Professional Documents
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Synthesis Paper
Synthesis Paper
Abby Zoller-Gritz
Intern/Mentor
6 May, 2019
Mrs. Ireland
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Abstract
Vaccine hesitancy is becoming an international crisis and many people are dying
unreasonable deaths. There is are misconceptions about vaccines, whether it be about their
efficacy, their manufacturing, their ingredients, or their effects on the human body; those
misconceptions are killing people. Research on this topic continually say that vaccines are safe
and there is still innovation going on to make them better and more accessible to people around
the world. By looking at vaccine studies, benign nature of vaccines comes out. No reputable
studies concludes that there are any neurological side effects of vaccines. There was also no link
between vaccines and any other defects. People are dying from undervaccination as those who
can not get vaccines are not protected by the people around them. If people on the fence about
vaccines look at the studies and read about what vaccines truly are, vaccination rates go up and
Introduction
Up until 1955, polio was still running rampant through the United States of America. It
even infected one of our very own presidents, Franklin Delano Roosevelt. By 1979, it was
eradicated in the United States. How did the nation go from thousands of children dying to no
new cases of the lethal disease in only 24 years? The polio vaccine. Vaccines have been one of
the most innovative pieces of technology in the past century. They have saved millions of lives
by preventing diseases from infecting the body. There have been diseases that are close to or
have been eradicated by the continued use of vaccines. Despite this, there are still parents who
are skeptical about vaccinating their children. There are theories that say that vaccines are full of
chemicals, that they cause autism, that they are outdated, and since the diseases are almost gone
their child does not need to get vaccinated. These theories are all incorrect. The purpose of this
paper is to inform the reader of the truth about vaccines, including their importance, their
correlation with autism, and their innovation to hopefully increase the number of vaccinated
Literature Review
Vaccines are important to keeping people healthy as they can help prevent people from
getting infectious diseases. These diseases can be life-threatening or dramatically decrease the
quality of life. Here is the story of a woman named Grace, who got polio from an orphanage in
India before she was adopted. They said she was vaccinated, but it is unclear if those records
were correct or not. She also had tuberculosis at the time, which could have weakened her
immune system if she was indeed vaccinated. The popular polio vaccine has a weakened virus,
so with the compromised immune system, she might not have had the immune strength to defeat
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the weakened virus. When she was a child, she required leg braces and a walker as a result of her
polio. As an adult, she has paralysis in her hips which causes urinary tract infections and kidney
problems. (Allmann Updyke, Erin and Welsh, Erin) Grace is fortunate that her polio does not
stop her, but unfortunately, some people who had polio are dead from the disease. There are
about 14 million deaths prevented by vaccines. Any symptoms one would get from a vaccine is
minor, like a rash or fever. It is safe for children, and there is no evidence to support that multiple
vaccines overwhelm the system. (Cleveland Clinic) The vaccine is merely an inactivated disease
that is grown, purified, and then formulated into the vaccine. Inactivation is when the technician
prepares the antigen. They then take a microbe and grow in either egg cells or animal cells. In
order weaken or inactivate the virus, the technicians apply chemicals or heat to the virus. The
antigen is then taken from the cells in the purification process. Then in the formulation, the
inactivated antigens are combined with adjuvants, stabilizers, and preservatives, as the vaccines
need to be protected from any outside contaminants. Adjuvants enhance immune responses to the
vaccine. Stabilizers allow for longer shelf life and allow for multi-dose vials to be produced.
Preservatives help preserve the vaccine so that it is effective. (Mandal) The specific process of
making the vaccines helps the body in its plight to fight off diseases and keep people healthy.
The flu vaccine is one of the most important vaccines to receive in order to stay healthy.
