The Manila Times

WTF! It was Aquino’s Dengvaxia graft that weakened public trust in vaccines

- Commentary Human Vaccines & Immunother­apeutics. Email: tiglao.manilatime­s@ gmail.com Facebook: Rigoberto Tiglao Twitter: @bobitiglao Archivesat:www.rigobertot­iglao.com

I am especially angry because in one of the dozen columns that I wrote last year on this Dengvaxia graft, I said that what made it so despicable was that in the long run it would weaken people’s confidence in vaccines, thereby risking the lives of millions of Filipinos.

And now the Yellows blame the PAO for the alleged loss of confidence in vaccines that is seen as the likely cause of the recent measles outbreak?

That Yellow senator for whom President Aquino 3rd threw hundreds of millions of pesos for her to win, Risa Hontiveros, even had the gall to ask for Acosta’s resignatio­n. She claimed that Acosta’s “lies and hysterics contribute­d directly to the erosion of public trust in our vaccinatio­n programs.”

Such delirium from this donothingc­omplain- everything senator is an extreme case of the insanity of “killing the messenger” of bad news.

Wasn’t it Hontiveros’ boss, Aquino, who rushed the mass inoculatio­n of 800,000 children with Dengvaxia in the last half of 2016? This was despite the fact that the World Health Organizati­on ( WHO) had categorica­lly declared that since its group of experts was still evaluating the new vaccine, it should be used with caution and under tight supervisio­n of a doctor who would have to determine that the subject had not contacted dengue before, or had been exposed to the virus that causes it.

This informatio­n was crucial as many doctors suspected— which the WHO later determined— that if a recipient of the Dengvaxia vaccine had not been previously exposed to the dengue virus, were to later contract the disease, the result could be more severe symptoms, resulting even in death.

Aquino’s order

If Acosta spewed “lies and hysterics,” could she have done so if Aquino had not ordered a mass vaccinatio­n of a defective vaccine? How can one not be passionate­ly concerned as Acosta if everyday poor people have been trooping to her office crying for justice for their dead children who had been well before they were inoculated by Aquino’s health department with Dengvaxia, and then died of dengue?

Why did Aquino risk the health and lives of one million children ( the target to be inoculated with the drug)?

The first likely reason was that it was used as propaganda in the election campaign for the president and other national offices in May 2016. The line the Yellows used was that they were giving this vaccine for free, even if it cost at least P5,000 for the three necessary injections.

But I suspect there were hundreds of millions of reasons why Aquino and his gang were so reckless in undertakin­g this mass inoculatio­n. The cost of the vaccine was P3.5 billion. With the purportedl­y usual 10 percent commission for such purchases, the “commission” would have been P350 million.

Anatomy of corruption

Those familiar with the anatomy of corruption in this country will instantly recognize such rushed purchases as neon- red flags pointing to graft. The speed at which the purchase was undertaken looked puzzling until one sees it as a ‘ graft project’: -- December 2, 2015: Aquino

- is—the second time he did so— and as the meeting adjourned, he ordered Garin to rush the order to purchase the vaccines.

-- December 22: The Food and Drug Administra­tion, headed by Garin approved the use of Sanofi’s Dengvaxia. It normally takes two years for the FDA to give its approval for new drugs, and longer for risky vaccines since these are essentiall­y weakened forms of the virus introduced into the body in the hope that it would develop its own immunity.

--December 29: The budget department’s authorizat­ion (SARO) for the purchase of the P3.5 billion vaccines was issued.

-- January 2016: Garin ( who had replaced Enrique Ona as health secretary in January 2015) announces that the mass vaccinatio­n program would be undertaken starting in February.

--March: The education department and the interior and local government department issued memorandum­s on their personnel’s participat­ion in the program.

-- April: The mass injection of 733,000 fourth- grade students with Dengvaxia begins.

Never before

Never before has such a major government program, a health program at that, involving a risky new vaccine, been undertaken in the span of just a few months.

Because of the risks of Dengvaxia, only the Philippine­s in the entire world has undertaken a government-sponsored mass vaccinatio­n program using the drug on such a scale, with the aim of inoculatin­g a million children.

There was no plague- like outbreak of dengue at the time ( or ever, really), with the disease only ranked as the ninth most prevalent disease in the country. The only urgency was the fact that the national elections were coming up in a few months’ time, and Aquino had to yield his seat to the next president. Most everyone, too, including media, would be distracted by the heat of the political contest.

There is just no evidence that the rise in measles cases it was caused by parents’ refusal to have their children vaccinated against the disease.

Measles cases have decreased ever since vaccinatio­n was introduced through the DOH Expanded Program on Immunizati­on in the Philippine­s, which was started in 1976 during the Marcos martial law regime. However, despite high vaccine coverage, a nationwide outbreak occurred in 2013 to 2014, with over 67,000 children downed by the disease. Reported measles cases last year was 18,000, and so far this year about 1,500. But the outbreak has been global, from 287,000 in 2017 to 358,000 last year.

Measles cases

Other than our case simply re

- son why measles cases could have increased, particular­ly in 2016, is that the health department simply hasn’t been providing enough vaccines for the disease, with the P3.5 billion used to buy Dengvaxia in 2016 eating up the entire DoH budget for vaccines.

Why all these clearly stupid claims that Acosta is responsibl­e for the outbreak of measles?

Blaming Acosta is a despicable smokescree­n intended to hide one of the most abominable cases of corruption in the country, Aquino’s mass vaccinatio­n program using a defective vaccine, for political and most probably financial reasons.

It has been a well- planned propaganda campaign, with the current health secretary Francisco Duque falling for it, unfortunat­ely. Duque issued a statement that “the remarks of the PAO chief have contribute­d to a decline in vaccine confidence and a rise in cases of measles and other vaccine preventabl­e diseases.”

Where did he base this conclusion? Apparently on an alleged poll purportedl­y done by the London School of Hygiene and Tropical Medicine that showed just 32 percent of 1,500 Filipinos surveyed trusted vaccines in 2018, down from 93 percent in 2015.

Fake poll

That poll is fake.

It wasn’t really a poll by the London School of Hygiene and Tropical Medicine. It was an “unsolicite­d”

titled “Vaccine confidence plummets in the Philippine­s following Dengue vaccine scare” submitted to the journal

It was a 500- word piece ( half the length of this article) and had three authors, one of whom indeed was with the London School of Hygiene and Tropical Medicine and the other a statistici­an from another British university.

The third author was a Filipino, Dr. Kenneth Hartigan- Go. Who is he?

He was the Food and Drug Administra­tion head who anomalousl­y pushed for his agency to green- light for the use of Dengvaxia in 2015, despite several experts’ objections. He is one of three doctors that the joint congressio­nal committee that investigat­ed this colossal case of corruption, had recommende­d should be criminally charged for the Dengvaxia debacle.

Yet the article had a prominent note: “Disclosure of potential conflicts of interest: No potential conflict of interest was reported by the authors.” What a liar this Hartigan-Go is. On Wednesday, I will discuss why this article is so patently a piece of propaganda that tried to pass itself off as an academic paper, in order to be used in Manila as a major input for the Yellows’

Dengvaxia debacle from Aquino.

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