Dattner Alan M
Integrative Dermatology and Medicine, Sarasota, FL 34231, USA.
Vaccines (Basel). 2022 Jul 11;10(7):1108. doi: 10.3390/vaccines10071108.
Vaccine safety is measured by the disease protection it confers compared to the harm it may cause; both factors and their relative numbers have been the subject of disagreement. Cross-reactive attack of analogous self-antigens modified by dietary and microbiome factors is one of the poorly explored likely causes of harm. Screening for that and other risk factors might point out those most likely to develop severe vaccine reactions. Cooperation from those with opinions for and against vaccination in data gathering and vetting will lead to greater safety. Screening should include an integrative medical perspective regarding diet, microbiome, leaky gut, and other antigen sources. It might include emerging electronic technology or integrative energetic techniques vetted ultimately by cross-reactive lymphocyte testing or genetic evaluation. The knowledge gained from evaluating those with reactions could enhance the screening process and, since similar antigenic stimuli and reactions are involved, help long COVID sufferers. Centers for early identification and rescue from vaccine reactions could lower morbidity and mortality, and increase the percentage of people choosing to be vaccinated. Additional platforms for boosting; using lower dosage; other routes of administration, such as intranasal or intradermal needles; and possibly different antigens could make it easier to vaccinate globally to address the new variants of viruses rapidly arising.
疫苗安全性是通过其提供的疾病防护与可能造成的伤害来衡量的;这两个因素及其相对数量一直存在争议。饮食和微生物群因素改变的类似自身抗原的交叉反应性攻击是尚未充分探索的可能伤害原因之一。筛查这种因素和其他风险因素可能会指出那些最有可能发生严重疫苗反应的人。支持和反对接种疫苗的各方在数据收集和审查方面的合作将带来更高的安全性。筛查应包括从综合医学角度审视饮食、微生物群、肠道渗漏及其他抗原来源。这可能包括新兴的电子技术或最终通过交叉反应淋巴细胞检测或基因评估审核的综合能量技术。从评估有反应的人那里获得的知识可以改进筛查过程,而且由于涉及相似的抗原刺激和反应,还能帮助长期新冠患者。早期识别和救治疫苗反应的中心可以降低发病率和死亡率,并提高选择接种疫苗的人群比例。其他加强接种的平台;使用更低剂量;其他给药途径,如鼻内或皮内注射;以及可能使用不同抗原,可能会使全球范围内的疫苗接种更加容易,以便迅速应对迅速出现的病毒新变种。