Measles Goddess’ Wrath Hits Victoria

Victorian Chief Health Minister, Rosemary Lester offers 30 seconds of wisdom concerning the present measles outbreak in Victoria:

Or download MP3 here

As an outbreak of measles reaches 10 cases in Victoria we can be certain of one thing.

The misinformation peddled by antivaccinationists over the years will be underscored as just that. Misinformation. From ridiculous to dangerous these snippets of so-called wisdom have included claiming “measles” means “a gift from a goddess” in ancient Sanskrit, to measles being the cause of the growth spurt that happens to correlate with the most common age for childhood infection.

In the first instance a check of the link to Sitala Mataji – originally the smallpox goddess worshipped in Pakistan, Northern India, Nepal and Bangladesh – shows the divine influence to be malignant. Just as Sitala was burned by a carelessly forgotten stove, she randomly picks children in anger and burns them from within to punish the mortal.

Meryl Dorey of the Australian Vaccination Network argues that as just one of the diseases that have “beneficial aspects… prevention may not necessarily be in the best interests of the child”.

Dorey would tell her audience using large slides:

Called “gift from a goddess” in Sanskrit measles can help to mature the immune system, may help to prevent auto-immune illnesses such as cancer, asthma and allergies later in life

In reality the Sanskrit word, “masuurikaa” translates variously as smallpox, measles, eruption of lentil shaped pustules, lentil, and procuress (female procurer). There is absolutely no evidence that infection with wild measles primes the immune system against cancers or allergies. Such claims belong firmly alongside the lie that certain potentially fatal and disabling diseases are “rights of passage”. Regarding pertussis and measles Dorey famously informed a national T.V. audience:

My mother used to put me with all the neighbourhood kids when they got these diseases so we would get them and get them over with and be immune. And there was no fear, there was no worry about it. We just got them, and we were supposed to get them and we did, and we were healthier for them. 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.

In fact with measles the risk of encephalitis is at least 1,000 times greater from measles infection than from vaccination. Prior to the success of mass vaccination:

Measles was once a common childhood disease in Australia, and medical practitioners were well acquainted with the “fever, generalised maculopapular rash, cough and conjunctivitis” syndrome that equated to a measles diagnosis. Measles complications, particularly bronchopneumonia and otitis media in children, were commonplace. With so many cases in the community, relatively uncommon severe complications, including acute encephalitis (1 in 2000 cases), subacute sclerosing panencephalitis (1 in 25 000 cases), and death, were also encountered.

There is nothing “marvellous” about measles as suggested by a despicably misleading book. Aside from the sliding scale of disability cruelly dealt by encephalitis one or two fatalities per thousand infections is normal.

The overwhelmingly positive impact of mass vaccination can be seen in the catch up programme documented here as The Australian Measles Control Campaign, 1998. There are no conflicts of interest declared by the 12 authors.

The Abstract reads:

The 1998 Australian Measles Campaign had as it’s aim improved immunization coverage among children aged 1-12 years and, in the longer term, prevention of measles epidemics. The campaign included mass school based measles-mumps-rubella vaccination of children aged 5-12 years and a catchup program for preschool children. More than 1.33 million children aged 5-12 years were vaccinated at school: serological monitoring showed that 94% of such children were protected after the campaign, whereas only 84% had been protected previously.

Among preschool children aged 1-3.5 years the corresponding levels of protection were 89% and 82%. During the six months following the campaign there was a marked reduction in the number of measles cases in children in targetted age groups.

Six pages in on page 887 of the Bulletin of The World Health Organisation 2001, 79 (9), we find this table:

Notifications_preandpostOzControlCampaignThe authors note that whilst there was no immediate reduction in the number of cases in the six months following the campaign, there was a notable reduction in the age groups targetted by the campaign. Following 1.7 million MMR doses during the campaign, there were 89 Adverse Events Following Immunisation. 80 children followed up recovered without sequelae. Nine could not be followed up due to confidentiality restraints associated with ADRAC. The benefits were not seen in “untargetted” 12-18 year olds.

As one of the largest initiatives in Australia’s immunisation history, the MCC was deemed demonstrably effective. The authors wrote:

Each of the studies in this evaluation confirmed that the campaign was highly successful, particularly among preschool and primary-school children.

Graphed data including the impact of the MCC can also be seen here (Victoria 1962 – 2004) and here (Australia 1991 – 2011). The profound impact of the introduction of a second dose in 1994 is also clear in the second graph.

The two clusters in Victoria currently reflect one distinct arrival from overseas and a source traced to a domestic flight. A disturbing case in S.A. in August 2011 resulted in two distinct warnings stemming from just one overseas arrival. The only reliable defence against jet-setting viruses and wide scale outbreaks is herd immunity.

The need for ensuring oneself is vaccinated against measles goes without saying. Particularly as exposure to someone emigrating or returning from a part of the world where measles is poorly controlled is quite simply a matter of chance. In Measles Immunity in Young Australian Adults, Gidding and Gilbert write in Conclusion:

Based on the most recent national serosurvey data available, there are 2 cohorts with levels of immunity below 90 per cent — those aged under 6 years in 1999 (born in 1994-1999) and those aged 18-22 years in 1996-98 (born in 1974-1980). Only persons aged 30 years and over in 1996-98 (ie born before measles vaccine was available) had immunity levels above 95 per cent.
These results indicate the ongoing need to improve vaccine uptake in infants and suggest that a vaccination campaign targeting young adults would be beneficial.

If we wish to attenuate measles outbreaks to state level – indeed Victoria itself – we can examine a 2005 review by Becker et al. Monitoring measles elimination in Victoria, brings into sharp focus how damaging a drop in herd immunity can be, given that outbreaks – including this one – begin with importation of the virus.

The University of QLD authors sought to use “evidence from outbreak data that Victoria has achieved, and is maintaining, elimination of measles”. They wrote:

Conclusions: The data provide strong evidence that Victoria has maintained elimination of measles over the period 1998 to mid-2003. There is scope to improve the immunisation coverage. It is not clear how much outbreak intervention is contributing to the success in achieving apparent elimination.

