Melissa Lynn Block

Melissa Lynn Block
Location
Santa Barbara, CA, USA
Birthday
January 14
Bio
I am a writer, reader, mother, yoga teacher, and dancer/choreographer. I am not in any way related to the NPR commentator who shares my name. I am a study in opposites and paradoxes, just like you.

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Salon.com
Editor’s Pick
APRIL 30, 2010 4:40PM

Buxom Blonde Scientists and the Vaccine Controversy

Rate: 34 Flag

I’m one of those non-vaccinating mothers.

(*If you came here from the Editor's Pick page, please note: my kids ARE now vaccinated. Not sure how to point that out to the editors, though...)

In 2004, my 1 ½-year-old son had no immunizations at all and my three-year-old daughter had one round of the basics, which included the pertussis (whooping cough) vaccine. As we unpacked our stuff in our new digs, a kid from down the street came to see us. He had a pretty bad cough. Soon, our kids were coughing, too, on the tail end of a visit back East to see their uncle and aunt and new baby cousin. It was a cough like none I’d ever heard: loud, barking, intense, leaving the child breathless and almost always (in the case of my son) leading to vomiting. My daughter’s cough wasn’t as bad. Off to the doctor we went, and sure enough, they had pertussis.

Pertussis is sometimes called the “ninety-day cough,” and for just about ninety days, my son coughed himself blue and vomited on everything we owned. The daughter got better much more quickly, likely due to being older and bigger. Maybe having had one round of the vaccine had something to do with it.

I thanked God over and over that my brother had decided to vaccinate his child against pertussis, because if that baby had caught it from my children, his five-month-old body might have succumbed to it entirely. I did load after load after load of pukey laundry. And as soon as he got better, I took him and his sister to the doctor to catch up on their shots – not every one, but the ones most kids have gotten since I was a kid.

One reason we decided to avoid vaccinations was because we believed that there might be a link between those shots and risk of autism spectrum disorders. So it’s with much interest that I observe the kerfuffle over Jenny McCarthy and her insistence that vaccinations cause autism despite the vast number of scientific studies that debunk this notion. When challenged by this scientific evidence, which by now has been gleaned in hundreds of different ways and synthesized many times in review studies and meta-analyses, Jenny has famously said, “My child is my science!”

Like Jenny, most of us don’t decide what is true based on hypotheses that we rigorously test--on Real Science. We decide what we believe based on a combination of personal experience and exposure to life circumstances. In Google Universe, it’s plenty easy to mine out the so-called Scientific Health Information that will back up what we already believe. It’s easy to find the articles, web sites, books and television shows that will prop us up in what we think is true; that will build our case against those other guys; that will once and for all seal the deal of our rightness. And like the lovely, good-hearted Jenny, we all know people whom we can hold up as examples to support the beliefs we probably initially learned from our parents or other aspects of our early lives.

When I refer to Real Science in the realm of health, I refer to the kind that’s dry and boring, that’s published in scientific journals and uses jargon and statistics-speak that can’t be grasped by anyone who hasn’t studied statistics at at least the college level. This kind of Real Science involves rigorous testing of a hypothesis without any vested interest in the outcome. Ideally, it’s not about being proven right—although I’m sure that even the egg-headiest scientist gets excited when his hypothesis proves correct—but about furthering human knowledge in the most unbiased way possible. Great pains are taken in most scientific health research to remove as much bias as possible. It never disappears entirely, but we certainly can trust the conclusions of hundreds of medical research studies more than we can trust one woman’s experience with her own child, whose experience of autism was atypical (he also had a life-threatening seizure disorder...yes, I read Jenny's first book, and loved it).

Real Science is not nearly as entertaining as  Jenny science, just like  C-SPAN isn’t as entertaining as The Daily Show. But if you really want to know what’s most likely to be true, and if you’re willing to do without the drama, the showmanship, and the occasional buxom blond ex-Playboy bunny/B movie actress (sorry, Jenny, I couldn’t resist), it’s the best place to draw conclusions about what makes people healthier and what makes them sick. NPR Health and the New York Times Health section are good places to find intelligent translations of Real Science that are relevant to the average person's daily life. When you do research on a particular topic, avoid sources that deal in drama. Avoid revolutionary findings, hot controversies or conspiracy theories. Read the stuff that sorta might kinda put you to sleep.

Telling people to avoid vaccination because of the risk of injury  to children seems absurd, considering that many, MANY times more children die and are injured in car accidents than by vaccines. We'd have a far more beneficial impact on child health in this country if we stopped  driving them around in cars. But when it's N=1 -- that's what "My child is my science!" is, a study involving a single subject (the child) and the subjective biases and beliefs of the researcher who also happens to be his mother--it's hard to consider anything but the child who is yours to care for.

