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AIBU?

Reassure me about bacterial meningitis

112 replies

Kiddiewinks2008 · 17/02/2016 19:53

Having read about that poor little girl Sad in the news plus now Matt Dawsons son too, am having a bit of a freak out about it. Should I be considering the vaccinations for my DCs aged 4&8?
Is it very rare? Realised that I don't know enough about it at all. Can i do anything to minimise risk of getting it?
Aibu to be worried but it seems to be in the media a lot

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mathanxiety · 20/02/2016 01:04

Bexsero is licensed in Europe and Australia. It has been shown to be safe for children and adolescents.

Older vaccines in use in the US and elsewhere have a twenty year history of effectiveness and safety.

www.ncbi.nlm.nih.gov/pmc/articles/PMC4083163/

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Blankiefan · 20/02/2016 01:31

The vaccine in pretty much unavailable privately now til July. High publicity levels have used up supplies and what's left is being directed to the NHS for their programme.

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bumbleymummy · 20/02/2016 07:43

Math, other vaccines having a good safety record does not prove the effectiveness and safety record of this vaccine.

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Aspergallus · 20/02/2016 09:52

I've had my 18 month old and 4 year old done. My dad nearly died of this as a child and has a lifelong disability as a result. Several friends children have had near misses -survived but problems with fatigue, seizures etc.

It was about £500 for full course for both children, money I don't regret spending.

But I am uncomfortable about it not being widely available. My children aren't more valuable than anyone else's and it's so unfair that this will come down to who can afford it.

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IdentityRequest1 · 20/02/2016 10:06

I have read, in various unsubstantiated places, that the vaccine isn't generally approved for children under 10. Is that actually that the case?

If it is new, is there anywhere we can read up on the efficacy of the vaccine?

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bumbleymummy · 20/02/2016 12:49

Someone linked to the vaccine insert on another great and it said it had been approved in children 10 years and older.

Effectiveness is still being assessed so no one actually knows how well it will work yet.

JCVI statement

I can't quote from it on my phone for some reason but there is a vaccine efficacy section which says that there is lack of evidence of efficacy because it hasn't been evaluated in an efficacy trial and isn't being used routinely in any country worldwide.

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IdentityRequest1 · 20/02/2016 12:57

Thanks Bumbley, I downloaded the pack insert and couldn't find anything about under 10s, so not sure where that has come from.
I do get nervous about the idea of new, and largely unevaluated vaccines/drugs/anything to give to children.

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mathanxiety · 21/02/2016 02:39

Bumbley:

www.meningitisnow.org/how-we-help/campaigns/beat-it-now/faqs-on-meningitis-b-vaccine/
'Q. Is the vaccine safe?
A. The Men B vaccine (Bexsero)® was licensed by the European Medical Association in January 2013 and all vaccines are extensively tested for safety and effectiveness before being licensed. This vaccine has been through ten years of trials in the laboratory and among volunteers. Although the vaccine is not used routinely anywhere else in the world, over 500,000 doses have been given in over 35 countries worldwide.'

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bumbleymummy · 21/02/2016 08:39

Yes Math, I've read that.

It doesn't say anything about assessing its safety based on the safety record of the other meningitis vaccines in use in the US and elsewhere. (which you mentioned upthread)

In any case the original point was about effectiveness.

Did you read the section on Vaccine Efficacy in the link above? That is probably why the expert on the radio that Backingvocals mentioned upthread said that they are waiting on this roll out to judge effectiveness. With it being a new vaccine, covering different strains, they can't just judge its effectiveness based on the results of the other meningitis vaccines - even if they have been in use for 20 years.

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mathanxiety · 22/02/2016 00:44

From meningitisnow.org, again: 'This vaccine has been through ten years of trials in the laboratory and among volunteers.'

