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.
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.
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.
We deserve to see the evidence that vaccinating for all these diseases is good and necessary for the community
Judy Wilyman, June 30th 2010
Read the above statement from prominent antivaccination lobbyist and student Judy Wilyman. It’s a reasonable observation. Defending it would be admirable. Fortunately I don’t have to because the evidence, not only for the success of mass vaccination, but of how this prevents death and disability from disease is readily available.
In fact the success of vaccination is so ubiquitous that vaccines themselves have become a victim of it. Judy Wilyman doesn’t understand she is one of the most fortunate human beings in history. Well into the future even after she dies, billions will dream of the quality of life Judy Wilyman enjoys. Born into the affluence of a developed nation she has lived an entire life protected by medical science, robust economies and public health success stories.
Judy Wilyman is one of the luckiest individuals in one of the luckiest generations in one of the luckiest nations as a mere single offspring of around 107 billion human beings to have lived and died on this planet. She is inestimably healthier, more comfortable, more free and importantly more disease free than around 99% of our species to have seen the sky. With her life protected by her own and others vaccine induced immunity, and now already almost twice the age that genetic predisposition alone permits on this planet, Judy will live on for years enriching her life and exploring any manner of experience.
Every day vaccine success is all around her. It’s invisible. It is the absence of suddenly missing school friends, the grief that parents would bear, the devastation that ravaged cities in the late 17th and 18th centuries. It is the message of those little mossy tombstones I passed that, on rare visits to older family graves, my father would stop and read with reverence long before I knew how to read at all.
It’s removed the throat choking sadness that incredibly meant both my maternal grandparents were long dead and even more years passed before their grandchildren discovered they had an uncle on that side of the family. The only male and last born, he had died within weeks of his birth taking with him my grandfather’s dream of passing on a farm.
Vaccine success is the absence of tears often shed. Tears Often Shed child health and welfare in Australia from 1788, published in 1978 was written by Dr. Brian Gandevia. I’ve heard Wilyman reach into the past to condemn vaccines by misrepresenting the scientific context of the times and wonder if she passed this by on purpose. In 1800 Botany Bay held about 1,000 children, half being orphans. Infant mortality was 11% – over 20 times what it is today. In 1827 pertussis appeared, then measles then diphtheria. Mortality was high.
By 1880 Sydney, Melbourne, Adelaide and Brisbane had children’s hospitals. That year a measles outbreak hit Sydney. Henry Lawson’s 1899 poem entitled Past Carin’ reflects the tragedy of harshness in Australian living at that time. This is a short out-take:
Our first child took—a cruel week in dyin’, …
I’ve pulled three through and buried two
Since then—and I’m past carin’.
Judy Wilyman weaves myth and junk science to justify make-believe notions that we are not allowed to see the evidence of vaccine success. All the time unaware that she is this evidence. In more ways than one also. Not only is Judy here due to vaccination regimes and medical science, but the vacuum left by the need to simply survive is being filled by the fantastic fraud and fiction that Wilyman produces to malign vaccination itself.
So absolute has vaccine success been that we can now turn our attention to the rarity of the potential of an adverse event. Unlike Lawson, we’re not “past carin'”. In an era of health luxury we can choose what to care about, and with disconcerting ease antivaccinationists, divested of evidence, play human emotion.
Abuse of innocent Australians:
Her W.A. State Library talk was a hack job of the worst vaccine myths on offer. Yet supposedly worth retelling because Wilyman is studying to complete a PhD in an Arts faculty and labels herself “an independent researcher who has been scouring the peer reviewed journals for 10 years”.
At the same talk Wilyman allows a glimpse into ego clashing with conspiracy beliefs:
If vaccination was based on science then the media would not have to work so hard to suppress the information. You will notice the media reports rely on discrediting individuals and organisations and running fear campaigns to encourage parents to vaccinate. Did they mention in the papers that myself and [redacted] are both PhD researchers? Did they mention that the lowest vaccination rates in Perth are… where the majority of doctors and other professionals live? No. This topic is about the control of information.
