MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

death

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Measles had been declared eliminated from the US in 2000. Now the disease is back with a vengeance. In February, an unvaccinated Texan child became the first person in a decade to die from measles in the US. Another death occurred in New Mexico.

The reason for the outbreak is simple: the uptake of the measles vaccine dropped below the 95% rate that is necessary for herd immunity. In the region where the current outbreak began, only 82% of the kids were vaccinated. This triggered the outbreak and, in turn, might mean that the US will lose its ‘measles elimination status’.

Only days after his appointment, Trump pledged to withdraw the United States from the World Health Organization and to drastically cut the US Agency for International Development. Both moves are likely to cause more cases of measles and similarly vaccine-preventable diseases in the US and around the world. To make matters worse, Trump administration has fired hundreds of workers from the US Centers for Disease Control and Prevention (CDC).

And to make matters even worse, Trump appointed Robert F. Kennedy Jr., one of the US most deluded antivaxer. Since being appointed, Kennedy has downplayed the importance of the current measles outbreak, postponed a meeting of the CDC vaccine advisers, made statements like “vaccinations are over-rated” and claimed that good nutrition and treatment with vitamin A as ways to reduce measles severity. He even praised the benefits of cod liver oil as a measure against measles. “There are adverse events from the vaccine,” Kennedy said in a March 11 interview. “It does cause deaths every year. It causes all the illnesses that measles itself causes, encephalitis and blindness, et cetera. And so people ought to be able to make that choice for themselves.” Further confirming his cluelessness Kennedy also stated: “When you and I were kids, everybody got measles, and measles gave you … lifetime protection against measles infection. The vaccine doesn’t do that… The vaccine wanes 4.5% per year.”

But Kennedy does not just propagate BS in interviews, he also plans to investigate whether vaccines cause autism — an assumption that has been discredited ad nauseam. A spokesperson for the US Department of Health and Human Services (DHHS) said: “The rate of autism in American children has skyrocketed. CDC will leave no stone unturned in its mission to figure out what exactly is happening.”

Meanwhile in Texas, some parents, who evidently believe Kennedy’s deluded nonsense, are giving unvaccinated children vitamin A, which, of course, is toxic at high doses.

I have to admit I don’t normally read the DALLAS MORNING NEWS -but perhaps I should! Here are a few excerpts from an article they just published:

Texas health experts are warning that vitamin A — found in food and in supplements such as cod liver oil — is not an alternative to measles vaccination. They’re urging Texans to vaccinate themselves and their children, as the West Texas measles outbreak continues to grow and after an unvaccinated child died from the illness.

Their concerns come after U.S. Health and Human Services Secretary Robert F. Kennedy Jr. wrote about vitamin A in a Fox News column responding to the Texas measles outbreak. (Kennedy has also falsely stated in the past that vaccines cause autism.)

Kennedy’s comments in the column — that the U.S. Centers for Disease Control and Prevention recommend vitamin A for people hospitalized with measles, and that studies have found vitamin A can help prevent measles deaths — are not inaccurate.

But they lack important context, said Dr. Peter Hotez, a vaccine expert at the Baylor College of Medicine. Hotez worries the missing context might mean people put their faith in vitamin A over vaccination — a decision that could cost lives. “The thing that I worry about is by [Kennedy] playing this up and others playing this up, it sends a false equivalency message, that somehow treating with vitamin A is equivalent to getting vaccinated, which is clearly not the case,” Hotez said…

“There’s zero evidence that it’s preventative,” said Dr. Christopher Dreiling, a pediatrician at Pediatric Associates of Dallas. Dreiling said he hasn’t had parents ask him about vitamin A for measles, but he wouldn’t be surprised if it started popping up after Kennedy’s comments. Dreiling’s main concern, he said, is that parents have correct information to make informed decisions…

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Kennedy is, of course, not alone in pushing Vitamin A for measles. On this blog, we recently saw Dana Ullman (MPH, CCH) doing the same. On Feb 28, he wrote the following comment:

Thank YOU for verifying that the Texas hospital here seems to have killed these children. According to your article above, the head of this Texas hospital asserted, “Unfortunately, like so many viruses, there aren’t any specific treatments for measles.”