Implications: To prevent importations from causing a major epidemic of measles, Victoria must maintain its immunisation coverage and outbreak control at current levels, or better. It is important to monitor the control of measles even when elimination is achieved.

Time and again we see the need to maintain herd immunity via mass vaccination. Lyn Gilbert wrote in June 2011 that researchers have presented evidence that measles has been “effectively eliminated” from Australia, “as well as from Finland, the United States, South Korea, Mexico, Brazil, Canada and Cuba”.

Elimination of measles is a viable goal for a number of developed nations. The stability of elimination has slipped further from our grasp for reasons including increased importation, socioeconomic realities and the feverish efforts of antivaccinationists. Measles is a potentially fatal and entirely preventable disease that also leaves many sufferers with lifelong disability.

It’s a public health disgrace that the measles virus can arrive in Australia to meet willing hosts who have been misled into risking their own or their children’s quality of life. That this is compounded by a demographic that experiences poverty and social trauma is a negative dynamic that health authorities should strive to rectify.

It is important that a calm measured approach is taken in educating the community about the dangers of measles and effectiveness of MMR immunisation. Also, strict and lasting penalties need to be dealt to homeopaths and chiropractors (to name just a few peddlers of alternatives to medicine) who profit from risking the lives of innocent Aussies.

The wrath of the goddess Sitala Mataji is something Aussies can do without.

Of chiropractic tripe and the odd zebra stripe

When we think of chiropractic and Equidae, it’s usually unicorns that come to mind.

The search for the chiropractic subluxation has been as fruitful as the search for the unicorn. In fact perhaps less fruitful, as we know with a high degree of accuracy what the unicorn looks like. Yet with the chiropractic subluxation our fairy tale is limited to conjuring mystical malaise or blaming dastardly disease as the work of this elusive evil.

chiro face palm

Do not be alarmed. This man has not seen a unicorn.

Rather, he had just been told that chiropractic subluxations

involve some type of “static” in the spinal cord.

Doctors (real doctors) report that he made a full recovery

after his palm was removed from his face.

Interestingly enough, whilst chiropractic teaches that areas of subluxation are invisible and can be “detected” only by the presence of symptoms, Simon Floreani, erstwhile president of the Chiropractors Association of Australia, has other ideas.

Check out the Catalyst video below at 1min, 45sec. Using the apparently magical Activator – or the “stick that goes click” – on an infant, Floreani announces:

Areas of subluxation that I can feel there, that are immediately improved after you adjust it like that…

You can read more about the Sonic Screwdriver-like Activator here in The Medical Observer. Just be prepared for some tongue in cheek observations. In September 2011 it was reported in Australian Doctor that the Federal Government had been asked to investigate both the Activator and “the Nervoscope” as they had been reported as having, “no biomechanical or physiological effect and cannot diagnose or treat any health condition”.

Fortunately, whilst new-age chiropractors continue to push their ineffective devices, practices and claims onto an unsuspecting public, genuinely motivated supporters of evidence based medicine are busy exposing their scams.

Check out the videos below to see just how devoid of facts claims made by the resurgent followers of Daniel David Palmer, really are. And keep an eye out for Simon and his zebra.

Catalyst – July 11th 2013


Floreani’s penchant for cutting his own path may help explain why he has chosen the zebra over the unicorn.

zebra floreaniFloreani positions a young subluxee on his treatment table cunningly disguised as a zebra

Lateline – July 6th 2009


Zebra floreani2

Floreani seems to be watched over by a zebra

Today Tonight – December 2011


Today Tonight – March 14th 2013

Complementary medicines’ problem with evidence

Evidence aplenty for complementary medicines-by ex-head of the AMA-Take THAT Friends of Science-enemies of truth!

Anti-vaccine lobbyist Meryl Dorey seizing legitimacy from Dr. Kerryn Phelps

Last week Dr. Kerryn Phelps wrote an article for The Australian defending the view that alternatives to medicine are in fact, a type of medicine.

The article’s heading, Evidence aplenty for complementary medicines itself touched on a unique feature of the massive Wellness Industry. Semantics. We have witnessed natural medicine become alternative medicine become complementary medicine become integrative medicine or more frequently complementary and integrative medicine. These are semantic costume changes designed to market integrity. To divert attention away from the fact that evidence for the efficacy of alternatives to medicine is lacking. Simply put, this is not medicine.

Dr. Phelps criticised Friends Of Science In Medicine [FSM], suggesting their “agenda was a declaration of war”. Yet I would conclude FSM are providing a long overdue and organised response to the rise of demonstrably non efficacious and potentially dangerous practices gaining undeserved academic credence. These have always shared a hostility toward evidence based medicine and science itself.

FSM president Professor John Dwyer writes:

We strongly support sound research to determine the effectiveness or otherwise of any biologically plausible areas of ‘alternative’ interventions. We do not seek to prevent consumers from making informed choices about alternative interventions, but wish to see the public better informed and therefore protected from false claims.

I do not doubt for a moment that Dr. Phelps and many other GPs who support alternatives to medicine are above reproach. Nor am I suggesting that all naturopaths and chiropractors (for example) are incapable of establishing a meaningful patient-focused reciprocal relationship with conventional medicine. What I am suggesting is that they are a minority and it is thus in error to suggest alternatives to medicine are generally based on evidence. Dr. Phelps’ insistence that these practices “compliment” or effectively “integrate” with conventional medicine is simply wishful thinking.

I strongly agree with Kerryn Phelps in that individuals taking more responsibility for their health is positive. I support and defend the right of patients to have more choice in managing their health. What I find deeply troubling is that once these two conditions are met, patients and wellness consumers are faced with bogus claims, unnecessary expense and a cornucopia of charlatans. That this is in no small part due to paper tiger regulation reflects that the system itself is broken and failing Australians.

