Vaccination
Not a trigger for MS
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Vaccinations revolutionized medicine in the 20th century with the near or total elimination of disabling, life-threatening infections. Yet, despite clear benefits to public health, suspicion of ill effects related to vaccines has risen in recent years. In large part, this fear of vaccination has been fueled by poorly designed, inaccurate, or even fraudulent studies1–3 linking vaccinations to adverse outcomes. While more recent large and well-designed studies have assuaged concerns about vaccines,4 some public mistrust remains. The recent resurgence of measles and resultant public health crisis across the United States, with more than 700 cases in 2019—the greatest number since 1994—highlights this growing distrust.5 Distrust in vaccines is centered primarily on questions of their potential to cause health problems, among them behavioral and autoimmune disease. With this background in mind, it is no surprise, then, that one of the most common queries that patients and families ask physicians dealing with a chronic immune-mediated disorder like multiple sclerosis (MS) is as follows: Did this or any vaccine cause or trigger MS?
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Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.
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- © 2019 American Academy of Neurology
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