And yet, according to the New England Journal of Medicine, Vitamin A has clearly been shown: “Treatment with vitamin A reduces morbidity and mortality in measles, and all children with severe measles should be given vitamin A supplements, whether or not they are thought to have a nutritional deficiency.”

https://www.nejm.org/doi/full/10.1056/NEJM199007193230304

And what might Kennedy and Ullman have in common (apart from being dangerous nut-cases and quackery-promoters)?

Simple: they both don’t understand science!

On this blog and elsewhere, we have many people doubting that COVID vaccinations were effective; some even claim that they were detrimental to our long-term health. In this context, cardiac conditions are often mentioned, as they constitute a significant category of potentially serious post-COVID conditions.

Perhaps these doubters will find this new analysis relevant. The objective of this systematic review was to synthesise the evidence on the factors associated with the development of post-COVID cardiac conditions, the frequency of clinical outcomes in affected patients, and the potential prognostic factors. A systematic review was conducted using the databases EBSCOhost, MEDLINE via PubMed, BVS, and Embase, covering studies from 2019 to December 2023. A total of 8343 articles were identified, and seven met the eligibility criteria for data extraction. The protective effect of vaccination stood out among the associated factors, showing a reduced risk of developing post-COVID cardiac conditions. Conversely, COVID-19 reinfections were associated with an increased risk of cardiovascular outcomes. Regarding the main outcomes in these patients, most recovered, although some cases persisted beyond 200 days of follow-up. The study included in the analysis of prognostic factors reported that the four children who did not recover by the end of the study were between two and five years old and had gastrointestinal symptoms during the illness.

The authors concluded that the present findings provide valuable contributions to a better understanding of the evolution of post-COVID cardiac conditions. Despite the limited number of eligible studies, this review offers insights that describe the progression of cardiac conditions, from their onset to medium-term follow-up of patients. The protection offered by the COVID-19 vaccination regimen was observed beyond the acute phase of the disease, reducing the risk of developing post-COVID cardiac conditions. Public policies encouraging vaccination should be promoted to prevent SARS-CoV-2 infections and reinfections. Given that both COVID-19 and heart diseases occupy a significant place on the global health agenda, post-COVID cardiac conditions deserve due attention. Although most patients recover in the short term, some require care for many months to prevent chronicity and complications, particularly in vulnerable groups such as children and older adults. COVID-19 emerged as a pandemic in 2020, and four years later, it continues to impact the entire planet. This study provides important evidence to guide government policies on post-COVID conditions surveillance, prevention, and targeted healthcare interventions. Although this review compiles the available evidence on the topic, it is clear that there is still much to learn about post-COVID cardiac conditions. Strengthening the research agenda by proposing and conducting primary studies on the subject is important. Additionally, this review should be regularly updated as new studies are published in the field.

I would be delighted to hear that this new analysis has persuaded some doubters that COVID vaccinations are, after all. helpful interventions – but (as always on such occasions) I will not hold my breath!

As we have discussed previously, there is an outbreak of measles affecting unvaccinated children in the US. In an attempt to reassure the US public, Robert F. Kennedy Jr., said that the U.S. Department of the Health and Human Services is watching the Texas measles outbreak. “It’s not unusual,” he claimed when pressed by reporters. “We have measles outbreaks every year.” This, of course, is quite misleading.

Yes, there are regular outbreaks, but they are hardly comparable to the current one. The last person to succumb to measles in the US died in 2015 during an outbreak in Clallam County, Washington state, in which only a couple dozen people were infected. Measles was then identified as the cause of death of a woman. The autopsy found that she had “several other health conditions and was on medications that contributed to a suppressed immune system,” the US Health Department said at the time.

Kennedy misstated a number of further facts:

  • Kennedy claimed that most of the patients who had been hospitalized were there only for “quarantine.” Dr. Lara Johnson at Covenant, the hospital in question, contested that characterization. “We don’t hospitalize patients for quarantine purposes,” said Johnson, the chief medical officer.
  • Kennedy claimed that two people had died of measles. Yet Andrew Nixon, the spokesperson for the Department of Health and Human Services clarified that, at the time, the U.S. Centers for Disease Control and Prevention has identified only one death.

Gaines County has reported 80 measles cases so far. It has one of the highest rates of school-aged children in Texas who have opted out of at least one required vaccine, with nearly 14% skipping a required dose last school year.

Some of the hospitalised patients’ respiratory issues progressed to pneumonia, and they needed an oxygen tube to breathe, Johnson explained. Others had to be intubated, though Johnson declined to say how many. “Unfortunately, like so many viruses, there aren’t any specific treatments for measles,” she said. “What we’re doing is providing supportive care, helping support the patients as they hopefully recover.”

