© CABAR - Central Asian Bureau for Analytical Reporting
Please make active links to the source, when using materials from this website

History of Vaccines: From Shamans To Halal Vaccines

An avalanche of vaccine refusals, and consequently the measles outbreak in Central Asia is only a part of a global trend observed by doctors and researchers across the globe. According to the estimates of WHO experts, in 2018 the number of diseases caused by vaccine refusals increased by 30 per cent. This led to the death of over 100 thousand people, the majority of which were unvaccinated children.

Follow us on LinkedIn 

На русском

In 2019, WHO raised alarm and for the first time included vaccine hesitancy into the list of threats to global health. If the number of vaccine refusals keeps increasing with the same pace, local measles outbreak may well turn into a global epidemic.

However, vaccination is one of the most ancient ways of prevention of diseases:

According to Marina Golovenko, a paediatrician of higher category, associate professor of the department of paediatric infections, Kazak National Medical University, the recent measles outbreak in Kazakstan was in 2013-14, and now it has resurged. Unvaccinated people, over 90 per cent of cases, are most vulnerable to the disease. These are children who have not been age-appropriately vaccinated, and children whose parents refuse to get them vaccinated.

See also: “I’ll Never Agree on Vaccines.” More Parents in Kazakhstan Refuse Vaccination

Marina Golovenko. Photo from her personal archives
“Last spring, when an outbreak of meningococcal disease occurred, I learned a lesson about how internet and social media can easily get many people frightened. People shared scary stories via WhatsApp about packed children’s morgues, created panic. And I was right in the thick of it and I knew it was not true because there were no lethal cases,” said Golovenko.

Let’s figure out if the concerns of anti-vaxxers are reasonable and what is the situation around the procurement of vaccines in Central Asian countries together with Marina Golovenko:

Do vaccines really contain pork?

In Islamic countries, including Central Asia, religion is one of the most frequent reasons for vaccine refusal, particularly, the fact that vaccines contain pork gelatine.

See also:  A Vaccine of Discord, or Why Parents in Kyrgyzstan Refuse Vaccination

Pork or beef gelatine (Gelatin porcine) is actually used as a stabiliser in flu vaccines for intranasal administration, in lichen injections and MMR (combined vaccine against measles, mumps and rubella).

Marina Golovenko

Animal-derived products are always used in vaccine manufacture. But unlike gelatine used in food industry, medical gelatine undergoes rigorous processing and the final product has nothing to do with pork or beef.
Many developed Islamic countries believe that Sharia law allows using vaccines containing pork gelatine, if necessary.

In 2017, the Malaysia’s National Fatwa Council and the Association of Muslim Scholars ruled that the use of pork gelatine-containing vaccines is permissible.

The use of measles vaccines containing pork gelatine was banned in Indonesia until recently. However, after the outbreak of measles that took lives of over 100 Indonesian children, the Muslim clergy and the government permitted vaccination.

In August 2018, Indonesian scholars said they were racing to produce a halal vaccine. However, according to most optimistic estimates, it will be available for sale only in a few years.

See also: “It’s My Child, I’ll Do Whatever I Want.” Why Uzbekistanis Refuse Vaccination 

Today, official vaccines are available against 26 diseases. Only three of them contain pork gelatine. According to WHO estimates, they prevent over 2.5 million deaths every year.

Do vaccines “kill” natural immunity?

No, they don’t. Vaccines have exactly the opposite effect – tiny doses of viruses get into the body and strengthen it by forcing it to develop necessary antibodies.

This is a so-called immunological memory phenomenon. A human body can remember its response to a bacteria or a virus and act similarly if it encounters the disease.

One of the favourite methods of anti-vaxxers is the use of expressive, emotional language and intimidation. Photo: azbyka.ru

Can vaccines cause autism?

