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Dáil Éireann debate -
Tuesday, 6 Nov 2001

Vol. 543 No. 2

Written Answers. - Vaccination Programme.

John McGuinness

Question:

446 Mr. McGuinness asked the Minister for Health and Children if he will conduct an investigation into the case of a person (details supplied) in County Carlow; if a letter from a person (details supplied) can also be examined; the reason this information was withheld from the child's parents; the reason a proper offer or settlement was not made by his Department; if he will reopen the case and have all of the details examined; if he will meet with the child's mother; if proper settlement will now be reached; and if he will make a statement on the matter. [26754/01]

In November 1977 the then Minister for Health established the expert medical group on whooping cough vaccination to examine persons who, it was claimed, had been permanently damaged by whooping cough vaccination, to review the medical information available in relation to it and to indicate whether, in its opinion, the damage was attributable to the vaccination.

The expert group was independent in its operations and in the conclusions which it reached. In general, the procedure adopted included an interview with parents to obtain a detailed history from them and an examination of the person in respect of whom the application had been made. In addition to having a clinical examination, each person had relevant X-rays and tests. Where indicated, inquiries were made of family doctors, paediatricians and others who had a knowledge of the case.

In addition to the difficulties posed by the retrospective nature of the group's work, the group indicated that it considered it impossible to prove absolutely a cause-and-effect relationship between the vaccination and the person's disability. This finding is consistent with later international research on this issue. Consequently, the group came to its conclusions on the balance of probability in individual cases and, where a doubt existed, the benefit was given to that person.

There were 93 cases presented to the expert group, which found that there was a reasonable probability that the vaccine was responsible for damage in 16 of these. Where there was a reasonable doubt in any case, the group gave the benefit of that doubt to that person. The person to whom the Deputy refers is one of these 16 cases.

An offer of an ex gratia payment of £10,000 was made in each of the cases where the expert group had found in favour of the children, on condition that no claim would be made on the child's behalf in respect of their whooping cough vaccination. There was no acceptance of liability on the part of the State or any public authority. Such an offer was made in the case referred to by the Deputy and the offer was accepted in 1987.

The expert medical group reviewed all cases which came before it and it is no longer sitting. In 1992 the then Minister for Health agreed to release to the families of those examined by the expert group the file compiled by the group in the course of its assessment in their case. The files have been provided in every case where they have been requested. It is important to emphasise that these files contain all of the papers held by the Department of Health and Children about each particular case and that no papers about their child are withheld from the families concerned. In June 1998 a copy of the file concerning the person referred to by the Deputy was released in response to a request made by the mother under the Freedom of Information Act, 1997.
Extensive international research has been conducted over many years regarding the possible link between the pertussis component of the DTP vaccine and chronic brain damage. The consensus in the medical literature is that it is not possible to establish a causal relationship between this vaccine and the development of permanent neurological damage. In the circumstances there is no basis for re-examining this case.
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