CAMB-IMM 609-2019 Course Packet[1]
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Paul Offit: Claiming the High Gr Ound I N the Vaccine C Ontroversy
PaUl oFFIt: CLAIMInG tHe HIGH GR oUnD I n tHe VaCCINE C ontRoVeRsY BY B rian G. Connell Y aul aul s my my a ourtesy c hen Paul Offit (Res ’80) was a resi- dent in the emergency department at / photo WChildren’s Hospital of Pittsburgh in RRIS the late 1970s, he had a patient—a 9-month- rank ha old infant—who died of rotavirus. Offit was f shocked to realize that this common intestinal infection still killed children in the United illustration States. A leading cause of severe diarrhea in Offit is co-inventor of the rotavirus vaccine RotaTeq, which was recommended for routine infants and young children, rotavirus contrib- immunizations in infants by the World Health Organization. utes to more than half a million deaths world- wide each year. have advanced the belief that there’s a link Offit, who has testified in congressional Some three decades later, in 2009, between vaccines and autism. The suspect hearings on vaccine safety, says the conse- RotaTeq— a vaccine for rotavirus—was recom- vaccines change, but the story remains the quences of skipping vaccines are not theo- mended by the World Health Organization to same: Citing anecdotes or data taken out of retical. He points to the pertussis outbreak in protect against the deadly infection. RotaTeq context, activist groups accuse physicians and California this year, which killed 10 infants is the fruit of 25 years of labor for Offit, the pharmaceutical companies of concealing what and infected 9,000 people. “We’re past the vaccine’s coinventor who is now a renowned they believe are harmful effects associated with tipping point,” he says. -
Of Aging: Wistar Researchers Shed New Light on Getting Old
ocus F Summer 2008 The Science of Aging: Wistar researchers shed new light on getting old Wistar Launches High-Tech Research Center The Federal Funding Crunch: What Does It Mean for Wistar? FROM THE PRESIDENT Wistar: Research at the Frontier he Wistar Institute has a pioneering tradition. TCaspar Wistar, for whom the Institute is named, was a forward-thinking 18th-century physician who wrote the first American anatomy textbook and was an early proponent of vaccination. His great-nephew, Insti- tute founder Isaac J. Wistar, was a pioneer in his own right who trekked west by wagon train to spend winters as a trapper in the wilds of California. Isaac Wistar founded The Wistar Institute in 1892 with the stated intention of creating a center for “new and original research” in the biological and medical sci- Peter Olson ences. In the ensuing century, Wistar lived up to that charge, and it continues to do so today. massive amounts of data and pinpoint disease-causing Wistar’s first scientific advisory board, convened in genes and proteins. The center supports work like that of 1905, declared research as the Institute’s principal objec- David W. Speicher, Ph.D., who is developing blood tests tive and specified three areas of focus: comparative for the early detection of the deadliest cancers. anatomy, embryology, and neurology—fields that repre- Likewise, the Institute’s new chemical screening facil- sented the leading edge of science and medicine at the ity, set to launch this fall, will allow investigators to turn of the century. screen vast numbers of compounds and identify those The Institute’s research focus has evolved over the years. -
Myocarditis and Mrna Vaccines
Updated June 28, 2021 DOH 348-828 Information for Clinical Staff: Myocarditis and mRNA Vaccines This document helps clinicians understand myocarditis and its probable link to some COVID-19 vaccines. It provides talking points clinicians can use when discussing the benefits and risks of these vaccines with their patients and offers guidance on what to do if they have a patient who presents with myocarditis following vaccination. Myocarditis information What are myocarditis and pericarditis? • Myocarditis is an inflammation of the heart muscle. • Pericarditis is an inflammation of the heart muscle covering. • The body’s immune system can cause inflammation often in response to an infection. The body’s immune system