Dr Death – Hellfried Sartori’s Cancer cure scam

Australia’s 60 Minutes program recently screened an episode on Dr. Hellfried Sartori’s lethal “alternative” cancer “treatment and cure”.

In the time honoured tradition of cancer cure scams, Sartori claims to be able to cure 98% of cancers – including “highly advanced metastatic cancer” – and has done so for “ten thousand” patients who are spreading the word “in the underground”, he says.

“The Underground?”, you may ask. His “miracle cure” you see, would “put pharmaceutical companies out of business” and was “unauthorised”, relayed family members who were scammed by “cutting edge” mimicry. It was a poisonous cocktail.

Featured in this program are members of families who lost loved ones in appalling circumstances in Perth. This led to a Coronial Inquest in November 2010. The inquest heard of 25 Aussies, 24 (including a six year old Sydney girl) of whom are dead. The other person hasn’t been found.

Sartori (sometimes bobbing up as Abdul-Haqq Sartori) has been jailed twice in the US. Although convicted over various frauds, including an AIDS cure scam whilst practising medicine without a licence in Thailand, he is unrepentant. In Perth, according to Fairfax:

Celia Kemp suggested to Mr Sartori that he could only see success and not failure, that his clinical skills were deficient, that he had lied and exaggerated about his treatment as part of luring sick people into paying him for dubious treatments, and that his success rate for curing cancer was zero.

Mr Sartori replied that 50 per cent of the cure for cancer was positive thinking by the patient. He conceded he had exaggerated about the efficacy of his treatments, insisted he could cure cancer and admitted lying to Australian authorities. ”If any treatment has proved benefits, it is this treatment,” he told the court. ”And I have not violated my Hippocratic oath.”

He has a long history of “vitamin” and “ozone” cancer cures, charging up to $40,000 in Australia. He is deregistered in a number of U.S. states. The 60 Minutes program includes a short interview with Dr. Alexandra Boyd. His Australian caper occurred whilst he was in custody in Thailand. Rather than a clinic, a house owned by Dr. Boyd was used. Unregistered nurses administered Sartoris useless, and lethal cocktail. During the inquest in 2010 Dr. Boyd went missing, until found to have voluntarily admitted herself to a psychiatric clinic. According to The Australian:

She was forced to testify before Western Australia’s Coroner’s Court via telephone link from a mental health clinic in Fremantle after being deemed fit to give evidence by her psychiatrist. [….] The five patients received a mixture of minerals, industrial solvents and paint stripper while being treated in Dr Boyd’s home in 2005. They later died, some after vomiting green fluid and suffering chronic diarrhoea.

So how is such rubbish sold? How are people convinced to use such dangerous compounds? Sartori’s web site still pushes his “alternative cancer treatment” scam. Other alternative cancer care sites promote Sartori, Liquid Cesium Chloride and Dimethyl Sulfoxide. DSMO (“the magic bullet for cancer”) is used in other dubious treatments including arthritis creams. Whilst it has genuine medicinal uses due to it’s ability to penetrate skin and cell membranes without damage, it is favoured by alternative “health” scams.

Abusing the work of others on conditions which favour cancer growth, Sartori’s suspect “research” of exactly the same concept – that cancer cells survive longer in acidic or anaerobic environments – is quoted. Thus, Cesium Chloride, “one of the most alkaline elements” will kill off the cancer cell by raising pH and boosting O2. Intravenous DSMO aids in getting the CsCl into the cell.

His ozone theory is bizarre. Citing a number of populations that live at high altitude and experience longevity, Sartori reasons this is due to greater concentrations of ozone. The higher one goes the more UV action on oxygen, hence greater ozone concentration. Since “time immemorial” lowland women could not fall pregnant in the highlands, unless acclimatised. Assuming this is due to ozone, Sartori further postulates if a fetus will not grow then surely cancer will not grow. “… as ozone temporarily stops the growth of the embryo, it too stops the growth of a quantity of quick growing cancer.”

B17 or laetrile is another component. The Hunzas of Northern Pakistan are one of the high altitude communities with longevity quoted by Sartori. Laetrile is found in the seeds of apricots – a favoured Hunza food. Apricots have been palmed off as a path to longevity for decades due to this association, but vitamin scams take it one further and push the laetrile angle. Along with zinc, selenium and ascorbic acid Sartori adds B17 to his IV cancer cure.

And Viola! There you have your $40,000 lethal intravenous mix.

“Vaccine Shedding”: Time Up For Another Vaccine Myth

One myth often pulled out by antivaccination lobbyists to malign vaccine safety is the senseless term “Vaccine Shedding”.

