<?xml version="1.0" encoding="utf-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Evaluation of Immunization Rates and Safety Among Children with Inborn Errors of Metabolism</title>
	<atom:link href="http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/feed/" rel="self" type="application/rss+xml" />
	<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/</link>
	<description>Autism news and opinion</description>
	<lastBuildDate>Sat, 20 Mar 2010 17:24:07 +0000</lastBuildDate>
	<generator>http://wordpress.org/?v=2.9.2</generator>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
		<item>
		<title>By: daedalus2u</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68756</link>
		<dc:creator>daedalus2u</dc:creator>
		<pubDate>Wed, 04 Nov 2009 12:55:48 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68756</guid>
		<description>No Dr Treg, the question should be “in an individual with IEM, do the risks of vaccination (likely greater in those with IEM) outweigh the benefits of vaccination in preventing the adverse effects of vaccine preventable diseases (which are definitely much worse in those with IEM)”. 

It makes no sense to look at only the adverse effects of vaccinations on those with IEM without looking at the benefits in preventing the disease which is going to be worse in those with IEMs.  

If vaccinations cause the “unveiling” of autism-like symptoms, getting the disease that the vaccine prevents would undoubtedly be many times worse.  There is nothing special about vaccinations as immune system stimulations compared to actual diseases other than that the vaccination is milder and has been demonstrated to be much safer in normal individuals than the disease.</description>
		<content:encoded><![CDATA[<p>No Dr Treg, the question should be &#8220;in an individual with <span class="caps">IEM</span>, do the risks of vaccination (likely greater in those with <span class="caps">IEM</span>) outweigh the benefits of vaccination in preventing the adverse effects of vaccine preventable diseases (which are definitely much worse in those with <span class="caps">IEM</span>)&#8221;.</p>
<p>It makes no sense to look at only the adverse effects of vaccinations on those with <span class="caps">IEM</span> without looking at the benefits in preventing the disease which is going to be worse in those with IEMs.</p>
<p>If vaccinations cause the &#8220;unveiling&#8221; of autism-like symptoms, getting the disease that the vaccine prevents would undoubtedly be many times worse.  There is nothing special about vaccinations as immune system stimulations compared to actual diseases other than that the vaccination is milder and has been demonstrated to be much safer in normal individuals than the disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr treg</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68729</link>
		<dc:creator>dr treg</dc:creator>
		<pubDate>Tue, 03 Nov 2009 22:59:34 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68729</guid>
		<description>Isnt it time the term &quot;inborn errors of metabolism&quot; is abandoned for identified genetic diseases.
Some of these identified genetic diseases such as PKU, mitochondrial diseases and SHANK3 etc; mutations are associated with autistic behaviour.
The question should be: 
&quot;Do any immunisations cause the unveiling or deterioration of  genetic diseases associated with autistic behaviour&quot;
which is unlikely to be answered for certain using the scientific method because of lack of funding.</description>
		<content:encoded><![CDATA[<p>Isnt it time the term &#8220;inborn errors of metabolism&#8221; is abandoned for identified genetic diseases.<br />
Some of these identified genetic diseases such as <span class="caps">PKU</span>, mitochondrial diseases and <span class="caps">SHANK3</span> etc; mutations are associated with autistic behaviour.<br />
The question should be:<br />
&#8220;Do any immunisations cause the unveiling or deterioration of  genetic diseases associated with autistic behaviour&#8221;<br />
which is unlikely to be answered for certain using the scientific method because of lack of funding.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Tom</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68722</link>
		<dc:creator>Tom</dc:creator>
		<pubDate>Tue, 03 Nov 2009 20:08:07 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68722</guid>
		<description>Hi Sullivan,

The anti-vax position on mito is soooo convoluted. They dearly want to believe that this sub group proves the link between autism and vaccines and yet mito specialists recommend vaccination.  If they had it their way, anti-vaxers would deny mito kids the vaccines that save them from horrible morbidities and the very real possibility of death.  

That John Poling can&#039;t or won&#039;t see the light goes to show that when it comes to your own child even a clinician&#039;s judgment can be severely impaired.</description>
		<content:encoded><![CDATA[<p>Hi Sullivan,</p>
<p>The anti-vax position on mito is soooo convoluted. They dearly want to believe that this sub group proves the link between autism and vaccines and yet mito specialists recommend vaccination.  If they had it their way, anti-vaxers would deny mito kids the vaccines that save them from horrible morbidities and the very real possibility of death.</p>
<p>That John Poling can&#8217;t or won&#8217;t see the light goes to show that when it comes to your own child even a clinician&#8217;s judgment can be severely impaired.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Sullivan</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68718</link>
		<dc:creator>Sullivan</dc:creator>
		<pubDate>Tue, 03 Nov 2009 19:42:49 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68718</guid>
		<description>Tom,

interesting paper.

