By Barbara Loe Fisher
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On a cold winter morning in November 2007, I watched hundreds of parents line up with their children in front of a Maryland county courthouse. The children had been kicked out of school by state officials and were truant. The mothers and fathers were holding letters threatening them with imprisonment or fines of $50 a day for failing to show proof their children had gotten a chickenpox or hepatitis B shot. 1
Confused, angry and frightened, but mostly resigned, they were working Moms and Dads trudging toward the courthouse on a Saturday morning to face a judge ordering them to vaccinate their children or go to jail.
Patrolling the scene was an armed SWAT team of policemen with dogs.
The U.S. media turned out that day, but they and other members of the public were kept behind barricades and denied access into the building. I was there with my son, who brought his camera. We were there to witness what was going on with parents whose children had been injured by vaccines.
There was no transparency, no public oversight on what was happening to the parents and children inside the building.
I spoke with several mothers leaving the building with their children and learned the sad truth. They were not being asked questions about their child’s medical history or whether the children had experienced health problems after previous vaccinations. No information was given about vaccine side effects or how to monitor their children for signs of vaccine reactions. 2 They were not made aware of exemptions to vaccination.
Clearly, preventing vaccine reactions was not a priority for those in charge that day.
The children were being injected with not just the two new vaccines added to the state’s school requirement list - hepatitis B and chickenpox - but also with other required vaccines if the public school system could find no record. One mother told me her children were up-to-date on their shots but the school system lost the records. She agreed to have her children receive the required vaccines all over again on the spot to avoid being fined or, worse, being sent to jail.
This mother and I were talking hundreds of yards from the front of the Courthouse door. We were standing about 12 inches inside a row of large cement stones that had been put there as a barrier to prevent terrorist attacks.
Suddenly, out of the corner of my eye I saw an armed guard with a dog emerge from the Courthouse. He was walking straight toward us.
I got this sick feeling in the pit of my stomach. It was the surge of shock and dread that any citizen of any country in any century has felt when an armed guard with a dog starts advancing.
As if we were criminals or terrorists, he yelled and gestured to us to move behind the stones. I looked at the mother and my son, who was filming our conversation, and we moved without a word.
We were being shown the power of the State wielded by that guard armed with a dog and a gun, just as parents inside the courthouse were being shown the power of the State wielded by doctors with syringes.
U.S. Constitution Protects Freedom To Dissent
When a government policy is unjust and people resist, the last resort is always a show of force. Use of fear, intimidation, discrimination and punishment of dissenting minorities is the hallmark of authoritarian governments and so is censorship and propaganda.
None of these tactics have a place in America, where our Constitution protects civil liberties, including freedom of thought, speech, conscience, religious belief and the right to dissent and petition the government. 3 4 5
Twelve years after I watched a state health department flex its muscle at a county courthouse, this year the whole world is watching the multi-billion dollar vaccine industrial complex flex its muscle in America. 6 7 8 Declaring a “take no prisoners” war on parents who decline to give their children every dose of every government recommended vaccine, the vaccine industry has been emboldened by the lucrative public-private business partnerships that have been forged over the past four decades with governments and the World Health Organization. 9 10
Vaccine Industry Wants Forced Use of All Vaccines by All People
The win that industry is looking for is a complete shut down of the public conversation about health and vaccination followed by a mandate by every government to force every child and adult to use every vaccine that drug companies develop and sell.
For children born in America in 1983, the federal government recommended 23 doses of seven vaccines given between two months and six years old. 11 Today, the child vaccination schedule is 69 doses of 16 vaccines given between the day of birth and age 18, with 50 doses administered before age six, at a current price tag of more than $3,000 per child. 12 13
Child Vaccine Schedule Could Double or Triple in Future
For children born in America in the years to come, that vaccine list and cost could double or triple. The World Health Organization is encouraging drug companies to fast track more than a dozen new “priority” vaccines to market for children, pregnant women and adults - and you can be sure industry will lobby governments to mandate all of them - respiratory syncytial virus (RSV), streptococcus A & B, HIV, herpes simplex virus, gonorrhea, e-coli, shigella, salmonella, tuberculosis, malaria and more. 14
Where is the scientific evidence to support the assumption that forcing everyone to use more and more vaccines to atypically manipulate our immune systems and repeatedly provoke inflammatory responses in our bodies throughout life will produce better health for all? 15 16 17 18 19 20
The Real Public Health Emergency Is Not About Measles
The signs are everywhere that people are trying to throw off the chains binding them to failed medical and public health policies that cost Americans more than three trillion dollars a year in health care costs. 21 Americans are beginning to understand that trusting blindly and saluting doctors smartly for the past 40 years has not prevented 1 child in 6 from becoming learning disabled, 22 23 or 1 in 9 from suffering with asthma, 24 or 1 in 10 from struggling with mental and behavior disorders 25 or 1 in 40 from developing autism. 26
America now has the worst infant mortality rates, 27 28 and worst maternal mortality rates, 29 30 and worst life expectancy 31 32 of all developed nations. Highly vaccinated and medicated Americans are very sick, with millions of children and adults suffering with immune and brain dysfunction marked by chronic inflammation in their brains and bodies 33 34 that confines too many of them to special education classrooms and frequent trips to doctors’ offices to try to deal with a lifetime of chronic illness and disability. 35 36
No public health official, professor or legislator in America can explain why millions and millions of children and more than 1 in 2 adults are chronically ill or disabled. 37
This is the real public health emergency that mothers and fathers want to talk about, but Congress and medical trade groups do not want to talk about. This is the elephant in the room at every public hearing on bills proposing to take away or expand vaccine informed consent rights being held in state legislatures today.
No Exception Vaccine Laws Guarantee Denial of Vaccine Casualties
The pharmaceutical industry, which was handed a partial liability shield from vaccine injury lawsuits by the U.S. Congress in 1986 38 that was turned into a total liability shield by the Supreme Court in 2011,39 40 41 is fighting to keep an economic stranglehold on a crumbling U.S. health care system. 42 43 44 45 With the government having paid vaccine victims more than $4 billion dollars in federal vaccine injury compensation since 1988 under the National Childhood Vaccine Injury Act, 46 47 pharmaceutical corporations do not want to give up the no-risk, stable income stream they get from selling mandated vaccines. 48
“No exception” vaccine laws guarantee that the good vaccine science will never be done so vaccine casualties can continue to be swept under the rug by denying they exist, 49 50 51 52 53 and nobody has to care about the crippled and dead bodies lying on the ground except the mothers and fathers grieving endlessly for what could have been. 54
Today, everybody knows somebody who was healthy, got vaccinated and was never healthy again. 55 56 This inconvenient truth is why the vaccine industry must find a way to shut down all public conversation about vaccination and eliminate all vaccine exemptions - and do it now.
Vaccine Risks Not Being Shared Equally By All
In January 2019, the World Health Organization announced that “vaccine hesitant” people, especially parents, are one of the top 10 threats to global health. 57 This ominous warning was quickly followed by the declaration of a state of emergency in Washington after a handful of measles cases were confirmed in primarily unvaccinated children. 58 Immediately, the media shifted into overdrive just like in January 2015 when measles cases were reported in Disneyland and the California legislature quickly removed the personal belief vaccine exemption for school children, 59 60 61 despite the biggest public protests the state Capitol had seen since the Viet Nam War.
In the first two months of 2019, we have watched thousands of brave parents and health care professionals travel to state Capitols and line up with their children at public hearings in Washington, 62 63 Arizona, 64 Nevada, 65 Oregon 66 and on Capitol Hill. 67 They are taking time off their jobs and spending their own money to make the journey to beg lawmakers to protect the legal right for children to get a school education and for parents to exercise voluntary informed consent to vaccine risk taking for their minor children. 68
With almost no vaccine contraindications today that qualify for a medical exemption under narrow CDC guidelines, 69 70 vaccine risks are not being shared equally by all. One-size-fits-all vaccine laws place an unequal risk burden on, and discriminate against, a vulnerable minority of children, who have genetic, biological and environmental susceptibility to suffering vaccine reactions. 71 72 73 74
Why are the lives of vaccine vulnerable children, who public health officials do not want to acknowledge, valued less than the lives of immune compromised children they will acknowledge?
Calls for Forced Vaccination and Censorship
Since 2015, no state legislature has removed a vaccine exemption. 75 76 This year, while 11 states are proposing to restrict or eliminate vaccine exemptions, NVIC is supporting 61 bills that expand exemptions or protect vaccine informed consent rights (as of Mar.1, 2019), the largest number of bills we have ever supported in a legislative session. 77
This pushback against forced vaccination is being met with fury by doctors and lawyers inside and outside of government and by multi-media corporations demanding that parental rights and vaccine exemptions be stripped from state laws and that all information criticizing government vaccine policy be removed from the web. 78 79 80
In the past few weeks, high ranking federal health officials have made false statements in Congress in an effort to mislead lawmakers into believing childhood vaccines like MMR do not carry serious risks. 81
The FDA Commissioner has threatened state legislators with federal government intervention if they do not eliminate vaccine exemptions. 82 83 84
The Chair of the U.S. House Intelligence Committee has pressured Facebook to block conversations about vaccination and Amazon to censor books and videos containing information about vaccine risks and failures. 85 86 87
Amazon immediately bowed to that government pressure and removed the movie Vaxxed from Amazon Prime and similar videos critical of vaccine safety. 88 However, CNN is urging Amazon to go further and burn all the books, too. 89 90
A Washington DC lawmaker reacted to the hype by asking, “What if you take parents out of the equation?” and introduced a bill to allow minor children of any age to get vaccines in the city without a parent’s knowledge or consent after a doctor says the child is “mature” enough to make the decision. 91
What is the justification for burning the books and clearing the way for doctors to persuade very young children to get vaccinated without their parents’ knowledge or consent?
The media would have you believe that calls for censorship and the elimination of state vaccine exemptions and parental rights is based on 206 reported cases of measles identified in 11 states between January and March in our population of 328 million people. According to the CDC, “three or more cases” of measles is considered to be an “outbreak.” 92
All the blame for measles outbreaks is being put on parents of the less than two percent of unvaccinated children attending U.S. schools, where nearly 95 percent of children nationwide have received two doses of measles containing MMR vaccine. 93
Aside from the illogical premise that children only catch measles or other infections in school buildings, is the call for censorship and “no exceptions” vaccine laws only about a few hundred cases of measles?
I don’t think so.