can cause inflammation after other things as well. What is the connection to COVID-19 vaccination? • A CDC safety panel has determined there is a “probable association” between myocarditis and pericarditis and the mRNA COVID-19 vaccines, made by Moderna and Pfizer-BioNTech, in some vaccine recipients. • Reports of myocarditis and pericarditis after vaccination are rare. • Cases have mostly occurred in adolescents and young adults under the age of 30 years and mostly in males. • Most patients who developed myocarditis after vaccination responded well to rest and minimal treatment. Talking Points for Clinicians The risk of myocarditis is low, especially compared to the strong benefits of vaccination. • Hundreds of millions of vaccine doses have safely been given to people in the U.S. To request this document in another format, call 1-800-525-0127. Deaf or hard of hearing customers, please call 711 (Washington Relay) or email [email protected]. -
2016 Calendar of Events
CALENDAR OF EVENTS OF EVENTS CALENDAR FEBRUARY 2 — MARCH 30, 2016 2 — MARCH 30, FEBRUARY EIGHT INSPIRED WEEKS OF DISCUSSIONS, PERFORMANCES, AND FILMS 2016 FEATURED TITLES FEATURED 2016 WELCOME 2016 FEATURED TITLES pg 2 WELCOME FROM THE CHAIR pg 3 YOUTH COMPANION BOOKS pg 4 ADDITIONAL READING SUGGESTIONS pg 5 DISCUSSION GROUPS AND QUESTIONS pg 6-7 FILM SCREENINGS pg 8-9 GENERAL EVENTS pg 10 EVENTS FOR CHILDREN, TEENS, AND FAMILIES pg 21 COMMUNITY PARTNERS pg 27 SPONSORS AND ACKNOWLEDGEMENTS pg 30 The centerpiece of 2016 One Book, One Philadelphia is author Charles Frazier’s historical novel Cold Mountain. Set at the end of the Civil War, Cold Mountain tells the heartrending story of Inman, a wounded Confederate soldier who walks away from the horrors of war to return home to his beloved, Ada. Cold Mountain BY CHARLES FRAZIER His perilous journey through the war-ravaged landscape of North Carolina Cold Mountain made publishing history when it topped the interweaves with Ada’s struggles to maintain her father’s farm as she awaits New York Times bestseller list for 61 weeks and sold 3 million Inman’s return. A compelling love story beats at the heart of Cold Mountain, copies. A richly detailed American epic, it is the story of a Civil propelling the action and keeping readers anxiously turning pages. War soldier journeying through a divided country to return Critics have praised Cold Mountain for its lyrical language, its reverential to the woman he loves, while she struggles to maintain her descriptions of the Southern landscape, and its powerful storytelling that dramatizes father’s farm and make sense of a new and troubling world. -
Stanley A. Plotkin, MD
55936.qxp 3/10/09 4:27 PM Page 4 Stanley A. Plotkin, MD Recipient of the 2009 Maxwell Finland Award for Scientific Achievement hysician, scientist, scholar—Stanley Plotkin Dr. Plotkin was born in New York City. His father was a has successfully juggled all three roles during commercial telegrapher. His mother, who occasionally his decades of service. filled in as an accountant, mostly stayed home with Stanley PFrom his first job following graduation from and his younger sister, Brenda. At age 15, Stanley, a student medical school as an intern at Cleveland Met- at the Bronx High School of Science, discovered what he ropolitan General Hospital to his present role as consultant wanted to do with his life. After reading the novel Arrow - to the vaccine manufacturer sanofi pasteur, Dr. Plotkin has smith by Sinclair Lewis and the nonfictional work Microbe explored the world of infectious diseases and Hunters by Paul de Kruif—two books about sci- has been actively involved in developing some entists battling diseases—Stanley set his sights of the most potent vaccines against those dis- on becoming a physician and a research scien- eases. tist. “Dr. Plotkin has been a tireless advocate for Dr. Plotkin graduated from New York Uni- the protection of humans, and children in par- versity in 1952 and obtained a medical degree ticular, from preventable infectious diseases. at Downstate Medical Center in Brooklyn. He His lifetime of work on vaccines has led to pro- was a resident in pediatrics at the Children’s found reductions in both morbidity and mortality not only Hospital of Philadelphia and at the Hospital for Sick Chil- in the United States, but throughout the world,” says Vi- dren in London. -
