The significance of Meryl Dorey’s insignificance

Yesterday I hinted at the cost to the AVN of Justice Christine Adamson’s ruling in favour of their appeal against the HCCC.

Whilst I postulated on what the HCCC could have done to ensure that the appeal was tossed out, the fact remains that Meryl Dorey – “Australia’s foremost expert on vaccination” – has to accept that she has (Ed: in respect of this ruling, arguably) been found to influence no-one. I’m sure being legally insignificant is not the pivotal aspect of the ruling Dorey will recount to members, unless she is grasping to deny the “anti-vaccine” label.

Within hours distortions began flowing to members on Facebook:

… I  am just so pleased that the Supreme Court agreed with our original contention that the HCCC had no jurisdiction to investigate us based on the complaints which were not valid complaints according to the HCC Act. Justice DOES work sometimes.

Not strictly true. A major part of the original contention was that the HCCC acted outside jurisdiction because the AVN was not a Health Service Provider.

By Saturday the deception was tangible. Meryl Dorey posted:

For those who have been asking about our chariity (sic) status, hopefully, I will have more information on that early next week. The HCCC decision did not automatically give us back the authority, but I am hopeful that we will get it back since the OLGR relied completely on the HCCC warning to revoke the authority. Therefore, since the warning was invalid, the revocation may be too. Anyway, I will let you know as soon as I have the information myself.
MD

I’m not sure what game Dorey is playing here. She initially made this claim 16 months ago. There’s no doubt that she has constantly manipulated the flow of information to create the illusion that the OLGR revocation followed directly from, and was based upon the HCCC ruling. Initially in October 2010, Dorey emailed members citing only sections A, C and F of the notice she received from the OLGR and claimed:

As you can see, the OLGR based their entire decision on the HCCC’s demand for us to declare ourselves as being anti-vaccine and putting their disclaimer on our website…

Strange, because as far I can see the HCCC cannot possibly have had anything to do with OLGR findings of :

  • Fundraising without an authority
  • Unauthorised expenditure
  • Failure to keep proper records of income
  • 23 breaches of the Charitable Fundraising Act 1991

On Saturday reasonablehank was quick to look for any substance and I recommend reading what is a complete demolition of this myth that the OLGR “relied completely on the HCCC”.

The holy grail of this HCCC appeal can be gleaned from Dorey’s erroneous claim. She wanted the OLGR decision overturned. But how? Certiorari is the legal term for an order given to set aside a decision. The decision is quashed and expunged from the record. Originally Dorey had named the Minister for Gaming and Racing as a second defendant. On July 5th, 2011 she discontinued proceedings against the Minister.

Dorey then sought to have the HCCC Investigation, Recommendation and Public Warning not only ruled as outside jurisdiction as per the HCC Act – ultra vires – but also sought certiorari to quash the HCCC determination to issue the warning. This would mean the decision was made unlawfully and not just outside jurisdiction as granted under the Act as it pertains to complaints. So what did the AVN put to Justice Adamson as unlawful? What rights had the HCCC abused? Adamson wrote:

When asked to identify the discernible legal right which was affected, counsel for the plaintiff said:

“The damage to its reputation by being labelled a public risk to health and safety.”

I realise it’s looking rather obvious but in plain speech this is where Dorey got to say, I’m not a risk to public safety and I deserve to retain my right to be a health charity. Adamson continued:

The plaintiff submitted that its rights were not only directly affected, but also altered, by the HCCC’s decision to issue the Public Warning and that certiorari is accordingly available… It argued that the decision directly exposed it to a new hazard of an adverse exercise of public power (having its fundraising capacity revoked).

However, the plaintiff could not point to any provision in the Charitable Fundraising Act 1991 that made the Public Warning a mandatory relevant consideration in the Minister’s decision whether to revoke the authority.    Accordingly there is no basis on which I could find that the Minister for Gaming is legally obliged to take into account the Public Warning. For these reasons, certiorari does not lie.

The implications of this are huge. With denial of certiorari the linking of the AVN’s fundraising capacity revocation to the HCCC ruling has no basis. The court did not find that the AVN is not a risk to public health and safety because it also did not find that the HCCC erred in it’s conclusions or that the complaints are unfounded. The significance of Dorey’s clinically impotent insignificance is worth noting.

The AVN is left with the reality that the HCCC acted outside of jurisdiction in it’s Investigation, Recommendation and Public Warning. Because in this instance, the AVN in effect influences nobody in any significant way.

Also a lot of attention has now been drawn to this “anti-vaccination” group. This led Dorey to complain which led Fran Sheffield of Homeopathy Plus to comment on Dorey’s dishonesty, confirming that the AVN were anti-vaccine.

Fran then backed it up 45 minutes later with something that echoes point one of the HCCC’s pre-warning request, which read: The Australian Vaccination Network’s purpose is to provide information against vaccination in order to balance what it believes is the substantial amount of pro-vaccination information available elsewhere. The other two points were (2) The information provided should not be read as medical advice and (3) The decision about whether or not to vaccinate should be made in consultation with a health care provider.

