No reason to not vaccinate but anti-vaxxers continue to resist sound health policy

On April 17th last year Paul Offit was interviewed by Christiane Amanpour of CNN on the fact that there is “no legitimate reason” for not vaccinating.

This video very recently accompanied a February 21st article by U.S. pediatrician Dr. Edith Brancho-Sanchez, entitled Several vaccines at once might be too much for parents, but kids are just fine. The article reinforced the fact that the misinformation regarding the safety and efficacy of vaccines causes variations of anxiety in parents who take their children to be vaccinated.

It was reported that a 2014 USA National Immunization Surveillance Survey indicated that;

… over a third of parents of children ages 19 to 35 months followed delayed immunization schedules. Of the parents surveyed, 23% followed an alternate schedule that either limited the number of shots per visit or skipped at least one vaccine series altogether. Another 14% followed an unknown or unclassifiable schedule that did not follow a pattern and was not in line with national recommendations. Children who followed an alternate pattern were four times as likely not to be up to date on their vaccines and those who followed an unclassifiable pattern were over twice as likely not to be up to date.

Regrettably pediatricians are in a Catch 22 situation. They need to build parental trust. A 2015 study published in Pediatrics indicated that 93% of 534 pediatricians had been asked by parents of children under 2 to spread out vaccines. 82% believed complying with the parent’s request would build trust, whilst 80% thought if they declined, this may lead to parents leaving their practice.

In Connecticut, USA state lawmakers “narrowly advanced a bill” this week that seeks to ban religious vaccine exemptions for children. Despite reports of a 25% increase in religious exemptions from last year anti-vaccine opposition to the bill was fierce including protests in Connecticut’s Legislative Office Building. One Democrat representative, who seemed to have abandoned any pretense of basing his decision on evidence, referred to vaccination as “injecting a witches brew of chemicals”.

Here in Australia the leading anti-vaccine disinformation group The Australian Vaccination-risks Network has called on members and fellow anti-vaxxers to heed another infamous Action Alert. They are targetting Victoria and South Australia. In Victoria the Health Services Amendment Bill 2020 seeks to provide for mandatory vaccination of healthcare and ambulance workers with specific immunisations. Ten days ago the Victorian Minister for Health published this media release outlining the logic behind the decision.

The vaccines included are the flu vaccine, whooping cough, measles, chicken pox and hepatitis B. It is astonishing, as we witness the evolving impact of COVID-19 in the absence of a vaccine, that groups such as the AVN seek to multiply these negative effects. They have teamed up with the anti-science, anti-medicine group, Health Freedom Victoria helping to disseminate their “generic letter” for anti-vaxxers to mail to “all Victorian politicians including your local member”. Of course one may pen ones own. Be sure to stress you “vehemently oppose this draconian overreach of the Andrews’ government”.

They also advise to follow up with phone calls. Following that, they basically suggest harassing Martin Foley who is Minister for Mental Health, Minister for Equality and Minister for Creative Industries. Martin Foley’s mental health portfolio sees him quite active in reducing discrimination for Victorians living with mental health challenges. Health Freedom Victoria want anti-vaxxers working in the health sector to email and call Mr. Foley to;

Tell him you are appalled that he would change the Discrimination Act to get away with forcing you to take an untested and unwanted medical procedure in order to keep your job

In the material they have disseminated to encourage targetting Martin Foley, Health Freedom Victoria refer to him as, “the Minister for amongst other things, Mental Health and Discrimination”.

South Australia introduced No Jab No Play legislation on September 30th 2019. Again there is a “generic letter” ready to go. In both cases the AVN seek to motivate loyal anti-vaccine followers to engage in pestering letter and/or email writing campaigns, asking those involved to follow up with a phone call, in this case “within half an hour but at least by the end of the day”. This is to confirm they have received your email and will be sending a Decision Regulatory Impact Statement (RIS). Of course one should inform the person you’ll call back in two weeks to chase up that RIS. And why?

In the words of the AVN themselves;

Phone calls increase their workload, so they’re more likely to do their job to avoid getting repeat calls.

Yep, you read that right. Wasting the time of your local members already busy and hard working staff is ensuring they “do their job”.

