There seems to be a feverish pitch of concern about the HINI vaccine.
I have been asked by a number of mothers about what they think I would do in their shoes. It is one thing to avoid getting immunized yourself but what if something happened to their kid. I empathize with their hard choice. Really it comes down to the risk of your child not being able to fight off a virus naturally or the risk of an untested vaccine that has mercury, formaldehyde and new chemicals that augment the effectiveness of the vaccine. I legally cannot recommend to any mother what to do. I just know that there are far too much scary conventional media messages that are making mom's everywhere loose sleep at night.
I wanted to provide a review of studies so parents can determine if the risk is worth exposing their child to the vaccine.
Fifty-one studies with 294,159 observations were included in the Cochrane Review byJefferson T, Rivetti A, Harnden AR, Di Pietrantonj C, Demicheli V. http://www.cochrane.org/reviews/en/ab004879.html
Inactivated vaccines have an effectiveness of 36% in children over 2 years of age.
Critical note: In children under two, the efficacy of inactivated vaccine was similar to placebo. My theory is that the immune system is too underdeveloped to make vaccine effective.
I thought I would give an alternative viewpoint to balance out what the media has reported. I am also including a chart that helps you know what is different about the symptoms of HINI so you are prepared if anyone in your family gets sick.
I hope this information is helpful in making an educated decision.
Prevent Swine Flu - Good Advice
Dr. Vinay Goyal is an MBBS, DRM, DNB (Intensivist and Thyroid specialist) having clinical experience of over 20 years. He has worked in institutions like Hinduja Hospital, Bombay Hospital, Saifee Hospital, Tata Memorial etc..
Presently, he is heading our Nuclear Medicine Department and Thyroid clinic at Riddhivinayak Cardiac and Critical Centre, Malad (W).
The following message given by him, I feel makes a lot of sense and is important for all to know.....
The only portals of entry are the nostrils and mouth/throat. In a global epidemic of this nature, it's almost impossible to avoid coming into contact with H1N1 in spite of all precautions. Contact with H1N1 is not so much of a problem as proliferation is.
While you are still healthy and not showing any symptoms of H1N1 infection, in order to prevent proliferation, aggravation of symptoms and development of secondary infections, some very simple steps, not fully highlighted in most official communications, can be practiced:
1. Frequent hand-washing (well highlighted in all official communications).
2. "Hands-off-the-face" approach. Resist all temptations to touch any part of face.
3. *Gargle twice a day with warm salt water (use Listerine if you don't trust salt). *H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation. In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don't underestimate this simple, inexpensive and powerful preventative method.
4. Similar to 3 above, *clean your nostrils at least once every day with warm salt water. *Not everybody may be good at Jala Neti or Sutra Neti (very good Yoga asanas to clean nasal cavities), but *blowing the nose hard once a day and swabbing both nostrils with cotton buds dipped in warm salt water is very effective in bringing down viral population.*
5. *Boost your natural immunity with foods that are rich in Vitamin C (Amla and other citrus fruits). *If you have to supplement with Vitamin C tablets, make sure that it also has Zinc to boost absorption.
6. *Drink as much of warm liquids (tea, coffee, etc) as you can. *Drinking warm liquids has the same effect as gargling, but in the reverse direction. They wash off proliferating viruses from the throat into the stomach where they cannot survive.
Immune System Boosting in Response to Threat of H1N1
by William Ware, PhD
In the context of influenza, mainstream medicine thinks of immunity and
immune boosting in terms of vaccines. This translates into artificial active
manipulation of the adaptive immune system. Traditionally the new flu
vaccine offered each year is composed of strains determine by a consensus
reached months before the season starts and to some is akin to using a
crystal ball to forecast the future. H1N1 is different in that a vaccine can
be made from the currently active strain although time is short, and the
vaccine will receive only limited testing over a very short period. Given
the circumstances, it is quite impossible to test for adverse effects that
might occur months after inoculation. The recommendation that all pregnant
women be vaccinated is a pure act of faith based on earlier experience that
there will be no adverse effects on either the mother, the fetus, or the
child, either in the near or long term. Some expectant mothers may find this
worrisome. Also, flu vaccines drawn from multi-injection bottles generally
contain the famous mercury preservative. H1N1 vaccines is also said to
contain a chemical or chemicals that augment the effectiveness but these
have not been used before and thus not extensively tested.
The approach which impacts the adaptive immune system is of course practical
but ignores the innate immune system which may well be more important if the
N1H1 virus mutates or if other vaccines do not contain the appropriate
strains for the coming flu season. For those who do not believe in vaccines
for one reason or another, the innate immune system becomes paramount to
their defence against this and other flu viruses. Mainstream medicine tends
to ignore protocols that boost the innate immune system because they involve
mostly non-prescription substances obtained at the health food store and
because the research available does not meet their standards. The latter
factor is not surprising. Using the profits of the drug companies as a
standard, there is no significant money to be made and thus no money for
trials that would satisfy those who insist that every intervention be backed
by large randomized clinical trials that follow after phase I and II trials.