The Human Right to Autonomy Limits the Power of the State
The demonization of parents and enlightened doctors, who criticize vaccine science and government policy, is the tip of the spear in a larger culture war going on in this and other countries where economically stable, well educated populations are beginning to understand they are being exploited by corporations that have made business deals with governments. 94 95 96 97 98
The culture wars in the 21st century are about whether the first human right, individual autonomy, 99 will survive or an authoritarian State will own our children and have the power to eliminate civil liberties and sacrifice the lives of certain people for what those in control of the State consider the greater good of society. 100
The human right to autonomy protects individuals and vulnerable minorities from being discriminated against and exploited by the State. Who has the moral right, or should have the legal authority, to demand that mothers and fathers violate their conscience and risk their children’s lives or face punishment for refusing to do it?
What kind of government policy demands that kind of involuntary sacrifice?
And what kind of government demands that information about the risks and failures of a liability free pharmaceutical product be censored and withheld from the people being forced to use it?
There is no more important freedom than the freedom to decide when and for what reason you are willing to risk your life or your child’s life. We give up the human right to autonomy at our peril, no matter where or in what century we live.
The outcome of the Vaccine Culture War will determine what it means to be free. 101 Because if the State can tag, track down and force individuals against their will to be injected with biologicals of known and unknown toxicity today, then there will be no limit on which individual freedoms the State can take away in the name of the greater good tomorrow.
Martin Niemoller prophetically warned that incremental oppression by those in control of an authoritarian State is facilitated by denial, apathy and fear. He said, "In Germany, they came first for the Communists, and I didn't speak up because I wasn't a Communist. Then they came for the Jews, and I didn't speak up because I wasn't a Jew. Then they came for the trade unionists, and I didn't speak up because I wasn't a trade unionist. Then they came for the Catholics, and I didn't speak up because I was a Protestant. Then they came for me, and by that time no one was left to speak up." 102
Americans, this is our moment to help determine the outcome of a very real culture war that threatens to destroy long held values and beliefs that are embodied in the Bill of Rights of the U.S. Constitution to protect us from tyranny. The Bill of Rights affirms that we have God given natural rights, known today as civil liberties or human rights, which belong to each one of us and should never be taken away for any reason.
You Will Make the Choice
You and you alone will make the choice to live free or die as a slave. Do not let anyone take away your freedom to think and speak and obey the certain judgment of your conscience.
Use the NVIC Advocacy Portal to contact your state and federal legislators. Defend freedom and educate your family, friends and leaders in your community. Go to NVIC.org and sign up for our newsletter, so that no matter what happens in the weeks and months to come, you will not lose contact with us.
Be the one who never has to regret that you did not do today what you could have done to change tomorrow.
It’s your health. Your family. Your choice.
And our mission continues: No forced vaccination. Not in America.
Note: This commentary provides referenced information and perspective on a topic related to vaccine science, policy, law or ethics being discussed in public forums and by U.S. lawmakers. The websites of the U.S. Department of Health and Human Services (DHHS) provide information and perspective of federal agencies responsible for vaccine research, development, regulation and policymaking.
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1 Carter D. Jail Time Threats Spur Vaccine Compliance. Gazette.net. Nov. 22, 2007.
2 National Vaccine Information Center. Do You Know How to Recognize A Vaccine Reaction? Aug 27, 2019.
3 National Archives. America’s Founding Documents: Declaration of Independence, Constitution, Bill of Rights.
4 Stone GR, Volokh E. U.S. Constitution Amendment 1. Freedom of Speech and the Press. National Constitution Center.
5 Inazu J, Neuborne B. U.S. Constitution Amendment 1. Right to Assemble and Petition. National Constitution Center.
6 Editorial Board. How to Inoculate Against Anti-Vaxxers. The New York Times Jan. 19, 2019.
7 Sun L. Anti-Vaxxers Face Backlash at Measles Cases Surge. Washington Post/Los Angeles Times Feb. 28, 2019.
8 Belluz J. Pinterest, Facebook and You Tube are cracking down on fake vaccine news. Vox Mar. 1, 2019.
9 The Vaccine Reaction. How NIH Uses U.S. Tax Dollars to Secure Profits for Vaccine Developers and Manufacturers. May 2, 2018.
10 Fisher BL. WHO, Pharma, Gates & Government: Who’s Calling the Shots? NVIC Newsletter Jan. 27, 2019.
11 CDC. Recommended schedule for active immunization of normal infants and children 1983.
12 U.S. Centers for Disease Control and Prevention (CDC). Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2019. Feb. 5, 2019.
13 CDC. Pediatric/VFC Vaccine Price List. Mar. 1, 2019.
14 World Health Organization. WHO Product Development for Vaccines Advisory Committee (PDVAC) meeting. June 26-27, 2018.
15 Harvey L, Boksa P. Prenatal and postnatal animal models of immune activation: Relevance to a range of neurodevelopmental disorders. Dev Neurobiol 2012; 72(1): 1335-1348.
16 Vera-Lastra, Medina G et al. Autoimmune/inflammatory syndrome induced by adjuvants (Shoenfeld’s syndrome): clinical and immunological spectrum. Expert Review Clinical Immunology 2013; 9(4): 361-373.
17 Nakayama T. An inflammatory response is essential for the development of adaptive immunity – immunogenicity and immunotoxicity. Vaccine 2016; 34(47): 5815-5818.
18 Yang J, Fangyang Q et al. Neonatal hepatitis B vaccination impaired the behavior and neurogenesis of mice transiently in early adulthood. Psychoneuroendocrinology 2016; 3: 166-176.
19 Tukhvatulin AI, Dzharullaeva AS. Powerful Complex Immunoadjuvant Based on Synergistic Effect of Combined TLR4 and NOD2 Activation Significantly Enhances Magnitude of Humoral and Cellular Adaptive Immune Responses. PLoS One 2016; 11(5).
20 Strunecka A, Blaylock RL et al. Immunoexcitoxicity as the central mechanism of etiopathology and treatment of autism spectrum disorders: A possible role of fluoride and aluminum. Surg Neurol Int 2018; 9:74.
21 Sherman E. U.S. Health Care Costs Skyrocketed to $3.65 Trillion in 2018. Fortune Magazine Feb. 21, 2019.
22 Boyle CA, Boulet S et al. Trends in the Prevalence of Developmental Disabilities in US Children 1997-2000.Pediatrics May 23, 2011.
23 National Center for Education Statistics. Children and Youth Disabilities. April 2018.
24 CDC. Most Recent Asthma Data. May 15, 2018.
25 CDC. Data and Statistics on Children’s Mental Health. Dec. 20, 2018.
26 U.S. Department of Health & Human Services. HRSA led study estimates 1 in 40 U.S. children has diagnosed autism. Nov. 26, 2018.
27 CDC. International Comparisons of Infant Mortality and Related Factors: United States and Europe, 2010. National Vital Statistics Report Sept. 24, 2014; 63(5).
28 CDC. Sudden Unexpected Infant Death (SUID) and Sudden Infant Death Syndrome (SIDS): Data & Statistics. Jan. 9, 2019.
29 Martin N, Montagne R. U.S. Has the Worst Rate of Maternal Deaths in the Developed World. National Public Radio May 12, 2017.
30 CDC. Pregnancy Mortality Surveillance Systems. Aug. 7, 2018.
31 Donnelly G. Here’s Why Life Expectancy Dropped Again in the U.S. This Year. Fortune Magazine Feb. 9, 2018.
32 CDC. Deaths & Mortality. National Center for Health Statistics May 3, 2017.
33 Libby P. Inflammatory mechanisms: the molecular basis of inflammation and disease. Nutr Rev 2007; 65(12 Pt2): S140-146.
34 Campbell AW. Inflammation: The Root of Our Chronic Diseases. Alternative Therapies 2015; 21(6).
35 CDC. Health and Economic Costs of Chronic Diseases. National Center for Chronic Disease Prevention and Health Promotion Feb. 11, 2019.
36 Sottie L. Living Sick and Dying Young in Rich America. The Atlantic Dec.19, 2013.
37 CDC. About Chronic Disease. National Center for Chronic Disease Prevention and Health Promotion Nov. 19, 2018.
38 National Vaccine Information Center. NVIC Position Statement on National Childhood Vaccine Injury Act of 1986. May 2018.
39 Supreme Court of the United States. Bruesewitz v. Wyeth No. 09-152. Justice Sotomayor with whom Justice Ginsberg joins, dissenting Feb. 22, 2011.
40 National Vaccine Information Center. National Vaccine Information Center Cites “Betrayal” of Consumers by U.S. Supreme Court Giving Total Liability Shield to Big Pharma. Business Wire Feb. 23, 2011.
41 Fisher BL, Williams K, Wrangham TK. NVIC response to an inquiry from the Government Accountability Office (GAO) on the implementation of the federal vaccine injury compensation program (VICP) after passage of the 1986 National Childhood Vaccine Injury Act. National Vaccine Information Center July 11, 2014.
42 Irving P. Chronic Conditions in America: Price and Prevalence. RAND Corp. July 12, 2017.
43 Sawyer B, Cox C. How does health care spending in the U.S. compare to other countries? Kaiser Family Foundation Dec. 7, 2018.
44 Hilzik M. The 21st Century Cures Act: A huge handout to the drug industry disguised as a pro-research bounty. Los Angeles Times Dec. 5, 2016.
45 Parpia R. Big Pharma Pays Universities for Most Medical Research in the U.S. Today. The Vaccine Reaction Apr. 15, 2018.
46 Health Resources and Services Administration (HRSA). Vaccine Injury Compensation Data from the Vaccine Injury Compensation Program (VICP). Mar. 1, 2019.
47 Fisher BL. The Vaccine Injury Compensation Program: A Failed Experiment in Tort Reform? Advisory Commission on Childhood Vaccines Nov. 18, 2008.
48 LaVigne P. Global Vaccines Market Projected to Surge to $58 Billion by 2025. The Vaccine Reaction Jan. 3, 2019.
49 Fisher BL. What’s Old Is New: Vaccine Safety Concerns of Parents in 1996 (presented to Institute of Medicine). NVIC Newsletter May 22, 2018.
50 Fisher BL. Vaccine Safety Concerns of Parents in 2001. Institute of Medicine Jan. 11, 2001.
51 Fisher BL. Public Perspective on Studies of Health Outcomes Related to the Federal Childhood Immunization Schedule. Institute of Medicine Feb. 9, 2012.
52 National Vaccine Information Center. NVIC Supports Three of Five Recommendations of New IOM Report on US Childhood Immunization Schedule and Calls for Transparency. Business Wire Jan. 16, 2013.
53 Informed Consent Action Network. Letter to Secretary of HHS and National Vaccine Program Office on Vaccine Safety Responsibilities under the National Childhood Vaccine Injury Act of 1986. Dec. 18, 2018.