Sheffield wrote:

I think if the AVN placed a statement clearly on its website that people saw on first visiting – that it is providing the ‘missing’ information, or the information government and health departments should provide but don’t, then it would explain why weight of information the AVN carries makes it appear to be anti-vaccine.

In what must be one of the most hypocritical replies Dorey has ever managed, she then argued that the “AVN code of ethics” forbade judging anyone on their decisions. It might be harmful to their cause to openly say they were anti-vaccine. She “could not care less what others do” once the AVN have given them information doctors and the government withhold. Then amazingly Dorey herself echoes point one of the HCCC’s pre-warning request:

We provide information on the negative aspects of vaccination in order to balance the purely one-sided information given by the government and the medical community. We provide balance – we don’t tell people they should not vaccinate and we never will.

It’s nice to know some things haven’t changed.

And I am still not a lawyer.

AVN vs HCCC: An HCCC loss not an AVN victory

I am not a lawyer.

On Friday the NSW Supreme Court ruled in favour of the Australian Vaccination Network’s appeal against the HCCC’s public health warning.

Based on Justice Christine Adamson’s interpretation of the HCC Act, the HCCC did not act within jurisdiction. This means the HCCC warning is no longer valid. The outcome also means that the HCCC recommendation for the AVN to post warnings as to it’s antivaccination, non-medical and non-governmental stance are void. Complaints upheld by the HCCC can no longer stand.

Whilst congratulations rightly apply to the AVN their “victory” has come at the price of conceding any real community impact and the denial of certiorari (crucial to Dorey’s promised OLGR appeal). Confirmation of being a Health Care Provider may bring complications for the usually free falling AVN.

Initially Dorey’s argument was that the HCCC investigation was “illegal”. That they did not fall under HCCC jurisdiction because the AVN is not a health care provider. Dorey conceded in the Supreme Court on July 28th 2011 that the AVN did fall under the HCCC jurisdiction as a health care provider.

Because the HCCC jurisdiction to investigate requires a complaint, the court ruling then focused on interpreting the HCC Act under section 7(1) – What can a complaint be made about? The HCCC had upheld two complaints against the AVN. The judge deemed that section 80 of the Act provided specific functions of the HCCC that ruled out dealing with complaints “per se”.

The judge rejected the HCCC submission that section 7(1)(b): a health service which affects the clinical management or care of an individual client, was an alternate source of jurisdiction to that provided under 7(1)(a): the professional conduct of a health practitioner. The HCCC submission that the word “affects” should be read broadly, was not accepted. The judge ruled that the HCCC did not have jurisdiction to investigate complaints not concerning subject matter encompassed in section 7(1) entire. The ruling included:

In my view, the use of the words “the clinical management or care of an individual client” evince an intention that only a complaint concerning a health service that has a concrete (even if indirect) effect on a particular person or persons is within jurisdiction. Complaints about health services that have a tendency to affect a person or group, but which cannot be shown to have had an effect, would appear to be excluded.

I’m sure many of you have wrapped your thinking lobes around this outcome by now. Not being a lawyer my opinions are varied. Given that the Act was written in 1993 I think the HCCC inferred somewhat reasonably where Justice Christine Adamson wrote:

The HCCC submitted that I ought infer that the information the plaintiff has published on its website about vaccination has affected the decisions of people to vaccinate themselves or their children.

However the reality of legislation lagging behind lives deeply influenced by online access and communities is axiomatic. In this light perhaps the HCCC could have sought to cover all bases. This question becomes more relevant when we note that with a good deal of legal help Dorey wrote to the HCCC in December 2009 “again asking for information on jurisdiction”. Page 1 and 2 deal explicitly (and strikingly) with interpretation of the Act just as we saw it eventually impact upon the final judgement. Page 2 includes:

It seems however that the HCCC is seeking to interpret section 7 of the Act in a way that extends its jurisdiction beyond the reasonable (and legislatively established) limits set out in section 7(1)

The HCCC had earlier argued (14 December 2009) via correspondence that a complaint may be made under 7(2) “unrestricted in any way”. Regrettably, and with the help of hindsight over two years later, one can now see that section 7(1)(a) and (b) must be taken together. In fact if no tendency to have a direct affect upon the clinical management or care of a person or persons can be shown then jurisdiction does not apply. Adamson again:

In my view, the use of the words “the clinical management or care of an individual client” evince an intention that only a complaint concerning a health service that has a concrete (even if indirect) effect on a particular person or persons is within jurisdiction.

Should the HCCC have ensured this aspect was covered? Arguably yes. The very problem it would face in court had been laid out before them by the AVN well in advance. The Act dictates how the HCCC function and this entire matter had grown from complaints – the subject of section 7.

So yes, the HCCC should have been prepared. Could “direct affect” upon clients have been established?

There are many written examples of individuals attesting to the AVN having a direct affect upon clinical management or care. A small few include the first letter here republished by Meryl a year ago. A proud dad not vaccinating his daughter last month. An extended admission in support of Dorey speaking at Woodford, last December. This one even popped up just yesterday:

I’d not give these absolute credence in court, but a certain volume would be hard to ignore. However there are also doctors, paediatricians, neonatal nurses and many more who may well have confirmed this in a legal declaration. Justice Adamson herself noted the ease with which the HCCC could have accessed proof of direct affect from one of the complainants. She then wrote:

However, the ease with which it might have done so is not the test. It did not do so. As I have found, the evidence adduced before me is not sufficient to bring the complaints within s 7(1)(b) of the Act.