Now, it’s over to Paul Offit…

 

#DoctorsSpeakUp – Say something positive about vaccines on March 5th 2020

Dr. Nicole Baldwin is a US based paediatrician who published a video on Tik Tok in support of vaccination.

As ZDogg MD has confirmed in his own video, Stop Being Afraid of Antivaxxers and Speak Up! (below) Dr. Baldwin’s effort drew a quite predictable response from the anti-vaccine movement. Driven by belief in conspiracy theories, an obscene sense of self-entitlement and complete disregard for the safety and lifestyle of those who support immunisation, their response was reported in MedPage Today;

Members of the “anti-vax” community discovered it and launched a “global, coordinated attack,” posting negative comments across Baldwin’s social media pages including her Facebook and Twitter.

They also went for the jugular: knowing that a physician’s online presence is critical, they barraged her online review sites, including Yelp and Google Reviews, with one-star reviews to sabotage her practice.

Some even called her practice, Northeast Cincinnati Pediatric Associates, and harassed the staff. One woman — whom Baldwin described as “very angry” — threatened to “come and shut down our practice,” prompting Baldwin to call the police.

But most intimidating was a post from an anti-vax Facebook group that said, “dead doctors don’t lie.”

“Ultimately what the anti-vax community wants is to scare us into silence,” she told MedPage Today.

The hypocrisy of these attacks is breathtaking. Certainly for Aussies who must endure the absolutely manufactured fear mongering designed to defame members of Australian Skeptics Inc. and Stop The AVN. This takes the form of ongoing bogus claims by AVN founder Meryl Dorey that members of either group pose a risk of violence and/or disruption at anti-vaccine events that the group holds.

Tickets are advertised on say, Eventbrite, with a qualifying message such as this one;

The exact venue within Logan City, QLD, will be sent to the email address you used to purchase your tickets, at 4:30pm the day of the screening, Tuesday 6th December, 2016.

Or this rubbish that accompanied Vaxxed II ticket sales to screenings at “Secret Venues” in December 2019;

Due to the well-orchestrated threats of violence and abuse that come from the pro-censorship community, the exact venue will not be announced until the day of the screening.

Oh yes. That’s “pro-censorship community” to you, you evidence retentive, violent, abusive so and so.

Apart from these attacks the AVN uses social media and frequently membership emails to push harassment of grieving parents who promote vaccines, journalists, newspapers, media watchdogs and media authorities. For example note the update at the base of last months post.

Back to Dr. Baldwin. In response to the attacks on her online review sites she got in touch with Shots Heard Round The World. Founded by paediatrician Todd Wolynn, MD, it’s described as;

…a network of vaccination advocates who describe themselves as a “rapid-response digital cavalry.”

You can check out Todd’s interview with ZDogg MD, How to fight back when antivaxxers attack. Or if it suits you better head over to Soundcloud and grab the audio there.

According to MedPage Today;

Baldwin said that since she allowed Shots Heard to take over her Facebook account, they’ve been posting positive comments and blocking commenters from her page; a total of 5,000 accounts have been banned as of Monday night, she said.

Shots Heard is also helping to get the fake online reviews taken down, which is never easy, particularly with Google, Wolynn said. But ongoing media coverage likely pressed the tech giant into taking down the reviews, Baldwin said.

So that’s a promising outcome. But more needs to be done to ensure health professionals and others aren’t constant pawns in the games of vaccine conspiracy theorists. On March 5th, as ZDogg makes clear at the end of his video, is an opportunity to get online in numbers and say something positive about vaccines. Use the tag #DoctorsSpeakUp and see if you can offer some material that educates about vaccines, or indeed exposes antivax material for what it is.

We have calculated ongoing lies about the perceived “pro-censorship” enemies of antivaccinationists, the commanding of “flying monkeys” to attack grieving parents and organised en masse attacks on a professional’s online identity along with death threats. To be sure however, whatever fashion it comes in those of us who support vaccination have witnessed the anti-vaccine lobby target individuals in shocking and cruel detail.

Keep an eye on #DoctorsSpeakUp and remember March 5th.

Stop Being Afraid of Antivaxxers & Speak Up!

