in libel per se, the defendants’ attorneys argued that “the quoted remark ‘she lies’ is not capable of being proven true or false” because the civil court system cannot prove whether vaccines do or do not cause harm.

In my Opposition to Motion to Dismiss brief filed on Feb. 3, 201010, Jonathan Emord and his associates brilliantly outlined why it is inconceivable that the self characterized “dispassionate, objective” Dr. Offit described by Wallace in her article as a “mild mannered” rational man of “science,” suddenly would have lost his mind when maliciously calling me a liar. Mr. Emord points out that it is far more logical to conclude that Dr. Offit knew exactly what he was doing.

Mr. Emord also makes a compelling argument that Ms. Wallace knew exactly what she was doing when she wrote an article “void of balanced criticism” that set me up for ridicule as a person “unworthy of any professional association.” Mr. Emord rightly stated that the libel lawsuit we filed was not about “the intellectual debate surrounding vaccination,” it was about proving before a jury of my peers that Offit and Wallace defamed me in order to discredit my long, successful public record of consumer advocacy to defend the informed consent ethic in medicine11.

On February 12, 2010, the case was argued in front of Judge Claude Hilton, a Ronald Reagan federal court appointee. On March 10, 2010, a Memorandum Opinion12 was issued by Judge Hilton granting the defendants’ Motion to Dismiss.

In his opinion, Judge Hilton explained why he would not allow me to face my accusers in a court of law in front of a jury of my peers. First, Hilton said that protection of First Amendment free speech rights are “at their zenith” in this case because Paul Offit and I are public figures debating an issue of “substantial public concern.” Second, he said there would have to be a discussion about “which side of this debate has ‘truth’ on their side” and that would be impossible to prove based upon a “core of objective evidence.”

Third, Hilton offered the opinion that Offit’s allegation “cannot be reasonably understood to suggest” that I am “a person lacking honesty and integrity” and that Wallace and Wired magazine were only reporting Offit’s “personal opinion” about my “views” and none of the defendants intended to make a “literal assertion of fact” that I lie.

In other words, they really didn’t mean it.

Seriously. That was the substance of their main defense – they really didn’t mean it – and Hilton bought it. However, if all three defendants really didn’t mean it, as they claim in their legal brief, then, ethically, all three defendants should have stated so publicly in a clarification published in Wired magazine to correct the public record. That has not happened.

I weighed the option of taking the case to the federal Court of Appeals, where a three-judge panel would have reviewed Hilton’s opinion and had the opportunity to overturn it, as has happened in the past. However, if Hilton’s opinion were overturned on appeal, my case would have gone back to Hilton’s court for a jury trial and he would have been the presiding judge with an obvious bias.

So I did not appeal and moved on. However, Ms. Wallace continues to paint herself as the innocent victim of an uprovoked libel lawsuit, even as she becomes the shameful face of yellow journalism13, a nasty, lowbrow kind of tabloid reporting that “exploits, distorts or exaggerates” to create “sensation and attract readers.”

In an August 30, 2010 article14 published on the Internet, Wallace addressed fellow journalists about the difficulties of being sued for libel and complained about being called bad names by grieving parents of vaccine injured children, whom she had cruelly demonized in her article. Casting herself as a martyr with Offit for the cause, she said “The beast doesn’t tire, it seems, of taking whacks at those who dare to describe it” and suggested that she had been vindicated by Hilton’s opinion and the inclusion of her Wired article in an upcoming book on Best American Science Writing edited by a doctor with financial ties to the pharmaceutical industry, including vaccine manufacturers.

Sadly, Wallace is looking into a mirror when she describes the “beast.” She, Offit and Wired magazine have feasted on the shattered lives of vaccine injured children and their parents to sell magazines. They have taken delight in belittling vaccine victims and those who are trying to help them, while defending bad science and one-size-fits-all vaccine policies that create more vaccine damaged children every day. Amy Wallace, who wrote an article full of factual errors and silly quotes from a doctor hyping vaccine mandates like a used car salesman, is a classic example of the bully who can dish it out but sure can’t take it.