Yes. It appears that direct affect upon clinical management or care could have been established by the HCCC. I wonder if Adamson’s original draft has “head desk”, scribbled in the margin?

Let’s not forget who we’re talking about here. Dorey isn’t just anti-vaccine but pro-disease.

You may remember the vicious attack in Police called in by anti-choice zealot because mum exposed child to chicken pox!

While this became news locally, how many West Australians were killed by medical error, adverse reactions to properly prescribed medications and hospital-borne infections. (sic) Why isn’t that written up in the newspapers? [...]

But no – a mother who exposes her child to chicken pox – a disease that has never been considered deadly… an action that all our mothers and grandmothers would have taken – is threatened with police action or child protection because a man who considers vaccination to be a sacrament of medicine, reported her to the authorities and they didn’t laugh him down.

Keep in mind that giving someone a live virus vaccine (chicken pox, measles, mumps, rubella) is already deliberately infecting them with the virus.

Now that the AVN is a Health Service Provider under the HCCC’s jurisdiction one wonders just how much more feral ranting can go unnoticed. There can be no doubt what influence on care is intended by that article.

To this we can add the sum of the rubbish Dorey sells online as alternative health choices and natural cures. The very purpose of such material is to influence clinical care. It is reasonable to suggest the HCCC missed an opportunity which cost it a case.

Yet exactly how much of a “victory” it has been for the AVN has not yet been decided.

Meryl Dorey and Australia’s pertussis epidemic

Interviewer: Are you proud that this area has one of the lowest vaccination rates in the country?

Meryl Dorey: I don’t think there’s anything to be proud or ashamed of. I think I am proud that our organisation is assisting parents to get information that they would not otherwise be able to access.

Sunday Night – April 2009

Unfortunately when you’re out to derail vaccination regimes the consequences of singular pursuits can be ignored this way.

I’ve little doubt Meryl would be proud, having labelled vaccines, “instruments of death”. Apart from the standard antivaccination fare, Dorey has a unique approach to reality:

Now, we have a medical community that’s saying if you get measles, if you get whooping cough you’re going to die from it. Well where is the information from that? You didn’t die from it thirty years ago and you’re not going to die from it today. [Audio]

Well that’s certainly misinformation one would not “otherwise be able to access”. Over that same year three tiny babies died from pertussis. From 1993 – 2008, 16 babies under 12 months lost their lives to pertussis. Fatalities continue right up to the present day. In addition survivors are left with hypoxic brain damage, scarred lungs, burst blood vessels in conjunctiva and broken ribs. Adults can seriously injure themselves. Dr. Penny Adams recounts how she prolapsed a cervical disc onto her spinal cord requiring surgery to correct.

As this information is easily accessible we can appreciate why those who monitor Ms. Dorey raise serious concerns about the ethics of allowing her to speak unhindered in public. Seeking to impede someone who claims pride in intentionally spreading falsehoods that can injure and kill Australians is not an attack on free speech.

One of the earliest observations that Meryl Dorey’s antivaccination lobbying could have an effect on local herd immunity was published in early 2003. MAPPING IMMUNISATION COVERAGE AND CONSCIENTIOUS OBJECTORS TO IMMUNISATION IN NSW was written in the NSW Public Health Bulletin, Volume 14, Numbers 1–2 January–February 2003. Authors Brynley Hull and Peter McIntyre note in the discussion (page 12) [Bold mine]:

Although immunisation coverage has greatly improved over the past five years in NSW, and many areas have reached coverage targets, there are areas in NSW where the level of registered conscientious objection to immunisation is great enough to affect immunisation coverage, as measured by the ACIR. One such area is northern NSW, and the Byron Bay SLA in particular, where the rate of conscientious objection is one of the highest in the country.

Presently Australia is in the fifth year of strikingly elevated pertussis notifications. Whilst it seemingly began in Meryl Dorey’s backyard on the north coast, we can easily trace its spread across the nation from media reports. Although not the first report, an article by Amy Corderoy on October 30th, 2010 brings the concerns of Hull and McIntyre to life, over 6 1/2 years later. From Vaccination rates spark epidemic fear. [Bold mine]:

And health authorities warn that NSW could be facing another outbreak as more cases than usual have been seen recently in the areas where the epidemic started. The highest rates of so-called “conscientious objectors” to immunisation are in parts of the north coast – such as Byron Bay – where 12 per cent of children born between 2001 and 2007 were never immunised for any condition. [...]

An epidemic of whooping cough in 2008 and 2009 began on the north coast. It quickly swept across the state driven by low vaccination rates in some wealthy parts of Sydney. [...]

Dr McAnulty said areas with lower vaccination rates were more at risk. “If you are a parent it is so important for your child to be protected, but also for the other children in your community,” he said.

