Dravet syndrome is not a vaccine induced genetic mutation

Recently I was sent some appallingly misleading nonsense on Twitter regarding Dravet (pron. druh-vay) syndrome and vaccination. Or more specifically that Dravet (a rare intractable form of epilepsy) is a “vaccine induced genetic mutation”.

The phrase appeared on a screen grabbed page (below) full of harmful misinformation. It took advantage of the fact that in around 80% of cases Dravet is linked to a de novo genetic mutation. More specifically the uninherited SCN1A mutation leads to the development of dysfunctional ion channels in the brain.

Seizures develop within the first year of life and infants develop normally until this time. The first seizures infants experience may often be associated with fever. Later seizures can present without heat triggers or illness. Nonetheless the first seizures often occur around six months of age and are associated with vaccination. Although it begins in infancy Dravet syndrome is a lifelong condition. It is also known as Severe Myoclonic Epilepsy of Infancy (SMEI).

A range of health challenges accompany Dravet syndrome including a higher incidence of SUDEP (sudden unexplained death in epilepsy). According to The Dravet Syndrome Foundation other conditions which require proper management and treatment include:

Behavioral and developmental delays, movement and balance issues, orthopedic conditions, delayed language and speech issues, growth and nutrition issues, sleeping difficulties
chronic infections, sensory integration disorders, disruptions of the autonomic nervous system (which regulates things such as body temperature and sweating)

Whilst the screenshot below offers a copious amount of rubbish and does so with absurd confidence, we can see how important facts have been abused to push a fearful message of misinformation. Firstly the presence of a de novo (new, not inherited) genetic mutation. Secondly the association of vaccination with the first seizure.

McIntosh et al (2010) state:

Vaccination might trigger earlier onset of Dravet syndrome in children who, because of an SCN1A mutation, are destined to develop the disease.

That statement is quite unambiguous. Infants are destined to develop the disease because of the genetic mutation. Not because of vaccines. Vaccination may trigger a seizure; the early onset of Dravet syndrome. In what may be considered a firm conclusion that vaccinations do not cause Dravet syndrome, they continue:

However, vaccination should not be withheld from children with SCN1A mutations because we found no evidence that vaccinations before or after disease onset affect outcome.

We’re now in a better position to judge how misleading this insult to evidence is.

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Interestingly I have not been able to source it. Nonetheless it is intellectually offensive to see so much effort go in to falsely accuse the scientific and medical communities of hiding information. Apart from targeting the WebMD page on Dravet syndrome, the piece merely insists “the medical establishment” studied six children “who had previously been diagnosed with vaccine induced Dravet”. Then the children were “re-diagnosed” as not vaccine injured. Keep an eye out and one can see a “pattern of coverups like this…”.

Below is a short audio of Dr. Linda Laux, MD, of Lurie Children’s Hospital speaking on behalf of Dravet Syndrome Foundation [Which can also be accessed here]. She is quite clear in stressing that in Dravet, vaccinations can trigger seizures. “It is not the cause of the epilepsy syndrome. But it may precipitate seizures just the way an illness may precipitate seizures”.

Dr. Laux argues this was first shown by “an Australian group” (McIntosh et al) wherein the authors chased up adults who had previously been compensated for vaccine encephalopathy. They checked for Dravet and found the majority were positive for the SCN1A gene mutation. As we saw above there is good evidence to continue vaccinating. Laux reminds us that vaccine preventable diseases would trigger seizures for such a cohort.

The researchers checked the sample’s seizures as children. They defined the “vaccine proximate group”, who had their first seizure within two days of a vaccine. The second group who had their first seizure not associated with a vaccine, was labelled the “vaccine distant group”. Then the researchers studied subsequent seizures, severity of seizures and development of both groups.

They found no difference in the prognosis of these variables. This suggests that in this study Dravet syndrome seizures initially triggered by vaccination did not lead to a more deleterious prognosis than Dravet syndrome seizures initially triggered by another means.