During the 1980’s, 1990’s and early 2000’s, I worked with award winning,15,16 truly professional print and broadcast journalists,17,18,19,20,21 who were committed to maintaining high journalistic standards and intelligently covering all sides of the multi-faceted vaccine safety issue. They did not sensationalize and dumb down the conversation to a black and white, “pro” and “anti” slugfest that is the hallmark of tabloid journalism.

There are fewer smart, responsible investigative journalists writing about the science, policy, law, ethics and politics of vaccination in America today. Perhaps that is because, today, health journalists are being warned by those in positions of authority to only report one side of the vaccine safety story.22

Do I regret my libel lawsuit, even though I didn’t get my day in court in front of a jury of my peers to prove who is lying and who is not? Not at all.

I know I did the right thing when I stood up to these schoolyard bullies, who are desperately trying to shut down all public discussion about vaccine risks, a subject that public opinion polls reveal concerns more than 50 percent of Americans today.23 Perhaps that is because, today, nearly everybody knows somebody who was healthy, got vaccinated, and then became sick or disabled for the rest of their life.

Doctors, journalists and judges in denial cannot change that harsh reality. It is a reality that the American people are not going to tolerate for much longer before they rise up, break free, and take back their health and their choices.

REFERENCES

1 NVIC.org. Fourth International Public Conference on Vaccination: Show Us the Science & Give Us the Choice. Oct 2-4, 2009. 2 Wallace A. An Epidemic of Fear: One Man’s Battle Against the Anti-Vaccine Movement. Wired. November 2009. 3 NVIC.org. 4 NVIC.org. Biography, Barbara Loe Fisher. 5 Wallace A. Declaration of Amy Wallace, January 22, 2010 in the U.S. District Court Eastern District of Virginia, Alexandria Motion to Dismiss by Amy Wallace and Conde Nast Publications, Inc. 6 NVIC.org. About Us. 7 Emord, Jonathan. Biography. 8 Barbara Loe Arthur (aka Barbara Loe Fisher), Plaintiff, v. Paul A. Offit, M.D., Amy Wallace, Conde Nast Publications, Inc., Defendants. Civil Action No. 01:09-cv-1398. U.S. District Court for the Eastern District of Virginia. Complaint with Demand for Jury Trial filed Dec. 23, 2009 on behalf of plaintiff by Jonathan W. Emord with Andrea G. Ferrenz, Peter A. Arhangelsky, Christopher K. Niederhauser of Emord & Associates, Counsel for Plaintiff. 9 Barbara Loe Arthur, Plaintiff, v. Paul A. Offit, M.D., et al., Defendants. Civil Action No. 01:09-cv-1398. U.S. District Court for the Eastern District of Virginia. Motion to Dismiss filed Jan. 22, 2010 on behalf of defendants by John B. O’Keefe, Michael D. Sullivan, Seth D. Berlin of Levine, Sullivan, Koch & Schulz, Counsel for Amy Wallace and Conde Nast Publications, Inc. and John D. McGavin, Heather K. Bardot of Trichilo, Bancroft, McGavin, Horvath & Judkins, Counsel for Paul A. Offit. 10 Barbara Loe Arthur (aka Barbara Loe Fisher), Plaintiff v. Paul A. Offit, M.D. et al, Defendants. Civil Action No. 01:09-cv-1398. U.S. District Court for the Eastern District of Virginia. Plaintiff’s Opposition to Motion to Dismiss filed Feb. 3, 2010 on behalf of plaintiff by Jonathan W. Emord with Andrea G. Ferrenz, Peter A. Arhangelsky, Christopher K. Niederhauser of Emord & Associates, Counsel for Plaintiff. 11 Fisher, BL. The Moral Right to Conscientious, Personal or Philosophical Belief Exemption to Mandatory Vaccination Laws. National Vaccine Advisory Committee, May 2, 1997. 12 Barbara Loe Arthur, Plaintiff, v. Paul A. Offit, M.D. et al, Defendants. Civil Action No. 01:09-cv-1398. U.S. District Court for the Eastern District of Virginia. Memorandum Opinionfiled March 20, 2010 by Claude M. Hilton, U.S. District Judge. 13 The Free Dictionary. Definition of “yellow journalism” from the American Heritage Dictionary of the English Language (2000). Also see the history of yellow journalism. 14 Wallace A. Covering Vaccines: Science, policy and politics in the minefield. Reporting on Health. Annenberg School of Communication, University of Southern California. Aug. 30, 2010. 15 Lea Thompson, Investigative journalist and producer of the Emmy award winning April 1982 NBC-TV documentary DPT: Vaccine Roulette plus news coverage of the National Childhood Vaccine Injury Act of 1986 and licensing of DTaP vaccine in 1996. 16 John Hanchette. Investigative journalist and co-author of The Vaccine Machine, a series of investigative Gannett news reports in 1985 on vaccine risks, gaps in science and operational flaws in the mass vaccination program. And a follow-up Gannett investigative series Vaccine Nation in 1999. 17 NBC News “Now Show.” Investigative report on DPT vaccine risks, “hot lots” and VAERS. Melissa Cornick, Fred Francis, Producers. Katie Courac, Correspondent. Mar. 2 and Aug. 31, 1994. Video Part 1: Video Part 2: 18 Rock A. The Lethal Dangers of the Billion Dollar Vaccine Business. Money Magazine. Dec. 1, 1996. 19 ABC News. 20/20: Who’s Calling the Shots? Jan. 22, 1999. Sylvia Chase, producer. 20 Bookchin D, Schumacher J. The Virus and the Vaccine. Atlantic Monthly. February 2000. The Virus and the Vaccine: The True Story of a Cancer-Causing Monkey Virus, Contaminated Polio Vaccine, and the Millions of Americans Exposed. St. Martin’sPress. 2004. 21 Williams V., Schucker M. Prevnar: A Vaccine Investigation. WFAA-TV (ABC-Dallas). Broadcast Feb. 21-22, 2001. Recipient of 2001 award from Investigative Reporters & Editors. 22 U.S. Department of Health and Human Services Secretary Kathleen Sibelius quoted in an interview: H1N1: The Report Card. Readers Digest. March 2010. 23 Shute N. Parents’ Vaccine Safety Fears Mean Big Trouble for Children’s Health. U.S. News & World Report. March 1, 2010.

