※ The personal information of the case mentioned in the article (adverse reactions after vaccination, medical institution medical certificate, etc.) is disclosed with the consent of the guardian. ※ The
first time I met his mother, Kim, was at a university hospital in Cheonan.
Mr. Kim waited anxiously in front of the neurosurgery office.
He met again after 10 minutes or so of a doctor's interview.
"(Doctor) never said it was because of the vaccine. Don't ask yourself about the vaccine, but ask the government..."
Kim's 40-year-old son was vaccinated against AstraZeneca Corona 19.
Since then, he underwent urgent surgery for a symptom of cerebral hemorrhage, and is currently hospitalized unconsciously.
Mother Kim claims that her son's health worsened after getting the vaccine.
From now on, I will summarize only the'facts' that have been confirmed by the coverage.
[Fact 1] A patient in a nursing hospital who has suffered from cerebral hemorrhage sequelae for 10 years
My son died of a brain hemorrhage 10 years ago.
Since then, I have been in a nursing hospital for 10 years.
As a sequelae of cerebral hemorrhage, it has shown the intellectual level of about a 5-year-old child.
I could speak in short words, but long sentences were difficult.
I had cognitive abilities, and I had no problems with food intake.
I have not been treated for any other disease in 10 years.
[Fact2] Adverse reactions such as quadriplegia after AZ vaccine vaccination '11 hours a day'
My son received the AstraZeneca vaccine on the 2nd of last month.
Mother agreed to the vaccination.
Based on the KCDC record, adverse reactions occurred after 11 hours a day.
According to the opinion of the medical staff at the nursing hospital at the time,
▲ left arm muscle weakness ▲ fever ▲ swallowing disorder ▲ subspider hemorrhage ▲ unspecified quadriplegia
.
[Fact 3] Urgent surgery after diagnosis of cerebral hemorrhage...
Unconscious
My son was moved to a university hospital in Cheonan on the 12th of last month.
It was the judgment of the nursing hospital medical staff that the condition gradually deteriorated and that they had to go to a large hospital.
According to the guardian's claim, the nursing hospital reported'adverse reactions after vaccination' to the local public health center at this time.
The neurosurgery department of a university hospital
diagnosed
▲
intracranial
hemorrhage
,
unspecified in detail, ▲ spontaneous intraventricular hemorrhage
, that is, cerebral hemorrhage.
With the consent of the guardian, the operation was performed the next day, and after being admitted to the intensive care unit, it was recently transferred to a general ward.
Still unconscious.
[Fact 4] Investigation of'Vaccine Causality' by the Korean Disease Service Damage Investigation Group
The case of Mr. Kim's son was reported to the Korea Centers for Disease Control and Prevention through public health centers and local governments.
The KCDC damage investigation team investigated this case.
This is an investigation into whether or not the son's cerebral hemorrhage was caused by the vaccine.
On March 22, the Korea Centers for Disease Control and Prevention press release contained the results of the investigation of his son's damage.
It was the last and tenth case on the'Severe Case Assessment Results' list.
The result is'causality is difficult to recognize'.
It is concluded that cerebral hemorrhage and vaccination are not related.
[Fact5] A4 sheet guide "Because of an underlying disease"... The reason is?
On the day of the announcement by the Korea Centers for Disease Control and Prevention, a notice of the results will also be sent to Mr. Kim.
The sending entity is'Asan City'.
The Korea Centers for Disease Control and Prevention notifies the victims and their families of the results of the damage investigation through local governments.
The resulting announcement is a single sheet of A4 paper.
The notice begins with consolation to the patient and caregiver.
It also included a procedure that the damage investigation team held two review meetings.
Regarding the content of the causality investigation, it is stated as follows.
"It is presumed that it is more likely to occur due to other reasons than by vaccination"
"Considering the results of the study and the clinical course of the underlying disease of the patient so far, it is likely to be caused by
the underlying disease"
At the end of the notice, you can apply for damage compensation regardless of the result of the damage investigation.
However, there is this premise.
"The deliberation for compensation is also approached on the same basis unless other information is added."
[Fact 6] The disease administration'Result Notification Manual' is useless at the site
In this guide, there is a saying that there is no causality, but there is no specific information about why there is no causality.
There is no specific basis for judgment, replaced by <Considering the results of the research so far and the clinical course of the patient's underlying disease>.
Mr. Kim, an elderly man, said that this guide alone did not make it well understood.
Mr. Kim argues that "there is no place to call anywhere," such as public health centers, local governments, and Korea Centers for Disease Control and Prevention.