Presentation of Stanley Plotkin
Vaccine Safety by Stanley A. Plotkin Advac Alumni 2019.pptx Sept. 22, 2019 Plotkin, Pediatrics, 2019; 143 2 (Cont.) 3 Vaccine Safety Library Topics May 2019 Heather Monk Bodenstab, PharmD, Paul Offit, MD, Frank DeStefano, MD • Adjuvants Other than Aluminum in Vaccines o Squalene (MF59, AS03, AF03) o Monophosphoryl lipid A (MPL), Saponin (QS21), and Related Adjuvant Systems (AS01, AS02, AS04) o CpG • Aluminum in Vaccines • Diabetes and Vaccines o Type-1 Diabetes o Gestational Diabetes • DNA and Vaccines • Egg Allergy and Vaccines o Influenza Vaccine o Measles-Containing Vaccine o Yellow Fever Vaccine • Guillain-Barre Syndrome (GBS) and Vaccines 4 Vaccine Safety Library Topics (cont.) May 2019 Heather Monk Bodenstab, PharmD, Paul Offit, MD, Frank DeStefano, MD • Human Papillomavirus (HPV) Vaccine Safety Concerns o HPV Vaccine and Chronic Fatigue Syndrome (CFS)/Systemic Exertion Intolerance Disease (SEID) o HPV Vaccine and Multiple Sclerosis/Central Demyelinating Disease o HPV Vaccine and Postural Orthostatic Tachycardia Syndrome (POTS) o HPV Vaccine and Primary Ovarian Insufficiency o HPV Vaccine and Promiscuity o HPV Vaccine and Venous Thromboembolism (VTE) • MMR and Autism • Multiple Sclerosis/Central Demyelinating Disease and Vaccines o Hepatitis B o Flu Vaccine • Pertussis Vaccine and Neurologic Complications • Pregnancy and Vaccines o HPV Vaccine and Pregnancy o Influenza Vaccine and Pregnancy o Pertussis-containing Vaccines and Pregnancy • Sudden-infant death syndrome (SIDS) and Vaccines • Thimerosal and Autism • Too Many, Too Soon • Vaccine Ingredients o Formaldehyde o Gelatin o Polysorbate 80 • Yeast and Vaccines 5 Package Insert for MMR Risks of a Vaccine Reaction . Soreness, redness, or rash where the shot is given and rash all over the body can happen after MMR vaccine. -
Vaccine Hesitancy
WHY CHILDREN WORKSHOP ON IMMUNIZATIONS ARE NOT VACCINATED? VACCINE HESITANCY José Esparza MD, PhD - Adjunct Professor, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA - Robert Koch Fellow, Robert Koch Institute, Berlin, Germany - Senior Advisor, Global Virus Network, Baltimore, MD, USA. Formerly: - Bill & Melinda Gates Foundation, Seattle, WA, USA - World Health Organization, Geneva, Switzerland The value of vaccination “The impact of vaccination on the health of the world’s people is hard to exaggerate. With the exception of safe water, no other modality has had such a major effect on mortality reduction and population growth” Stanley Plotkin (2013) VACCINES VAILABLE TO PROTECT AGAINST MORE DISEASES (US) BASIC VACCINES RECOMMENDED BY WHO For all: BCG, hepatitis B, polio, DTP, Hib, Pneumococcal (conjugated), rotavirus, measles, rubella, HPV. For certain regions: Japanese encephalitis, yellow fever, tick-borne encephalitis. For some high-risk populations: typhoid, cholera, meningococcal, hepatitis A, rabies. For certain immunization programs: mumps, influenza Vaccines save millions of lives annually, worldwide WHAT THE WORLD HAS ACHIEVED: 40 YEARS OF INCREASING REACH OF BASIC VACCINES “Bill Gates Chart” 17 M GAVI 5.6 M 4.2 M Today (ca 2015): <5% of children in GAVI countries fully immunised with the 11 WHO- recommended vaccines Seth Berkley (GAVI) The goal: 50% of children in GAVI countries fully immunised by 2020 Seth Berkley (GAVI) The current world immunization efforts are achieving: • Equity between high and low-income countries • Bringing the power of vaccines to even the world’s poorest countries • Reducing morbidity and mortality in developing countries • Eliminating and eradicating disease WHY CHILDREN ARE NOT VACCINATED? •Vaccines are not available •Deficient health care systems •Poverty •Vaccine hesitancy (reticencia a la vacunacion) VACCINE HESITANCE: WHO DEFINITION “Vaccine hesitancy refers to delay in acceptance or refusal of vaccines despite availability of vaccination services. -
COVID-19 Vaccine and CMT – Q & A