That final appeal to authority is meaningless. It is a myth that “doctors don’t vaccinate”. Economic advantage has not only been firmly linked to the Dunning-Kruger effect but we’ve known since last century that the same demographic refuse to register their children on the Australian immunisation register, or complete appropriate forms. Linear skill sets (job training) and consequent income rises correlate to big mortgages, not critical thinking.
Moving beyond this slur on class status, Judy works quite hard to evoke a feeling of manipulation and abuse of personal rights in her audience. She produces a slide of the Australian Framework for Environmental Health Risk Assessment.
At the top is “community consultation”. Has anyone here been consulted on a preventative measure such as vaccination for the health of your child? The public is being excluded from this process because we’re told it’s a medical procedure. So I’m asking you tonight why are you vaccinating? Are you vaccinating because you have a good idea of the risk of disease and the risk of vaccines or are you vaccinating through blind faith?
I hate to interrupt but this is a gross deception played on her audience. What a set up! Nothing on the impact of vaccine preventable disease (VPD). Nothing on risk benefit. This comes well after claiming herself and Meryl Dorey are presenting “peer reviewed science” that proves there’s no evidence to support vaccination. They will tell the real story, not the contrived story the government and media tell. “The government treats vaccines as if they have no harmful effects at all”, Judy claims.
Convinced that the government “coerces” Australians into vaccination Judy argues vaccination is a human rights issue, that (with incentives) she described recently as “a crime against humanity”. In order to understand Wilyman’s primary deception it’s crucial to note her invention is that we live in an Orwellian type society that forces coercive and mandatory vaccination. Nothing could be further from the truth. We are free to be as stupid as we wish and place our children in as much danger from vaccine preventable disease as this madness allows. Even better, we can spread exposure to countless others who had no choice in the matter and belittle those who protect our children with herd immunity as “vaccinating through blind faith”.
Quoting “the health ethics that our immunisation principles are based upon” Wilyman then misleads her audience [bold mine]:
“The state retains the authority to regulate the human body in order to protect the health and safety of the general public”.
So it is the government that’s deciding how many vaccines we can put into our bodies
Even though this is complete codswallop, it prompts Judy to come up with two questions that set “the context and the ethics of these fundamental principles”.
Did vaccines play a significant role in controlling and reducing infectious diseases?
What is in a vaccine?
Let’s focus for now on question 1.
Abuse of Australian History:
Judy is a champion of the misconception that a reduction in overall death rates is proof that improved living standards, and not vaccines, controlled and reduced infectious diseases. Her abuse of the work of early public health authorities is demonstrably hypocritical. Let’s examine her abuse of J.H.L. Cumpston and H.O. Lancester. To Wilyman they “confirm” vaccines did not reduce infectious disease. Cumpston (1880-1954) was Australia’s first Commonwealth Director-General of Health. Known as “the father of public health in Australia” he features prominently in Child Health Since Federation written for the Australian Year Book 2001 by a present day population health scientist.
That scientist would be Professor Fiona Stanley. Founding Director of the Telethon Institute for Child Health Research she has been receiving awards now for 17 years, and refers to both Cumpston and Lancester in this work. Former Australian of the year professor Stanley is mocked and abused mercilessly by Meryl Dorey of the Australian Vaccination Network for “aggressive commercialisation activities of the Telethon Institute“, being paid off by Big Pharma, hiding the truth and experimenting on children.
She was “invited” by Judy Wilyman to attend the very seminar I’m referring to now. Two days later interviewed on air, Stanley referred to the views presented by Dorey and Wilyman as “bizarre” and “so misinformed that it is scary”.
