Just in case you aren't on the SDOH listserv, thought that I'd send this
along for your files in case this argument is being discussed.
Carolyn Hill-Carroll, RN, MN
Clinical Nurse Specialist
Population and Public Health, WRHA
telephone: 204-940-2638
fax: 204-940-1947
>>> [log in to unmask] 9/25/2007 10:07:07 AM >>>
I think the question is perhaps not how many deaths that vaccination
reduces, but how many deaths due to complication of flue that were
prevented because of the vaccine, or would have occurred if vaccines
were not given.
I think that it is precisely the reason that the older population have
less healthy immune system, that they need the vaccine.
What's rationale of vaccinating health care workers, healthy people
working with young children or immunal compromised? For years I have
resisted getting the flu vaccines, because I am healthy (or I think I
am). Even workplaces are offering or encouraging their employees to get
the flu vaccine so that the company will not lose productivity during
flu season. You can argue about their purity of their intention
(productivity vs. genuine interest of the health of their workers, but
that's beside the point). So why single out the older population? Is
$150 million really that much compare to other outrageous health care
costs?
It's like saying why do CPR if it only saves 2% of the people. But if
you don't administer CPR to those most need it, there won't be 2% that
get saved.
>>> Robert C Bowman <[log in to unmask]> 09/25/07 6:18 AM >>>
More recent research highlights potentially better prevention of the
spread
of flu by immunizing the youngest children.
This is a mobile group, the day care group, the one that contacts
numerous
others of similar infection risk and spread of infection risk.
They are also the grandchildren of the at risk elderly.
Some studies indicate that this is an important group to immunize to
impact
overall morbidity and mortality.
Also flu vaccine is always a poker game. You get 2 or 3 hands to play,
but
Old Man Flu is the dealer and plays many more hands.
The result is not always predictable.
I do not doubt that there could be some manipulations or
interpretations of
the data in favor of immunization, not an uncommon situation given the
way
we train, fund research, easily manipulate the media, provide too
little
independent research, fail to support public health well, and fund
almost
no objective evaluation.
Expand horizons beyond the current focus to get closer to the truth.
Robert C. Bowman, M.D.
[log in to unmask]
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