Whilst in context we all know what is meant, it’s worth pausing to consider that the term is a byproduct, if you will, of the antivaccination movement’s skill at sowing misinformation. The unrivaled ability to scan a headline and regurgitate some ghastly tale about vaccines. To squeeze another fallacious vaccine “danger” onto the shelf, content in the knowledge it will soon have a life of it’s own.

The colloquial use of this nonsensical term seeks to convey that an individual who has been vaccinated can readily shed part of the vaccine and cause infection in the unvaccinated. Which by definition demands them to have shed not a vaccine but an infectious agent. Indeed a virus or bacterium. Which by extension demands the vaccine to contain a live virus or bacteria. This then opens the door to viral shedding the vast complexities of vaccine induced immunity and viable modes of excretion – aka shedding. That won’t stop your garden variety anti-vaxxer claiming any vaccine can lead to infection of the unvaccinated via this ghastly “vaccine shedding”.

But that’s only part of the story. “Vaccine shedding” is a double barrelled myth in that transmission is assumed to occur ipso facto. Shedding is not transmission. Period. Yet denial of vaccine efficacy requires internalisation of some whacky stuff. Including the erroneous belief that viral shedding follows MMR vaccination. Yet worse is the myth that inactivated vaccines pose the risk of infection due to “vaccine shedding”.  Pertussis often brings out the malicious side of anti-vaxxers. DTaP is inactivated. Indeed the pertussis component is acellular. Update: The acellular pertussis vaccine is an example of a subunit vaccine.

So, you may wonder at the nature of Cynthia Janak who writes in Will the vaccinated infect the unvaccinated? That is the question with Whooping cough:

Before I continue I want to tell you about a fact that is known by the CDC, etc. That is called vaccine shedding. This is the transmission of the virus from a vaccinated person to an unvaccinated person. [….] I want you to understand that this is true for vaccines including the Whooping Cough. What you could have happen is that all these parents and child care workers are going to get the vaccine and then take care of children. [….] The vaccinated have the potential to infect the unvaccinated child. This could cause the next epidemic of disease like what happened with the small pox epidemic.

So, in Cynthia’s mind “vaccine shedding” is, “…transmission of the virus from a vaccinated person to an unvaccinated person”. Wrong. And it’s true for whooping cough. Impossible. Yet Cynthia Janak asserts there’s potential for an epidemic like smallpox? Pure fiction. Contracting pertussis because an unvaccinated and infected child or adult who ignores boosters has breathed on someone is, however, a simple fact. Aiming to inflate the danger of her misguided concern about “vaccine shedding” as “known by the CDC”, Cynthia uses references to FluMist.

FluMist a live attenuated influenza vaccine (LAIV) sprayed into the nostrils and well understood regarding shedding. Concerns about administering a live virus this way should be respected. So should the facts about any risks. It sheds in low concentration for short periods via nasal discharge. It is not associated with person to person transmission. Given that wild type influenza sheds at far higher concentration, is found on fixtures, objects, skin and is strongly associated with transmission, severe illness and complications it seems Cynthia has been selective about what’s “known by the CDC”.

“Vaccine shedding” is better suited to mid 19th century notions like the infectious miasma, wafting about in terrifying unseen clouds held aloft by our lack of knowledge. Nor does the rare instance of shedding suddenly turn any agent into a virus with the infectious capability of Ebola. But anti-vax voices are often raised in triumph that the crime of “vaccine shedding” places the community at greater risk than the rising numbers of unvaccinated.

The scale of error associated with this belief is akin to the myth of potential vaccine injuries outweighing the benefits of vaccination. Serious injuries that do occur are primarily in populations genetically predisposed to latent complications and manifestation is extremely rare. Injuries, disability and death from vaccine preventable disease would occur at magnitudes many hundreds or thousands of times greater and can manifest in anyone. Vaccine injuries are artificially inflated by confusing correlation (sometimes years apart) with causation, and by including red marks, crying, sleep disturbance or omitting that event X was a serious allergic reaction to latex syringe components. Similarly, arguing ones unvaccinated child is at risk from, or has been infected by, a recently vaccinated child is quite a claim.

Viral shedding itself is by no means ignored by the medical community. It’s of primary concern in the management of immune compromised patients, pregnant women and newborns. Varicella is an excellent example in that a.) viral shedding is well understood and b.) the risk from shedding can be discerned from precautions taken. Following varicella vaccination, viral shedding can be detected in the stools for six weeks.

