Kiera Butler

Kiera Butler

Senior Editor

A senior editor at Mother Jones, Kiera covers health, food, and the environment. She is the author of the new book Raise: What 4-H Teaches 7 Million Kids—and How Its Lessons Could Change Food and Farming Forever (University of California Press).

 

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No, You Shouldn't Let Fears of a Scary Nervous System Disease Stop You From Getting a Flu Shot

| Mon Jan. 19, 2015 7:00 AM EST

Despite abundant evidence that flu vaccines are safe and effective, only about a third of Americans get the shots each season. Public health experts believe that one reason for the low immunization rates is misinformation about side effects of the vaccine. One is the belief that the vaccine can actually give you the flu (false); another is that it can cause autism in children (also false, as we've said many times).

"Your risk of GBS actually goes down when you get the vaccine because it prevents the flu."

Add that to the worry that it will cause a rare but serious nervous-system disorder called Guillain–Barré syndrome (GBS), an autoimmune disease in which the immune system attacks the nervous system, resulting in muscle weakness, or even temporary paralysis. This fear is not completely unfounded—several studies, including a recent one by Italian researchers about the 2010-2011 vaccine—have found that getting a flu shot can indeed very slightly elevate one's risk of contracting the disease, by about one additional case per million people.

But here's where things get complicated: While it's true that the flu vaccine can raise your GBS risk, so can the flu itself. So which is more likely to lead to GBS: Getting the vaccine or getting the flu?

That's the question that Steven Hawken and Kumanan Wilson, epidemiologists from The Ottawa Hospital, set out to answer. The researchers developed a calculator that took into account baseline GBS risk (overall, it's about 10 in a million, though it varies with age and sex—GBS affects more men than women and more elderly people than young adults and children), vaccine effectiveness, and overall incidence of flu. Their findings: For most people, in a flu season where the flu incidence is greater than 5 percent and the vaccine is more than 60 percent effective, says Wilson, "your risk of GBS actually goes down when you get the vaccine because it prevents the flu."

That's good news in most years, when the flu vaccine is well over 60 percent effective. Here's the problem: This year's flu vaccine is only about 23 percent effective. Still, according to Wilson, while this year's total flu incidence isn't yet known, it appears to be greater than that of an average year—much higher than 5 percent. That means that even with the reduced effectiveness of the vaccine, the overall GBS risk is likely still greater for people who contract the flu than for those who get immunized, says Wilson.

What's more, he adds, it's important to keep in mind that the risk of serious complications from the flu outweighs that of acquiring GBS. Last year, according to the CDC, 9,635 people were hospitalized with the flu in the United States. According to the CDC there are between 3,000-6,000 cases of GBS annually (though no hospitalization data is available). Most of those cases aren't caused by flu vaccines or the flu itself; the most common cause of GBS is infection with the bacterium Campylobacter jejeuni, usually the result of eating contaminated food.

The takeaway: The GBS risk from the flu itself is most likely greater than that of the vaccine. And while GBS can be a scary disease, it's much less common than scary complications FROM the flu.

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3 Medical Conditions That Bacon Can Cure

| Wed Jan. 14, 2015 7:00 AM EST

As we all know, the internet is obsessed with bacon. Physicians, however, are usually less bullish about the delicious yet notoriously artery-clogging treat. Until now: Over at the medical blog KevinMD, Dr. Jennifer Gunter combs the scientific literature and turns up three actual medical conditions that bacon can help treat: 

  1. Nosebleeds. Last October, Stanford otolaryngologist Ian Humphreys developed a nasal tampon made out of bacon that cured a young girl's bloody nose, an accomplishment for which he was awarded a 2014 IgNobel Prize in medicine. "Apparently the high salt content of bacon is believed to induce swelling which causes the blood vessels to constrict slowing the flow of blood and helping clotting," writes Gunter. When Humphreys won the IgNobel, Robert Jackler, chair of Stanford's otolaryngology department, told Stanford's Scope medical blog, "We are squealing with pride."
     
  2. An incredibly disgusting-sounding infection called furuncular myiasis in which the larvae of an insect called Dermatobia hominis nest in the human soft tissue or skin, resulting in boils and sometimes tissue destruction. Shudder. "The treatment largely consists of manually picking out the larvae with tweezers," writes Gunter. "Apparently bacon fat can be used as bait to lure the larvae to the skin surface for faster and more effective removal."
     
  3. Scabies. Apparently, bacon fat was once used in topical sulfur and salicylic acid creams used to treat this itchy and highly contagious skin infection. A 1991 study compared the bacon fat formulation to the more modern cold cream version and finds, Gunter writes, that "while the cold cream combination was 100% effective versus 88 percent for the bacon fat base the authors noted that the bacon fat concoction was 238 times less expensive than the cheapest scabicidal medication in the U.S."

So there you have it: bacon as medicine. Something to keep in mind if you have any left over after you make that gross bacon lattice thing for your Super Bowl party.

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