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Another study (Pediatrics, 2011) by Reyes et al entitled Alleged Cases of Vaccine Encephalopathy Rediagnosed Years Later As Dravet Syndrome, includes in the abstract:

It was reported recently that a proportion of patients previously diagnosed with alleged vaccine encephalopathy might possess SCN1A mutations and clinical histories that enabled a diagnosis of Dravet syndrome, but these results have not been replicated. We present here the cases of 5 children who presented for epilepsy care with presumed parental diagnoses of alleged vaccine encephalopathy caused by pertussis vaccinations in infancy. Their conditions were all rediagnosed years later, with the support of genetic testing, as Dravet syndrome.

Verbeek et al studied data of 23 children with epilepsy onset after vaccination. In October 2014 they published in Pediatrics Etiologies For Seizures Around The Time Of Vaccination. They write in their abstract conclusion:

Our results suggest that in most cases, genetic or structural defects are the underlying cause of epilepsy with onset after vaccination, including both cases with preexistent encephalopathy or benign epilepsy with good outcome. These results have significant added value in counseling of parents of children with vaccination-related first seizures, and they might help to support public faith in vaccination programs.

The constant theme that emerges as one pursues research on vaccination and Dravet syndrome is that the SCN1A mutation underlies Dravet, and as demonstrated by Verbeek et al, “genetic or structural defects are the underlying cause of epilepsy with onset after vaccination”. The valuable work of McIntosh et al, reinforces the importance of maintaining vaccination regimes for these at-risk populations.

As for nonsense claiming Dravet syndrome is a “vaccine induced genetic mutation”, supporters of vaccine programmes should be aware that perpetrators of these lies can distort facts to cause fear and confusion in the unaware. Evidence to confirm vaccination does cause Dravet syndrome has not been forthcoming.

Fortunately the medical establishment has never tried to hide the truth. Vaccines can trigger seizures in infants with the SCN1A mutation at a rate of 1:16,000 – 1:21,000. The reality is that if not a vaccine causing a fever, then another trigger will certainly bring Dravet syndrome to the fore. Evidence suggests there is no difference in prognosis between the vaccine proximate and vaccine distant.

Dravet syndrome remains a very rare condition and there is still no vaccine conspiracy.

Vaccines and autism: A thorough review of the evidence

The following post is an exceptionally detailed review of the evidence, and scientific consensus, specific to the persistent claim of a link between vaccination and autism.

Those familiar with the integrity of the scientific method and its value in examining this particular issue will be grateful for both the quality and extent of this review.

Use of the seven tiered Hierarchy of Scientific Evidence provides an excellent device by which to gauge the value of evidence, and as such, introduces one to a reliable tool for similar endeavours.

I trust you find the article a valuable resource.

Hierarchy of Scientific Evidence

© thelogicofscience.com

Fallacy Man's avatarThe Logic of Science

One of the most common concerns that people have about vaccines is that they might cause (or exacerbate) autism. This idea is perpetuated by celebrities and innumerable websites, and it has become one of the cornerstone arguments of the anti-vaccine movement, but is there any truth to it? Perhaps unsurprisingly, both sides claim a superiority of evidence. Indeed, you can find numerous websites presenting lists of papers that they claim provide evidence that autism is caused by vaccines (such as “124 research papers supporting the vaccine/autism link“). Conversely, those who support vaccines also have lists of papers which they present as evidence that vaccines do not cause autism (for example, here and here). So which is correct? The internet is full of misinformation on this topic, so I want to cut through that crap and talk about the actual studies themselves rather than simply tossing lists around…

View original post 17,466 more words

Audio: Examining the anti-vax movement

Preamble…

Recently with the decision by Robert De Niro to pull the dangerous and fraudulent film “Vaxxed…”, from the Tribeca film festival, antivaccinationists have been amusingly “outraged”.

The film appears to be a collation of misleading to bogus claims, deceptively produced to appear as a “documentary”, with the aim of selling the ludicrous claim by one Brian Hooker that CDC scientist William Thompson had blown the whistle on CDC fraud. The fraud purportedly being an increase in autism in African-American boys receiving MMR “on time”. This nonsense brings us to the final card that the film’s director, Andrew Wakefield, is not only innocent of the fraud that saw him deregistered but an ethical hero “working to make vaccines safer”.

