Haemophilus-B-(HIB) = Nosode/= Bazillus Haemophilus
influenzae Typ B
Ist eine der schwersten bakteriellen Infektionen in den ersten 5 Lebensjahren. Der Erreger kommt nur beim Menschen vor und findet sich vor allem auf den Schleimhäuten der oberen Atemwege.
Erreger ist ein Bakterium Haemophilus influenzae b (Hib), das von Mensch zu Mensch über Tröpfcheninfektion verbreitet wird.
1. Inkubationszeit beträgt 2 - 5 Tage.
2. fieberhafte Infektion des Nasenrachenraums mit Mittelohr-/Nasennebenhöhlen-/Lungenentzündung/akute Bronchitis möglich. Gefürchtete Komplikationen: Hirnhaut-/Kehldeckelentzündung mit Erstickungsanfällen. Bleibende Schäden und Todesfälle sind möglich.
Solange Keime aus dem Nasenrachenraum isoliert werden können, besteht Ansteckungsgefahr. Sehr selten erfolgt eine erneute Infektion bei Kindern unter 2 Jahren. Ein erhöhtes Infektions-/Komplikationsrisiko besteht bei eingeschränkter Funktion/nach entfernter Milz.
Gefurchteste Komplikation ist eine eitrige Hirnhautentzündung (Meningitis). Woran unbehandelt 60% bis 90% der Erkrankten sterben. Bei rechtzeitiger Behandlung mit Antibiotika beträgt die Todesrate noch mehr als 5 %. Danach kommt es oftmals zu Defektheilungen mit dauerhaften Hörschäden/Sehstörungen/geistigen Störungen. Etwa 5% der Kinder sind nach einer Hirnhautentzündung körperlich und geistig schwerstbehindert. Weitere Komplikationen einer Infektion können sehr plötzlich einsetzende Kehldeckelentzündungen (Epiglottitis) mit Erstickungsgefahr, Brustfell-/Gelenkentzündung, Blutvergiftung und Knochenhautentzündung sein.
Quelle: PEDVAX-R, hergestellt von der Firma Schmidt-Nagel, Genf
Siehe: Nosoden allgemein + Impfungen. + Influenzinum
[Klaus Löbisch]
Die Aufnahme in Kindertagesstätten und Schulen soll an den Impfnachweis gekoppelt werden. Es heißt: „die Kinder können sich nicht wehren, wenn ihnen ihre Eltern aus
Nachlässigkeit oder aufgrund falscher Informationen den nötigen Impfschutz vorenthalten. Schon schlimm genug wenn dieser Streit zwischen Impfbefürwortern und Gegnern zu Lasten der Kinder ausgetragen wird, die sich nicht wehren können, aber daß der Gesundheitssenator Grundrechte der Eltern einschränkt, weil den Impflobbyisten ihre Argumente auszugehen scheinen, sollte Anlass genug sein, die betroffenen Eltern zu unterstützen.
Ich habe Pedvax(HIB)-C 200 mehrmals bei Kindern eingesetzt, die nach HIB-Impfungen deutlich an Unruhezustände und unter Schlafstörungen litten. In einigen Fällen gab es bemerkenswerte Besserungen und ich konnte wieder zu den „normalen“ Kindermittel zurückkehren. Aber ich hatte immer ein ungutes Gefühl HIB zu verordnen, weil ich
nichts über die homöopathische Arznei HIB wußte. Das letzte Kind, dem ich HIB 200 (Husten und immer krank seit der HIB-Impfung) verordnete, gab dann den Ausschlag,
eine Prüfung mit Erwachsenen durchzuführen. Dieses Kind reagierte nach der Arznei mit epileptiformen Bewegungen, bekam eine Kehlkopfaffektion mit krächzender Stimme und schlaffte völlig ab. Es ist bekannt, daß diese Meningitis eine Kehldeckelentzündung hervorrufen kann. Von Natascha kannte ich bereits die totale Müdigkeit und die BNSEpilepsie.
Sieben Prüfer sind natürlich keine große Zahl und diese AMP versteht sich als ein Beginn, ein wenig mehr von den Nosoden zu erfahren, mit dessen „Urtinktur“ ganze Generationen von Kindern beimpft wurden/werden.