54 Vaxxed.com. Vaccine Injury Stories Submitted (by state).
55 National Vaccine Information Center. International Memorial for Vaccine Victims.
56 MedAlerts. Search the Vaccine Adverse Events Reporting System (VAERS) Database.
57 World Health Organization (WHO). Ten Threats to Global Health in 2019. Jan. 16, 2019.
58 Gstalger MM. Washington declare public health emergency as measles hits anti-vaccination community. The Hill Jan. 23, 2019.
59 Fisher BL. Measles in Disneyland: Third MMR Shot and Vaccine Exemption Ban? NVIC Newsletter Jan. 28, 2015.
60 Parpia R. Pharma Cash Raises Question of Undue Influence on SB277. The Vaccine Reaction July 9, 2015.
61 Richardson D. The Fallout from California SB277: What Happens Next? NVIC Newsletter Aug. 5, 2015.
62 Evans C. Hundreds rally to preserve right not to vaccinate children amid measles outbreak. CBS News Feb. 8, 2019.
63 LaCorte R. Washington Lawmakers Weigh 2 Vaccine Exemption Bills. Associated Press/US News & World Report Feb. 20, 2019.
64 Fischer H. Bills that critics fear would lead to dip in vaccinations advance. Arizona Capitol Times Feb. 21, 2019.
65 Solis J. ‘Vaccine hesitancy’ hindering Nevada’s response to outbreaks. Nevada Current Feb. 20, 2019.
66 Visser A. Controversial Vaccine Bill Draws Crowd, Slurs and Tears at Hearing. The Lund Report Feb. 28, 2019.
67 Sun L. Senate panel warns of dangers of anti-vaccine movement. Washington Post/Stars & Stripes Mar. 5, 2019.
68 Bennett L. Senate vaccine hearings spark anti-vaccine protest in Utah. Deseret News Mar. 5, 2019.
69 CDC. Recommendations and Guidelines of the Advisory Committee on Immunization Practices (ACIP): Contraindications and Precautions. Table 4-2. Conditions incorrectly perceived as contraindications or precautions to vaccination (i.e., vaccines may be given under these conditions). Jan. 10, 2019.
70 Rubin LG, Levin MJ, Lyungman P et al. 2013 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for Vaccination of the Immunocompromised Host. Clin Infect Dis Dec. 4, 2013; 58(3).
71 Crowe JE. Genetic predisposition for adverse events after vaccination. J Infect Dis 2007; 196(2): 176-177.
72 Institute of Medicine Committee to Review Adverse Effects of Vaccines. Adverse Effects of Vaccines: Evidence and Causality: Evaluating Biological Mechanisms of Adverse Events (p. 57-102), Increased Susceptibility (p. 82). Washington, DC: The National Academies Press 2012.
73 Institute of Medicine Committee on the Assessment of Studies of Health Outcomes Related to the Recommended Childhood Immunization Schedule. Summary: Health Outcomes (p. 5-6) and Conclusions About Scientific Findings (p. 11) and Review of Scientific Findings (p. 75-98). The Childhood Immunization Schedule and Safety Stakeholder Concerns, Scientific Evidence and Future Studies; Washington, D.C. The National Academies Press 2013.
74 U.S. Court of Federal Claims. Vaccine Injury Claims: Opinions and Orders.
75 National Vaccine Information Center. State Vaccine Legislation in America 2015-2017 Oct. 25, 2017.
76 National Vaccine Information Center. US Vaccine Exemptions Remain Secure in 2018. Sept. 12, 2018.
77 National Vaccine Information Center. Public Hearings on Measles Outbreaks and Vaccine Laws Provide Opportunities for Americans to Voice Concerns. Business Wire Feb. 25, 2019.
78 Einbinder N. As more parents join the anti-vax movement, states are scrambling to make it harder to opt out of vaccinating your child. Insider Feb. 28, 2019.
79 Simmons T. Faith is no excuse for skipping vaccines, says med school professor. Religion News Feb. 28, 2019.
80 Colliver V. State lawmakers pushing for laxer vaccine rules despite measles outbreaks. Politico Mar. 3, 2019.
81 Fisher BL. Dr. Fauci, It’s Not Nice to Fool Congress About Vaccine Reactions. The Vaccine Reaction Feb. 28, 2019.
82 O’Reilly ED. Measles outbreak is bringing vaccine exemptions into spotlight. Axios Feb. 14, 2019.
83 Hoyt R, Pittman T. Health officials reacts to FDA chief comment on vaccine exemptions. THV 11 Feb. 22, 2019.
84 Parmet W. Gottlieb’s threat of federal vaccine mandates: questionable legality, poor policy. Stat News Feb. 28, 2019.
85 Congressman Adam Schiff News Release. Schiff Sends Letter to Google, Facebook Regarding Anti-Vaccine Misinformation. Feb. 14, 2019.
86 Congressman Adam Schiff News Release. Schiff Sends Letter to Amazon CEO Regarding Anti-Vaccine Misinformation. Mar. 1, 2019.
87 Carbone C. Facebook cracks down on vaccine misinformation. Fox News Mar. 11, 2019.
88 O’Donovan C. You Can No Longer Stream Anti-Vax Documentaries on Amazon Prime. Buzz Feed Mar. 1, 2019.
89 Sarlin J. Anti-vaccine movies disappear from Amazon after CNN Business Report. CNN Mar. 1, 2019.
90 O’Kane C. Amazon removes books promoting autism “cures” and vaccine misinformation. CBS News Mar. 13, 2019
91 Austermuhle M. Vaccines for Kids? New DC Bill Would Allow Minors to Get Shots Without Parental Consent. WAMU 9 Mar. 6, 2019.
92 CDC. Measles Cases and Outbreaks. Mar. 11, 2019.
93 CDC. Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year. MMWR Oct. 12, 2018; 67(4)): 1115-1122.
94 National Institute of Allergy and Infectious Diseases. Public Private Partnerships.
95 Parpia R. Legislator Joins Big Pharma Via “Revolving Door.” The Vaccine Reaction Feb. 21, 2016.
96 Fisher BL. Here Comes the 21st Century Cures At: Say Goodbye to Vaccine Safety Science. NVIC Newsletter July 21, 2015.
97 Drug Companies Pay FDA and NIH to Fast Track and Market Vaccines. The Vaccine Reaction Sept. 28, 2018.
98 National Vaccine Advisory Committee. Strengthening the Effectiveness of State, and Local Efforts to Improve HPV Vaccine Coverage in the United States: Recommendations of the National Vaccine Advisory Committee. Public Health Reports Aug. 9, 2018.
99 Fagan A. Human Rights. Internet Encyclopedia of Philosophy.
100 Fisher BL. Forced Vaccination: The Tragic Legacy of Jacobson v. Massachusetts. NVIC Newsletter Nov. 2, 2016.
101 Fisher BL. The Vaccine Culture War in America: Are You Ready? NVIC Newsletter Mar. 8, 2019.
102 Martin Niemoller, German Theologian and Lutheran Pastor. New World Encyclopedia Aug. 24, 2018.
Report on Vaccine Related Federal Advisory Committee Activities
By Theresa Wrangham
After the U.S. Food and Drug Administration’s (FDA) approved Merck’s HPV-9 Gardasil vaccine for use in adults age 27 to 45 in 2018, the Centers for Disease Control’s (CDC) Advisory Committee on Immunization Practices (ACIP) of the Department of Health and Human Services (HHS) is evaluating whether to expand their current HPV vaccine recommendation to include this new age group.
ACIP’s current recommendation is that boys and girls ages 9 through 15 should get two-doses of HPV-9. The “catch-up” vaccine schedule is a three- dose series for females above age 15 through age 27 and males above 15 years of age to 21 years of age, if not previously vaccinated with HPV vaccine.1
CDC to Step Up HPV Vaccine Marketing Strategies
Should ACIP expand their recommendations for use of HPV-9 vaccine in the newly approved age group, the CDC won’t be alone in the push to increase the use of the HPV vaccine by children and adults in the U.S. During the September meeting of the National Vaccine Advisory Committee (NVAC), a federal advisory committee that makes recommendations to the National Vaccine Program Office (NVPO), the HHS Assistant Secretary ADM Brett Giroir M.D. emphasized that HHS supported the NVAC’s HPV vaccine recommendations 2 published in June 2018. Dr. Giroir stated that increasing HPV vaccination in America would be a focus for HHS in 2019.
The federal government’s focus on increasing the use recommendations for the HPV vaccine may result in a renewed effort by state legislators to introduce legislation in many states to mandate HPV vaccine for school entry.
HPV-9 Use in Older Adults Considered by ACIP
During the October 2018 ACIP meeting, the HPV workgroup presented preliminary information for discussion purposes. Cost data, though incomplete, showed that increasing use recommendations of the HPV-9 vaccine is not likely to be cost effective. In addition, preliminary data showed that receiving the vaccine would not likely have a significant positive impact on those who may have chronic HPV infections that go on to become HPV associated cancers.3
As this discussion unfolds and finalized data is presented to ACIP during 2019, reportedly a permissive use recommendation is more likely than a routine use recommendation.4 A permissive use recommendation would mean that consumers would be advised of the vaccine’s approval for use in 27 to 45 year olds, while a routine use recommendation would mean that vaccine providers would more strongly recommend use of the vaccine in this older age group.
Any recommendation by ACIP to expand the use recommendation of the HPV vaccine in this age group will result in providing a liability shield to vaccine providers and require anyone in this age group who is injured by this vaccine to petition the federal vaccine injury compensation program (VICP) for injury compensation.
ACIP may vote on this issue as early as their next meeting in February 2019. However, ACIP’s February agenda has not yet been published. Notably, during the February 2018 ACIP meeting, the CDC presented data indicating that it may be decades before it is known whether HPV vaccine has impact on HPV associated cancers.5
ACIP Recommends Routine Hepatitis A Vaccination for the Homeless
Votes carried out during October’s ACIP meeting included the passage of a routine recommendation of Hepatitis A vaccine for the homeless to prevent outbreaks in this at risk group;6 and formatting and language clean up of the CDC recommended childhood7 and adult8 vaccine schedules (routine, catch-up and medical indication tables). The CDC’s website will be updated with these vaccine schedules with the goal of making the new schedules clearer to vaccine administrators and the public.