My own experience is no exception. We chose to delay vaccination. We got whooping cough. The kids made it through okay. I can't use that experience to give anyone else advice about what is best for them. Herd immunity--from fellow parents who chose to immunize their children--is a likely factor in protecting my kids from unpleasant illnesses that would be unlikely to kill them, but that would make them very sick. If anyone hears me generalizing this experience to others for the sake of defending my choices or giving advice, please smack me upside the head with a hardcover copy of any one of Jenny McCarthy's books. 

Real Science can look at the big picture. Pseudoscience can't. Be careful out there in Google Universe.

 

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You rely on us - the mothers that vaccinate our kids.

And it is some sort of welfare argument to not vaccinate, you should ask the mothers around the world that loses their kids because they can not afford vaccines, what their opinion is.

We, the mothers of thr rich part of the world. The mothers of the 3rd world would give their life for the possibility to even think about having such a discussion.
Well, sometimes you have to learn things the hard way. The very, very hard way. I applaud you for writing this and admitting what happened. Maybe it will help another mother decide to vaccinate. I have three children and they are all vaccinated. I too worried about doing it. Finally I decided to go with it based on my doctors advice. I trusted him. I think sometimes, that makes all the difference. Rated.
When I was a new mother, I was so panicked about vaccinating my kids because of all the negative stuff I had heard about vaccines. I did tons of research and reluctantly decided to vaccinate them. Now my kids are 13, 10, and 7 and I look back and see that I was a typical nervous first-time mom who was terrified of doing something to harm my child. I think vaccinations ultimately do a good job of protecting our children from terrible diseases.

I love your honesty and realistic approach to science.
Yeah, I read the editor's sensational headline and I was prepared to jump in here feet first, snarling. Suffice it to say, I'm glad you decided to vaccinate your children. I have little tolerance, and even less sympathy, for those who do not.
Thanks for sharing your experience with whooping cough. There is ample evidence that immunizations will protect most children from dreaded (once dreaded) diseases that can have deadly or disabling complications (measles, german measles, mumps for adult males). Immunization can eventually kill off the wild versions of these diseases--like smallpox, an incredible awful way to die and surviving simply means NEARLY dying in an agonizing way. Americans can take for granted that our kids will grow up--part of that is antibiotics and modern surgery and much of it is immunizations.
One thing I'd like to know about vaccinations –What's the length of time for an effective antibody titer ? If the effective antibody titer from a vaccine lasts only 10 years, you might be very vulnerable to these diseases, and (a) not know it; (b) might become pregnant and be looking at some pretty heavy consequences. I really don't know what the answer is. Can anyone chime in?
As a parent of a child diagnosed on the autism spectrum, I have read and studied enough to know that vaccinating our children was absolutely the right thing to do. People who simply want to find a definitive cause and who understandably believe something HAPPENED to their children trust their "gut" (to put it in a Colbertian way rather than the facts. What possible motive could scientists around the globe have to deny this?
Melissa, I did my research paper for my BSN on vaccines. I have a pet peeve against what I call 'junk science'. My mother would talk of the last polio outbreak that occurred in the early 50s. My brothers were infants ands toddlers at the time. You had to avoid public places, especially swimming pools. There are many 60+ people that walk around with the remnants of that terrible viral disease. Many people of subsequent generations do not appreciate the miracle that vaccines are.
I agree there is so many different opinions out there. But most of the time they are just opinions. I was really angry that Jenny McCarthy was so public about not vaccinating. European doctors had debunked the MMR vaccine and autism link 15 years ago. But due to peoples' opinions being confused with fact, many children were put at risk. Three summers ago, the Midwest suffered a deadly outbreak of measles. I believe that there were 12 deaths attributed to the outbreak and hundreds of measles cases. The cause was traced to a teenager whose parents refused vaccines because of dubious scientific belief. This teenager traveled to Romania on a church mission trip and brought measles back from there. Said teenager recovered, but with 12 deaths and hundreds sickened, it should be a wake up call. Great job getting your kids vaccinated.
Rated for intelligence and balance.
Pure statistics of the number of babies who who get autism means that about 500 parents a year will get autism diagnoses in the same week as a vaccination - this means a lot parents with Jenny-like anecdotes who are completely wrong.
Thanks for sharing your experience! So many of us haven't seen these diseases, so we don't think they're a big deal.

May I suggest one source of what seems to me to be really solid information that has great links to primary peer-reviewed literature?

Thanks!
I agree with Gro, there are mothers in the third world country who would give their own life to be able to vaccinate their children.

Many diseases that were eradicated in the first world countries because of VACCINES are now coming back because of fools who refuse to vaccinate their children, and then go hopping all over the world with unprotected children.

Polio, measles,smallpox are all coming back to haunt developed nations because of silly mothers who listen to celebrities rather than medical professionals and scientists.

