Slashdot Mirror


Study: Certain Vaccines Could Make Diseases More Deadly

sciencehabit writes: New research suggests that vaccines that don't make their hosts totally immune to a disease and incapable of spreading it to others might have a serious downside. According to a controversial study by Professor Andrew Read these so-called "imperfect" or "leaky" vaccines could sometimes teach pathogens to become more dangerous. Sciencemag reports: "The study is controversial. It was done in chickens, and some scientists say it has little relevance for human vaccination; they worry it will reinforce doubts about the merits or safety of vaccines. It shouldn't, says lead author Andrew Read, a biologist at Pennsylvania State University, University Park: The study provides no support whatsoever for the antivaccine movement. But it does suggest that some vaccines may have to be monitored more closely, he argues, or supported with extra measures to prevent unintended consequences."

23 of 195 comments (clear)

  1. Not the best summary... by Etherwalk · · Score: 3, Interesting

    The idea is that if you vaccinate people but they still get the disease and don't get it as badly, they might not die as quickly, or might not die.

    So if they get sick but don't die, the disease has longer to spread.

    So I suppose if you're an Anti-vaxxer it's a great argument for why only you should get vaccinated for highly virulent diseases, but you should just let everyone else die faster.

    1. Re:Not the best summary... by tnk1 · · Score: 4, Insightful

      It's a good argument for ensuring you don't have half-assed vaccines, which is a legitimate concern.

      It's the same problem as those people who are prescribed antibiotics and don't finish their full course: that's how you get antibiotic resistant bacteria. You half-assed the treatment, now the surviving bacteria are the individuals with adaptations that were best able to resist the antibiotic. Usually, the disease would progress where the antibiotic vulnerable bacteria would compete. With the help of the incompletely used antibiotic, there's now only resistant bacteria left to infect a new host.

      This is not an anti-vaxxer argument, as those fools think that the vaccine causes problems unrelated to what it is supposed to be preventing (like autism), rather than this case being that the vaccine was simply too weaksauce to do the job right, so it made the problem worse by selecting out the bacteria more likely to succumb to the vaccine-adjusted immune system.

    2. Re:Not the best summary... by friedmud · · Score: 4, Informative

      The idea that government coercion is either morally justified or effective in achieving high vaccination rates is wrong.

      I don't care to debate you about "morally justified" but you're definitely wrong about "effective in achieving high vaccination rates". It's pretty clear that states with more stringent vaccination requirements have higher vaccination rates:

      http://www.pewtrusts.org/en/re...

      "In many but not all states, philosophical exemptions are easier to get than religious exemptions, which typically require parents to cite and explain the religious doctrine in question. Overall, states with philosophical exemptions have 2.5 times the rate of opt-outs than states with only religious exemptions."

    3. Re:Not the best summary... by tnk1 · · Score: 4, Insightful

      Government coercion was effective enough to eliminate one or two dread diseases.

      I'm not a big fan of government coercion as the solution to everything, but vaccinations are a public health issue where you are affecting more than yourself whenever you sneeze. That means your refusal to vaccinate your child or yourself might condemn people to death who currently have no choice to avoid interacting with you, and no idea if you're someone they should stay away from.

      We could suggest that those against vaccines go live in a quarantined compound somewhere and not have to have vaccines, but that would seem to be counterproductive for everyone.

      Past outbreaks of diseases currently vaccinated against have probably killed billions of children in the past. There was no home remedy or frontier method of survival. They either somehow fought off diseases like smallpox or measles and possibly were scarred for life, or they simply died. I am not certain what philosophical view, other than some sort of odd Darwinism, would make a return to that scenario attractive.

    4. Re:Not the best summary... by penix1 · · Score: 2

      I'm not a big fan of government coercion as the solution to everything, but vaccinations are a public health issue where you are affecting more than yourself whenever you sneeze. That means your refusal to vaccinate your child or yourself might condemn people to death who currently have no choice to avoid interacting with you, and no idea if you're someone they should stay away from.

      The problem with this statement is it makes one big assumption... Namely that everyone is NOT vaccinated. In short, if coming close to someone not vaccinated worries you then get yourself vaccinated. Or don't you trust the vaccine to protect you if exposed?

      I don't proclaim that vaccines are dangerous but as with any drug I believe there can be side effects. Having said that, I am totally vaccinated having been in the military as well as in Emergency Management. There are simply some professions where it is a must.

      --
      This is a sig. This is only a sig. Had this been an actual sig you would have been informed where to tune for more sigs.
    5. Re:Not the best summary... by DarkSabreLord · · Score: 2

      The problem you miss is that of immunocompromised or otherwise medically exempted individuals - namely, people who don't have a choice whether they get vaccinated or not. It's not just a personal choice - if you choose not to get yourself or your kids vaccinated, you are potentially putting my kids at risk by doing so.