Vaccine Access A Key Factor in Rise in Unvaccinated Children
At the October ACIP meeting, the CDC set forth the latest MMWR reports on childhood vaccine coverage. Dr. Nancy Messonnier, Director of the National Center for Immunization and Respiratory Diseases (NCIRD) commented on the slight increase in the number of unvaccinated children. Dr. Messonnier stated,
“Parental choice may play some role, but CDC’s data really suggests that many of these parents do want to vaccinate their children, but they may not be able to get vaccines for them. They may face hurdles like not having a health care professional near by, not having time to get their children to a doctor, and thinking that they cannot afford vaccines.”9
New Anthrax Vaccine Likely to be Stockpiled
A presentation was made on the new anthrax vaccine AV7909, which is manufactured by Emergent Biosolutions, and uses the novel CpG 7909 adjuvant. The new adjuvant CpG oligodeoxynucleotide (CpG ODN) is a synthetic oligodeoxynucleotide derived from bacterial DNA that accelerates the pro-inflammatory response of the immune system to stimulate immunity.10 11 This vaccine, once approved, will be stockpiled in the Strategic National Stockpile, to be used in the event of a bioterrorism attack.12 13
Pneumococcal Vaccine May Provide Little Benefit To Seniors
ACIP is also conducting a routine review of their use recommendation for PVC 13 pneumococcal vaccine in adults. Data was presented suggesting that the vaccine has little direct benefit to seniors. Additional data will be presented during February’s ACIP meeting with a possible vote in February or June that may result in a change to the routine use recommendation of the PCV 13 vaccine in 65+ adults.14
Change in Tetanus Revaccination Considered
Data was presented on the use of Tdap in place of Td vaccine for the 10-year booster vaccination recommended by the CDC.15 It appears a key reason behind this possible substitution has to do with vaccine providers opting to keep little to no Td vaccine supplies on hand. ACIP has formed a workgroup to evaluate a possible change in this policy and will present data and recommendations to ACIP for additional consideration.
Infant Dose of Influenza Vaccine May Change
Sanofi Pasteur presented data on the initial use of a full dose (.5-ml) of the Fluzone Quadrivalent vaccine in infants six months of age compared to the current half dose recommended for this age group.16 Additional information will be presented at future ACIP meetings as the committee considers a possible change in recommendations.
CDC Removes Many Pertussis Vaccine Contraindications
The CDC removed four DTaP precautions to receipt of pertussis containing vaccines, including
- Fever over 105 F within 48 hours following DTaP;
- Persistent, inconsolable crying lasting more than 3 hours within 48 hours following a dose of DTaP;
- Collapse or shock-like state within 48 hours following a dose of DTaP;
- Seizure within 72 hours following a dose of DTaP.
from their Best Practice Guidelines webpage.17 18 The reason provided for this change was that these precautions were associated with the DTP vaccine, which is no longer licensed for use in the U.S. due to its higher reactivity and risk for vaccine injury, and not the DTaP vaccine.
Parents Describe Vaccine Injury and Death During ACIP Public Comment Period
During ACIP’s public comment session, the majority of comments were made by individuals reporting vaccine injuries and deaths and those concerned about lack of informed consent protections in vaccine policies and laws. Health care professionals provided public comments that were critical of data presented to ACIP and of current ACIP vaccine recommendations. Many parents echoed these concerns and shared their heart breaking stories of vaccine injury and death.19 20
Destiny Maynard tearfully shared with the committee the story of her son, Christopher, who died in the summer of 2018 following complications from Acute Disseminated Encephalomyelitis (ADEM) shortly after receiving an HPV vaccination. She read a statement from her son’s neurologist explaining that cases of ADEM can be triggered by vaccines and that the HPV vaccine, specifically, has been implicated in cases of ADEM within one month of vaccination. The statement concluded that strong consideration must be given to the HPV vaccine causing ADEM, which resulted in the death of Christopher.21
ACCV Requests Funding for More Special Masters But Ignores Vaccine Safety Gaps
On December 6, 2018, The Advisory Committee on Childhood Vaccines (ACCV) met and passed a resolution to request that the Secretary of Health provide additional funding to hire more special masters for the U.S. Court of Federal Claims to adjudicate vaccine injury claims in the federal vaccine injury compensation program (VICP). When the Secretary of HHS opposes awarding compensation, the special masters make determinations about whether plaintiffs will or will not receive an award from the federal vaccine injury compensation program (VICP). Noting a serious backlog in pending compensation claims, ACCV expressed hope that providing funding for hiring more special masters will accelerate to processing of claims.
The Government Accountability Office published a report in 2014 critical of the length of time it takes to process VICP claims, 22 one of many criticisms of the implementation of the VICP created by Congress in the 1986 National Childhood Vaccine Injury Act.23 The Secretary of Health still has not fulfilled NVIC’s long-standing request for funding of research to address acknowledged vaccine safety science gaps identified in over 25 years of reports issued by the National Academy of Medicine (NAM), formerly the Institute of Medicine (IOM).
Vaccine Administrators Get Liability Shield for Causing Shoulder Injuries
According to reports by federal officials during ACCV’s meeting, the leading injury claim in the VICP by adults is shoulder injury (SIRVA) from improperly administered vaccines, followed by Guillian-Barre Syndrome (GBS) caused by from influenza vaccine. Notably, during the June 4, 2015 meeting of ACCV, HRSA noted that SIRVA was not an adverse reaction to the vaccine itself, rather it was an injury resulting from incorrect administration of the vaccine too high in the shoulder muscle causing shoulder injury. NVIC provided public comment opposing the addition of SIRVA to the Vaccine Injury Table (VIT) due to the fact that this injury is not a vaccine adverse event, rather it is the result of a lack of professional training and/or misadministration by the vaccine provider.24
Despite these comments, ACCV recommended adding SIRVA to the VIT to provide healthcare professionals with a liability shield if they incorrectly administer any routinely recommended childhood vaccine in the shoulder and cause a shoulder injury. SIRVA injuries can range from mild to severe, can cause temporary or permanent injury that limits movement and results in pain from bursitis and tendinitis.25 26
ACCV Considers Survey to Assess VICP Experience and Awareness
ACCV’s process workgroup presented initial discussion results on their review of a survey of petitioners rating their experience with VICP, the outcome of their claim, and how they found out about the VICP. This survey is, in part, the result of the acknowledged lack of public awareness of the VICP and how it might be improved. NVIC has requested that ACCV amend the survey to include questions relating to the satisfaction and adequacy of awards from VICP based on recommendations from federally commissioned reports on VICP.
Upcoming Federal Advisory Committee Meetings.
For more than three decades, NVIC has monitored and reported on federal vaccine advisory committee meetings that shape federal vaccine policy and influence state vaccine laws. These meetings are open to the public and most are streamed live. All meetings allow for public comment and have different requirements on registering to make a public comment. A selection of NVIC’s previous public comments can be read here. We encourage our supporters to make their voice heard and to voice their concerns to these federal committees. Upcoming committee meetings in 2019 are:
ACIP - February 27-28, 2019, learn more and register here.
ACCV – March 7-8, 2019, learn more and register here.
NVAC – March 25, 2019, learn more and register here.
Click the plus sign at the bottom of this page to view and/or post comments on our commentary.
1 CDC. Use of a 2-Dose Schedule for Human Papillomavirus Vaccination — Updated Recommendations of the Advisory Committee on Immunization Practices. MMWR. Dec. 16, 2016. Vol 65. No. 49.
2 NVAC. Strengthening the Effectiveness of National, State, and Local Efforts to Improve HPV Vaccination Coverage in the United States. ASPPH Public Health Reports. Aug. 9, 2018.
3 CDC . ACIP Meeting Presentation - Impact and economic analysis – Summary of three models of 9-valent HPV vaccination among adults up to age 45 years in the United States. Chesson, H., CDC. Oct. 25, 2018.
4 CDC. ACIP Meeting Presentation – Expanded age range for 9-valent HPV vaccine: Work Group plans and policy considerations. Markowitz, L. Oct. 25, 2018.
5 CDC. ACIP Meeting Presentation – Trends in HPV-associated cancers in the United States. Dr. Elizabeth VanDyne, CDC/NCIRD. Feb. 12, 2018.
6 CDC. ACIP Presentations – Hepatitis A Vaccines. Oct. 24, 2018.
7 CDC. ACIP Presentations – 2019 Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger. Bernstein, H. Robinson, C. Oct. 24, 2018.
8 CDC. ACIP Presentation – Recommended Adult Immunization Schedule, 2018. Hunter, P. Kim, D. Oct. 24, 2018.
9 CDC. ACIP Video Recording – October 2018 ACIP Meeting – Agency Updates & HPV. Nov. 14, 2018.
10 Hopkins RJ, Daczkowski NF et al. Randomized, Double Blind, Placebo Controlled, Safety and Immunogenicity Study of 4 Formulations of Anthrax Vaccine Adsorbed Plus CPG7909 (AV7909) in Health Adult Volunteers. Vaccine 2013; 31(30): 3051-3058.
11 Coherent Market Insights. CpG Oliogodeoxynucleotide Market. January 2019.
12 CDC. ACIP Meeting Presentations – Anthrax. Oct. 24, 2018.
13 Hackett DW. Anthrax Vaccine Stockpile is Reloading. Precision Vaccines Dec. 28, 2017.
14 CDC. ACIP Meeting Presentation – Preliminary Evidence to Recommendations for the ongoing review of the PCV 13 recommendation for adults >65 years old. Matanock, A. Oct 24, 2018.
15 CDC. ACIP Meeting Presentation – Background: Repeat Tdap vaccination. Havers, F. Oct. 25, 2018.
16 Sanofi Pasteur. ACIP Meeting Presentation - Study GRC88, Safety and Immunogenicity of Fluzone Quadrivalent Vaccine 0.5-mL Dose for Children 6 through 35 Months of Age. Mercer, M. Oct. 25, 2018.
17 CDC. Recommendations and Guidelines of the ACIP – General Best Practice Guidelines. Table 4.2. Sep. 14, 2018.
18 CDC. ACIP Video Recording – October 2018 ACIP Meeting – General Recommendations; Influenza; Rabies; Meningococcal; Pertussis. Nov. 14, 2018.
19 CDC. ACIP Video Recording – Japanese Encephalitis. Nov. 14, 2018.
20 CDC. ACIP Video Recording –Pertussis. Nov. 14, 2018.
21 CDC. ACIP Video Recording –Pertussis. Nov. 14, 2018.
22 Government Accountability Office (GAO). Vaccine Injury Compensation: Most Claims Took Multiple Years and Many Were Settled Through Negotiation. U.S. Government Accountability Office Nov. 21, 2014.
23 Fisher BL, Williams K, Wrangham TK. NVIC response to an inquiry from the Government Accountability Office (GAO) on the implementation of the federal vaccine injury compensation program (VICP) after passage of the 1986 National Childhood Vaccine Injury Act. National Vaccine Information Center July 11, 2014.