Auffallend bei Meningitis sind die zunehmend starken Kopfschmerzen. Bis auf eine Prüferin hatten alle Teilnehmer starke Kopfschmerzen. Das Spannungsgefühl am häufigsten genannt.
Bei der Prüferin P5 treten Kopfschmerzen auf, vom Genick, die zu den Augen ziehen. Sie hatte vor 2 Jahren tatsächliche eine Meningitis. Nackensteifigkeit
ist bei den Prüfern nicht aufgetreten. Beim Prüfer P3 gab es eine Empfindung, “Als ob eine Eisenstange zwischen den Brustwirbeln festsitzt“. Hautausschläge sind ebenfalls Symptome, die bei der Menigitis auftreten. Hirn und Haut entstanden aus einem Keimblatt. Auch hier haben 6 von 7 Prüfern meist JuckREIZ mit z.T. fleckig roter Verfärbung der Haut.
Auch das ist nicht überraschend, denn wir stellen oft fest, daß Kinder 1 - 2 Monate nach der Impfung Neurodermitis bekommen. Auch die Müdigkeit bzw. als Heilreaktion das Muntere, Ausgeschlafene, ist sich mit 5 Nennungen auch ein Hinweis auf seinen möglichen Einsatzbereich.
Im Geist-Gemütsbereich tritt deutlich eine allgemeine Reizbarkeit in den Vordergrund. (Bei 5 Prüfern) Ebenfalls interessant in diesem Zusammenhang, die Schwächung der
„gewohnten“ Inhibitionfunktion der das Verhalten steuernden Großhirnfunktion. Die Prüferin P4 erlebt nach der Einnahme der Globulies einen Euphorieschub. Ihr Traum
von der alten Rentnerin, die Spaß haben will wie ein Kind, untermauert diese Überlegung.
Repertorium:
Geist Gemüt: ANGST
Ungehemmt, überschwenglich
Gereizt, aggressiv
Unruhig
Ausgeglichen, ruhig
Ungeduldig
Hellsehen
Traurig
Lachen
Lustlos, gleichgültig
Frisch munter
Träume: Katze tot gefahren/Kindheit/verspielte Rentnerin/lustig beim Pfarrer
Schlaf: schlaflos
Müde
Fest
Schlecht
Kopf: Kopfschmerz
Schwindel: im Allg.
Rachen/Hals: im Allg.
Brust: Lunge
Glieder: im Allg.
Haut: im Allg.
Jucken
Brennen
Allgemeines: > Wärme/Kälte
Schweiß: im Allg.
Hitze
Schwäche
Modalitäten: > abends; < 4 – 6 h.
Verlangt: süß/Scharf;
[Karl-Reinhard Kummer]
‡ Immunization
with Hib conjugate vaccines, above all to prevent acute bacterial meningitis
caused by Hemophilus influenzae, type b, but also against other diseases such
as epiglottitis, acute otitis media, etc., has been available in Germany since
1990. In the discussion below, the emphasis will be on meningitis.
1. Epidemiology of inflammatory
neurologic diseases
Until recently, Hemophilus influenzae
did not have the significance it has since achieved. Ibrahim did not refer to
it as causing meningitis in 1926, and in the 1940s (Bamberger, Lust &
Pfaundler) and even as late at 1976 (Jawetz et al.) it played only a secondary
role. Earlier papers (see Robbins & Schneerson,
Fothergill & White, Broome) show
that almost all children born at full term had antibodies transmitted via the
placenta, and almost all children above 6 years of age had antibodies without
ever developing manifest disease.
In Europe, there was no recognisable
occurrence of acute bacterial meningitis with Hemophilus influenzae until the
1980s (Windorfer et al.), at present in about 33% of cases. In a population of
100,000 children, 34 will contract an invasive Hib disease per annum (Just et
al.). 1 in 649 children admitted to hospital will have invasive Hib disease
(Stickl and Averbeck). In Finland the figures are twice as high (Peltola et
al.). In the USA, 75% of acute bacterial meningitis cases are due to Hib
(Kaplan & Feigin). According to Windorfer et al. (1993), the recovery rate
was 85% and there are partial recoveries and fatalities. Infants 6-12 months of
age and 1 or 2 year old children are particularly at risk.