I prefer to get my medical advice from MD not MTV !
I would like to point out that most of the decline in the diseases for which we immunize occurred before the introduction of vaccines. This is used as an important argument by the anti-vaccine camp. However: in this day & age, even one preventable death in a child or a baby is a big deal, because so few infants and children die in developed nations.

My point in the article was not to argue the pro/anti vaccine issue. I used that issue as an example of a topic where pseudoscience seems to hold great sway.

Thanks all for reading and commenting.
I recently read the chapter on McCarthy and her University of Google so-called expertise in Michael Specter's "Denialism: How Irrational Thinking Hinders Scientific Progress, Harms the Planet and Threatens our Lives." I do recommend it.

He opens with a description of the politics surrounding a national commission's exploration of a possible link between autism and vaccines. Things got so heated that the scientists on the commissionactually feared for their life during their research and deliberations. After McCarthy and others published all their names and addresses, the members were pummeled with threatening emails and calls. The final public meeting had to be relocated to a room big enough to handle the huge crowds AND security guards. Specter writes:

"Like a jury deciding the fate of a gangland leader, the members were encouraged to stay in a single hotel, discuss the location with no one, and refrain from wandering around town on their own. Security was tightened ... all this before the group made its final report. When it came time for the meeting, each member had to be loaded onto a bus and driven directly to a garage. (Specter 68)

What have we come to where scientists have to fear for their life just for sitting on a committee? They wanted to be part of the solution, and they were attacked for it. Amazing.
>Ideally, it’s not about being proven right—although I’m sure that even the egg-headiest scientist gets excited when his hypothesis proves correct—but about furthering human knowledge in the most unbiased way possible.

Ha ha ha. Don't be fooled. -Especially- the egg- headed scientist. It's totally about being proven right.

The thing that makes science worth it is that every time you claim to be right, that sets up an irresistible opportunity for a dozen other egg-headed guys and bespectacled gals to prove -you-, or your team, wrong and themselves right -- itself setting up further opportunities, and so on and so forth.

The outcome is a system in which there is little to be gained from going along with everyone else, and much to be gained from disproving conventional wisdom if there is any conceivable way to do so.

All of which is to say that Melissa Block's own observations about drama, science, and what she (tragically) considers to be dry, boring stuff that puts her to sleep, are all right on and then some.
>I would like to point out that most of the decline in the diseases for which we immunize occurred before the introduction of vaccines.

While that might be true for something like influenza, it definitely isn't for diseases like smallpox or polio. Those two alone caused such death and devastation that it's today almost inconceivable to imagine -- and so all too tempting to forget the role that vaccination had in their near-eradication.
Medicine is not a perfect science. 1+1 does not always equal 2. The medical studies apply to populations but not to individuals. For eg, teh fact that cigarettes cause cancer is well known, but no one can predict which one of the cigarette users will die of cancer.

Well designed large multicenter trials are the closest medicine gets to a perfect science.

After knowing all that I know (I am an ophthalmologist), I still talked to my friend who is a pediatric neurologist before vaccinating my kid
Thanks for sharing your scary story. I hope it gets picked up by many different web sites because heaven knows we need to give some parents a wake-up call.
"I would like to point out that most of the decline in the diseases for which we immunize occurred before the introduction of vaccines. This is used as an important argument by the anti-vaccine camp."

Please name some, and especially, post your source. Readers, when sources are posted, take it to your doctor and ask him if he's seen it. He probably has and it's probably nonsense. Every time.
Excellent, and well-written.

You do such a service here. You make the critical points, having straddled both "realities."

Big Pharma blah blah is real, corporatism and profit over people sucks. It does. But science is real. As in REAL real. You say it so well here. Bravo, Melissa.
We had a kerfuffle here in Wisconsin this past month.
Based on annecdotal "evidence", the state is now allowing the sale of non-pastuerized milk. The original bill wanted to issue a blanket amnesty should you get sick from drinking raw milk. This was dropped and farmers are supposed to display a sign warning you of what befall you from drinking raw milk. A number of farmers interviewed sounded like they'd continue selling raw milk for "pets" with a wink and a nod. Real Science defeated again.
"MANY times more children die and are injured in car accidents than by vaccines."

Unfortunately, Ms. Block you have no idea how many children die from vaccines because the medical establishment will not tell anyone.

While I am of the opinion that children should be vaccinated against very serious diseases, like pertussis, there are many others that children have been vaccinated against, with no real "scientific evidence" that it is a plus. In fact, "studies" are showing that contracting and healing from these childhood diseases, such as measles, mumps, and chicken pox actually "immunize" children from more serious diseases, like many forms of cancer, later in life.

Of course, there is no way to "prove" this since studies would have to have been done starting long ago and tracking people over decades. This would have "proven" this premise.