24 HRSA. ACCV Certified Minutes. Pg 5. Jun. 4, 2015.
25 CDC. Intramuscular Influenza (Flu) Vaccination Infographic. Jun. 4, 2018.
26 Llamas, M. Shoulder Injury Related to Vaccine Administration: SIRVA. Drugwatch.
by Barbara Loe Fisher
On Jan. 16, 2019 the World Health Organization (WHO) issued a report ranking “vaccine hesitancy” as one of the top “Ten Threats to Global Health in 2019”, alongside air pollution and climate change; noncommunicable diseases; global influenza pandemic; antimicrobial resistance; and infectious diseases such as ebola, dengue fever and HIV.1 Throughout history, the greatest contributors to disease and early death in human populations have been poverty, poor sanitation and poor nutrition, 2 3 4 yet infectious diseases with pharmaceutical solutions dominated this list. And there was no mention of the major opioid addiction crisis crippling and killing tens of thousands of people in the U.S. and Europe, 5 6 or the iatrogenic medical error epidemic that every year claims more than 750,000 lives in Europe 7 and 250,000 lives in the U.S., where it is the third leading cause of death. 8
The immediate mainstream media response to the WHO’s announcement was to focus on “vaccine hesitancy.” On Jan. 19, the Editorial Board of the New York Times declared that “anti-vaxxers” are “the enemy” and called on the U.S. government to “get tough” by waging a “bold and aggressive” pro-vaccine campaign that includes “tightening restrictions around how much leeway states can grant families that want to skip essential vaccines.” 9 By Jan. 23, The Hill announced that Washington state had declared a state of emergency because of 23 cases of measles reported in an “anti-vaccination community” near Portland, Oregon,10 and there was a public call in the UK for social media platforms to “clamp down on fake news” and censor “misleading information and negative messaging around vaccination.” 11 12
The New York Times editorial headline “How to Inoculate Against Anti-Vaxxers” was a theme repeated in articles reacting to the WHO’s suggestion that people wanting to make informed, voluntary decisions about vaccination are a global menace. One doctor suggested that parents who don’t vaccinate their children are selfish: ”… it’s a matter of 'I don’t care about other people in the community, I only care about the health and welfare of my own child.’” 13
There was no discussion about institutionally acknowledged gaps in vaccine safety science 14 15 or the fact that most parents dutifully follow the advice of pediatricians and public health officials and only became vaccine safety critics after the risks of vaccination for their children turned out to be 100 percent.16 17 No discussion about the fact that since 2011, pharmaceutical companies have no liability for injuries and deaths caused by government recommended and mandated vaccines they sell in the U.S. 18 Instead, parents of vaccine injured children and others concerned about vaccine safety, who for decades have been asking government and industry to produce better quality vaccine science and more humane vaccine policies that respect genetic and biological diversity, were stereotyped as “anti-vaxxers” and demonized as a “threat” to public health.
The Editorial Board of The New York Times explained, “It’s no mystery how we got here. On the internet, anti-vaccine propaganda has outpaced pro-vaccine public health information.” Authoritatively, “the Board, its editor and the publisher” of The New York Times stated that, “Scientists, especially, are uncomfortable with black and white statements, because science is all about nuance. But, in the case of vaccines, there are some hard truths that deserve to be trumpeted. Vaccines are not toxic, and they do not cause autism. Full stop.”
There was no discussion about why people are legitimately concerned about vaccine ingredients 19 and Pharma paying the Food and Drug Administration (FDA) to fast track new vaccines to licensure without adequate testing. 20 No discussion about the fact that doctors are giving children 69 doses of 16 vaccines starting on the day of birth 21 – three times as many vaccinations as they got in 1983 - 22 and cannot explain why so many highly vaccinated children in the U.S. are sicker, not healthier today: 1 child in 6 learning disabled 23 and 1 in 40 with autism 24 and millions more suffering with asthma, diabetes, severe allergies, epilepsy, cancer, schizophrenia, depression and other chronic disease marked by chronic inflammation in the body. The CDC states that, “90 percent of the $3.3 trillion in annual health care expenditures are for people with chronic and mental health conditions.” 25 The largely unexplained chronic disease and disability epidemic in the U.S. is bankrupting the U.S. health care system and there is no research being funded to investigate the role that ever increasing numbers of vaccines given to infants, children and adults may be playing.
Multi-national pharmaceutical corporations 26 27 in command of a global 34 billion dollar vaccine market 28 29 are holding billion dollar contracts with mass communication companies 30 and public-private partnerships with governments to purchase vaccines and create vaccine marketing campaigns 31 32 33 34 that dwarf the relatively small number of websites and blogs labeled “anti-vax” simply for criticizing vaccine science and government policy. 35 Yet, there is no recognition by mainstream media articles of the fact that wealthy corporations and philanthropic foundations with political agendas, 36 37 well paid medical doctors, 38 39 40 and government health officials in charge of operating the vaccine system 41 are in privileged positions of power with a distinct advantage over ordinary people subjected to vaccine laws that place an unequal risk burden on individuals with genetic and biological susceptibility to suffering harm from vaccination. 42 43
“Bio-Populism” Blamed for Vaccine Hesitancy in Europe
In the UK, The Economist published an article entitled “The campaign against vaccination,” in which an anonymous author declared, “Across Europe, the rise of populism is damaging public health. A common feature is skepticism of vaccines.” 44 Pointing to Italy, Austria and France as hotbeds of political support for “parental choice” about vaccination, the author attempted to politically tie growing public support for vaccine choice to a fear of migrants and coined a new term: “bio-populism:”
“It is increasingly clear that Europe’s populists want for the body what they want for the nation: purity, unity and self-governance. Populist health policies mean citizens being free from outside influences – whether vaccines devised by doctors, regulations invented by politicians or diseases supposedly carried by migrants – and in control of their own epidemiology.”
He (or she?) went on to explain that bio-populism is a “combination of me-first libertarianism and anti-expertise herd mentality.” Quoting Italian medical professor Dr. Roberto Burioni, who has stated authoritatively that ”Vaccines are not an Opinion” and offered an explanation for “Why Science Can’t be Democratic,” The Economist article ended with a warning that, “At least one pandemic will probably sweep the interconnected world in the next decade. Viruses, after all, know no borders.”
There was no discussion of the fact that most parents and physicians calling for better quality vaccine science and informed consent protections in vaccine laws are ideologically diverse and do not all identify with one particular political party. In fact, a 2015 Pew Research Center survey revealed that age and parenthood had more to do with vaccine hesitancy, with young adults and parents with children under age 18 being less supportive of mandatory vaccination. 45
Vaccines, Autism, Erosion of Trust in Drug Companies & Doctors
In the U.S., Live Science trumpeted: “Anti-Vaccine Movement Joins Ebola, Drug Resistance on List of Top Global Threats.” 46 A doctor at Johns Hopkins Center for Health Security was quoted as saying the reason that noncommunicable diseases and not infectious diseases made the WHO’s top ten global threat list is “a testament to how powerful vaccines are.” Pointing to the jubilant public response to the release of polio vaccine in the 1950s, he commented, “We need to get back to that era when vaccines were celebrated the way a new iPhone is.”
The headline People Magazine chose was “World Health Organization Names Anti-Vaxxers As a Top Threat to Global Health in 2019.” 47 At the beginning of the article, the following statement appeared: “There is no scientific link between vaccines and autism, according to the Centers for Disease Control.” It ended with the statement “To tackle the rising levels of vaccine hesitancy, WHO plans to push forward with the goal of eliminating cervical cancer with greater application of HPV vaccine…”
U.S. News & World Report ran this headline: “WHO: Anti-Vaccine Movement a Top Threat in 2019.” 48 That author stated, “So-called anti-vaxxers refuse the required shots for their children on religious or philosophical grounds. An increase in unvaccinated children has, in part, been tied to the medically discredited belief that vaccines cause autism spectrum disorder.” Pointing out that a recent U.S. survey found that public trust in vaccination is on the decline, she added, “The heightened mistrust, researchers said, was especially prevalent in small pockets of people in insular communities or like-minded communities online.”
Pacific Standard asked “Are Anti-Vaxxers A Major Health Threat? The World Health Organization Says Yes.“ 49 This article included a quote from a pediatrician:
“The ongoing erosion of trust in the medical establishment as a whole is also to blame, as frequent reports of dubious financial relationships between physicians, professional medical societies, and the pharmaceutical industry leave many questioning whether or not physicians can be trusted. Unsure of what to do and whom to listen to, many seek answers to their questions elsewhere, or simply rely on their gut feeling…”
Salon created the most sensational headline that asked the foreboding question, “The anti-vaxxocalypse” What happens to humanity if vaccine hesitancy continues?” 50 The author explained to readers, “In other words, the anti-vaccination movement, which has inspired many in first-world countries to refuse or hesitate vaccination for easily-preventable diseases, is now a threat to global health and, ergo, stability.”
The exaggerated response to the WHO announcement by corporations owning mainstream media outlets has been curiously uniform. Often using identical talking points, perspective from parents and physicians in the U.S. and Europe rationally calling for reform of the vaccine policies and laws is left out. 51
The politics of vaccination is in full swing, but where is the money coming from to fund these vaccine marketing campaigns using name calling, threats, shaming and misinformation to demonize and call for discrimination against those who criticize vaccine science and government policy?
The World Health Organization (WHO) Marketing Vaccines
Immediately after World War II in 1945, the United Nations (UN) voted to establish a new international health organization. In 1948, the World Health Organization WHO) was founded by the UN after ratification by 26 members states and given a budget of $5M. WHO is a specialized agency of the UN headquartered in Geneva, Switzerland and is composed of six regional offices operating in different parts of the world, including the Pan American Health Organization (PAHO) located in Washington, D.C. Today, 194 members states of the United Nations are impacted by the activities of the WHO, which has a broad mandate to “act as the directing and coordinating authority on international health work.” 52
The WHO Constitution, revised in 2006, states that its objective “is the attainment by all peoples of the highest possible level of health” and health is defined as “a state of complete physical, mental and social well being and not merely the absence of disease or infirmity.” 53 The WHO Constitution also states that, “Informed opinion and active co-operation on the part of the public are of the utmost importance in the improvement of the health of the people.”
The top priorities of the WHO when it was founded seventy years ago were malaria, tuberculosis, venereal diseases, maternal and child health; sanitary engineering and nutrition. During the first 30 years of WHO’s operation, the UN agency spearheaded a global smallpox eradication campaign (1958-1980); prevention and control of yaws, endemic syphilis, leprosy, trachoma, cholera and yellow fever (1960s); fertility regulation and birth control (1970s) childhood vaccination programs (initiated 1974) and the institution of primary health care of all national health systems (initiated 1978). 54
Today, the WHO is the world’s largest and most influential public health agency with an annual budget for 2018-2019 of $4421.5M ($4.4 billion). 55 About 20 percent ($956.9M) of the WHO budget is funded by assessments on member states and the remaining 80 percent funded by “voluntary contributions.” The biggest individual programs funded by WHO are for polio eradication vaccine campaigns ($903M); vaccine campaigns for other communicable diseases ($805M); and corporate services/enabling functions ($715.5M).