That 19 of Australia’s 39 universities offer courses in scientifically implausible practices is alarming. The role of FSM in highlighting the perils of affording academic credibility to these practices is vital. It can be argued, as Dr. Phelps has previously, that universities will ensure rigid standards are met. Or as now, that FSM should support “an increase in university-based education for practitioners”. Sound reasoning to be sure. Until one considers that these very practices depend upon denial of the scientific method and graduates often emerge highly defensive of an ideology.

There is also an inescapable convolution of practice, integrity and accountability. A belief system associated with one modality may open the way for increasingly absurd practices. The anti-science, anti-medicine, post modernist culture so crucial to new age chiropractic is conducive to opposition, not integration.

This convolution raises the question of where the line is drawn. Few understand what constitute homeopathic principles beyond assuming they provide a “natural” therapy. Yet I would be surprised and disappointed if Dr. Phelps agued it had a role in medicine beyond placebo. Basic chemistry confirms there is no ingredient at all in homeopathic products, beyond expensive sugar. For those who seek to understand more about this “informed choice” there await increasingly bizarre claims most often concluding quantum physics will one day reveal all. This is the same mechanism behind theta healing – even remote theta healing.

For the purposes of this post it’s important to focus primarily on Dr. Phelps’ defence of chiropractic. But what type of chiropractor? John Reggars is past president of the Chiropractors Registration Board of Victoria and present vice president of the Chiropractic and Osteopathic College of Australasia. Focused on science, he is concerned by the rise of “ideological dogma” and the anti-scientific fundamentalist training that FSM have identified as problematic. In a paper by Reggars published in May 2011 he notes that in Australia the 1990s saw a resurgence of “chiropractic philosophy” and with it the belief in VSC, or Vertebral Subluxation Complex.

Reggars is highly critical of such chiropractic pseudoscience, pointing out misuse of diagnostic treatment, schemes to “double your income”, selling the notion of lifelong chiropractic care “to an ignorant public” and locking patients into contract plans. He also writes:

For the true believer, the naive practitioner or undergraduate chiropractic student who accepts in good faith the propaganda and pseudoscience peddled by the VSC teachers, mentors and professional organisations, the result is the same, a sense of belonging and an unshakable and unwavering faith in their ideology.

Belief in the unseen VSC is accompanied by the insistence all disease – including infectious disease – has its origin or cure in the spine. Chiropractic is the invention of 19th century magnetic healer Daniel David Palmer. Perhaps nothing reinforces the value of Friends Of Science In Medicine better than this modern scam of chiropractic. Represented in Australia by the Chiropractor’s Association of Australia [CAA] its aim is:

To achieve a fundamental paradigm shift in healthcare direction where chiropractic is recognised as the most cost efficient and effective health regime of first choice that is readily accessible to all people.

In other words they seek to displace the GP as the primary care physician. It is impossible to broach the many areas of medicine or do the same with the many pseudosciences chiropractic endorses to elaborate on this. Yet from vitamin therapy to homeopathy new age chiropractors have a positive word. Efficacy matters not. The CAA seem to instill fear and confusion about conventional medicine as a key mechanism in their “fundamental paradigm shift in healthcare direction”.

When we understand what seeking to usurp the family doctor entails, we can see that FSM can scarcely be accused of declaring war. The article Recent Controversies in Chiropractic and RMIT courses/clinic provides exceptional insight into the very concerns FSM seek to address with quackery in universities. Palmer argued humans have “a god-given energy flow” which when disrupted leads to illness. Exhuming such nonsense and contending that the doctrine is “evidence-based education and practice”, as suggested by Dr. Ray Myers, head of RMIT University’s School of Health Sciences is shameful.

One area the CAA has chosen to immerse itself in is the anti-vaccine movement. Many graduates emerge convinced that vaccination is a toxic medical trick. As one put it, raging on Meryl Dorey’s anti-vaccine Facebook page; “Of course we don’t support vaccination, it’s the biggest medical sham since bloodletting!”. The reason for his outburst was the article Doctors accuse chiropractors of selling anti-vaccination message.

To better understand why we must travel back over 100 years. In 1909 D.D. Palmer’s son, Bartlett Joshua (or B.J.) Palmer wrote (Ref; 2003), (Ref; 2014):

If we had one hundred cases of small-pox, I can prove to you where, in one, you will find a subluxation and you will find the same conditions in the other ninety-nine. I adjust one and return his functions to normal… . There is no contagious disease… . There is no infection… . ♠

Herein lies a major problem for Dr. Phelps who is under no such illusions about vaccination. As seen above Meryl Dorey has hitched a ride on Dr. Phelps’ reputation. On another email list Dorey simply copied the entire article and sent it off with the opening line, “If only we could get her to look at the vaccination issue as well… <sigh>”.

As well?! Dr. Phelps opined in The Australian about the “us and them” attitude. Yet these two words reflect just how rusted on and integral to many who entertain alternatives to medicine the “us and them” mindset is.

Some months back Dorey was also using Phelps’ prior role as AMA president, in the AVN attack on all conventional medicine. I wondered if Dr. Phelps knew of her unofficial patronage.

Past president of the CAA, Simon Floreani, has promoted homeoprophylaxis, showcasing Isaac Golden. Anti-vaccine activist and “paediatric chiropractor” Warren Sipser went as far as testifying in the family court against the immunisation of a five year old girl. Sipser informed reporters at the time “there is credible evidence they [vaccines] may do more harm than good”. Nimrod Weiner of Newtown Chiropractic ran anti-vaccine workshops using information garnered from the same AVN to whom Dr. Phelps is “diametrically opposed”.

Weiner informed pregnant mothers at a public talk that homeopathic immunisation (water) was superior to regular immunisation. That Andrew Wakefield’s fraudulent paper attempting to causally link MMR to autism was “scientifically good”. Last July Dr. Phelps tweeted:

WIN News Wollongong recently aired a comment from Meryl Dorey claiming that “all vaccines” are linked to autism in the medical literature. This is complete opportunistic nonsense and is now quite properly the subject of a complaint to ACMA. As Jonathon Holmes observed on Media Watch “there’s evidence and there’s bulldust” and that “Dorey’s claim about the medical literature linking vaccination and autism is pure, unadulterated baloney.”

