ini mbak... mudah-mudahan bermanfaat ya.. dari milis sebelah (selain tanggapan dari saya yang sudah sebelumnya saya posting).. disini juga ada e-mail sanggahan dari CDC ( *Centers* *for* *Disease* *Control* and Prevention <http://www.cdc.gov/>/ http://www.cdc.gov) <http://www.cdc.gov%29> mengenai issue tersebut. CDC adalah badan internasional yang menangani kesehatan, termasuk rekomendasi vaksin dan jadwal vaksinasi untuk dunia
much love, reyna /----------------------------------/ Dear SP's, Sehubungan dgn adanya article Deadly Immunity, saya kemarin kirim email ke CDC utk confirm masalah tsb. Dibawah adalah email jawaban dr mereka (surprisingly very promptly). Semoga dpt memberikan sedikit pencerahan. Regards, Wulan-Abir's Mom -----Original Message----- From: NIPINFO [mailto:[EMAIL PROTECTED] Sent: Thursday, July 07, 2005 7:00 PM To: Wulan Dharmajati Subject: Safety gp We are planning to have a transcript of the meeting on our website soon so that you can read the proceedings for yourself. Below is a response given by the President of the Institute of Medicine. Yes you are correct that Thimerosal has been removed from most childhood vaccines in the United States. I cannot speak to what vaccine Indonesia may be using. Duane Kilgus, MPH, RS Commander, US Public Health Service National Immunization program Centers for Disease Control and Prevention Joan Walsh, Editor in Chief Gary Kamiya, Vice President of Content/Executive Editor Salon Media Group Inc. Dear Ms. Walsh and Mr. Kamiya: A commentary on vaccine safety issues written by Robert F. Kennedy Jr. that appeared in Salon and Rolling Stone is rife with factual errors and distortions. Although there are numerous errors in Kennedy's piece that deserve correction and clarification, this letter focuses only on the errors pertaining to the Institute of Medicine. Commentators and publications should take great care to ensure that their stories dealing with health provide parents with verifiable facts and reliable scientific evidence. Providing any less can lead to unwarranted fears and anxiety. The Centers for Disease Control and Prevention and the National Institutes of Health asked the Institute of Medicine in 2000 to provide an independent and objective review of a series of vaccine safety concerns. This review resulted in a total of eight reports (for a full list see http://www.iom.edu/imsafety). <http://www.iom.edu/imsafety%29.> The charge to the study committee is a matter of public record and was discussed in a public meeting on January 10, 2001. Sponsors of IOM studies provide funding and their perspectives on what committees convened to carry out the studies should be charged to do. For example, in the case of IOM's studies of vaccines and autism, CDC discussed what would make the committee's conclusions and recommendations most useful and understandable to policy-makers - such as outlining specific research needs rather than giving a general recommendation that more research is needed. However, no organizations - neither CDC, nor NIH, nor medical associations, nor parent groups, nor any others - have control over committee members' conclusions and recommendations. The only factor that influences IOM committees' conclusions and recommendations is the evidence. This is borne out by the results of IOM's first look at the thimerosal question in 2001. For those who are not aware, IOM visited the thimerosal question twice in its series on vaccine safety. At that time, the committee concluded that although there was not solid evidence linking thimerosal to brain disorders including autism, neither was the evidence sufficient to rule out a link. This would hardly seem to be a conclusion that would be reached by a committee that was "instructed to produce a report debunking the link," as Mr. Kennedy erroneously wrote. In addition, the committee in that report supported a call by the American Academy of Pediatrics for thimerosal to be removed voluntarily from vaccines. Mr. Kennedy sought to buttress his misrepresentation of the purpose of the IOM studies by selectively using and fabricating quotations from the transcript of an organizational meeting held by the committee. He took words and phrases out of context, combined them, and misrepresented them as direct quotes. The discussions recorded in this transcript focus on the committee members' efforts to make sure that