This philosophy ignores the fact that a significant fraction of the modern
medicine is not evidence based, a situation which one or two major peer
reviewed journals have recently had the courage to document. And it
obviously is ignored in the case of seasonal vaccines.
The innate immune system comprises the mechanisms and cells that defend an
organism from infection by other organisms by recognizing and responding to
pathogens in a generic manner, recruiting immune cells to the sites of
infection, activating processes that identify invaders, and promote the
clearance of dead cells or antibody complexes. Involved is the
identification and removal of foreign substances present in organs, tissues,
the blood and lymph by specialized white blood cells. Thus the healthy
immune system distinguishes between self and non-self. Recommendations
commonly encountered suggest the immune function may be protected and
enhanced by supplementation.(1-3) Included are the following which are
readily available in most health food stores:
-- Selenium, 200 micrograms/day (maximum)
-- Zinc, 30 mg/day (maximum)
-- Probiotic sources guaranteed to contain significant levels of beneficial
bacteria (billions of cells) such as some yogurts, e.g. Activa®
-- Omega-3 fatty acids (fish oil) 1-2 g/day
-- Garlic extract, 1 g/day
-- Grape seed extract 100-200 mg/day
-- Green tea extract, 325 mg of EGCG/day
-- N-acetyl cysteine, 600-1000 mg/day
-- Alpha Lipoic acid, 200-500 mg/day
-- Active Hexose Correlated Compound (AHCC) such as ImmPower®, 1-2 g/day
-- Vitamin D3, 4000-5000 IU/day,
-- Beta 1,3/1,6 glucan, 750 mg twice daily. The preparation derived from
baker's yeast cell walls appears popular, e.g. Immutol®
-- Black elderberry extract, dose as suggested by supplier.
-- Vitamin A, 5000 IU/day maximum
-- Vitamin C, 200-500 mg 3 times a day
-- Vitamin E (natural source), 400 IU/day
-- Vitamin B6, 50-100 mg/day
The reader is cautioned that the scientific evidence of immune function
enhancement associated with the above supplements is limited, mostly
dependent on rodent studies which may or may not be applicable to humans,
and in some cases (e.g. AHCC) the evidence mostly involves individuals with
cancer or other disorders and when normal healthy individuals are studied,
only some immune functions are enhanced. The strongest evidence appears to
exist for vitamin D. But the silence regarding vitamin D remains deafening.
On the current vitamin D Council website there are two anecdotal emails from
physicians regarding the apparent remarkable power of vitamin D to prevent
flu. On the home page, click on the link "vitamin D and the H1N1 swine
flu."
Elderberry flavonoids have actually been tested in vitro for anti-H1N1
activity and found effective. Certain flavonoids in this berry bind to the
virus and inhibit its action.(4) This study found elderberry extract
equivalent in anti-influenza activity to Tamiflu®, the famous antiviral
that governments are stockpiling. This is consistent with a randomized,
placebo controlled trial of oral elderberry extract in the treatment of
influenza A and B virus infections which found it effective.(5) A variety of
extracts are commercially available. Perhaps alternating between two or
three brands would be wise since there is little guidance regarding dose or
extract type.
Precautions: Individuals taking warfarin (Coumadin) should consult their
doctor before taking large amounts of fish oil, although the risk of
enhanced bleeding is debatable. A number of mainstream guidelines recommend
1 g/day for heart health or other benefits. Garlic has blood-thinning and
anti-clotting properties, but is of course consumed in large amounts in many
cultures. Green tea extract combined with aspirin or warfarin can increase
the risk of bleeding. N-acetyl cysteine is contraindicated for individuals
with chronic liver disease, a history of kidney stones or peptic ulcer. If
one also takes a multivitamin, check the zinc and selenium content and do
not exceed the maximums given above. Many multivitamin preparations already
include the indicated amounts of these two minerals. AHCC has been widely
used in Japan for some time with no adverse effects.
