Meryl’s Marvellous Measles Mistake

Not long ago I suited up for satire and wrote about Package Insert Airlines. The fictitious airline that takes the view passengers must know of every adverse event to flying before making the “informed choice” to fly.

This was in response to Meryl Dorey’s proposal that the AVN will march on Canberra with demands. One of these is that all parents be given vaccine package insert information to discuss with a “health professional” before deciding to vaccinate their child.

Such a distortion of the reality of the risk-benefit of vaccination seeks to promote Meryl’s choice – not a parents choice. So it is with her recent publication of Definition of Adverse Events Following Immunisation on the AVN Facebook page.

It’s appendix 6 from the 9th edition of the Australian Immunisation Handbook. Yes, those same scheming government manipulators Dorey snorts at when facts get in her way. As antivaxxers dispute that immunity is gained from vaccines, Meryl swapped the word “immunisation” with “vaccination”. List of adverse events which can occur following vaccination. In her first comment GP’s were attacked over, “crying which is continuous and unaltered for longer than 3 hours”.

One member claimed this (3 hours of screaming) meant “almost everyone should be taking their screaming child back to the doctor after a vac!”. In the real world, this should have been gently dissuaded with a reminder that abnormal crying occurs in only 4% of cases. This information is actually on the same site as the adverse event list.

Instead Dorey replied:

And when you do, [redacted], most likely, the doctor will say it’s perfectly normal and won’t report it! -MD

It kind of makes bizarre sense. Meryl can’t report the actual incidence of 4%, as that would mean acknowledging that doctors, nurses and more do report adverse reactions. Far better to invent malicious intent and advise members of that, when we’re talking “informed choice”.

You can see where this is going. Context is meaningless. Actual incidence and significance of adverse events or package insert information works against all that the AVN stand for. As I wrote last time, “This particularly immoral intent of Meryl Dorey’s overall scheme to sabotage vaccination in Australia is born of connivance of such intellectual paucity as to demand it be placed in context”.

The intent is to jettison any accurate notion of risk-benefit. It aims to falsely convey that vaccines are worse than the diseases they prevent. To mislead parents and burden them with irrational fear. Dorey would have you believe that if vaccines aren’t 100% perfect then they must be 100% dangerous.

What did that HCCC warning about The Australian Vaccination Network say again? Ah, yes:

  • quotes selectively from research to suggest that vaccination may be dangerous

Let’s take yesterday’s attempt to claim that MMR or the measles vaccine can by itself cause Subacute Sclerosing Panencephalitis (SSPE). SSPE occurs following measles infection in which the virus infects neurons and lays dormant. Although erring on the side of exceptional caution, SSPE is listed in Australia as an adverse event following immunisation so confirmation bias will play a part.

The fact that it’s listed does not mean SSPE from MMR or another vaccine is probable or even possible. It means the decision to remove it from listing has not yet been made.

It’s fair to say that incorrect conclusions were previously drawn in some very rare cases – and understandably so. Measles vaccines involve an attenuated live virus. With incomplete investigation, or those limited in scope, errors are made. Ms. Dorey just hasn’t caught up with the facts yet. Science may move forward at a crawl but antivaxxers seem to insist some aspects be frozen in time forever.

On a Facebook page Vaccines Uncensored that has since closed, Dorey wrote:

The polio vaccine reference Dorey later produced from whale.to also included claims of polio definition fraud along with AIDS, GBS, Leukemia and cancer, being certainly due to all vaccines. Where polio vaccination has been instituted globally, “reported polio infections show a 700% increase as a result of compulsory vaccination polio” the trusty reference informs us.

Meryl then copy/pasted a section quoting “Informed Parent” issue 4, 2001 which itself was quoting a 1970’s article on a large New Zealand outbreak of SSPE from 1956 to 1966. It was suggesting live SV40 was involved. There was no confirmation but it was believed the SSPE was related to the Salk vaccine. No such case has been documented again.