In 2007 Australia recorded 4,863 cases. In 2008, 14,290. In 2009, 29,786. In 2010, 34,793. Last year, 38,514 and already this year 3,645. For the entire time Ms. Dorey has urged against vaccination, attacking those who choose to vaccinate, mocking health authorities and distorting statistics. A request to answer a thorough deconstruction of her widespread trick to malign vaccine efficacy remains unanswered – which is answer enough for me.

However as unwelcome as antivaccine lobbyists may be, there is more to this epidemic than just irresponsible, if not unconscionable, conduct. Nation wide access to PCR testing has led to a higher number of confirmed diagnoses and this in turn is being “fed” by doctors and health staff with better diagnostic skills – especially during the early stages. It seems that added to an epidemic we’re testing more often and more accurately.

Despite the louder volume of antivaccination arguments, if they were really taking hold and driving the full epidemic we’d expect to see consonant rises in fatalities and hospitalisations. In fact despite the huge numbers of notifications since 2008 below, we’re seeing less fatalities than the epidemic in 1997. Hospitalisations have not increased in pace with notifications.

Frustratingly, increased notifications are exploited by antivaxxers as so-called proof the vaccine is ineffective. Yet if this is the case then a representative increase in fatalities and admission to hospitals should be apparent. It isn’t. This also makes claims by Dorey of “a more virulent virus” hard to sustain. She’d do better to argue a less virulent virus explains the disparity between notifications and serious cases.

Either way, it’s important to respond to abuse of certain nuances related to increased pertussis notification. For example we can dispense with nonsense such as this stunner from July 2011, which was Dorey’s partial conclusion from revelations of better testing revealing more notifications:

So not only is the pertussis shot not preventing vaccinated people from getting pertussis – it could also be responsible for the increased death rate.

Pertussis Notifications To Date

A range of factors accompany low immunisation as a factor in pertussis outbreaks and increased notifications. Nonetheless since an “epidemic of whooping cough in 2008 and 2009 began on the north coast” it’s been reported in every state in epidemic proportions. The advice is unanimous. Vaccination Saves Lives.

In January 2009 ABC’s The Pulse reported with A bad year for whooping cough. We may have found Dorey’s reason as to why “you didn’t die from it 30 years ago”. Mass vaccination:

Whooping cough used to be a disease that everyone got as kids, says Dr Frank Beard, acting senior director of Queensland Health’s Communicable Diseases Branch.

However, numbers plummeted following the introduction of mass vaccination in the 1950s. Cases fell to an all time low in the 1970s and 1980s…

By March 13th, 2009 Tasmania issued its first pertussis alert urging parents to seek vaccination for newborns at 6 weeks rather than 8 weeks of age. Vaccination Alert Following Steep Rise in Whooping Cough Cases. This followed an increase to 99 infections compared to just 4.

Low immunisation behind South Australian whooping cough outbreak, wrote Tory Shepherd on November 5th, 2009:

SOUTH Australia is experiencing its worst whooping cough outbreak on record – and babies are the main victims of the potentially fatal and highly infectious disease. [...]

A four-week-old NSW baby who died in March was the first fatality from the disease in a decade. Since then it is understood two other children have died.

By August 31st, 2010 the epidemic was hurting QLD. Whooping cough epidemic gains pace, wrote Amelia Bentley:

Health authorities have warned a whooping cough epidemic is spreading throughout Queensland.

The Sunshine State has the most people in Australia falling ill with the infectious disease, prompting a state-wide call for children and adults to be immunised.

Seventeen days later the Danny Rose reported in Victoria’s Herald Sun. Fourth baby dies of whooping cough:

THE death of another baby in Australia’s slow-moving whooping cough epidemic underscores the importance of broad immunisation coverage, an expert says.

The five-week-old boy died in the intensive care ward of an Adelaide hospital earlier this week, and Professor Peter McIntyre said this was the fourth child death in a pertussis outbreak which started in 2008.

The infant contracted the bacterial lung infection when he was too young to receive the whooping cough vaccine, which can be administered after a child is six weeks old.

Adults represent most notifications and are a common source of infection for children and infants. Presently adult booster rates are around 11.3%, which is too little to be effective. Whilst adults aren’t as vulnerable to harm as babies are, the longer the epidemic has gone on the more the percentage of adults contributing to notifications has become. Comparison of age groups shows a significant increase in adults particularly from 2010 – 2011.

By December 10th, 2010 the Northern Territory Department of Health published, Central Australians urged to protect against whooping cough:

More than 220 people were diagnosed with whooping cough in Central Australia during the past twelve months, according to Coordinator of the Centre for Disease Control for Alice Springs and Barkly regions, Dr Teem-Wing Yip.

“The majority of cases occurred in older children and adults,” Dr Yip said.

“Adults with whooping cough may feel unwell from an annoying cough, but the highly infectious disease can be much more serious in young children,” she said.

“Symptoms of whooping cough in adults may be as minor as an annoying cough, but can cause significant illness. In very young children, the disease can be very serious,” she said.