Professor Fiona Stanley speaks about the “so-called” Australian Vaccination Network in Perth
It’s offensive that Wilyman demeans sound legislation and state authority to control disease, just before invoking Cumpston’s name. As Stanley writes in Child Health Since Federation [bold mine]:
He [Cumpston] oversaw the most spectacular falls in mortality and morbidity ever seen in Australia. […]
Essential to this movement was an expert bureaucracy to research, create and administer policy… Other essential ingredients for the success of the public health movement was a competent and independent (from State) group of medical practitioners, devoted to the care of the sick, but willing to accept State interventions for both public health improvements and care (the latter of course on their terms). […]
Throughout the early 20th century, as bacteriology developed, knowledge grew of the role of organisms in disease, and the focus of public health shifted to identifying disease in individuals and control by isolation (quarantine), which opened the way to mass vaccination.
With improvements in sanitation and quality of life came healthier people. Recovery from disease increased and thus mortality fell. But no widespread immunity or viral elimination occurred. Better nutrition certainly increased host resistance to infection. J.H.L. Cumpston died in 1954 just as vaccine success took off.
Infectious deaths fell before widespread vaccination was implemented. However, since the 1950s, mass vaccination has been the single most effective public health measure to reduce the occurrence of infections, to reduce child deaths and to improve child health
There is of course no doubt that access to good nutrition, clean water, public awareness of cleanliness leading to reduced contact with infecting organisms (good hygiene) and a cleaner environment led to improved health. Yet there is no evidence of vaccination as anything but the greatest single contributor to public health. Lancaster as cited by Wilyman (page 6) actually refers to “gastroenteritis, respiratory and other infections”. This in no way supports her claim that vaccines played no role in reduction of disease.
Wilyman is deceptive in other ways also. When writing on pertussis (linked above – page 6 again) her choice of target is 1954 when the NHMRC advised that pertussis vaccine become routine for new born babies. But fatality had fallen to only 15 deaths per year bemoans Judy.
She avoids informing readers that in the 10 years to 1955, 429 deaths occurred (p.2). In the previous decade – that in which the vaccine was introduced (1936-1945) – 1,693 deaths from pertussis were recorded. In the decade before with no vaccine? 2,808 deaths. So, since the vaccine was actually introduced fatalities had been declining dramatically. Period.
Abuse of Alfred Russel Wallace:
Wilyman refers to Alfred Russel Wallace as “the co-designer of the evolutionary theory with Charles Darwin” and mentions his work, Vaccination a Delusion. If anything exposes Wilyman’s lack of scientific rigor it is the abuse of history and the Victorian antivaccination movement. Wallace himself and his three children were vaccinated. His interest in the movement began once his natural science writings had finished. Whilst a source of income, Wallace was also driven by his spiritualism, social reformist views and Swedenborgianism.
Unlike today’s antivaxxers, the Victorian movements based their position on notions and quantitative approaches that were entirely rational for the day. Science itself was unsettled. One approach was prone to blend with spiritualism (experimental psychology, evolutionary biology, and astronomy), liberty and holistic notions. Another took the view that science should be objective, disinterested, factual and that politics should remain separate.
More so, repeated prosecution from 1867 for not being vaccinated against smallpox or having ones children vaccinated was ruthlessly followed through with. Methods like arm to arm vaccination were high risk and equipment (pins, forks, knives and needles) spoke for themselves. But despite his spiritual leanings Wallace was a scientist. An empiricist. He deplored shoddy record keeping and bad statistics – especially assumptions.
So he set to work challenging the gaping holes in epidemiological data. The vaccine status of between 30-70% of people who died from smallpox was unknown. Not because vaccination failed but records were unreliable or absent. Wallace himself probably had good reason to doubt the disease status of fatalities as recorded by doctors. Thomas Weber looked into Wallace’s role here and concluded in part.
The numerical arguments used by Wallace and his opponents were based on an actuarial type of statistics, i.e., the analysis of life tables and mortalities. Inferential statistics that could be more helpful in identifying potential causes did not yet exist. The statistical approach to the vaccination debate used by Wallace and his opponents could simply not resolve the issue of vaccine efficiency; thus, each side was free to choose the interpretation that suited its needs best. However, despite its indecisive outcome, the debate was a major step in defining what kind of evidence was needed. It is also unjustified to portray the debate as a controversy of science versus antiscience because the boundaries between orthodox and heterodox science we are certain of today were far less apparent in the Victorian era. What the scope and methods of science were or should be were topics still to be settled.
