More Oregon parents delaying vaccines
June 19th, 2012
10:41 AM ET

More Oregon parents delaying vaccines

Nearly 10% of parents in Oregon are limiting their children to getting no more than one or two injections per visit to the pediatrician, according to a new study published in the medical journal Pediatrics Monday.  

As a result, children are falling behind in getting recommended vaccines, which could leave them vulnerable.

Researchers analyzed immunization records from 97,711 children born between 2003 and 2009 and found that parents in the greater Portland area choosing to restrict the number of shots their infants get during the first 9 months of life grew from 2.5% in 2006 to 9.5% in 2009.

By limiting the number of injections, parents are choosing to deviate from the vaccine schedule recommended by the CDC, the American Academy of Pedictrics (AAP) and the American Academy of Family Physicians.

Researchers say this study is the first to quantify how many babies are consistently getting vaccines on a delayed schedule.  Data about children who weren't getting any vaccines at all were not included in this report.

Lead study author Steve Robison says he was surprised that the number of parents who are limiting vaccine injections was so high.

Robison, an epidimiologist with the Oregon Health Authority, says some parents may be following recommended alternate vaccination schedules as suggested by Dr. Stephanie Cave or Dr. Robert Sears, who in 2001 and 2007 respectively began recommending that children only receive one vaccine per doctor's visits and delaying or avoiding some vaccines.

Three years ago, Pediatrics published an article in which two researchers address what they call "The Problem With Dr. Bob's Alternative Vaccine Schedule." In it, they say stretching out when children get vaccines will "increase the time during which children are susceptible to vaccine-preventable diseases," resulting in fewer children who are protected, "with the inevitable consequence of continued or worsening outbreaks of vaccine-preventable diseases."

Currently the CDC's Advisory Committee on Immunization Practices (ACIP)  recommends children get multiple vaccines at their 2, 4, 6 and 12 months well-baby visits.

The study authors found many parents weren't actually sticking to the Sears or Cave schedule either, suggesting "parents are unable to accommodate the extra visits needed to space out vaccinations according to alternative schedules because parents are customizing their own schedules."

The study found that babies on the delayed vaccine schedule received on average only six vaccination injections during four doctor's visits, compared to about 10 vaccinations over three visits when parents allowed for the regular schedule to be followed.

"It may be appealing to follow an alternate schedule, but it's too easy fall behind on shots, and it's really hard to catch up once you're behind," Robison says.

As more vaccines have been developed and added to the schedule, so has the fear among some parents that instead of preventing illness, these drugs are causing children to get sick, particularly since controversial British physician Dr. Andrew Wakefield suggested there was a link between the measles-mumps-rubella vaccine and autism in a discredited study.

The CDC does not endorse any alternate vaccine schedules.

"There's no evidence whatsoever that that getting multiple antigens is bad," says and Dr. Paul Cieslak, medical director for the Immunization program for the Oregon Health Authority and a recent member of the CDC's Advisory Committee on Immunization Practices, which has been developing the recommended vaccine schedule since 1995. Antigens are bacteria or viruses that help a child build up immunity.

Cieslak says there's a reason for how the CDC and AAP endorsed vaccination schedule is set up: "The schedule is a balance between when you need vaccines and practical considerations like when is a child likely to visit a doctor."

Cieslak, who was not involved in the study, explains that if you follow Sears' schedule, for example, you have to take your child to the pediatrician nine or 10 times during the first year of life. He says for many parents it's hard enough to get to the five recommended appointments on the well-baby schedule.

He is aware that some parents fear having their child exposed to too many antigens at one time. But he also reminds them that when a child is crawling on the floor or eating his or her first mouthful of dirt – which will happen – the child is exposed to hundreds of bacteria and bugs, which the immune system has to deal with.

Cieslak also points out that vaccinations according to the CDC/ACIP schedule are recommended precisely at the time when infants are at highest risk of serious illness. "If you get pertussis during infancy... [babies] cough and cough and cough, and when they're coughing so much they can't get a breath because you only exhale when you cough."

He says in Oregon about about 50% of infants with pertussis land in the hospital and occasionally there's even a death.

Cieslak applauds the vast majority of parents who are following the schedule as recommended. To them he says: "Good job! You're getting your kids immunized and helping to protect the kid next door as well."

soundoff (670 Responses)
  1. Myviewis

    Just wait to see if these kids will develop any medical problems from the lack of vaccines. If they don't, then they have proved their point that vaccines are not needed. If the kids contract illnesses due to the lack of vaccines then we'll know they were needed afterall and parents will have to deal with the consequences.

