66 Comments
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JustRaven's avatar

Thank you so so much, Dr. Jetelina. You continue to be the calm voice of reason and a beacon of enlightenment for all of us, healthcare providers and laypeople alike. I am so grateful for you and your team for continuing to provide accurate fact-based information in these dark anti-science times. Having been a healthcare provider for many years I know that it is vitally important that people get information that is easily understandable. I often forward your posts and encourage others to subscribe to get the information directly.

THANK YOU!!!

Sarahb13's avatar

Thank you VERY much- I really wanted to (and didn’t want to) listen in. My day was spent vaccinating children: a skeptical mom accepted full 2 month vaccines, “I am not sure about this but I trust you”. I almost cried.

All my patient mom’s accepted HPV today as well. Some I had been working with for a few years of counseling.

For my small observations, all my eligible infants accepted the RSV monoclonal antibodies (or mom was vaccinated) except for 1. That child was the only one to present with bronchiolitis and tested positive for RSV and required at least 24 hours in the hospital. I spent the months leading up to ordering the medication counseling and prepping parents and I really think it paid off.

I do feel like this season my small office felt the positive impact of RSV prevention.

I am waiting for whatever fallout continues from this $&@& show…

I was curious about the MMR on the agenda, and what transpired? What was that about?

edit: I did read the notes you referenced and I see no vote and the topic. Thanks, that reference was very helpful!

Katelyn Jetelina's avatar

They really ran out of time with MMVR. He presented slides and basically just said, we will talk about this more at the next meeting (in Oct). Not much news on that front

Mark Bobrow's avatar

I watched the live update with Katelyn Jetelina and Jeremy Faust. Two things stuck out. Jeremy's comment that the current ACIP committee suffers from "Intellectual Destituteness" and that Malone (an MD!) didn't understand the difference between RSV monoclonal antibodies for newborns and the RSV vaccine.

COVID and Vaccine Update's avatar

We filed this brief report yesterday, focusing on the COVID session (https://covidandvaccineupdate.substack.com/p/kennedys-acip-shown-the-data).

Having attended all ACIP and VRBPAC meetings on the COVID vaccines since 2020, what struck me about the last two days was the stark difference between past committees and the current pared down group. The exception was pediatrician Cody Meissner, who has served before and who stood up for science the last two days. It's unclear why Kennedy chose him.

The CDC's career scientists did their best to push back with their usual excellent presentations and clear responses to committee questions. We're already seeing what Kennedy's reconstituted ACIP will do when shown the data - the same as their show-me-the-data boss. They have their own alternate evidence-based medicine.

Besides conflicts of interest not being declared, it appears this ACIP can also vote without a legal quorum.

PreventionMD's avatar

Thank you for a wonderful summary, this is so very helpful.

It is clear to me that ACIP is setting the groundwork for further stripping away of evidence-based vaccine recommendations, including some of our most basic childhood vaccines.

While I appreciate all the work being done to counter this, it is clear for those working in public health that we are rapidly heading towards a system where we (public health depts, professional orgs etc) explicitly do not recommend following the CDC recommendation schedule. How do we adequately explain this to the public?

Katelyn Jetelina's avatar

You’re not going to like my answer, but I don’t know. We live in a. very reactive society, doing so proactively and about a thing that’s invisible to see (prevention) is very hard.

PreventionMD's avatar

Yes, I do not have a good answer either. My fear is that only real widespread (as in people having direct connection with cases), clear harm from vaccine preventable diseases will shift the pendulum back. Even that may not be enough.

My only other idea is some sort of large-scale education/campaign teaching basic skepticism/critical thinking in order to prevent people falling down misinformation rabbit holes. But that is also no small task.

Nona Jean Childress's avatar

Astounded by your ability to piece together actionable, science-based, and reasonable facts from out of the whirling tornado of...something. And even retain some (more than a) vestige of tact! Thank you so much.

CannibalCulture's avatar

Thank you! And fuck the idiots and assholes currently messing the place up

Susan Scheid's avatar

You and all of Team YLE continue to be a beacon of light in these perilous times. Thank you so, so much. I have restacked in hopes that, though my reach is tiny, I can help spread the word.

Barbara Smith-Gillespie's avatar

Thank you so much for this clear and helpful summary! The one question remaining that I have is was the RSV adult vaccine also determined to be super helpful? I have not been able to take that yet due to timing of illness and other vaccinations. I am 65 w/ moderate asthma. Our pharmacy still has that so I’m deciding on that or a Covid booster in July.

Jeff Lazar's avatar

A million thanks for being the candle that lights the darkness.

George Shorago's avatar

What are they going to do? Bring back cupping, leaching, eyes of newts?

Wait till THEY lose a loved one due to their ignorance and greed.

Chuck Lavazzi's avatar

"Wait till THEY lose a loved one due to their ignorance and greed." They won't, IMO. Their plan is pure eugenics: make the race stronger by eliminating the vulnerable. It's straight out of the old Master Race handbook. They, of course, are not weak because they have money and power.

David Auerbach's avatar

Do you think the insurance companies will cover vaccines regardless, since they might regard it as cost-effective?

Katelyn Jetelina's avatar

Yes, I think they will. AHIP statement this week was a huge positive signal.

Jan's avatar

The problem will be Medicaid and Medicare who are bound to CDC guidelines

Susan Stone's avatar

As someone who is on Medicare, what you say is really scary. I hate to think how expensive those vaccines would be if we had to pay for them ourselves.

Jan's avatar

The good news, as I understand it, is that currently the COVID vaccines are CDC recommended for everyone over 65 and people younger with risk factors— so Medicare seems to be okay right now, it’s Medicaid that is more at risk. Medicare rules that recommended vaccines are available without cost— currently

Ann Kelsey's avatar

Question about flu vaccine: Will it be reformulated for 2025 flu strains or will it be last year’s for the same reason that the COVID vaccine will be last year’s?

COVID and Vaccine Update's avatar

Almost the same as last year with one change in the non-egg-based shots by updating the flu A H3N2 strain in the trivalent vaccine from Massachusetts 2022 to DC 2023. Same as the WHO recommendation (https://covidandvaccineupdate.substack.com/p/covid-and-vaccine-update).

Dee Lutz's avatar

Thank you. I appreciate you.

Susan Stone's avatar

As an old person with asthma who has real issues around being unable to breathe, I would really like to know what is happening with the COVID vaccine. I also have learned that pneumonia vaccines don't last forever (unlike what I was told when I got my first two doses 5 years apart), so I would like to know some good recommendations about pneumonia vaccines. I very much appreciate your updating us on the ACIP meeting.

Pediatrics On The Front Line's avatar

Was the meeting recorded? I was unable to attend but would like to watch it.

SD's avatar

The meeting recordings are on YouTube. There are different links for each day. Agenda and links included here: https://www.cdc.gov/acip/meetings/index.html