It is not known why the incidence is so
high in industrialized countries with colder climates: Finland, Sweden,
Scotland, Canada and the northern USA. It also appears that original
populations are particularly at risk: American Indians, Eskimos in Alaska and
Australian Aborigines (Ward et al. 1986, Losonsky et aI., Hansman et al.,
Luetticke). Apparently ethnic differences exist not only in susceptibility to
the disease but also in reaction to immunization: Vaccination yields poor
immunity for American Indians and Alaskan Eskimos (Siber et al., Ward et al.
1986).
Little note is taken of the fact that
all inflammatory diseases of the nervous system are on the increase. This is
evident from the paper by Windorfer et al. (1993) who did a poll of pediatric
hospitals and units in Bavaria from 1980 to 1990. The number of bacterial
meningitis cases showed a slight but steady increase in those years. Virus
encephalitis presented major annual variations, with the incidence definitely
rising.
In the former GDR, records were kept of
CNS infections, with distinction made between "epidemic meningitis"
and "viral meningitis and viral encephalitis." Viral encephalitis in
particular showed annual variations in incidence from year to year, but with a
definitely rising trend. In Table 1, figures are shown for 5-year periods, to
give a clearer picture.
Frequency of CNS inflammatory diseases
in the GDR (annual means, based on statistical yearbook).
2) Aspects to gain insight into
meningitis and encephalitis
A comprehensive study of infectious
diseases should include consideration of the true, deeper causes.
Thus Steiner (1920b) said that lower
organisms only find a suitable soil in the human organism if the essential
primary conditions have been created. Infection is a sequel, therefore, and not
the key process.
The breathing rhythm normally
establishes the border between above and below, continually maintaining the
balance between processes that take place above and those taking place below.
Steiner compares this rhythmic process with a "diaphragm”. The breathing
rhythm is embedded in a vast number of other rhythms, e.g. the alternation between waking and sleeping. If
those rhythmic functions are stable, the individual has relatively low
susceptibility to external factors. Disruptions of the rhythmic quality, and
these are almost the norm today, make us susceptible to "insult".
Typhoid fever is an example of pathological predominance of upper principles in
the digestive tract, diphtheria of lower principles predominating in the upper
human being (Steiner 1920b). The reactive responses are called "animal-like"
by Steiner. Conditions may develop in the upper human being that are favorable
for "small plant-animals". Bacteria, "plant-animals"
evolved from an intermediate stage between plants and animals, have a tendency
to become animalic, relating to proliferation, metabolism and the blood. They
are thus on the anabolic side.
When hardening, mineralizing, plant-like
processes become too powerful on one side, "hardening of the lung,"
typhoid processes and viral infections develop. Viral infections
characteristically tend towards catabolism and degeneration, e.g. in cytotoxic
reactions. The inflammatory aspect of viral processes is no doubt secondary.
Zur Linden (1955, 1960 and 1962) pointed out that virus diseases have an
affinity for nerve substance. According to him, bacterial and viral processes
need to be seen as quite distinct, and it is wrong to combine them under the
umbrella term "pathogen." Another property of viral diseases is the
appearance of skin eruptions. The skin, like the nervous system, derives from
the ectoderm. Bacteria, on the other hand, prefer the blood route and affect
the meninges because they are hollow organs.
Steiner (1920a) considered hydrocephalus
in the context of the inversion processes and development of the brain in
childhood, when a continual struggle takes place between hydrocephalus and its
opposite. A pendulum swing occurs between normal, physiological opposite
extremes, as Kienle has shown. Steiner warned against premature removal of the
latent tendency to hydrocephalus in infancy, as this would lead to premature
aging. If processes such as hydrocephalus in the present case shift to another
part of the body, local diseases such as pneumonia develop. Shifting the
hydrocephalic process to the serous membranes located at the highest point in the
human body would be equivalent to inflammatory diseases of the investing
structures of the nervous system. The classic form of bacterial meningitis,
e.g. pneumococcal meningitis, presents the image of convexity meningitis, which
resembles that of pleuritis.
In childhood we see a predilection for
CNS infections. According to Steiner (1920b) the "combined activities of
the upper and lower human being, including the mediating rhythmic
activity" must be completely different in childhood than later on in life.
