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Published on: August 7, 2017
Infants' exposure to aluminum from vaccines and breast milk during the first 6 months
José G Dórea1, Rejane C Marques
1Department of Nutrition, Universidade de Brasília, Brasília, DF, Brazil. dorea@rudah.com.br
Insights
Infants receive high aluminum exposure from vaccines, far exceeding breast milk levels. Further research is needed on long-term neurodevelopmental effects of early-life exposure to vaccine adjuvants and preservatives.
Area of Science:
- Pediatrics
- Toxicology
- Immunology
Background:
- Vaccination programs have led to increased vaccine administration in newborns and infants.
- Early-life exposure to environmental toxins, including metals, is a concern for neuro-cognitive development.
- Current infant immunization schedules include aluminum (adjuvant) and historically thimerosal (preservative).
Purpose of the Study:
- To assess early-life exposure to aluminum from vaccines in exclusively breastfed infants.
- To compare vaccine-derived aluminum exposure with levels from breast milk.
- To highlight the need for studying long-term neurodevelopmental effects of early exposure to neurotoxins in vaccines.
Main Methods:
- Quantified aluminum exposure in exclusively breastfed infants receiving a full immunization schedule in Brazil.
- Compared calculated aluminum intake from vaccines with estimated absorption from breast milk.
Main Results:
- Exclusively breastfed infants showed significantly higher aluminum exposure from vaccines (225–1750 μg/dose) compared to breast milk (2.0 μg).
- This highlights a substantial difference in aluminum exposure routes for infants.
Conclusions:
- The study emphasizes the need for further investigation into the long-term effects of early-life exposure to aluminum and ethylmercury from vaccines on infant neurodevelopment.
- It calls for a pragmatic approach to vaccine safety that considers the unique vulnerabilities of fetuses, neonates, and infants.
- Research should address the potential impact of low-level neurotoxin exposure, traditionally considered safe, on the developing central nervous system.
Abstract:
The success of vaccination programs in reducing and eliminating infectious diseases has contributed to an ever-increasing number of vaccines given at earlier ages (newborns and infants). Exposure to low levels of environmental toxic substances (including metals) at an early age raises plausible concerns over increasingly lower neuro-cognitive rates. Current immunization schedules with vaccines containing aluminum (as adjuvant) are given to infants, but thimerosal (as preservative) is found mostly in vaccines used in non-industrialized countries. Exclusively, breastfed infants (in Brazil) receiving a full recommended schedule of immunizations showed an exceedingly high exposure of Al (225 to 1750 μg per dose) when compared with estimated levels absorbed from breast milk (2.0 μg). This study does not dispute the safety of vaccines but reinforces the need to study long-term effects of early exposure to neuro-toxic substances on the developing brain. Pragmatic vaccine safety needs to embrace conventional toxicology, addressing especial characteristics of unborn fetuses, neonates and infants exposed to low levels of aluminum, and ethylmercury traditionally considered innocuous to the central nervous system.
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