Understand Pediatric Vaccine Safety & Timing | Dr. Max Krummel & Dr. Andrew Huberman
Dr. Matthew (Max) Krummel and Dr. Andrew Huberman discuss vaccine timing, spacing schedules, and public hesitancy, focusing on how clinical protocols are dev...
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Cancer Vaccines Versus Childhood Vaccines
- 00:00one group that's completely no matter
- 00:01whether they're hesitant against
- 00:02childhood vaccines and the number of
- 00:04them we get and the the fact that the
- 00:06government makes you take them and these
- 00:07sort of things if those people have
- 00:09cancer, they're very interested in
- 00:11vaccines because it's a there there's
- 00:13really good data that you can promote
- 00:15more immune cells against the um tumor
- 00:17by making a vaccine that consists of
- 00:21some of the proteins and peptides that
- 00:23are unique to the tumor and not
- 00:25different from you. and you introduce
- 00:27those as if you would introduce a virus
- 00:28or anything in a in a childhood vaccine
- 00:30on similar concept um just different
- 00:34peptides. their peptides from the tumor
- 00:36and and in those situations it's
- 00:38context, right? So if if you and I had
- 00:40cancer and we don't have the the
- 00:41conventional cures are not going to work
- 00:43on us. We know there we know statistics
- 00:45really well. Chemo is not very good for
- 00:47a lot of you know cancers and that's the
- 00:49only thing we got. But if you have
- 00:50access to something that's relatively
- 00:52new and particularly vaccines despite
- 00:54what you know some people worry about
- 00:55they're pretty safe. Um, and so the the
- 00:58certain die versus try out a vaccine
- 01:00drives a lot of people to be interested
Questioning Vaccine Schedules & Timing
- 01:02in vaccines. And I would say yeah in
- 01:04that case it's a really you know you can
- 01:06see where people's their their question
- 01:08about whether they're going to try
- 01:09something or not is very context
- 01:10dependent
- 01:11very I think uh I don't want to go too
- 01:13deep into the vaccine debate and I don't
- 01:15want to be a spokesperson for either
- 01:16side because that's not my role today
- 01:18but
- 01:19I think that the um the what you refer
- 01:22to as vaccine hesitancy actually comes
- 01:24back to an earlier issue that maybe
- 01:26you'd be willing to comment on.
- 01:28Sure. um which is I think there are a
- 01:30very large number of people for whom
- 01:32they are neither antivaccine
- 01:34nor super pro but they are um they're
- 01:38asking about timing and combinations.
- 01:40Agreed.
- 01:41They're saying okay listen and we had
- 01:42Jay Bachari on here and I've had several
- 01:45others who've said maybe there should be
- 01:47an investigation of the spacing of these
- 01:50things how many um how critical it is to
- 01:53do at a given age you know um
- 01:55and on and on. We could pick any vaccine
- 01:56for that reason. And as an immunologist,
- 02:00do any of those questions make sense to
- 02:02ask? I mean, I could see how, you know,
- 02:04bombarding the immune the young immune
- 02:06system with a lot of vaccines is a very
- 02:09different thing than spacing out the uh
- 02:11delivery of those vaccines.
- 02:13I'm not saying don't give them all. I'm
- 02:14saying
- 02:16over what time window does one give
- 02:17them? Yeah.
- 02:18I think a lot of people, many more
- 02:20people are asking that question. Yeah.
- 02:21It's just a quieter murmur
- 02:24than our um saying, "Listen, we don't
- 02:26want to take any of these things."
- 02:28Yeah.
- 02:28We don't want our kids to take any of
- 02:29these.
- 02:29Well, I present too. And I I think
- 02:31there's some fair aspect to which most
- 02:33of these vaccines were not studied in
- 02:35the context when they were studied of of
- 02:38what it does, you know, in in in
- 02:40combination and in these sorts of
- 02:42timings. The fact is that, you know, the
- 02:44the evidence that there's that there's
- 02:47bad things happening doesn't look to me,
- 02:49you know, tremendously strong. It's
- 02:51almost like anecdotal sort of
- 02:52information. So,
- 02:54unless it's your kid,
- 02:55unless it's your kid, in which case
- 02:56you're going to look for an explanation.
- 02:58So, I I don't know.
- 02:59Just being fair, as long as we're
- 03:00admitting psychology as a factor.
How Medical Protocols Are Designed
- 03:02Yeah.
- 03:02Yeah.
- 03:02Yeah.