So Wallace had many reasons to challenge vaccination in his time, none of them related to the evidence we have today. Indirectly he helped bring about the success of vaccination as we see it presently. Ever the empiricist there is no doubt how he would form his views with contemporary evidence. Wilyman’s appeal to authority this way is quite silly.
Ultimately Judy Wilyman reinforces the success of vaccination. She has no evidence based argument and shockingly has recycled these old myths for years, masquerading as “an independent researcher”. Without fiction she would have little to say. Despite the cloak and dagger tales of “crimes against humanity” and “government coercion” she is simply free. Free to speak, free to be wrong. Completely democratically free.
Judy Wilyman represents the best in Aussie freedom. The freedom to be stupid.
Across the globe it is known how important the pertussis (whooping cough) vaccine is in preventing both infection and severity of infection with Bordetella pertussis.
Along with vaccines for diphtheria and tetanus, then polio (1950’s), measles, mumps, rubella (1960’s) the Australian pertussis vaccine has contributed to an astonishing 99% reduction in deaths from vaccine preventable disease. Just after the turn of the century pertussis, diphtheria and tetanus vaccines alone had saved over 70,000 lives whilst the population had almost tripled since their inception. Since then pertussis vaccination alone has saved around another 10,000 Australian lives.
From the World Health Organisation, to national or state health authorities across developed nations to your local doctor, the evidence is compelling. Although anyone can catch pertussis it is babies under 12 months who are most vulnerable to infection. The disease can cause disability and death in the unvaccinated. Whilst immunisation provides antibodies to fight pertussis, it does not provide “magical protection”. For that you need chiropractors or other practitioners of alternatives to medicine.
Immunisation against pertussis does mean:
A significantly reduced chance of being infected
A significantly reduced severity of infection if infected
Protection of unvaccinated individuals that one may come into contact with
Low levels of community infection with high levels of immunisation
Pertussis epidemics follow on from reduction in immunisation across the community, leading to a drop in herd immunity. The present epidemic Australia is experiencing began in Byron Bay, an area with very low immunisation rates, and then spread to other areas of low immunisation. From the backyard of Meryl Dorey’s anti-vaccination lobby group the seeds for this epidemic were sown a decade ago. Brynley Hull and Peter McIntyre wrote in January 2003 [page 12]:
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.
Despite the crystal clear science and undoubted success of immunisation, movements against all vaccines have grown. They have kept pace with internet driven conspiracy theories, imaginary diseases, imaginary cures and new age beliefs. The most successful currency used by those opposed to scientific success is ignorance and misinformation.
An excellent example regarding pertussis vaccination is that many people incorrectly believe all vaccines, with the exception of influenza, provide lifelong immunity. With pertussis, vaccine induced immunity wanes over time and as noted above whilst it reduces the chance of infection, it is not an impervious shield. Antivaccination lobbyists have taken advantage of this to infer that the pertussis vaccination schedule itself has failed. First, we have ignorance – the expectation that immunity is lifelong. Then follows misinformation.
For example as debunked here more than a few times, figures describing vaccination levels and notification of infection are frequently misused by the Australian Vaccination Network to falsely refute the efficacy of immunisation. Yet these clumsy attempts are piecemeal and misleading. Time and again infection notification and vaccination status is highlighted and infused with qualities that serve to misinform. Placing figures in context yields a very different picture which, given that they seek to deny international trends that have existed for decades, is not surprising.
The question, or challenge if you will, is about the veracity of the pertussis vaccination schedule. Thus we must take care to ensure we elucidate notifications related to full immunisation as per the schedule. Take the following table of children between 0 – 4 years old, diagnosed with pertussis:
Pertussis notification by vaccination status 0-4 years, Australia August 2011
We see that a total of 9,333 notifications have been tabulated. 5,296 or 56.7% are fully vaccinated.
