Health Spectator

Even as a feeding frenzy surrounds the H1N1 swine flu vaccine, New Yorkers were confronted with the news that Wall Street banking firms Goldman Sachs and Citibank were given 200 doses of swine flu vaccine—the same quantity given to Lenox Hill Hospital.

Goldman and Citibank were not the only corporations given doses of the vaccine, and any companies receiving the vaccine had to have their own medical personnel in place. Also, the understanding was that the vaccinations would be given only to employees in the highest-risk groups, which includes pregnant women, children, and those with chronic diseases such as asthma.

Although the Centers for Disease Control and Prevention (CDC) is widely credited with the apparent gaffe, sources say the CDC gave the vaccine doses to the state, which dispensed them to hospitals, doctors, and corporations.

The video below from NBC’s Today show, summarizes the whole issue quite well, we think. For a more humorous approach to the subject, check out the Saturday Night Live clip below that.

President Obama today declared the swine flu epidemic in this country a national emergency. Forty-six of the 50 states now have widespread flu contagion.

“It’s important to note that this is a proactive measure — not a response to a new development,” an administration official said.

“H1N1 is moving rapidly, as expected. By the time regions or healthcare systems recognize they are becoming overburdened, they need to implement disaster plans quickly,” he said.

The Centers for Disease Control and Prevention (CDC) says that the extent of swine flu contagion in the U.S. is currently on a par with the peak of the seasonal flu season, which normally doesn’t occur until at least late November and sometimes not until early March.

By declaring the national emergency, the administration enables Medicare, Medicaid and other federal health insurance agencies to waive certain requirements. This will smooth the way for doctors, hospitals and clinics to treat patients. As the flu season peaks, health-care providers such as hospitals are expected to be overwhelmed with patients.

The table below shows figures from the CDC giving the breakdown of lab-analyzed specimens for last week. Note that out of nearly 5,000 positive specimens, over 99% were Type A and approximately 70% were swine flu. This latter figure is slightly misleading, however, because almost 30% of the samples determined to be Type A were not subtyped. This means that virtually all positive respiratory specimens that were analyzed last week have turned out to be swine flu if there subtype was checked.

Currently, only two anti-virals are known to be effective against H1N1 pandemic swine flu: Tamiflu (oseltamivir) and Relenza (zanamivir). If not used sparingly, these too could become ineffective, the CDC has warned.

Both drugs can be used to prevent viral infection under the right circumstances, though the protocol currently recommended by the CDC is to use these drugs in this manner only to protect pregnant women, people undergoing chemotherapy, and similar groups who are known to be at higher risk of death from swine flu.

Recently, the doctor at a camp in North Carolina decided to immunize 600 campers by using Tamiflu. The result: two girls caught swine flu anyway, and tests showed that their strain had developed Tamiflu resistance.

Tamiflu is approved by the FDA for “treatment of uncomplicated acute (mild) illness due to influenza infections in patients 1 year and older who have been symptomatic for no more than 2 days.” The drug is also approved for prevention of influenza in patients 1 year of age and older. On August 4, 2009, the FDA commisioner released an Emergency Use Authorization (EUA) for Tamiflu because of the Public Health Emergency that was declared in the wake of the H1N1 (swine flu) epidemic.

That EUA enabled use of Tamiflu to treat and prevent influenza in patients less than 1 year of age. The EUA also allowed for use of Tamiflu at later time points (that is, in patients symptomatic for more than 2 days) and in patients sick enough to require hospitalization (severe illness).

Those seeking more information on the EUA and the current regulations surrounding the use of Tamiflu can find it on the CDC website.

The U.S. Department of Justice announced today that it had reached the largest settlement ever with a pharmaceutical manufacturer as Pfizer pled guilty to felony charges of fraudulent promotion of pharmaceuticals.

According to a DOJ press release, the company will pay a criminal fine of $1.195 billion, the largest criminal fine ever imposed in the United States for any matter. Pharmacia & Upjohn (subsidiaries of Pfizer) will also forfeit $105 million, for a total criminal resolution of $1.3 billion. The companies were misbranding Bextra with the intent to defraud or mislead. Bextra is an anti-inflammatory drug that Pfizer pulled from the market in 2005.

