The Importance of Vaccines and why we ALL need to be Vaccinated at some time

1. Vaccines have been used since 1796. They are a proven and safe way to prevent many - even most - deaths from many diseases.

2. The FIRST success of vaccination:
On 14 May 1796, 73 years before the first issue of Nature, and inspired by Lady Montagu’s promotion of the “variolation” concept thought to have first been used in China and India, Edward Jenner inoculated eight-year-old James Phipps with cowpox pus to prove that the less virulent cowpox would protect against smallpox. This experiment was a game changer in medicine and health. For the first time, it was possible medically to prevent infection in a healthy person. Although vaccines have been widely introduced in high-income countries since the late 1950s, it took 180 years after Jenner before the Expanded Programme on Immunization (EPI) was launched in 1974, promoting access to six essential vaccines in all countries worldwide. Today, vaccines against 26 infectious diseases are internationally available according to the World Health Organization (WHO)1, although more have been licensed worldwide, changing the future of the human species. Others are in experimental public health use, such as Ebola vaccines, or pilot implementation such as the RTS,S malaria vaccine, and about 240 vaccine candidates are in development2 (Table 1). The US Centers for Disease Control and Prevention declared vaccination the number one success story for public health in the twentieth century.

Immunization is a global health and development success story, saving millions of lives every year. Vaccines reduce risks of getting a disease by working with your body’s natural defences to build protection. When you get a vaccine, your immune system responds.

3. Current Status We now have vaccines to prevent more than 20 life-threatening diseases, helping people of all ages live longer, live healthier lives. Immunization currently prevents 3.5-5 million deaths every year from diseases like diphtheria, tetanus, pertussis (whooping cough), influenza and measles.

Immunization is a key component of primary health care and now an indisputable human right. It’s also one of the best health investments money can buy. Vaccines are also critical to the prevention and control of infectious disease outbreaks. They underpin global health security and will soon be a vital tool in the battle against antimicrobial resistance.

The Covid-19 pandemic, associated disruptions, and Covid-19 vaccination efforts strained health systems in 2020 and 2021, resulting in dramatic setbacks. However, from a global perspective recovery is on the horizon - in 2022 diphtheria-pertussis-tetanus (DTP) immunization coverage, albeit unevenly between countries, has almost recovered to 2019 levels.

Measles, because of its high transmissibility, acts as a “canary in the coalmine”, quickly exposing any immunity gaps in the population. Despite this, 22 million children missed their routine first dose of measles vaccine by 2022, compared to 19 million in 2019. A clear and utter scandal largely promoted by a combination of irrational fear of vaccines and exploitation by irresponsible social media, some thought even to have been promoted by political regimes.

AND NOW.. On 31st May 2024 the UK's NHS (its National Health Service) announced a Personalised mRNA Cancer Vaccine Service to provide a form of immunotherapy treatment. for some people who have been diagnosed with cancer, either for the first time or for a returning cancer. For these people, cancer vaccines may reduce the risk of the cancer coming back in the future. Utilising the unique benefits of the NHS as an innovation partner, the collaboration aims to provide up to 10,000 patients with personalised cancer treatments in the UK by 2030.

The service has been set up by 'NHS England and Genomics England' and works in parallel with the existing NHS Genomic Medicine Service.  Read more HERE.


NOW, we also have trials of the world’s first personalised mRNA cancer vaccine for melanoma which halves the risk of patients dying or the disease returning, according to trial results that doctors described as “extremely impressive”.
Melanoma affects more than 150,000 people a year globally, according to 2020 figures from World Cancer Research Fund International.
Patients who received the vaccine after having a stage 3 or 4 melanoma removed had a 49% lower risk of dying or of the disease recurring after three years, data presented at the world’s largest cancer conference showed. The NHS in the UK is among the organisations testing the jab.


4. Now, just look at some of the most important vaccine successes:
Refer to:  https://www.nature.com/articles/s41586-019-1656-7/tables/1

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Diseases now substantially prevented by vaccination.  Symptoms and the effects if some refuse vaccination - and so are left untreated:

Smallpox. This vaccine protects people from smallpox by helping their bodies develop immunity to smallpox. The vaccine is currently made from a virus called vaccinia, which is a poxvirus similar to smallpox, but less harmful.

Tuberculosis Tuberculosis (TB) is an infection that most often attacks the lungs, but in infants and young children, it affects other organs like the brain. A severe case could cause serious complications or death. TB is very difficult to treat when contracted, and treatment is lengthy and not always successful.  Vaccination before infection is near-essential.

Hepatitis B Hepatitis B virus is a really dangerous liver infection that, when caught as an infant, often shows no symptoms for decades. It can - and does - then develop into cirrhosis and liver cancer later in life.  Chronic hepatitis B virus (HBV) infection affects about 296 million people worldwide and is the leading aetiology of cirrhosis and liver cancer globally. Major medical complications also include acute flares and extrahepatic manifestations.Chronic hepatitis B virus (HBV) infection affects about 296 million people worldwide and is the leading aetiology of cirrhosis and liver cancer globally. Major medical complications also include acute flares and extrahepatic manifestations.Chronic hepatitis B virus (HBV) infection affects about 296 million people worldwide and is the leading aetiology of cirrhosis and liver cancer globally. Major medical complications also include acute flares and extrahepatic manifestations.  The most common extrahepatic manifestations fall into 4 main categories: blood diseases, autoimmune disorders, kidney disease, and skin conditions.  https://www.ranker.com/list/famous-people-who-died-of-hepatitis/reference

Polio (Poliomyelitis) is a virus that paralyzes 1 in 200 people who get infected. Among those cases, 5 to 10 per cent die when their breathing muscles are paralyzed. There is no cure for polio once the paralysis sets in – only treatment to alleviate the symptoms - so vaccination is essential.