What is a FACT, Ms. Block is that my children's generation is the first that is expected NOT to live as long as their parents. These children who have been vaccinated against every known disease and have been exposed to "modern" medical science their entire lives are not expected to live as long as their parents. FACT.

Geez, what conclusion can you draw from this "unscientific" fact?
"What have we come to where scientists have to fear for their life just for sitting on a committee? They wanted to be part of the solution, and they were attacked for it. Amazing."

I think that's an interesting question, but one which is unlikely to be answered, because of the religious aura which surrounds Science, which is rather like Christian and Muslim fundamentalism. If you doubt Science-the-institution, anything may be said against you, the most egregious example of the fashion being the abuse accorded those who are skeptical of Global Warming. Once that sort of thing starts the more rational people leave the discussion. To make any sort of progress in discovering why so many people distrust Science it would be necessary to take a non-fundamentalist approach and assume that the distrustful might have valid reasons, which is not possible for True Believers.
Whew!

"These children who have been vaccinated against every known disease and have been exposed to "modern" medical science their entire lives are not expected to live as long as their parents. FACT."

That is not what the word "FACT" means. A fact is something that can be verified as true or false - an expectation is nothing like a fact.

And I note the passive voice: "are not expected" - by whom? Who are these people who don't expect the kids to live as long? Generally it's the insurance companies (not that I have any love for them) that have a vested interest in determining our life expectations - they don't seem to "expect" shorter lives.

As for the main article, well, you're a deeply irresponsible person, you are endangering your kids, and if I knew who you were, I'd report you.

It might be that the pertussis vaccine has more risks than rewards - but you aren't just omitting that vaccine but all of them. I guess you're too young to have ever met anyone paralyzed by polio, anyone who was crippled because their mother got German measles, anyone who lost kids to regular measles, or people who lost family to tuberculosis, but I have.

If you'd taken the time to read a history book, you'd find out that these infectious diseases were huge killers up until about 100 years ago, and serious threats to people's lives as recently as 60 years ago. The reason they aren't *is because of vaccination*.

You are a freeloader. You are relying on everyone else's kids taking the tiny risk from vaccination to protect your kids from these killers that used to slaughter at least a tenth of us before we reached adulthood. You are stealing health from everyone else - you get the benefits of a universal vaccination system without any of the costs.

As for the autism/vaccination connection, well, if you don't remember autism from your childhood and you do now, then it ISN'T CAUSED BY VACCINES - because unless you're really old, we've been vaccinating kids since before you were born.

And it isn't the mercury-based preservatives that they used - because they stopped using them a long time ago and yet autism rates continue to climb in kids *who were never exposed to these preservatives at all*.

Let me repeat that for the benefit of all of you - THERE IS ZERO EVIDENCE THAT MERCURY-BASED PRESERVATIVES CAUSED AUTISM, AND EVEN IF THEY DID, THEY HAVEN'T USED THEM IN TEN YEARS. The only reason you could possibly, possibly believe something like that is a TV celebrity with no medical or scientific training made a bunch of ignorant statements *that she was compelled to withdraw when it turned out her child didn't even have autism*.

Let me repeat that... JENNY MCCARTHY'S CHILD NEVER HAD AUTISM so any statement she made about autism was ABSOLUTELY AND COMPLETELY WRONG and she admits this fact.

I wouldn't ever wish the logical consequences of your criminal, irresponsible actions on you - because those would be having your kid come down with, say, polio and being paralyzed - something I wouldn't wish on my worst enemy.

But I do wish you'd be caught and sent to jail for a few months and get some EDUCATION so you wouldn't risk the health of the world with your selfishness.
Since I originally came to this page, I see you've updated it with a comment that you did, eventually, vaccinate your kids.

Good for you! But then, why did you write this article?

Much better, then, to say, "I believe that the pertussis vaccine is unnecessary, and here's why." I have no idea if that's true but it's certainly something we could have a reasonable conversation about.

As a student of history, and of other cultures, and as an older person who's talked to a lot of very old people (best one was an old woman who grew up in New York City before electrification!) I have a strong understanding of the threat of contagious diseases - which have been held back by the amazing improvements in public health in the last hundred years.

And there is no question there will be more epidemics - if nothing else, until science really figures out the flu and gets either effective vaccines or effective treatment, there WILL be flu pandemics that kill millions - the last one, in 1919, killed more people than WW1...

So don't play with fire!