Quite right. Which raises my point on convolution again. Where do we draw the line? Of the 222 listed professional members of Dorey’s anti-vaccine group over 60%, or 135 are chiropractors. The next largest is homeopaths with 16 members, or a comparatively small 7%. Naturopaths number 15 members. Then kinesiologists, then acupuncturists with 5 and 4 members respectively. Aside from one physiotherapist and one occupational therapist, all “professional members” sell alternatives to medicine of some description.

A US study published in Vaccine showed that parents who deny their children vaccination are four times more likely to see a chiropractor as the primary care physician. When Floreani was CAA president his chiropractor wife wrote of their newborn son’s pertussis. Including [bold hers]:

We performed chiropractic checks on our baby daily and utilised a whooping cough homeopathic. I dosed myself with an array of vitamins to boost his immunity via breast milk and kept him hydrated with constant breastfeeding. Whooping cough is often slow to develop and may respond well to conservative management, including chiropractic, osteopathy, homeopathy, herbs, acupuncture or acupressure.

Magically, it resolved within two weeks. Which means it wasn’t pertussis but a self limiting infection and all that woo did nothing but correlate to the illness. But I am sure Dr. Phelps would be the first to agree herbs, acupressure, homeopathy and so on would do nothing to manage pertussis. It is very dangerous misinformation with potentially fatal consequences.

So not only are unvaccinated children more likely to see a chiropractor and be subject to such abuse, but by not seeing a GP they are unlikely to become a recorded notification. Officially whilst only 5% of 0-4 year olds in Australia are not fully vaccinated for pertussis they make up 27% of cases. Thus, this figure may well be conservative. Dr. Phelps must ask herself; If vaccine deniers will choose chiropractors, might chiropractors influence parents to reject vaccination? The above rubbish is by Dr Jennifer Barham-Floreani – B.App.Clin.Sci, B.Chiropractic after all.

Australian Doctor wrote in part about the study in Vaccine:

Are naturopathic and complementary healthcare providers reinforcing parental concerns and ‘anti-vaccine’ opinions or promoting exemptions, or are they providing healthcare without emphasizing vaccinations?

I hope Dr. Phelps is asking herself that question also. As I stress above I’m sure Dr. Phelps and her colleagues are above reproach. But that’s not the point. The larger message being advanced here is that alternatives to medicine not only complement but “integrate” with conventional medicine. Not only does available evidence show this is not true but to generalise is to lend credence to dangerous charlatans.

This post has focused primarily on chiropractors, because they not only serve as a hub for health focused pseudosciences, but also seek to replace the family GP. I will contend that my point on convoluted overlap is valid. Once a patient is referred to one pseudoscience how does the referring GP control for pollution as it were? More material on the dubious ethics of new age chiropractic, including catastrophic neck injury and paediatric “improvement” by parental proxy can be found here.

St. John’s Wort seems to be trotted out in almost every article claiming alternatives to medicine have an evidence base. What is forgotten is that hyperforin, the antidepressant extract of St. John’s Wort, and other extracts are both inducers and inhibitors of P450 cytochrome enzymes. These liver cytochromes are involved in the metabolism of over 50% of marketed medication.

In the case of opioid pain relief studies have demonstrated a decrease of blood plasma levels of oxycodone of up to 50% and reduced half life of 27%. In the case of alprazolzm (a benzodiazapine), prescribed for anxiety and panic attacks a doubling of clearance rate has been documented.

Chronic pain is associated with depression and depression with anxiety. Opioids and benzodiazapines are causally linked to respiratory depression overdose death. Hence the clinical significance of any “integration” of serious pain management with a herbal choice for the depression it may cause is likely to be anything but “complementary” for the patient. Many patients choose not to inform their GP of herbal supplements.

Proper diagnosis following treatment with medication will be hampered by St. John’s Wort. Excessive doses of actual medication may be prescribed. Should a patient cease St. John’s Wort whilst on opioid, benzodiazapine or both medication regimes a spike in blood plasma of the active metabolites will ensue. More likely, as St. John’s Wort is improperly regulated and dose concentration varies widely a patient may unwittingly expose themselves to respiratory depression and possibly death with no change in their daily medication/St. John’s Wort routine.

In short whilst the concentration (dose) of actual medication is stable, the drug interaction outcome due to St. John’s Wort mimics an unstable medication dose. Patients may easily find themselves unsuitable to drive, work, operate machinery, bathe or sleep without potential for disaster. Consequently many medication regimes may be deleteriously effected by St. John’s Wort.

Thus the wider picture of evidence pertaining to St. John’s Wort is not quite the basis for “integration” proponents of alternatives to medicine would have us believe.

My response to the ongoing insistence that placebo effects derived from acupuncture constitute evidence is likely to be here in Acupuncture: essential facts about a major scam. Over and again it emerges that subjects who think they are receiving acupuncture, whether they are or not, demonstrate a response.

Findings aside, how would Dr. Phelps explain meridians, invisible forces, chakra or vital energies? It is too easy to point to apparently positive findings when the mechanism by which they arise is implausible, unknown or assumed to be related to endorphin release. The technology to manufacture acupuncture needles did not exist until the 1600s and the only nation to seriously try to ban acupuncture was China under the Chinese Nationalist Government. Western marketing has done much for this “traditional” Chinese medicine.

What of naturopaths who insist on Black Salve [2]? Or who use herbal balls from China with high levels of elemental mercury, arsenic and lead? What of poor hygiene and bacterial infection from acupuncturists or masseurs? The astonishing story of Monika Milka and non-sterile syringes used in biomesotherapy, leaving her patients seriously infected with mycobacterium chelonae?

Tragic cases like Penelope Dingle and Isabella Denley indicate that the notion of integration or proper supervision is seriously flawed. One point raised repeatedly by FSM is that whilst ill patients waste time being exploited by pseudoscience acting as a health choice, the chance of genuine care, full recovery or even survival is lost.