Currently, the top 10 UN member state annual funders of WHO are the governments of United States of America ($125M); Japan ($49M); China ($40M); Germany ($33M); France ($27M); United Kingdom of Great Britain and Northern Ireland ($23M); Brazil ($19.5M); Italy ($19M); Canada ($15M); Australia ($12M). 56
The Bill & Melinda Gates Foundation is the largest non-state funder of the WHO, having donated more than $2B in earmarked grants to the international health agency since 1998, and is the second largest WHO funder overall (after the U.S. government). Because Gates Foundation grant money is earmarked for specific programs, such as vaccine purchase, delivery and promotion, the Gates Foundation significantly influences the setting of WHO’s program priorities. 57
In 2010, after a joint investigation by the British Medical Journal (BMJ) in collaboration with the London-based Bureau of Investigative Journalism, an article was published in the BMJ revealing that three key scientists, who influenced the WHO’s decision to declare a swine flu (H1N1) influenza pandemic in 2009 and recommend that all countries use and stockpile vaccines and pandemic flu drugs, had financial ties to pharmaceutical companies profiting from the WHO recommendations (GlaxoSmithKline and Roche). WHO was also criticized for lack of transparency for refusing to release the identities of the 16 members of an Emergency Committee formed in 2009 to guide pandemic policy. 58
The 2009 pandemic H1N1 vaccine, which was rushed to market to address a WHO declared pandemic that did not happen, triggered an autoimmune reaction in more than 1,300 people in Europe who got GSK’s Pandemrix vaccine and left them with narcolepsy, an incurable immune mediated neurological disorder. 59
Gavi, the Vaccine Alliance Marketing Vaccines
The WHO and the U.S. government are founding partners of Gavi, the Vaccine Alliance. In 2000, the Bill and Melinda Gates Foundation provided $750M in seed money to spearhead the creation of Gavi, a public-private partnership and multilateral funding mechanism involving the WHO, governments, the vaccine industry, the World Bank, philanthropic foundations and civil society groups to “improve access to new and underused vaccines for children living in the world’s poorest countries.” 60
Of the more than $15B raised by Gavi since 2000 to vaccinate the world’s children, U.S. government contributions have totaled $1.9B or 12 percent of all contributions received by Gavi. The United Kingdom has contributed $2.2B or 14 percent of Gavi’s total contributions. The single biggest funding source for Gavi is the Gates Foundation, which has donated more than $3B or 20 percent of Gavi’s total income. 61 Between 2000 and 2013, only about 10 percent of total funding provided by Gavi ($862M) was used to strengthen health systems in developing countries, such as improving sanitation and nutrition, while nearly 80 percent was used to purchase, deliver and promote vaccines. 62
Gavi is headquartered in Geneva with an office in Washington, D.C. that carries out day-to-day operations and one of Gavi’s core goals is to “shape markets for vaccines and other immunization products.”
In 2008, Gavi announced that five countries - Italy, Norway, Canada, the UK and Russia - had joined the Gates Foundation to pledge $1.5B in the Advance Market Commitments (AMC) to accelerate access to pneumococcal vaccines with donors providing up front funding commitments to support vaccine purchase and speed the introduction and use of vaccines in countries partnering with Gavi. Currently, the AMC incentivizes vaccine manufacturers to sign contracts to provide pneumococcal vaccine to developing countries at lower per dose prices and be reimbursed by Gavi funds. By March 2015, Pfizer and GlaxoSmithKline had received more than $1B from Gavi’s AMC funds. 63
CDC officials provide Gavi with technical support and guidance. In 2015, the U.S. Congress pledged to appropriate $1B to Gavi that was spread over four years (2015-2018). 64
On Oct. 16, 2018 at the World Health Summit in Berlin, Gavi CEO Dr. Seth Berkley announced that 11 heads of the world’s leading health and development organizations had signed a “landmark commitment” to find new ways to accelerate achieving goals of the United Nation’s Sustainable Development Goals created in 2015. The new Global Action Plan vaccine marketing initiative is being coordinated by the WHO. 65 Relating Sustainable Development Goals to vaccination of all the people in the world, Gavi states that: 66
- “immunization protects people from being forced into poverty by high out-of-pocket expenses;”
- “vaccines protect child health and support cognitive development, allowing children to perform better at school and have more opportunities;”
- “vaccinated healthy children grow into a productive workforce and become strong contributors to the economy, and healthy children free up parents’ time so they are able to work;”
- “vaccines are critical to building people’s resilience to and mitigating the risk of disease outbreaks tied to climate change…;” and
- “good health is a critical determinant of peace and well being in a society. People-centered health systems are core social institutions in every country, and immunisation is often the first point of contact between these systems and the population.”
In 2016, Dr. Berkley and other Gavi executives came under criticism in the UK in 2016 for taking excessively high salary packages. According to an investigative news report: 67 “Seth Berkley has taken home more than £2 million over the past four years as chief executive officer of Global Alliance for Vaccines and Immunisation (Gavi), which has been given £1.5 billion by Britain. Another official at the Geneva-based group collects a pay package of more than £500,000 a year. Incredibly, Dr. Berkley was given a housing allowance on top of his £623,370 pay package.”
In December 2018, Dr. Berkley told CNN that “while measles is one of the few diseases we could potentially eradicate, that will never happen if wealthy countries like the United States can't maintain herd immunity. Because a measles case anywhere is a threat everywhere.” He said parents in the U.S. are delaying their children’s vaccinations “perhaps because they believe in immunization but are worried by some of the anti-vaccine scaremongering. This needs to stop.” Echoing the idea that parents who don’t go along with the vaccine program are selfish, he added, “in countries like the United States we need to stop thinking about vaccination as something you only do to protect the ones you love, and instead view it also as a goodwill act for the benefit of others.” 68
According to the CDC, in 2017-2018 “vaccination coverage among kindergarteners remained high,” with 94 percent of children having received two doses of measles, mumps and rubella (MMR) vaccine; 4 or 5 doses of diphtheria, tetanus and pertussis (DTaP) vaccine and two doses of varicella zoster (chickenpox) vaccine (among many other vaccines required by states for school attendance). Two percent of kindergarteners had an exemption from one or more state required vaccines. 69
The Bill and Melinda Gates Foundation Marketing Vaccines
The Gates Foundation was established in 2000 by Microsoft Corporation founder Bill Gates and his wife, Melinda. 70 Headquartered in Seattle, Washington, the Gates Foundation is the largest philanthropic foundation in the world with a $43.5B trust that makes grant payments of more than $3B annually to advance the foundation’s goals for reforming education systems, such as institution of Common Core curriculum in all U.S. schools, 71 and funding public health initiatives, primarily global vaccination programs. 72 A major goal of the Gates Foundation is to make sure every child in the world is vaccinated. 73
Investor businessman Warren Buffet, who took control of textile manufacturer Berkshire Hathaway, Inc. in 1965 and went on to amass a personal fortune of more than $60B, pledged $31B and became a co-director of Gates Foundation in 2006. 74
In 1998, the same year that the U.S. Department of Justice filed an anti-trust lawsuit against Microsoft Corporation, 75 Bill and Melinda Gates committed $100M to create the Bill & Melinda Gates Children’s Vaccine Program. One purpose of that program was to establish an international consensus on vaccine use recommendations: “Efforts will be made to support international conferences and the development and dissemination of strong international consensus statements and recommendations for the use of the new vaccines.” 76
The homepage of the Gates Foundation proclaims ALL LIVES HAVE EQUAL VALUE and states:77
“We believe we can save lives by delivering the latest in science and technology to those with the greatest needs. We work with partners to provide effective vaccines, drugs and diagnostics and to develop innovative approaches to deliver health services to those who need it most. And we invest heavily in developing new vaccines to prevent infectious diseases that impose the greatest burden.”
In 2016, Global Justice Now published an investigative report, Gated Development: Is the Gates Foundation always a force for good? Authors were critical of the unchecked political power and influence on global health programs and agricultural policies of Bill Gates and the Bill and Melinda Gates Foundation (BMGF): 78
“To say that the BMGF has become an important actor in international development would be an understatement. When it comes to global health and agriculture policies, two of its key grant areas, the BMGF has become probably the most influential actor in the world. It is also likely that Bill Gates, who has regular access to world leaders and is in effect personally bankrolling hundreds of universities, international organisations, NGOs and media outlets, has become the single most influential voice in international development.”
“But the BMGF’s increasing global influence is not being subjected to democratic scrutiny. Unlike governments, which are formally accountable to their electorates, the BMGF is a private US foundation, and remains unaccountable to public bodies (except for tax reporting purposes). Even worse, the BMGF appears to have bought the silence of academics, NGOs and the media who might otherwise be expected to criticize aspects of the foundation’s work.”
Money Makes the World Go Around
Congress appropriated nearly $90B to the U.S. Department of Health and Human Services in 2018 and the biggest line item in the CDC’s $11B budget was the Vaccines for Children program (VFC) ($4.5B), which was created by Congress in 1993. 79 Under the VFC program, the federal government purchases CDC recommended vaccines from vaccine manufacturers to administer to children who are on Medicaid, are uninsured or whose health insurance plans do not fully cover CDC recommended vaccines. 80 81 Hundreds of millions of dollars are additionally allocated in the HHS budget for vaccination programs, including $700M for the National Center for Immunization and Respiratory Diseases.
One of the most politically powerful public-private partnerships in the world today is the lucrative one that has been forged by the pharmaceutical industry with government, 82 83 84 85 86 mainstream media 87 and wealthy philanthropic foundations with political agendas. 88 89
In the past decade, these public private partnerships have come under scrutiny by public policy analysts. In 2015, authors of a special report published by the Global Policy Forum observed: 90
“However, it is not only “big business” but also “big philanthropy” that has an increasing influence in global development policy, particularly large philanthropic foundations. The scope of their influence in both past and present discourse and decision-making processes is fully equal, and in some cases goes beyond that of other private actors. Through the sheer size of their grant-making, personal networking and active advocacy, large global foundations, most notably the Rockefeller Foundation and the Bill & Melinda Gates Foundation have played an increasingly active role in shaping the agenda-setting and funding priorities of international organizations and governments.”