In the case of immunodeficiency disorders or immune suppression from drugs, transfusions, stem cell transplant, chemotherapy etc, the recommendations are to avoid contact with fecal matter of vaccinated subjects and to observe good hygiene. To put this in context, unvaccinated children who spend one hour in a room with an infected child (shedding varicella) stand a 95% chance of contracting varicella (chicken pox). This is why vaccination against varicella is vital and choosing to not vaccinate your child places him or her and by extension countless others at risk of serious complication.

For nursing mothers post natal varicella vaccination need not be delayed if they are varicella-susceptible as varicella hasn’t been found in breast milk post maternal vaccination. There is no problematic risk of viral shedding to newborns provided hand washing and other hygiene measures are followed.

Whilst rare, a post-varicella immunisation vesicular rash can form. Again whilst quite rare, viral shedding can occur at this site. Plainly stated it’s incredibly rare for an unvaccinated child to be infected with varicella from a vaccinated subject and a series of events, including transmission, must occur within a small window of opportunity. Greatest precautions must be taken in the case of immune suppression. Writing in Vaccines in immunocompromised patients, Janet R. Serwint, MD Consulting Editor notes:

Because the varicella virus rarely can be shed through a postimmunization vesicular rash that may develop, recommendations include avoiding contact until the rash resolves.

In March this year there was an interesting case of viral shedding. The antivaccination lobby bellowed that Varicella zoster virus DNA had been found in the saliva of people over 60 vaccinated with the live Zostavax vaccine manufactured by Merck. In this age group Herpes zoster (shingles) is the target. Shingles is the result of infection with VZV earlier in life which may reactivate as immunity declines or from novel infection. Despite blog headings like Vaccinated people SHED LIVE HERPES for up to a month AFTER vaccination, be aware it was 2 of 36 “vaccinated people” who made the grade.

There was no indication of infection risk at the time. Today transmission is considered rare. Packet inserts carried the standard warnings found in varicella immunisations to avoid contact with infants, nursing mothers and immunocompromised individuals. “Doctors never tell you this”, lied the anti-vax lobby. The end result is that, fortuitously, it appears a saliva test could be developed allowing for detection and antiviral therapy before the painful rash appears. All up with rare potential for transmission from about 5% of recipients of a vaccine that’s not widely used it was a non event.

With MMR the lack of viral shedding renders any risk of horizontal transmission in this manner null and void. If challenged with the claim of “vaccine shedding” specific to Measles, Mumps, Rubella vaccination you’re being misled.

Peak shedding of Rotavirus occurs on “post-vaccination days 6 through 8”. Published in The Lancet Rotavirus vaccines: viral shedding and risk of transmission, notes:

Immunocompromised contacts should be advised to avoid contact with stool from the immunised child if possible, particularly after the first vaccine dose for at least 14 days. Since the risk of vaccine transmission and subsequent vaccine-derived disease with the current vaccines is much less than the risk of wild type rotavirus disease in immunocompromised contacts, vaccination should be encouraged.

The “vaccine shedding” bogeyman got a free kick with the FluMist LAIV vaccine. You may remember the hype. The spraying of “living influenza virus” straight into children’s brains was going to lead to mutation and death on an unprecedented scale. It would genetically revert to the wild type. Transmission would thus be uncontrolled. It would quickly prove useless against changing seasonal strains. ADR’s would rise…. and so on. Ultimately the cost proved to be a deterrent. Mayo Clinic have produced a welcome article on LAIV Myths.

In a comprehensive 2008 study with a sample aged 2 – 49 years, shedding “of short duration and at low titers” was detected in nasal swabs on days 1 – 11. LAIV recipients “should only avoid contact with severely immunocompromised persons for 7 days after vaccination”.

On Shedding and Transmission of Vaccine Viruses, in a larger piece on influenza vaccination of HCP, the CDC write:

One concern regarding use of LAIV among HCP has been the potential for transmitting vaccine virus from persons receiving vaccine to nonimmune patients at high risk. Available data indicate that children and adults vaccinated with LAIV can shed vaccine viruses for >2 days after vaccination, although in lower titers than typically occur with shedding of wild-type influenza viruses. Shedding should not be equated with person-to-person transmission of vaccine viruses, although transmission of shed vaccine viruses from vaccinated persons to nonvaccinated persons has been documented in rare instances among children in a day care center.

One study conducted in a child care center assessed transmissibility of vaccine viruses from 98 vaccinated persons to 99 unvaccinated controls aged 8–36 months; 80% of vaccine recipients shed one or more virus strains (mean duration: 7.6 days). [….] The estimated probability of acquiring vaccine virus after close contact with a single LAIV recipient in this child care population was 0.6%–2.4%.

