Mandatory vaccinations : the point on the questions posed by the parents

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Published the 02.01.2018 at 20h11

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Vaccination obligatoirequestions practices

In addition to the 3 vaccines already compulsory (diphtheria, tetanus, and poliomyelitis or DT-Polio), 8 vaccines already recommended become mandatory in 2018 : whooping cough, measles, mumps, rubella (MMR), Haemophilus influenzae b, pneumococcal, meningococcal C, and hepatitis B.
These eleven vaccines will be required for the child to be admitted in the community (nursery, school…). Some parents are very worried in the face of the avalanche of conflicting information generated by the lobbies, anti-vaccines.

Why 11 vaccines be mandatory ?

The main argument of the passage 11 mandatory vaccinations is the decline in immunization coverage for vaccines so far non-compulsory and the resurgence of some diseases. The coverage is good in France on diseases for which it is compulsory (polio, tetanus, diphtheria) or for which the vaccines are almost systematically (whooping cough), Haemophilus influenzae (b) combined with the vaccines mandatory.
By contrast, for other diseases, and especially measles, the vaccination coverage in France is notoriously too low to protect the entire population against the disease : children die or have sequelae of measles in France in 2017.

Efficacy and safety demonstrated

The 11 vaccines that are now mandatory, are very effective. They protect children in over 90 % of diseases and adverse effects, when they exist, are typically minor and short-lived.
Some side effects are minor and common to all injectable vaccines : reaction at injection site (pain, redness, swelling) in about 10 cases on 100 children vaccinated), some general effects, also of short duration (fever, muscle or joint pain) in 1 to 10 in 100 vaccinees.
Severe allergic reactions are extremely rare (less than one case out of 450 000 vaccinated), but they are mentioned in the majority of certificates of convenience for physicians complacent. But other adverse effects, sometimes attributed to some vaccines, are scientifically unfounded and all of the scientific data has been independently reviewed by the INSERM to establish the facts about immunization.

No link between autism and measles vaccination

The scientific evidence of the absence of a link between vaccination against measles (or vaccines measles-mumps-rubella and type MMR) vaccine and inflammatory bowel disease or autism are now numerous and of a very high scientific level.
The only study that had suggested a link between MMR vaccination and autism was not comparative and did not focus on 1é children : it was a scientific fraud of one of its authors, Dr Wakefield. The co-authors are all retracted. The article has been removed from the Lancet. The doctor fraudster has been struck off from the college of physicians british.

No link between multiple sclerosis and vaccination against hepatitis B

Many very large studies have been carried out between 1996 and 2004 : they have all removed the link suspected between vaccination against the hepatitis B virus and side effects auto-immune conditions in adults such as neurological damage of the type multiple sclerosis or other autoimmune diseases. These diseases, unfortunately, can occur by chance after vaccination among young adults, age class where these diseases occur most often. This is an additional reason to vaccinate the infant as no link with multiple sclerosis has never been observed when the immunization of infants.

No toxicity of adjuvants such as aluminum

In the light of the data available to this day on a global scale, with a decline of use of up to 90 years for certain vaccines containing this adjuvant, and hundreds of millions of doses injected, the safety of aluminum salts contained in vaccines cannot be questioned. The aluminium injected with mandatory vaccination represents only 4 and 5 milligrams in total of aluminium, a drop of water compared to what he receives in the drinking water and food. A team of French researchers had suggested a link between the lesion at the site of injection referred to as a ” myofasciite to macrophages “, which contains traces of aluminum (like a tattoo contains the ink) and the existence of symptoms of chronic non-specific such as fatigue, muscle or joint pain or cognitive disorders. The independent analysis by other teams of their results did not permit to date to demonstrate the existence of this link. Moreover, this disease has practically not been observed outside France, even though the vaccines containing aluminum are used throughout.

No exhaustion of the immune system with the vaccines combined

Combination vaccines have as main interest to facilitate the vaccination of infants (less injections, less medical appointments for parents).
The immune response obtained for each of the infections is not lower than that observed when the different vaccines are administered separately. Adverse effects are not more frequent with the combination than when administered separately (and concomitant) of different vaccines.
Finally, the arguments developed by the lobbies anti-vaccine, and who claim that the vaccines combined to cause a depletion of the immune system of the infant, is not based on any scientific basis.
The stimulation of the immune system induced by a vaccine, be it vi, is indeed negligible compared to its response capabilities and compared to the very many stimuli and environmental day-to-day that receives an infant from birth (less than 0.01% use of the capacity of the immune theoretical according to some experts.

The natural protection passed by the mother is not enough

The anti-vaccine regularly rely on the immunity antibodies, naturally transmitted by the mother to her baby during pregnancy or breastfeeding. This natural protection is not enough because it is temporary and too partial : the maternal antibodies are decreasing rapidly because of their short life cycle : it is estimated that a baby loses half of maternal antibodies every 3 weeks. In addition, if the mother herself has not been protected properly, it can do nothing to convey at all.

The protection is not better, but more dangerous with the disease

Some parents feel that it is more natural and better for the child to acquire only the protection in the course of each disease.
In addition to that let his children have repeated infections and diseases such as measles, whooping cough or mumps is cruel, it poses a risk to other children, who could not be vaccinated because the sick and the immunocompromised. Especially, the immunity conferred does not seem best and to have the measles, like other diseases, poses a vital risk and a risk of complications for their entire life.

“The lobby of the vaccines” do not seek to enrich

The announcement of the extension of compulsory vaccination has been running in the public and among the political the rumor of a ” decision that was to fatten the manufacturers of vaccines.” This assertion deserves to be weighted as if certainly 5 laboratories represent 80% of the world market, France represents only a very small part of this market and the growth of the vaccination is expected is only a few percent since most of the vaccines were already made, and that it is moving to the measles, from 79 to 95%. Finally, after the union of the pharmaceutical industry, vaccines represent only 3% of the global medicines market in 2009. It seems to be far from the pactolus, and closer to shortages of supply.

That can happen in case of refusal of the vaccination ?

Children born on or after January 1, 2018, and which will not be in compliance with their required vaccinations will not be able to return to daycare and school, so as not to expose other children, immunocompromised or not, of the potential risks related to diseases. To allow a compliance time, the first audits will take place from 1 June.
Up here, the parents who refused compulsory vaccination at risk of conviction administrative code-Public Health (article L 31116-4). This law has been abolished by the government and the parents can be convicted for a criminal offence : article 227-17 of the penal code sanctions of two years imprisonment and a 30 000 euro fine ” the fact, by the father or the mother, of escape, without legitimate reason, to its legal obligations to the point of compromising the health, safety, morals or education of his minor child “.
In the case of doctors, the Council of the Order will be ruthless and a doctor has just been struck off for false certificate of cons-indication to vaccination.

Compulsory vaccination is a sign especially the failure of public health policies which have not succeeded in convincing the society and the parents of the importance of vaccination. But this obligation is now necessary to move forward.