    June 19, 2012 at 11:01 | Report abuse | Reply
    • oregondad

      Paranoia over vaccination is not indiginous to Oregon but it has reached "full flowering" here as a result of all the counter-cultural influences which have come to dominate the state. We have regular outbreaks of illness due to un-pasteurized milk which is considered "healthier". We also have a local religious cult which believes in "faith-healing" with the result that many of their children have died. Fortunately, the state is prosecuting these parents and sending them to jail for parental neglect.

      June 19, 2012 at 18:40 | Report abuse |
    • Gopherit

      Children who have not been vaccinated are protected by the fact that the vast majority have been vaccinated, which works to prevent epidemics and the uncontrolled spread of illnesses. I am old enough to remember when there was no vaccine against polio and numbers of children and adults even in the U.S. contracted the disease. Some recoverd completely, but others either died or had to spend the rest of their lives confined to iron lungs and lost control of other muscles because of paralysis.

      June 23, 2012 at 16:15 | Report abuse |
    • LaraRebooted

      Actually, there's a German study that's already covered that. It compared the medical records of the children who had received vaccines on that nation's recommended schedule with the records of children whose parents had declined to allow them to receive vaccines. It noted no difference in rates of autism, asthma, or any of the other alleged side-effects of vaccines, between the two groups. The ONLY area where the groups differed was in the incidence of the diseases that the vaccines were intended to prevent. The children who hadn't received the vaccines had demonstrably higher rates of the diseases than those who had. So, in fact, the study demonstrated that children who had received the vaccines were measurably healthier than those who hadn't.

      June 25, 2012 at 23:28 | Report abuse |
    • sarracene

      @ LaraRebooted as commented to Myviewis:
      vaccination is based on the germ THEORY of disease. another approach to fighting off sickness is to make sure your nutrition intake is such that the immune system has the substrate needed to fight off disease. when people want to eat whatever they feel like, it is to those people that vaccination should be focused to..

      December 8, 2013 at 16:42 | Report abuse |
  2. WindsorFarmer

    Plenty of people get diseases with or without vaccines, being healthy doesn’t require you to bypass your #1 defense: your skin. There’s a good deal to be said about medial practices, some good and some bad. The question to ask here is this: Can we force others to take something they believe is unreasonable, bypassing their rights and overthrowing their beliefs? I’m sure you would not want that done to you.

    Consider this, if the vaccines are really effective and you’ve had it, then you shouldn’t have to worry – you’re safe. The decision and the responsibility is for the parents, don’t take that away from them.

    Do unto others as you would have them do unto you. That doesn’t mean if you like shellfish, feed that to your neighbor who is allergic to shellfish!

    June 19, 2012 at 11:24 | Report abuse | Reply
    • Dave

      shellfish are unclean

      June 19, 2012 at 12:17 | Report abuse |
    • Dave

      ..............BUT that woman with the fake blonde hair full of chemicals and all the silicone injected into her chest says that babies get too much medicine

      June 19, 2012 at 12:18 | Report abuse |
    • Cate

      My entire family, including me and my 16 month-old daughter, recently had to undergo a course of antibiotics because we had spent time with my 5 year-old nephew, who has not had any vaccinations and recently contracted Whooping Cough (pertussis). I ended up having an allergic reaction to the antibiotics that resulted in an additional trip to the doctor. My daughter had already had 3 out of the 4 DTAP vaccinations, but her pediatrician recommended she have antibiotics to be on the safe-side. This was the first time she had had antibiotics. I told my brother that his right not to vaccinate his child is now bumping up against my right to limit MY child's exposure to antibiotics. Had my daughter been younger or had I been pregnant the results of this exposure could have been quite serious. The selfish ones are those who benefit from others having their children vaccinated but refuse to take the risks, themselves. Certain vaccines cannot be given until children are older, which means young infants are at risk of contracting many diseases from the unvaccinated. How is that fair? If people don't want to vaccinate their kids they should keep them at home where they can't hurt others by spreading diseases.

      June 20, 2012 at 14:53 | Report abuse |
    • Healthcare Insider

      The crazy thing is that all these parents who are so against their children being immunized were themselves immunized as children with no serious side effects yet somehow they imagine that their children are such are great risk.

      June 21, 2012 at 17:35 | Report abuse |
    • Jason

      Very well stated, Sir.