These are the real issues Dr. Phelps could constructively help Aussies understand before raging at FSM. How is it that so many various practices have come to exist that are beholden to ideology, not evidence? How is it they can convince parents to withhold treatment from their children and in doing so undermine the health of our entire community?

FSM exists to address an unacceptable situation in our educational institutions. They have taken a stand because those in a position to defend academia seemingly chose to act unethically. When it comes to “informed choice” there is an excess of non evidence based, expensive pseudoscience. It is pervaded by a combative, arrogant anti-science and anti-medicine mindset. It is amply equipped with scams.

This madness must stop and Dr. Kerryn Phelps is most welcome to clearly state just what aspects of non conventional medicine are high risk ideology and what is safe, effective and backed by evidence. Real evidence that can be trusted alone.

Presently, there appears to be a scarcity.

♠ This quote has been attributed to D.D. Palmer. However in 2013 the Journal of the Canadian Chiropractic Association, cited the author as B.J. Palmer.

Australian Skeptics National Convention 2012

The Australian Skeptics National Convention for 2012 is set to run from Friday November 30th to Sunday December 2nd.

You can check out the ticketing situation here, and digest evolving details on a great line up of presenters. There’s a run down on a bunch of events and a look at the awesome Spot Theatre. So, it’s just as well that’s also where the Convention will be I guess.

Head over to Facebook, do the Like thing and keep up to date. The theme is Active Skepticism. So if you’ve an interest in how reason and evidence makes a positive dent from prophylaxis to progressive politics this may just be your gig.

Follow @auskepcon on Twitter.

According to the Victorian Skeptics promotion page speakers include, James “The Amazing” Randi, DJ Grothe (President of the James Randi Foundation), Brian Thompson (Outreach Coordinator of JREF), Rebecca Watson (SGU blogger), Lawrence “Unbelievable” Leung (as seen on TV!), Dr. Rachael Dunlop, Richard Saunders, Lynne Kelly, Dr. Krissy Wilson, Dr. Ken Harvey (Choice Magazine Consumer of the Year Award), Adam vanLangenberg, Dr Cameron Martin (from Friends of Science in Medicine), Meredith Doig, Stephen Mayne (media commentator and shareholder activist), plus many others.

Sounds like there will be some impressive appearances and the opportunity to meet interesting people.

Of course, if you don’t come you can make do with this video.

Skepgoating: why antivaxxers need to devalue skepticism

Skepgoating: Skepgoating (adj) is derived from the notion of scapegoating. It refers to the practice of falsely accusing (scientific) skepticism, skeptics or other individuals of pursuing predetermined agendas derived from distortions of (scientific) skepticism. Used as both defence and attack it aims to cast the other party as inferior, negative and wrong. Particularly found within or in relation to discourse in which truth can demonstrably be derived from evidence. In this way the accuser seeks to drive onlooker or reader attention away from the lack (or presence) of evidence and evoke an irrational and emotional response toward the individual or organisation being skepgoated.

Claims made in skepgoating are false. Rather than address evidence, attempts are made to malign the other party to such an extent that a Faux Victory is claimed. Eg: “Skeptics worship science and are too close minded to understand”. Or, “Skeptics want to suppress your freedom of speech and your right to choose”. Or, “Skeptics want to do bad things to me, that is why they say words that make me appear stupid”.

Skepgoating is also used by certain cult-like groups to imply skepticism by association, by group members who exhibit independent thinking. In such cases skepgoating may have similar power to the belief in witchcraft leading to swift and disproportionate retribution directed at the skepgoat (n). Banishment of the skepgoat and expunging of their visible history follows in an attempt to convey unity to remaining cult members. Dominant or Alpha skepgoaters decide who will be deemed a skepgoat.


As pseudoscience, anti-science, sham disciplines and conspiracy theories have blossomed with high speed information flow, those with a critical eye have kept pace. Some go on to embrace skepticism (scientific skepticism) with an astute and passionate awareness of critical thought and evidence based decision making. Others take great delight – perhaps comfort – in reading skeptic material. Skeptic social events and presentations (often together) are well attended.

Here’s where an observation is needed. There isn’t necessarily a direct correlation between how active a person is skeptically speaking, and how they identify with organised skepticism. In certain areas of interest to skeptics, the most active are not remotely interested in organised skepticism. Alternatively, active skeptics may well spread their interests across many areas. This might prohibit ongoing activism in one area but produces valuable skill sets in skepticism itself.

Some skeptics are deeply involved in areas that demand all ones skeptical faculties, yet find it absent from skeptical topics. In my case drug law reform and a host of human rights issues spring to mind. Having been around these areas a very long time, my advice to skeptics would be to not involve the skeptic movement in major law reform. Being generally apolitical is a valuable feature of skepticism. Exactly when topics enter mainstream skeptical discourse, in part reflects social evolution.

Perhaps it’s best worth noting that some areas involving research, science, critical thought and ample evidence may at once yield unambiguous themes and needs, yet not suit skepticism. Said differently, some areas of scientific consensus receive the attention that reflects political climate more than scientific veracity. Beliefs change in the wake of evidence and the process cannot be rushed. The sacking of Professor David Nutt by the UK Home Office in 2009, is a powerful example of this.

Nutt was of course, absolutely correct. Yet the skeptic in me can spot the evidence he perhaps should have lingered to consider. No matter how you approach it, the facts about drug related harm appear to trivialise the matter. Politically and emotionally Australia, the UK and the USA still blame the inanimate drug and not the policy that denies us control. Unpalatable for many, yes. Slowly changing, indeed. But a fact no less and one that impacts on conclusions.

Rest assured, I’m not diverging onto that topic. Rather, hoping to point out how this fits with the observation above and offers insight into the intellectual paucity that sustains generalised attacks against skeptics in the form of skepgoating. Labelling skeptics as beholden to predetermined agendas is born of the same in-group type thinking that labels science a belief system.

When it comes to skepgoating, your relationship to skepticism may at times be defined for you, by someone with a need to pigeon hole interlocutors or label critics. Note this recent Facebook comment.