    6. Re:Not the best summary... by mjwx · · Score: 4, Informative

      The idea is that if you vaccinate people but they still get the disease and don't get it as badly, they might not die as quickly, or might not die.

      However this is not how vaccines work. I suspect the fine article got a lot wrong.

      The idea is that if you vaccinate people they have an increased immunity to the pathogen and have a greater chance of not becoming infected if exposed. This slows or stops the spread of the pathogen amongst a community.

      --
      Calling someone a "hater" only means you can not rationally rebut their argument.
    7. Re:Not the best summary... by Gilgaron · · Score: 2

      Sometimes you only get 'partial immunity'.. like wise you can have some benefit to being administered a vaccine after infection. You'll still get sick, but it won't be as severe. For human medicine this is fine, for livestock having a bunch of sick animals may be as bad as having a bunch of dead ones.

    8. Re:Not the best summary... by Antique+Geekmeister · · Score: 5, Insightful

      > The only group that is really helped by other people's vaccinations is a small percentage of the population that cannot get vaccinated.

      You obviously don't remember polio. I do. You apparently also don't remember when the flu killed so many people in winter, and fail to understand how modern cities and especially air traffic make pandemics far more likely and far more dangerous.

    9. Re:Not the best summary... by cheesybagel · · Score: 4, Insightful

      Yes. You need to kick the non-vaccinated out of the public school system. Like we used to.

    10. Re:Not the best summary... by cheesybagel · · Score: 3, Informative

      Anti-vaxxers are idiots. Just like that bozo who refused to pay the fire department and then wanted the department to put the fire in his house down.

    11. Re: Not the best summary... by tomhath · · Score: 2

      Not all, but the overwhelming majority of them.

      The measles vaccine isn't perfect, two doses are required and even them it's possible to get the disease. But the chances of it spreading are greatly reduced if everyone is immunized.

      Health officials have immunization records of 43 measles patients; 37 were unimmunized, one had only one shot, and five were fully immunized.

    12. Re:Not the best summary... by Dragonslicer · · Score: 2, Funny

      I don't know the situation in the US, but in the UK, the figures show that unvaccinated kids visit the doctor a *lot* less than vaccinated kids

      And as we all know, correlation equals causation. There's no way this could possibly be because parents that don't get their kids vaccinated don't take them to see the doctor for other routine care.

    13. Re:Not the best summary... by TheRaven64 · · Score: 4, Insightful

      Most vaccines are not 100% effective. You need a certain percentage of the population to be immune for herd immunity to mean that they have little chance of contracting the disease (and, if they do, a good chance of being an isolated statistic rather than the centre of an outbreak). It only takes a few percent opting out of the vaccine to eliminate the herd immunity and make the entire population more vulnerable.

      --
      I am TheRaven on Soylent News
    14. Re:Not the best summary... by NeutronCowboy · · Score: 3, Interesting

      Considering that the US average vaccination rate is equal to or below that of the places where the illegal immigrants are coming from, you're wrong.

      http://www.washingtonpost.com/...

      --
      Those who can, do. Those who can't, sue.
  2. The argument is "leaky" at best too by Opportunist · · Score: 4, Informative

    Pathogens don't "learn". They evolve, ok. They adapt, ok. But they aren't sentient. They are not thinking. And especially they aren't thinking "hey, if they vaccinate, they won't die anyway, at least not as fast, so let's get more deadly!" This isn't the fucking Pandemic flash game for crying out loud!

    There is no interest of killing a host for a parasite. It's an side effect. Unintended, and actually harmful for the parasite in the long run. Just like poisoning the seas is harmful for us. We ain't some comic book villain who does it for ... well, for being evil. We do it 'cause it cuts costs. The oil spill is only the side effect, not the reason we do it.

    So yes, they COULD get more deadly because we don't die as fast and a more deadly mutated strain would kill itself off with the host if there was no vaccination. But that is hardly an argument against vaccination. It only means that at worst we're with vaccination where we are now without. AT WORST. If, and only if, the pathogens mutate in such a way that they get more deadly. Which is neither in their interest nor anything they would (evolutionary) strive for.

    What's the benefit for a pathogen to be more deadly? Killing the host is actually bad for it, since that ends spreading (with this host at least).

    --
    We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    1. Re:The argument is "leaky" at best too by ITRambo · · Score: 3, Interesting

      I don't think the strains that survive an incomplete round of antibiotics have mutated. They are simply the strongest ones that are now given a chance to multiply, since someone didn't take their complete prescription. These stronger bacteria can now be exposed to more antibiotics and the strongest again survive and reproduce. Soon we have antibiotic resistant bacteria strains that otherwise would have been a tiny percentage of the population. They haven't "learned" anything. It's survival of the fittest only.