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Forcing Flu Shots on Health Care Workers: Who Is Next?

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By Barbara Loe Fisher

Doctors at Children’s Hospital of Philadelphia are ordering all employees to get a flu shot every year or be sent home for two weeks without pay to “think about it.” Anyone, who still refuses to get a flu shot after that, is fired.1

60 percent of all U.S. health care professionals don’t want to get an annual flu shot,2 which matches the number of Americans, who choose not to get a flu shot, even in pandemic years.3, 4 Surveys reveal that health care providers know that influenza vaccine can cause nasty, unexpected side effects for some people, like paralysis5 and convulsions.6

Not Just Doctors & Nurses: Everyone

But that has not stopped medical organizations from launching a national crusade to force everyone employed in a “healthcare setting” to get a flu shot every year, whether they have direct contact with patients or not.7, 8 That’s right. Not just doctors and nurses, but every single person who has anything to do with the health care facility, including students, volunteers, and contract workers. An exception could be made if the doctors in charge approve a “medical exemption” to vaccination, which, today, is about as hard to get as a job.

It is not a pretty sight to watch doctors acting more like thugs than healers. When doctors threaten people with financial ruin for refusing to shut up and salute smartly, there is something wrong.

Trust is replaced with fear and anger. People start asking questions. Questions like: Who will be threatened and punished next for refusing a flu shot?

The answer is YOU, me, and every American. We are next in line because when doctors trade in their white coats for military uniforms, going after their own is just the first step on the road to going after the rest of us. If this latest power grab is allowed to set precedent in America, the only question in the future will be: how many vaccines will we be forced to take or lose our jobs, our health insurance, our right to enter a hospital, or receive medical care, or get on a plane, or check into a hotel if we can’t prove we have gotten vaccinated?

