Tag Archives: vaccination

Dr. M’s SPA Newsletter Audiocast Volume 12 Issue 7, Covid Updates 54

Coronavirus Update #54 – This audiocast is a deeper dive into policy and opinion based on the same for Omicron.

In my opinion, our children’s mental and physical health need to take primacy over pandemic fear at this time. They are in a very very very low risk scenario from COVID, however, they remain in a high risk scenario from a mental and metabolic health perspective. The scales do not favor current school based mitigation measures based on risk and health from Omicron and the downstream events relate to it. If you are a young person, boosting is questionable, especially if you are a male with myocarditis risk. The WHO and European Union are not recommending it at this time. The CDC is recommending down to age 12. Let us say that you are 18 years old and male. If a young adult receives a third dose of an mRNA vaccine which provides marginal to no transmission benefit for 90 to 110 days and minimal disease severity reduction because it is already almost zero after a 2 dose series, what is the point. Are our youth supposed to protect the unvaccinated? The vaccinated and boosted with risk factors? For how long? Then what? Do it again, and again every three months as immunity wanes rapidly? Has this ever been done before or well studied? Nope.
Be well,
Dr. M

Delaying or Missing DPaT Shots…Dangerous (Article)

Whooping cough, a disease once thought to be a relic of medical history is making a comeback in the 21st century. It is becoming a real threat for the infants of today. Most parents, have heard of the DPaT vaccine but don’t understand what it does to  help their children.  Many parents are finding out the hard way just how important it is to the health of their young infants.  Among the myriads of vaccines available for infants, the DPaT vaccine is well-worth special notice.  The DPaT vaccine prevents three harmful and possibly lethal diseases, including diphtheria, tetanus, and pertussis ( also known as whooping cough). Whooping cough is the most common of the three and is highly contagious, causing uncontrollable coughing, choking, and dangerous difficulty in breathing. Because of its effectiveness, the DPaT vaccine is a highly recommended vaccine for infants, and requires repeated injections at ages 2 months, 4 months, 6 months, 15-18 months, and 4-6 years. For a variety of reasons, many infants are not receiving this vital vaccine at a young enough age to prevent life-threatening pertussis.


A recent study published in JAMA Pediatrics revealed how important it is for your children to get their DPaT shots on time.  These researchers revealed that missing doses of DTaP drastically increases the risk of contracting whooping cough. Jason Glanz, of Kaiser Permanante Colorado, and his colleagues examined children from 3 months to 3 years who missed three or four doses of DPaT.  Alarmingly these children were 19 times and 28 times more likely to have whooping cough, respectively than their vaccinated friends. Dr. Glanz also found that almost half of all the cases of whooping cough he studied occurred in children who had missed doses of the vaccine. Researchers predicted that almost 40% of those cases of whooping cough could have been prevented with on-time vaccinations. The research is clear; the risk of catching whooping cough drastically increases with each missed vaccine. It is now clear that late and missed  vaccination with DPaT vaccine is part of the cause of  the recent outbreak of whooping cough across the U.S.


So, if your child is up to date on all their DPaT vaccinations, keep up the good work!  If you think your child may have missed a dose, please don’t hesitate to call your doctor and schedule an appointment. Life gets hectic, and sometimes it’s really easy for a little vaccine to slip through the cracks but remember, prevention is the best medicine, so make those appointments a priority!


I welcome your comments at my blog, www.docsmo.com.  Tell us what you think or share a story. Until next time.


Smo Notes:

1. http://www.cdc.gov/pertussis/


Written collaboratively by Keri Register and Paul Smolen M.D.

From the desk of Doc Smo: Vaccine refusal growing? (Article)


Okay, it’s time for a little quiz about the practice of childhood vaccination in the United States.  You have probably heard about the resurgence of measles here. This resurgence is directly related to the failure to vaccinate children.   Last week, the Center for Disease Control (“CDC”)  published some data that attempts to explain the resurgence of measles in more detail.  Specifically, the CDC looked at the rate of measles vaccination at age five, the year of school entry for most children, across the United States.  Here are some of the questions that the CDC posed and answered:


What percentage of children have received two doses of MMR (Measles vaccine) by their fifth birthday?                                                                   (94.8%)


What percentage of families claim religious, medical, and/or philosophic reasons to exempt their children from getting MMR vaccine?        (0.1%-7%)


Which states do not allow religious exemption from vaccination?                                                                                                                                            (Mississippi and West Virginia)


Which state had the lowest rate of children having two doses of MMR  vaccine?                                                                                                                 (Colorado)


Which state has the highest vaccine rate for MMR vaccine?                                                                                                                                                       (Texas)


Which state had the highest rate of children not being vaccinated due to exemptions?                                                                                                      (Alaska)


Since parental refusal to vaccinate receives a lot of press, I was  surprised to see how few children are exempted from the requirement.  On average, only 1.5% of kindergartners have been exempted from the MMR vaccine.  Fortunately, this percentage represents only a 0.2% increase from the previous year. What I learned from this study is that even small increases in vaccine refusal can lead to quick and large increases disease frequency. Additionally, this is a reminder that the measles germs haven’t gone away and the only thing holding it back is getting all of our children vaccinated!  Parental resistance to vaccination does not seem to be increasing rapidly but even a little resistance can spell trouble for children. Get those kids of yours vaccinated!


Your comments are welcome. Please direct them to my blog at www.docsmo.com.   Until next time.


Vaccination Coverage Among Children in Kindergarten — United States, 2011–12 School Year


August 24, 2012 / 61(33);647-652