For example, the Gates Foundation has given Johns Hopkins more than $100M in research grants since 2015, including for vaccine development and promotion. 91 At the same time, Johns Hopkins University receives more than $2B per year in funding from U.S. government agencies, such as the National Institutes of Health (NIH) and the National Science Foundation (NSF), to conduct research, including for vaccine development and vaccine use promotion. 92
The National Institutes of Health (NIH) and other federal health agencies give millions of dollars in taxpayer dollars to academic institutions and vaccine manufacturers to improve vaccine technology, find new lucrative vaccine markets, and boost vaccine marketability. 93 The U.S. government also partners with the Gates Foundation to develop and promote vaccine use.
For example, in 2013, the CDC Foundation received three grants totaling $13.5M from the Gates Foundation to globally “advance the implementation” of meningitis and rotavirus vaccine programs. 94 The Centers for Disease Control and the CDC Foundation have received more than $167M from the Gates Foundation. 95 Vaccine manufacturers have also received millions of dollars in grants from the Gates Foundation, including GlaxoSmithKline (over $50M); 96 Merck $1.4M; 97 Pfizer $16.5M; 98 and Sanofi Pasteur $3.6M. 99
Big Media: Under the Influence
Mass media corporations are also under the influence of Big Pharma and Big Philanthropy money. For example, National Public Radio has received $20M in grants 100 and Solutions Journalism Network has received $4M 101 in grants from the Gates Foundation. Recently, Gates’ Microsoft Corporation partnered with NewsGuard Technologies, Inc.,102 103 a new corporation that is rating websites and online publications to “fight false news, misinformation and disinformation.” 104 105 106 The NewsGuard corporation is also collaborating with other corporations, such as Google, 107 108 which owns over 90 percent of the Internet search market.109
One of the biggest investors in NewsGuard is Publicis, the oldest advertising company in the world and the third largest mass communications company today. 110 Publicis is paid billions of dollars by pharmaceutical companies to market vaccines,111 including a $1.5B media contract with GlaxoSmithKline.112 PDI, a Publicis health company states: 113
“Vaccination coverage in the United State is high, but in the face of the resurgence of vaccine-preventable diseases such as pertussis and measles, the existing gaps in the vaccination coverage of the US population have become worrisome. Gaps exist because not every patient who needs a vaccination gets it at the recommended age. Moreover, the recommendations for new vaccines, including vaccines for influenza and human papillomavirus (HPV), have been expanded...
PDI’s field-based medical sales representatives and inside medical sales representatives from our healthcare contact center can increase adoption of vaccines by responding to questions and concerns...To increase immunization rates, we must build sustainable systems for vaccination within the context of a changing healthcare system. Here some recommended steps toward achieving this goal: assessment of the actual vaccination rate in a provider’s practice; consistently making recommendations for timely vaccinations to both the parents of pediatric patients and adult patients; standing orders for non-physician personnel to carry out vaccinations at the scheduled time without physician involvement; educating physicians on emerging research of vaccine risks, and on how to interact with parents who are concerned about the detrimental effects of the MMR and HPV vaccines; and educating physicians about state-sponsored and other programs that can help patients overcome financial barriers to vaccination.”
It is clear that mass media communications today is being controlled by corporations financially tied to pharmaceutical companies and influenced by powerful political institutions in society. It goes a long way to explaining why mainstream media outlets have been united in attacking parents and physicians who defend the ethical principle of informed consent, including informed consent to vaccination, and are calling for vaccine exemptions to be severely restricted or eliminated. 114
The five largest companies in the world today are Apple, Google, Microsoft, Amazon and Facebook. 115 These and other technology corporations dominate online communications and sales and are positioned to join together to aggressively market vaccines and promote “no exceptions” vaccine use policies endorsed by the WHO and governments. The threat to autonomy and freedom of thought and speech posed by these companies, especially in censoring online public conversations about vaccination and health, is considerable.116 117
The People are Not Represented
Today, everybody knows somebody who was healthy, got vaccinated and was never healthy again. The people, whose lives are being impacted by business deals between governments, Big Pharma and Big Philanthropy, increasingly are being marginalized in the top down public policymaking process by wealthy and powerful institutions in society financing the global multi-billion dollar vaccine industry.118 This is evident when the people raise their voices to ask for better vaccine science and more humane public health policies and are demonized, discriminated against and punished by those in control of those wealthy and powerful institutions.
A system that will not bend will break. The responsibility for the crisis of trust in the global vaccination system lies squarely at the feet of those who operate the system and refuse to acknowledge the suffering of the people harmed by vaccines. 119 120
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1 World Health Organization (WHO). Ten Threats to Global Health in 2019. Jan. 16, 2019.
2 CDC. Achievements in Public Health, 1900-1999: Control of Infectious Diseases. MMWR. July 30, 1999.
3 Guyer, B. Freedman, M. Strobino, D. Sondik, E. Annual Summary of Vital Statistics: Trends in the Health of Americans During the 20thCentury. Pediatrics. 2000;106;1307.
4 McKinlay JB, McKinlay SM. The Questionable Contribution of Medical Measures to the Decline of Mortality in the United States in the Twentieth Century. Health and Society. MMFQ. Summer 1977. P 421.
5 U.S. Department of Health and Human Services. What is the U.S. Opioid Epidemic? Jan. 22, 2019.
6 Toich L. Opoid Epidemic Ravages Europe. The American Journal of Pharmacy Benefits June 22, 2017.
7 World Health Organization. Data and Statistics - Medical Errors and Health Care Related Adverse Events.
8 Minemyer P. Medical errors officially the third leading cause of death in the U.S., study finds. Fierce Healthcare May 3, 2016.
9 Editorial Board. How to Inoculate Against Anti-Vaxxers. The New York Times Jan. 19, 2019.
10 Gstalger MM. Washington declare public health emergency as measles hits anti-vaccination community. The Hill Jan. 23, 2019.
11 The Irish Times. Social media spreading ‘dangerous information’ about vaccines – report. The Irish Times Jan. 23, 2019.
12 Iacobucci G. Vaccination: “fake news” on social media may be harming UK uptake, report warns. BMJ 2019; 364.
13 Stratman J. Doctors react to WHO adding anti-vaccination to ’19 global health threats. 14 News (WFIE) Jan. 24, 2019.
14 Institute of Medicine Committee to Review Adverse Effects of Vaccines. Evaluation of Biologic Mechanisms of Adverse Effects: Increased Susceptibility. (p. 82). Washington, D.C. The National Academies Press 2012.
15 National Vaccine Information Center. NVIC Supports Three of Five Recommendations of New IOM Report on U.S. Childhood Immunization Schedule Safety and Calls for Transparency. Business Wire Jan. 16, 2013.
16 Fisher BL. The Moral Right to Conscientious, Philosophical and Personal Belief Exemption to Vaccination. Presentation to the National Vaccine Advisory Committee (NVAC) May 2, 1997.
17 Fisher BL, Williams K, Wrangham TK. NVIC response to an inquiry from the Government Accountability Office (GAO) on the implementation of the federal vaccine injury compensation program (VICP) after passage of the 1986 National Childhood Vaccine Injury Act. National Vaccine Information Center July 11, 2014.
18 Fisher BL. End Pharma Product Liability Shield Endangering Public Health and Human Rights. National Vaccine Information Center Nov. 8, 2016.
19 CDC. Vaccine Excipient & Media Summary. Epidemiology and Prevention of Vaccine-Preventable Diseases,13th Edition June 2018.
20 Drug Companies Pay FDA and NIH to Fast Track and Market Vaccines. The Vaccine Reaction Sept. 28, 2018.
21 U.S. Centers for Disease Control and Prevention (CDC). Recommended Immunization Schedules for Persons Aged 0 Through 18 Years, United States, 2018.
22 CDC. Recommended schedule for active immunization of normal infants and children 1983.
23 Boyle CA, Boulet S et al. Trends in the Prevalence of Developmental Disabilities in US Children 1997-2000.Pediatrics May 23, 2011.
24 Mozes A. U.S. autism rate up to 1 in 40 children, CDC says. Health Day News/UPI Nov. 26, 2018.
25 CDC. Health and Economic Costs of Chronic Diseases. Oct. 23, 2018.
26 Technavio. Top Ten Vaccine Manufacturers in the World 2018. Sept. 27, 2018.
27 Statista. Top 10 pharmaceutical companies based on global vaccine revenues in 2017 and 2024 (in millions of U.S. dollars). 2019.
28 LaVigne P. Global Vaccines Market Projected to Surge to $58 Billion by 2025. The Vaccine Reaction Jan. 3, 2019.
29 Market Study Report. United States Vaccines Market is Projected to Reach US$21 Billion threshold by 2025. PM Live Nov. 23, 2018.
30 Oster E. GSK Sends $1.5 Billion Media Account to Publicis. Ad Week Oct. 5, 2018.
31 Drug Companies Pay FDA and NIH to Fast Track and Market Vaccines. The Vaccine Reaction Sept. 28, 2018.
32 Angelmar R, Morgan PA et al. Vaccine Marketing. In: Innovation and Marketing in the Pharmaceutical Industry. Springer 2014.
33 Upton J. Merck’s Latest Shot Against Shingles. Pharmaceutical Executive 2017; 37(5).
34 National Vaccine Advisory Committee. Strengthening the Effectiveness of State, and Local Efforts to Improve HPV Vaccine Coverage in the United States: Recommendations of the National Vaccine Advisory Committee. Public Health Reports Aug. 9, 2018.
35 Caceres M. The Moran Team Study of 480 “Anti-Vax” Websites. The Vaccine Reaction Nov. 7, 2015.
36 Birn AE. Philanthrocapitalism, past and present: The Rockefeller Foundation, the Gates Foundation, and the setting(s) of the international/global health agenda. Hypothesis 2014; 12(1).
37 DPhil CC, DPhil DS. Who pays for cooperation in global health? A comparative analysis of WHO, the World Bank, the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria, and Gavi, the Vaccine Alliance. The Lancet 2017; 390(10091): 324-332.
38 Fisher BL. Class and Race Profiling in the Vaccine Culture War. National Vaccine Information Center. July 17, 2017.
39 Revealed: Doctors Are the Highest Paid Workers in EVERY state in the nation. Breaking News Time Jan. 18, 2019.
40 MD Salaries. Potential Salaries for Faculty at University of Texas-Austin’s New Medical School. Feb. 11, 2013.
41 Fisher BL, Wrangham TK. NVIC Public Comment to the National Vaccine Program Office (NVPO) on the federal vaccine safety system. National Vaccine Information Center June 6, 2011.