1905 U.S. Supreme Court Sets Up Vaccine Pushing & Profit-Making

Vaccine mandates are nothing new in America. After smallpox outbreaks disfigured or killed up to one third of those infected during the 17th and 18th centuries, in 1905 the U.S. Supreme Court gave permission to states to pass laws requiring smallpox vaccination.9 Since then, that precedent setting Supreme Court case, Jacobsen v Massachusetts, has become a kind of holy scripture for public health officials, who have used it to persuade state legislators to pass a whole slew of new vaccine laws barring children from going to school unless they prove they have been injected with dozens of doses of vaccines for infectious diseases that do not come close to being as deadly or contagious as smallpox.10

So, even though the 1905 Supreme Court legal opinion was about Americans getting one or two smallpox vaccinations, since then it has been used by doctors to wage an evangelistic crusade to smack down all microorganisms associated with infectious disease by calling on 300 million Americans to be injected with multiple vaccines from day of birth to year of death.11, 12 This, of course, has created a lucrative boondoggle for pharmaceutical corporations seeking a guaranteed, liability-free market for every new vaccine licensed and sold in America, the third largest nation in the world, which helps these companies finance and develop huge global markets as well.13 , 14 In 2009 alone, multi-national corporations took home profits of $2.8 billion dollars in influenza vaccine sales.15

What most people don’t realize is that those long dead US Supreme Court judges used a pseudo ethic, utilitarianism, to justify their legal opinion that vaccination should be forced in America. Utilitarianism, which argues that an action is moral if it results in the “greatest good for the greatest number of people,” was quite popular at the turn of the 20th century.16

The cruel reality of what can happen to individuals when utilitarianism is used to prop up public health policy was brought home in 1927, when US Supreme Court Justice Oliver Wendall Holmes used the Jacobsen vs. Massachusetts decision to facilitate the forced sterilization of a young woman.17 At the age of seven months, Carrie Buck was judged to be mentally retarded like her mother. So Holmes gave the green light to the state of Virginia to employ a eugenics solution advocated by medical doctors and scientists and sterilize Carrie for the greater good of society.18

Justice Holmes said flatly and prophetically, “The principle that sustains compulsory vaccination is broad enough to cover cutting the fallopian tubes.”

It is no surprise that Hitler and the Nazis were big fans of Oliver Wendall Holmes.19 By the way, it turned out that Carrie was not mentally retarded after all.

Crimes Against Humanity & The Informed Consent Ethic

Utilitarianism, like eugenics, was discredited during the Doctor’s Trial at Nuremberg after World War II when medical doctors and scientists, who were charged with crimes against humanity, used the utilitarian rationale to justify medical experiments on captive human subjects.20The Doctor’s Trial in 1946 gave birth to the Nuremberg Code and the ethical principle of informed consent, which has been the guiding principle in the ethical practice of modern medicine since then.21 Respect for the informed consent principle protects ordinary people from exploitation by wealthy and powerful individuals, corporations and institutions in society, who are in charge of defining “the greater good” and can easily invoke that utilitarian argument to commit civil and human rights abuses.

Take Doctors & Scientists Off the Pedestal

Now, we come full circle to 2010, as we witness doctors in positions of authority threatening people with loss of employment and financial ruin if they refuse to get injected every year with influenza vaccine, a vaccine that carries two risks: the risk of injury or death and the risk of not working at all.

Why are we letting fellow citizens with M.D. or Ph.D. written after their names to tell us what kinds of risks to take with our lives or the lives of our children? Why do we continue to put doctors and scientists on a pedestal in America and fail to put boundaries on the power they too often wield with callous disregard for the informed consent ethic, civil liberties and individual human life?