Last week, Trump seemed to buy into the already thoroughly debunked vaccines-cause-autism conspiracy that Kennedy famously has been promoting for years. Trump claimed that the Pennsylvania Dutch’s simplistic and unvaccinated lifestyle could be used as a potential model to avoid the disorder.

Meanwhile, multiple vaccine projects have been stopped by Kennedy. He paused a multimillion-dollar project to create a new Covid-19 vaccine in pill form on Tuesday. This project was a $460 million contract with Vaxart to develop a new Covid vaccine in pill form, with 10,000 people scheduled to begin clinical trials on Monday. Of that, $240 million was reportedly already authorized for preliminary research.

Furthermore, the FDA’s Vaccines and Related Biological Products Advisory Committee, or VRBPAC, was scheduled to meet in March to discuss the strains that would be included in next season’s flu shot, but federal officials told the committee that the meeting was canceled, said committee member Dr. Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia. Offit told NBC News that no explanation was given for the cancellation of the yearly spring meeting, which comes in the middle of a flu season in which 86 children and 19,000 adults have died, according to the Centers for Disease Control and Prevention. In an email to NBC, Norman Baylor, a former director of the FDA’s Office of Vaccine Research and Review, said, “I’m quite shocked. As you know, the VRBPAC is critical for making the decision on strain selection for the next influenza vaccine season.”

Finally, an upcoming CDC vaccine advisory committee meeting was also postponed last week. The Advisory Committee on Immunization Practices, or ACIP, was scheduled to meet Feb. 26 through Feb. 28. The group of independent experts convenes three times a year on behalf of the CDC to weigh the pros and cons of newly approved or updated vaccines. The postponement will put Kennedy at odds with Sen. Bill Cassidy, R-La., who is a doctor and the chair of the Senate Committee on Health, Education, Labor and Pensions, which oversees HHS.  Kennedy had promised Cassidy to give the Senate prior notice before making changes to certain vaccine programs. “If confirmed, he [Kennedy] will maintain the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices without change,” Cassidy said in a speech on the Senate floor supporting Kennedy’s HHS nomination earlier this month.

The dangerous mess the new US governement got itself into within days of alledgedly governing seems monsterous. It is hard to conclude that Kennedy is competent or has abandonned his longstanding anti-vax stance. He clearly does not persue a reasonable strategy to protect the US from outbreaks of infections, endemics or pandemics. On the contrary, he is playing fast and loose with the health of US citizens and. as a consequence, with the health of all of us.

The aim of this study was to review the deaths associated with chiropractic treatment in Australia. The National Coronial Information System (NCIS) was searched for cases in Australia for which chiropractic treatment was determined to have contributed to death. Closed, completed Australian cases between 1 July 2000 and 31 December 2019 were evaluated (approximately 356,000 cases).

The findings revealed only one case in which chiropractic treatment was considered to have contributed to death. The case was that of an adult male who died from a dissected left vertebral artery following chiropractic manipulation for neck pain.

In addition, postmortem records at Forensic Science SA (FSSA) were searched for similar cases over the same time period (approximately 30,000 cases). No cases definitely attributable to chiropractic manipulation of the neck were found, but a case with thrombus in the left vertebral artery would not be entirely excluded as being related to chiropractic treatment.

Deaths associated with chiropractic manipulation in Australia therefore appear rare. Although there is a reported incidence of stroke associated with vertebrobasilar artery system occlusion following chiropractic manipulation, stroke associated with vertebrobasilar artery occlusion has also been observed following a visit to a primary care physician. This could be explained by vertebrobasilar artery pathology causing neck pain that initiated consultation.

The authors concluded that the present study only demonstrates a rare temporal, but not causal, relationship between attending a chiropractor and vertebral artery dissection causing death. Non-lethal injuries were not assessed.

This is an interesting paper. Many chiropractors steadfastly deny that their manipulations can cause serious problems. This analysis clearly shows that this assumption is untrue. It also suggests that deaths are rare. The question is: how reliable is this conclusion?

The authors searched NCIS and the FSSA for cases for which chiropractic treatment was determined to have contributed to death. In other words, fatalities for which chiropractic treatment had not been determined to have contributed to death were not considered. Because the link between a person’s death and a spinal manipulation might often not be made, further cases of deaths might need to be added to the total.