they fully understood their charge and reached agreement on the best way to conduct their study. Part of the discussions focused on the concerns, interests, and stakes held by various parties, including both CDC and parents. For example, Mr. Kennedy used this partial quote from Dr. Marie McCormick: "[The CDC] wants us to declare, well, these things are pretty safe." Here is the full quote from Dr. McCormick: "I took away [from the previous day's discussion] actually an issue that we may have to confront, and that is actually the definition of what we mean by safety. It is safety on a population basis, but it is also safety for the individual child. I am wondering, if we take this dual perspective, we may address more of the parent concerns, perhaps developing a better message if we think about what comes down the stream as opposed to CDC, which wants us to declare, well, these things are pretty safe on a population basis." The full quote is part of a discussion of the needs of parents to know if a vaccine is safe for an individual child (or if the vaccine is a danger for an ill child) compared with the public health community's need to know if vaccines pose risks to a whole population. In fact, Dr. McCormick proposed that the committee consider addressing the parental concerns about the health of an individual child - not just CDC's concern about population-wide effects. In its 2004 report, the committee concluded that the totality of the evidence available indicated that neither thimerosal nor the MMR vaccine is associated with autism. Contrary to Mr. Kennedy's assertions, the report clearly recommends that research continue to seek the cause or causes of autism, but that finite resources should be directed toward the most promising paths, and that a significant investment in studies of the theoretical vaccine-autism connection is not useful at this time. The exact text of the IOM report reads: "The committee urges that research on autism focus more broadly on the disorder's causes and treatments for it. Thus, the committee recommends a public health response that fully supports an array of vaccine safety activities. In addition the committee recommends that available funding for autism research be channeled to the most promising areas." In addition, the committee recommended that trends in autism incidence in the United States be closely tracked now that thimerosal has been largely eliminated from routine immunizations. The report offers nine specific recommendations for research on autism, thimerosal, and vaccine safety in general. To reach its conclusions about the possible links between thimerosal and the MMR vaccine and autism, the committee reviewed a large amount of literature on this topic - more than 215 references are cited in the 2004 report. The committee members based their conclusions on the whole body of the evidence, including toxicology studies, not just four epidemiological studies. The committee included several experts in epidemiology, pediatrics, clinical medicine, statistics, and other relevant fields who reviewed and discussed in detail the strengths and weaknesses of the epidemiological, clinical, and biological evidence pertaining to thimerosal and autism. Their detailed analysis of these strengths and weaknesses is included in their report, which is a public document available to anyone who wishes to read it. Mr. Kennedy did not offer a detailed analysis of why he views four of the studies reviewed by the committee as flawed. In addition, Mr. Kennedy erroneously conflates the work of two entirely separate IOM committees. The IOM entered into a contract with CDC in 2004 to assess the Vaccine Safety Datalink (VSD) Data Sharing program. (The VSD is a large, linked database of patient information such as vaccination histories, health outcomes, and characteristics that can be used to study whether health problems are associated with vaccinations.) As an independent, nongovernmental organization, the IOM cannot be forced to take on any particular study, nor was there pressure from Congress, parents, or others to conduct this study. The Committee on the Review of the National Immunization Program's Research Procedures and Data Sharing Program did not review the work of the IOM Immunization Safety Review Committee, which wrote the report on vaccines and autism. The committee that reviewed the