The hilarity of deceit at play here requires length and focus. The facts are examined here, here and here. This blog’s Wakefield tag is here. What has been predictable is the conduct of the anti-vaccine lobby. The film’s producer Del Bigtree reached new heights of conspiracy laden fallacy in an interview on USA’s ABC. It was “censored” (it wasn’t) because Big Pharma didn’t want “you” to see it. To accept that, one must accept the whole global Pharma-vaccine conspiracy.

Supporters believe this rot without seemingly questioning a jot. But why? How do they reach a state of intellectual helplessness and gullibility? Why are they incapable of discerning reputable information? As it turns out there are many sources discussing conspiracy theory mindsets, cognitive bias, distrust of authority and more. But for now I’ll avoid such in favour of the audio narratives below. I’m sure I’m not alone in musing about the conduct of antivaccinationists, particularly the similarities in spreading deception and abusing those who hold them to account for such dishonesty.

Here in Australia last January saw the acceptance of a PhD thesis from antivaccinationist and conspiracy theorist Judy Wilyman, by the University of Wollongong. This has rightly attracted wide criticism with respect to academic rigour as the work advances a conspiracy theory by advancing incredulous and debunked claims, citing criticised authors and works.

What is of note here is the contribution of her supervisor Brian Martin who has written that Wilyman has been unfairly attacked by critics. This is not an accurate portrayal of the intellectual and academic challenges Wilyman was met with by any means. Martin goes on to accuse Stop the Australian (anti) Vaccination Network (SAVN) of making complaints to “official bodies” and of seeking to prevent anti-vaccine talks.

This is quite true but I note that SAVN has never been so much as cautioned for vexatious conduct. Complaints are made with good reason and can only take shape thanks to the irregular conduct, or worse, of those complained about. Preventing the abuses of free speech that opponents of evidence based medicine and antivaccinationists engage in is essential to the defence of sound public health.

So what would drive an educated individual to work to enable the scurrilous conduct of his student, rather than encourage critical thought and intellectual honesty? This got me thinking of a worthy production.

Audio…

In August 2015 the BBC broadcast an inquiry, What’s behind the ‘anti-vax’ movement? [© BBC] It could dig a little deeper if we consider the abuse of grieving parents and vile threats that pepper social media. However I think the building blocks of such anti-vax conduct is presented.

  • Listen with the player below…

The four part programme features Dr. Dyan Hes, Brian Deer, Juniper Russo and Heidi Larson. The producers take the view that the so called debate surrounding vaccination has not only been settled, but in view of Andrew Wakefield’s fraud, is a misleading claim. Thus the programme is introduced with the promise that false balance will not be entertained.

Be sure to catch Juniper Russo (Part 3 – The Crunchy Mom) at the 11:15 mark. Juniper was the ideal nature loving mom from Tennessee, convinced Big Pharma had conspired to silence Wakefield. She was wired into the online anti-vax movement and chose to keep vaccines, and other awful medicines, away from her daughter. Juniper’s vaccine beliefs changed when her daughter was diagnosed with autism.

Juniper now takes an evidence based approach to lifestyle and is the author of the blog, Back From Nature.

Enjoy.

So-called “research” in anti No Jab, No Pay submissions

A casual review of anti-vaccine submissions pertaining to the Social Services Legislation Amendment (No Jab, No Pay) Bill 2015, reveals a striking repetition of unsubstantiated or demonstrably false claims, mixed with more of the misguided beliefs that have brought Australia to this point in the first place.

The most prominent theme backed by deceptive pseudoscience or distortion of genuine science is that vaccines are harmful. More so they are either not needed due to the wonders of modern snake oil or have never had the dramatic impact on the scourge of vaccine preventable diseases, that they have indeed irrefutably had. Vaccines are however, capable of causing the diseases the public is deceived into believing they prevent, and go on to enable their spread.