Influenza Vaccine: You Have the Right to Weigh the Benefits & Risks

Whether or not you are a health care provider, the decision about whether or not to get a flu shot every year is a personal health choice that should be yours to make after you become informed and weigh the benefits and risks. Educated health care professionals and consumers alike are perfectly capable of analyzing the facts about influenza and influenza vaccine, including the fact that:

  1. 80 percent of all flu-like illness reported during the “flu season” is NOT caused by influenza but by other viruses and bacteria;22
  2. Only 5 to 20 percent of Americans get type A or type B influenza in an average year and the majority recover without any complications and are left with immunity to the strains they were infected with, which contributes to natural herd immunity in our population;23, 24
  3. Like most infectious diseases, influenza can be prevented or reduced in home and health care settings with hand washing, masking and separating sick and healthy persons;25, 26
  4. Influenza viruses are constantly evolving so, depending upon the year, the flu shot may or may not contain the influenza strains associated with most reported influenza cases;27
  5. The majority of published influenza studies are so poorly designed, they have not demonstrated that influenza vaccine is effective or safe;28, 29
  6. Influenza vaccines containing the pandemic H1N1 “swine flu” strain have generated increased reports of paralysis, blood disorders and convulsions;30, 31
  7. There are no clinical studies to evaluate the long term positive or negative health effects on human populations of being injected with influenza vaccine every year throughout life; and
  8. Nobody knows whether mass use of influenza vaccine from the cradle to the grave by all Americans will put pressure on influenza strains to become more virulent like has happened with other microorganisms and universally used vaccines.32, 33

Intimidation & Retaliation to Force Vaccination Is Unethical

It is unscientific, irresponsible and a gross waste of health care dollars, especially in these hard economic times, for doctors and scientists in positions of authority to conduct an uncontrolled national medical experiment on the American people by threatening societal sanctions for those who refuse to get a flu shot every year. Firing health care workers, already hit by unemployment, for simply exercising their human right to informed consent to medical risk taking, is unnecessary and unethical.

The National Vaccine Information Center, which has defended the informed consent ethic in medicine since 1982, joins with other responsible organizations and enlightened individuals, who oppose use of intimidation and retaliation to force all health care professionals to use influenza vaccine.34, 35 NVIC continues to call for informed consent protections in all vaccine policies and laws in America, including liberal medical, religious and conscientious belief exemptions to vaccination.

Absolute Power Corrupts Absolutely

A British historian, who died three years before the 1905 US Supreme Court justices issued their flawed legal opinion about mandatory vaccination, got it right when he said, “Power corrupts [and] absolute power corrupts absolutely.” 36 History has shown that medical doctors and scientists do not know how to wield power without leaving a trail human suffering behind them.

It is time for Americans to stand up and draw a line in the sand for doctors, who fail to appreciate the difference between offering a medical opinion and giving an order that punishes people for disagreeing with that opinion.

Learn More & Stand Up For Your Informed Consent Rights

Go to www.NVIC.org for more information on diseases and vaccines. Sign up for our Vaccine E-newsletter and watch for the announcement of NVIC’s Vaccine Advocacy Portal that will give you the tools you need to stand up in your state and protect your human right to informed consent to vaccination.

Remember, it’s your health, your family and your choice.


REFERENCES


1 Offit, P. 2010. Mandating Influenza Vaccine: One Hospital’s Experience. Medscape.

2 King WD. Woolhandler SJ et al. 2006. Influenza Vaccination and Health Care Workers in the U.S. Journal of General Internal Medicine.

3 Centers for Disease Control. 2008. State-Specific Influenza Vaccine Coverage Among Adults – US, 2006-07 Influenza Season. MMWR.

4 Centers for Disease Control. 2010. Interim Results: State Specific Influenza A(H1N1) 2009 Monovalent Vaccine Coverage – U.S. Oct. 2009 – Jan. 2010. MMWR.

5 Haber P, DeStefano F et al. 2004. Guillain-Barre syndrome following influenza vaccination. Journal of the American Medical Association.

