Monday July 23, 2018

Pentavalent vaccine: Doctors raise red flag

In spite of the data presented in this paper from a large cohort, the authors point out that the evidence is merely circumstantial and not conclusive

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the new Hepatitis B vaccine for adults is called Heplisav-B.
India's PV to be reexamined because of its harmful effects. .
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  • Pentavalent vaccine was introduced in India six years ago
  • It is since then have been a cause of many deaths
  • Doctors want it to be reexamined before continuing its use

Pentavalent vaccine (PV), that was introduced by India a little over six years ago, doubled the deaths of children soon after vaccination compared to the DPT (Diphtheria-Pertussis-Tetanus) vaccine, according to a new study that calls for a “rigorous review of the deaths following vaccination with PV”.

Health officials have launched a campaign targeting nearly 24 million people with a one-fifth dose of the vaccine. Wikimedia Commons
PV has been cause of many deaths in past years. Wikimedia Commons

Government records show that there were 10,612 deaths following vaccination (both PV and DPT) in the last 10 years. There was a huge increase in these numbers in 2017, which the Health Ministry has promised to study. “The present analysis could be a starting point in the quest to reduce the numbers of such deaths,” authors of the new study say.

The study by Dr Jacob Puliyel, Head of Pediatrics at St Stephens Hospital, and Dr V. Sreenivas, Professor of Biostatistics at the All-India Institute of Medical Sciences (AIIMS), both in New Delhi, is published in the peer-reviewed Medical Journal of Dr D.Y. Patil University.

PV is a combination of the DPT vaccine and two more vaccines against Haemophilus influenza type B (Hib) and hepatitis B. Starting December 2011, PV was introduced into India’s immunisation programme to replace DPT vaccine in a staged manner with a view to adding protection against Hib and Hepatitis B without increasing the number of injections given to infants.

Doctors have raised concerns over these vaccines. Wikimedia Commons
Doctors have raised concerns over these vaccines. Wikimedia Commons

But sporadic reports of unexplained deaths following immunisation with PV had been a matter of concern. Puliyel, Sreenivas and their colleagues undertook the study to find out if these deaths were merely coincidental or vaccine-induced.

The authors obtained data of all deaths reported from April 2012 to May 2016 under the Right to Information Act. Data on deaths within 72 hours of administering DPT and PV from different states were used.

For their study, the authors assumed that all deaths within 72 hours of receiving DPT are natural deaths. Using this figure as the baseline, they presumed that any increase in the number of deaths above this baseline among children receiving PV must be caused by this vaccine.

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According to their analysis of the data provided by the government, there were 237 deaths within 72 hours of administering the Pentavalent vaccine — twice the death rate among infants who received DPT vaccine.

Extrapolating the data, the authors have estimated that vaccination of 26 million children each year in India would result in 122 additional deaths within 72 hours, due to the switch from DPT to PV.

“There is likely to be 7,020 to 8,190 deaths from PV each year if data from states with the better reporting, namely Manipur and Chandigarh, are projected nationwide,” their report says.

It is important to make sure that these vaccines are reexamined peroperly. VOA

The authors note that while the study looks at the short-term increase in deaths (within three days of vaccination) it does not calculate the potential benefits of PV on infant mortality, for example by protection against lethal diseases like Haemophilus influenza.

In spite of the data presented in this paper from a large cohort, the authors point out that the evidence is merely circumstantial and not conclusive. “These findings of differential death rates between DPT and PV do call for further rigorous prospective population-based investigations,” the study concludes. IANS

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“I feel I give back less than what I receive, and this disturbs me”,Amitabh Bachchan

I do know, and am intelligent enough to know my present standing and what I deserve. But when it exceeds that, I feel a discomfort.

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Amitabh Bachchan
The veteran actor was also lost in nostalgia as he recounted the old times. Pixabay

Megastar Amitabh Bachchan, who is in Bulgaria to shoot “Brahmastra”, spared a thought about the care and concern he gets wherever he goes. But he finds it disturbing that he feels he gives back less than he gets.

In a blog post from Bulgaria, where he is enjoying the sun, Amitabh wrote: “Filmmaking from my times has undergone substantial change… Hundreds of unit and crew work assiduously on projects these days, every little detail of the making and production is looked at with such a degree of importance and a liberty it astonishes me.

“I feel guilty at times at what is on offer from the unit at times… Their care and concern, their efforts to make everything so comfortable and pleasant, all with such alacrity and love. I do know, and am intelligent enough to know my present standing and what I deserve. But when it exceeds that, I feel a discomfort.

“I feel I give back less than what I receive, and this disturbs me.”

Amitabh Bachchan
There were times in the past when prominence was shown in much the same manner. Wikimedia commons

The veteran actor was also lost in nostalgia as he recounted the old times.

“There were times in the past when prominence was shown in much the same manner. Well not to the extent it is nowadays, and I felt maybe it was justifiable. But now with diminished presence, I feel it not right. I try hard to skip past it but it catches up .. as does most things in life,” he added.

Also Read-Amitabh Bachchan Is All Set To His Compete With Actor Ranveer Singh According To His Instagram Caption

“Brahmastra” features Alia Bhatt an Ranbir Kapoor, with Nagarjuna cast in a special role. It is produced by Karan Johar and directed by Ayan Mukerji.

A trilogy, its first part will release on India’s Independence Day on August 15, 2019.(IANS)