A child's thoughts are not conscious. The unconscious thought activity of a
child enters into the organism and comes to expression in growth and the
development of form. Walter takes this further: "Thus it is in the nature
of a child, who experiences the environment more as if in sleep or in a dream,
to be subject to epidemic diseases." As the powers coming from the head
intervene so strongly in the child's body, a child must have "great powers
of resistance" to much that evolves in the abdomen. Under certain
conditions the child must develop special resistance to those influences from
the abdomen. "This desperate use of powers that really should not be used
to such an extent in the child's upper organization, results in epidemic
cerebrospinal meningitis." "Due to the fact that such an effort made
in the child's upper organization, inflammatory changes simply have to develop
in the upper organs, the meninges of the spinal cord or the brain, with the
other phenomena the inevitable consequence."
According to Steiner (1923a), one reason
for the susceptibility of child is the iron process, an extended waking-up
process in the course of life. The iron process is weak in children, as is also
evident from the low iron levels of mothers' milk, and grows stronger as life
goes on. The metabolic process, which is directed upwards from below and to
which human beings are always exposed, creates a pathogenesis arising from the
lower organism. "Iron normalizes all excessive influences of the one
process on the other."
Influenza, poliomyelitis and
encephalitis are due to weakness of a) rhythmic organization (head-chest
rhythm) and the breathing rhythm (Steiner 1920a and b), and it is particularly
important for heart and head to be in balance (Steiner 1919). If the balance is
upset, this "damages the head-chest rhythm" (Steiner 1920 and 1922).
This results in sensitivity to external insults, which Steiner refers to as a
"constitutional disposition to develop influenza." Encephalitis and
poliomyelitis are seen as sequels, at they may take different courses:
encephalitis affects the brain as the organ of conscious awareness,
poliomyelitis the locomotor system.
A characteristic feature are the sensory
disturbances preceding influenza. Ordinary influenza arouses "diseases
that actually lie dormant." "The primary aspect is paralysis of the
sensorium, and a relationship exists here to sleeping sickness. Progress is
made each time we succeed in getting the sensorium properly coordinated - as
with Dr Noll's influenza remedy: (Infludo, author), but we have to watch out
for secondary conditions that develop whilst the influenza is subsiding ....
The ether and physical bodies are put out of action because ego and astral body
are lifted out (head): inactivation of the sensorium .."
Treatment strategy must be to activate
the will strongly throughout the organism, which is achieved with phosphorus as
a medicament. Inactivation of the sensorium is cancelled out by phosphorus, to
the point where a tendency to inflammation of the cerebral fluid develops, so
that the medicines Steiner suggested for treating pneumonia, meningitis and
encephalitis all contained phosphorus and iron as basic constituents, though
for different reasons: Phosphorus involves the whole of the rest of the system.
The physical body can be brought together with astral body and ego. "With
phosphorus, we bring the will into all parts of the organism, we bring in more
will."
Encephalitis affects mainly the
cerebellum and the midbrain, as Steiner pointed out. This is the case, for instance,
with encephalitis following varicella, the incidence of which has distinctly
increased in recent times (Windorfer et al. 1993). The changes in mood that
follow encephalitis must be regarded as due to midbrain disorder. This explains
why Steiner suggested using preparations made of the lamina quadrigemina and
the cerebellum to treat encephalitis. He recommended soda baths to revitalize
the nervous system (see Walter, p. 9, Steiner 1923a).
The decrease in pneumococcal meningitis
and increase in Hib meningitis suggests a change not merely of pathogen but in
the character of diseases affecting the nervous system: classic convexity
meningitis has been replaced by primarily toxic menigitides of the menigococcal
variety. Haemophilus meningitis and meningococcal meningitis have both the
typical meningitis characteristics and those of encephalitis, which places them
somewhere between the classic bacterial meningitis and encephalitis: Both
affect mainly the basal parts adjacent to the midbrain. There is marked
neurotropism, with nerve substance directly involved, and there need be no
actual spread from the meninges. The influenza-like prodromal stage (see Stehr
1990) may be followed by fulminant development via the blood. Stehr (1990)
states that erythrocytes may be attacked directly. Characteristics are the
primary lesions of endothelial cells and disruption of the blood-brain barrier
(Patrick et al.). The brain's homeostasis for sugar and salt metabolism is
upset. In serious cases, consumption coagulopathy develops in septic shock, a
kind of "disintegration of the blood" as the physical correlate of
the ego organization. With Hib meningitis, Waterhouse-Friedrichsen syndrome may
develop (Stehr 1990). This would be comparable to viral skin eruptions.