It was also documented that should HIV positive children be exposed to LAIV shedding, “… serious adverse outcomes would not be expected to occur frequently”. So the combination of live virus shedding and immune deficiency in the case of LAIV presents low risk. Certainly the overall risk associated with the rare transmission following shedding after LAIV is insignificant given the risk of regular influenza virus transmission.

We’re running out of dramatic scenarios for the antivaccination lobby to cling to. With polio the wild virus replicates in the intestine and is shed in stools for up to a month. Transmission in developed nations is thus faecal-oral like other stool shed viral components. It is of course so rare as to be unheard of. However, given that the IOM report into evidence and causality of vaccine adverse effects found a causal link between the oral polio vaccine (OPV) and vaccine associated paralytic polio (or Vaccine Derived Polio Virus), we should seriously consider shedding in areas where this is documented.

In fact the question has been asked if prolonged VDPV shedding could be a source of reintroduction following polio eradication. The more compromised the immune system the more likely the individual is to have problems with vaccine induced immunity. A study looking for VDPV shedding in immune deficient subjects in Abidjan, Cote d’Ivoire found no cases in a sample of 419, and therefore a “minimal risk of reintroduction [after eradication]”. In respect of general exposure to shedding in these environments transmission of the wild type polio virus eliminates any concern over post vaccination viral shedding. Crowding, sewerage, water quality etc all contribute to wild polio spread in ways that do not apply to the developed world.

Remembering that viral shedding is of paramount concern in the management of immune deficiency and immunocompromise, let’s revisit the Janet R. Serwint, MD of Vaccines in immunocompromised patients. Rather than warn against exposure to immunised children the recommendation is to ensure schedules are up to date and an annual inactivated influenza vaccine is on board. Pay attention to reference to MMR, varicella and rotavirus:

One strategy worth emphasizing is the immunization of household contacts, particularly other children and adolescents in the family. This procedure is essential to try to minimize exposure of the immunocompromised patient to household contacts who might contract vaccine-preventable illnesses. Pediatric health-care clinicians need to update and review the vaccine status of all siblings and pediatric-age household members. Annual influenza vaccination of all family members with inactivated influenza vaccine is recommended in addition to ensuring routine immunization of all other recommended vaccines.

MMR, varicella, and rotavirus vaccines, although live viral vaccines, are recommended for immunocompetent household contacts because transmission of the virus is rare. The lack of viral shedding with MMR eliminates concern regarding transmission. Because the varicella virus rarely can be shed through a postimmunization vesicular rash that may develop, recommendations include avoiding contact until the rash resolves. For the rotavirus vaccine, avoidance of contact with the stools by the immunocompromised patient and good hand hygiene measures by all family members for at least 1 week after vaccination should be implemented.

In conclusion it’s clear that “vaccine shedding” is a nonsense phrase. The lack of accounts of children transmitting viruses to younger siblings and friends after vaccination is a dead giveaway. Whilst viral shedding is a reality we can be confident that:

  • Viral shedding applies only to live virus vaccines and is significantly low, low risk
  • Post vaccination viral shedding of rotavirus and varicella is detected in the stools for 4-6 weeks respectively. It’s of such low risk as to be of cautionary interest regarding immunocompromised individuals
  • Genuine concern about viral shedding in these groups is managed with sound hygiene and avoiding contact with stools
  • In rare cases of post varicella immunisation vesicular rash shedding may occur. Transmission is still unlikely
  • The lack of viral shedding following MMR eliminates any concerns about transmission
  • Claims of DTaP shedding and transmission are bogus
  • Stories about whooping cough transmission from vaccine shedding are demonstrably false
  • Stories of polio infection being a risk due to shedding are designed to scare
  • Antivaccination lobbyists use false and incomplete information about shedding to create fear of vaccines/the vaccinated
  • Shedding of LAIV is at markedly low concentration, short duration and transmission is dwarfed by seasonal influenza transmission
  • Accurate information about the topic is drowned out by antivaccination sites and “mothering” forums making inaccurate claims

Update: April 13th 2015 – Added references;
Is the MMR vaccine spreading the measles virus?: The question of shedding

Case of vaccine-associated measles five weeks post-immunisation, British Columbia, Canada, October 2013: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20649
Live Attenuated Influenza Vaccine [LAIV] (The Nasal Spray Flu Vaccine): http://www.cdc.gov/flu/about/qa/nasalspray.htm
Live Attenuated Vaccines (LAV): http://vaccine-safety-training.org/live-attenuated-vaccines.html
Measles – Q&A about Disease & Vaccine: http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm
Measles: Questions and Answers: http://www.immunize.org/catg.d/p4209.pdf?q=measles
Measles Vaccination: http://www.cdc.gov/measles/vaccination.html
Rotarix WHO leaflet – tube: http://www.who.int/immunization_standards/vaccine_quality/Rotarix_liquid_tube_product_insert_text_2009.pdf?ua=1
Rotavirus: http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/rota.pdf
Transmission of Measles: http://www.cdc.gov/measles/about/transmission.html

Meryl Dorey’s trouble with the truth: Part 3 – Lies and Fraud

You were shocked, astounded and aged beyond your years with Part One. Fearing collapse, you sent your family away and took leave to stay home and read Part Two.