COVID-19 Vaccine and CMT – Q & A Disclaimer: Nothing shared on these pages should be construed or is intended to be used for medical diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified health care provider. Should you have any emergency questions or concerns, please contact your physician or health care provider immediately. Always consult with your physician or other health care provider to gain clarification regarding any health care related questions. This content was sourced from the CDC, the CMTA Scientific Advisory Board, the MDA and the NY Times. What are the side effects of the COVID vaccine? Will they affect my CMT? The known side effects of current and likely-to-be authorized COVID-19 vaccines are similar to those of the annual influenza vaccine. These include symptoms such as: muscle soreness at the injection site, fever, tiredness, body aches and headache. It’s important to note that at this time we do not know whether or not the COVID-19 vaccine will have a different or more serious set of side effects for CMT patients. You should talk to your doctor about the possibility of more serious side effects of a COVID-19 vaccine for you. What impacts will the vaccine have on possible future gene therapy treatments or medications? Whether the vaccine will have an adverse impact on any course of treatment that you or your loved one may be taking is something that you will want to consult with your clinician about directly. Upon the FDA authorization of the Pfizer/BioNTech vaccine, the FDA did not name any contraindications pertaining to genetic therapies or other medications particularly important to the CMT community. -
White Paper on Studying the Safety of the Childhood Immunization Schedule for the Vaccine Safety Datalink
White Paper on Studying the Safety of the Childhood Immunization Schedule For the Vaccine Safety Datalink National Center for Emerging and Zoonotic Infectious Diseases Immunization Safety Office CS258953 White Paper on the Safety of the Childhood Immunization Schedule Vaccine Safety Datalink Centers for Disease Control and Prevention | 1600 Clifton Road | Atlanta GA 30329 Notice: The project that is the subject of this report was approved and funded by the Immunization Safety Office, Centers for Disease Control and Prevention. The contributors responsible for the content of the White Paper were funded by Task Order contract 200-2012-53582/0004 awarded as a prime contract to Kaiser Foundation Hospitals. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Additional copies of this report are available from Jason Glanz, PhD, [email protected] Contributors to the White Paper on the Study of the Safety of the Childhood Immunization Schedule Study Team Authors Jason M. Glanz, PhD Lead Investigator, Kaiser Permanente Colorado, Denver, CO; Assistant Professor of Epidemiology, University of Colorado School of Public Health, Aurora, CO. Sophia R. Newcomer, MPH Co-Investigator, Kaiser Permanente Colorado, Denver, CO. Mike L. Jackson, PhD, MPH Co-Investigator, Group Health Cooperative, Seattle, WA. Saad B. Omer, MBBS, MPH, PhD Co-Investigator and Associate Professor of Global Health, Epidemiology, and Pediatrics at Emory University, Schools of Public Health and Medicine, Atlanta, GA. Robert A. Bednarczyk, PhD Co-Investigator and Assistant Professor of Global Health, Emory University School of Public Health, Atlanta, GA. -
An Epidemic and Social Taboos
BOOK REVIEW An epidemic and social taboos the mothers of infants with cataracts whose discussion about the rubella they had in early pregnancy was overheard by Gregg, but she doesn’t Dangerous Pregnancies give him sufficient credit for making the mental leap to convert gossip to scientific fact. Reagan also exaggerates the early opposition to Gregg’s Leslie J. Reagan hypothesis about rubella being teratogenic, which was simply scientific University of California Press, 2010 skepticism pending confirmation by other workers. 