Another perspective opens up if
comparison is made with childhood diseases. These originate in "areas of
the body ... where head and trunk join." (Koenig 1959). This applies to
the skin eruptions, varicella, mumps diphtheria, etc.
Hib infection also tends to begin in the
throat, a hypertrophy of digestive processes (Steiner 1920b). Spread is
hematogenic, reflecting a bacterial process, and the nervous system is affected
in a way seen with viral infections. With meningitis and other invasive
infections, the lower human being governs the situation and not the upper human
being, as in childhood diseases. With epiglottitis, a situation similar to
diphtheria develops rapidly, an infiltration of the ego. Stridor, anxiety and
restlessness as psychological aspects are more powerful than the penetration of
the body seen with childhood diseases. Invasive infections thus present as a
caricature of childhood diseases.
Steiner (1923b) spoke of the importance
of warmth. Human beings must penetrate the different temperature levels of the
outside world with their own warmth. In the case of influenza, encephalitis and
poliomyelitis, the process is upset, as with a "cold," and this
results in disposition towards the disease. The same holds true for warmth in
the social process, as Steiner has shown (1923b). Streicher gave the example of
the "cold" that provided the constitutional basis for President F. D.
Roosevelt's poliomyelitis.
The diseases called "influenza,
encephalitis and polio" by Rudolf Steiner may be ascribed to strain on the
nervous system. Steiner made countless suggestions in the field of education,
warning teachers not to lay the foundations for future ill-health by wrong
educational measures. The increase in virus diseases may be seen to relate to
the mineralizing tendencies in the environment. Husemann and Wolff saw
connections between the rising incidence of measles encephalitis and increased
exposure of the nervous system to environmental factors, especially continual
excitation of the senses. Thus the incidence of cerebral symptoms with common
infections has increased, e.g. with viral gastrointestinal infections or
Salmonella enteritis. The rising incidence of Borrelia meningitis is another
sign that the nervous system is increasingly susceptible in childhood.
Steiner also made repeated reference to
the role of nutrition. He compared the general degeneration of plants with that
of plants growing in soil containing traces of lead (1923a). General
environmental intoxication with heavy metals has now become a reality. ‡Steiner (1923a) spoke of the importance of milk plants
in the prevention of poliomyelitis, explaining the connection between this and
mothers' milk. Takala and Clements quoted numerous investigations showing that
breast-feeding provides some protection against Hib meningitis.
Hemophilus influenzae had developed a
high degree of resistance to ampicillin in the past (see Kaplan and Feigin,
Stehr 1990). The increased incidence of Hib meningitis could be the consequence
of the world-wide, uncritical, antibiotic abuse for which there are also no
good scientific reasons.
3) Immunization against Hib
Attempts to produce vaccines based on
the antigen component of capsular polysaccharides from bacteria started in the
193Os. The first vaccines to be developed were against pneumococcal infections.
With the advances made in antibiotic therapy, those particular efforts were not
continued. Later vaccines were made by combining a number of capsular
polysaccharides. The vaccines conferred little immunity, however. It is
interesting to note that vaccination was hardly successful if given prior to
the 2nd or 3rd birthday, and vaccines only became fully effective after the 9th
year of life. Infants cannot develop immunity to Hemophilus and may be said to
be blind to the pathogen, and in the same way polysaccharide vaccines only
appear to become effective as the ego matures.
Vaccine efficacy increased considerably
when the polysaccharide antigens to Hemophilus influenzae were conjugated with
the protein antigens to tetanus or diphtheria toxoid. With this, the vaccines
were as effective in infants as in older children (review in Meyer and Gahr).
This trick used in vaccine production must, however, be seen as a form of
“poisoning.” It enables infants to develop the specific immunity which otherwise
is reserved for a later time in life. It is not yet known if this premature
development has disadvantages in other areas. Nor have potential consequences
for the nonspecific immune system been established so far.
The immune response to conjugate vaccination
is high. Almost 90% of children are immune after 3 vaccinations given in
infancy, almost 100% after 4 vaccinations (Eskola, Peltola, review by Zielen et
al.). According to Stickl (1991), the efficacy of the vaccination is greater
than expected for the number of doses given, and immunologists have not so far
been able to explain this. However, the duration and quality of protection
compared to natural immunization still have to be established. A recent paper
by Sitzmann and Jagusch includes critical comments.
