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Comparison of effects of vaccines and diseases
National Health and Medical Research Council, The Australian Immunisation handbook 7th edition, March 2000.

DISEASE EFFECTS OF DISEASE SIDE EFFECTS OF VACCINATION VACCINE EFFECTIVENESS*
Diphtheria – contagious bacteria spread by droplets; causes severe throat and breathing difficulties. About 1 in 15 patients die. The bacteria release a toxin, which can produce nerve paralysis and heart failure. DTPa vaccine – about 1 in 10 have local inflammation or fever. Serious adverse events are very rare, and much less common than DTPw.
Hepatitis B – contagious virus spread mainly by blood, sexual contact or from mother to newborn baby; causes acute hepatitis or chronic carriage. About 1 in 3 chronic carriers will develop cirrhosis or liver cancer. About 1 in 15 to 1 in 100 have pain and fever. Anaphylaxis occurs in about 1 in 600,000. 95%
Hib – contagious bacteria spread by droplets; causes meningitis, epiglottitis (respiratory obstruction), septicaemia, osteomyelitis. About 1 in 20 meningitis patients die and 1 in 4 survivors have permanent brain or nerve damage. About 1 in 100 epiglottitis patients die. About 1 in 20 have discomfort or local inflammation. About 1 in 50 have fever. Over 95%
Influenza – contagious virus spread by droplets; causes fever, muscle and joint pains, pneumonia. Causes increased hospitalization in the elderly. High risk groups include the elderly, diabetics, alcoholics, etc. About 1 in 10 have local reactions, Guillain-Barre syndrome occurs in about 1 in 1 million. 60% elderly, 90% healthy young adults
Measles – highly infectious virus spread by droplets; causes fever, cough, rash. 1 in 25 children with measles develop pneumonia and 1 in 2,000 develop encephalitis (brain inflammation). For every 10 children who develop measles encephalitis, 1 dies and up to 4 have permanent brain damage. About 1 in 25,000 develop SSPE (brain degeneration), which is always fatal. About 1 in 10 have discomfort, local inflammation and fever. About 1 in 100 develop a rash, which in noninfectious. 1 in 1 million recipients may develop encephalitis (inflammation of the brain). 95-98%
Mumps – contagious virus spread by saliva; causes swollen neck glands, fever. 1 in 200 children develop encephalitis (brain inflammation). 1 in 5 males past puberty develop inflammation of testicles. Occasionally mumps causes infertility or deafness. 1 in 100 recipients may develop swelling of the salivary glands. 1 in 3 million recipients develop mild encephalitis (inflammation of the brain). 95%
Pertussis – contagious bacteria spread by droplets; causes whooping cough and vomiting, lasting up to 3 months. About 1 in 200 whooping cough patients under the age of 6 months die from pneumonia or brain damage. As for DTPa vaccine (see diphtheria). 85%
Polio – contagious virus spread by faeces and saliva; causes fever, headache, vomiting and may progress to paralysis. About 1 in 20 hospitalised patients die and 1 in 2 patients who survive are permanently paralysed. Less than 1 in 100 recipients develop diarrhoea, headache and/or muscle pains. 1 in 2.5 million recipients or close contacts develop paralysis.,
Pneumococcus – bacteria spread by droplets; cause fever, pneumonia, septicaemia, meningitis. About 1 in 10 meningitis patients die. Less than 1 in 20 have pain or local reactions.
Rubella – contagious virus spread by droplets; causes rash, fever, swollen glands, but causes severe malformations to babies of infected pregnant women. About 5 in 10 patients develop a rash and painful swollen glands; 5 in 10 adolescents and adults have painful joints; 1 in 3,000 develop thrombocytopenia (bruising or bleeding); 1 in 6,000 develop inflammation of the brain; 9 in 10 babies infected during the first 10 weeks after conception will have a major congenital abnormality (such as deafness, blindness, brain damage or heart defects). About 1 in 10 have discomfort, local inflammation, or fever. About 1 in 20 have swollen glands, stiff neck, or joint pains. About 1 in 100 have a rash, which in noninfectious. Thrombocytopenia (bruising or bleeding) occurs after a first dose of MMR at a rate of 1 in 30,500. 95%
Tetanus – caused by toxin of bacteria in soil; causes painful muscle spasms, convulsions, lockjaw. About 1 in 10 patients die. The risk is greatest for the very young or old. As for DTPa vaccine (see diphtheria).


*(Vaccine effectiveness figures researched by the Northern Rivers Division of General Practice.)













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