 

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Black Salve – The Pro-Necrotic Agent

Last April Questions for Pseudoscience published an informative video on the very nasty, dangerous, bogus skin cancer “treatment” known generally as Black Salve.

Main points might be summed up as;

  • It isn’t anti-tumour cream.
  • It is anti-skin cream.
  • It kills tissue via the caustic salt zinc chloride (listed by the FDA as a fake skin cancer treatment) and sanguinarine (a toxic alkaloid).
  • The combination of zinc chloride and sanguinarine is “incredibly lethal to living tissue”.
  • Apart from burning skin due to its caustic nature zinc chloride adversely effects other body organs and systems (eyes, G.I. tract, lungs).
  • Sanguinarine blocks sodium potassium pumps located in the cell membrane, killing cells.
  • The ridiculous myth peddled by proponents of Black Salve is that cell death can be controlled by removing the salve at just the right time so that only cancer cells are effected.
  • However once begun the process continues leading to widespread necrosis. As cells die, enzymes are released leading to the breakdown of neighbouring cell membranes.
  • A domino effect follows leading to widespread cell death.
  • Thus Black Salve is really a Pro-Necrotic Agent and will kill any tissue it comes into contact with.

In March 2012 we visited the issue of AVN selling the One Answer To Cancer DVD – a blatantly bogus promotion of Black Salve. The post included the banning of this dangerous product by Australia’s TGA, (Therapeutic Goods Administration).

The TGA at that time issued a warning on Black Salve, which was covered by the ABC’s The World Today.

  • Listen to the audio in the player below;

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Australians deserve no-nonsense regulation of chiropractors

Andrew Arnold, the Melbourne based chiropractor whose manipulation of the spine of a two week old infant was described as “deeply disturbing” by the Victorian health minister is presently refraining from treating anyone under 12 years of age.

The ABC reported just over a week ago that health minister Jenny Mikakos also said in part;

It’s appalling that young children and infants are being exposed to potential harm. That’s why I’ve written to the Chiropractic Board of Australia and AHPRA (the Australian Health Practitioner Regulation Agency) to urge them to take the necessary action. There is nothing at the moment that prevents chiropractors from undertaking these risky practices… The advice that I’ve received is that the risk of undertaking spinal manipulation on small infants far outweighs any perceived benefit.

It’s worth noting that chiropractic treatment in general and the manipulation of infants specifically has a history of drawing harsh criticism from health and medical professionals and penalties from regulators. Fairfax reported in December 2011, Doctors take aim at chiropractors. One wonders at the lack of a cogent response to such serious statements from reputable professionals.

The inclusion of a chiropractic course at Central Queensland University prompted 34 scientists, professors and doctors to note federal government funding “gave their ‘pseudoscience’ credibility”. Fairfax reported that their statement included;

…it was also disturbing that some chiropractors spruiked the adjustment of children’s spines for many potentially serious conditions including fever, colic, allergies, asthma, hearing loss and learning disorders.

…the doctors said they were also concerned about chiropractors being the largest ”professional” group in the anti-vaccination network. [Now named The Australian Vaccination Risks Network]

At the time Australian Chiropractors Association president Lawrence Tassell responded by saying the criticism was ridiculous and misinformed. He further contended chiropractic was “evidence-based, including its use on children for the treatment of conditions such as colic.”

Note: The Australian Chiropractors Association was originally The Chiropractic Association of Australia (CAA). [Wikipedia]

Just colic? Was this an admission that fever, asthma, hearing loss, all allergies and all learning disorders did not benefit from chiropractic despite promotional claims that they did? Even so the question of evidence supporting chiropractic for the treatment of colic (crying) was not as Tassell suggested. Months later a Cochrane review consulted research into that very issue.

Conclusions note;

The studies included in this meta-analysis were generally small and methodologically prone to bias, which makes it impossible to arrive at a definitive conclusion about the effectiveness of manipulative therapies for infantile colic.

…most studies had a high risk of performance bias due to the fact that the assessors (parents) were not blind to who had received the intervention. When combining only those trials with a low risk of such performance bias, the results did not reach statistical significance.

This brings to mind criticism of anti-scientific training and ideological dogma favoured by what John Reggars calls fundamentalists. Reggars is past president of the Chiropractors Registration Board of Victoria and past vice president of the Chiropractic and Osteopathic College of Australasia.