The consequences of the Hib immunization
campaign may be assumed to be similar to those stated by Albonico et al. for
measles, mumps and rubella, i.e. there are doubts about the duration of
protection. The first gaps are already appearing in nest protection against
measles for children who mothers had only been immunized (Pabst et al.).
Regular re-immunization would appear to be necessary, and Germany’s
Immunization Commission has recently recommended it for MMR immunization
(Stiko). The same may apply to pertussis immunization (Jenkinson). As to the
consequences of booster shots, we can only guess (see Albonico et al.). Adult
tolerance of the Hib vaccine is not known. Invasive Hib diseases in adults may
result if occult immunization is reduced by immunization or inadequate
re-immunization and gaps appear in the protection of the total population.
This is known to have happened after
mass immunization for measles. The disease develops at increasingly less
favourable times of life (Stickel 1986/87). This inevitably means more
complications, and the situation may be expected to be similar for Hib
diseases.
The effect of immunization on the
infection spectrum is justifiably stressed (Peltola et al.). However, it is
important to consider if, which a disease the incidence of which has increased
only relatively few years ago, further changes in pathogen may not bring the
reduction in Hib meningitis to nothing. Falle et al. from the Oxford area and
Enders in Stuttgart refer to recent increases in pneumonia and otitis caused by
noncapsular Hemophilus bacteria. Considering the changes pathogens hav shown in
the past, the possibility cannot be excluded that invasive infection with
noncapsular Hemophilus bacteria may be on the increase and immunization may prove
a failure.
Nor has there been any proof that an
immunization procedure that confers protection on some individuals will have a
positive effect when applied to large populations. Individual immunization means
that a carefully considered decision is made in a given case. Efficacy must
inevitably be higher in that case than with immunization given without specific
indication to the population as a whole. It is possible that mass immunization
programs will not cover some of those who belong to the at-risk groups.
At this point it is important to
remember that mass measles immunization failed to achieve its major aim.
The incidence of measles encephalitis
did go down, but this reflects mainly the absence of mild cases. The number of
serious cases resulting in defects did not go down (Koskiniemi and Vaheri).
Immunization against Hemophilus
influenzae would have to address a general trend in morbidity, for the
incidence of CNS infections has increased both absolutely and relatively in the
last 40 years (see Windorfer et al. 1993 and GDR statistical yearbook). Changes
in the disease spectrum are common. Bacterial infections, including
tuberculosis, have been on the decrease for a long time, in the case of whooping
cough and diphtheria even before vaccination was introduced (Wolff). In some
instances they actually increased in the years when vaccination started
(Buchwald). A similar conclusion may be drawn from a graphic presentation
relating to Hib immunization published by Black and Shinefield. Stollermann
referred to Danish sources according to which rheumatic fever has shown
continual regression from 1860, only increasing during the Second World War.
Cyclic variations are, of course, also possible, as in the case of diphtheria,
whooping cough (Fine and Clarkson, Fleming et al.) and scarlet fever (Wolff).
It may be assumed that in the case of
small infants nest protection meant that immunization would be less effective
(Fothergill and Wright, and Kulinska and Kilian, quoted by Stehr 1990). The
work of Booy et al. also shows that infants respond less well to immunization.
They found that DTP and Hib immunization at 2, 3 and 4 months resulted in lower
antibody levels than immunization at 3, 5 and 9 months. In the author's view,
relatively little attention is given to the reversible encephalopathy of
infants immunized against DPT or DT, polio and Hib at about 3 months. It is
possible that the pertussis component is responsible for this (Stickl 1991).
Another possible reason may be that the combination of so many vaccines given
on one and the same day makes too great a demand.
Side effects of Hib immunization appear
on the body boundaries: aggravation of eczema, local reactions, skin eruptions,
neuritis, rheumatoid arthritis or epileptic reactions (Stickl 1991). Potential
pathogenic effects of the vaccines are at most a matter of conjecture. Invasive
bacterial infection following DTP immunization has not been recorded (see
Wiersbitzky et al.) The immunization does not exclude the presence of organisms
(Stickl and Averbeck). Up to 10% of children of up to 6 years of age may show
Hemophilus influenzae in throat swabs (Aniansson et al.). Other authors report
elimination of Hemophilus bacteria from the respiratory tract (Takala et al.