The Korea Centers for Disease Control and Prevention (KCDC) notifies the person concerned or his/her family of the results of the investigation through local governments, and if there are any detailed inquiries, the local governments are required to respond.
At the time of the damage investigation group meeting, as much as the local government attends, the contents of the discussion are listened to, and based on the contents, related explanations can be made to the person concerned or guardian, according to the Agency for Disease Control and Prevention.
However, in the case of Mr. Kim, this procedure has not been properly followed.
In the results announcement, there is no single line of instructions to contact us if you have any questions.
[Fact 7] Public health center "We are not capable of answering"
Mr. Kim himself called the Health Center and the Korea Centers for Disease Control and Prevention 1339 call center.
A public health center official said, "I know what the elderly want, but the public health center is not capable of responding to such information."
He said, "Ask the Disease Control Office."
The 1339 call center is accessible to the general public when making inquiries to the Korea Centers for Disease Control and Prevention.
The call center staff was not familiar with how to respond to such cases of severe adverse reactions.
“The causal investigation with vaccine injections is done by the public health center, so ask the public health center.”
The damage investigation is conducted by the KCDC's damage investigation team, and the answer is presumed that the call center employee who consults with the public is not familiar with these details.
(Apart from this, Mr. Kim went directly to the Centers for Disease Control and Prevention in Osong, North Chungcheong Province, feeling frustrated before the results of the damage investigation came out. However, even then, I could only hear the answer that he had to go to the public health center.)
[Problem 1] Reasons for'no causality' that neither party nor guardian can know
From here on, it is a problem that is raised based on the above-mentioned facts and the contents of the coverage.
The Korea Centers for Disease Control and Prevention (KCDC) damage investigation team discloses the investigation results and deliberation status every Monday through press releases and briefings.
Anaphylaxis, serious suspicion, and death report were divided into three areas, and several cases were investigated and deliberated, and the results of each case were announced.
It is the age group of the patient, whether they are admitted to a nursing hospital, whether there is an underlying disease, the type of general adverse reaction, and whether there is a causal relationship with the vaccine as a result of the damage investigation.
Because it is the patient's personal information, detailed information cannot be disclosed to the public, including reporters.
But the person and family will be different.
If an unexpected adverse reaction or deterioration of health condition occurs after vaccination, the person and their family will have no choice but to question the association with the'vaccination'.
My mother, Mr. Kim, says:
"Is there anyone in the world without underlying diseases? My son had been in a nursing hospital for 10 years, but he was in good shape. He had no other diseases other than the aftereffects of cerebral hemorrhage. But if this happened suddenly, wouldn't there be any reason and evidence? I want you to explain it so that you can understand what it is. Just saying "no" unconditionally makes you more suspicious."
[Problem 2] Supplier-centered'Explanation' not considered from the public's perspective
As cases of side effects after vaccination are common at home and abroad, general public whose information is blocked may become more anxious.
Sufficient explanation and communication are essential so that the parties and their families can understand the results of the damage investigation.
Professor Yu Myung-soon of Seoul National University Graduate School of Public Health said,
"I don't know if vaccination is 100% of the individual's choice, but the reality is that people are encouraging vaccinations with the goal of group immunity." It is important to secure trust through the company,”
he pointed out.
Regarding the announcement of the results of the damage investigation conducted by the KCDC,
"The requirement for explanation is on the side, but it is limited to'explanation'. From the point of view of the person receiving the information, it is necessary to first examine what is needed." "Efforts to minimize the unmet needs of the people The key to medical communication is patient-centered communication,”
he said.
An official from the Korea Centers for Disease Control and Prevention said, "It is difficult to respond to individual cases in the central (Ministry). We have no choice but to provide guidance through provincial quarantine authorities and public health centers."
That's right.
However, as shown in Mr. Kim's case, the local governments and public health centers that the Korea Centers for Disease Control and Prevention delegated the role of'communication to the public' had difficulties in responding because they did not know enough information.
The same was the case with the Korea Disease Service Call Center.
As of the 12th, there were 49 cases of adverse reactions reported by the damage investigation team of the Korea Centers for Disease Control and Prevention.
Two cases where causality with vaccination was recognized.
Much more often it is concluded that the symptoms occurred unrelated to the vaccine.
As the number of vaccinations increases, the number of serious suspected cases that will be investigated will increase.
In order to increase confidence in the results of government surveys and to actively encourage vaccination for collective immunity, active communication with a degree that patients and caregivers can fully understand is necessary.