- 03:03So, there there's fairness on both sides
- 03:06of that discussion. And I think I think
- 03:08that almost certainly where we are now,
- 03:10there's probably ways to put together
- 03:12vaccines and certainly more convenient
- 03:14ways. It's I I as a parent I I actually
- 03:17had something very similar where we
- 03:18delayed you know my first daughter's one
- 03:20of her vaccines partly because I know
- 03:22that that as a you know like there's a
- 03:25certain element to which when we design
- 03:26a protocol like the the protocol for
- 03:28imotherapy of cancer for patients was
- 03:30was actually based a little bit on the
- 03:32mouse work a lot on the mouse work that
- 03:34I did you can imagine that mice and
- 03:35humans are quite different but that is
- 03:37the protocol and protocol is protocol
- 03:39and that's how it's done in medicine and
- 03:40that's because you have a fairly good
- 03:42sense of the safety of it because of
- 03:43statistics
- 03:44But that isn't to say that it's the only
- 03:46protocol that would work. And I think
- 03:48you're getting at this concept of like
- 03:49could there be at least a more
- 03:50convenient one and also or safest or
- 03:53even one that is less disruptive to the
- 03:55lives of the children and the parents. I
- 03:56we we delayed one of our kids vaccines,
- 03:59you know, by just a month or something
- 04:00because uh she had not been feeling well
- 04:03just straight up. And it is true, you
- 04:05know, and I'd say that a couple of the
- 04:06vaccines that have come out that I've
- 04:07had recently, the shingles one is a good
- 04:08example. I had that has knocked me
- 04:10completely out and it, you know, it's
- 04:12very very heavily advented. It's clear
- 04:13that it's you know it's having to um
- 04:16does it does it need to be you know I
- 04:18actually don't know I don't know what
- 04:19studies were done and and there's kind
- 04:21of an aspect of which I don't know that
- 04:23we're all um being shielded from the
- 04:26information but I don't know that we all
- 04:27know how to read the information about
- 04:28how these regimens were chosen
- 04:31um some of them are chosen by competing
- 04:33pharma pharma companies that each make
- 04:35their own you know materials and
- 04:38you know again I think there's a there's
- 04:39a lot in this question I don't know how
Dogma In Science Communication
- 04:42much of it also represents
- 04:44the one problem of science that I could
- 04:46talk about is this um this issue that's
- 04:49a lot of science treat science as a kind
- 04:50of a papacy like we know the language we
- 04:53know the facts and and we probably don't
- 04:54have time to tell you why we think this
- 04:57and where where the holes are.
- 04:58Excuse me for interrupting but you know
- 05:01a huge
- 05:03basis of this podcast is to counter
- 05:05exactly that. I know.
- 05:06I mean, I know all these incredibly
- 05:07smart, incredibly well-meaning
- 05:10people who have lives of their own,
- 05:12health lives of their own, health
- 05:13challenges of their own, kids of their
- 05:15own,
- 05:16and on and on and no one was hearing
- 05:18from them.
- 05:19Yeah,
- 05:19it it was and as things get more
- 05:21politicized, there's less incentive to
- 05:24give nuance. I actually really
- 05:25appreciate you providing some nuance on
- 05:27the I mean it's clear where you stand on
- 05:29vaccines generally based on what you've
- 05:30said, but you're you're offering perhaps
- 05:33the opportunity for for better
- 05:35understanding and certainly delivery of
- 05:37the information.
- 05:38Yeah.
- 05:38Yeah. I mean it's it's a huge problem.
- 05:40Yeah. Well, I guess it's it's one of
- 05:42those ones that I can only speak about
- 05:43what I did, right, as a as a as a human
- 05:46when I had kids and I looked at the data
- 05:48and I have probably better capacity than
- 05:50some anyways to read it and look at risk
- 05:53versus harm, you know, the percentages
- 05:56of these things. I absolutely, you know,
- 05:58vaccinated kids and that was it seemed
- 06:00like it seems even now like a a
- 06:02reasonable no-brainer. But I just told
- 06:03you too that I I asked to go off
- 06:05protocol because at some point I know
- 06:08these protocols have a little bit of
- 06:09like again they were designed on a one
- 06:11study but it doesn't mean that it
- 06:12doesn't work if you wait another month.