I find it, well ironic is a polite term, that the vaccine skeptics can dismiss diseases like varicella as no big deal.  These same groups claim to represent children who are vulnerable to  toxins.

Here is a clear example of a group of people who are vulnerable to diseases.  What is so difficult about the idea that vaccinating the rest of us protects this vulnerable segment?</description>
		<content:encoded><![CDATA[<p>Tom,</p>
<p>interesting paper.</p>
<p>I find it, well ironic is a polite term, that the vaccine skeptics can dismiss diseases like varicella as no big deal.  These same groups claim to represent children who are vulnerable to  toxins.</p>
<p>Here is a clear example of a group of people who are vulnerable to diseases.  What is so difficult about the idea that vaccinating the rest of us protects this vulnerable segment?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Tom</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68714</link>
		<dc:creator>Tom</dc:creator>
		<pubDate>Tue, 03 Nov 2009 18:34:55 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68714</guid>
		<description>Conversely, a recent study of kids w/mito disorders in Ireland finds a hospitilization rate of 5% for varicella infection vs. .01% in normal kids.  All these hospitalizations were due to metabolic decompensation, not secondary bacterial skin infections.
The Irish group recommends varicella vaccination (a live virus) for mito kids except possibly for those with significant immunosuppression.  http://adc.bmj.com/cgi/rapidpdf/adc.2008.147934v1</description>
		<content:encoded><![CDATA[<p>Conversely, a recent study of kids w/mito disorders in Ireland finds a hospitilization rate of 5% for varicella infection vs. .01% in normal kids.  All these hospitalizations were due to metabolic decompensation, not secondary bacterial skin infections.<br />
The Irish group recommends varicella vaccination (a live virus) for mito kids except possibly for those with significant immunosuppression.  <a href="http://adc.bmj.com/cgi/rapidpdf/adc.2008.147934v1" rel="nofollow">http://adc.bmj.com/cgi/rapidpdf/adc.2008.147934v1</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Joseph</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68660</link>
		<dc:creator>Joseph</dc:creator>
		<pubDate>Mon, 02 Nov 2009 17:55:32 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68660</guid>
		<description>It&#039;s good to see science doing its thing. First you have non-controlled studies, like the studies that try to find the prevalence of mitochondrial dysfunction in autistics; even though we don&#039;t have a comparable study that uses the same methodology with non-autistics. 

The next step up is case-control studies with matching of cases and controls, hopefully with blinded objective assessments and so forth, and it looks like we&#039;re starting to see these.

It&#039;s not uncommon that effects that appeared plausible at first no longer show up in the better quality studies.

Hera&#039;s and pD&#039;s objections are relevant, and you should trust that better science will try to address them, but it&#039;s important to consider that mitochondrial disorder is not just about autistic-like regression. Symptoms include loss of muscle coordination, heart disease, kidney disease, severe constipation, respiratory disorders, seizures, visual or hearing problems, etc. If vaccination is a significant trigger, should you see significant hospitalizations as a result? I would think so.</description>
		<content:encoded><![CDATA[<p>It&#8217;s good to see science doing its thing. First you have non-controlled studies, like the studies that try to find the prevalence of mitochondrial dysfunction in autistics; even though we don&#8217;t have a comparable study that uses the same methodology with non-autistics.</p>
<p>The next step up is case-control studies with matching of cases and controls, hopefully with blinded objective assessments and so forth, and it looks like we&#8217;re starting to see these.</p>
<p>It&#8217;s not uncommon that effects that appeared plausible at first no longer show up in the better quality studies.</p>
<p>Hera&#8217;s and pD&#8217;s objections are relevant, and you should trust that better science will try to address them, but it&#8217;s important to consider that mitochondrial disorder is not just about autistic-like regression. Symptoms include loss of muscle coordination, heart disease, kidney disease, severe constipation, respiratory disorders, seizures, visual or hearing problems, etc. If vaccination is a significant trigger, should you see significant hospitalizations as a result? I would think so.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: passionlessDrone</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68659</link>
		<dc:creator>passionlessDrone</dc:creator>
		<pubDate>Mon, 02 Nov 2009 17:24:53 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68659</guid>
		<description>Hello friends - 

My thoughts are in some ways similar to Hera&#039;s.  For example, I do not believe that Hannah Poling was ever hospitalized / or taken to the ER post vaccination.  Perhaps I&#039;m wrong on this?  