Then there is now also post-polio syndrome (PPS). The main symptoms of PPS are a new progressive muscle weakness that gradually worsens, together with severe fatigue and pain in muscles and joints. It is often accompanied by decreased muscle endurance during activities.  Up to 20 million polio survivors around the world face the threat of new disabilities 15 to 40 years after their original illness, which could leave them using wheelchairs or ventilators for the rest of their lives.  No cure exists for PPS. Doctors advise patients to curtail physical activities and take rest periods during the day, including dsuch uring working hours. Many doctors also advise more severely affected patients to use wheelchairs part-time or full-time, even if they can walk without them.  Pre-infection vaccination  is a must to prevent this double disease.

Diphtheria infects the throat and tonsils, making it hard for children to breathe and swallow. Severe cases can cause heart, kidney and/or nerve damage.

Tetanus causes very painful muscle contractions. It can cause children’s neck and jaw muscles to lock (lockjaw), making it hard for them to open their mouth, swallow (breastfeed) or even breathe. Even with treatment, tetanus is often fatal.

 DTP Pertussis. Pertussis (whooping cough) causes coughing spells that can last for weeks. In some cases, it can lead to trouble breathing, pneumonia, and death.  Getting vaccinated while you're pregnant is highly effective in protecting your baby from developing whooping cough in the first few weeks of their life.
The immunity you get from the vaccine will pass to your baby through the placenta and provide passive protection for them until they are old enough to be routinely vaccinated against whooping cough at 8 weeks old.

Pneumococcal diseases Pneumococcal diseases range from serious diseases such as meningitis and pneumonia to milder but more common infections like sinusitis and ear infections.
Pneumococcal diseases are a common cause of sickness and death worldwide, especially among young children under 2 years old. The pneumococcal vaccine helps protect against serious illnesses like pneumonia and meningitis. It's recommended for people at higher risk of these illnesses, such as babies and adults aged 65 and over.

The pneumococcal vaccine helps protect against some types of bacterial infections that can cause serious illnesses like:
*meningitis (an infection in the brain and spinal cord)
*sepsis (a life-threatening reaction to an infection)
*pneumonia (an infection in the lungs)
*It can also help protect against other illnesses such as sinusitis and ear infections.

Rotavirus Rotaviruses cause severe diarrhoea and vomiting, which can lead to dehydration, electrolyte imbalance and even shock in young children. Indeed, this can lead to death if treatment, especially fluid replacement, is not immediately started.

Measles is a highly contagious disease with symptoms that include fever, runny nose, white spots in the back of the mouth and a rash. Serious cases can cause blindness, brain swelling and death.

Mumps Mumps can cause headache, malaise, fever, and swollen salivary glands. Complications can include meningitis, swollen testicles, swift sterilisation in men and deafness.

Rubella Rubella infection in children and adults is usually mild, but in pregnant women it can cause miscarriage, stillbirth, infant death or birth defects.

Human papillomavirus (HPV) and Cervical cancer
HPV usually has no symptoms, but some strains can cause cervical cancer – the fourth most common cancer in women. Almost all cases of cervical cancer (99 per cent) are caused by HPV. HPV can also cause genital warts in both men and women, as well as cancer on other parts of the body.

Cholera. The cholera vaccine is effective at preventing cholera. The currently recommended cholera vaccines are administered orally to elicit a protective local mucosal immune response in the gut, something which was poorly achieved with the injectable vaccines that were used until the 1970s.

Influenza Seasonal annual vaccination is needed after the specific likely local virus has been identified.

Malaria. Malaria is a mosquito-borne infectious disease which annually affects an estimated 247 million people worldwide and causes 619,000 deaths. As of April 2023, the vaccine has been given to 1.5 million children living in areas with moderate-to-high malaria transmission. It requires at least three doses in infants by age 2, and a fourth dose extends the protection for another 1–2 years. The vaccine reduces hospital admissions from severe malaria by around 30%

Yellow fever. Yellow fever is a viral infection that occurs in Africa and South America. Some yellow fever symptoms are similar to 'flu, such as: high temperature. headache. feeling or being sick. aches and pains. loss of appetite. feeling generally unwell. These symptoms often last 3 or 4 days. But a small number of people get more serious symptoms within 24 hours of feeling better. Most people begin to develop immunity within ten days of vaccination and 99% are protected within one month, and this appears to be lifelong.

Dengue Fever.  The Drug Control Authority in Malaysia recently approved the first dengue vaccine for use in the country.
Manufactured by the pharmaceutical company Takeda, the vaccine named Qdenga protects against all four dengue virus serotypes. It is particularly effective against the serotype-2 virus (DENV-2), which is currently the dominant viral strain in Malaysia.
Results from the vaccine’s phase III clinical trial show that it had prevented 80.2% of symptomatic dengue cases, at one year after vaccination.
It had also prevented 90.4% of hospitalisations at 18 months after vaccination.

Reference: https://www.theguardian.com/society/2021/mar/28/how-mary-wortley-montagus-bold-experiment-led-to-smallpox-vaccine-75-years-before-jenner

 

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