A further question is this: even if – as we all hope – deaths are very rare, does that mean chiropractic manipulations are safe? Here the answer is clearly NO! Death is merely the most dramatic outcome. Spinal manipulations can cause strokes, and most of these events do result in neurological deficits but not death.

Finally, we need to consider the risk/benefit balance of chiropractic manipulations. As often discussed here, the benefits of spinal manipulation are, depending on the indication, small or uncertain. This means that even rare but serious adverse events weigh heavily and tilt the balance into the negative. In short, this means that chiropractors should be avoided.

In conclusion, this paper leaves no doubt that chiropractic manipulations can be deadly. One would very much hope that such fatalities are extremely rare events, however, the data provided are not convincing.

This story of a woman suffering from early-stage breast cancer is in many ways remarkable. After being diagnosed, she scheduled consultations with surgeons but, because it was the holiday season, appointments were delayed. She therefore decided to use the time proactively and arranged a consultation with ‘Dr. T,’ an integrative medical doctor. She wanted to explore if supplements could support her health while I waited for treatment.

Dr. T mentioned another holistic practitioner, ‘Dr. D’, who specialized in thermography, a thermal imaging technique that maps blood flow on the breast’s surface. Dr. D had allegedly “healed” a breast cancer patient without surgery, radiation or chemotherapy. The patient was intrigued and made an appointment with Dr. D. and had a thermogram.

This involved nine thermal images taken with a special camera, followed by a “cold challenge” where the patient submerged her hands in icy water. She was told that healthy tissue cools in sync with the brain’s signals, while cancerous tumors show up as hot spots.

Discussing the findings with the patient, Dr, D. explained that the thermography had not detected a breast cancer; it it had only revealed “extra heat” in the area. This, the doctor explained, would put her in the “high-risk” category. He explained further that cancer was caused by “too many COVID vaccines,” and therefore the patient shouldn’t get another. “What about the fact that my mom had the same type of cancer, in the same breast, at the same age?” She asked in disbelief. “No, it’s definitely the vaccines,” the doctor insisted, before pivoting to his next pitch: Super Mineral Water, a product he sold in his clinic, which he claimed could “detox” the patient’s body and possibly help cure her.

At this point, the patient, who happened to be a science writer by profession, was horrified and embarrassed — not just by the quackery, but also by her own naiveté for walking into this mess. She took the only sensible action possible: she grabbed her things and left as quickly as she could.

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When we discuss so-called alternative medicine (SCAM), we regularly forget alternative diagnostic methods. Thermography might be counted as one of them, particularly when it is used for diagnosing cancer. A systematic review of the evidence concluded that currently there is not sufficient evidence to support the use of thermography in breast cancer screening, nor is there sufficient evidence to show that thermography provides benefit to patients as an adjunctive tool to mammography or to suspicious clinical findings in diagnosing breast cancer.

The danger with alternative diagnostic methods are mainly twofold.

  1. False positive diagnoses (FPD): this means a clinician uses an alternative diagnostic technique and concludes that the patient is suffering from disease xy, while she is, in fact, healthy. FPDs usually prompt lengthy treatments. They thus cause harm by firstly prompting worries and secondly expence.
  2. False negative diagnoses (FND): this means a clinician uses an alternative diagnostic technique and concludes that the patient is healthy, while she is, in fact, ill. FNDs prompt the patient to no treat her condition in a timely fashion. This can cause untold harm, in extreme cases even death.

In the case above, Dr, D. tried to combine the two options. He issued a FND that could have cost the patient’s life. Simultaneously, he made a FPD that was aimed at filling his pocket.

The story has fortunately a happy ending. After escaping the quack doctor, the patient received proper treatment and made a full recovery.

I am often amazed at the harm done by religious nutters, particularly when they employ their ‘religion’ as a replacement for medicine. Here is a truly horrific example.

It has been reported that all 14 members of a fringe religious group have been found guilty of the manslaughter of eight-year-old Elizabeth Struhs, who died after her insulin was withheld at her home in Toowoomba, Queensland.