As most here know, the AVN is a strident anti-vaccine group, falsely professing to offer “informed choice”. However, as demonstrated by this comment there is a dominant theme emerging peculiar to taking sides rather than discussing vaccination choices. Both the person addressed, and the topic of that address, are very much fans of the AVN. Apparently if one is out of step it’s “outrageous” and one is a friend to a ‘skeptic’. Yes, those inverted commas are intentional and I’ll get to that.

I conclude this comment is quite representative of the AVN. One notes praise and support for the commenter from the AVN president and her own similar combative monochrome approach used to restrict independent expression. Particularly one notes the absence of tolerance for freedom of expression with the AVN.

Of course this is a very silly comment – albeit important to this post. So, what’s going on? Although the subject being attacked here merely thanked another member for posting something “from the pro side” she has been skepgoated. No praise for vaccination took place, and nothing “outrageous” occurred. No rationale is needed. Just point the finger and intone the magic word.

This comment brings up the need for another observation. Whilst passive deconstruction of pseudoscience, scams and paranormal topics of all manner is as old as skepticism itself the internet radically changed communication about these topics. There are no cigars for spotting that skeptics are known for one primary trait. Requesting and examining evidence to substantiate claims. In this light skeptics tend toward a strong appreciation of the scientific method and the role of science.

It follows quite predictably that scientists, those working in or with a background in science, those with an appreciation of science and scientific education to communities and others who understand science, may gravitate toward skepticism. This is by no means absolute but suffice it to say there is overlap. A cursory search would indicate skeptics feel motivated toward activism and use of modern media to publish critiques of pseudoscience and exposure of scam tactics. Ultimately skeptics value scientific inquiry, the scientific method and tend to seek out and conclusively judge scientific consensus.

This helps to grasp the genesis of the irrationalism in the above comment. In an age in which non evidence based claims are pitched toward the health consumer, skepticism is proving a bitter natural pill to swallow. Regarding vaccination the science and pseudoscience are easily identified. “Pro-vax” is quite meaningless, but has been promoted heavily to falsely qualify conclusive evidence and sustain the illusion of a debate.

There is no “pro-vax” and there is no “informed choice”. There’s fact and mistakes. Vaccine science makes vaccination a no brainer. Misinformation leads to fear, confusion and poor or delayed choices – aka mistakes.

For skeptics however, this topic presents examples of evidence denial, cognitive dissonance, confirmation bias, conspiracy theory, flawed reasoning, blind belief, belief in the absurd, exhaustive scams and schemes, in-group thinking, cult like features and so on.

A veritable banquet of non critical thought and destructive behaviour, the antivaccination movement is of enormous interest to skepticism. Of course, the notion that someone deemed to not be a “fan” of an antivax group, are therefore friends to skeptics is utterly ridiculous and paranoid. It helps underscore just why these groups attract so much interest from skeptics.

Forget vaccination for a moment. What if you’re interested in the psychology of quasi-religious bigotry, how leadership dogma drives members to attack, how the need to belong shapes perception of the Self and others, the primal need to identify “enemies” and thus elevate our own importance, and on and on. There’s practically an entire Skepticamp in that one comment.

In this case it goes beyond “If you’re not with us you’re against us”. It’s essentially asserting that if you deviate from arbitrary rules you can be labelled in a manner that defines a great deal about you as a person – including loyalty, belief and motivation. Whether on a micro or macro scale one need not be a skeptic to appreciate how destructive the dictatorial thought process is.

This actual skepgoating comment exists in a thread relating to a major skepgoating article by Mike Adams. In fact the person who published it on Facebook goes to extreme lengths to devalue skepticism almost daily. This is primarily to fill an evidence vacuum and to convince members or observers that skeptics have malignant intentions. Meryl Dorey is that person and first published this article two weeks after it was written – 2, 1/2 years ago.

Then again only days ago.

I’m not convinced Dorey believes very much of this at all. It’s rampant ad hominem generalisation that, presented with no reference to Adams, would appear to be Poe’s Law in action. As noted here before, the pseudo-neoconservative philosophy she peddles flips the argument away from evidence based discussion to a claim of being persecuted. “Thinking” with ones gut yields poor results and this is Dorey’s aim.

As AVN member and coach, University of Wollongong lecturer Dr. Brian Martin argues that this allows one to provoke outrage in onlookers with the hope of causing backfire of critic’s evidence based techniques.

Martin reveals in his writings that his grasp of what separates pseudoscience and actual dissent is remarkably poor. Referring to scientific theories as “dominant paradigms” he seems incapable of grasping scientific consensus, the scientific method, the import of evidence, altruism and moral responsibility. A champion of both pseudo’ and anti-science we see that fierce devaluation of demonstrable facts and scientists themselves, pepper his writings.

Depending on the sophistication of your audience, almost any attack will do. Engender outrage. Force backfire. Justify censorship. Divert from evidence. Inhibit thinking. Which brings us back to Dorey’s second posting of Mike Adams at his most absurd. The fact that it’s bogus is kind of cute given that he did some “research”. It includes;

Skeptics believe that many six-month-old infants need antidepressant drugs. In fact, they believe that people of all ages can be safely given an unlimited number of drugs all at the same time… Skeptics believe that the human body has no ability to defend itself against invading microorganism and that the only things that can save people from viral infections are vaccines. Skeptics believe that pregnancy is a disease and childbirth is a medical crisis. (They are opponents of natural childbirth.) Skeptics believe that ALL vaccines are safe and effective (even if they’ve never been tested), that ALL people should be vaccinated, even against their will, and that there is NO LIMIT to the number of vaccines a person can be safely given. Skeptics believe that the SUN has no role in human health other than to cause skin cancer. Skeptics believe that human beings were born deficient in synthetic chemicals and that the role of pharmaceutical companies is to “restore” those deficiencies in humans by convincing them to swallow patented pills…..

Mike claims to have lifted all this from skeptic sites. However, “I’m not going to list those websites here because they don’t deserve the search engine rankings”. Given that not raising the rankings of sites one links to is quite basic, we may conclude Mike invented this silliness.