      June 22, 2012 at 00:05 | Report abuse |
    • LaraRebooted

      Here's the thing about that: There are people who actually have no choice whatsoever in the matter. Immunological issues mean that they can't receive vaccinations whether or not they want/approve of them, and they're highly (potentially fatally) vulnerable to any disease they're exposed to as a result. They absolutely rely on the people around them to NOT be carriers of potentially deadly diseases. Which works wonderfully when those people have bothered to get their vaccinations, but falls apart when someone who could have gotten the vaccine has decided to also rely on "herd immunity," too. The result of choosing not to get vaccinated is not only that YOU might contract a disease that makes you extremely sick and puts you at risk of death, but that someone ELSE will be exposed to and KILLED BY the disease as a result of your lapse, because they have fewer defenses than you do. Feel free not to get a tetanus shot if you don't want to - you can't spread tetanus so you can just suffer through it on your own if the odds roll against you. But when you're talking about infectious diseases, the ONLY excuse for not getting vaccinated is that you're medically unable to do so. Otherwise you're putting the lives of everyone around you at risk, which IS profoundly selfish.

      June 25, 2012 at 23:40 | Report abuse |
  3. Victoria


    June 19, 2012 at 12:01 | Report abuse | Reply
  4. GreWrob

    If the CDC wants people to vaccinate their children as recommended, they need to prove vaccines are without doubt, safe. No one should blindly follow what any organization or individual says. The reports of adverse effects of vaccinated infants is unsettling and unsatisfactory.

    June 19, 2012 at 12:15 | Report abuse | Reply
    • JR

      What reports do you speak of? If you're talking about Wakefield's study on the MMR vaccine he's been found guilty of falsifiying his findings and has since been banned from practicing medicine. It's a real shame that people read the articles that grab headlines (or in most instances they don't even read it, they just repeat what other people tell them) but then never bother to read the 100's of papers writtien by colleagues discrediting him. Even the people who helped him write that paper withdrew their support of it. His findings have never been reproduced (and many people have tried). Not to mention the fact that he published the findings of a research study he conducted with a whopping 12 participants (unheard of in research). So other then Wakefield please produce any other published medical papers stating that vaccines are harmful and cause lasting damage. Do yourself a favor and leave the research to us epidemiologists

      June 19, 2012 at 12:51 | Report abuse |
    • brooke

      Oh you! Stop bringing up facts! He hasn't come back with any real evidence yet, because as you say, there isn't any. Other than Jenny McCarthy running around acting like she is a scientist, when she's just really a D List Celebrity. People like him like to hear what other people are talking about and assume its fact. In addition I would like to bring forth the idea, that there was a time when there were no vaccinations, and a lot of people died, and that stopped as vaccinations were introduced...isn't that enough evidence?

      June 22, 2012 at 02:48 | Report abuse |
  5. Dave

    BUT that woman with the fake blonde hair full of chemicals and all the silicone injected into her chest says that babies get too much medicine

    June 19, 2012 at 12:17 | Report abuse | Reply
  6. The_server_is_down

    The blood brain barrier is body's defense mechanism along with the immune system, when injecting into the blood stream something foreign, does the body kill it or accept it? I hate when they say "There's no evidence whatsoever", really, science is the observation of life, right? So when a parent has a perfectly healthy child and a day or so the child is no longer healthy after the vaccine, come on. If getting these shot's make you immune, why does a child still have to get a Booster shots?

    Land of the Not-So-Free.. It's my God Given right what i do to my child.

    300+ million people in the u.s. alone all of them get how many vaccines? Someone is making a lot of dough.

    June 19, 2012 at 12:19 | Report abuse | Reply
    • medschoolkid

      I don't think you have much of an understanding of immunology. Almost all vaccines are dead virus so its already dead. The body still attacks it while simultaneously familiarizing itself with the invader, creating a "memory" so that the body can react faster next time it is exposed.

      The "no evidence whatsoever" refers to no studies showing a link (there have been hundreds conducted). Despite a child getting sick there has never been proof that the vaccine causes this (except for the very rare allergic reaction).

      The vaccines make you immune for a certain period of time. This varies greatly from vaccine to vaccine. After the immunity has "worn off" then a booster is needed to reacquire immunity.

      June 19, 2012 at 14:11 | Report abuse |
    • brooke

      server_is_down then keep your child at home where it won't make other kids sick with it's disgusting diseases. We also have a right to not deal with that.

      June 22, 2012 at 02:50 | Report abuse |
  7. WindsorFarmer

    I did a search on Polio, there seems to be plenty of people who believe that the vaccine saved them and many other. Now, I do not refute that, but I do know from experience that there is something else at play here. In MOST cases, if you display symptoms of Polio AND you've had the vaccine, you will NOT get diagnosed with polio. This happens with any disease that has a vaccine.

    Reading from: http://www.rense.com/general3/polio.htm

    ...This was the brainstorm of the FDA. Instead of getting the "dead" virus in an injection, the Federal vaccination policy mandated that children should be given the new live "oral polio vaccine" (OPV). This decision was based upon the belief that the OPV recipient would "shed" the virus through body contact with other non-vaccinated children and adults, thereby spreading the "live" virus throughout the population. Since the infection was extremely small, it would produce the desired antibodies while posing no threat of contracting polio. This, it was thought, would assure the total immunization of America and the eradication of the disease. The public was never informed that this national health strategy was being implemented, despite several cases of polio which were directly attributed to the vaccine.