A while back I touched on the triumphant antivaccinationist claim of “having done my research”. I suggested a lack of critical thinking and cognitive bias left a great deal of these “researchers” incapable of discerning reputable source material from nonsense. That the unwary reader is presented with huge volumes of championed material, yet lacks the rather vital tools of cognition to identify and trust the genuine expert. This is a fast track to accepting opinion (or worse) as fact.

Tim Harding tackles this problem in more depth and with far more care than I, in his article How Dr Google spawned a new breed of health ‘experts’. Harding identifies key elements contributing to this phenomenon. Under the heading Misunderstanding democracy, he writes;

Reducing the influence of experts is sometimes mistakenly described as “the democratisation of ideas”. Democracy is a system of government — it is not an equality of opinions.

While the right of free speech prevents governments from suppressing opinions, it does not require citizens to treat all opinions equally or even take them into account. Equal rights do not result in equal knowledge and skills.

[…]

Deakin University philosopher Dr Patrick Stokes has argued the problem with “I’m entitled to my opinion” is that it has become shorthand for “I can say or think whatever I like” without justification; and that disagreement is somehow disrespectful.

Dr Stokes suggests that this attitude feeds into the false equivalence between experts and non-experts that is an increasingly pernicious feature of our public discourse.

The truth and import of Dr. Stokes’ observation of false equivalence between experts and non-experts is a reality I feel we should readily accept. Skeptics and science advocates have experienced and will continue to experience such when it comes to the anti-vaccination lobby.

In recent weeks this lobby has accused its critics of being worse than Nazis. They have launched a concerted attack against the families and grieving parents of infants lost to pertussis. They have produced memes likening vaccination to rape – and defended criticism of this. Whilst less insulting but no less ludicrous they’ve insisted democracy in Australia is dead.

Yet they never doubted their democratic right to swamp the No Jab, No Pay Social Services Amendment process with submissions accommodating a host of patently ridiculous, fallacious and time wasting material.

Some don’t know they are parroting nonsense. Meryl Dorey’s old trick attacking pertussis vaccine efficacy pops up here and there. 1991 was the first year for compulsory notification of pertussis cases, which were recorded by the National Notifiable Surveillance Diseases System. 1991 was a different time. Not all health professionals were logistically prepared to diagnose, much less report pertussis cases. Sensitivity of diagnostic equipment was magnitudes less than today. This was five years prior to the Immunise Australia campaign, launched by Michael Wooldridge.

So the deception runs that in 1991 with only around 71% of 0-6 year olds vaccinated, there were only (according to one submission) 347 cases. In fact there were only that many cases reported. NNSDS pertussis figures for 1991 still creep up at about five per year. 1991 notifications in 2012 are 332. This year to date: 345. The same submission goes on to report that in 2011 with a 95% pertussis vaccine uptake in 0-6 year olds, “there were 38,725 cases of whooping cough”.

Notice the age of vaccination is the 0-6 years cohort, but the pertussis notification figure is Australia wide. This includes overseas visitors, workers and new arrivals who brought the infection with them.

And of course by 2011 it’s not that PCR testing can detect Bordetella pertussis in samples hundreds or thousands of times smaller. And days older. Or that practitioners are constantly on the lookout for signs, or that documentation of notification is meticulous. Or sciencing in this field is better and faster.

Or that it is therefore significant that last year’s total of 11,866 (approx. 700 more than 2005) is comparatively low, and the high figures collated for 2009 – 2011 reflect the national outbreak that is reported as beginning in Meryl Dorey’s backyard. NB: article uses a number of media sources.

Nay. It’s the vaccine whatdunnit, dear reader, and Meryl Dorey has been peddling that lie and tripping up people who “do their research” for years. She never has replied to my January 2012 email wherein I step by step showed her how she pulled off this trick.

Vaccines it is argued, still cause autism. One may read that “autism-like symptoms” are in fact autism. That the US Vaccine Injury Compensation Program has compensated cases of autism arising from vaccination. This is most certainly untrue. The VICP continue to deny ever having compensated any individual for autism caused by vaccination.