986 are partially vaccinated. 800 are not vaccinated. 754 are ineligible for vaccination. This gives us a total of 2,540 or 27.2% who are not fully vaccinated.
1,497 or 16% are unknown.
Do these figures reflect infection in the community? No, they reflect the vaccine status of children diagnosed.
Firstly as the table informs us “fully vaccinated” does not necessarily conform with fully vaccinated under the National Immunisation Program. Ineligible cases between 6-8 weeks of age that had received one dose in 2009 are included in “fully vaccinated”. Both these facts artificially inflate the “fully vaccinated” category.
Next we must accept that this table underestimates the actual number of infections in the community. The National Notifiable Diseases Surveillance System relies on a passive surveillance system which does not capture every case of pertussis in the community.
Which raises the question. Who is not making notification? Can we infer anything about the vaccination status of those not recorded in the above table? If so, does this help us understand the figures in the table better? As a matter of fact, yes.
Do these figures reflect the efficacy of pertussis vaccination? In other words, is this telling us that there are over twice as many infected children in our community who have been vaccinated (56.7%), than those who have not been fully vaccinated (27.2%) and thus reflect low vaccine efficacy? No.
Far more children are vaccinated against pertussis than those who are not. 95% vs 5% in fact. Even with greatly reduced chance of infection the sheer numbers of vaccinated children mean that “fully vaccinated” will dominate notifications. These figures also reflect the greater likelihood of parents who vaccinate to take their child to a GP and follow through with reporting, and also reflect the likelihood of conscientious objectors to avoid a GP and to not follow through with reporting.
For example a USA study published in Vaccine in December last year showed that parents who do not vaccinate their children are four times more likely to take their child to a chiropractor than a conventional doctor. In Australia we already know that chiropractors are vocal antivaccination proponents with strong links to antivaccination lobby groups such as the Australian Vaccination Network. Many chiropractors in Australia actively mislead consumers on the topic of vaccination making impossible claims, actively deriding vaccination.
But we can do much better than this and begin to build a profile of parents who refuse vaccination and later choose conscientious objection. Five days ago Australian Doctor reflected on the study:
A US survey found parents who refused childhood vaccinations were four times more likely to have sent their youngest, school-aged child to a chiropractor than parents of vaccinated children. Parents who conscientiously objected to school immunisation requirements were also more likely to have strong concerns about vaccines, to distrust local doctors and to have had one or more births in a non-hospital, alternative setting. […]
Are naturopathic and complementary healthcare providers reinforcing parental concerns and ‘anti-vaccine’ opinions or promoting exemptions, or are they providing healthcare without emphasizing vaccinations?
The pattern emerging is one of anti-conventional medicine, reinforced by alternatives to medicine masquerading as “complementary healthcare”. For our purposes we must now accept that unvaccinated children may be up to four times less likely to visit a GP when ill with pertussis. This means they may be up to four times less likely to appear as a notification. Regardless of exactly how many unvaccinated children are missed, we can see with confidence that the total is skewed away from highlighting unvaccinated children.
Thus the 8.6% of unvaccinated children noted in the table above (n=800) is possibly a significant underestimation. As parents who do vaccinate are more likely to visit a GP and report diligently, the total is additionally skewed toward the fully vaccinated. What this actually means regarding community impact is best captured in this post written by a mother whose vaccinated child was infected by an unvaccinated child who had been sent to school.
Now comes the fascinating aspect. “Unknown”. What does this mean? Really? For whatever reason, somewhere along the line the child’s vaccination status is not recorded at all, is recorded and fails to make it to the final notification table or is lost to genuine confusion or poor record keeping.
However if parents are not registered on the ACIR as conscientious objectors or as completing their children’s vaccination schedules they are also listed as “unknown”. Thus the following from Brynley Hull and Peter McIntyre is compelling [bold mine]:
Additionally, the proportion of conscientious objectors on the [Australian Childhood Immunisation Register] ACIR is likely to be an underestimate of the proportion of parents who don’t immunise because they disagree with immunisation, particularly in more economically advantaged areas. There are some non-immunising parents who ‘object to registering’, and they will refuse to complete any government-provided form.