But the larger issue is that we are using very awkward tools to measure for what could be subtle, but still meaningful changes.  For example, the acetaminophen to asthma connection that was only discovered after literally decades of over the counter use in infants.  It seems likely that way that tylenol was ascertained to be safe for infants was similarly measured.

Nice write up.  Thank you Sullivan.

- pD</description>
		<content:encoded><![CDATA[<p>Hello friends &#8211;<br />
My thoughts are in some ways similar to Hera&#8217;s.  For example, I do not believe that Hannah Poling was ever hospitalized / or taken to the ER post vaccination.  Perhaps I&#8217;m wrong on this?</p>
<p>But the larger issue is that we are using very awkward tools to measure for what could be subtle, but still meaningful changes.  For example, the acetaminophen to asthma connection that was only discovered after literally decades of over the counter use in infants.  It seems likely that way that tylenol was ascertained to be safe for infants was similarly measured.</p>
<p>Nice write up.  Thank you Sullivan.</p>
<p> &#8211; pD</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hera</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68658</link>
		<dc:creator>hera</dc:creator>
		<pubDate>Mon, 02 Nov 2009 16:52:03 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68658</guid>
		<description>Maybe I am missing something here, but it seems that the only adverse event being checked for is increased hospitalizations in the first month when compared to the second month after vaccination?
Given that you mentioned Hannah Polings&#039; case, I expected some kind of neurological tracking; but autism/speech delay etc are not typically diagnosed in the emergency room.
Or typically  within 30 or even 60 days of onset. 

As you say, it would have been interesting to know what the hospitalization rate was prior to vaccinations being given. 

Out of interest, would you consider the lack of neurological or other chronic diagnosis tracking to be a legitimate critism or not? Would be interested to hear your opinion either way.</description>
		<content:encoded><![CDATA[<p>Maybe I am missing something here, but it seems that the only adverse event being checked for is increased hospitalizations in the first month when compared to the second month after vaccination?<br />
Given that you mentioned Hannah Polings&#8217; case, I expected some kind of neurological tracking; but autism/speech delay etc are not typically diagnosed in the emergency room.<br />
Or typically  within 30 or even 60 days of onset.</p>
<p>As you say, it would have been interesting to know what the hospitalization rate was prior to vaccinations being given.</p>
<p>Out of interest, would you consider the lack of neurological or other chronic diagnosis tracking to be a legitimate critism or not? Would be interested to hear your opinion either way.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: blog-thing : Mitochondrial disorder and autism</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68635</link>
		<dc:creator>blog-thing : Mitochondrial disorder and autism</dc:creator>
		<pubDate>Mon, 02 Nov 2009 07:48:23 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68635</guid>
		<description>[...] No doubt its strengths and weaknesses will be easier to ascertain after full publication. Sullivan has discussed potential weaknesses on LBRB. The authors have already acknowledged that the sample size was small. But this in itself is [...]</description>
		<content:encoded><![CDATA[<p>[...] No doubt its strengths and weaknesses will be easier to ascertain after full publication. Sullivan has discussed potential weaknesses on <span class="caps">LBRB</span>. The authors have already acknowledged that the sample size was small. But this in itself is [...]</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Tweets that mention Autism Blog - Evaluation of Immunization Rates and Safety Among Children with Inborn Errors of Metabolism « Left Brain/Right Brain -- Topsy.com</title>
		<link>http://leftbrainrightbrain.co.uk/2009/11/evaluation-of-immunization-rates-and-safety-among-children-with-inborn-errors-of-metabolism/#comment-68633</link>
		<dc:creator>Tweets that mention Autism Blog - Evaluation of Immunization Rates and Safety Among Children with Inborn Errors of Metabolism « Left Brain/Right Brain -- Topsy.com</dc:creator>
		<pubDate>Mon, 02 Nov 2009 06:10:04 +0000</pubDate>
		<guid isPermaLink="false">http://leftbrainrightbrain.co.uk/?p=3439#comment-68633</guid>
		<description>[...] This post was mentioned on Twitter by badscienceblogs and GraceBarkwell, Frank Sides. Frank Sides said: Autism Blog - Evaluation of Immunization Rates and Safety Among ... http://bit.ly/1xTScN [...]</description>
		<content:encoded><![CDATA[<p>[...] This post was mentioned on Twitter by badscienceblogs and GraceBarkwell, Frank Sides. Frank Sides said: Autism Blog &#8211; Evaluation of Immunization Rates and Safety Among &#8230; <a href="http://bit.ly/1xTScN" rel="nofollow">http://bit.ly/1xTScN</a> [...]</p>
]]></content:encoded>
	</item>
</channel>
</rss>