No, they cannot, but the myth about the link between vaccination and autism is the most persistent. It all started in 1998 with the publication of a British doctor Andrew Wakefield about the link between vaccination and autism in The Lancet journal. However, after the check, the article was withdrawn, and the UK General Medical Council revoked his medical licence.

It turned out that Wakefield “studied” children that were showing signs of autism long before the vaccination. However, when he was famous, he gave numerous interviews about his studies and emphasised that, in his opinion, children should not be vaccinated with the combined vaccine against measles, mumps and rubella; separate vaccines must be used. Journalists have found out that Wakefield has patented another similar vaccine and tried to sell it through the publication of this notorious article.

However, according to Marina Golovenko, this link has not been proved scientifically:

See also: Vaccination in Tajikistan: Pros and Cons

However, according to Marina Golovenko, this link has not been proved scientifically:

Today we can find many articles supporting this opinion on the internet. But none of them belongs to doctors or scholars. They have been published by people who have nothing to do with medicine. This is yet another scary story that can be interpreted in any way, but cannot be proven conclusively or objectively.
The idea that autism is caused not by a virus, but by a preservative based on mercury (merthiolate, or thiomersal), has seemingly emerged independently of Wakefield. According to modern scientific concepts, doses of preservative in vaccines are not dangerous, but taking the public concern into account many manufacturers have excluded it from vaccines.

An example of anti-vaccination leaflet, 19th century. Photo: The Historical Medical Library of The College of Physicians of Philadelphia

Do vaccines cause encephalitis or meningitis?

Yes, but very rarely. The latest research of such a link held by the American National Academy of Medicine found out that varicella vaccine can very rarely cause viral meningitis, and measles-containing vaccines can very rarely cause encephalitis.

However, it has been emphasised that “the benefit of vaccination greatly outweighs the minimal risk of vaccine complications.”

Where does Central Asia procure vaccines?

In Kazakstan, the vaccination of population is free of charge, according to the national immunisation calendar against 21 infectious diseases.

According to Ainagul Kuatbayeva, deputy director of epidemiological monitoring of the infectious and parasitic diseases department, Applied Research Centre for Sanitary-Epidemiological Expertise and Monitoring, Ministry of Health of the Republic of Kazakstan, all vaccines imported to Kazakstan have been certified by WHO and pass compulsory test:

During registration in Kazakstan, they pass safety and efficiency tests. The content of ingredients is absolutely equal for all countries in the world. Kazakstan procures vaccines from largest manufacturers, mainly Europe, Japan and the United States.
In Kyrgyzstan, people are vaccinated against ten dangerous diseases.

As Joldosh Kalilov, director of republican centre for immunoprophylaxis, said to Azattyk, all vaccines imported to Kyrgyzstan are procured via the UN Children’s Fund (UNICEF).

We prepare a request to the local office of UNICEF, which is then referred to the procurement department in Copenhagen. And there they announce international tender for leading companies only. Vaccines arrive from Japan, France, Bulgaria, Belgium, Indonesia and India. The suppliers are leading companies that are strictly controlled by WHO.
According to the Ministry of Health of Uzbekistan, currently the national immunisation calendar contains nine types of vaccines against 14 infectious diseases. The country also procures vaccines via UNICEF supply and logistics chain.

According to the 2016-2020 National Programme for Immunoprophylaxis of Tajikistan, the compulsory list of vaccines contains 9 vaccines procured via international organisations – WHO and UN.

The national prevention schedule of Turkmenistan contains immunisation against 11 diseases. Like Kazakstan, Turkmen government procures vaccines certified by the World Health Organisation (WHO) from Europe, United States and Japan.

This article was prepared as part of the Giving Voice, Driving Change – from the Borderland to the Steppes Project implemented with the financial support of the Foreign Ministry of Norway. The opinions expressed in the article do not reflect the position of the editorial or donor.

If you have found a spelling error, please, notify us by selecting that text and pressing Ctrl+Enter.

Spelling error report

The following text will be sent to our editors: