Wednesday, October 28, 2009

Priorities for H1N1 vaccinations

I would like to know what criteria (scientific evidence) our health care officials use to categorize the groups who are considered at risk for developing serious complications and/or death from H1N1. Evidence or data fall into 4 categories- lowest to highest These categories are- testimonials, argumentative, correlative and the gold standard of double blind study- the so called truly scientific method.
Seems to me that our officials are formulating their policies of the lower category of correlative evidence. Because 2 events occur together it does not mean that there is a causal relationship between them. I still recall very vividly a lecture from my undergraduate medical training where a speaker from England presented a slide showing a direct correlation between heart attacks and the sale of colored televisions! Others seem to have found a direct correlation between SIDS (sudden infant death syndrone ) and babies sleeping lying face down. Scientific evidence in the latter case suggests that the level of vitamin C in the infant may be the major contributing factor- Remember it takes a lot of strength to roll over from the prone to supine position even for us adults!
The recent death of the young hockey player in Ontario from swine flu has the medical community searching frantically for some correlative medical problem (evidence) like asthma rather than them searching for scientific evidence of biochemical/physiological differences.
I suggest that our medical prognosticators should go to their labs and do some basic scientific experimentation- they had at least 6 months to do it before the fall pandemic began. Instead they attend national forums to gather evidence for formulating their vaccination procedures. . For a start I haven't heard them mention one word about the immuo-competence of the so called high risk categories. They should also be reminded that it costs the public a lot of money to sent them to such forums often labeled as scientific meetings as well as the costs for the knowledge they are acquiring while being on the job at full salaries!

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