The flu vaccine is made similarly to other vaccines but it only covers about four different strains
of the flu. Currently, there is no universal flu vaccine as there are over twelve different strains
and scientists are unable to make a vaccine with all twelve. Scientists look at data from flu
patients to try and predict which strains are going to be most common that season and use those
for that year's vaccine. Also, the flu virus mutates a lot, which poses a problem as the antibodies
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the body produces look for specific markers on the virus, and if it is mutated, then the antibodies
might not recognize it and attack it. (Foerster, Andrew) There are also three types of methods
for flu vaccine production: egg-based, cell-based, and recombinant. Egg-based is the most
common method of making the flu vaccine and is used in the injection as well as the mist. The
Center for Disease Control (CDC) or other certified organization provides the manufacturers
with the candidate vaccine viruses (CVVs) grown in eggs and inject them into fertilized chicken
eggs where they are left to let the virus replicate itself. Then, the fluid that contains the virus is
taken and the virus itself is deactivated. The antigen is purified and then tested before being sent
out. This process requires a lot of eggs and can take more time. The cell-based vaccines are new
to the world of vaccines with the most recent method of production being approved by the Food
and Drug Administration (FDA) in 2016. They grow the CVVs in animal cells instead of eggs,
which are then put inside of a cluster of animal cells to replicate. The antigen is then purified,
testing is done, and the vaccine finally can be shipped out. Recombinant vaccines use genes,
specifically the hemagglutinin (HA) Gene, from a recommended virus. The genes are then
combined with portions of a virus that is grown in insect cells, and then the extraction process
and rest of the method are the same. (“Influenza (Flu)”) The slew of methods being used for
creating the flu vaccine has allowed it to be more accessible to people as the flu is a deadly
disease.
It is also important to get the flu vaccine as early as possible. One example of how
important it is to get the flu vaccine early is from the death of a young boy. He was scheduled to
get a flu vaccine 10 days after he died. He had been completely healthy before he got the flu and
then died 48 hours later. Dr. Flor Muñoz says that children have a hard time getting the vaccines
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as their parents may have already gotten it at work and children can not just go to a clinic to get
them. There is also legislation that prohibits pharmacists from giving children vaccines. It is
important to get the flu shot before the holidays as flu season peaks in December, and no one
wants to be sick during the holidays. Any time before the end of October is a great time to get
Being knowledgeable about what vaccines are about in the world is crucial to having
vaccines benefit society. If not everyone who is capable of getting immunized is getting their
shots for all the diseases they can, there is the possibility that they will contract a preventable
disease. This situation can happen if people are not aware of certain vaccines. Here is the story
from a mother whose son died from meningitis. He was a healthy boy who suddenly contracted
meningitis and then twenty-six days later died. Meningitis is a disease that is preventable by a
vaccine, but the mother was unaware that her son should get the vaccine. She now advocates for
parents to vaccinate their children so they do not have to watch their child die as she did.
(“Remembering Evan.”)
Vaccinations do not only help the person who was immunized, but they also help people
who have compromised immune systems or have an allergy to an ingredient in the vaccine. This
phenomenon is called herd immunity when the people who are incapable of getting vaccinated
are protected by the people who are vaccinated as there are so many people immune to the
disease that the disease basically dies out in that area. The people who are unable to get vaccines
are highly at risk for disease, but if people who were able to get vaccine all got them, those
individuals would be helped substantially. Governments are trying to reach a nation of herd
immunity because then public health is increased and health costs can go down. (Boslaugh)
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Another way vaccines can help people is if people start understanding the correlation between
There has been no legitimate evidence to support the theory that vaccines cause autism.
The whole idea that vaccines cause autism is from one man, Andrew Wakefield, who published a
study that linked vaccines and autism. As it turns out, this study was not done properly, and
Wakefield was paid to have the study say that vaccines cause autism, specifically the measles,
mumps, and rubella (MMR) vaccine, for a lawsuit. This study has since been redacted, but some
people think he was right. One of those people is Jenny McCarthy, an actress. She believes that
because her son got vaccinated, that is why he has autism. (Hall) She went on the television
show Doctors to explain her beliefs to the doctors on the show. She talked about her perspective
on how vaccines cause autism but only said that some vaccines should be up to the parents'
discretion, like chicken pox and the flu, as these are starting to become mandatory for children to
go to school. One of her supporters in the audience got into a debate with the doctors. The father
seemed so right in his answer that vaccines are the only cause at autism that he would not let the
doctors explain how they were there to discuss all possible causes of autism. The doctors were
frustrated as they were rarely allowed to give their medical opinion. The doctor mentioned how
all they wanted to do was save children. (Doctors) The people who believe the connection
between vaccines and autism do not get their children vaccinated, leaving them susceptible to
many diseases. There have been over 45 different studies that prove autism is not caused by
vaccines.
preservative in vaccines that contains ethyl-mercury, is thought to be the culprit behind the
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connection of vaccines and autism. That theory is incorrect as they took out the mercury in
vaccines in 2001, so the children currently getting vaccinated who have autism would not be
getting the vaccines that contained any thimerosal. Autism rates rose after thimerosal was taken
out of vaccines, therefore it is definitely not causing autism. Autism Speaks, an organization
about autism awareness, is saying that more research needs to go into the causes of autism,
genetic and environmental, to get to the bottom of why autism rates are high. All of the talk
about how vaccines cause autism are taking away from research that could be done to help those
with autism. ("... And another study suggests vaccination isn't causing the epidemic of autism.")
