 By ANDRé PICARD
PUBLIC HEALTH REPORTER
Monday, November 18, 2002 – Page A1
As an executive with a big Bay Street company, Brian Claman
does not "have the time to waste being sick."
So, when flu shots were offered at the office a year ago,
he was quick to head to the boardroom and get vaccinated.
"I've had the flu a couple of times and it's nasty, so I
figured it was a win-win situation," Mr. Claman said.
Two weeks after his flu shot, Mr. Claman awoke with a
pounding headache and a strange feeling in his feet. The
doctor was reassuring, telling the 47-year-old businessman
that the symptoms were probably related to stress.
His condition deteriorated, so he made his way to a
hospital emergency room. His body was gradually going
numb.
Doctors immediately recognized the tell-tale signs of
Guillain Barré syndrome, a baffling, potentially fatal
condition that resembles polio.
By afternoon, Mr. Claman was completely paralyzed. He was
placed in intensive care and put on a respirator.
He spent the next eight months in hospital and now, a year
after his flu shot, is just beginning to walk unassisted
again.
"It's been a harrowing experience," Mr. Claman said in an
interview.
"Never in my wildest dreams -- or maybe I
should say nightmares -- could I have imagined almost losing
my life to the flu shot," According to Health Canada, there
have been 37 cases of GBS since 1987 where a link to the flu
vaccine is suspected. But it cautions that because reporting
is not mandatory, the number of cases is probably
underreported, and that because GBS occurs for a number of
other reasons, it is often difficult to make a causal
link.
The mundane medical term for what happened to Mr. Claman is
"adverse reaction." That usually means a little fever and
maybe some swelling at the injection site, but a small
minority suffer severe reactions such as Guillain Barré
syndrome, an inflammatory disorder of the peripheral nerves
(those outside the brain and spinal cord).
While the exact cause is unknown, GBS appears to be an
autoimmune disease in which the body's disease-fighting system
mistakenly attacks the covering of the nerves. At least half
the cases seem to be triggered by a microbial infection. Mr.
Claman suffered a severe reaction; usually GBS will reverse
itself within a few months.
The link to vaccines was first made in 1976, when hundreds
of people in the United States developed Guillain Barré after
getting the swine-flu vaccine. Mr. Claman's experience,
getting sick suddenly two weeks after the shot, is
typical.
Public-health officials are quick to point out that while
GBS is a devastating condition, it is rare, and getting the
flu is a far more dangerous prospect.
In a paper published in the Canada Communicable Disease
Report, Philippe De Wals, an epidemiologist in the department
of community health services at the University of Sherbrooke,
calculated that for a person over the age of 65 (those at
greatest risk from the flu) the risk of dying of GBS after a
flu shot is about one in 10 million, while the risk of
contracting influenza and dying if a person is not vaccinated
is about one in 1,000. In other words, the fear of GBS should
not dissuade people (seniors, at least) because the risk of
dying from not getting the shot is 10,000 times greater.
Mr. Claman knows the math all too well, but said it is
meaningless to someone in his position.
"The rareness of complications means nothing if you're the
one suffering from the adverse reaction," he said. "It's like
the lottery: The odds mean nothing because everyone thinks
they're going to win. With the vaccine, it's the opposite:
Nobody thinks this can happen to them."
Despite his experience, Mr. Claman is not opposed to the
flu vaccine or the public-health campaigns urging everyone to
get a shot. But he thinks the message is too sugarcoated.
"Let's talk about the real risks of influenza and the real
risks of the flu shot and let people make an informed
decision," he said. "But let's not pretend that because a flu
shot is generally a good idea that nothing bad is ever going
to happen." Mr. Claman said his biggest loss was personal --
staying in hospital and away from his family, in particular a
teenage son. Being off work for months during the prime of his
earning power also took a financial toll.
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