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H1N1 Vaccination Hysteria Part 1: Is the Swine Flu Vaccine Safe?

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Over the next few posts I’ll discuss the importance of sound scientific literacy in understanding the science and societal impacts of the flu and flu vaccination. Many people are rightly concerned about their health and the health of their family. Yet, we get so many messages that warn us to beware of vaccines or of the science behind them as if there are battalions of faceless sinister people in lab coats who want to do harm to the general public. It is this latter sentiment, of fear and mistrust, especially among people from minority communities, that I want to address. Though there are accounts from history that have abused helpless and oppressed peoples, it is important to know that today science is a transparent process consisting of many diverse peoples. Everyone is watching – other scientists, the community, independent professional overseers, and government regulators. And everyone is participating – people of color, people of pallor, people from wealthy nations and poor nations, people with children, parents, pets, and concern for the environment. “Scientist” is not a universal term to describe uncaring, reckless persons without regard for others.



In today’s post, I’ll address the concerns most people express:
“The H1N1 (Swine) Flu vaccine was made too fast and it can’t possibly be safe to administer.”


Selecting which flu viruses will go into the vaccine
The flu season coincides with the cold period, for us in the Northern Hemisphere, that’s means November – May, the worst is January-April. We spend more time indoors and in closer proximity to each other – the perfect social situation to share diseases.
The UN World Health Organization (WHO), along with our own Centers for Disease Control (CDC) tracks the worldwide prevalence of every kind of flu all year round. In February, WHO makes recommendations to Public Health Agencies of nations in the Northern Hemisphere. They say
“Hey, virus X, Y, Z are really causing some trouble in the world. Here are some strains of the virus. I suggest y’all get to cracking and making some vaccine.”
The US the Food and Drug Administration (FDA) gets in on the discussion and they actually decide which strains will be developed and get word (and virus) out to contracted vaccine makers to get the ball rolling. Some manufacturers may already be cooking up early batches, in January, of virus if they have the strain with their fingers crossed that those strains will be selected by the FDA. If so, then they have a jump start.


How long does it take to manufacture seasonal influenza vaccine?
Directly from the CDC website:
“It takes at least six months to produce large quantities of influenza vaccine. For vaccine to be delivered in time for vaccination to begin in October and November (prior to the start of the flu season), manufacturers may begin to grow one or more of the virus strains in January based on their best guess as to what strains are most likely to be included in the vaccine.”

To make the vaccine, the first thing that must be done is it makes copies of it – millions of them – which happens in chicken eggs. Next, scientists removed the viruses, purify them – taking away the parts that will make you deathly ill but keeping enough of the virus’ signature elements to mount an immune response in your body. (I’ll discuss the immune system and immune response tomorrow). Stuff the vaccine in syringes or tubes and send them off to the places they are needed.

Companies were well-under way making seasonal flu vaccine - to be distributed early August through October - when the first death from the swine flu was confirmed in the US in April 2009. The alarms were raised, and public health officials starting saying out loud, “We might want to be ready for this one. It’s the big, bad virus on the block for the Southern Hemisphere Flu season.” By all accounts, the US acquired the seed stock of the virus this spring, in April/May 2009 and production began immediately. Presumably, they’ve been working overtime to get it done with promises then to supply vaccine in October – which is now, a little shy of the 6 month period reported by CDC.


Vaccine Safety
The Swine Flu Vaccine is made and tested the exact same
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