In May 2011 Chiropractic and Manual Therapies published Reggars’ wonderfully honest and revealing article, Chiropractic at the crossroads or are we just going around in circles? Reggars is a firm proponent of evidence based therapy. As such he criticises the vertebral subluxation complex and B.J. Palmer’s notion of “dis-ease”. Consider this gem of a paragraph;

The irony of this fervent belief in the VSC and chiropractic philosophy is that its development was not founded on vitalistic theory but rather as a legal strategy, conjured up by an attorney, in the defence of a chiropractor charged with practicing medicine [7, 32, 33]: “Many in chiropractic never learned the origin of the pseudo-religion or chiropractic philosophy. It was nothing more than a legal tactic used in the Morriubo’s case.”[34], and “B.J. Palmer probably developed his disease theory as a result of the winning strategy used by his attorney Thomas Morris to defend Japanese chiropractor Shegatoro Morijubo in Wisconsin in 1907″[35].

– Author’s citations in place.

Reggars also concluded that the Chiropractic Association of Australia (CAA) abandoned science for fundamentalist ideologies. He observed that their “all-encompassing alternative system of healthcare is both misguided and irrational”.

Readers are handed the reality of what chiropractors genuinely offer;

Chiropractic trade publications and so-called educational seminar promotion material often abound with advertisements of how practitioners can effectively sell the VSC to an ignorant public. Phrases such as “double your income”, “attract new patients” and “keep your patients longer in care”, are common enticements for chiropractors to attend technique and practice management seminars.

Selling such concepts as lifetime chiropractic care, the use contracts of care, the misuse of diagnostic equipment such as thermography and surface electromyography and the x-raying of every new patient, all contribute to our poor reputation, public distrust and official complaints. […]

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

Back in June 2016 Ian Rossborough published a similar video which also drew strong condemnation. The Australian Health Practitioner Regulation Agency (AHPRA) responded by banning him from manipulating the spines of children under six.

It is difficult to watch Andrew Arnold “manipulate” an infant. Yes a baby is distressed and crying. But it’s the manipulation of the parents I also find appalling.

Grabbing the infant’s feet he announces “I’m locking in here”. Really? He lifts the baby offering verbal distractions. “I’m just gunna go upside down for a second… yep and as we go back down just hold his head… Perfect!” Then comes the stick-that-goes-click. Or as chiropractors call it, the Activator. A spring loaded device which delivers an “impulse”. He demonstrates the lowest setting and releases it into what seems to be the right side of the infants cervical spine. Another still image (below) shows Arnold apparently applying the activator to the infants upper cervical spine at the base of the skull.

The application of the activator as seen in the video hurts or distresses the infant immediately and he begins to cry. “…and he’s going to squawk a bit”, Arnold offers as if he planned and expected this all along. Then, he does it again! And guess what? More crying. “Sorry mate” he offers for the parent’s sake. He checks the collar bones “…cause they get a bit crunched up inside”. He checks potential for collar bone crunching by moving the infants hand. “So with this, start to get in the habit of getting a grip here”, and the video finishes with what appears to be reference to the Palmer grasp aka Darwinian reflex.

This reflex in which babies grip fingers develops around three months of age. I do hope Andrew Arnold informed the parents of this. Then again, I hope someone informed Andrew Arnold of this.

There’s little doubt we’re slow to not merely evaluate most chiropractic therapy and indeed most chiropractors as offering nothing more than pseudoscience. That so people many in developed nations believe their demonstrably preposterous claims about treatment is quite surprising. With the amount of pseudoscience and junk medicine accessible online it is little wonder parents will fall for chiropractic claims about treating infants.

Chiropractic clients should be informed that mild to moderate adverse effects are frequently associated with manipulation of the upper spine in adults. Dissection of the vertebral artery and stroke may also occur. [Source]. It’s difficult to imagine more than a very few parents would be comfortable having infants, babies and young children treated if aware of this situation.

A 2008 study found there was very little supporting evidence for the claims chiropractors made regarding pediatric treatment. A 2007 systematic review found that serious adverse effects may be associated with pediatric spinal manipulation. However observation data could not support conclusions on incidence or causation.

