Alleged link between hepatitis B vaccine and chronic fatigue syndrome

Comment on: Alleged link between hepatitis B vaccine and chronic fatigue syndrome. [CMAJ. 1992]

 

It was with great interest that I read this article in the Jan. 1, 1992, issue of CMAJ (146: 37-38). As a 4th-year medical student at the University of Ottawa I was pleased to read of a possible medical (albeit iatrogenic) explanation for my complaints of fatigue and ill health.

You see, in my first year of medical school I was engaged in an elective in general surgery and, as a precaution, received complete hepatitis B prophylaxis. Now, some 3 years later, I find that I can hardly drag myself out of bed every morning at dawn, and it is a struggle to keep my eyes open to read Harrison’s every night, not to mention the nearly impossible task of stifling yawns and the embarrassment of nodding off at rounds and lectures after a 36-hour shift.

I also find it fascinating that most of my classmates (who have also received the hepatitis B vaccination series) have similar complaints of excessive daytime somnolence, lack of energy and listlessness as they too struggle to complete a work week in excess of 70 hours.

I am sure that the Nightingale Research Foundation would find this information very useful in its attempt to link hepatitis B vaccination with chronic fatigue syndrome. I wonder how many other medical students, interns and residents, family physicians and specialists who have received the vaccine are suffering as I am. Our voices must be heard!

~Andrew House University of Ottawa Ottawa, Ont.

 

Source: House A. Alleged link between hepatitis B vaccine and chronic fatigue syndrome. CMAJ. 1992 Apr 1;146(7):1145. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1488336/

Note: You can read the full letter here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1488336/pdf/cmaj00296-0011a.pdf

 

Alleged link between hepatitis B vaccine and chronic fatigue syndrome

In 1989, 3456 cases of hepatitis B were reported in Canada. It is generally accepted that the true incidence of the disease is about 10 times the reported incidence.

Hepatitis B virus is a major cause of acute and chronic hepatitis, cirrhosis and primary hepatocellular carcinoma. Chronic hepatitis may develop in 10% of infected adults and 90% of infected infants and may progress to cirrhosis and hepatocellular carcinoma. In its acute form hepatitis B is fatal in a small number of cases. The disease is transmitted through sexual contact and infected blood and other body fluids. Carriers frequently show no symptoms until later in life and may therefore infect others unknowingly.

Hepatitis B vaccine has been used in populations that have an established risk of infection with known consequences (e.g., health care workers, male homosexuals and injection drug users).

Recent attention in the Canadian press has focused on the possible association between hepatitis B vaccination and chronic fatigue syndrome (CFS).

You can read the rest of this article here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1488229/pdf/cmaj00290-0039.pdf

 

Source: [No authors listed] Alleged link between hepatitis B vaccine and chronic fatigue syndrome. CMAJ. 1992 Jan 1;146(1):37-8. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1488229/