392 pp., hardcover, $29.95 However, Reagan well describes the fierce opposition in some quarters ISBN: 9780520259034 to medical abortions given to women who were diagnosed with rubella during pregnancy. She recounts several legal battles that arose from Reviewed by Stanley A Plotkin abortions done or abortions refused and how they resulted in relaxation of abortion rules before the Roe vs. Wade decision of the US Supreme Court in 1973 at last struck down all barriers. I had forgotten that, in California in 1968, several physicians were convicted of malpractice in a suit brought by the state attorney general. Fortunately, that decision was reversed. In another instance, a physician from Minnesota who Perhaps the most accurate view of current events is through the ‘ret- purposely precipitated a 1970 criminal case by performing a medically rospectoscope,’ for those who live through them often do not perceive indicated abortion was mercilessly prosecuted and lost her license. their long-term importance. At least that thought came to mind while Reagan gives the rubella epidemic a major role in the liberalization of I was reading Dangerous Pregnancies by Leslie Reagan. -
Immunization Pearls in This Issue
DCIC Pearls Newsletter Print Immunization Pearls In this issue Membership meeting summary Immunizations in the news Stay Sharp- Educational Opportunities General Membership Meeting Summary Feb. 21, 2017 Jenny Kind (UHS) update on Mening B --most students immunized in fall did not receive 2nd dose at provider as recommended. Sally Zirbel Donish (MMSD)-partnership with DCIC, PHMDC and State grant made clinics possible Elizabeth Bourke (Deerfield School Nurse)--challenges of rural health and immunization access, particularly with 6th grade Tdap completion. Struggle with required Tdap coverage by exclusion deadline Dr. Conway-raised concerns of whether the school clinics sustainable. Public Health Prevention Fund at risk with serious impact on immunization programs and others as a result. Stay tuned.... Diane McHugh, PHMDC-- Coalition Engagement: School Based Clinics For complete meeting minutes and slides, see the DCIC website Save the Dates! DCIC Membership Meetings continue at the Madison Water Utility at 119 E. Olin Ave, Madison. Tuesdays from 12-1:30 on the following dates for 2017 DCIC Pearls Newsletter.html[6/15/2017 9:36:08 AM] DCIC Pearls Newsletter May 16 August 15 November 14 Immunization Update 2017 Wednesday April 5, 2017 5:00-6:00 pm Dinner 6:00-8:00 Presentation by Dr. Paul Hunter, "Adult Vaccine Update", followed by panel discussion of "Vaccine Hesitancy, from Babies to Boomers". American Family Insurance Education and Training Center 6000 American Pkwy Madison WI (between Sun Prairie and Madison) For health care staff who administer vaccines or facilitate administration. Registration has begun, seating is limited. Register soon. Information is posted on DCIC website. -
Novel Approach for Vaccine Development Leads to Discovery Of
For Immediate Release: Contact: Nov. 14, 2014 Darien Sutton [email protected] 215 898 3988 Dr. Stanley A. Plotkin to Receive the Hamdan Award for Medical Research Excellence in the Field of Vaccines PHILADELPHIA–(Nov. 14, 2014)–Renowned vaccine researcher Stanley A. Plotkin, M.D., emeritus professor at The Wistar Institute, will receive the Hamdan Award for Medical Research Excellence in the field of Vaccines on Dec. 16 at the Dubai International Conference for Medical Sciences. Sheikh Hamdan bin Rashid Al Maktoum, deputy ruler of Dubai and Finance and Industry minister of the United Arab Emirates, will present the award to Plotkin, who will speak about the future of vaccine development and conduct a workshop on vaccines. Established in 1999 to honor the work of researchers across the globe, the Hamdan Award is part of an Emirati initiative that calls upon health institutes worldwide to promote plans for specific research and scientific study to improve lives. Plotkin has spent a lifetime developing and improving vaccines to fight a host of preventable diseases and save countless lives in the U.S. and around the world. The majority of his more than 50-year career was spent as a professor of virology at Wistar, from 1960-1991, where his groundbreaking research led to the creation of the rubella vaccine against German measles–the lone standard used worldwide to this day–as well as vaccines used to prevent cytomegalovirus, polio, and varicella. His active study spanned decades, from the 1960s when he worked on a rabies vaccine, to 2006, when he collaborated on a rotavirus vaccine, which is now part of the standard schedule of pediatric immunizations recommended by the Centers for Disease Control.