And now, the frequent rumours. The disturbance in the Force. The smell of Supreme Court cases in the morning. It could only mean…

Meryl Dorey’s trouble with the truth: Part 3 – Lies and Fraud

© Full attribution, Mr. Ken Mcleod

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Blackmores, Pharmacy Guild saving face

Last we visited the Blackmores, Guild Alliance there were serious doubts about evidence from Blackmores or understanding from the Guild.

Not much has changed on admitting fault, even with the removal of the Gold Cross endorsement. Which, by the way, was the fault of “ill informed and inflammatory” media reporting leading us goofy consumers to exhibit a “strong level of public concern”. I wonder where the Guild gets off trying this one on. There’s something missing from this sudden awakening in which “the Guild has listened to these concerns and accepts – mutually with Blackmores… to withdraw the endorsement arrangement”.

For example the AMA, according to president Steve Hambleton, considered the deal “outrageous” and that, “There’s no place for commercial interference in the clinical decision making of the pharmacist”. This was and is reflected in GP’s responses, including some writing notes with scripts to not include the “companion range”. Professor Paul Glasziou, director of Bond University’s centre for research in evidence-based practice had, on ABC, called Blackmores’ bluff on supporting evidence.

Chemist Warehouse had publically and loudly protested, promising to not participate in the deal. “Our pharmacists recommendations are not for sale” and “Professionals Practicing Professionally” stated their defiant flyer. Ouch!

Many individual pharmacists were, to put it mildly, infuriated and appalled at the Guild’s total stuff up which effected the integrity of all pharmacists.

Stuart Baker, a pharmacist from Western Victoria quit the Guild in protest. In view of the decision to drop the Gold Cross endorsement he still won’t be returning. Damage done there it seems. In light of the Guild’s inability to accept responsibility for such poor decision making the damage could be both more widespread and persistent.

Jane McCredie recently wrote in MJA Insight:

PHARMACISTS have long felt like the poor relations in the broader family of health professionals when it comes to status and respect, if not monetary reward.

In recent years, their representative bodies have lobbied for expanded prescribing rights, for recognition of their role as front-line “clinicians” and against allowing pharmacies in supermarkets for fear this would undermine the quality of health care provided.

It’s going to be a lot harder to make those arguments convincingly in the wake of the spectacularly ill advised deal between the Pharmacy Guild and Blackmores that created such a media furore last week.

October 5th saw the Pharmacist Coalition call on the Guild to dump the scheme. AusPharm News reported in part:

The Pharmacist Coalition for Health Reform (PCHR) has called on the Pharmacy Guild of Australia to axe their deal with Blackmores, following the Guild’s admission that the computer prompts to upsell dietary supplements were a pilot only and would be reviewed.

PCHR spokesperson and Chief Executive Officer of the Association of Professional Engineers, Scientists and Managers, Australia (APESMA), Chris Walton, said that pharmacists had rejected the deal and it was now time for the Pharmacy Guild to scrap the pilot. “A Pharmacist Coalition poll of over 460 people has shown that 94 per cent of community members, including pharmacists and pharmacists-in-training, disagree with the Blackmores’ deal and believe ‘it undermines the professionalism of pharmacists’.

“This has been further supported by The Age online poll which revealed that of over 2,000 voters, 94 per cent do not approve of the ‘Pharmacy Guild of Australia’s deal with Blackmores to recommend Blackmore’s supplements’. [….] PCHR spokesperson and Chief Executive Officer of The Society of Hospital Pharmacists of Australia (SHPA), Yvonne Allinson said The Pharmacy Guild has lost credibility and a failure to scrap the pilot would damage their reputation further.

Gold Cross is a fully owned subsidiary of the Guild. Now that the Gold Cross endorsement has been cancelled their logo, if you like, won’t appear on Blackmores companion range. Nor will the pilot project of software prompts at point of sale go ahead. The decision was “made in conjunction with Blackmores”.

The mutual decision has been taken in view of the strong level of public concern about the proposal, based on some media reporting of the endorsement which was ill-informed and inflammatory.