Whilst terms such as “autism-like symptoms” are used the Compensation Program at no time refers to anything like “autism arising from vaccination” or “autism as a result of vaccination”. The Pace Law School scandal is deconstructed here. Meryl Dorey’s fraudulent addition of the word “[Autism]” to the US Court of Federal Claims case file dealing with the case of Bailey Banks is documented here. Sadly it is not realistic to think these claims have not influenced opinion in some.

Across the internet the false tale of 83 vaccine induced autism cases, compensated by the US Vaccine Injury Compensation Program will pop up. It refers to a paper written by Pace Law School Students entitled, Unanswered Questions from the Vaccine Injury Compensation Program: A review of compensated cases of vaccine induced brain injury.

I wrote in 2011;

Reading the document reveals ample use of terms such as “settled cases suggesting autism”, “language that strongly suggests autistic features”, “published decisions that used terms related to autism”, “payment of vaccine injured children with autism”, and not – as Seth Mnookin pointed out – “because of their autism”. More so, the authors spend some time arguing why there should be no distinction between autism and autism-like symptoms. This is a major concession they award themselves.

The paper includes caregiver opinion, parental opinion, phrases from doctors who gave evidence at hearings and provides a case table of “Language suggesting autism or autistic-like symptoms”. A notable concern is referencing The Age of Autism: Mercury, Medicine and a Manmade Epidemic [2010] by Dan Olmsted and Mark Blaxill.

This issue of insisting “autism-like symptoms” should be accepted as autism may have an intuitive feel to it but would ultimately reap an injustice on individuals involved. If we consider patients who have experienced brain injury from head trauma, stroke, near drowning or drug overdose, each may present with near identical symptoms. However the mechanism of brain injury is different and demands specificity of treatment.

So it is with autism. Diagnosis, treatment and prognosis are not opinions one can choose. Other erroneous opinions we find as a result of anti-vaccine research lean towards the legislative change being an abuse of rights and freedoms. It is an abuse of our constitution. Vaccines, being poisonous and responsible for chronic disease in children will reap harm because natural is best whilst chemicals and toxins are bad.

In fact the submissions rejecting No Jab, No Pay appear to be a cornucopia of all anti-vaccine misinformation. The authors have indeed “done their research”.

The problem of clustered drops in herd immunity

There are many reasons anti-vaccine lobbyists push the falsehood that herd immunity “is a myth”, is not important or simply doesn’t exist.

To listen to recent untruths from Meryl Dorey, one should eagerly accept that it is “documented” in peer reviewed literature as being more or less non-existent. Indeed, “it is a lie” lies Dorey. By essentially mocking the importance of herd immunity, garden variety anti-vaccine tricksters can shirk the responsibility that not vaccinating may harm the wider community, innocent infants or children, and deny larger scale resistance to infection that the immune-compromised rely on.

Herd immunity is an impressive function of mass vaccination. More so it is remarkably easy to understand. But the anti-vaccine lobby refuse to accept any need for or benefit from, mass vaccination. It is even more bizarre when one considers the parallels to so-called “natural immunity” – such as with marvellous measles, or “right of passage” infection and immunity. With mass vaccination we can control the spread of immunity and thus the spread and ultimate impact of vaccine preventable disease.

We should never forget that claims of raising impeccably healthy and disease-free unvaccinated children can exist only for as long as vaccine-induced herd immunity remains at a crucial level. The level that permits a free ride and protection from most vaccine preventable diseases for these very children.

Once again the formula frequently relied upon is “< 100% = 0%” – such as this 1973 article. One popular mode is that if a child is vaccinated against X, they should be safe from infection with X. Even worse is a distortion of epidemiological factors at play. This involves citing nationwide or statewide vaccination rates – which level out as reasonably high – along with reported outbreaks, such as those seen of pertussis or measles. Or including individuals who have had just one MMR jab (in the case of measles) or those whose vaccine-induced pertussis immunity has certainly waned.

This not-very-clever deception ignores the fact that areas with low vaccination uptake provide the ideal conditions for infection to spread rapidly.

The video below compares the difference in infection spread in the sparsely located unvaccinated compared to a cluster of unvaccinated individuals.

Herd Immunity