“Refuse to complete any government-provided form”. Such as those that question the immunisation status of one’s child? That also is where a significant number of “unknown” cases have their genesis.
In tandem with our emerging profile of anti-conventional medicine beliefs driving the decision to not vaccinate and combined with the observation that CO’s are likely to contribute to the “unknown” category by not registering on the ACIR, we are able to make a strong inference that unvaccinated out-rate vaccinated in this category.
Whilst it is impossible to make outright factual quantified claims and rewrite that table, we may conclude that placed in the context of community trends it gives a less than reliable indication of infected subjects within the community. What it does give us is a snap shot of the vaccine status of notifications. Placed in context those notifications appear to be skewed away from unvaccinated and toward vaccinated subjects.
The most significant reason is the overwhelming numbers of vaccinated children in the community. Although appearing as a notification they have a far less severe case of pertussis and are unlikely to suffer disability or death. Other reasons for this would appear to be the intentional avoidance or substitution of conventional medicine, diagnosis and reporting of vaccination status by those in denial of vaccine efficacy.
Of course, people will use these figures to attack the overwhelming evidence in support of vaccination. That’s just what eccentric parent Greg Beattie has tried. It’s simply gobsmacking to read his misleading claim that only 11% of pertussis infections aren’t vaccinated. Actually it’s only 8.6%.
But the point to be made is whilst only 5% of 0-4 year olds aren’t “fully vaccinated” they make up a disproportionate 27.2% of infection notifications. Unsurprisingly his novel mathematics have been dealt with unceremoniously by A Drunken Madman.
There is no debate here. Pertussis vaccination saves lives.
The rise of pseudoscience has been significant since cheap, rapid access to information has been the norm.
Regrettably the extreme beliefs held by many have been massaged by those who benefit such that Choice and Point of view (no matter how wrong) is taking the place of Evidence and Peer review. The trendy phrase that bothers me most is “health freedom”.
It’s one thing for hanky panky nonsense to make promises from shop windows and festivals. Yet quite another when it begins to shape the quality of science education on offer in Australian Universities. This rise in what I consider outright scams driven by those who are motivated by ego, self serving ideals and profit has a long history. I accept that many have genuine beliefs in the “wellness” industry. But I am yet to be availed of any evidence that consumer service and health is taking precedence over a vindictive confrontational trend by the many Enemies of Reason.
A group of concerned Australian health care researchers and providers has set up an organisation that aims to discourage universities from offering accreditation in unproven medical therapies. The group would also like such therapies to be removed from claimable benefits by health funds.
Currently 19 (out of 39) Australian universities offer courses in unproven and often bizarre treatments such as iridology, aromatherapy, homeopathy and chiropractic.
Keeping up to speed with the norm of attacking Australian Skeptics as the proxy demon for anything evidence based, Meryl Dorey of the Australian Vaccination Network fallaciously wrote on this development:
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.
Quite a lot of hatred to go with the free speech they are usually accused of suppressing. This is of course as noted before, simply scurrilous deflection from presenting any evidence or explaining missing funds. Stupidly many believers have taken up the trend. Meryl is under instruction from the Alliance for Health Freedom Australia to maintain the “enemy behind the curtain” slur on all things skeptical but ultimately it is very telling that Godwin’s Law out paces evidence provision in this matter.
Being tricked into conflict and betrayed by connivance is really what’s happening to many innocent minds. The big regret in some aspects is that heated young minds are misled as to the notion of skepticism and the aim of skeptic movements. Recently Adam Vanlangenberg, a Victorian school teacher and skeptic spoke on TV about the popularity of his lunchtime skeptic class.
Adam manages to capture in a few minutes a great deal of the bipartisan respect, tolerance and quest for verifiable knowledge that real skepticism is known for.