Fear over whooping cough epidemic, wrote Julia Medew in Victoria on October 21st, 2010:

Jenny Royle, a paediatrician with the hospital’s immunisation service, said Victoria had experienced an unusually sustained epidemic since 2008, with the disease affecting thousands of people, young and old.

This prevalence was now putting newborn babies’ lives at risk.

She said the hospital had seen 19 babies with the disease since August, including three aged six to 12 weeks who ended up in intensive care.

”This is really unprecedented … A baby died in Adelaide a couple of weeks ago with whooping cough, so we’re very concerned about the number of cases we’re seeing here,” Dr Royle said. ”We are worried that we’ll see deaths here too.”

In late January 2011 Victoria’s Chief Medical Officer published an Advisory for health professionals. But the fear felt and prediction of death only weeks earlier was all too real. On February 17th, 2011 Fairfax reported on an infant death in Melbourne. Death Sparks Vaccine Appeal wrote Julia Medew:

THE death of a newborn baby from whooping cough in Melbourne this week has triggered a call for Victorians to vaccinate against the highly contagious disease. [...]

Dr Jenny Royle, a paediatrician with the immunisation service at the Royal Children’s Hospital, urged Victorians, young and old, to check they were up to date with their whooping cough vaccinations because the epidemic was putting babies’ lives at serious risk. [...]

Whooping cough, also known as pertussis, can cause minor cold-like symptoms for adults but is fatal for about one in 200 babies infected. In infants, it can cause coughing fits that deprive the brain of oxygen, leading to brain damage and death.

On the same day, ACT Health published a Health Alert on pertussis. In order to protect your baby you could:

  • Ensure your baby is vaccinated on time, this can be done from 6 weeks of age.
  • Keep your baby away from anyone with a coughing illness.
  • Ensure everyone in your household is up to date with their vaccinations.
  • Be on the lookout for symptoms of pertussis and consult your GP if concerned

Back near ground zero, four years on, pertussis was still effecting the community. Meryl herself was not happy that grassroots volunteers had slowed her pace, revealing perhaps more legal irregularities than intellectual ones. Vaccination was now likened to “rape with full penetration”. Those with questions were members of “hate groups” seeking to suppress her democratic freedom as an expression of “health fascism”.

Despite her “martyr for the cause” act, the true intent and impact of the likes of Dorey was not lost on Australians. Both online and regular media had taken interest in this person now the subject of a public health warning. On May 15th 2011 Jane Hansen reported in The Sunday TelegraphDoctors warn parents to keep newborns at home as whooping cough epidemic escalates:

DOCTORS have warned parents to keep newborn babies at home to protect them from a whooping cough epidemic triggered by the “chardonnay set and alternatives”. [...]

“With vaccination rates so low in this area we say to the mothers of newborns, do not take them out in the community,” local paediatrician Dr Chris Ingall said.

“We’re appalled at how many kids are getting whooping cough because the chardonnay set and the alternatives don’t vaccinate their children.”

Areas with low vaccination rates had 300 per cent more cases of whooping cough between 2008 and 2010, according to figures from NSW Health.

On September 16th, 2011 the importance of vaccination in preventing pertussis was reinforced by Dr. Julie Leask in Clear and present danger: how best to fight the latest whooping cough outbreak.

Tasmania’s Public Health Alert was last updated on November 9th, 2011. Again it reinforced the importance of vaccination and proper conventional care.

By January 4th, 2012 ABC Online reported, WA facing whooping cough epidemic:

Health authorities in Western Australia are warning that the state is on the brink of a whooping cough epidemic.

A record number of more than 3,500 cases were reported last year, more than double the 2010 total. Four babies have died from the infection in as many years and the Health Department is urging parents to be prepared for more cases. [...]

“Measles kills, whooping cough kills. All of those diseases that you can now get a vaccination to stop, can kill children.

“So please make sure your children get vaccinated.” [said Paul Armstrong of W.A. Health]

So it isn’t hard to find this epidemic mentioned over and again in every state of Australia, with a repeat of the necessary advice for the community.

The pertussis epidemic that probably began due to low immunisation rates in Byron Bay in 2008/2009 and again in October 2010, likely wreaked havoc and heartbreak across NSW and parts of QLD. Exactly how much can be attributed directly to Meryl Dorey, is impossible to tell but low herd immunity in Lismore and surrounds has been devastating for some. I’m sure people have never heard of Meryl Dorey nor care to, yet still refuse to vaccinate. Sadly, she glows with delight when asked the question that assumes she is responsible for local immunisation denial.

Ranging out across Australia there are far too many factors to consider and many pockets of low immunisation for a number of reasons. Outbreaks chronologically followed the initial Byron Bay outbreak and that’s all that can be said using a rough media guide. A virus of thought can spread faster and further than a viral or bacterial infection.

It is this that makes the likes of Meryl and other enemies of reason the danger that they are, and that requires concerted efforts to address.

Infant vaccination correlates to reduced incidence of SIDS

At a time when enormous anxiety surrounds vaccination it’s comforting to know large research projects concluding, “that immunisations may reduce the risk of SIDS”, are accepted by SIDS support groups and public health officials.