42 Institute of Medicine Committee to Review Adverse Effects of Vaccines. Evaluation of Biologic Mechanisms of Adverse Effects: Increased Susceptibility. (p. 82). Washington, D.C. The National Academies Press 2012.
43 Health Resources and Services Administration (HRSA). Vaccine Injury Compensation Data from the Vaccine Injury Compensation Program (VICP).
44 Charlemagne (anonymous). The campaign against vaccination. The Economist Jan. 19, 2019.
45 Anderson M. Young adults more likely to say vaccinating kids should be a parental choice. Pew Research Center Feb. 2, 2015.
46 Rhettner R. Anti-Vaccine Movement Joins Ebola, Drug Resistance on List of Top Global Threats. Live Science Jan. 17, 2019.
47 Mazziotta J. World Health Organization Names Anti-Vaxxers As a Top Threat to Global Health in 2019. People Magazine Jan. 17, 2019.
48 Trimble M. WHO: Anti-Vaccine Movement a Top Threat in 2019. US News & World Report Jan. 16, 2019.
49 Wheeling K. Are Anti-Vaxxers a Major Health Threat? The World Health Organization Says Yes. Pacific Standard Jan. 16, 2019.
50 Karlis N. The anti-vaxxocalypse: What happens to humanity if vaccine hesitancy continues? Salon Jan. 17, 2019.
51 Fisher BL. A Guide to Reforming Vaccine Policy & Law. National Vaccine Information Center 2017.
52 McCarthy M. A brief history of the World Health Organization. The Lancet 2002; 360: 1111-1112.
53 World Health Organization. Constitution with amendments by 51st World Health Assembly. October 2006.
54 McCarthy M. A brief history of the World Health Organization. The Lancet 2002; 360: 1111-1112.
55 World Health Organization. Programme Budget 2018-2019. Approved by Seventieth World Health Assembly May 26, 2017.
56 World Health Organization. Assessed Contributions by Member States and Associate Members, showing a 10% increase in total assessed contribution financing for 2018-2019. WHO Executive Board Jan. 18, 2017.
57 Martens J, Seitz K. Philanthropic Power and Development: Who Shapes the Agenda? The entry of the Gates Foundation into the global health arena. The Global Policy Forum November 2015.
58 Roos R, Schnirring L. BMJ, European group criticize WHO pandemic actions. CIDRAP News June 4, 2010.
59 Vogel G. Why a pandemic flu shot caused narcolepsy. Science July 1, 2015.
60 Gavi, the Vaccine Alliance. Gavi’s mission.
61 Henry J. Kaiser Family Foundation. The United States Government and the World Health Organization. May 14, 2018.
62 Martens J, Seitz K. Philanthropic Power and Development: Who Shapes the Agenda? The entry of the Gates Foundation into the global health arena. The Global Policy Forum November 2015.
64 Henry J. Kaiser Family Foundation. The United States Government and the World Health Organization. May 14, 2018.
65 Berkley S. Global health organisations commit to new ways of working together for greater impact. Gavi, the Vaccine Alliance Oct. 16, 2018.
66 Gavi, the Vaccine Alliance. Sustainable Development Goals. (Immunization and Sustainable Development Goals poster).
67 Birrell I. The fattest charity fat cat of them all: Foreign aid boss has made MILLIONS out of the £1.5billion handed to his charity by British taxpayers. Daily Mail Dec. 31, 2016.
68 Berkley S. Getting Your Child Vaccinated Is A Gift to Others. CNN Dec. 30, 2018.
69 CDC. Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten – United States, 2017-18 School Year. MMWR Oct. 12, 2018; 67(40): 1115-1122.
70 Bill and Melinda Gates Foundation. Fact Sheet: Who We Are. January 2019.
71 Pullman J. Bill Gates Tacitly Admits His Common Core Experiment Was a Failure. The Federalist
Oct. 25, 2017.
72 Mathiesen K. What is the Bill and Melinda Gates Foundation? The Guardian Mar. 16, 2015.
73 Bill and Melinda Gates Foundation. First Global Vaccine Summit Highlights Remarkable Progress Towards Vaccinating Every Child. Apr. 23, 2013.
74 Encyclopedia Britannica. Warren Buffet.
75 Beattie A. Why Did Microsoft Face Anti-trust Charges in 1998? Investopedia May 18, 2018.
76 Bill & Melinda Gates Foundation. Bill and Melinda Gates Announce a $100 Million Gift to Establish the Bill and Melinda Gates Children’s Vaccine Program. December 1998.
77 Bill and Melinda Gates Foundation. Gates Foundation website homepage. January 2019.
78 Curtis M. Gated Justice: Is the Gates Foundation always a force for good? Global Justice Now January 2016.
79 U.S. Department of Health and Human Services. HHS FY2018 Budget in Brief – CDC. Office of Budget May 23, 2017.
80 CDC. Vaccines for Children Program (VFC). May 25, 2018.
81 CDC. Vaccines for Children’s Program (VFC) CDC Vaccine Price List. Jan. 2, 2019.
82 National Institute of Allergy and Infectious Diseases. Public Private Partnerships.
83 Perry S. Revelations of CDC’s industry funding raise questions about some of its decisions. MinnPost May 28, 2015.
84 Biotechnology Industry Organization. BIO Praises Vaccine Access, Certainty, and Innovation Act of 2015.BIO Press Release Feb. 6, 2015. List of BIO members, including AstraZeneca, BioCSL, GlaxoSmithKline, Johnson & Johnson, MedImmune, Merck, Monsanto, Novartis, Pfizer, Sanofi Pasteur.
85 Hilzik M. The 21st Century Cures Act: A huge handout to the drug industry disguised as a pro-research bounty. Los Angeles Times Dec. 5, 2016.
86 NVIC. National Vaccine Information Center Calls 21st Century Cures Act “A Wolf in Sheep’s Clothing” and Urges Presidential Veto to Protect Public Health. Business Wire Dec. 8, 2016.
87 Rein L. Public relations and advertising are a ‘black box’ in government spending. Washington Post Oct. 14, 2015.
88 Gates Foundation. Bill and Melinda Gates Pledge $10 Billion in Call for Decade of Vaccines. January 2010.
89 Belluz J. The media loves the Gates Foundation. These experts are more skeptical. Vox June 10, 2015.
90 Martens J, Seitz K. Philanthropic Power and Development: Who Shapes the Agenda? Global Policy Forum November 2015.
91 Gates Foundation. Awarded research grants to Johns Hopkins University through 2018.
92 Charuchandra S. Johns Hopkins leads all U.S. universities in research spending for 38th year in a row. Johns Hopkins University Mar. 23, 2018.
93 How NIH Uses U.S. Tax Dollars to Secure Profits for Vaccine Developers and Manufacturers. The Vaccine Reaction May 2, 2018.
94 CDC Foundation. CDC Foundation Receives Three Grants Totaling $13.5 Million for Meningitis and Rotavirus Global Advancements. Dec. 17, 2013.
95 Gates Foundation. Awarded research grants to Centers for Disease Control or CDC Foundation (2009 or before – 2018).
96 Gates Foundation. Awarded research grants to GlaxoSmithKline (2011-2018).
97 Gates Foundation. Awarded research grants to Merck (2013 and 2017).
98 Gates Foundation. Awarded research grant to Pfizer (2016).
99 Gates Foundation. Awarded research grants to Sanofi Pasteur (2012 and 2015).
100 Gates Foundation. Awarded grants to National Public Radio (2009 or before – 2018).
101 Gates Foundation. Awarded grants to Solutions Journalism Network, Inc. (2014-2018).
102 Fischer S. NewsGuard launches first product with help from Microsoft. Axios Aug. 23, 2018.
103 Burt T. Defending against disinformation in partnership with NewsGuard Microsoft Aug. 23, 2018.
104 NewsGuard. Website Homepage of NewsGuard Technologies, Inc. and About Us: Why Should You Trust Us?
105 NewsGuard Technologies, Inc. Brill and Crovitz Announce Launch of NewsGuard to Fight Fake News. Mar. 5, 2018.
106 Morgan D. New venture aims to combat “fake news” on social media with warning labels. CBS News Mar. 5, 2018.
107 Abrams L. NewsGuard Browser Extension Aims to Alert You to Fake News Sites. Bleeping Computer Aug. 26, 2018.
108 Burt T. Defending against disinformation in partnership with NewsGuard Microsoft Aug. 23, 2018.
109 Andriole S. Apple, Google, Microsoft, Amazon and Facebook Own Huge Market Shares = Technology Oligarchy. Forbes Sept. 26, 2018.
110 Publicis Groupe. Brill and Crovitz Announce Launch of NewsGuard to Fight Fake News. Global Newswire Mar. 3, 2018.
111 Publicis Groupe. 2017 Annual Results. Publicis Health (Novartis (USA), Genentech (USA), Shire (USA), Adapt (USA), AMAG (USA), Sunovion (USA), Clinigen Group (Global), Purdue (USA), Merck & Co (USA), Intarcia Therapeutics (USA), Flexion Therapeutics (USA), AbbVie (USA), Ipsen (USA), Emmaus Life Sciences (USA), Ultragenyx Pharmaceutical (USA), AcelRx Pharmaceuticals (USA), Merck KGaA (USA), Roche (UK), AstraZeneca (USA), Hospital Corporation of America (USA), Stryker Corporation (USA), Swanson Health Products (USA), Alcon Laboratories (USA), Boehringer Ingelheim (USA), Paratek Pharmaceuticals, Pfizer Inc. (USA), Biogen Inc. (USA), Galderma (Europe). Feb. 8, 2018.
112 Oster E. GSK Sends $1.5 Billion Media Account to Publicis. Ad Week Oct. 5, 2018.
113 PDIA Publicis Health Company. Pharmaceutical Sales Strategies for Vaccines.
114 State Vaccine Legislation in America 2015-2017. National Vaccine Information Center Oct. 25, 2017.
115 Andriole S. Apple, Google, Microsoft, Amazon and Facebook Own Huge Market Shares = Technology Oligarchy. Forbes Sept. 26, 2018.
116 Fisher BL. The New Internet Policy Protecting You from Freedom of Thought and Speech. National Vaccine Information Center Dec. 3, 2018.
117 Mercola J. Beware: New Plan to Censor Health Websites. Mercola Newsletter Dec. 4, 2018.
118 Storeng KT, deBengy Puyvalee A. Civil society participation in global public private partnerships for health. Health Policy and Planning 2018; 33(8): 928-936.
119 Health Resources and Services Administration (HRSA). Vaccine Injury Compensation Data from the Vaccine Injury Compensation Program (VICP).
120 National Vaccine Information Center (NVIC). Cry for Vaccine Freedom Wall.