The group faced a lengthy judge-only trial in Brisbane last year. They all represented themselves in court and refused to enter any pleas. During the trial, the Supreme Court heard the group rejected the medical system and the use of medications and put their full trust in the healing power of God. The prosecution alleged that the girl’s father, Jason Struhs, who had only recently joined the church, acted recklessly when he stopped administering the life-saving medication, as he knew this would likely lead to Elizabeth’s death. The group leader, Brendan Stevens, was accused of encouraging and counselling him to withdraw the insulin.

Justice Martin Burns acknowledged Elizabeth was a happy, vibrant child who was adored by her parents and every member of her church but who, due to their belief in the healing power of God, “left no room for recourse to any form of medical care or treatment, [and] she was deprived of the one thing that would most definitely have kept her alive — insulin”. Justice Burns said Stevens did procure and aid in the unlawful killing of Elizabeth by persuading, encouraging and supporting her father to cease using insulin, and his attempts to claim he didn’t influence him was “arrant nonsense”.

Shortly after Elizabeth’s death, Jason Struhs told police it “felt right” to stop her insulin and she was “as happy as anything”. He told police he made the decision to stop the medication and had said to her, “we are not going to do it anymore”. Subsequently, Elizabeth’s health had deteriorated over several days, and instead of contacting emergency services, the group prayed and sang. They did not contact police until more than 24 hours after she had died. When asked if they had anything to say following the verdicts, all members of the group declined to comment.

After their arrests the group continued to maintain their views, and repeatedly said in police interviews they believed Elizabeth would rise from the dead.

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Cases like this are shocking. Amongst other things, they remind us what consequences may and often will occur, when belief in unreason dominates reason, evidence and science.

It does not happen every day that the prestigeous German FRANKFURTER ALLGEMEINE ZEITUNG publishes an in-depth analysis of TCM (Traditional Chinese Medicine) and even discusses several of the themes that we, here on this blog, have often debated. Allow me, therefore, to translate a few passages from the recent FAZ article entitled “Der Fluch der alten Dinge” (The Curse of Old Things):

… TCM has countless followers in many countries. ‘TCM is a wonderful medicine that thinks ‘holistically’, that sees not just one organ but the whole person and that offers very good treatment options,’ says Dominik Irnich. He heads the German Medical Association for Acupuncture. Although there is not evidence for all indications, TCM is ‘a scientifically based option for a number of diseases, the effects of which have been proven many times over’…

Meanwhile, Beijing wants to utilise the positive image of TCM to present itself in a good light and promote exports. The current five-year plan also provides for the creation of around 20 TCM positions for epidemic prevention and control. Critics, on the other hand, see patients at risk due to insufficiently tested therapies – and medicine as a whole: many studies are hardly valid and distort the state of science…

The top leadership of the Chinese Communist Party is using the ‘old things’ to increase its global influence and utilise TCM not only in its own country, but also as an export hit. The global TCM market is estimated to be worth many billions of euros annually, but there are no reliable figures – not least because it often includes illegally traded products such as rhino horn or donkey skin, which has led to mass killings.

Officially, Beijing prosecutes illegal trade and promotes science-based medicine, but the interests are intertwined. Even under Mao, traditional methods were used in China as a favourable alternative to imported medicines, and Beijing is currently increasingly allowing them to be reimbursed. At the same time, China’s leadership is trying to anchor TCM products in healthcare worldwide, for example as part of a ‘health Silk Road’ in Africa. During the Covid-19 pandemic, the state not only used TCM products en masse in its own country, Chinese foreign representatives also distributed them to Chinese people in Europe. This included a product based on gypsum, apricot kernels and plant parts called Lianhua Qingwen. According to a report published by the consulate in Düsseldorf, this was distributed even though the sale of medicines outside of pharmacies is generally punishable by law.

Beijing has also been successful at the level of the World Health Organisation (WHO), which promotes traditional medicine from China. ‘This was part of the interests and election programme of former Chinese Director-General Margaret Chan,’ says WHO consultant Ilona Kickbusch. The WHO drew up standards for acupuncture training, including knowledge of the ‘function and interactive relationship of qi, blood, essence and fluid’, as the document states.