The talk about vaccines and autism is old, but scientists working on vaccines are thinking of
There is a lot of innovation going on in the world of vaccines. Vaccines have come a
long way from their original composition and methods. Scientists are trying to find new ways to
preserve vaccines. Many organizations send out vaccines to countries in need. This can be
tricky if the shelf life, time the vaccine has from processing to expiring, of a vaccine is short. In
order to increase the life of the vaccine, they are testing a liquid to stabilize the vaccines. The
vaccine ingredients are coated in a sugary substance made from simple natural sugars, and an
amino acid, the liquid. They create a sphere-like structure around the vaccine, which is then
inserted into perfluorocarbon and helps the vaccine resist bacteria. When the vaccine is injected,
the sugar dissolves, and only the active ingredients are inserted into the body, and
perfluorocarbon is exhaled. One more modification scientists are trying to implement, so more
people receive vaccines is taking out the genetic material of the virus. When the genes are taken
out of the virus, there is no way one could possibly get the disease they are being immunized
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from. (Coghlan) Vaccines could be made by just using antidiotype antibodies. Immune
regulatory networks are functions in the body that allow antibodies to respond to foreign
antigens, and those antibodies can form antibodies against it which then can help protect from a
virus. Instead of injecting the disabled virus into the body, they will be able to inject the
vaccines and therefore are susceptible to those diseases. Their genes are not able to produce the
proper antibodies needed to fight off the diseases that are in the vaccines. Berran Yucesoy of the
US National Institute for Occupational Safety and Health is working on looking at cytokines to
help recruit antibodies to fight off the diseases in the vaccines. (King) There is also a similar
study going on to help those with AIDS. It will be given to men who tested negative to AIDS to
see if there are any side effects, if the immune system is changed, and will be compared to a
placebo. Scientists are not stopping with the vaccines already in the world. They are trying to
help more people by preventing others from getting other diseases. (Edwards)
To collect data on this topic, a Meta-Analysis was conducted. The main question for data
in this research was if vaccines cause any neurological defects or if vaccines affect the body in
any negative way other than the possibility of getting the disease that one was vaccinated with.
The research done into this was looking at reputable sources like the CDC and WHO for
information and studies on vaccines. There were four main studies looked at for data collection.
First was compilation of studies that were all verified by the American Academy of
summaries of the studies. There was also the a court case and investigation on a study that said
the MMR vaccine causes autism. It breaks the studies down into sections, studies on general
safety of vaccinations, studies that look at MMR specifically, and studies on thimerosal, along
The second study looked at was on children who have older siblings.The researchers
looked to see if they are neurotypical or have an autism spectrum disorder (ASD) and if that
original child has ASD. They looked at those children to see if they have gotten the MMR
vaccine. The children with an older sibling with ASD might be at a higher risk for ASD, so this
is the experimental group versus the children at a regular risk for autism. They used the optum
research database for these children’s medical files. They looked to see if there was any form of
The third study has been redacted, which decreases the value of the study significantly.
There were 12 subjects who were picked with gastrointestinal issues. 11 of them were males.
Subjects had either been given the MMR vaccine or recieved it an an earlier time. The subjects
then were observed by their parents for any signs of neurological disorders, specifically autism.
Any behavioral issues were also diagnosed by the parents instead of a therapist. There were no
variations in EEG scans or MRI scans. There were also a change in the urinary acid. The small
sample size, specificity of subjects, and behavioral changes made by parents instead of therapists
The last study was done with the CDC. Doctors with the CDC did a study where they
compared children who have autism spectrum disorders (ASD), autism disorder(AD), and a
control group of neurotypical people. They scientists were looking at the amount of antigens
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present in their bodies, to see if vaccines give children a higher risk of autism spectrum
disorders. The study goes in depth about the results and possible confounding variables, like how
85% of the children were male. They also looked at multiple other factors like birth weight,
maternal age, education and marital status. The study looked mostly at the number of
The results of the data go along with the research. The only study that had stated that
there was anything wrong with vaccines has since been redacted based on poor methods of
research and corruption. Results from study one are that all of these studies concluded that
vaccines are safe and prevent against diseases and none of the 44 studies found anything to
suggest why vaccines should not be used. The second study showed that the vaccine gave no
additional risk of ASD even for those children at a higher risk. Results for the third study have
been redacted, but the final results were that 9 children definitely had autism and the rest were
thought to maybe have autism as a result of receiving the MMR vaccine. Also everyone of the
subjects had an adverse reaction to the MMR vaccine. The final study concluded that no
indication that the vaccines would change the neurobiology of the children based on the
immunogens in the body. A chart comparing all the articles can be seen in Appendix A.
