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Pertussis in Germany

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At 12:31 PM 12/17/2005 -0600, you wrote:

>

> This is a response I got from someone when I posted this:

> Today less than 10% of German children are vaccinated against pertussis.

> The number of cases of pertussis has steadily decreased[2] even though far

> fewer children are receiving pertussis vaccine.

>

>

> That is a ridiculous lie. Vaccination compliance is very high in

Germany, well over 90% for DTaP.

Can they provide proof?

>

I can't find any definitive answers....................

Info from http://www.cdc.gov/nip/vacsafe/research/lancet.htm

THE FORMER EAST GERMANY- Germany before unification provides striking

contrast in pertussis experiences. The former West Germany adopted a

non-compulsory vaccination policy, resulting in low coverage. The former

East Germany, however, achieved control (figure 1) by requiring vaccination

to consist of three primary doses and a single booster dose of DTP. Thus,

in 1989 DTP coverage in the former East Germany was 95%. The country had

only one to two cases per 100,000 during 1980-1990, whereas the former West

Germany had an incidence well over 100 times higher (7).

this is children born in 1976 & 1983

THE FORMER WEST GERMANY- The contrast between the former West Germany and

East Germany provides perhaps the most striking example of the national

danger of anti-vaccine movements. Finger and colleagues analyzed

vaccination histories and incidence of pertussis among West German children

at school entrance (7). Coverage with whole-cell pertussis vaccine was

fairly constant at 11.0% and 11.2% for children born in 1976 or in 1983,

respectively. Pertussis was reported from 35% (1976) and 37% (1983) of

these children. The authors estimated that incidence in West Germany was

180 per 100,000 during this period. They attributed the high incidence to

health-care providers who believed the disease to be a " normal " childhood

illness.>

http://www.eurosurveillance.org/ew/1999/990729.asp#4

After the reunification of Germany vaccination coverage fell sharply in the

new Federal States and the incidence rose to 8.6/100 000 in 1997. Assuming

underreporting, the incidence was probably higher. Vaccine coverage has

improved since 1995 but vaccine coverage of over 90% has not been achieved.

Although pertussis vaccination has been recommended for all children by the

Ständige Impfkommission (STIKO) (permanent vaccination commission) since

1991, acceptance of the vaccination among parents and physicians has only

improved since the registration of the newly developed acellular vaccines

in 1995. It is remarkable, therefore, that no child is known to have died

from pertussis in the last year to1997.

Since Germany lacks national notification data, hospital diagnostic

statistics are used to assess morbidity. Since 1995 hospital treatment for

pertussis has fallen sharply. In 1996, however, the number of hospital

treatments still exceeded 1000 cases (75% of them were children aged 5

years or under). Compared with 1994, when the last morbidity peak was seen

(3936 cases of hospital treatment) this is a fall of more than 70%.

Assuming that 5% of cases are treated in hospital, this leads to an

estimated incidence in Germany of 100/100 000 in 1994 and 25/100 000 in

1996. The hospital treatment rate in the old Federal States was more than

four times higher than in the new States in 1994 and about 40% higher in

1996. A large difference in vaccine coverage shown in preschool

examinations is still seen between the old and new States (35% in the old

Federal States compared with 85% in the new States).

AND

In Germany vaccination coverage is suboptimal despite largely favourable

preconditions. There are various reasons, some of which are discussed here.

Most vaccinations are not provided or organised by the Community Health

Service, in contrast to many other countries. Each vaccination requires

active cooperation on the part of parents (or adults to be vaccinated) as

well as on the part of physicians. There is too little ‘incentive’ for

people to get vaccinated. The public lack knowledge of the benefit of

vaccination.

Even some physicians are insufficiently convinced or do not convey their

belief to patients sufficiently. Paediatricians and general practitioners

are often insufficiently prepared to actively approach their patients about

updating their vaccination status. Practice organisation often does not

support the assesment of vaccination status. Moreover the remuneration for

vaccination is regarded as insufficient by many physicians, which does not

help to increase vaccination activities, especially if the time needed to

discuss the issue is taken into consideration. Regional vaccination

registers, which would allow the active follow up of non immunised people

by the Community Health Services, do not exist. Therefore, healthy adults

and adolescents and children - who are not seen by a doctor on a regular

basis - rarely have their vaccination status checked and updated.

To achieve the high level of vaccination coverage intended in Germany,

existing obstacles have to be overcome.In addition, cooperation between the

major key players (primary care physicians, Community Health Services, and

Sick Funds) must intensify. Some progress has been made in the past year.

The constructive dialogue should be continued, and examples of good

practice should be published and disseminated.

--------------------------------------------------------

Sheri Nakken, R.N., MA, Classical Homeopath

Vaccination Information & Choice Network, Nevada City CA & Wales UK

$$ Donations to help in the work - accepted by Paypal account

vaccineinfo@... voicemail US 530-740-0561

(go to http://www.paypal.com) or by mail

Vaccines - http://www.nccn.net/~wwithin/vaccine.htm

Vaccine Dangers On-Line course - http://www.nccn.net/~wwithin/vaccineclass.htm

Homeopathy On-Line course - http://www.nccn.net/~wwithin/homeo.htm

ANY INFO OBTAINED HERE NOT TO BE CONSTRUED AS MEDICAL

OR LEGAL ADVICE. THE DECISION TO VACCINATE IS YOURS AND YOURS ALONE.

******

" Just look at us. Everything is backwards; everything is upside down.

Doctors destroy health, lawyers destroy justice, universities destroy

knowledge, governments destroy freedom, the major media destroy information

and religions destroy spirituality " .... Ellner

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At 01:04 PM 12/17/2005 -0600, you wrote:

>

> Sherry, I will ask for the proof, and I will ask for it in English, lol.

> April

>

It looks like that info came from an interview with Dean Black on Null

show

I can't find anything more specific>

--------------------------------------------------------

Sheri Nakken, R.N., MA, Classical Homeopath

Vaccination Information & Choice Network, Nevada City CA & Wales UK

$$ Donations to help in the work - accepted by Paypal account

vaccineinfo@... voicemail US 530-740-0561

(go to http://www.paypal.com) or by mail

Vaccines - http://www.nccn.net/~wwithin/vaccine.htm

Vaccine Dangers On-Line course - http://www.nccn.net/~wwithin/vaccineclass.htm

Homeopathy On-Line course - http://www.nccn.net/~wwithin/homeo.htm

ANY INFO OBTAINED HERE NOT TO BE CONSTRUED AS MEDICAL

OR LEGAL ADVICE. THE DECISION TO VACCINATE IS YOURS AND YOURS ALONE.

******

" Just look at us. Everything is backwards; everything is upside down.

Doctors destroy health, lawyers destroy justice, universities destroy

knowledge, governments destroy freedom, the major media destroy information

and religions destroy spirituality " .... Ellner

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