6 Corderoy A. Sept. 19, 2010. Side effects worse than the disease. The Sydney Morning Herald (Australia).

7 Infectious Diseases Society of America and Society for Healthcare Epidemiology of America. Aug. 31, 2010. Press Release: Nation’s Leading Infectious Disease Experts Call for Mandatory Flu Vaccine for All Healthcare Personnel: Vaccines Should be Required for Continued Employment for Healthcare Personnel, Epidemiologists and Infectious Disease Physicians Say.

8 Neale T. Sept. 8, 2010. Flu Vaccine a Must for All Healthcare Workers, AAP says. Medpage Today.

9 Jacobsen v. Massachusetts, 197 U.S. 11(1905. LSU Law Center.

10 CNN. Nov. 15, 2007. Vaccinations or Jail: County’s Threat to Parents.

11 Centers for Disease Control. 2010 Child & Adolescent Immunization Schedules.

12 Centers for Disease Control. Adult Immunization Schedule - 2010.

13 HealthCare Finance News. 2010. Global vaccine market now exceeds $20B.

14 Glorikan H. 2009. Influenza Scare Not the Only Vaccine Driver. Genetic Engineering & Biotechnology News.

15 Kresse H, Rovini H. 2009. Influenza Vaccine Market Dynamics. Nature Reviews.

16 Mautner, T. Jeremy Bentham (1748-1832). The Penguin Dictionary of Philosophy. and Utilitarianism. The Penguin Dictionary of Philosophy.

17 Supreme Court Upholds Sterilization of the Mentally Retarded – Buck v. Bell, 274 U.S. 200, 475 Ct. 584, 71L, Ed. 1000 (1927). LSU Law Center.

18 Encyclopedia of Virginia. Buck v. Bell (1927).

19 Black E. Nov. 24, 2003. The Horrifying American Roots of Nazi Eugenics. History News Network (George Mason University).

20 Seidelman WE. 1996. Nuremberg lamentation: for the forgotten victims of medical science.British Medical Journal.

21 Katz J. The Consent Principle of the Nuremberg Code: It’s Significance Then and Now. The Nazi Doctors and the Nuremberg Code (New York: Oxford University Press, 1992), pp. 227-239.

22 FDA. Feb. 20, 2003. Vaccines & Related Biological Products Advisory CommitteeMeeting Transcript.

23 Centers for Disease Control. Seasonal Influenza

24 Simonsen L., Clarke MJ et al. 1998. Pandemic versus Epidemic Influenza Mortality: A Pattern of Changing Age Distribution. Journal of Infectious Diseases.

25 Enstone J. 2010. Influenza transmission and related infection control issues. Introduction to Pandemic Influenza (pp. 57-72). CABI

26 Aledort TE, Lurie N et al. 2007. Non-pharmaceutical public health interventions for pandemic influenza: an evaluation of the evidence base. BMC Public Health

27 Fisher BL. 2004. Flu Vaccine: Missing the Mark. The Vaccine Reaction (National Vaccine Information Center).

28 Jefferson T. 2006. Influenza vaccination: policy versus evidence. British Medical Journal.

29 Jefferson T., Debalini MG et al. 2009. Relation of study quality, concordance, take home message, funding, and impact in studies of influenza vaccines; systematic review. British Medical Journal.

30 National Vaccine Information Center. 2010. Press Release: NVIC Calls for Expanded Monitoring of Pandemic H1N1 Vaccine Reactions.

31 Collignon P, Doshi P, Jefferson T. 2010. Adverse Events Following Influenza Vaccination in Australia – Should We Be Surprised? British Medical Journal.

32 Associated Press. Sept. 17, 2007. Shot may be inadvertently boosting superbugs. MSNBC.

33 Fisher BL. July 8, 2010. Whooping Cough Outbreaks and Vaccine Failures. NVIC.

34 ACLU. 2009. NYCLU Urges Public Education and Voluntary Vaccine for H1N1 Flu, Warns Vaccine Mandate Violates Privacy Rights. Testimony by Donna Lieberman.

35 Sullivan PL. 2010. Influenza Vaccination in HealthCare Workers: Should It Be Mandatory? Journal of Issues in Nursing.

36 John Dahlberg-Acton (1834-1902). Wikipedia.


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