Dorey then copy/pasted two more paragraphs from either whale.to or vaccineinjury.info, goading the other member with “You can apologise later”.

One was a paper written by Belgamwar RB et al. 1997. Measles, mumps, rubella vaccine induced subacute sclerosing panencephalitis. It “presumed” an Indian child developed SSPE 15 years after she received MMR at 9 months of age. The reasoning is that the live measles virus in MMR lay dormant. Although incredibly rare at zero – 0.7 cases per million, these events seemed feasible.

Another explanation may be denatured or failed vaccines that, having no efficacy, left the subject vulnerable to consequent measles infection. Or SSPE from a pre-vaccine infection could be involved. This girl apparently had no history of measles infection, but this does not account for the potential of asymptomatic measles infection or incomplete records. Today it is accepted that a natural measles infection is the cause in these cases.

Risk of subacute sclerosing panencephalitis from measles vaccination. Pediatr Infect Dis J. 1990 by Halsey was another similar piece pasted in by Dorey. It posed the existence of “vaccine associated SSPE”, but failed utterly to show causality. Focusing on SSPE in an era when vaccination is preventing wild measles does not eliminate prior infection with measles and resultant latency as the cause of SSPE. Halsey practically admits to this oversight in his text, ignoring dormancy and stating, “we should pay attention to SSPE after inoculation”.

Well before these largely discredited papers, Zilber et al. in 1983 had already posed:

Most of the SSPE cases reported measles at an age significantly younger than that of the general population. This pattern did not change after introduction of antimeasles vaccination. Incidence was significantly lower (p less than 10(-9) in the vaccinated population than in the unvaccinated population. Occurrence of SSPE in some children who were vaccinated against measles could be explained by incomplete vaccine efficacy, or by older age at vaccination, which allows the possibility of prior exposure to measles. There was no indication that measles vaccine can induce SSPE.

The physiopathology of SSPE is not well understood. Yet evidence (October 2010) suggests that factors at play favour humoral over cellular immune response allowing viral dormancy in infected neuronal tissue. Exactly what this atypical immune response helps to explain in cases of SSPE is bound to be further elucidated. It was certainly not known to the authors Dorey has cited. What is clear is that measles vaccination does not trigger SSPE in those already infected by wild measles virus – as suggested by Dorey in the screenshot above.

The WHO note on the topic:

Available epidemiological data, in line with virus genotyping data, do not suggest that measles vaccine virus can cause SSPE. Furthermore, epidemiological data do not suggest that the administration of measles vaccine can accelerate the course of SSPE or trigger SSPE in an individual who would have developed the disease at a later time without immunization. Neither can the vaccine lead to the development of SSPE where it would not otherwise have occurred in a person who has already a benign persistent wild measles infection at the time of vaccination.

For situations where cases of SSPE occur in vaccinated individuals who have no previous history of natural measles infection, the available evidence points to natural measles infection as the cause of SSPE, not vaccine.

For those who wish to err on the side of extreme caution, it pays to remember that the Australian Immunisation Handbook is regularly updated. We should keep in mind that proposed incidence has always been of extremely small numbers. Maintaining the claim SSPE can be due to measles vaccination must now include the academic argument of what significance the phrase, “the available evidence”, as advanced by the WHO should be given.

Zero – 0.7 unlikely cases per million vaccines vs a certain 8.5 per million measles cases, was the older accepted risk-benefit. Following a late 2005 Journal of Infectious Diseases paper the measles induced rate of SSPE has been estimated at 6.5 – 11 cases per 100,000 infections. An increase of 7 to 13 times. This “disease vs vaccine” notion is akin to MMR induced encephalitis. Except the always dodgy evidence blaming vaccination for SSPE is in need of reinstating.

On a final note, it is outrageous for Dorey to be feigning concern over SSPE. There is only one answer to tackle SSPE: the elimination of measles via vaccination. Even then it’s estimated that a lag of up to 20 years or more will follow in which latent SSPE from wild measles will continue to emerge.

