Showing posts with label public health policy. Show all posts
Showing posts with label public health policy. Show all posts

10/27/09

The Atlantic article: sur rebuttal

Peacenik has read a cross section of articles. Pro vaccine and con vaccine. Vaccines are becoming publicly available in Guelph on Friday. There will be clinics running all day for weeks. The Canadian vaccine will have adjuvants. But Canada has ordered some vaccine without adjuvants for pregnant women. This fact has added to any apprehension Peacenik has about the vaccines.

Peacenik doesn't know if the Canadian vaccine will create side effects that a vaccine without adjuvants will have. Helen Branswell, a respected Canadian medical reporter, says that this year's Canadian vaccine will cause sorer arms than last year's due to the adjuvants. Peacenik is hoping to golf on Saturday. Peacenik doesn't want a sore arm. So Peacenik will delay getting vaccinated until the first available chance after Saturday. Peacenik will get the swine flu vaccine and the seasonal vaccine.

But Peacenik also has a question. Peacenik Jr. almost certainly had the swine flu. But no tests were taken to confirm it. Should Peacenik Jr. still get vaccinated? Should Punditman? Should Don Cherry? Should Taxi Guy?

Posted on: October 27, 2009 6:31 AM, by revere

On Saturday we posted our take on The Atlantic magazine article by Shannon Brownlee and Jeanne Lenzer. It's a major story in the November issue, a banner across the top of the cover page reading: Swine flu: Does the vaccine really work? We tried to ignore it. People kept asking us to comment on it, but we didn't want to get entangled in vaccine controversies. As Orac warned me, it's a game of Whac-A-Mole. But we got fed up and posted our global response, not a point by point refutation, since that wasn't what the issue was. Our main point was that it was a straw man argument built around the narrative device of the brave, mavericky truth teller who is shunned by colleagues and has to eat alone at conferences. A scientific Enemy of the People. Not unexpectedly it drew a sharp response from the authors here and elsewhere. So like the worker who gets his sleeve caught in the machine, we are being drawn inexorably into the gears of the vaccine controversy. Sigh. We should have known better. But what's done is done, so we will add this to our initial immediate reply to the authors.

Brownlee/Lenzer title their response to us, "Faith-based science not methodolatry is the problem." This is apparently a reference to our use of the neologism methodolatry to describe what we see as Dr. Jefferson's overweaning fealty to the randomized trial as the only reliable knowledge. It was actually a rather minor point, but not to hear the authors tell it:

Read on...

10/2/09

Nurses File Lawsuit Over Mandatory Flu Vaccine

The management of the current swine flu pandemic is becoming farcical. Peacenik doesn't know what good public health policy is anymore. The Star recently reported that there is a surge of swine flu cases in the Greater Toronto Area. The second wave has arrived. Peacenik was galvanized. Ready to wear Peacenik's N-65 medical mask everywhere.

Then there was the story that the vaccine manufacturers weren't going to be legally liable for any problems with flu shots. The Canadian taxpayer was going to be liable. Whaaaaat?

Then of course there is the preliminary story that seasonal flu shots increase the likely hood of getting swine flu. This story has not been debunked. Is it true? And of course there won't be any vaccine until the flu season is winding down in November.

And all the fights agains mandatory flu shots. Does anyone know what the best approach is? Peacenik doesn't. Have a good weekend.

Update: Peacenik just spoke to a colleague who just returned from speaking with her doctor. Peacenik's colleague asked the doctor if she should get the seasonal flu shot. The doctor said he just returned from a conference about the swine flu and the doctor was confused. Didn't really know what the answer was and said 'on balance if your are healthy you should get the seasonal flu shot". A doctor just gets back from a swine flu conference and is hazy about whether to take the shot or not. Peacenik is not the only one in the dark.

by KOMO News Staff

[The nurses' union said in a statement that it supports a voluntary vaccination program, but that any mandatory policy should be overseen by the state or federal government. (Image: KOMO News)]The nurses' union said in a statement that it supports a voluntary vaccination program, but that any mandatory policy should be overseen by the state or federal government. (Image: KOMO News)

SEATTLE - A union representing 16,000 registered nurses in Washington state has filed a federal lawsuit against MultiCare Health System for implementing a mandatory flu vaccination policy.

"This new policy will force nurses to get the flu vaccination or to wear face masks as a condition of employment and may result in the firing of nurses who do not comply with the policy," the union said in a statement.

Read on...