Discussion/Conclusion
The World Health Organization (WHO) now says that hesitancy and refusal to vaccinate
children is causing more people to get sick and reverse the progress that occurred to almost
eradicated diseases. The WHO says that vaccines prevent about two to three million deaths per
year. Vaccines affect more than just the children whose parents do allow them to get them, they
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affect many more people. The WHO has just added it to the lists of health risks as they find it
affects everyone across all ages. The more children that were vaccinated for pneumonia the less
pneumonia they saw in people over the age of 65. Undervaccination is also an issue, not just in
the United States, but globally. Vaccines do not cause autism. They are not full of chemicals that
will ruin your health. They save lives. There are so many projects in the works to improve
vaccines and make them better and more accessible for everyone. There are current projects to
try and cure even more diseases, like AIDS, to help out the people most at risk for this abhorrent
disease. Vaccines have prevented millions of children from getting diseases. They can go on a
live their childhood virtually worry free about any major diseases. All they have to worry about
is getting their flu shot every year. Vaccines have paved the way to the future of health, and there
are more innovations to come, so maybe the next generation will not have to worry about their
child dying from measles or rubella. The world could be leaning towards a disease-free world,
Bibliography
"... And another study suggests vaccination isn't causing the epidemic of autism." Child Health
Allmann Updyke, Erin and Welsh, Erin. “Hit Me With Your Best (Polio) Shot.” Audio blog post.
Lifestyle Medicine & Health, edited by James M. Rippe, vol. 2, SAGE Reference, 2012,
Cohen, Elizabeth. “Doctors' Son Died 10 Days before Flu Shot Appointment. Now, They Want
Coghlan, Andy. “Tough Vaccines Last Even If Heat Is On.” New Scientist, vol. 184, no. 2470,
https://www.jpeds.com/article/S0022-3476(13)00144-3/pdf?ext=.pdf
Doctors, The, director. Autism Debate with Jenny McCarthy on 'The Doctors'. YouTube,
Donvito, Tina. “Anti-Vaccination Named a Global Health Threat for 2019.” Yahoo! News,
Edwards, Diane D. "Human test of AIDS vaccine approved." Science News, 22 Aug. 1987, p.
Foerster, Andrew, director. Why Do You Need to Get a Flu Shot Every Year? YouTube,
Hall, Harriet. "Vaccines and autism: a deadly manufactroversy." Skeptic [Altadena, CA], vol. 15,
“Influenza (Flu).” Centers for Disease Control and Prevention, Centers for Disease Control and
Jain A, Marshall J, Buikema A, Bancroft T, Kelly JP, Newschaffer CJ. Autism Occurrence by
MMR Vaccine Status Among US Children With Older Siblings With and Without
King, Charlotte. “Personalised Vaccines Offer Children Better Protection.” New Scientist, vol.
Marx, Jean L. "Making antibodies without antigens." Science, vol. 228, 1985, p. 162+. Student
Resources In Context
“Vaccine Safety: Examine the Evidence.” Vaccine Safety: Examine the Evidence, American
www.aap.org/en-us/Documents/immunization_vaccine_studies.pdf.
www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(97)11096-0.pdf.
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Appendix A
Results (what conclusions did the Vaccines The MMR MMR There was
researches draw) are safe to vaccine did vaccine no
use and they not put the causes increased
do not cause children at a autism and risk of
autism higher risk other getting
of autism, adverse autism
even the effects because
ones more of the
likely to get MMR
it vaccine
SOMETHING FROM YOUR Notion that The MMR This is the The
RESEARCH vaccines are vaccine a MMR
QUESTION/HYPOTHESIS safe does not discredited vaccine
increase the study does not
likelihood cause
of autism autism