- 06:14In fact if you do if you've done enough
- 06:15mouse experiments as I have you know
- 06:16that when you vaccinate on a slightly
- 06:18different schedule you can still end up
- 06:19with the same outcome you know that is
- 06:21protection you know with slightly
- 06:23different schedules. It's not that
- 06:25convenient for doctors and hospitals and
- 06:28and even sometimes for patients to get
- 06:30off on, you know, like weird schedule
- 06:31and then you forget a dose and then it
- 06:33isn't as effective, right? So there's
- 06:34there's efficacy that comes with, you
- 06:36know, trying to follow the protocol and
- 06:38because the protocol has [gasps] some
- 06:40convenience built into it that means
- 06:41you're going to do it. It's um it's like
- 06:43it's like brushing your teeth in the
- 06:44morning, you do it, the morning, the
- 06:45evening is affects when you do it and so
- 06:47you'll do it twice a day. So there's a
- 06:50lot in this. I mean, you know, there's a
- 06:52lot of politics, I think, involved in in
- 06:54vaccine 2 that relates to the question
- 06:55of like at what point can the government
- 06:57do tell you what to do, which is, you
- 07:00know, it's a it's a surrogate question
- 07:01to the vaccine one where a vaccine is,
- 07:04you know, if there's a harm, who gets to
- 07:06choose with the harm benefit and then
- 07:09resources are given out for like schools
- 07:10and you know, we know all these we know
- 07:12all these sort of nuances. From the
- 07:13science standpoint, I don't think you
- 07:15want to wipe out the baby with the bath
- 07:16water. I don't think you personally like
- 07:18I wouldn't not immunize my kids. Could
- 07:20there be additional studies about the
- 07:22combination of these into like fewer
- 07:24shots? I think so. I don't see why not.
- 07:26Here's where you get the financial res.
- 07:28What's the benefit to any pharma company
- 07:30of doing that?
- 07:31Well, I think this is again I I have to
- 07:33be careful that I don't place myself
- 07:35into an advocacy group that I'm not. I
Understanding Anti Big Pharma Sentiments
- 07:37I'm I look at everything on a case- by
- 07:40case basis. I really try to do that. But
- 07:44the, you know, and I've tried to be in
- 07:47recent years more open to the to at
- 07:49least understanding what the anti- big
- 07:52pharma stance is really about.
- 07:54You know, it comes up a lot around
- 07:55SSRIs, but you talk to somebody with
- 07:58clinical grade OCD and they will tell
- 08:00you that SSRI saved their life.
- 08:02So you go, okay, well, you know, so we
- 08:04can say all we want about pharma. Are
- 08:06you talking about people getting in
- 08:06taking insulin or, you know, and till
- 08:09recently the GLPs were mostly available
- 08:11through pharma? Now they're sort of it's
- 08:13kind of the wild west. People are micro
- 08:15doing them from all sorts of
- 08:16compoundingies as their own issues and
- 08:18so on. But my sense is that the
- 08:21frustration around the kind of
- 08:23dictatorial like you're going to do this
- 08:25at this point because this or else like
- 08:28your persona nonrada that kind of like
- 08:31people not people being shunned
- 08:33in both directions in either direction
- 08:35rather. That's you know that that's
- 08:38really the source of the problem. There
- 08:39there really hasn't ever been a
- 08:40conversation quite like this.
- 08:42Yeah, I agree.
- 08:43At least not one I've seen publicly.
- 08:45Yeah, there not a lot of labs that are
- 08:46going to devote themselves to this.
- 08:48People will wage the argument that and I
- 08:51don't know if this is actually true, but
- 08:52that the pharma companies are protected
- 08:54against lawsuits about vaccine injuries.
- 08:56Yeah. I mean, I think that probably is
Psychology Of Vaccine Injury Concerns
- 08:58frustrating to very frustrating, excuse
- 09:00me, to a parent whose kid seemed
- 09:03essentially fine, got a vaccine, and 3
- 09:05days later started exhibiting symptoms
- 09:07that then set them off on a course that
- 09:09was um really really tragic.
- 09:11Yeah.
- 09:12Um and those groups are the ones that
- 09:15have accumulated the most oomph out
- 09:18there.
- 09:18And if you think about the those
- 09:20parents, it's totally understandable.
- 09:22Yeah. why they would feel that way,
- 09:23whether or not the basis of their
- 09:25feelings is exactly right. I can't speak
- 09:27to, but you can understand if your kid
- 09:29is one way, walked out of the doctor's
- 09:31office is is another way. And you can't
- 09:33do anything about it. That's got to be
- 09:35mad. I mean, beyond maddening
- 09:37and and and the question is what could
- 09:39you have done differently? I think is in
- 09:41those situations, having been in them,
- 09:43not that exact situation where you said,
- 09:44"Oh, now it's done and now it can't go
- 09:46backward."
- 09:47And you did that to them. This is the
- 09:49thing that well this is the thing I
- 09:50think that is not often discussed is
- 09:52that the the parents made that choice on
- 09:54the basis of what they thought was the
- 09:56best. So that there's a certain um
- 09:59guilt/ anger. I mean there's a whole
- 10:01psychology to it that's completely
- 10:03understandable.
- 10:04Yeah. [music]
- 10:12[music]