Should I get my child vaccinated? There are strong feelings on both sides of the vaccination debate: Should all children be required to get vaccinations or be allowed to abstain if they so choose. But how do parents’ decisions to abstain from vaccinations impact children with compromised immune systems, including those going through cancer treatments?
Childhood cancer experts are very concerned about the risks for children with cancer. “The complications from a vaccine-preventable childhood illness are significantly more serious in an immunocompromised child compared to a healthy child getting the same infection,” says Dr. Randal Olshefski, section chief of Hematology & Oncology and medical director of the multi-disciplinary Cancer Survivorship clinic at Nationwide Children's Hospital.
Read MoreVaccine Exemptions
A philosophical exemption means parents can not vaccinate kids based on personal beliefs
National Vaccine Information Center
Recently, an article on a website called Scary Mommy documented one mom’s plea to parents of healthy children to vaccinate if possible. The article went viral.
The laws on immunizations vary state to state and there is no federal law on vaccinations. As of December 2018, all 50 states allow parents to abstain from vaccinations for their children for medical reasons including cancer treatments or autoimmune disorders; 47 states allow for vaccination exemptions for religious reasons; and just 17 states allow for philosophical/personal belief exemptions.
Fueled by the anti-vaccine movement, bills allowing freedom from vaccination have been introduced in many state legislatures in recent years. But there is evidence out this week that many of these anti-vaccine bills are not being passed. A new study found it’s far more likely that a pro-vaccine bill that limits exceptions from the requirement that children be vaccinated to attend public schools is more likely to become law than an anti-vaccine bill.
The debate around the right to choose not to vaccinate your children is nothing newit’s been around for many years. Much of today’s anti-vaccine movement was fueled by the medical journal The Lancet, which published an article in 1999 that claimed to show a link between the Measles Mumps and Rubella (MMR) vaccine and autism. The journal later retracted the findings after 10 of the 12 co-authors themselves issued a “retraction of interpretation” to clarify that they did not find a causal link between a vaccine and autism in children. Today the study is viewed by the medical community as totally discredited.
Today, parents who are against vaccination are generally concerned about both the safety and the effectiveness of these immunizations, explains Ashley Everly, a toxicologist who works with Health Freedom Idaho. Vaccines contain aluminum, she says, which has been studied and found to potentially cause neurological damage. Further, she believes, “Vaccines are only tested for their ability to produce antibodies. However, the presence of antibodies does not equate to having immunity. Individuals may not develop antibodies in response to vaccination at all, but if a person does, the antibodies wane relatively quickly over time.”
More important to her is that she feels that parents are not being given all the information before vaccinating their children. “Doctors are not educated on vaccine ingredients, adverse reactions and events, the Vaccine Injury Compensation Program, the current independent scientific research beyond the industry-funded papers that the CDC presents to the public, and more. Parents walk into a well-check appointment for their new baby and have no idea what the potential consequences are when they vaccinate, and so many families live with such terrible regret that they did not educate themselves first.”
But while the anti-vaccine community continues to push their claims that vaccines can be dangerous and they have the right to refuse them for their children, in the the medical community today there is no debate. “The evidence that vaccines are safe and effective has been supported by numerous research studies,” says Dr. Olshefski. There is a clear consensus in the medical community about the value of vaccinations. “High immunization rates have reduced dramatically the incidence of many diseases, such as diphtheria, measles, mumps, polio, tetanus, and others.”
And he says the way to have an effective vaccination program is widespread immunization and careful surveillance to detect outbreaks of infections. This approach, he says will keep the virus from reproducing and keep all children safe from preventable diseases.
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