Misbranding in this case refers to the practice of recommending a drug for a purpose that has not been approved by the Food and Drug Administration (FDA).

The company also settled civil suits with the DOJ for violation of the False Claims Act as a result of illegally promoting four drugs—Bextra; Geodon, an anti-psychotic drug; Zyvox, an antibiotic; and Lyrica, an anti-epileptic drug—and causing false claims to be submitted to government health care programs for uses that were not medically accepted by the FDA and therefore not covered by those programs. The civil settlement also resolves allegations that Pfizer paid kickbacks to health care providers to induce them to prescribe these and other drugs. The federal share of the civil settlement is $668,514,830 and the state Medicaid share of the civil settlement is $331,485,170.

The DOJ further stated that this is the largest civil fraud settlement in history against a pharmaceutical company.

“This historic settlement will return nearly $1 billion to Medicare, Medicaid, and other government insurance programs, securing their future for the Americans who depend on these programs,” said Kathleen Sebelius, Secretary of Department of Health and Human Services. “The Department of Health and Human Services will continue to seek opportunities to work with its government partners to prosecute fraud wherever we can find it. But we will also look for new ways to prevent fraud before it happens. Health care is too important to let a single dollar go to waste.”

“Illegal conduct and fraud by pharmaceutical companies puts the public health at risk, corrupts medical decisions by health care providers, and costs the government billions of dollars,” said Tony West, Assistant Attorney General for the Civil Division. “This civil settlement and plea agreement by Pfizer represent yet another example of what penalties will be faced when a pharmaceutical company puts profits ahead of patient welfare.”

Are you enraged by any of this? If so, leave your comments below.

If you don’t see a comment box at the bottom of this posting, click on the red “leave a comment” text in the grey text box that marks the end of each posting. That will open the comment area for you.

We’ve said before that while the Centers for Disease Control and Prevention (CDC) and other sources refuse to acknowledge vaccines as a cause of autism, the anecdotal evidence alone can be overwhelming. And that’s before we even get to those few studies that actually have addressed the issue.

Green Diva Mom Eleni Prokopeas

Here is the story of a mother of three whose second child became autistic after receiving his vaccinations at the age of two. It began with a high fever the night of the vaccination and went down hill from there. But despite her doctors’s inability to help her son, Eleni Prokopeas developed her own 10-step protocol to overcome autism. By the age of six, her son was functioning normally again.

Click here to hear Eleni Prokopeas tell the whole story while you browse our site. She tells how the autism came about, then about her efforts—ultimately successful—to cure it. (The audio file will open in another tab or browser. Return to this tab or browser and you can continue browsing the site while you listen.)

You can find out more about Eleni Prokopeas and her 10-step protocol for cure here.

Podcast: Play in new window | Download

The World Health Organization (WHO) has acknowledged what regular readers of Health Spectator already knew: that the “new” H1N1 swine flu has a tendency to devastate the lungs in at least a significant portion of the people it infects. We reported on July 23 that University of Wisconsin virologist Yoshihiro Kawaoka had found H1N1 produces more severe lung lesions than seasonal flu in non-swine mammals.

The WHO currenlty puts the fraction of patients who need intensive care as a result of direct lung infection as high as 15%. Should the same prove true in the U.S. as the new wave of flu strikes this fall, it could put a strain on medical facilities.

The other distinctive trait of the new flu is its tendency to strike harder against the young. Whereas the elderly are normally most affected by seasonal flu, WHO is reporting that H1N1 infection is 20 times more common in the 5-to-24 age bracket than in those over 65. Some believe that the elderly have some natural resistance to the new flu from having been exposed to similar strains in the past. Others attribute the vulnerability of the otherwise healthy to the disease causing a so-called “cytokine storm,” which is an extreme reaction on the part of the immune system that causes more harm than the virus itself. Those with stronger, healthier immune systems are more likely to be severely affected, the reasoning goes.

Although WHO is also reporting a greater susceptibility to new flu among minorities and indigenous populations in South America, it is not clear whether a similar prevalence will result here in the United States. In other countries, the disparity may be the result of differing social conditions and medical care.