The last thing the Guild would ever want to do is deplete the credibility of community pharmacists, or damage the trust in which they are held by Australians. That trust and confidence is of paramount importance to the Guild and to our Members. The Gold Cross endorsement arrangement with Blackmores was entered in good faith, with absolutely no intention of undermining the professionalism and integrity of participating pharmacists. [….]

Additionally, an optional prompt containing clinical information for the patient to consider in relation to one product of the Companions range was to be available through the dispensary IT programs, on a pilot basis. The software pilot was not intended to commence until at least November, and will now not proceed.

Chris Walton CEO of APESMA Pharmacist division said in response:

This is a pathetic back down by an out of touch organization. The Guild has been dragged kicking and screaming to the decision and still will not take responsibility. They describe their decision to enter the deal as one made in good faith. Good faith must now be code for a bag of coin.

The profession should never forget that the Guild was willing to trade on the good reputation of pharmacists for commercial gain. While the same people are in charge why would we ever trust them again. Any pretence that they represent the pharmacy profession is over.

Still insisting that the “need for these natural health supplements for some consumers is underpinned by a body of scientific evidence”, Blackmores released a statement also with soothing noises about having listened. But they go one further and point out the “considerable confusion” in waking up to their scam. Hmmm. Perhaps they have a supplement for that? Either way, also from October 5th:

We have listened to the feedback on the Companions range and it is apparent that there is considerable confusion regarding the positioning of this range which we believe is detracting from the potential underlying benefit of these products to consumers.

As a result, and following discussions with Gold Cross, Blackmores will remove the Gold Cross endorsement from the four products, we will not feature these products on the proposed IT dispensary software and we will update the product names to reflect the key ingredients, under the Companions brand.

Blackmores have published research on their professional page for “health professionals” which is well summarised here. I suspect in response to the NPS review of evidence to sustain (cough) claims made in defence of the “companion range”. Christine Holgate opens her heart here about “misconstrued” information and accurate representation of “integrity”. Basically, it’s all good and they’re doing Aussies a favour. No, really.

All up, it’s rather shameful. The Guild haven’t in effect admitted being at fault. At most they seem to grudgingly admit to a type of PR blunder. Blackmores is sticking to it’s guns pleading misunderstanding on the part of the public and a raft of health professionals. Marcus Blackmore bemoaned that a full scale assault on complementary medicines had grown out of the same misunderstanding. ABC have a comprehensive write up with audio and video.

Jane McCredie finished her MJA Insight article in style:

The Pharmaceutical Society of Australia is due to release a new code of ethics for its members — along with a vision for the profession’s future — at its annual conference later this week. It would be nice to think that code might require pharmacists to disclose the level of evidence for any non-prescription medication they sell — hardly an unreasonable demand of people who want to be recognised as clinicians.

I’m imagining the conversations now if this code is implemented. Pharmacists selling homoeopathic remedies will be required to tell each and every customer: “There’s not a skerrick of evidence this works, but if you want to throw your money away…”

Therein lies the very source of the problem. Blackmores’ deal stood out because it officiated upselling and would have included entirely unwarranted prompts. Both the Guild and Blackmores knew it to be a grab for money. So did everybody else. Yet pharmacists do recommend and sell junk to consumers. Assistants do little if anything to dissuade from spontaneous buying.

Doctors will testify to patients at times admitting to taking large amounts of useless supplements. It’s documented that patients are reticent to admit to doctors they use alternative products. In the main doctors are missing out on vital information they need to properly treat their patients.

The only durable solution is for the TGA to move forward with sharp teeth and legislation to call CAM what it really, in the main is.

Unproven and unnecessary.

Dr. Rachie slays the Nine Vaccine Ringwraiths with Science

Five Vaccine Myths in Futile Flight From Evidence

It’s official! Reports that have been coming in from Middle Earth for the last couple of days are indeed accurate. Dr. Rachie (aka Dr. Rachael Dunlop) has unleashed the power of science on the undead corpses of nine vaccination myths, expunging their essence for all time.

All good fiction-fantasies have their mythical characters and the best mythical characters are those that keep returning time and again despite being killed off. So it is with these nine. Although long dead these myths have been constantly exhumed. Script writers of the antivaccination movement, faced with oblivion, have kept writing them into the story time and again.

Known as ring-wraiths because the argument that sustains the myth is circular nonsense they have been led by the most powerful and most often killed myth, Vaccines Cause Autism. Lured to Mount Mama Mia by rumours of untapped Quantum nearby, the nine never stood a chance. Autism was the first to fall as Rachie recounted the disgrace to befall Andrew Wakefield and his fraudulent caper. It was cut down with a double reminder that, as a result of this fraud, he was now unlicensed and the work withdrawn from publication. Retracted!