data sharing program released a report in February 2005 that was directed to CDC and others involved with the VSD, not to the IOM's Immunization Safety Review Committee. Mr. Kennedy's piece does not mention that the IOM's studies on vaccines and autism - like all IOM studies - were peer-reviewed (the equivalent of fact-checking in the scientific community) by a group of outside experts before being approved for publication. The Institute of Medicine, a branch of the National Academies, also follows stringent policies for reviewing the potential conflicts of interest or biases of individuals who are chosen to serve on its study committees. The members selected for the committee that reviewed vaccine safety issues had no links to CDC, vaccine manufacturers, vaccine-related litigation or advocacy groups, and they had received no recent funding from the sponsors of the study. They received no remuneration for their work on the committee. The reputation of the National Academies for objectivity, integrity, independence, and competence has been earned through numerous studies, and it is one of our most important assets. Our corrections are only a subset of the many factual misstatements and errors contained in Mr. Kennedy's commentary. In the interests of accuracy and fairness - and to alleviate unsubstantiated anxiety that this piece may have raised among readers - we call upon Salon and Rolling Stone to publish this full letter and to run a complete correction of the many other errors contained in Mr. Kennedy's commentary. Sincerely, Harvey V. Fineberg, M.D., Ph.D. President Institute of Medicine of the National Academies CC: Rolling Stone magazine Jann S. Wenner, Editor and Publisher Will Dana, Deputy Managing Editor James Kaminsky, Deputy Managing Editor Joe Levy, Deputy Managing Editor Rolling Stone.com Larry Carlat, Editor in Chief -----Original Message----- From: Wulan Dharmajati [mailto:[EMAIL PROTECTED] Sent: Thursday, July 07, 2005 5:47 AM To: NIPINFO Subject: Deadly Immunity article by RFK Jr. Dear Mr/Ms., I have read the Deadly Immunity article written by Robert F. Kennedy Jr. at Rolling Stone magazine. I'd like to know how is CDC's comment about it? Since my 2,5 years old daughter is already get almost all vacciness and I have an autism nephew named Dea. Dea's family is always sad about her condition. I live at Indonesia, and is it true that thimerosal is already banned in US and exported to develop country such mine? Please give me reasons that those article is rubbish. Looking forward for your attention. Many thanks, Wulan /-----------------------------------------------------/ Dear SPs dan Dr. Wati, Artikel tersebut memang benar pernah disebut dalam pemberitaan TV bulan lalu mulai dari ABC, NBC, dll dan juga dibicarakan lagi di USA today per july tgl 6 dan 7. Kalau saya pribadi selama CDC, FDA, WHO dan lembaga kesehatan lainnya belum mengeluarkan pernyataan larangan atau warning, berarti memang vaksin MMR, flu dll aman untuk anak-anak. Secara logika juga tidak mungkinlah pemerintah US selama ini merancuni anak-anaknya sendiri , karena semua vaksinasi untuk anak-anak wajib di US (kalau masuk sekolah harus ada surat bukti vaksinasi dari dokternya masing-masing). Juga WHO dan pemerintah dari negara maju lainnya seperti mbak Sheeren bilang Australia, UK dll, kok adem ayem saja. Sebetulnya sampai sekarang masih belum pasti diketahui secara tepat penyebab autisme ini dan masih dalam penelitian lebih lanjut seperti pemberitaan media di sini. Bapak Robert F Kennedy ini memang activist di bidang lingkungan hidup tetapi juga sekaligus politikus. Seperti SPs ketahui di US, setiap orang bebas mengeluarkan pendapat, hanya kitanya sebagai pendengar/pembaca/pemirsa yang harus pandai-pandai memilih mana yang masuk akal/rational dan bisa dipakai dan mana yang tidak. Maaf kalau ada kata-kata yang kurang berkenan. Salam , Dwi /------------------------------------/ dari dr. wati Dear Ibu Yulia dan Nensi Thanks a lot Ibu Yulia I really appreciate your comment Ibu Nensi ... Saya kok prihatin banget Di tengah maraknya polio, campak, rubella, lalu gondongan ... masih saja ada upaya-upaya anti vaksinasi Ibu Nensi ... Kasihan kan anak-anak Indonesia ... menderita lahir batin Kasihan kan orang tua nya ... kebingungan dan kehilangan enersi Ketika banyak pihak berupaya sebisanya untuk melakukan upaya promotif mensukseskan program