Not long ago I suited up for satire and wrote about Package Insert Airlines. The fictitious airline that takes the view passengers must know of every adverse event to flying before making the “informed choice” to fly.
This was in response to Meryl Dorey’s proposal that the AVN will march on Canberra with demands. One of these is that all parents be given vaccine package insert information to discuss with a “health professional” before deciding to vaccinate their child.
Such a distortion of the reality of the risk-benefit of vaccination seeks to promote Meryl’s choice – not a parents choice. So it is with her recent publication of Definition of Adverse Events Following Immunisationon the AVN Facebook page.
It’s appendix 6 from the 9th edition of the Australian Immunisation Handbook. Yes, those same scheming government manipulators Dorey snorts at when facts get in her way. As antivaxxers dispute that immunity is gained from vaccines, Meryl swapped the word “immunisation” with “vaccination”. List of adverse events which can occur following vaccination. In her first comment GP’s were attacked over, “crying which is continuous and unaltered for longer than 3 hours”.
One member claimed this (3 hours of screaming) meant “almost everyone should be taking their screaming child back to the doctor after a vac!”. In the real world, this should have been gently dissuaded with a reminder that abnormal crying occurs in only 4% of cases. This information is actually on the same site as the adverse event list.
Instead Dorey replied:
And when you do, [redacted], most likely, the doctor will say it’s perfectly normal and won’t report it! -MD
It kind of makes bizarre sense. Meryl can’t report the actual incidence of 4%, as that would mean acknowledging that doctors, nurses and more do report adverse reactions. Far better to invent malicious intent and advise members of that, when we’re talking “informed choice”.
You can see where this is going. Context is meaningless. Actual incidence and significance of adverse events or package insert information works against all that the AVN stand for. As I wrote last time, “This particularly immoral intent of Meryl Dorey’s overall scheme to sabotage vaccination in Australia is born of connivance of such intellectual paucity as to demand it be placed in context”.
The intent is to jettison any accurate notion of risk-benefit. It aims to falsely convey that vaccines are worse than the diseases they prevent. To mislead parents and burden them with irrational fear. Dorey would have you believe that if vaccines aren’t 100% perfect then they must be 100% dangerous.
quotes selectively from research to suggest that vaccination may be dangerous
Let’s take yesterday’s attempt to claim that MMR or the measles vaccine can by itself cause Subacute Sclerosing Panencephalitis (SSPE). SSPE occurs following measles infection in which the virus infects neurons and lays dormant. Although erring on the side of exceptional caution, SSPE is listed in Australia as an adverse event following immunisation so confirmation bias will play a part.
The fact that it’s listed does not mean SSPE from MMR or another vaccine is probable or even possible. It means the decision to remove it from listing has not yet been made.
It’s fair to say that incorrect conclusions were previously drawn in some very rare cases – and understandably so. Measles vaccines involve an attenuated live virus. With incomplete investigation, or those limited in scope, errors are made. Ms. Dorey just hasn’t caught up with the facts yet. Science may move forward at a crawl but antivaxxers seem to insist some aspects be frozen in time forever.
On a Facebook page Vaccines Uncensored that has since closed, Dorey wrote:
The polio vaccine reference Dorey later produced from whale.to also included claims of polio definition fraud along with AIDS, GBS, Leukemia and cancer, being certainly due to all vaccines. Where polio vaccination has been instituted globally, “reported polio infections show a 700% increase as a result of compulsory vaccination polio” the trusty reference informs us.
Meryl then copy/pasted a section quoting “Informed Parent” issue 4, 2001 which itself was quoting a 1970’s article on a large New Zealand outbreak of SSPE from 1956 to 1966. It was suggesting live SV40 was involved. There was no confirmation but it was believed the SSPE was related to the Salk vaccine. No such case has been documented again.
Dorey then copy/pasted two more paragraphs from either whale.to or vaccineinjury.info, goading the other member with “You can apologise later”.