Okay, so that’s a patently nonsensical article. It’s false and clearly so. Indeed, round two imploded on Meryl Dorey and set the tone for the above comment. As usual most critical comments have been deleted and the members banned. Only “skeptic trolls” would disagree with Mike. The single remaining critical comment has the most “Likes”. I can’t be sure but it may have remained due to the reply below it. The respondent authored the original comment above.

It’s quite unambiguous. Despite attesting to not fancying polarisation it is clear this individual is only there to skepgoat. Now a certain Facebook page is deemed populated by skeptics. It isn’t. Yet evidence based critiques of health scams have become hate speech. Anyway, I think the point is made. This is a decided effort to divert attention from evidence and attack the results of scientific inquiry.

So what then is scientific skepticism? Why attack it so often and so ridiculously? Definitions of scientific skepticism including Wikipedia are worth reading. For our purposes in understanding skepgoating it’s not just skeptical appreciation of evidence and inquiry. Identification of belief and the ease of accepting doubt attracts criticism. Where there is doubt there is… doubt. Pseudoscience is frequently about replacing doubt with fiction or logical fallacies.

In terms of belief consider alternatives to medicine, superstitions, vaccine injury chic, paranormal scams, new age diagnostics and healing, vitamin therapy, wonder foods, etc. The list is practically endless. Appreciating evidence, scientific inquiry and understanding how easily humans are fooled is not what those profitting from cancer cures or removing “vaccine poisons” want widely known.

Mike Adams is a prime example. By attacking modern medicine and modern living he attracts a global demographic that may likely purchase from his multi-million dollar empire selling garbage that purports to repair the damage sustained from modern living. Damage he simply invents. Like Meryl Dorey it’s difficult to be sure where the crafty money making begins and the delusion leaves off.

Then there’s the plain whacky skepgoating characters like Martin Walker. Skeptics are “the global corporate science lobby group”. His Health Fascism in Australia is priceless:

To quote Orac. “‘Health Fascism’ in Australia? The anti-vaccine loons think so”. Walker is one bizarre piece of work. His rambling attack on sinister fascist skeptics includes:

The sinister Skeptics group, agents of what used to be CSICOP now the  Committee for Skeptical Inquiry (CSI) organised from the US and linked to the major corporate lobby groups, American Council on Science and Health (ACSH) and American Council Against Health Fraud (ACAHF), which is in turn linked to the Australian CAHF) are making ground in Australia.

Supported by authoritarian ideological influences in government and Big Pharma, the Skeptics are running constant attacks on homeopathy, natural cancer treatments, those who question vaccination and those who support any form of alternative medicine.

With the present world fiscal crisis, all those linked to Big Pharma and Science are fighting a bitter battle to preserve drug company competitiveness. But where fascist influences in government and health with most force come together is in attacking anyone who speaks out about freedom of choice and expression in relation to vaccination.

Over the last year the international corporate lobby Skeptics, have been behind a campaign against the Australian Vaccination Network (AVN). […]

Yes. The “campaign” one retired bloke sent off in a complaint. Nice work it was, but “campaign” by an international corporate lobby? NURSE!

Dorey tried this approach herself blaming skeptics for Friends of Science in Medicine:

There is an organisation in Australia which hates every natural therapy. They hate the healthcare practitioners and they hate the healthcare consumers who ‘turn their backs’ on Western medicine in favour of a range of other modalities which put no money in their pockets and take away their prestige. Worst of all, they hate anyone who chooses not to use vaccines! That is the ultimate heresy, as far as they are concerned.

But it’s OK – because they have a plan and they have the money and media backing, they think, to bring this plan to fruition.

This group, the Australian Skeptics, has been instrumental in setting up the organisation, Stop the AVN.

Now, they are working on a new initiative – and this one is more ambitious then just stopping a small, parent-run community support group. Now, their goal is to stop anyone in Australia (today Australia – tomorrow the world as far as this bunch of ratbags is concerned) from learning about or using natural therapies. Their mad campaign is getting plenty of publicity too!

They have just set up a new front group called Friends of Science in Medicine (FSM) which is behind the new effort to outlaw the teaching of any natural medicine course in University. […]

It’s widely known SAVN is a Facebook page set up by a non-skeptic. It’s a Facebook page, not an organisation. FSM was quite capable of launching themselves. Yet Dorey’s skepgoating is clear. Whilst Australian Skeptics employ a total of one person to ensure a decent magazine appears each quarter the above paints them almost as powerful as a small country.

My little definition of skepgoating up top includes “other individuals” because, well even skeptics can’t do everything. Just make it seem that way.

I explained how crucial it is for Dorey particularly to tar all critics with one brush. Not with the AVN? Then must be a skeptic actively working against the AVN. This next example speaks for itself.

An article today in The Telegraph notes vaccine conscientious objectors (perhaps having grown under her guidance) continue to secure government immunisation incentives. It also ran in other online publications.

They ran a poll asking “Should anti-vaccine parents get paid?”. The results are quite in line with national vaccine rates. In fact they err toward more fully vaccinated Aussies supporting the payment for vaccine objectors.

Nonetheless this is Meryl Dorey’s response:

[Note – see update at end]

Despite most skeptics in Australia not bothering with such unscientific nonsense as a dodgy self reporting poll, Dorey still plays that card. It gets sillier when one notes she has asked her own members to visit the poll and vote. Nonetheless it’s a great example of skepgoating and raises my promise to elaborate on those inverted commas within the initial comment.

You see scientific skeptics aren’t skeptics but pseudo-skeptics according to Meryl. No doubt this is intended to provoke the odd skeptic but it’s bizarre given the definition of pseudoskepticism. Marcello Truzini coined the term. He wrote in On Pseudo-Skepticism in 1987:

In science, the burden of proof falls upon the claimant; and the more extraordinary a claim, the heavier is the burden of proof demanded. The true skeptic takes an agnostic position, one that says the claim is not proved rather than disproved. He asserts that the claimant has not borne the burden of proof and that science must continue to build its cognitive map of reality without incorporating the extraordinary claim as a new “fact.” Since the true skeptic does not assert a claim, he has no burden to prove anything. He just goes on using the established theories of “conventional science” as usual. But if a critic asserts that there is evidence for disproof, that he has a negative hypothesis—saying, for instance, that a seeming psi result was actually due to an artifact—he is making a claim and therefore also has to bear a burden of proof.