imunisasi ... dalam skala sekecil apapun ... Katakanlah Ibu Nensi tidak setuju dengan program imunisasi ... sebaiknya Ibu konsentrasi saja di "habitat" ibu yang memang sudah kadung anti imunisasi ... Ibu Nensi Bagaimana bila anak-anak yang tidak diimunisasi lalu cacat, atau di usia sekolah dasar menderita komplikasi lambat measles dalam bentuk SSPE lalu meninggal, dst dst Bisakah ibu menjawab ketika mereka lalu mempertanyakan : "mengapa ibu "menakut-nakuti" orang tua saya?" Ibu Nensi ... kejadian itu kan tahun 2000 ... selama 5 tahun banyak yang bisa diperbuat kalau memang vaksinasi berbahaya. Percayakah ibu bahwa kebenaran bisa ditutup-tutupi .. apalagi ketika menyangkut nyawa manusia ... apalagi ketika menyangkut nyawa anak-anak ... Pasti yang menutup-nutupi sudah diajukan ke sidang HAM internasional ... atas tuntutan kriminalitas tingkat tinggi ... Dear beloved SP Saya lelah sekali ... KONIKA, lalu di Jakarta banyak hal mesti saya kerjakan, belum lagi memikirkan kelangsungan jangka panjang grup sehat, meeting seharian tadi ..besok ke Batam ... Minggu depannya lagi ke Kaltim Sebetulnya saya sudah telp Luluk minta ijin absen milis (email tetap dipantau) selama 2 minggu ... tetapi saya TIDAK TAHAN membaca email2 yang seperti cuci otak agar kalian anti imunisasi Please be wise Please try to get balanced information Please try to see both sides, manfaat nya harus dilihat jangan cuma melihat sisi jeleknya saja .. apalagi ketika sisi jeleknya "rekaan" ... I have faith on you I know that you are all too smart to be "fooled" by such a sensational issue Kalian terlalu bijak dan terlalu cerdas untuk bisa dikelabui berita2 sensasional Cinta saya Hormat saya buat kalian, buat anak2 kalian wati /-----------------------------------------------------------/ mbak nensi.. sebelumnya, sorry kalo saya mencantumkan kembali tanggapannya mbak shereen.. (tidak dihapus) saya sependapat dengan mbak shereen. bisa jadi tokoh yang mbak nensi utarakan itu emang hanya cari publikasi misalnya? who knows? seperti yang dokter wati bilang, dunia kedokteran adalah dunia yang berada pada koridor risk and benefit. sebaiknya sebelum menyebarkan hal-hal yang belum terbukti dan diakui oleh dunia, kita check dulu kebenarannya. dulu yang mengaitkan dan mengeluarkan pernyataan autis dengan vaksin ini juga dokter kok.. namanya Dr. Andrew Wakefield di tahun 1998, sampai akhirnya pernyataan itu ditarik kembali karena setelah keluar pernyataan tersebut, ahli2 di seluruh dunia (bukan cuma di amerika, atau di indonesia) melakukan riset yang berkepanjangan untuk membuktikannya. coba baca ini (http://www.kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=107&cat_id=4&article_set=34122): <http://www.kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=107&cat_id=4&article_set=34122%29:> <http://www.kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=107&cat_id=4&article_set=34122%29: <http://www.kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=107&cat_id=4&article_set=34122%29:>> In 1998, Andrew Wakefield headed a group of researchers in publishing a much-disputed study that suggested a possible link between autism and the measles-mumps-rubella (MMR) vaccine. Since then, several studies have found no clear evidence to link MMR and autism, and all major health organizations - including the American Academy of Pediatrics, the National Institutes of Health, the Centers for Disease Control and Prevention, and the World Health Organization - have rejected Dr. Wakefield's claims. Still, fear of the MMR vaccine has caused some parents to avoid immunizing their children, leaving them susceptible to diseases that once killed thousands. Now, 10 out of its 13 authors are retracting, or taking back, the controversial 1998 study. The Lancet, the journal in which the 1998 study was published, printed the retraction in the March 6 issue. The authors write: "We wish to make it clear that in this paper no causal link was established between MMR vaccine and autism as the data were insufficient. However, the possibility of such a link was raised and consequent events have had major implications for public health. In view of this, we consider now is the appropriate time that we should together formally retract the interpretation placed upon these findings in the paper." kalau mbak nensi berkenan membaca posting saya yang dulu saya tujukan ke mbak nensi, ada kok artikel