    2. Re:The argument is "leaky" at best too by Obfuscant · · Score: 4, Insightful

      I don't think the strains that survive an incomplete round of antibiotics have mutated.

      You then proceed to describe exactly the process through which the antibiotic sensitive bacteria die so the mutations that have resistance become dominant. Where do you think those antibiotic resistant bacteria got their immunity to that specific antibiotic? They didn't order it from Amazon Prime, just sayin.

      It's survival of the fittest only.

      And those "fittest" become so because ...?

  3. this attitude is part of the problem by liquid_schwartz · · Score: 3, Insightful

    ...they worry it will reinforce doubts about the merits or safety of vaccines...

    This attitude about let's not discuss any possible downside because it will give the anti-vax people ammunition is part of the problem. Often forgotten is that a certain percentage of people who get vaccines die. That's an extreme form of take one for the team. At least some of these deaths could probably be prevented but rather than examine that more seriously we get polarized into vaccines are always good with no room for an opposing view. Any opposing views must be the opposite end of the spectrum and must be 100% against vaccines. While vaccines have been outstanding public policy in general that doesn't mean that it couldn't be improved upon. As long as people die from vaccinations there is room for improvement. The fact that we don't seem to be looking into how to lower that number is a problem.

    1. Re:this attitude is part of the problem by phantomfive · · Score: 4, Informative

      The fact that we don't seem to be looking into how to lower that number is a problem.

      The problem is you don't spend 15 seconds on Google before spouting off. A quick search would have found you this page: Goal 1: Develop New and Improved Vaccines. The national vaccine plan says, "Research to improve existing vaccines also provides opportunities to improve on a range of vaccine characteristics such as efficacy, safety, and vaccine delivery."

      As a bonus to you, the page lists these recent advances in vaccine technology:

      * Advances in scientific understanding of diseases and vaccine responses, especially for pertussis, pneumococcal disease, dengue and hepatitis C.
      * New vaccine production techniques and technologies.

      Research a little and your posts will be more coherent; your brain will be clearer.

      --
      "First they came for the slanderers and i said nothing."
  4. Re:"The study provides no support whatsoever" by Obfuscant · · Score: 2

    Only if you think Chickens and Humans share enough commonality in our immune systems and the viruses that infect us will act the same in a human host as in a chicken.

    If humans and chickens didn't share the biological basis for virus and antibody action, then testing vaccines on chickens would be a waste of time. As animals that evolved on planet Earth, we both have the same mechanisms for mutations, virus replication, and antibody systems, even if the biology isn't identical and not every virus that will infect a chicken will have the same effect on a human. If humans and chickens do NOT share enough commonality, then why do they call it "chicken pox"?

    It's ridiculous to claim that an issue observed in testing a virus on chickens cannot apply to human viruses and their immune systems because one is a chicken and one is not.

  5. Re:a counter-example by clovis · · Score: 4, Informative

    Yup to what you said.
    I truncated my earlier post because I got a call from downstairs that salad, baked chicken, yellow rice was on the table, and strawberries had been cut up for the home made ice cream in the freezer. I believe my priorities are in order.

    Reading the study makes it clear that what is happening with these chickens is important to the poultry industry, it's not just a what-if study, it's a "this has happened and we need to find out why" kind of thing.

    Anyway, for the benefit of readers who may not have time to read the actual study, in the study, the author mentions what we said, that the increased virulence example that he had discovered for this virus, Marek's virus, had not been seen in human hosts for human diseases.
    From the article:
    "The imperfect-vaccine hypothesis attracted controversy [11–14], not least because human vaccines have apparently not caused an increase in the virulence of their target pathogens"

    Furthermore, the author says:
    "Our data do not demonstrate that vaccination was responsible for the evolution of hyperpathogenic strains of MDV, and we may never know for sure why they evolved in the first place. Clearly, many potentially relevant ecological pressures on virulence have changed with the intensification of the poultry industry."

    The study also discusses similar phenomena that occurred naturally when exposed survivors in the wild harbored an increasedly virulent pathogen due to their acquired partial immunity after exposure.

    What I think is interesting is that the increased virulence of Marbek's is only found relative to unvaccinated chickens. The vaccinated chickens do not experience the increased virulence.
    If there is a lesson in this for human vaccines, it is that when we vaccinate, we need to vaccinate as much of the population as is possible, and that you really do not want to be the unvaccinated ones if an analogue does appear in the human population.

    Anyway, this actual study is interesting, and I don't see any problems with the way it was executed or written. As is so often the case, the problem comes from people extrapolating from a study things that are not found in the study.

  6. Monday 11PM by tobiah · · Score: 2

    I'm impressed that slashdot can push out this clickbait Monday evening, and that less than 64 people dispute that vaccines suck (excepting those who responded: trolls.)

    --
    "The ability to delude yourself may be an important survival tool" - Jane Wagner -