In 2019, the WHO member states decided to add a chapter on ‘traditional medicine’ to the standard classification of diseases. Doctors can now code alleged patterns of ‘qi stagnation’ or yang deficiency of the liver. The umbrella organisation of European science academies EASAC criticised this as a ‘significant problem’: doctors and patients could be misled and pressure could be exerted on healthcare providers to reimburse unscientific approaches. Nature magazine found: ‘The WHO’s association with drugs that have not been properly tested and could even be harmful is unacceptable for the organisation that has the greatest responsibility and power to protect human health.’ …

In general, the study situation on therapies that are categorised as TCM is extremely confusing. The evidence is ‘terrible’, says the physician Edzard Ernst, who has analysed such procedures. ‘There are thousands of studies – that’s part of the problem.’ Many studies come from China, but it is known that a large proportion are invalid or falsified. It is almost impossible to report critically on TCM there: according to media reports, a doctor was imprisoned for three months in 2018 after criticising a TCM remedy. In 2020, Beijing even considered banning criticism of TCM, but refrained from doing so after an outcry.

According to Ernst, the quality of even some of the meta-analyses from the respected Cochrane Collaboration is ‘hair-raising’ due to the inclusion of unreliable studies, and according to some Chinese researchers, acupuncture works for everything. Prof. Unschuld said at an event a year ago that he was asked in China not to address critical issues.

‘In a country without the open and free critical culture that is common in democratic countries, the control mechanisms are missing,’ says Jutta Hübner, Professor of Integrative Oncology at Jena University Hospital. The inclusion of Chinese studies, which almost never report negative results, can create a much too positive image of TCM at a formally very high level of scientific evidence, without the results being reliable…

Instead of allowing the research to be carried out by proponents, it would be desirable ‘if the universities in particular remembered that they have the duty to be critical,’ says physician Edzard Ernst. However, some university clinics prefer to advertise TCM methods in order to attract patients and money.

CNN reported that a measles outbreak is growing in a rural area of West Texas where vaccination rates are well below the recommended level. In late January, two children in Gaines County were hospitalized for measles. On Wednesday, the state health department issued a health alert:

The Texas Department of State Health Services (DSHS) is reporting an outbreak of measles in Gaines County. At this time, six cases have been identified with symptom onset within the last two weeks, all among unvaccinated school-aged children who are residents of Gaines County.

Due to the highly contagious nature of this disease, additional cases are likely to occur in Gaines County and the surrounding communities. DSHS advises clinicians to follow the below measles immunization recommendations for the communities affected by the outbreak and immediately report any suspected cases to your local health department, preferably while the patient is in your presence.

To immediately increase the measles immunity and prevent disease occurrence in the affected communities, DSHS advises the following immunization recommendations for residents of Gaines County:

  • Infants ages 6 to 11 months:
    • Administer an early dose of measles, mumps, and rubella (MMR) vaccine.
    • Follow the CDC’s recommended schedule and get:
      • Another dose at 12 through 15 months.
      • A final dose at 4 through 6 years.
  • Children over 12 months old:
    • If the child has not been vaccinated, administer one dose immediately and follow with a second dose at least 28 days after the first.
    • If the child has received one dose, administer the second dose as soon as possible, at least 28 days after the first.
  • Teen and adults with no evidence of immunity:

Administer one dose immediately and follow with a second dose at least 28 days after the first.

As of last Friday afternoon, the outbreak has jumped to 14 confirmed cases and six probable cases among people who are symptomatic and had close contact with infected individuals.

Investigations are ongoing, as cases have been identified also in parts of the region that are outside the Gaines County lines where the first cases were reported.

All the cases are believed to be among people who are not vaccinated against measles, and most of them are children.

record share of US kindergartners had an exemption for required vaccinations last school year, leaving more than 125,000 new schoolchildren without coverage for at least one state-mandated vaccine, according to data published by the US Centers for Disease Control and Prevention in October.

The US Department of Health and Human Services has set a goal that at least 95% of children in kindergarten will have gotten two doses of the measles-mumps-rubella (MMR) vaccine, a threshold necessary to help prevent outbreaks of the highly contagious disease. The US has now fallen short of that threshold for four years in a row. MMR coverage is particularly low in Gaines County, where nearly 1 in 5 incoming kindergartners in the 2023-24 school year did not get the vaccine.

In the health alert Wednesday, the Texas health department warned that additional cases are “likely to occur in Gaines County and the surrounding communities” due to the highly contagious nature of the disease.

Officials recommend that residents of Gaines County immediately improve their immunity and help prevent disease spread by ensuring that they are up to date on vaccinations. Children and adults who have not been vaccinated should get one dose immediately, followed by a second dose after 28 days. Infants between 6 and 11 months should get an early dose of the vaccine, and children who have had their first shot should get their second as soon as possible.

