It has been alleged by Great Minds such as Jenny McCarthy that the US recommends far more vaccinations than other countries. Her precise statement was, “How come many other countries give their kids one-third as many shots as we do?” She put this into the context of wondering if our current vaccine schedule should be less rigid. The entire piece was filled with what could charitably called less-than-truthful assertions, but examining simply this one assertion might be useful. Dr. John Snyder has an excellent analysis of the most important assertion, that of the possible benefits of an “alternative vaccination schedule” which I would encourage you to read.
First, we need to parse out this “more shots than everyone else” statement. Some countries–Haiti, for example–give far fewer vaccines due not to fewer recommendations but to adverse economic conditions. Because of this, they have very high rates of vaccine-preventable diseases. They want to vaccinate more, but can’t. Then there are countries who can afford to vaccinate. Let’s look at what three industrialized nations recommend before six years of age.
Vaccinations, by disease and country, 0-6 years of age
| Vaccine | France | Germany | USA | Iceland |
| Hepatitis B | Yes | Yes | Yes | No |
| Rotavirus | No | No | Yes | No |
| Diphtheria, tetanus, and pertusis | Yes | Yes | Yes | Yes |
| Hib | Yes | Yes | Yes | Yes |
| Pneumococcus | Yes | Yes | Yes | No |
| Polio | Yes | Yes | Yes | Yes |
| Influenza | Not reported | Not reported | Yes | No |
| Meales, mumps, rubella | Yes | Yes | Yes | Yes |
| Varicella | No | Yes | Yes | No |
| Hepatitis A | No | No | Yes | No |
| BCG (disseminated TB) | Yes | No | No | No |
| Meningococcus | No | Yes | For some | Yes |
The chart, as I’ve presented it, is somewhat imprecise. Some vaccinations are given in a single shot, others in multiple shots, but these generally represent the childhood vaccinations in each country, and the links provided will take you to the more detailed information.
If I understand Dr. McCarthy correctly, she is using the alleged difference in national vaccine recommendations to show that it is safe to vary vaccination schedules by some method or another. I would not disagree: vaccination schedules should not be immutable but should (and do) change based on available evidence. But changes should not be based on one or another person’s “feelings”.
The other implication is that other countries, by having one-third fewer vaccinations (sic), will have lower rates of autism. She bases her assertions about international vaccination rates and autism on a report self-published by her anti-vaccination group Generation Rescue. In this screed, they allege that the number of “mandatory vaccines” are much greater in the U.S. (there are no “mandatory” vaccines in the US, only those that are recommended or those required for various jobs or schools). It’s not clear to me how they arrive at their numbers. Perhaps they count the total number of vaccinations given for each disease (i.e., each DPT counts as three vaccinations, given five times for “15 vaccinations). Using this method, by my count France “mandates” 35 vaccinations by year six (they report 17) and the U.S. has 36, as they reported. But this isn’t the counting method they say they used. In the footnotes they say that:
All vaccine schedules are as of 2006. Some countries use combination vaccines. All schedule counts have been
normalized to compare to the US schedule. For example, if a country uses an MMR-Varicella combination vaccine, it
counts as “2” vaccines.
The report then goes on to try to link these supposedly vastly different vaccine schedules to supposedly vastly different autism rates in the EU vs. the U.S. (If you understand their “methods” better than I do, feel free to explain in the comments.)
European autism statistics are scarce, but high end estimates place them at up to 63/10,000, or 0.9/150, compared to a US estimate of 1/150. This is hardly a smoking gun, and the “study’s” so-called multipliers are simply error multipliers, given the large range in prevalence estimates.
Jenny McCarthy’s senseless ramblings on health are based on more formal senseless ramblings from a special interest group whose “special interest” appears to be the promotion of infectious diseases.
A few short months ago, we took transparency to the next level by opening the doors for customers to request 





“Six dairy cows were trained to individually walk down a concrete aisle for a food reward. Their locomotion was then examined in a switchback experiment as the floor surface of the aisle was changed from dry to wetted concrete or concrete covered by shallow (5 cm) or deep (12.5 cm) slurry from cattle excreta… Cow locomotion was measured over the second half of the aisle, and limb angles recorded as the cow passed a video camera. Wetting the floor did not affect the walking or stepping rate, but it reduced the arc made by the joints of the hindlimb during the supporting phase. Slurry caused the cows to keep their legs more vertical at the end of the support phase, probably to aid lifting the limb out of the slurry. It also caused the cows to place their forelimbs down less vertically at the start of the support phase, probably because of the reduced risk of slip in the slurry. When the floor was covered with either the deep or, to a lesser extent, the shallow slurry, the cows’ walking and stepping rates were reduced, and on the floor covered with deep slurry their step length was increased. Therefore slurry reduces the cow’s walking speed and alters limb angles during the support phase, producing a different walking pattern from cows on dry or wetted concrete.”







