Doctors Question Flu Shot Statistics
By KELLY O'MEARA
Special to The Journal
Americans
are scared. From coast to coast, young and old have stood in
lines, signed up for lotteries and even crossed national
borders with the hope of getting a shot at this year’s
limited supply of the influenza vaccine.
The credit
for the mass hysteria that has swept the nation in the last
two months should be given to federal health officials, who,
through ongoing public relations campaigns that easily rival
those of corporate America’s top-selling products, have
successfully convinced the public that without the vaccine
tens of thousands, or worse, might die.
In fact,
the Centers for Disease Control and Prevention has told the
public that influenza is the most frequent cause of death
from vaccine-preventable disease in this country and that
from 1990 through 1998, an average of 36,000 flu-related
pulmonary and circulatory deaths occurred each season in the
United States.
Alan
Clark, a family physician in Atlanta, specializing in
emergency medicine argues that those “deaths” cannot be
confirmed.
“The CDC
cannot show anyone in any year where there were 36,000
actual deaths due to influenza,” he said. “I think the
vaccine is not working, and even if they do get the right
strain of virus the chances of it being helpful is maybe 60
to 80 percent in a healthy adult, less than 50 or 60 with
health problems – and I mean maybe. The only thing the
vaccine is effective for is making money for the vaccine
manufacturers.”
Even CDC
officials reluctantly admit the deaths are not “real”
numbers, but only estimates. CDC spokesman Von Roebuck said
the CDC uses indirect modeling methods to estimate the
numbers of deaths associated with influenza, an approach
that has been used for 40 years. Using this approach, the
CDC estimates that about 36,000 influenza-associated deaths
occur annually in the United States, he said.
This estimate is obtained by using the models to analyze the
National Center for Health Statistics, NCHS, for underlying
respiratory and circulatory deaths. The estimated 36,000
deaths from influenza represents about 3 percent of about
1.1 million underlying respiratory and circulatory deaths
that occur during the year.
However,
what the CDC fails to tell the public is that it has no idea
how many people who died from underlying respiratory and
circulatory problems actually had the influenza infection.
In other words, the CDC doesn’t know if a person who died of
pneumonia also had the flu, because those statistics are not
collected. The one fact that CDC can state for certain is
this: The greatest number of influenza deaths recorded since
1979 were 3,006 in 1981.
Still,
most physicians eagerly will admit that the influenza virus
is nothing to, well, sneeze at, and that history well
documents the bug’s lethality.
But is the
influenza scare justified? To answer that question, The
Journal decided to take a hard look at the CDC’s historical
data and last year’s flu season as a good place to start.
Recall
that public health officials announced that the 2003 flu
season not only began earlier than normal but that the
strain of influenza circulating in North America did not
match the strain formulated in the vaccine. Early in the
2003-2004 flu season, the CDC advised that although a
vaccine had been developed with the wrong strain of virus
it, nevertheless, “may provide some protection or lessen the
symptoms,” and continued to encourage worried Americans to
be vaccinated.
However,
after analyzing 2003 data this year, the CDC acknowledged
that the 2003-2004 influenza vaccine had “no or low
effectiveness against ILI (influenza-like illness).” In
other words, last year’s shot didn’t work.
Mark Geier,
a Silver Spring physician and president of the Genetic
Centers of America along with his son, David Geier, a
Maryland consultant on vaccine issues, argue that the “no or
low effectiveness” statement by the CDC is misleading.
“What the
CDC looked at in its study of the 2003-2004 season were
people who received the vaccine versus those who did not
receive the vaccine and they followed these people for weeks
to months,” explained David Geier.
“What was
demonstrated was that last year’s vaccine did not prevent
any influenza-like illness – it had no statistical efficacy
against the influenza infection.” “Anyone can look at the
CDC data and see that there is no statistical difference
between those who received the vaccine and those who did
not,” David Geier said.
The data
can be found at the CDC Web site,
www.cdc.gov, under the
report titled Preliminary Assessment of the Effectiveness of
the 2003-2004 Inactivated Influenza Vaccine Colorado, Dec.
2003.
The data
shows that vaccine efficacy runs from -0.14 to 0.33. “The
zero means that statistically it is not different from zero
and has no efficacy,” David Geier said. “In other words
last year’s vaccine made no difference in the rate of
developing influenza-like illness,” David Geier said. “The
CDC says it had “no or low effectiveness,” but that’s just
the CDC’s spin that maybe one person was helped but they
can’t find them.”
The Geiers
also point to additional historical CDC data to further
question not only whether the influenza vaccine is effective
in any given year, but also raise questions about the
reported 36,000 estimated deaths associated with the
influenza virus.
“What is
most disturbing is that the CDC’s own data posted at the
CDC’s National Center for Health Statistics show that the
influenza vaccines do not work,” adds Mark Geier. “What we
see (from the CDC data) is that in the late 1970s between 10
and 15 million doses of influenza vaccine were given to
high-risk people, and by 2001-2002 nearly 80 million doses
were distributed.
Despite
the enormous increase in the number of people receiving the
influenza vaccine and the CDC’s public relations campaign to
sell the vaccine, there has not been a decrease in the
population rate of influenza deaths or influenza illnesses.”
In response to Mark Geier’s claim that the “vaccines do not
work,” CDC spokesman Roebuck explained that “the studies
looking at trends in mortality over time cannot address the
effectiveness of the vaccination program since influenza
vaccine information is not linked to death certificates or
hospital data.
One explanation for not seeing a decline in
influenza-related hospitalizations and deaths is the aging
population, particularly persons 85 years and older. In
addition, A (H3N2) viruses have predominated in more recent
seasons.”
“This
response is ridiculous,” countered Mark Geier. “The rules in
science and medicine are that the vaccine manufacturers have
to demonstrate efficacy – now we have to demonstrate that it
isn’t efficacious. What the CDC is saying is ‘well, the data
don’t show that it’s efficacious, but the numbers aren’t
good enough so we’re going to keep giving it.’ That’s not
how this is supposed to work.
They have
to prove that the vaccine is working, and the CDC has no
proof.” “Furthermore,” explained Mark Geier, “the CDC
reports that roughly 100 children die from influenza each
year, but the data show that there really are between five
and 15 deaths in any given year. The CDC also touts the
estimated 36,000 yearly deaths due to the influenza virus.
All anyone has to do is look at the CDC’s own data to see
that in reality it is maybe 1,000 deaths.”
Mark Geier is referring to the data made available by the
CDC’s National Center for Health Statistics which show, for
example, the actual number of deaths due to influenza in
1979 were 604. The highest number of deaths recorded
occurred in 1981 with a total of 3,006. These data include
all age groups.
“The
argument by the CDC that the vaccine is stopping these
deaths doesn’t hold up because with the increase of the
vaccine over the years one would expect to see the number of
deaths going down,” Dr. Geier said. “We don’t see a
decrease. There is very little, if any, trend in these
numbers and the point is there aren’t a whole lot of deaths
to be prevented.”
“Given the
CDC’s data,” concludes Mark Geier, “no one should be
standing in a line thinking ‘Oh God, if I get the vaccine
I’m going to live and if I don’t get the vaccine I’m going
to die, because it appears that it just doesn’t make much
difference whether you get the vaccine or not.”
Kelly O’Meara is a veteran investigative reporter who holds
journalistic awards for articles in the medical field.
What’s
to come ...
Today:
Are the CDC estimates of flu deaths this year fact or
fiction?
Tuesday:
Why hasn’t the CDC pushed safe alternative FDA-approved
drugs?
Wednesday:
What are the best anti-virals and why aren’t they being
talked about?