Not only that but German researchers published in Vaccine have suggested that immunisations should be part of the SIDS prevention campaign, having found in 2007:

                                  Immunisations are associated with a halving of the risk of SIDS

Applying the sensible rule of seeking out reputable information regarding vaccination, a visit to SIDS and KIDS yields a succinct Information Statement.

Most compelling has been German research published in Vaccine. Vennemann et al. (2007) conducted meta-analyses on 307 SIDS cases and 971 controls. The findings written in SIDS: No increased risk after immunisation, are unambiguous:

Results:

SIDS cases were immunised less frequently and later than controls. Furthermore there was no increased risk of SIDS in the 14 days following immunisation. There was no evidence to suggest the recently introduced hexavalent vaccines were associated with an increased risk of SIDS.

Conclusion:

This study provides further support that immunisations may reduce the risk of SIDS.

A few months later, Vennemann published with a smaller team again in Vaccine. The paper, Do immunisations reduce the risk of SIDS? A meta-analysis, included:

Results:

The summary odds ratio (OR) in the univariate analysis suggested that immunisations were protective, but the presence of heterogeneity makes it difficult to combine these studies. The summary OR for the studies reporting multivariate ORs was 0.54 (95% CI = 0.39–0.76) with no evidence of heterogeneity.

Conclusions:

Immunisations are associated with a halving of the risk of SIDS. There are biological reasons why this association may be causal, but other factors, such as the healthy vaccinee effect, may be important. Immunisations should be part of the SIDS prevention campaigns.

Other studies:

Because babies receive multiple vaccines during the first year of life and SIDS is the leading cause of death between 1 – 12 months of age, the CDC has looked at a possible causal association. They note:

Studies that looked at the age distribution and seasonality of deaths reported to the Vaccine Adverse Event Reporting System (VAERS). SIDS and VAERS reports following DTP vaccination, and SIDS and VAERS reports following hepatitis B vaccination found no association between SIDS and vaccination. ♣

The CDC also report that the USA Institute of Medicine (IOM) formed a committee to examine epidemiological evidence and look for any association between vaccination and, “SIDS, all sudden unexpected death in infancy, and neonatal death (infant death, whether sudden or not, during the first 4 weeks of life”. The committee further searched for relationships between SIDS and individual doses of diphtheria, tetanus, whole cell (and acellular) pertussis – DTwP, DTaP – and HepB, Hib, and polio. Then they looked for combinations of these same vaccines and any association with SIDS.

Another study using the vaccine safety datalink (VSD) examined 517 deaths between 1991 and 1995 that had occurred during the first year of life. No evidence to show vaccines cause SIDS could be found in any of the above studies. Similar projects have been carried out world wide replicating these results. The evidence is strongly in favour of vaccination having no possible causative effect in relation to SIDS.

What about SIDS research?

Recent research (published a month ago in Neuroscience) from the Oregon Health and Science University has raised some fascinating questions about the role of glial cells (supporting but not electrically active neurons) on individual cardiorespiratory neurons in the brainstem. It’s known that extensive growth of cell dendrites (outgrowths) is normal for cardiorespiratory neurons during the post natal period. This leads to optimal heart and lung control in the brainstem of infants. It’s already known however, that excessive glial cell accumulation is found in the brainstems of infants deceased as a result of SIDS.

What the OHSU study may very well show is that glial cells could interfere with the growth of neurons that regulate cardiorespiratory function. They have also established a relationship between glial cell depletion and the amount vs the size of dendritic outgrowth in the presence of certain growth factors. In being able to understand how this relates to the development of healthy cardiorespiratory function, researchers may begin to identify conditions at the cellular level that could preclude sudden death.

Some people blame vaccines for SIDS. Why?

It’s hard to wrap our thinking lobes around, but despite the abundance of evidence and advice from SIDS experts the antivaccination lobby cling desperately to the temporal association. We shouldn’t be surprised. Every single problem that occurs around the time of any vaccination is assumed to be causally related. The concern first arose in 1979 following a report of four deaths within 24 hours of immunisation. What followed was research in Australasia, North America and Europe that sought to confirm the mechanism, but failed to find any link at all.

Much damage was done by a micropalaeontologist who had emigrated from Slovakia to Australia. In 1985 whilst employed as a geological surveyor with NSW Department of Mineral Resources, one Viera Scheibner claimed to have witnessed “stressed breathing” whilst using an infant breathing monitor invented by her late husband. The infants had been recently vaccinated with DTP and Viera thus declared she had discovered the cause of SIDS. An excellent account of Viera Scheibner by Leask and McIntyre can be found here.

In her book and elsewhere Scheibner writes deceptively that when Japan moved the vaccination age from under 12 months to 2 years the incidence of SIDS “virtually disappeared”. In fact she sourced figures from Japanese vaccination compensation reports. SIDS is only diagnosed in infants under 12 months. Thus SIDS had not disappeared, only the opportunity to link it to vaccination compensation.

Still, Scheibner argues that “a spate of 37 cot deaths” before the change was purportedly vaccine induced because, “when the vaccination age was moved to two years, the entity of cot death disappeared”. In fact analysis of Tokyo autopsy records suggests the actual incidence of SIDS rose considerably following the shift in vaccination age in 1975.