But I'm really, really glad you did vaccinate your kids finally, the pertussis vaccine is not a big deal. Thanks for doing it.
Zaftig Amazon; some vaccines require "reboosting" like tetanus; others seem to last almost indefinitely. It can also take various lengths of time after immunization to be consider immune and some vaccines require a series of shots to confer immunity like hepatitis B vaccine. Often times we can check antibody titers in your blood stream to determine immunity. Most pregnant women (or ideally prior to pregnancy) can be tested and immunized to protect the unborn child.
Perfectly on point, beautifully written - so appreciative of your wisdom, Melissa! (Editor's pick AND 30 comments - you're developing quite a fan club! BTW, loved your piece in 'Spirituality & Health Magazine'!)
Humans are just no good at estimating risk and acting accordingly. How many people feed their kids whole milk, but organic, rather than nonorganic skim milk; as if the dangers of whatever lurks in the nonorganic milk overweigh the huge and well documented risks of consuming a lot of animal fats.
Melissa: looks like you are still buying into some of the antivax distortions. You might want to read Orac's scientific deconstruction of "the vaccine preventable disease rates were decreasing before the advent of vaccines" gambit: http://scienceblogs.com/insolence/2010/03/the_intellectual_dishonesty_of_the_vacci.php

It is a masterful explanation that is consistent with basic epidemiology.

As a pediatrician it saddens and upsets me to no end that parents would trust someone who doesn't even have a college degree over those whose lives, educations and careers have been devoted to protecting the health of the public.
Yes, vaccines save lives. Entire herds, animal and human. But don't get too comfortable with any ideology.

Google "Ian Gromowski." Imagine the agony of his short life.

Then ask why vaccine manufacturers and public health administrators bear no ethical or financial responsibility toward Ian and his family, or other victims of vaccine injuries. No other product has so few consumer protections, but what product warrants them more?

Ask why it's become socially acceptable to demean vaccine injury victims online. These people need and deserve our help. Cases are rare, maybe; but those people's taxes paid for disease protection. It's unfair that the produce they received damaged their lives forever. How would you feel?

Read published medical studies on persussis vaccine efficacy. A 2005 NEJM study lists it at 92%. What happens to the unlucky 8%?

Then consider this from former NEJM editor Dr. Marcia Angell: "It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine."

Until "Science" prioritizes studying vaccine injury prevention, vaccination will remain a statistical gamble. One encouraging paper came last May from Gregory A. Poland, MD, et al in The Pediatric Infectious Disease Journal: "Adversomics: The Emerging Field of Vaccine Adverse Event Immunogenetics." But talk isn't action.

Reduce vaccine injuries, and vaccine dissent is reduced. Please lobby your state and national public health administrators to improve treatment of vaccine consumers who tragically didn't fit the one-size-fits-all protocol. If they don't thank you, your conscience will.
My immune system is compromised. It is not debilitating, but it means that I have to be extra-cautious about exposure to bugs.

There are certain things I cannot be vaccinated against; I rely on everyone else to keep themselves healthy.

If you are avoiding certain vaccines for direct health-related reasons ("my kid has problems with the egg-based serums often used"), say that outright. But if you are making some crazy nut-job nonconformist statement, keep your kids away from the public.
A couple of comments here. First, please note that the author of the blog made a distinction between vaccines. She vaccinated her children against the major (presumably deadly) diseases of her childhood. Not all vacs are created equal. Flu vacs have been shown to cause GBS which is way more dangerous than the sniffles. Dr. Offitt who routinely promotes the flu vac made $32 million off of vaccines. Of course, he's going to slant his works and research to make himself rich. As said by earlier posters, it's hard to know who is making what from medicine these days.

Likewise, mercury in the form of thimerosal still exists in the flu vac. So Tom's statements are not based on facts. You have to request a mercury-free version of the shot to get it without. Even though there's no connection to autism, why put that in your body at a time we're being bombarded with news that eating tuna is bad for the exact same reasons??

I was vaccinated as a child, but cannot get boosters because of a family allergy to one of the adjuvants in certain vaccines. Sadly, the person administering the shots did not ask the right questions to see if there was a chance for that allergy (and yes, the questions are known) before giving a shot to my sister and nearly killing her. There are adverse reactions and they are more common than you would think.
Props to those commenting that scientists can indeed become invested in various ways in research outcomes. They've even been driven to questionable tactics and claims in order to win out over competitors. Read about the double helix and AIDS research races. There's at least one film about the former--high drama indeed, in which it appears the winning lady was muscled aside by the male scientists.

With respect to vaccines, most of the scientific community is cognizant of the public health dangers, even to themselves and their families, of the anti-vaccine parents. So it's difficult to assess how much of "real science" is fully real. As suggested in some posts, the final answers could be somewhat mixed.