The 1976 swine flu epidemic and consequences

Americans will have some serious thinking to do as the time approaches to get vaccinated against the H1N1 swine flu, which is expected to resume its ravages here in the fall.

On the one hand, judging by the flu’s sojourn in South America, it could be getting worse. It has infected turkeys in Chile, which is not a good sign. The flu could pick up virulence if it combines with one of the nastier bird flus such as H5N1, which has been making the round of flocks in Asia.

So all we need is a bit of commerce between Asia and South America—or for that matter, simply someone coming into contact with birds in both places—and we could be seeing a nastier version of the bug coming at us once the leaves are gone.

On the other hand, the vaccine itself would appear to have little to recommend it.

In America we tend to put immense faith in these meager protections offered up by the health care industry. We just assume—until proven otherwise—that flu vaccines work and are outraged when presented with evidence that they do not. And we are all the more outraged when we or one of our loved ones winds up stricken with some unforeseen illness resulting from their use, some of which can be life changing—such as Guillain-Barré, for example.

Guillain-Barré syndrome is one of those afflictions you can live without—believe me. At its most severe, it kills by paralysis—the victim is simply unable to breathe. Given prompt care (and, if indicated, the use of a ventilator) one has the possibility of full recovery—or not. Some patients end up quadriplegics, some with the partial use of their legs—it all depends. On what, no one knows.

Unfortunately, the way the game is played, at the first sign of a possible epdemic—pandemic, in this case—the Health and Human Services (HHS) Department has the option of providing incentives to drug companies for developing vaccines. There’s the rub.

In this case, HHS Secretary Kathleen Sibelius gave it all away at the first breath of national emergency: there will be no penalities for drug firms who kill or maim either with the swine flu antigen itself or with the accompanying adjuvant. Unless you can prove they deliberately tried to kill your child or loved one, you can’t touch them.

Good luck with that.

So, the full responsibility for whatever happens will be on you. No one to sue, no recourse. And unless by some miracle the Democrats grow a sense of purpose and actually push through a single-payer healthcare package, your insurance probably won’t cover the consequences, either. So you’re on your own.

Better weigh the known severity of the flu carefully before even considering that shot. Unless it starts killing a sizable percentage of those afflicted and you happen to fall into a category that is particularly vulnerable, taking a pass may be the best option.

Even if you catch the flu, chances are it will be no worse than flus you have had in the past—an unpleasant experience for several days, perhaps even a few weeks—but then, forgotten.

At present, despite seemingly high numbers, the flu has not really been all that virulent. We’ve seen 522 confirmed deaths in the U.S. as of August 20, but given more than a million estimated cases, that isn’t a huge number.

We personally have little faith in a rapidly devised vaccine for which the manufacturers aren’t willing to take full responsibility. Most of the swine flu vaccines we’re being promised will employ adjuvants (additives designed to inflame your immune system to heighten immune response) that are either already known to be dangerous or have not been approved by the FDA for regular use. They’re permitted only under the emergency provisions of HHS/FDA regulations.

So paying close attention to your diet—lots of fresh organic vegetables, wild-caught fish and pasture-grazed meats—should keep you at your best. Make sure you take adequate vitamins A, C, D, B6, magnesium, zinc and selenium. (For men especially, don’t overdue the selenium.) A healthy immune system is always your best response to the possibility of infection.

Remember that vaccines, in the end, do nothing more than use your immune system to prevent disease.

We think nature’s way of going about that may be just as good or better.

While you are waiting to read our exposé on factory farming and swine flu (which should finish final editing in the next 24 hours) you can watch this video from the Pew Commission on Industrial Farm Animal Production.

As we hope to show in greater detail over coming weeks,  the trend in agriculture toward large farms has changed our rural landscape and is affecting not only our national health, but the health of humans globally along with their environment.

According to the United States Department of Agriculture (USDA), 40 percent of people in rural areas lived on farms in 1950. Now USDA statistics reveal that less than 10 percent of the rural population lives on farms and that only 14 percent of the rural workforce is employed in agriculture.

Some rural areas thrive as they become home to commuting professionals, but some just sink deeper into isolation. This helps to explain why in 2003 14.2 percent of the population living in rural America were poor, while the poverty rate in metropolitan areas was 12.1 percent, a disparity that has been constant for several decades.