From 1979 to 1993, the last year studied, incidence of SIDS had increased 12 times (though this huge increase also reflects increased diagnosis, not just rate). What we can take from this is that Scheibner is intentionally deceptive. Actual records proposing the opposite to her claims, are there for her to access.

As Dr. Jay Wile notes whilst demolishing poor Viera in her 2009 article Vaccines Actually Protect Against Sudden Infant Death Syndrome (SIDS) the myth persists thanks to retelling by the usual culprits who fail to check Scheibner’s mere two sources.

Thus, the statement that Dr. Scheibner makes in her book is a lie, and that lie has been repeated over and over again. How in the world could Dr. Scheibner make such an outrageous claim and be believed?

Despite usurping Sweden’s cessation of whole cell pertussis vaccination, Scheibner forgets to recount the immediate rise in pertussis cases and their research effort into new pertussis vaccines. Nor does she recount how Sweden resumed pertussis vaccination to great success. Incredibly she argues that abandoning the vaccine in 1979 is the cause of Sweden’s low infant mortality (which can be traced to before 1960) and also triggered a milder form of pertussis infection.

Sadly, it doesn’t take much mud to stick and Scheibner is oft’ quoted in the appalling claim vaccination causes infant death. Today – as in right now, today – a group of antivaxxers gathered to hear Stephanie Messenger spread her dangerous message. Stephanie is author of Melanie’s Marvellous Measles, which takes kids aged 4 – 10 on a journey of discovering the ineffectiveness of vaccination while teaching them to embrace childhood disease and build immune systems naturally.

Stephanie lost a child to SIDS, blames vaccination and seems to have been twisted to the aims of Dorey’s Australian Vaccination Network. Her antivaccination shin dig was set up cloak and dagger style with the location sent via text only on the day to those who had paid and left a number. Her flyer promises a:

100% success rate [against SIDS]

Learn the latest on SIDS

This information is being hidden from the general public

With 30 years of “research” on vaccines and ten on SIDS Stephanie would provide another rehash of all the standards such as toxic ingredients, children getting sicker, vaccines causing cancer, the myth of herd immunity, “natural” alternatives, ensuring government benefits and so on. I wonder however if one person there will step in and offer her the help she clearly needs. This nonsense is paranoid, vindictive, emotionally damaging and antisocial in the extreme.

The reality is that on the subject of SIDS and infant health in general vaccination has an excellent record. Be sure to speak to your doctor or large support organisations for reputable government approved information.

According to the best informed and most genuine sources in Australia immunisation is associated with a lower risk of SIDS.

Go for it!

- ♣ A cautionary note on VAERS. The raw “data” accessible via VAERS is notoriously unreliable. VAERS exists to alert authorities to reporting trends. These trends reflect growing trends against vaccination, or anecdotal correlation. In short they err toward antivaccination propaganda and reports are often prompted by antivaccination site material.

The role of health authorities is to apply controlled studies to examine persistent trends in reporting. This is the case with SIDS. However, the false correlations that prompted the research will remain on the VAERS data base – and be used by antivax groups to further mislead. So to will the many self reporting mistakes, pranks and ideologically driven distortions.

This is true for all “adverse reactions” reported to VAERS. They are shown to be false, yet remain as original “data sets”. Thus VAERS data itself is not reliable. Follow up research tends to find no conclusive association in the majority of cases.

Monika’s Entity

Monika Milka is a perfect example of why alternatives to medicine have no place being legitimised in Australian universities.

On Monday February 13th, Today Tonight Adelaide ran a piece [below] on the gruff chain smoker who runs Monika’s Entity from run down sheds in Wallaroo and what passes for “rooms” in Gawler, South Australia. Despite being entirely unqualified in anything or registered anywhere Monika claims to be a healer of amazing talents.

Monika Milka: “The Universe knows best”

Monika Milka claims to be a homeopath, homeotoxicologist, iridologist, mesotherapist, biomesotherapist, deep tissue masseur and a deft hand with a quartz crystal diamond laser. Her “Tonics” – 150 ml bottles of ethanol and water sell for $150, and prompted the Today Tonight sting. In a hidden camera first, Milka claims her tonics are responsible for Hugh Jackman’s Wolverine physique.

“He needed to get the part for Wolverine… I made his physique”.

Presently as per the Public and Environmental Health Act 1987 Monika is under S.A. Health Department orders to not administer any substances to any person. Nor can she provide substances to another person, unless that substance is a commercial product. Of course this means Monika would have to spend to buy stock and sell at a retail price. But when you can score $150 for a splash of magical water those S.A. health authority orders prohibiting provision of anything must be a pain in the wallet.

On February 2nd Monika launched a Facebook scare campaign claiming that Heliobacter Pylori was vulnerable to her tonic which could eliminate infection. Diagnosis seems random, and antibiotics aren’t mentioned.

Even people with Chronic Fatigue Syndrome “in their veins” were led on by her. “Can I order it online?”, asks one target with CFS. Milka replies…

The scam continues. Only Monika’s “tonic” can save humanity from this “Bastard”.

