The HEALTH : April 2019 | Page 12

The Health | april, 2019 12 issue: Vaccine Concerns concerning vaccines Dato Dr Musa Mohd Nordin, a paediatrician and neonatologist explains why parents may have certain worries about vaccination and why they should override those worries Parents concerns on vaccination One of the main concerns parents have are related to the side effects of vaccines, both short and long term. In the majority of cases, the vaccines are effective in protecting the person from various Vaccine Preventable Diseases (VPD) and cause no side effects whatsoever. AEFI A few may experience mild side effects – for example; soreness, swelling or redness at and around the injec- tion site, low grade fever or slight malaise. While even less might experience an Adverse Effects Following Immunisation (AEFI). AEFI may include severe level of the mild side effects, as well as the individual getting infected with the very disease the vaccine was created to protect against. AEFI is the type of side effect that would under- standably make parents feel alarmed in getting their children vaccinated. Having said that, only a handful of cases of AEFI have been reported since vaccines were used to immunise the world’s population. Therefore, the benefits of getting vaccinated tremendously outweighs the risk of having any adverse effects. Autism The notion that autism is an adverse effect following immunisation is one of the biggest myths in medicine. Researchers who referenced 67 scientific papers that have unequivocally debunked the link between MMR (Measles, Mumps and Rubella) vaccine and autism. The content The other concern relates to the contents found in vac- cines. The ingredients used to make vaccines are not so easy to understand, resulting in many questions being raised about them. It important to understand that vaccines do not contain harmful ingredients. Each ingredient serves a crucial function in the making of the vaccine. They also ensure that the vaccine is effective and safe for use. Every batch of vaccine is tested rigorously for safety of the individual to be immunised. Parents can rest assured that the ingredients found in vaccines are minute in amounts, often much below the levels found in the human body and breast milk (as the case for aluminium). Unfortunately, others use these ‘ingredient issues’ to manipulate, distort facts and raise alarm on the purported ‘poisons’ in vaccines. Dato Dr Musa stresses the role of every parents to immunise their children, as it has become a responsibility for them not to endanger other people around them. Elimination through absence Some parents also feel that vaccines are no longer nec- essary today because we no longer see children being infected by the terrible effects of vaccine-preventable diseases. This has made us victims of our own success. Immunisation have done so well in the last genera- tion that today’s generation are taking good health for granted, forgetting that our parents and grandparents vaccinated us in the past to protect us from vaccine- preventable infectious diseases. We do not have to wait another generation to see the effects – already the diseases there were once almost wiped out, like measles, pertussis, and mumps are coming back. Why are there still controversies on vaccines? With the advent of the internet, we are today in a global village where trends from the West are just a Facebook, Twitter, or Whatsapp share away. The internet is full of news on vaccines and most people do not check the authenticity of the news they read. While researchers and scientists spend over a decade researching on a vaccine to ensure its efficacy and safety, the ‘internet researchers’ only take minutes to Our children should be able to play and socialise with their peers without the fear of a life- threatening disease. Google to find their negatively-driven results. Webmasters of anti-vaxxers (name given for the anti-vaccine movement) utilise SEO and Google Analyt- ics to ensure their websites or blogs get top rankings in search engines. Most of these sites are either sell- ing something (health supplements, programmes or alternative medicines) or subscribe to ‘pay-per-click’ online programmes. The vaccination debate is a good way to make money and gain followers fast! On the other end is another group of parents, the rural communities who are simply misinformed that vaccines contain ‘haram’ contents. When there is an element of doubt, Muslims begin to shun vaccines, wrongly believing that they are making a better choice for their offspring. Is vaccination a choice? The issue of immunisation does not only involve your child or mine. It is not about the rights of individuals. It involves our children and all the children in the world. Parents who refuse immunisation do not realise that it involves the whole community, extending beyond their immediate and extended families. Many think that it involves just their own children, making them satisfied that their children are healthy. They do not realise that it takes only one person to be infected or be a carrier, for a vaccine-preventable disease to start spreading. So please do not say that refusing vaccination is your right. It is also my right to convince and educate you and others about the importance of immunisation for the health and life of my children, our children. My children also have the right to play without fear of catching a preventable infection from friends whose parents believe everything they read on the internet. Freedom of choice is a good thing. But the freedom to harm others is not. There is a responsibility to protect the weak, those more susceptible among us – ill babies, those with immune deficiencies, the ageing population. These are the susceptible populations if more people refuse vaccination. Your freedom is bound by the freedom of others; we live in a community and the safety of the community should override personal freedom. — The Health