1991).
Little reference is made to the
relationship human beings have to their bacterial flora at the level of the
superficial immune system. Zur Linden (1955 and 1960) put forward the
hypothesis that humans live in symbiosis with bacteria and viruses: bacteria in
the gastrointestinal tract and viruses in the sphere of the nervous system.
This way of thinking is widely accepted for the gastrointestinal and urinary
tracts (e.g. Sonnenborn & Greinwald, Mannhardt). As a rule it does not go
beyond thinking in terms of friends and enemies for humans and their
environment. Psychological aspects are not taken into account. On the other
hand immunization is advocated for "social medical" reasons
(Luetticke, Pilars de Pilar, Robbins & Schneerson), which fails to take
account of the real situation. Thinking as to whether Hib immunization given as
yet another injection causes too much stress (Lewis) is also too limited a
view.
The overwhelming impression is that the
view taken of the facts is too short-sighted. Immunization gives a false
feeling of security, at the same time increasing fear of the diseases it is
meant to prevent. Anxiety and stress are major contributory factors in the
deterioration of immune situations, something that has been known for a long time.
It is more difficult to arrive at a positive statement concerning psychological
elements with a potentially positive effect. Steiner (1924b) said that the
climate of fear, which also lies behind immunization campaigns, must be reduced
and transformed into love.
How little we know about these things is
borne out by the fact that potential allergization to pollen at the fetal and
neonate stages has only recently been confirmed (Pilz). Stickl (1990), who
himself was actually in favor of immunization, has provided further examples:
Triggering of diseases by exposure to light or the disruption of biological
rhythms. 1n spite of this, long-term sequels of immunization are hardly
discussed.
A complete study of invasive Hib
infections must include investigations as to why affected individuals develop
the invasive infection rather than immunity. Only the analysis of individual
cases, apparently not yet available, will make it possible to take specific
measures for the small population that is at risk from invasive Hib diseases.
4) Conclusions
Albonico et al. every child and every
situation has to be considered individually. The responsibility of deciding for
or against immunizing a child lies with the parents. Full information and
advice are essential. Changes in environmental conditions and in the
constitution as regards health must be taken into account.
Many anthroposophical physicians will
therefore immunize against poliomyelitis, in spite of zur Linden's arguments of
30 years ago. Physicians who do not follow the conventional immunization
schedules do, however, run the risk of being accused of ignorance. A study by
Langkarnp and Langhough showed that physicians with long experience tended to
be more cautious in giving DTP immunization than the official guidelines. This
was interpreted as lack of knowledge.
The author would immunize a child
against Hib if the parent's anxiety did not decrease with counseling.
He would, however, advise a 4-week
interval from other immunizations and not give any other vaccine on the same
day. It will also be necessary to take additional measures to improve general
health. The "negative concept" of immunization against certain
diseases must be part of a strategy including measures to improve the health of
children, for instance special attention given to warmth metabolism.
Summary
Hemophilus influenzae has become one of
the most important organisms in acute bacterial meningitis over the last 20
years. According to the literature, immunization is effective, but there are
questions. The increased incidence of Hib infections is part of a current,
possibly secular trend in which infectious diseases of the CNS are on the
increase. Steiner's concepts of meningitis, encephalitis and poliomyelitis help
us to understand the increase in encephalitic involvement. This suggests
approaches to treatment and prevention. The successes reported for immunization
may be short-lived, as there is the possibility of pathogen mutation, change of
pathogen, or cyclic variations in morbidity. All this makes it imperative to
use measures that improve immunological competence.
Addendum
A recent paper published in the USA
documents efficacy of Hib immunization (Schoendorf et al.). Following
introduction of the immunization, the number of children admitted to hospital
and fatalities due to Hemophilus influenzae type b has shown a marked decrease,
whereas comparable figures for Streptococcus pneumoniae and Neisseria
meningitidis have stayed the same. Unfortunately the paper does not say if the
total acute bacterial meningitis morbidity has also gone down. Nor does it
invalidate the other arguments against Hib immunization. ‡
Vorwort/Suchen Zeichen/Abkürzungen Impressum