It remains firmly demonstrable that evidence to sustain even a fraction of claims made by chiropractors as to how effective pediatric treatment is remains absent. The fact chiropractors themselves have not pursued large scale randomised controlled trials with a vigor akin to that with which they claim an ability to heal is concerning.

I have no doubt there are chiropractors who do strive to follow an evidence based approach to treatment. Yet with some influential chiropractors labelling this approach as out of date in favour of the approach of D.D. Palmer’s 19th century vitalism, they face a struggle to be heard.

As John Reggars noted since the adoption of the fundamentalist approach and application of the vertebral subluxation complex (VSC), chiropractic in Australia has taken a backward step. Chiropractors have abandoned a “scientific and evidence based approach to practice for one founded on ideological dogma”.

Australians are entitled to be protected from expensive, dangerous pseudoscience in the health industry. At present we are faced with regulators who need to develop some rather sharp teeth and make a meal of chiropractic pseudoscience.

 

♣ (4/3/19) NB: Colic may refer to severe abdominal pain caused by an intestinal blockage or gas. Infants are prone to the condition, responding with constant crying. In fact crying is the means by which “colicky” babies are diagnosed. Paediatricians may use the “rule of threes” in diagnosis, particularly items 2-4.

  1. Crying begins at around 3 weeks of age.
  2. Crying for more than 3 hours.
  3. Crying on more than 3 days per week.
  4. Crying this way for more than 3 weeks.

Because crying is what determines infantile colic there is ample disagreement as to the role of intestinal pain or even if colic itself is a myth. Other criticisms involve the convenient use of colic as a diagnosis for excessive crying.

Reading;

Anti-vaccination campaigners: Misleading and Unsafe

When it comes to public advocacy this year, one of the most effective announcements came in December.

The NSW Health Care Complaints Commission issued a public warning under s94A of the Health Care Complaints Act 1993 with regard to the “misleading and unsafe practices by anti-vaccination campaigners”.

The HCCC had received numerous complaints about individuals and associations and is concerned about the risk they pose to public health and safety.

The anti-vaccination lobby pushes messages which;

have the potential to engender fear and alarm in the community, often targeting vulnerable members of the community through misinformation which may have a detrimental effect on the health care decisions of individuals.

 

PUBLIC WARNING UNDER S94A OF THE HEALTH CARE COMPLAINTS ACT 1993:  MISLEADING AND UNSAFE PRACTICES BY ANTI-VACCINATION CAMPAIGNERS

The NSW Health Care Complaints Commission (“the Commission”) has received multiple complaints regarding misleading and unsafe practices by anti-vaccination (“anti-vax”) campaigners and the potential risks that such persons and associations pose to the public health and safety.

Immunisation is a simple, safe and effective way of protecting people against harmful diseases before they come into contact with them. Immunisation protects individuals and the community by reducing the spread of preventable diseases.

Complaints have been received in relation to individuals (including registered and unregistered health practitioners as well as academics) and organisations engaged in the widespread promotion of dangerous anti-vax messages.

Why is this warning being issued?
Misleading and inaccurate information communicated by anti-vax campaigners has the potential to engender fear and alarm in the community and result in fewer people being vaccinated. This information commonly quotes scientific research and studies in support of anti-vax claims, but is often selective, including exaggerating the risks and minimising or discrediting the benefits of vaccines. The research presented does not align with the true evidence-base on which independent and government bodies worldwide make vaccination recommendations.

This is likely to have a detrimental effect on the health care decisions of individuals and may lead them to make decisions not to vaccinate which pose an avoidable risk to their own health and to the safety of the wider community.

It is unfortunate that anti-vax campaigners are also known to target particularly vulnerable members of the community, including impressionable young parents who are concerned about making the right health decisions for their infants.

The spread of misleading and false information by anti-vax campaigners presents an ongoing challenge for government agencies, particularly due to the rise in use of social media and the proliferation of information concerning vaccinations available via the internet.

Given the continuing efforts of anti-vax campaigners to mislead and misinform members of the public, the Commission considers it necessary to warn all health consumers of the danger of relying on information that is not from a reliable and trusted source. This can include websites that appear to be “professional” and groups that are well-organised in their approach. Some persons and associations will go as far as to distance themselves from “anti-vax” campaigners, while essentially promoting the same message.