    June 19, 2012 at 14:25 | Report abuse | Reply
    • Healthcare Insider

      I am not sure where you got your information but if you look under the CDC (Centres for Disease Control) you will find that the USA has been using an injectable IPV Polio Vaccine which does not shed in feces since 2000. This is also the case with Canada. Please get your information off of government websites. As for OPV, the oral polio vaccine, which is live and is used in developing countries. It does shed in feces and it was used in North America prior to the development of the IPV. However, if you again look at the CDC website, you will see that the rate of transmission of Polio via the vaccine through fecal shedding is 1 in 750,000 vaccines....so one in every three quarters of a million people vaccinated and in the meantime the numbers of people who have been stricken by polio in these developing countries has dropped exponentially due to the availablity of this vaccine.

      June 21, 2012 at 17:30 | Report abuse |
  8. Truth2all

    I know that many people will say the vaccine issue has been thoroughly investigated and debunked. I honestly wish that were the case, but it simply is not true. All of the "vaccine-autism" studies you hear about investigated just one childhood vaccine out of 14 (MMR), or one vaccine ingredient out of dozens (thimerosal). That is like announcing that air pollution does not cause lung cancer because you looked at carbon monoxide, alone, and hydrogen sulfide, alone, and found no link. What we do know: Reported autism rates began to explode right around the 1987-88 birth cohorts in the United States and a few other western countries, according to an EPA study. "The greatest increase in ASD prevalence occurred in cohorts born between 1987 and 1992 across the United States," the EPA study concluded. Rates did not begin to increase in developing countries until a number of years later.

    June 20, 2012 at 13:57 | Report abuse | Reply
    • Healthcare Insider

      Have you read the latest studies linking obesity in pregnancy to autism? Maybe that is why their has been an explosion of autism in America....due to the high rates of obesity in women who are having babies.

      June 21, 2012 at 17:21 | Report abuse |
    • brooke

      We have turned into a society where every "misbehavior" can be explained away by some disease or illness. If you're a kid being a kid well then you've got ADD/ADHD or autism, adults all have 1 or 2 problems which have been diagnosed by a doctor. Most if not all criminals are diagnosed for court proceedings with various sorts of mental illness ....all to simply explain away undesirable behavior. There are lots of possible causes for autism, and might I also postulate that perhaps some of these children are misdiagnosed? My youngest nephew was diagnosed as autistic, but in my eyes, he acts just like any other little boy. He's smart, has insightful things to say (for being so young), plays on the local kids football league and seems to me to be very normal. I am told by members of my family that he can be "hard to deal with" and "terribly loud and shouting sometimes" but isn't that what all kids are occasionally? All kids are hard to deal with imo and are loud. I'm not trying to dismiss clearly severe cases of autism. Clearly some children ARE autisitic. However, I think some parents want answers as to why their child isn't always silent, well mannered, and easy to manage. The diagnosis of ADD and ADHD has also skyrocketed in the last few years, but lots of these children are perfectly fine, parents just want a neat excuse.

      June 22, 2012 at 02:59 | Report abuse |
  9. Truth2all

    If you truly care out our kids futures, please read this article. Probably one of the most comprehensive and true views I’ve seen to date. You can use any search engine.
    Cut and paste:
    David Kirby Huffington post on vaccine why the debate will not go away

    June 20, 2012 at 13:59 | Report abuse | Reply
  10. EvilPenguin

    Its perfectly fine to inject your kid with a a slam dunk multi-dose to the brain of autism juice.. Big Pharma said so

    June 21, 2012 at 18:52 | Report abuse | Reply
  11. celtis

    Guess all parents need to make the choice: take a fictional miniscule chance of autism (although devastating, children can improve with therapy) with a vaccine or a very real but small chance of your child contracting a fatal disease.......I took my chance with the vaccines!

    July 6, 2012 at 21:22 | Report abuse | Reply
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  13. lahealthyliving

    I don't think parents who refuse to vaccinate their children are completely against vaccines. The problem with the vaccines, is the fact that tiny babies are getting multiple doses of the vaccines at once. The vaccination schedule in America is crazy. It would even be too much for an adult's brain. This is why we have so many autistic incidents right after vaccinations. I know in Europe everything is done gradually. Here is a great video pertaining to vaccination:

    August 9, 2012 at 11:57 | Report abuse | Reply
    • sarracene

      right on, lahealthyliving

      December 8, 2013 at 16:42 | Report abuse |
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