Before it could summon any more lies or buy the blood of any more children, Dr. Rachie finished Autism off with the weight of 20 years research and a brand new comprehensive review. She wrote in the ancient, powerful, yet sacred runes of science:

The largest study was done in Denmark and covered all children born from January 1991 through December 1998. A total of 537,303 children of which eighty-two percent were vaccinated for MMR were examined and there was no association between vaccination and the development of autistic disorder.

Further, in August 2011, an exhaustive review of the scientific literature by the Institute of Medicine in the US concluded that overall “few health problems are caused by or clearly associated with vaccines”. …12,000 peer-reviewed articles, covering eight different vaccines were pored over by a committee of 18 experts in the largest review of adverse events associated with vaccines since 1994… there is no causal relationship between vaccines and autism.

It was predictable who would fall next. Vaccines Cause Autism’s trusted side kick Vaccines Contain Mercury shrank back from the power of Science. Witnesses claim the air crackled with electricity as Dr. Rachie intoned confidently from The Book Of Evidence. She reminded the ghastly creature:

Mercury has not been present in routine childhood vaccines in Australia since 2000 and it was never in the MMR vaccine. Prior to 2000, thimerosal, an organomercury compound, was used in the manufacturing process of vaccines as a preservative.

Writhing and shrieking in despair it was finished off with more reminders that methyl mercury and bio-accumulation apply to sea foods. Then it suffered the same fate as ethyl mercury (the erstwhile preservative) does on entering the body, if it is used in adult vaccines. Total elimination.

This immediately got the attention of  journalists assembled nearby. Vaccines Contain Mercury and Vaccines Cause Autism had stopped off mere days earlier at the Magical Homeopathy Well as they travelled, they thought, in search of Quantum. It was there they spoke to a small gathering of journalists, admitting they intended to mix the magic water with the Quantum to concoct The Elixir of Everything.

“We’ve never felt more alive, more invigorated than right now”, said the King of vaccine myths – Vaccines Cause Autism

Posing for Fountain Of Beauty photo’s (left) outside the Magical Well, the pair cut a sadder spectacle than Fran Sheffield and Isaac Golden in a medical library.

Asked if they knew they were in fact, long dead and to all intents and purposes had never really existed, Vaccines Cause Autism responded confidently:

“Quite the contrary my dear fellow. We’ve never felt more alive, more invigorated than right now and both look forward to another summer of terrifying innocent parents and driving up vaccine preventable disease. We have promotional tours planned with Meryl Dorey who’s been awfully suppressed of late, poor thing… free speech and what. But with some grossly inflated figures on the number of shots kids receive before school – it’s 12 but we’re saying something like 35 – and appearances with our friend and colleague “Vaccines have never been tested”, we should have a splendid time of it. Besides chaps we don’t have a lot of say in the matter. It’s the Power of the Burning Stupid that keeps us going and with this interweb business today there’s no shortage of that, what?”

Such confidence was clearly best suited to behind the silicon battlements of his home fortress on Mount McCarthy. Against the power of science the wraiths stood not a chance. The next to fall was Vaccines Contain Toxic Ingredients. A particularly irrational creature this one takes advantage of general ignorance. Eg, few know that whilst infants receive about 4 milligrams of aluminium from vaccines in the first 6 months of life, they receive 10 milligrams from breast milk and 40 mg from formula over the same time. Yet aluminium is essential as an adjuvant and actually allows less antigen per dose. Adjuvants work to aid the immune response making the vaccine more effective.

Dr. Rachie looks at some more myths about toxic ingredients from those exploiting ignorance to outright lies. She noted wisely that the dose makes the poison, throwing this at the creature in a blazing ball of pure, lethal fact. You may hear of how carcinogenic formaldehyde is and that it’s in vaccines. What scaremongers omit to tell you is that it’s only carcinogenic at certain concentrations. Whilst these concentrations aren’t found in vaccines they are found in particle board and other building materials. So, throw out your furniture and rebuild your house if you have an issue with formaldehyde.

Vaccines Have Never Been Tested suffers a gruesome fate. With her lab coat glowing incandescently Dr. Rachie held The Book of Evidence aloft enveloping this long dead beast in the pure light of reason:

When people claim that vaccines have “never been tested” they usually mean that they have not undergone randomized placebo controlled trials (RCTs). To do an RCT of a vaccine you would need to take two groups of kids, give one group the vaccine, and the other a placebo, then expose both groups to the disease to see which ones survive. Raise your hand if you can see the problem here…

In fact other vaccines have been tested. Remember the 2 million children who parents shoved them forward to receive the polio vaccine in a trial? Or the extensive HPV vaccination trials just finished to great success in Australia?