What should consumers do to protect themselves?
The Commission strongly urges consumers to exercise caution in relying on information concerning the safety and efficacy of vaccinations which is promoted via social media and websites that are not government affiliated or endorsed. Further, consumers should be cautious of persons or groups spreading anti-vax messages via other means, including face-to-face information sessions and other public events.

In all cases the following factors should be considered by consumers when presented with any information or advice concerning the safety and efficacy of vaccines and immunisation programs in Australia.To ensure that you are receiving reliable information concerning the safety and efficacy of vaccinations and to assist you in making an informed decision concerning the benefits and risks of particular vaccines, it is recommended that you consult a registered medical practitioner (e.g. your family GP or paediatrician).

Health consumers should be particularly wary of persons claiming to be “experts” or to have conducted “research” into the safety and efficacy of vaccines or immunisation programs in circumstances where they do not hold relevant medical qualifications and are not a registered health practitioner.
Consumers should be wary of persons holding themselves out to hold qualifications that cannot be verified. If you wish to ensure that the person providing advice is a registered health practitioner you should check on the National Register of health practitioners – https://www.ahpra.gov.au/Registration/Registers-of-Practitioners.aspx

Health professionals play a role in health education and administration of vaccines, however it is not appropriate for health professionals to promote anti-vax messages via their personal social media pages or other online forums.  Consumers should avoid placing any reliance on “comments” made via social media that are not from a reliable and trusted source.

When researching online, it is recommended that you visit trusted government websites including the NSW Health and Commonwealth Department of Health websites and also the National Centre for Immunisation Surveillance and Research (NCIRS) website, which provide reliable information concerning immunisation and Immunisation Programs:

https://www.health.nsw.gov.au/immunisation/Pages/default.aspx

https://beta.health.gov.au/health-topics/immunisation

http://www.ncirs.edu.au/

 

The Health Care Complaints Commission (“the Commission”) has issued a public warning under s94A of the Health Care Complaints Act 1993 regarding Misleading and Unsafe Practices by Anti-Vaccination Campaigners.

The Commission is concerned about a number of complaints it continues to receive regarding misleading and unsafe practices by anti-vaccination (“anti-vax”) campaigners and the potential risks that such persons and associations pose to the public health and safety.

Anti-vax messages have the potential to engender fear and alarm in the community, often targeting vulnerable members of the community through misinformation which may have a detrimental effect on the health care decisions of individuals. Anti-vax campaigners will often selectively quote scientific research and studies in support of anti-vax claims, including exaggerating the risks and minimising or discrediting the benefits of vaccines. The research presented does not align with the evidence-base on which independent and government bodies worldwide make recommendations.

Given the continuing efforts of anti-vax campaigners to mislead and misinform members of the public, the Commission considers it necessary to warn all health consumers of the danger of relying
on information that is not from a reliable and trusted source. This can include websites that appear to be “professional” and groups that are well-organised in their approach that often use popular mechanisms like social media to promote their messages.

What should consumers do to protect themselves?

The Commission strongly urges consumers to:

  • Exercise caution when relying on vaccination efficacy information which is promoted via social media and websites that are not government affiliated or endorsed;
  • Be cautious of persons or groups spreading anti-vax messages via other means, including face-to-face information sessions and other public events;
  • Be wary of persons claiming to be “experts” or to have conducted “research” into the safety and efficacy of vaccination programs;
  • Be wary of persons holding themselves out to hold qualifications that cannot be verified. If you wish to ensure that the person providing advice is a registered health practitioner you should check on the National Register of health practitioners – https://www.ahpra.gov.au/Registration/Registers-of-Practitioners.aspx;
  • Consult a registered medical practitioner concerning the benefits and risks of vaccines;
  • Visit trusted government websites when researching online, including the NSW Health and Commonwealth Department of Health websites and the National Centre for Immunisation Surveillance and Research (NCIRS) website.

 

Further Information

For further information, contact the Executive Officer of the Health Care Complaints Commission, on 9219 7444 or send an email to media@hccc.nsw.gov.au.