‘US News’ adds the following: As Robert F. Kennedy Jr., one of the most influential purveyors of dangerous vaccine misinformation, prepares to take the helm of the Department of Health and Human Services, researchers say such bills have a higher chance of passing and that more parents will refuse vaccines because of false information spread at the highest levels of government.

“Mr. Kennedy has been an opponent of many health-protecting and life-saving vaccines, such as those that prevent measles and polio,” scores of Nobel Prize laureates wrote in a letter to the Senate. Having him head HHS, they wrote, “would put the public’s health in jeopardy.”…

On this blog, we have discussed Kennedy’s imbecilic attitudes to measles and other health issues several times, e.g.:

In the forseeable future, we will most certainly encounter endemics and epidemics. I fear that, with Kennedy in charge of the US Department of Health and Human Services, the danger for them to grow into pandemics is hugely increased.

It has been reported that a woman who suffered a severe headache after injuring her neck during a workout died following a visit to a chiropractor. Joanna Kowalczyk, aged 29, declined a procedure at hospital for her injury and chose instead to try chiropractic. Her medical history showed she regularly suffered migraines and joint hypermobility issues. She also had an undiagnosed connective tissue disorder which made her susceptible to arterial dissections.

Ms Kowalczyk told the chiropractor that she had discharged herself from hospital. The chiropractor was unaware of her medical history but nevertheless manipulated her neck. It is thought Ms Kowalczyk suffered an arterial dissection when she injured her neck in the gym and that she suffered acute dissections to the same location when a chiropractor cracked her neck. She died on October 19, 2021, at Gateshead’s Queen Elizabeth Hospital several days after her chiropractic treatment.

Now her coroner has raised concerns that chiropractors aren’t required to check patient medical records after Ms Kowalczyk’s death. Specifically, the coroner’s report raised two matters of concern:

1.  The evidence from the attending paramedic was that she was not aware that symptoms of a stroke can stop after a short time as clearly set out on NHS website and guidance, and that this was not part of her training. This was directly contrary to the Head of Operations’ evidence that this was part of both paramedic training and annual continuing professional development. This was a concerning feature given the accepted evidence of the time critical period to treat patients with symptoms potentially indicative of stroke.

2.  The evidence on behalf of the treating chiropractor was that he did not consider it necessary to request GP records or hospital records, before assessment or treatment despite being informed about the Deceased’s recent hospital attendance, investigation which was recommended, and her discharge against medical advice. Even in the updated consent form I have been  provided  with,  which  was  designed  by  the  British  Chiropractic Association, there is no prompt or question designed for the chiropractor to  ask  to  consider  obtaining  medical  records  before  assessment  or treatment, and when this may be appropriate, and the only reference to medical records is a consent to communicate as deemed necessary for the treatment, and for a report to be sent to the GP after treatment. I am concerned that consideration to obtaining medical records should always be given before assessment, particularly where recent medical treatment or investigations has been undertaken.

Receiving a Regulation 28 (Prevent Future Deaths) report from the coroner, the GCC stated that the case may raise some concerns for chiropractors and their patients and published the following additional comment:

The chiropractor involved is subject to a GCC investigation, which was paused to allow for the coronial process. This is standard procedure.

It is not appropriate for us to comment further as it could prejudice proceedings. It is inappropriate and unprofessional for chiropractors to speculate publicly on the details of the case, or the identity of the individual involved.

All matters brought to the attention of the GCC are risk assessed and are considered by an Investigating Committee. More about the investigation process.

In her report, the Coroner has asked the GCC to consider the following concern.

(I am) “concerned that consideration to obtaining medical records should always be given before assessment, particularly where recent medical treatment or investigations has been undertaken.”

We will give full and careful consideration to her concern. Given the clinical matters involved, we are seeking expertise (from across the profession, and beyond) to consider the impact of such a step – including on the care and safety of all patients. The Registrar will be writing to the coroner in the next week to set out how her concerns will be considered, and the expected timing of that work.

We have been in contact with leaders from across the profession and are grateful to them all for their support of our proposed approach.

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The GCC’s main task is the protection of consumers. I have repeatedly pointed out that they seem  to have forgotten this and seem to think it is to promote chiropractic in every way they can, e.g.:

Let’s hope the GCC takes the occasion of yet another tragic and unnecessary death as a wake-up call for finally getting its act together!

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