As for the farming trends themselves, in 1980, approximately 65,000 farmers in the state of Iowa raised hogs, with an average of 200 hogs residing on each farm. By 2002, the number of farms with hogs had fallen to about 10,000, but the average number of hogs per farm had risen to 1,400. Similar trends toward industry concentration have been in effect in North Carolina, which is the second largest pork producer in the U.S. As early as 1993, 13 percent of the producers in North Carolina were responsible for 95 percent of that state’s total swine production.

Editorial

former CDC head Dr. Julie Gerberding

We came across a post on the autism site Adventures in Autism by Ginger Taylor claiming that former Centers for Disease Control and Prevention (CDC) chief Julie Gerberding, who stepped down from that agency in January of this year, has since accepted a position with public relations giant Edelman.

The Edelman website confirms this, and we quote:

Edelman has created the Global Task Force on H1N1 Influenza to help its clients and partners navigate the communications challenges associated with the potential outbreak of H1N1 flu. The task force comprises a network of public health and crisis communications specialists, including former U.S. Centers for Disease Control and Prevention Director Dr. Julie Gerberding, who are ready to help organizations engage their internal and external stakeholders early and protect their reputations.

Perhaps this is vindication for those Gerberding critics who claimed that while she was head of CDC, her interest was more in protecting careers and reputations than in saving lives. We don’t know.

We do know that the transition back and forth between agencies in the public sector and such major industries as the oil, chemicals, food and pharmaceuticals industries supposedly regulated by those corresponding agencies has been an easy one to make of late, a situation that we find mildly upsetting. We say “mildly” because, while we could easily work ourselves into a sleepless frenzy over this, it happens all the time. That would leave us sleepless for life were we to agonize over it too much.

Gerberding has every right to represent the same large pharmaceutical companies she was accused of representing all along, and at least now her paycheck does not come directly from our taxes. (It is siphoned off, instead, via the extra healthcare costs we pay for healthcare we may or may not receive, depending upon our ability to pay for it after having supported with our taxes massive government agencies that are supposed to be guarding us. For more on these issues see the interview with a CIGNA exec and Michael Moore’s Sicko.)

Corporate vs. public interests

We wouldn’t mind the job security conferred upon the ruling elite by these arrangements nearly so much if only those public servants were more diligent in their defense of the public (as opposed to corporate) interests while serving their brief tenure in public posts. But so few of them have actually been able to switch off the defending-corporate-interests part of their personalities while allegedly serving the public.

If you read Ginger Taylor’s references to Gerberding it becomes clear that she feels intense frustration at Gerberding’s frequent calls for more research that were then followed by total inaction in instigating such research.

Taylor, meanwhile, is a Maine housewife living the daily frustration and horror of parenting a child disabled by autism. It is one thing to sit and read countless papers (as we do) trying to decipher the contradictions among research reports to arrive at some sort of informed opinion on the subject and quite another to have witnessed, as Ginger Taylor and too many other parents have, the transformation of a formerly healthy child to a sick and damaged one after receiving a shot or a series of shots.

Cause and effect are total abstractions in the first case and heartless assassins in the second. If you watched your child or spouse regress from a healthy state to an autistic or demented one, wouldn’t you too be bitter or at least hostile towards the vaccine and mercury amalgam manufacturers who continue to claim there is no relation at all between these afflictions and their products?

As for Gerberding, she probably makes the sort of next-door neighbor you would visit with for hours given the opportunity. But we can understand Taylor’s feelings towards her. That frustration comes through in the interview below of Julie Gerberding by Dr. Sanjay Gupta, with text insertions provided by Ginger Taylor. Following that, we have also posted an interview with Robert F. Kennedy, Jr, who has performed extensive research on the thimerosal issue.

Thimerosal and vaccines

Thimerosal, in case you’ve forgotten, is a preservative used in many vaccines. Kennedy’s article Deadly Immunity, published in Rolling Stone and Salon.com is a must read on that subject.

While we’re on the subject of mercury and autism, we would like to add that we don’t think the thimerosal in vaccines (or that in mercury fillings, for that matter) is the sole cause of autism and other apparently mercury-related injuries and illnesses. We do believe that many individuals have been injured by the mercury in vaccinations and in mercury fillings, don’t get us wrong.

