Do Vaccines Trigger Neurological Diseases? Epidemiological Evaluation of Vaccination and Neurological Diseases Using Examples of Multiple Sclerosis, Guillain–Barré Syndrome and Narcolepsy
Identifieur interne : 002005 ( Ncbi/Curation ); précédent : 002004; suivant : 002006Do Vaccines Trigger Neurological Diseases? Epidemiological Evaluation of Vaccination and Neurological Diseases Using Examples of Multiple Sclerosis, Guillain–Barré Syndrome and Narcolepsy
Auteurs : Julia Stowe ; Nick Andrews ; Elizabeth MillerSource :
- CNS Drugs [ 1172-7047 ] ; 2019.
Abstract
This article evaluates the epidemiological evidence for a relationship between vaccination and neurological disease, specifically multiple sclerosis, Guillain–Barré syndrome and narcolepsy. The statistical methods used to test vaccine safety hypotheses are described and the merits of different study designs evaluated; these include the cohort, case-control, case-coverage and the self-controlled case-series methods. For multiple sclerosis, the evidence does not support the hypothesized relationship with hepatitis B vaccine. For Guillain−Barré syndrome, the evidence suggests a small elevated risk after influenza vaccines, though considerably lower than after natural influenza infection, with no elevated risk after human papilloma virus vaccine. For narcolepsy, there is strong evidence of a causal association with one adjuvanted vaccine used in the 2009/10 influenza pandemic. Rapid investigation of vaccine safety concerns, however biologically implausible, is essential to maintain public and professional confidence in vaccination programmes.
Url:
DOI: 10.1007/s40263-019-00670-y
PubMed: 31576507
PubMed Central: 7224038
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Julia Stowe<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.271308.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 5909 016X</institution-id><institution>Immunisation and Countermeasures, Public Health England,</institution></institution-wrap>61 Colindale Avenue, London, NW9 5EQ UK</nlm:aff><wicri:noCountry code="subfield">NW9 5EQ UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.271308.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 5909 016X</institution-id><institution>Statistics and Modelling Economics Unit,</institution><institution>Public Health England,</institution></institution-wrap>London, NW9 5EQ UK</nlm:aff><wicri:noCountry code="subfield">NW9 5EQ UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.271308.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 5909 016X</institution-id><institution>Immunisation and Countermeasures, Public Health England,</institution></institution-wrap>61 Colindale Avenue, London, NW9 5EQ UK</nlm:aff><wicri:noCountry code="subfield">NW9 5EQ UK</wicri:noCountry></affiliation>Le document en format XML
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Epidemiological Evaluation of Vaccination and Neurological Diseases Using Examples of Multiple Sclerosis, Guillain–Barré Syndrome and Narcolepsy</title><author><name sortKey="Stowe, Julia" sort="Stowe, Julia" uniqKey="Stowe J" first="Julia" last="Stowe">Julia Stowe</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.271308.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 5909 016X</institution-id><institution>Immunisation and Countermeasures, Public Health England,</institution></institution-wrap>61 Colindale Avenue, London, NW9 5EQ UK</nlm:aff><wicri:noCountry code="subfield">NW9 5EQ UK</wicri:noCountry></affiliation></author><author><name sortKey="Andrews, Nick" sort="Andrews, Nick" uniqKey="Andrews N" first="Nick" last="Andrews">Nick Andrews</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.271308.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 5909 016X</institution-id><institution>Statistics and Modelling Economics Unit,</institution><institution>Public Health England,</institution></institution-wrap>London, NW9 5EQ UK</nlm:aff><wicri:noCountry code="subfield">NW9 5EQ UK</wicri:noCountry></affiliation></author><author><name sortKey="Miller, Elizabeth" sort="Miller, Elizabeth" uniqKey="Miller E" first="Elizabeth" last="Miller">Elizabeth Miller</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.271308.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 5909 016X</institution-id><institution>Immunisation and Countermeasures, Public Health England,</institution></institution-wrap>61 Colindale Avenue, London, NW9 5EQ UK</nlm:aff><wicri:noCountry code="subfield">NW9 5EQ UK</wicri:noCountry></affiliation></author></analytic><series><title level="j">CNS Drugs</title><idno type="ISSN">1172-7047</idno><idno type="eISSN">1179-1934</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">This article evaluates the epidemiological evidence for a relationship between vaccination and neurological disease, specifically multiple sclerosis, Guillain–Barré syndrome and narcolepsy. The statistical methods used to test vaccine safety hypotheses are described and the merits of different study designs evaluated; these include the cohort, case-control, case-coverage and the self-controlled case-series methods. For multiple sclerosis, the evidence does not support the hypothesized relationship with hepatitis B vaccine. For Guillain−Barré syndrome, the evidence suggests a small elevated risk after influenza vaccines, though considerably lower than after natural influenza infection, with no elevated risk after human papilloma virus vaccine. For narcolepsy, there is strong evidence of a causal association with one adjuvanted vaccine used in the 2009/10 influenza pandemic. Rapid investigation of vaccine safety concerns, however biologically implausible, is essential to maintain public and professional confidence in vaccination programmes.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Andrews, N" uniqKey="Andrews N">N Andrews</name></author><author><name sortKey="Miller, E" uniqKey="Miller E">E Miller</name></author><author><name sortKey="Taylor, B" uniqKey="Taylor B">B Taylor</name></author><author><name sortKey="Lingam, R" uniqKey="Lingam R">R Lingam</name></author><author><name sortKey="Simmons, A" uniqKey="Simmons A">A Simmons</name></author><author><name sortKey="Stowe, J" uniqKey="Stowe J">J Stowe</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hviid, A" uniqKey="Hviid A">A Hviid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Farrington, Cp" uniqKey="Farrington C">CP Farrington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Andrews, N J" uniqKey="Andrews N">N.J. 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Nohynek</name></author><author><name sortKey="Jokinen, J" uniqKey="Jokinen J">J Jokinen</name></author><author><name sortKey="Partinen, M" uniqKey="Partinen M">M Partinen</name></author><author><name sortKey="Vaarala, O" uniqKey="Vaarala O">O Vaarala</name></author><author><name sortKey="Kirjavainen, T" uniqKey="Kirjavainen T">T Kirjavainen</name></author><author><name sortKey="Sundman, J" uniqKey="Sundman J">J Sundman</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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