Opposition to Mercury Ban Waning A state Senate panel will vote on whether to make illegal the addition of a preservative in vaccines given to expectant mothers and infants.
From: JWissmille (jwissmille_at_aol.com)
Date: 06/27/04
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Date: 27 Jun 2004 21:58:18 GMT
a-headlines-california
Los Angeles Times
June 23, 2004
Opposition to Mercury Ban Waning
A state Senate panel will vote on whether to make illegal the addition of a
preservative in vaccines given to expectant mothers and infants.
By Myron Levin
Times Staff Writer
A bill to ban mercury from vaccines administered to infants and pregnant
women faces a key test today in the state Senate, where resistance by
prominent physicians' groups appears to be weakening.
The bill by Assemblywoman Fran Pavley (D-Agoura Hills) would make it illegal
to administer to expectant mothers or children younger than 3 shots
containing more than trace amounts of thimerosal, a mercury-laced
preservative used in some vaccines to prevent bacterial growth. Approved
last month in the state Assembly by a 49-22 vote, the ban would take effect
in 2006.
The bill is scheduled for a hearing and vote this afternoon in the Senate
Health and Human Services Committee, amid signs that doctors' groups are
wavering in their opposition.
The state chapters of the American Academy of Pediatrics and the American
Academy of Family Physicians had opposed the bill on various grounds -
warning mainly that it could lead to vaccine shortages.
On Tuesday, the pediatrics group said it had switched to a neutral stance,
based on Pavley's acceptance of modest amendments. Tom Riley, a lobbyist for
the family physicians group, said Tuesday that it also was reassessing its
stand.
The state Department of Finance is on record in opposition to the bill, on
grounds it will cost the state extra to purchase thimerosal-free vaccine.
According to state health officials, the added cost would be about $40,000
per year.
Closely watched by federal health officials and the vaccine industry, the
bill is advancing at a time of mounting concern over environmental exposures
to mercury, a potent neurotoxin. It also comes amid scientific debate and
legal battles over whether thimerosal in children's shots has contributed to
a sharp rise in reported cases of autism and other neurological disorders.
Last month, experts from the Institute of Medicine, a branch of the National
Academy of Sciences, declared that the evidence does not support a causal
link between thimerosal and autism.
But a few studies have suggested there is a link. And Marie C. McCormick, a
professor at the Harvard School of Public Health who led the Institute of
Medicine panel, said regardless of its findings it was wise "to reduce as
much as possible exposure to mercury from all causes."
Proposed thimerosal bans are also pending in a few other states, and a
weaker version of the Pavley bill was adopted in Iowa earlier this year.
Legislation pending in Congress to eliminate thimerosal from vaccines has 13
Democratic and 10 Republican co-sponsors.
The academy of pediatrics five years ago joined federal officials in urging
the pharmaceutical industry to eliminate thimerosal from routinely
administered pediatric vaccines. Parent activists said the group's
opposition to the California bill represented a reversal of that stand.
That the nation's leading organization of pediatricians had opposed "a ban
on mercury in vaccines does not speak well for its leadership," said Barbara
Loe Fisher, co-founder of the National Vaccine Information Center, a group
that promotes safer vaccines.
"Pediatricians across the country should be joining with parents in seeking
a ban on exposing children to mercury in any form," she said.
Rick Rollens, a co-founder of the MIND Institute at UC Davis and parent of
an autistic son, said fear of a vaccine shortage was a "bogus" issue. He
argued that the real concern is avoiding any step that could "erode
confidence in the overall immunization program."
Thimerosal is 49.6% ethyl mercury, a different form than the methyl mercury
in power plant emissions and fish. Ethyl mercury has been less well-studied,
but some research suggests it is more easily eliminated from the body.
Thimerosal is regarded as the most effective of several preservatives used
to prevent the growth of bacteria and fungus during production of vaccines.
It is diluted to trace concentrations in vaccines sold in single-dose vials
or syringes. But producers add extra preservative to vaccine packed in
10-dose vials to resist contamination when needles puncture the seal. Over
the years, doctors and clinics favored the 10-dose vials because they were
cheaper and easier to store.
But things began to change in 1999, when the U.S. Public Health Service and
academy of pediatrics called on the industry, as a precaution, to eliminate
thimerosal by switching to single-dose vials.
In doing so, they acknowledged a major oversight: Under the country's
increasingly aggressive policy of childhood immunizations during the 1990s,
they had failed to grasp that many infants were being exposed to mercury in
doses exceeding Environmental Protection Agency guidelines.
Now, thimerosal is being reintroduced in one type of pediatric vaccine,
after a decision earlier this year to add flu shots to the list of fully
recommended childhood immunizations.
That's because Aventis Pasteur Inc., the only maker of flu vaccines for
infants 6 months through 23 months old, is marketing them in both
single-dose thimerosal-free and multi-dose thimerosal-laced containers.
According to some estimates, making thimerosal-free vaccine results in the
loss of as much as one-third of the vaccine volume, mainly because of
spillage from filling single-dose containers. And while vaccine makers
haven't publicly warned of supply problems, the academies of pediatrics and
family physicians had raised the issue of shortages.
Eliminating thimerosal "would save everybody a big headache" by encouraging
parents to have their children vaccinated, said Dr. Dean Blumberg, an
associate professor of pediatrics at UC Davis, and chairman of the academy
of pediatrics' committee on infectious disease in California.
But if there is not enough thimerosal-free vaccine, "California's children
are going to be left out in the cold and unprotected from a potentially
deadly disease," Blumberg said.
Pavley said that while doctors were raising the shortage issue, vaccine
manufacturers "have not been involved in this at all."
Indeed, Aventis Pasteur is not opposing the bill or saying it won't be able
to produce enough thimerosal-free vaccine by 2006.
"Aventis Pasteur has not taken a position on this specific bill," the
company said in a statement. "However, in general, we oppose any legislation
that would interfere with the public availability of FDA-approved vaccines
and unnecessarily undermines public confidence in national vaccine policy."
On Tuesday, the academy of pediatrics said it would withdraw its opposition
because Pavley had agreed to two changes - a six-month delay in the start of
the ban, from January to July 2006, and a provision for temporary waiver of
the ban in case of a public health emergency.
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