Vaccines Don’t Work Because Vaccinated Kids Get The Disease crumpled under the weight of evidence that crushed boulders to dust and left craters in the ground. Including the harsh reality that fatalities occur in the unvaccinated. Put simply, vaccines may not be magical or transcend the laws of reality as do vaccine myths but they prepare the immune system to fight viral infections. And in the main, some diseases making a comeback, like measles, only effect the unvaccinated. Using this argument on immunity that wanes or is specific to strains (such as whooping cough and influenza) is a darstardly trick of this myth. Keep an eye out for this ghoul. Don’t be fooled and get yourself a booster for pertussis.

Improved Living Standards Not Vaccination Reduced Disease A truly heinous beast indeed. We dealt with this one here copiously when Viera Scheibner tried it on recently, if you wish to check the video. But Dr. Rachie uses the sure fire Powerful Evidence Kill Shot to dispense with this Being from beyond. Gazes were quickly averted as sounds of cracking bones and squishing innards mixed with Mia’s cheering.

Hib incidence 1993 to 2005Since 1993 when the Hib (Haemophilus influenzae type b) vaccine was introduced into the Aussie schedule there’s been a >90% drop. In fact it’s now so rare epiglottitis once a sign of Hib can’t be assumed to be so. When isolated today, lab’ tests may reveal Haemophilus influenzae not to be Type b. This is a powerful impact from a single vaccine over a time when public sanitation, access to clean water and living conditions have not changed.

Infectious Diseases Are Harmless – Children are meant to get them never saw it coming. Wearing earplugs to block out ridicule and mocking laughter, this foul demonic entity was slayed with a barrage of Truth. Amongst other great points Dr. Rachie destroyed this “right of passage” wraith – dead before it hit the ground – with a devastating:

If you still think infectious diseases are harmless, wander through your local cemetery one day and note how many children died from diseases that we no longer see in society today – stamped out largely due to mass vaccination.

Vaccines Cause or Spread The Disease They Are Meant To Prevent has always been completely mad, so this was a mercy killing in truth. Leaping and frothing about uncontrollably it’s hard to comprehend it’s intent. You may have read some annoying anti-vax blurb or Facebook post about “my sister’s, neighbour’s, butcher’s, dog’s, vet’s, accountant was off for weeks with the flu after having the vaccine”. Bollocks. Only a large scale production failure could lead to “disease by vaccine”.

Before it vanished in a puff of smoke Dr. Rachie marched up to the wretched odourous thing, and inscribed on it’s forehead magical runes using the Quill Of Logical Legend:

Experiencing a slight temperature and/or a sore arm after getting a vaccine is actually a good thing. While some people misinterpret this as “getting the flu after the flu vaccine” it simply indicates that your immune system is responding…. This means next time you come across the disease in the environment your body is ready with an arsenal of antibodies to attack it before it can make you really sick.

My Child’s Immune System Will Be Overwhelmed is a rather pathetic little myth with low self esteem and a profound lack of confidence. And you can see why. With a mighty heave it was tossed into the Glare Of Truth under the rays of which it crackled and sizzled and finally shrivelled to a blackened crisp:

The amount of immune challenges that children fight every day (2,000 — 6,000) is significantly greater than the number of antigens in any combination of vaccines (about 150 for the entire vaccination schedule).

Well, that’s nine dead ringwraiths. All thanks to Dr. Rachael Dunlop, using nothing but Science. But like any good story they can be revived with another telling. So do be on the lookout. There are more goodies over in the article which is one I highly recommend following up on. There’s some great links and if you reckon there’s more myths (and there are) you can dig up some evidence based answers there to strike down these ghoulish zombies when they stagger into view.

For those aware of anti-vax tactics, there’s a jolly good comment from Mia who has no time for them or their deceptive ways. Striding across the drawbridge from her castle she cast a withering eye upon the Anti-vax Orcs, cowering below mumbling the same spells over and over. Undeterred by their putrid breath or horrid ugliness Mia spoke:

NOTE: looking through the hundreds of comments in the backend of the site, I can see the Anti-Vaccination people are up to their usual dirty tricks of linking to bogus crap research and commenting many many times under different names to try and make their cause seem better supported than it is.
People? VACCINATE your babies. Give your children boosters. And get a booster yourself.
And no, I don’t respect other people’s choices to not immunise their kids when they have the potential to kill other people’s babies.
It’s like respecting other people’s ‘right’ to drink and drive.
Bollocks to that.

Now if only we could work that into a public service announcement….

Nine Vaccination Myths Killed Off Once Again