I’ve dealt with Dorey’s obsession with laying claim to skepticism before, including that appallingly offensive blog abusing the name of Australian Skeptics. She seems to have muddled Hume’s true skepticism (philosophy) with evidence denial. This prompts her to argue that belief is actual skepticism. As in be so skeptical deny reality as well.

Where this fails utterly is that in promoting belief, she unwittingly concludes that is a final contention. You may know this position as “science can’t explain everything”. Dorey, and pseudoscience take it further. “If science is limited this way then anything is possible – especially what I allege”. It’s here where the agnostic (if you like) or acceptance of doubt in science that skeptics are at home with kicks in. Belief does not change. Scientific skepticism accepts that change is always likely but what may eventuate is a matter for inquiry. Certainly not conjecture or at worst, rank conjuring.

Of course science doesn’t “know” everything. But assuming it thus truthfully knows nothing, is a recipe for intellectual disaster. This gives us vaccine denial, AIDS denial, conspiracies, UFO assertion and other false contentions that lead to attacks on modern medicine and the growth of sham industries.

SCEPCOP do exactly the same. Claiming to be the Scientific Committee to Evaluate Pseudo Skeptical Criticism Of the Paranormal, they also lay claim to being actual skeptics. It’s pretty cringe-worthy. Dorey’s use and abuse of both “skepticism” and “pseudoskepticism” is identical to SCEPCOP. There’s also Skeptical Investigations and plenty of others like them. These groups spawn individuals who associate covertly with skeptic groups only to compile negative evaluations about skeptic interests.

Child Health Safety is another antivax site with a long record of attacking skeptics, and presupposing the intent of discourse based on identity. From Dorey’s blog.

Wow. Um is there a point you wanted to make? As you can see dear reader, skepgoating frequently involves attacks with no substance, no context and actually no relevance. All we see over and again is the need to devalue genuine agents of evidence.

Rational Wiki describe pseudoskepticism as if describing these groups and the AVN. By projecting their own pseudoskepticism they seek to devalue critics and label evidence based criticism unfounded. The important point is that it has two common usages at present. 1.) To further devalue scientific skepticism by laying claim to the title (but not process) of skepticism. This is abuse of the term and includes Meryl Dorey’s use.

2.) As a substitute for “denial” it may be used to describe those who pimp and preen as skeptics, make a few convincing noises but hold to a predetermined agenda. They will ignore any evidence that challenges them. Despite holding a PhD in physics and strutting as an academic, our radical sociologist antivaxxer Dr. Brian Martin is a genuine pseudoskeptic. A fraud. I can be no kinder.

I should stress that skeptics themselves must be aware of slipping into pseudoskepticism. Fortunately skeptics are rather good at keeping each other honest. This may sound strange but I’m yet to find a better defender of Dorey than skeptics. Not because they accept her piffle for a moment. But because tolerating generalisations or making assumptions about the AVN without evidence is intolerable.

As I mentioned earlier communication influences present day skepticism. In this way skeptics and those with good critical thinking abilities have made genuine long lasting inroads into debunking scams. People are getting ripped off, made ill and at times dying. Often, they are ripped off while dying and being made more ill by some shonky scam. Skeptic movements have a particular distaste for such “health freedom choices”. They are only too happy to inform governments how poorly existing legislation is. So, if skepticism has changed what can we identify?

Skepticism might be viewed as existing at the centre of four inroads. Evidence, human rights, consumer rights and moral or legal obligation. Each inroad is not exclusive. They may accommodate portions of each other or highlight qualities we value as a society. Such as education, free speech, rationalism, reason, truth, democratic freedom, progressive policy design, equality and so on.

I’ve left out specifying paranormal investigation, enduring themes (like perpetual energy and religious experience) exhaustively examined and respectfully considered by skeptics. I couldn’t possibly do justification to legendary visionaries like Nigerian skeptic Leo Igwe and his struggle to fight superstition and brutal irrationalism with reason and education. No doubt this article could be pages long and include almost every division of pseudoscience and superstition.

One thing I should stress is that skeptics do identify those who have been misled as opposed to those who mislead. The result is an even stronger conviction to prevent charlatans from scheming and scamming the vulnerable. From sabotaging education and indoctrinating with dogma. In turn those who measure profit by victim count, don’t cope terribly well with a skeptic critique.

Presently it’s practically standing room only for the enemies of reason. From creationism to cancer cures they are easy to find. So too is a critical response to these impossible claims. Depending upon ones background, education, experience and social circle individuals pick up fairly quickly on the patterns that resonate with them.

Skepticism is tearing down the walls of illusion and that is why pseudoscience is so keen to attack skeptics and skepticism. Arguments, much less legal or legislative challenges, cannot be won by scam artists on merit. To them it’s imperative that those who seek to hold them to account be devalued, falsely maligned, abused, accused and worse.

If there is one thing this article lacks it is a full representation of the outrageous, scurrilous, blame filled and nauseating attacks on skeptics. Skepgoating.

Ultimately the more skepgoating there is, the better the job skeptics seem to be doing.

July 16th – Update on newspaper poll. Another copy to run a similar piece was the Courier Mail. Providing a shorter piece, they worded their poll differently. “Are vaccinations worth the risk”? I know, I know. Given one is more likely to become a billionaire than experience anaphylactic shock it’s a stupid and loaded question. Still here’s the poll results as of early afternoon the following day.

So with a general vaccination rate of 95% plus, over 20% of us don’t reckon it’s worth the risk! Pseudo-skeptic vote bot, Pseudo-skeptic vote bot. Where for art thou Pseudo-skeptic vote bot? Pathetic effort.

However, gracious in defeat I doff me cap to the anti-vax flying monkeys.