Wrt Bexsero licensed for administration for patients aged 10 to 25:
'Three studies evaluating Bexsero’s effectiveness were conducted in Canada, Australia, Chile, and the United Kingdom in approximately 2,600 adolescents and young adults. Among study participants who received two doses of Bexsero, after vaccination, 62 to 88 percent had antibodies in their blood that killed three different N. meningitidis serogroup B strains in tests carried out in a laboratory, compared with 0 to 23 percent before vaccination. These three strains are representative of strains that cause serogroup B meningococcal disease in the U.S.

The safety of Bexsero was assessed in approximately 5,000 participants who received the vaccine in studies conducted in the U.S. and abroad. The most commonly reported side effects by those who received Bexsero were pain and swelling at the injection site, headache, diarrhea, muscle pain, joint pain, fatigue, and chills. In addition, safety was monitored in more than 15,000 individuals who received Bexsero prior to approval in response to two university outbreaks of serogroup B meningococcal disease in the U.S.

The FDA used the accelerated approval regulatory pathway to approve Bexsero. Accelerated approval allows the agency to approve products for serious or life-threatening diseases based on evidence of a product’s effectiveness that is reasonably likely to predict clinical benefit, reducing the time it takes for needed medical products to become available to the public. In the FDA’s evaluation for accelerated approval, evidence of effectiveness was demonstrated by the ability of Bexsero recipients’ antibodies to kill the three representative N. meningitidis serogroup B test strains. As part of the accelerated approval process, the manufacturer will conduct further studies to verify Bexsero’s effectiveness against additional strains of N. meningitidis serogroup B.

Bexsero was granted breakthrough therapy status, which is intended to expedite the development and review of medical products that address a serious or life-threatening condition. The FDA worked closely with the company during the vaccine’s development, and was able to evaluate Bexsero’s safety and effectiveness and approve it two months in advance of its priority review goal date. At the time Bexsero was granted breakthrough therapy status, there were no other FDA-approved vaccines available to prevent serogroup B meningococcal disease'

Trumenba:
'Three randomized studies were conducted in the United States and Europe in approximately 2,800 adolescents. Among study participants who received three doses of Trumenba, after vaccination, 82 percent had antibodies in their blood that killed four different N. meningitidis serogroup B strains compared with less than 1 percent before vaccination. These four strains are representative of strains that cause serogroup B meningococcal disease in the United States.

The safety of Trumenba was assessed in approximately 4,500 individuals who received the vaccine in studies conducted in the United States, Europe and Australia. The most commonly reported side effects by those who received Trumenba were pain and swelling at the injection site, headache, diarrhea, muscle pain, joint pain, fatigue and chills.

The FDA used the accelerated approval regulatory pathway to approve Trumenba. Accelerated approval allows the agency to approve products for serious or life-threatening diseases based on evidence of a product’s effectiveness that is reasonably likely to predict clinical benefit, reducing the time it takes for needed medical products to become available to the public. In the FDA’s evaluation for accelerated approval, evidence of effectiveness was demonstrated by the ability of Trumenba recipients’ antibodies to kill the four representative N. meningitidis serogroup B test strains. As part of the accelerated approval process, the manufacturer will conduct further studies to verify Trumenba’s effectiveness against additional strains of N. meningitidis serogroup B.

Trumenba was granted breakthrough therapy status, which is intended to expedite the development and review of medical products that address a serious or life-threatening condition. Working closely with the company, the FDA was able to evaluate Trumenba’s safety and effectiveness and approve it in well under six months, the usual timeframe for a priority review.'

I don't think effectiveness is really an issue.

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Kiddiewinks2008 · 22/02/2016 16:47

Thanks for all your responses to my original email. There is another tragic case of a 7 year old boy who died this week in the media today (sobbed at my desk at the images) so really hope that there is some movement by the government about the vaccine- apparently its the most signed government petition ever Sad

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Worriedlisa · 22/02/2016 20:27

I'm trying desperately to find anywhere doing the vaccines privately after a scare this weekend of my little 5 year old son :(
Absolutely terrifying and the paeditrician told me to try my best to find the vaccine as we left the a&e dept ;( Really feel like I'm letting these little ones down not being able to find it anywhere.

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