One was a paper written by Belgamwar RB et al. 1997. Measles, mumps, rubella vaccine induced subacute sclerosing panencephalitis. It “presumed” an Indian child developed SSPE 15 years after she received MMR at 9 months of age. The reasoning is that the live measles virus in MMR lay dormant. Although incredibly rare at zero – 0.7 cases per million, these events seemed feasible.
Another explanation may be denatured or failed vaccines that, having no efficacy, left the subject vulnerable to consequent measles infection. Or SSPE from a pre-vaccine infection could be involved. This girl apparently had no history of measles infection, but this does not account for the potential of asymptomatic measles infection or incomplete records. Today it is accepted that a natural measles infection is the cause in these cases.
Risk of subacute sclerosing panencephalitis from measles vaccination. Pediatr Infect Dis J. 1990 by Halsey was another similar piece pasted in by Dorey. It posed the existence of “vaccine associated SSPE”, but failed utterly to show causality. Focusing on SSPE in an era when vaccination is preventing wild measles does not eliminate prior infection with measles and resultant latency as the cause of SSPE. Halsey practically admits to this oversight in his text, ignoring dormancy and stating, “we should pay attention to SSPE after inoculation”.
Well before these largely discredited papers, Zilber et al. in 1983 had already posed:
Most of the SSPE cases reported measles at an age significantly younger than that of the general population. This pattern did not change after introduction of antimeasles vaccination. Incidence was significantly lower (p less than 10(-9) in the vaccinated population than in the unvaccinated population. Occurrence of SSPE in some children who were vaccinated against measles could be explained by incomplete vaccine efficacy, or by older age at vaccination, which allows the possibility of prior exposure to measles. There was no indication that measles vaccine can induce SSPE.
The physiopathology of SSPE is not well understood. Yet evidence (October 2010) suggests that factors at play favour humoral over cellular immune response allowing viral dormancy in infected neuronal tissue. Exactly what this atypical immune response helps to explain in cases of SSPE is bound to be further elucidated. It was certainly not known to the authors Dorey has cited. What is clear is that measles vaccination does not trigger SSPE in those already infected by wild measles virus – as suggested by Dorey in the screenshot above.
Available epidemiological data, in line with virus genotyping data, do not suggest that measles vaccine virus can cause SSPE. Furthermore, epidemiological data do not suggest that the administration of measles vaccine can accelerate the course of SSPE or trigger SSPE in an individual who would have developed the disease at a later time without immunization. Neither can the vaccine lead to the development of SSPE where it would not otherwise have occurred in a person who has already a benign persistent wild measles infection at the time of vaccination.
For situations where cases of SSPE occur in vaccinated individuals who have no previous history of natural measles infection, the available evidence points to natural measles infection as the cause of SSPE, not vaccine.
For those who wish to err on the side of extreme caution, it pays to remember that the Australian Immunisation Handbook is regularly updated. We should keep in mind that proposed incidence has always been of extremely small numbers. Maintaining the claim SSPE can be due to measles vaccination must now include the academic argument of what significance the phrase, “the available evidence”, as advanced by the WHO should be given.
Zero – 0.7 unlikely cases per million vaccines vs a certain 8.5 per million measles cases, was the older accepted risk-benefit. Following a late 2005 Journal of Infectious Diseases paper the measles induced rate of SSPE has been estimated at 6.5 – 11 cases per 100,000 infections. An increase of 7 to 13 times. This “disease vs vaccine” notion is akin to MMR induced encephalitis. Except the always dodgy evidence blaming vaccination for SSPE is in need of reinstating.
On a final note, it is outrageous for Dorey to be feigning concern over SSPE. There is only one answer to tackle SSPE: the elimination of measles via vaccination. Even then it’s estimated that a lag of up to 20 years or more will follow in which latent SSPE from wild measles will continue to emerge.
For about 6 years the new accepted risk-benefit of SSPE has been zero cases from vaccination and up to 11 cases per 100,000 measles infections.
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!
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.
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?
Losing In The Lucky Country 