I'd read recently in an independent source that in a few cases the mercury preservative is still used in vaccines, but the exceptions weren't specified. Anyone have the final trustworthy source on this crucial point?
Thank you, Mr. Marks. Your post was needed to counter assertions (however agreeable) and supply some facts and scientific question marks. Science itself is not always simplistic and emotionally satisfying.
My kiddos have all been vaccinated. They were even vaccinated for Hep A before it was required, and we were one of the first in line for the chicken pox vaccine. My youngest was adopted from Guatemala at 20 months and not only was vaccinated in Guatemala--I had the poor little guy re-vaccinated just in case. They also get the flu vaccine each year. None has experienced any problems or even mild reactions. I sleep a little better at night knowing that my decisions rest solidly on solid science, not on Jenny's view of the universe. Great article.
Thank you for this article. I am a parent who never seriously considered not vaccinating. It seemed medieval.

Recently I watched a "Frontline" episode on the "vaccine controversy." It was fascinating, particularly the long term study done in Scandinavia regarding autism rates in children since the 1970s. (I believe it was the Netherlands that keeps records of all this information for all their citizens.) The scientist who led the study was visible frustrated trying to explain why people still won't believe the data even after it has been proven time and again in independent studies.

I'm not saying that skepticsm WRT the scientific community and the motives of Pharma isn't healthy. But really, I think people like Jenny McCarthy need to talk "outside their circle" of believers. And listen.

I wondered while watching that show where parents like you were. I imagine there must be many who have had some "close calls" and come back to vaccination, but they didn't feature any of them in the show. Certainly the celebrity websites that feature anti-vaccination aren't going to mention them. Instead, the documentary showed a little baby girl who almost died because of pertussis, contracted from a child who wasn't vaccinated.

The mothers on the program, I thought, despite their obvious intelligence and education, seemed just willfully ignorant. "I'm satisfied with my decisions." "Nobody has gotten wild polio in American since 1979, so why vaccinate?" Ummm...have you heard of this newfangled thing called international travel? Sheesh. And that woman had a PhD.

I also wondered, why not vaccinate when your child gets older, past the so-called "autism window"? I have never heard this addressed, but it seems like a good compromise if you're paranoid about their development. Certainly better than doing nothing and endangering not only your family, but everyone else's, too.

Thanks again for wading into this. I have to say the comments have been pretty tame for this hot issue.
May one ask what the relative risks are: 1) NON vaccinating; 2) vaccinating ???

Let one suppose there is some risk of a serious negative outcome when one does vaccinate: autism factors in this case. What is the probability of that outcome, and what is the probability of contracting the disease for which the vaccine protects, if one does not vaccinate?

Wager: the probability of the first is far, far, smaller than that of the second.

Those who use the scare-manipulation of Ms. McCarthy may be sympathetically accepted for the pain they have suffered. But they must not be heeded.

As a child I was among the first to receive the Salk vaccine against polio. What a relief. I was scared to death that polio could have gotten to me. Swimming pools were closed, remember, out of justified fear of polio transmittal. And every family knew someone who had a relative dead or in an iron lung with polio.

If you don't think much of that argument, google "iron lung" and, better yet, find out where you can go see one. Then imagine yourself paralyzed, and breathing only thanks to this mechanical monster encasing and imprisoning you. Imagine getting married, in that state...

What else need one say?

Get vaccinated. Full stop.
Thank you for this. I was traveling in Yugoslavia when polio was being defeated by vaccine. We were stopped by a roadblock and the police hauled our unvaccinated hitchhiker out of the car as if he were a criminal. The human mind has made life easier over the centuries, so parents don't have to worry about their children being crippled by certain diseases. Not to take advantage of the available technology is, to put it bluntly, stupid. Self-education is an obligation in any medical question, especially those involving the lives of our children and possible epidemics potentially devastating to society. Even harmless old chicken pox leaves us vulnerable to the suffering of shingles when we get older.

Sure, some pharmaceutical companies hedge the bets for their own self-interest -- I am reminded of "research" reported in a local paper which had been done at a respectable university that proved that St. John's Wort was ineffective as a treatment against depression. Well, as an herbalist I know that centuries of traditional "old wives tales" have recommended it as good medicine for the blues. Turns out that university's labs are funded by a major pharmaceutical company which makes millions by sell expensive pills to combat depression. Self-interest is the bugaboo of science. We are all ultimately responsible for our own health and that of our children.
The most admirable part of your post, among many admirable things, is your willingness to look at the facts and change your mind. Or at least alter it somewhat. In our faith-based, believer, celebrity-addicted world facts, professional experience and knowledge seem to count for very little. In fact, you're more likely to be vilified if you have all of the above.It's nice to find someone who respects them all and is willing to say so.
Nice piece, Melissa. This hits on a lot of things I think about... the science vs. nonscience debate. There is a huge difference between doing research on the internet, and doing research in a laboratory. I really think that part of the problem has to do with the incredible lack of science education most people have - they don't have the ability to sift through science info in the public media and separate what's real from what's sensational. (This isn't a slam on anyone - except maybe the educational system in this country!)
As someone said, if you're a scientist you DO want to be right - but you have to be able to defend your findings in front of a LOT of people who are only there to poke holes in your data. It's rigorous and not always fun, but if you make it through peer review, there's a pretty good chance that what you've found is repeatable and solid. (pretty good chance, because there's always politics, of course.) You don't have to BELIEVE in science. The facts speak for themselves whether you believe in them or not. And the facts in this case state without any equivocation that vaccines just DON'T cause autism. They just don't. There is no association that anyone has found, and believe me, many have looked.
I agree with the poster above that said parents of autistic kids need a REASON for the diagnosis... it's really a tough one. Which makes them more vulnerable to people like J. McCarthy. And that's the real crime in this scenario, at least to me.
The Gougul Universe? It is about to radically cease expanding in a stark "Real Science" contrast to the known universe that has expanded since the "Boom".