If an individual has gut dysfunction this can greatly weaken the immune
system, cause nutritional deficiencies and presumably make one more
susceptible to influenza. This is a complex issue and symptoms can range
from subtle to acute. Symptoms include chronic constipation or diarrhea or
an alternation between the two, excessive gas or bloating, anemia, sugar
intolerance and chronic fatigue. A common cause is the heavy use of
antibiotics which can severely disturb the balance of good and bad gut
flora. Frequently this can be addressed with probiotics either from yogurt
or in capsule form or both. But many commercial yogurts in fact are
essentially probiotic free due to pasteurization. Lactose and gluten
intolerance may play an important role and can be addressed with diet
modifications. Small bowel bacterial overgrowth (e.g. candida) may also play
a critical role in gut dysfunction and immune impairment and can be
challenging to diagnose. Frequent infections may also suggest an impaired
immune system. Readers are referred to the book Gut and Psychology Syndrome
by Dr. Natasha Campbell-McBride (Medinform Publishing, 2004) for a detailed
discussion of gut dysfunction and its treatment with diet and other
therapies. While the emphasis in this book is on children and the gut-brain
connection, much of the material is equally applicable to adults. The
chapter on probiotics is highly recommended.
Regular exercise should also not be ignored as a component of an immune
boosting program. This is particularly true for older individuals who are at
risk of so-called immunosenescence, the change n the immune system
associated with aging. One of the most important findings to emerge from
study of the relationship between exercise and immunity is that positive
immune changes appear to occur during each session of moderate physical
activity. It has been found that over time this results in fewer days of
sickness associated with the common cold, influenza and other infections,
and is consistent with public health guidelines recommending near-daily
physicals activity of 30 minutes or more.(6) However, vigorous exercise in
young individuals can have the opposite effect on the immune system, but
this is not seen in older persons.(7) In addition, aging can have a negative
effect on immunity due to stress and exercise may be an effective
intervention to limit the impact of stress in chronically affected older
populations.(8) The observed exercised-enhanced influenza immunity in older
adults may in fact be mediated in part by improvements in psychosocial
factors.9 In the case of upper respiratory tract infections, the amount of
physical activity required achieve protection is not clear since incidence,
seriousness and duration are issues. In one study walking for 90 minutes a
day was associated with the greatest protection. But data is limited. Daily
exercise such as a 30-60 minute walk appears to be one of the most
challenging interventions to implement, given the hectic modern pace and
complexity of daily life. But the benefits go well beyond immune boosting
and it seems clearly worth the effort to program such activity into ones
daily routine, difficult as this may be. For retired individuals or those no
longer raising children, exercise programs should be much easier to
implement, and they may stand to achieve the most benefit. The synergism of
exercise with diet has come up a number of times in studies discussed in
this Newsletter, most recently in connection with reducing the risk of
progression to diabetes.
Finally, several observational studies suggested that statin drugs protect
against pneumonia. A recent population based case-control study failed to
find any association with decreased risk of pneumonia among immuno-competent
community dwelling older individuals and suggest that previous studies may
reflect "healthy user" bias, a serious problem in observational studies
related to the particular population willing or enthusiastic about
participation.(10)
There is of course no guarantee that if one engages in a program of immune
boosting that they will not contract or even die from H1N1. But it is hard
to believe that the above interventions will be other than beneficial.
References
(1) Murray M, Pizzorno J. Encyclopedia of Natural Medicine. 2nd ed.
Rockland, CA: Prima Publishing; 1998.
(2) Encyclopedia of Natrual Healing. Burnaby, BC: Alive Books; 1997.
(3) Disease Treatment and Prevention. 4th ed. Hollywood, FL: Life
Extension Foundation; 2003.
(4) Roschek J, Fink RC, McMichael MD, Li D, Alberte RS. Elderberry
flavonoids bind to and prevent H1N1 infection in vitro. PhytochemistryIn
Press, Corrected Proof.
(5) Zakay-Rones Z, Thom E, Wollan T, Wadstein J. Randomized study of
the efficacy and safety of oral elderberry extract in the treatment of
influenza A and B virus infections. J Int Med Res 2004 March;32(2):132-40.
(6) Nieman DC. Current perspective on exercise immunology. Curr
Sports Med Rep 2003 October;2(5):239-42.
(7) Senchina DS, Kohut ML. Immunological outcomes of exercise in
older adults. Clin Interv Aging 2007;2(1):3-16.
(8) Phillips AC, Burns VE, Lord JM. Stress and exercise: Getting the
balance right for aging immunity. Exerc Sport Sci Rev 2007
January;35(1):35-9.
(9) Kohut ML, Lee W, Martin A et al. The exercise-induced enhancement
of influenza immunity is mediated in part by improvements in psychosocial
factors in older adults. Brain Behav Immun 2005 July;19(4):357-66.
(10) Dublin S, Jackson ML, Nelson JC, Weiss NS, Larson EB, Jackson
LA. Statin use and risk of community acquired pneumonia in older people:
population based case-control study. BMJ 2009;338:b2137.
Distributed with permission. Originally published in the October 2009 issue
of International Health News. For more information, visit
www.yourhealthbase.com.
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