lengkapnya:) kalau memang vaksin itu berbahaya, tentunya informasi tersebut akan disebarluaskan. masa iya sih who, aap, cdc atau unicef sekalipun ngebiarin aja berjuta2 anak disuntik sesuatu yang berbahaya. lagian kan kita udah sama-sama tau, kalo dulu pernah kok vaksin ini dihentikan pemberiannya.. tapi ternyata penderita autis tetap meningkat aja kok, dilain pihak anak2 yang akhirnya meninggal karena measles, mumps, rubella malah meningkat karena pemberian vaksin tersebut dihentikan. jelas kan vaksin ini menolong jutaan anak di dunia. saya emang ngga faham dunia kedokteran karena saya juga hanya ibu biasa bagi anak yang juga biasa, tapi sebaiknya kita menjadi lebih arif untuk menerima suatu informasi, apalagi hal itu menyangkut masa depan anak kita. yang saya tau, bukan hanya sekali ini kan keluar isu seperti itu? tapi apakah para ahli (saya bilang para ahli lho ya, bukan ahli yang di indonesia aja.. tapi seluruh dunia) menanggapi? ngga kan? mereka bahkan mungkin memberikan anak mereka sendiri vaksin tersebut. kalo ngga, ngga akan mungkin negara2 maju menerapkan peraturan yang menyatakan bahwa anak yang belum di vaksin mmr or hib tidak boleh masuk sekolah, tpa, dsb.. (bener kan mbak shereen?) sementara malaysia udah mencanangkan aturan tersebut, di indonesia kok masih aja sih ribut soal autis dan vaksin.. kapan kita majunya ya? mohon maaf kalau tidak berkenan much love, reyna /----------------------------------------------------------/ keanka1 wrote: Mbak Nensi, terima kasih atas masukan2nya... setelah saya baca berulang kali artikel tersebut untuk memahaminya (sampe nanya lagi sama suami...bener gak yah pemahaman saya yaaa..., maklum inggris saya kan gak secanggih dia yang dari lahir ngomongnya inggris mulu, ternyata jadi bikin PD deh soalnya dia sependapat saya juga), saya tetap merasa koq yah banyak bolongnya... (begitu juga akurasi datanya itu asalnya dari mana terlepas dari kata Dr siapalah...Saya juga browse sana sini mengenai sang penulis... yah memang dia adalah Robert Francis Kennedy Jr, sang senator who claims war against Bush, si penulis Crimes against Natures (ditulis di majalah Rolling Stones juga...) Setelah saya lebih mengenal baca mengenai sang penulis... perasaan saya semakin menguatlah, nothing more than political issues... perang antar politikus...legal2 aja tohhh.... tulisan mengeani deadly immunity adalah pandangannya dia... Mungkin pemikiran saya naif kali ya.... saya sih cuma berpatokan kalo iyaaa emang bener tentunya gak cuma politikus senator RObert F Kennedy saja beserta partainya yang akan koar2 dengan issue yang sangat serius yang saya rasa menyangkut kehidupan anak di dunia (apalagi yang menurut dia amerika "meracun" anak2 di negara dunia 3).. tentunya para ilmuwan, prof and doctor dinegara maju lainnya (yang gak ada hubungannya yah dengan politik di Amerika)pasti akan "kebakaran"jenggot juga dong...?? apalagi dengan kemajuan informasi sekarang ini gossip cepet banget nyebar...;o) Kalau beracu kembali dari tanggal release artikel tersebut, para ilmuwan di Australia (tempat saya tinggal sekarang ini) koq yah adem ayem aja yah??? imunisasi tetep wajib.. gak ada gaung ini sama sekali... apa bener mereka gak peduli yah??? kalo emang bener kaum ilmuwan yang beroposisi dengan pemerintah banyak lohhh bisa saja ini jadi senjata mereka untuk menurunkan pemerintah.. Iyaa... saya tau koq majalah Rollingstones ini... majalah trend...up to date dengan news tentunya kalo gak mau kalah bersaing dengan majalah2 lainnya.. apapun topik hangat akan menjadi hangat, yang gak hangat yah dihangat2in dehh.. namanya juga media.. (cmiiw yah sps) soal info bener apa ngak yahhh itu kan urusan belakangan toh..?? Btw, semuanya berbalik pada kebijakan kita masing2 dalam memutuskan sesuatu... Just be wise.... Sorry banget kalo ada kata2 yang tidak berkenan, ini hanya pendapat saya saja, mungkin pendapat saya bisa salah..(sorry buru2 mo pergi sehhh) Regards, Shereen ------------------------------------------------------------------------ YAHOO! GROUPS LINKS * Visit your group "berbadan-dua <http://groups.yahoo.com/group/berbadan-dua>" on the web. * To unsubscribe from this group, send an email to: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> * Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service <http://docs.yahoo.com/info/terms/>. ------------------------------------------------------------------------
