-congratulation Chris Del Mar and Peter Collignon... from the blog to the
front-page in the BMJ!
NOW
Gripe. Se precisa poner el foco en la higiene. La efectividad de la vacuna
es decepcionante.
*Influenza. More focus on hygiene methods is needed. Vaccine effectiveness
is disappointing. *
http://www.bmj.com/content/359/bmj.j5007
PREVIOUSLY
*In the meantime, it is clear we need better vaccines, which need better
evaluation, and making public awareness messages that promote mask wearing
and hand hygiene.(2017) Chris Del Mar and Peter Collignon*
http://blogs.bmj.com/bmj/2017/10/04/chris-del-mar-and-peter-
collignon-another-seasonal-influenza-epidemic/
-un saludo juan gérvas @JuanGrvas
-great National Geographic reportage
Vacunas. Evitan daños y muertes.
Vaccines. How they avoid suffering and deaths.
https://www.nationalgeographic.com/magazine/2017/11/vaccine-
health-infection-global-children/
2017-10-16 10:09 GMT+02:00 Juan Gérvas <[log in to unmask]>:
> -thanks, Wouter
> -in my opinion, Cochrane, Tom Jefferson, Peter Doshi and others are alone
> around the lack of EBM and of effectiveness of influenza vaccine because
> most people are afraid of being labelled as "anti-vaxx"
> -this is my problem in Spain, even being a professor of public health and
> a member of the Vaccines Committee of the Spanish Association of Public
> Health
> -if you promote the rational use (best use) of vaccines your risk your
> reputation
> -but we are not really alone; enjoy reading:
> -*three comments*:
> *«Evidence for ‘consistent high-level protection is elusive,’ the
> researchers concluded. Although vaccination was found to provide modest
> protection from infection in young healthy adults who rarely have
> complications of flu, the authors found that ‘evidence for protection in
> adults 65 years of age and older [who represent over 90% of deaths from
> flu] . . . is lacking’ »* *(2012) *Michael T OSTERHOLM et al. Center for
> Infections Disease Research and Policy (CIDRAP). University of Minnesota :
> Minneapolis
> http://www.cidrap.umn.edu/sites/default/files/public/downloa
> ds/ccivi_report.pdf
>
> *This flu season, let’s immunize ourselves from the annual infection of
> exaggerating relative risk reductions. (2015) Alan Cassels*
> http://www.healthnewsreview.org/2015/10/this-flu-season-lets
> -immunize-ourselves-from-the-annual-infection-of-exaggeratin
> g-relative-risk-reductions/
>
> *In the meantime, it is clear we need better vaccines, which need better
> evaluation, and making public awareness messages that promote mask wearing
> and hand hygiene.(2017) Chris Del Mar and Peter Collignon*
> http://blogs.bmj.com/bmj/2017/10/04/chris-del-mar-and-peter-
> collignon-another-seasonal-influenza-epidemic/
>
> *-four questions:*
> 1/* flu vaccine has no connection at all with flu deaths; even the CDC
> measures flu vaccine effectiveness as "to prevent influenza-associated,
> medically attended, acute respiratory illness (ARI)" (no deaths)*
> https://www.cdc.gov/mmwr/volumes/66/wr/mm6606a3.htm
>
> 2/* it is only half true that " Influenza genetic drift means
> revaccination is needed every year with modified antigens"; the main reason
> to re-vaccinate every year is **a steady decline in vaccine protection in
> the months after vaccination; so even with no genetic drift you need
> re-vaccination; this was the case in 2011/12 and was the case in 2014/15*
> http://equipocesca.org/en/vacuna-contra-la-gripe-2011-2012-u
> na-vacuna-terminator-mas-razones-para-el-no-razonable-de-pro
> fesionales-y-pacientes-flu-vaccine-2011-2012-a-terminator-
> vaccine-more-reason-to-say-a-reasonabl/
> https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6332a3.htm#Influ
> enza_Vaccine_Composition
> https://academic.oup.com/cid/article/64/5/544/2758477/Intras
> eason-Waning-of-Influenza-Vaccine-Protection
> https://www.statnews.com/2017/01/12/flu-shot-timing/
>
> *3/ Influenza vaccines have also no impact on hospitalizations; see the
> numbers in the US from 1997 to 2009 (increasing number of people
> vaccinated, more than 100 millions and no impact at all)*
> https://bmcpublichealth.biomedcentral.com/articles/10.1186/s
> 12889-017-4177-z
>
> *4/ G**roup of risk is a very risky question:*
> Among children <18 years, about half of all influenza hospitalizations
> were due to influenza B, most occurring in children without noted risk
> conditions.
> https://bmcpublichealth.biomedcentral.com/articles/10.1186/s
> 12889-017-4177-z
> The level of evidence to support risk factors for influenza related
> complications is low and some well accepted risk factors, including
> pregnancy and ethnicity, could not be confirmed as risks.
> http://www.bmj.com/content/347/bmj.f5061
>
>
> un saludo juan gérvas @JuanGrvas
>
>
>
>
>
>
>
>
>
>
>
>
> 2017-10-16 8:39 GMT+02:00 Wouter Havinga <[log in to unmask]>:
>
>> Yes Juan,
>>
>> It is shameful that national NHS "leaders" are bullying their staff.
>>
>> That narcissistic attitude is already taken over by the work force:
>> "General practice threatens
>> to withhold repeat prescriptions until patients have flu vaccine".
>> And it is not only about power: “Unfortunately this is - about cash."
>> http://www.bmj.com/content/359/bmj.j4682
>>
>> Social media is also used to bully people into submission:
>> https://twitter.com/DocBastard/status/919178016445616128
>>
>> People are getting publicly listed https://twitter.com/DocBastard
>> /status/919214919609921538
>>
>> This kind of behaviour is condoned by regulatory bodies, like the GMC
>> (General Medical Council in the UK).
>>
>> All health care "professionals" do not do their duty, health care workers
>> (HCW) don't provide SDM
>> for the flushot, because (apart from the money) they do not understand
>> the evidence themselves,
>> they know they don't know and pretend ignorance.
>>
>> In the meantime with massive marketing campaigns, by creating "estimates"
>> from surrogate end points,
>> intense lobbying and creating fear to speak out through bullying, a
>> global market is established.
>>
>>
>> And all the great and the good in EBM won't speak out either, in order to
>> maintain their jobs.
>>
>>
>> This process to curb freedom is described in the book "Animal Farm" by
>> George Orwell.
>>
>> Wouter
>>
>> Dr W Havinga, locum GP, Gloucestershire, UK
>> GMC 3578256
>> @wouterhavinga
>> I am interested in normalising common infectious diseases and supporting
>> life style choices with shared decision making (SDM) and trying to avoid
>> pharmacological intervention options.
>> Medicine focuses on symptom control rather than the developmental
>> benefits (life style choices) from disease.
>> Infectious diseases ("Virolution" & microbiome) and life events
>> can have developmental benefits but medicine, in my opinion, stigmatises
>> patients
>> with labels such as anxiety and depression and constantly spreads
>> pandemic fears.
>> www.whopaysthisdoctor.org/doctor/312
>>
>>
>