The moral Rite to Attribution missing from Title 17 will result in the ending of being able to type names in "Gougul" and all other "serch engines" find pornography attributed to that name. Especially for this writer and Teri Weigel.

5:09-cv-05151 will not affect vaccines but will result in the appeal of the "buxom" blonde attribution of data ceasing.

The American Internet will finally have more "Real Science" value because the FCC will finally regulate broadcasts by "serch engines" as required because they all use WIRE" to communicate.
Why stop there. Most food is dangerous. You should stop feeding your kids too.
"What's the length of time for an effective antibody titer?...Can anyone chime in?"

The answer to the first question is, it depends... on the bacterium or virus, the route and duration of exposure to the pathogen, the patient's age and immunologic maturity, etc.

Also, for some infections, antibody titer is irrelevant. Immunity to many viruses, for instance, depends mostly or entirely on T cells, and effective cellular immunity usually persists longer than humoral (Ab-based) protection.

So what to do? Well, the answer to that is the same as the answer to the second question: Ask you doctor... to chime in! S/he will know the facts about individual pathogens and immunity to them in the context of your medical history and immunologic health. If s/he doesn't, get a new doctor.
"Read published medical studies on persussis vaccine efficacy. A 2005 NEJM study lists it at 92%. What happens to the unlucky 8%?"

No matter how breathlessly you ask the question, it is not a mystery what happens to the "unlucky 8%," as you describe them: they have approximately the same risk of suffering a pertussis infection as they had before being vaccinated.

It's important to point out that some of the 8% actually have slightly but not significantly better chances of avoiding a pertussis infection.

To the paranoid, it is even more important to point out that there is no evidence that anyone in that 8% has an increased chance of becoming ill with pertussis.
Good article.

I had chickenpox as a kid, so you'd think that I'd be ahead of the game in the future, right? No, everyone who ever had chickenpox can now get shingles, which can be worse than chickenpox. And even if you are vaccinated, you need to have booster shots. I learned this the hard way when I got whooping cough a few years back. Not fun.
Last summer, my 17 year old daughter came down with a horrific cough. It never stopped. About 10 days later I got it, suddenly, no warning. I coughed and hacked until my head felt like exploding, producing enough mucous to go through a box of tissues a day. My lungs were so full of the thick stuff I could barely breathe. After 2 weeks of intense suffering (her case was milder), I dragged both of us to the clinic. Pertussis. She had been vaccinated as a child, perhaps age 3 (I wouldn't allow it on a tiny baby). Mine had been, well, 50 years before. I considered myself quite healthy. The clinic said that an epidemic was spreading around our town, as innoculations only lasted 5-10 years, and that pertussis was seeing a comeback. It was now being combined with tetanus boosters. I do not wish what I experienced (it lasted 6 weeks) on anyone, much less a small child or baby. You cannot know how bad it is and why these vaccines were developed until you exdperience it.
Hey, Spam-ers, stay away from this blog. I will delete your postings as soon as I possibly can. No one will click on your links. NO. ONE. (sinister laugh)
You make a compelling arguement. Unbiased scientific research should always prevail over a personal opinion. The personal opinion is uaually grounded in ignorance. takineasyst
"When you do research on a particular topic, avoid sources that deal in drama. Avoid revolutionary findings, hot controversies or conspiracy theories. Read the stuff that sorta might kinda put you to sleep."

This is a really excellent tip for sorting out what's more likely to be good info and what's likely to be sensationalized or one-sided or just plain inaccurate, no matter what topic you're researching. Too bad so few people follow it! Drama sells. It convinces people by appealing to that primitive lizard brain we all have.