Sounds… fair. But wait – there’s more Tonic Totality!

Tooth and gum pain? No problem:

How about your pets? Monika has a message for the bird brains out there. Homeopathy makes pets feel good – and smell nice.

Water you can add to… more water. Perhaps add it to cream. Wow, this is magic water indeed.

On and on it goes. I’m sure you get the idea. Monika’s $150 bottles of water range out to cure everything.

  • Monika’s defence, when challenged? [Audio here]

Let’s review how a not too bright con artist manages to be breaching conditions under the Public and Environmental Health Act 1987 simply by selling water. Well back around 2005 Monika hit on a money making boon. She decided she would claim to cure cancer by “killing the worms” that Monika invented as responsible for any manner of horrors. She’d do this by mesotherapy – injecting saline solution and “other substances” into very sick people for $500 per week.

Not long after this in June 2008, S.A. Health issued a Mesotherapy Alert. It included reports on six people who had attended Monika’s Entity suffering “multiple symmetrical skin abscesses on their calves, buttocks, thighs, abdomen, shoulders, face and neck”. Today it appears up to 14 people were seriously effected by this madness.

One had developed a notoriously difficult to treat mycobacterial abscess. Translation? Monika was almost certainly injecting her customers with tap water, the most common source of mycobacterium. Either that or sewerage contaminants.

Monika writes on Facebook and elsewhere using bizarre grammar and spelling. We get a strange contrived pixie sing-song lilt about the universe, karma, the law of attraction and nasty things eventually happening to anyone who challenges her. Monika apparently has some explaining to do.

Remember, Milka is by law not allowed to provide anything to anyone. I hate to be so blunt but she is a dirty, dangerous, deceptive and cruel scam artist. Although Monika has no qualifications, registration nor accreditation with any health or “alternative” health body in Australia she wants the unfortunate victims who pass by to believe so. On January 27th when stories on the urging of removal of quackery courses from universities were in the press, Monika drops a telling comment.

Being unregistered Milka may have accessed hypodermics from Needle and Syringe Programmes (NSPs) provided under harm reduction services for users of illicit drugs. This becomes more compelling when we note Milka claims “junkies” who she unwittingly hired were responsible for the unsterilised equipment.

Milka runs a Deli full time and has a smattering of customers whom she treats in filthy conditions in sheds. Thus, this story blaming missing “junkies” is unsatisfactory. Even if we entertain it (in fact even if we don’t), health authorities must face the reality that syringes used on patients may have been second hand. Milka owes it to her “patients” to ensure they seek testing for Hepatitis C and HIV. How were the sharps disposed of? What reason did Milka give to NSP staff for accessing equipment?

Of course to Milka, this is all nonsense. Despite an ongoing civil case seeking damages she claims it was all “dealt with years ago”. She is the victim in all this we’re told. The Universe trusts and loves her and in the dance of the Cosmos, that is all that matters.

Fortunately she was pulled up in June 2009 during the Inquiry into bogus, unregistered and deregistered health practitioners.
The Inquiry received one written complaint about Ms Monica Milka. It alleged that Ms Milka had:

  • claimed that she was able to cure cancer, and
  • failed to provide receipts for payment provided.

As the wife of one of Monika’s victims told the Inquiry [page 42]:

In 2005, my husband, Ross, was diagnosed with cancer of the bile ducts. After surgery and various courses of chemotherapy and radiotherapy treatments failed to halt the diseases, my husband sought the help of Monica Milka who did ‘alternative therapies’. Monika assured my husband that she could cure him and commenced treating him with all types of sprays, medicines and injections. The many injections she gave to his stomach were to ‘kill the worms’ that were causing the problem but in fact left him very sore. She also took photos of his eyes and then showed him those supposed images on a computer screen, pointing out the ‘areas of improvement’ and telling him how well he was doing. Ross paid Monica over $500 per week. Initially he paid by visa card so received a receipt for this payment but later on he began to pay cash and no longer received any receipts.

Milka’s insouciance to her earthly responsibilities could not have been clearer:

The Committee received written correspondence from Clark Radin (lawyers) representing Ms Monika Milka. In their letter, Clark Radin requested that copies of all oral and written submissions received by the Committee against Ms Milka be provided to them… The option to view the material was not taken up by either Ms Milka or Clark Radin.

There’s little doubt Monika Milka and Monika’s Entity is a danger to the community. She is completely without remorse and appears oblivious to the notion of responsibility. She makes a living from thieving – scheming and scamming innocent and vulnerable Aussies, all of whom will be left worse than before encountering her. The only constant is the never ending barely comprehensible rambling about cosmic vibes and universal energy that can kindly be referred to as the rantings of an insane witch.

Not only is Monika Wolverine Milka a walking talking example of what pseudosciences must ensure they can control, she presently acts as a voice for their place in university. Apologists like Kerryn Phelps need far more than a few placebo studies to make this disease go away.

Somehow I doubt Milka is as loving and cosmic as she pretends. I hope the full force of the law hits her hard and hits her soon.

The Law of Attraction shall we say ♥

Monika Milka: Quackery of the first order

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