But the body is a complex organism and there are often multiple paths to the same result. A lack of vitamin D, for example, might induce similar disorders and certainly does induce asthma, Alzheimer’s and diabetes, to name just three among many. Pregnant mothers and infants have grown increasingly deficient in this important vitamin in recent years (See our piece Vitamin D, the versatile vitamin for more on that.)

Holistic approach works best

But there are other culprits as well. Aluminum not only exacerbates the presence of mercury, but can fill in for it as a damaging agent. Fluoride is another toxin that can cause untold damage, particularly when combined with aluminum. Even monosodium glutamate, aspartame and other excitotoxins may play a role. All these toxins—mercury, aluminum, fluoride, glutamate and aspartame, as well as vitamin D deficiency—have been implicated in the onset of dementia and Alzheimer’s disease. They can also cause, in various combinations or singly, childhood-onset disorders such as autism.

For many individuals, the sheer number of vaccinations given to children these days may be the cause. Not only are the additives such as thimerosal cumulative in their effects, the assault on a young immune system that each of these vaccinations represents has to be considered cumulative as well. Then too, the measles antigen suppresses the immune system for up to several months. During this period, another vaccination that might otherwise be tolerated by a given individual may cause disastrous results.

So a holistic approach to this problem works best. For the sake of argument, if you consider health to be the absence of disease and its contributing factors, you could define health, in this context as adequate vitamin D and other vitamins in the absence of mercury, aluminum, aspartame, MSG and fluoride from the diet and the environment.

Start adding any of these toxins back in, and you dramatically increase the risk of any given child displaying autism.

So, while a given parent may witness a child becoming autistic after, say, a flu vaccination (most flu vaccines still contain mercury) that doesn’t mean another parent may not witness either a different result from mercury or a different cause of autism.

The heartbreak of autism

In any case, it certainly does not mean that any of these parents should have to put up with ridicule or indifference on the part of the medical establishment and even less so on the part of our government. And it certainly does not mean that the CDC should continue to allow thimerosal and other forms of mercury to remain in vaccines. Nor should the FDA continue to allow it to be used in tooth fillings, for that matter.

Whereas in Europe the phrase “First, do no harm” is paramount, the United States has developed a different set of standards. Ours is more along the lines of “Do not interfere with business.” The health and welfare of our citizens, sadly, takes a back seat to the profits of corporations.

That situation has got to change.

As the Kennedy interview makes clear, autism is a disease with a well-defined history. It was first described in 1943 by Dr. Leo Kanner of Johns Hopkins University. Kanner had studied 11 children between 1938 and 1943, to which he ascribed this new disease.

Thimerosal was invented in the 1920s and first put into use in vaccines in the 1930s. So those who equate autism with the use of thimerosal have a solid base on which to stand. In fact, the House Government Reform Committee that studied the history of autism and thimerosal concluded in its final report, “This epidemic in all probability may have been prevented or curtailed had the FDA not been asleep at the switch regarding a lack of safety data regarding injected thimerosal, a known neurotoxin.” The FDA and other public-health agencies failed to act, the committee added, out of “institutional malfeasance for self protection” and “misplaced protectionism of the pharmaceutical industry.”

You can read all about it here.

We have added the following video (The Truth About Vaccines) from the Shoot ‘Em Up website. The clip can also be found on the Maryland Coalition for Vaccine Choice website. The people who shot the Shoot ‘Em Up documentary from which this video clip is derived produced a feature-length film on the subject. You can purchase that film on DVD from their website. Meanwhile, watch the clip here by clicking on the image below.

Dr. Julie Gerberding Autism interview with Dr. Sanjay Gupta of CNN – March, 2008, edited by Ginger Taylor.

Below, the Kennedy interview with Joe Scarborough is about Kennedy’s research on autism and thimerosal, a preservative used in many vaccines. This is a subject that both Scarborough and Kennedy know much about. (Scarborough has first-hand experience with autism.)

Keep in mind too that Scarborough is an ultra-conservative, while Kennedy is—well, a Kennedy.