Excellent post. thank you.
This is wonderful. Thank you so much for this post. You show generosity and wisdom. It is generous to share your experience and your error with readers. Your lay person's approach to research is awesome too. As a lay person often surrounded by PhD holders and lab scientists in my personal life, I relate fully. Great writing. Thank you.
A good friend of mine had the heartbreaking misfortune of being one of the bad vaccine reaction statistics. Their normal, healthy 18 month-old was in a flash severely disabled for life. While the risk of such occurrences is obviously a fraction of the risk of vaccine-preventable disease, I can't help but wonder if the judgmental tone in some of these comments would be subdued a bit if you could imagine yourself in this family's shoes. For anyone who's interested, their story is here:
http://www.jacksonpresleydiamond.com/

"He was a healthy, normal, active little boy until the age of 18 months when he had a rare reaction to his DTaP vaccination. He was left severely disabled and is not able to do even the most basic things such as eat, hold up his head, or speak. He has seizures every day. He uses a wheelchair and is fed through a tube in his stomach."
Yes, tragically, severe vaccine reactions are a reality. They are rare, but they can be devastating. Families with vaccine-injured children have every right to feel wronged - and no amount of compensation from the government's coffers is likely to make up for the damage done.

The collective and the individual are different entities. An individual child being injured by a vaccine does not call into question that vaccine's use to protect many more others. I couldn't get that into my own skull when I was considering the vaccine question (and I never intended to leave them unvaccinated - just to delay the shots and to choose to say no thanks to some of the newer ones, like chicken pox, flu, pneumonia and hep B). That's hard as hell to comprehend when it's your N=1 that's the unfortunate one.
"Autism didn't exist when I was a kid."

It did. My brother, age 51 has autism. My parents got the standard advice of the time: put him in an institution and forget him. There were few services available, so parents had a choice between struggling, unsupported with a problem they didn't understand or handing their kid over to the "experts." Schools had no requirement to educate such kids. Further, the prevailing theory was that cold parents who hadn't bonded with their child was the main problem. So, parents, you'll actually be helping your child by sending him away and forgetting him.

People with mild autism were in the mainstream. Oddballs, they were socially shunned (but probably didn't notice it) and left alone and undiagnosed.

In the past, autism was out of sight and, obviously, out of mind.
Glad she believed in science not scocery. The "Autism-Vaccination Link" persists despite being debunked over and over and over. Generally, it's a more educated and liberal parent who does so. Diagnoses for Autism are being used for mentally retarded children. It is kinder.
Ed --
Mentally Retarded is a diagnosis that can coexist with autism. Some people with autism aren't mentally retarded. Many are. Autism is not used as a euphemism. If you knew anything about autism, you'd know that the pattern of symptoms is very distinct. A person with autism and mental retardation is very different from a person with Down Syndrome and mental retardation.
Let's see, who will I listen to for medical advise: Proven science or some blond air-headed ex-Playboy model? Gee, that's certainly a tough choice, eh?
Yeah, I suppose hard facts is the way. I didn't know what side to really stand on this issue. But as you know and so did the people who teamed-up with Jenny McCarthy...."celebritydom" is so effective and the way to go if you are serious about any issue. They will have many followers. And Jenny ain't buxom.....and she never was.
Melissa Lynn Block writes,"Be careful out there in Google Universe".
Iatrogenic(Physician related) fatalities average 225,000 each year in the U.S.
Perhaps the Latin proverb that says"The doctor is to be feared more than the disease,"should be reason for us to be careful in any Universe.
It pays for one to be careful in any Universe.
I don't have children but you have to question giving infants
twenty different (or whatever) vaccines. Their little immune
systems are not well-developed. Couldn't the vaccines be
spread out over a longer period with some, like polio vaccine,
stopped entirely? We have to ask why there has been such a
huge surge in autisim over the past ten or more years. What do
all these kids have in common?
I think the most encouraging thing about this discussion is the acknowledgment by several posters that both schools of thought have validity. Some parents have seen their children's futures destroyed by vaccines, though it's apparent to most that the devastating consequences of not vaccinating are unacceptable. Perhaps susceptability tests for the childhood vaccines can be developed.

In the meantime, we can hope to see fewer people name-calling on television and in online discussions. Except in the case of blondes, particularly female blondes, whom we all know have very low intelligence.

A formerly fully blonde female
Melissa - WELL DONE and thank you for posting your perspective. I think you'd have the scientific community behind you if they read this piece. Many mothers struggle with the same issues you have, but having a logical stance and the ability to discover when you're incorrect, seek out the facts, and correct your mistake is admirable. Even more admirable to share the tale.
When I was a kid (before mass vaccinations), my mother would find out which children in the neighborhood had chickenpox, measles, mumps, etc. and then send us over there to play.

While my wife was pregnant with our first child, we agonized, researched, discussed/argued with friends, relatives and physicians over whether and/or when to vaccinate our son, since it was no longer easy to find an afflicted neighborhood kid. We finally decided that he should get all the standard-issue shots, but not start the program until he was a year old, our conclusion being that, as a breast-fed baby, we should allow his immune system some time to mature. We did the same for our second son, and both are now healthy adults. Far be it for me to suggest, however, that your mileage will not vary.