For about 6 years the new accepted risk-benefit of SSPE has been zero cases from vaccination and up to 11 cases per 100,000 measles infections.

Ignore Meryl Dorey. Speak to your doctor.

Should Australia’s Federal Health Minister be for the health or the harming of children?

Sign The Petition to Australia’s Health Minister

No doubt this Australia day is a first in that a conspiracy theorist masquerading as a PhD candidate, has just harassed our Federal Health Minister over a delusion.

Australian Vaccination Network member Judy Wilyman has written an extraordinary piece of combined conspiracy ramble and delusion of grandeur to Tanya Plibersek, our Federal Health Minister. In it Wilyman claims to speak for “the community for whom this policy is designed”. That policy would be life saving vaccination schedules. That community would be Australia wide.

Last I checked Wilyman’s extreme conspiracy views are believed by a very small fraction of the 1.7% of Aussies who don’t vaccinate through conscientious objection. I’ve read her work and listened to her speak. Carefully crafted deception arguing that vaccines have had no effect ever, is interspersed with a very strange obsession. A type of appeal to antiquity meets appeal to authority. Eg; Russel Wallace who is considered second only to Charles Darwin in grasping the theory of evolution wasn’t keen on vaccination, borrowing liberally from the Yuk Factor to dismiss the idea.

Wilyman actually reads this stuff out at AVN gatherings. Confusing the drop in mortality that accompanied improved living standards, Wilyman mistakenly believes this is indicating a drop in vaccine preventable disease. Last November she wrote to Nicola Roxon, including:

To the Honourable Ms. Roxon, […]

There is no historical evidence that vaccines controlled any of the infectious diseases listed in government immunization policies – in any developed country. […]

There is no democracy in a country that doesn’t have a transparent government. The Australian government will be committing a crime against humanity by introducing policies that bribe the Australian public into vaccinating by offering $2000 in welfare benefits or by preventing individuals from working in clinical positions.

Both of these points are false. Aussies who choose not to vaccinate are suitable for, and advised on how to receive, all financial entitlements. The Workplace Health and Safety Act 1995 dictates protection of clientele and workers. Employers have a responsibility to ensure the safety of employees, visitors and clientele. Also, employees have a responsibility to comply with a reasonable request of an employer to not endanger themselves nor place at risk the workplace health and safety of another worker.

Contrary to Wilyman’s delusional diversion, this is in accordance with the latest and best scientific advice and research. What would Russel Wallace make of it? I don’t give a toss. It’s no more a “crime against humanity” than being hindered from working on dangerous unguarded machinery, or driving a forklift with no mirrors in reverse listening to a blaring iPod, building and working on scaffolding with no ladders, trap doors and railings or running barefoot through freshly discarded used syringes.

The rest of November’s caper was claiming no proper trials exist, it’s all a Big Pharma conspiracy, science is biased and wrong and the astonishing claim that no proper monitoring of immunisation “side effects” has been done in 50 years.

To think someone claiming to be doing a PhD in vaccine legislation has not seen the reams of government incidence tables and graphs of AEFI beggars belief. Good work to her supervisor, Dr. Brian Martin. It finished with:

The community would like you to address the issues above and ensure that you can provide conclusive evidence and transparency for your policy before introducing any coercive measures into vaccination policies.

Today, much the same has been produced and thrown at Tanya Plibersek. Except Wilyman has cranked it up accusing the minister of making decisions based on corruption. Meryl Dorey claims Plibersek has “been placed on notice – stop the corruption in medicine!”. Wilyman demands the minister herself reply (emphasis hers).

It includes more community buck passing:

The community has lost confidence in the ability of the Health Department to make decisions in the best interests of the public due to the lack of integrity in the science being used and the conflicts of interest in individuals on government advisory boards. There is overwhelming evidence for this and I will list this below. As a result of this corruption of the scientific process the community has lost confidence in the Government’s Childhood Immunisation Schedule as it is clearly driven by profit and not safety.

In 2010 in W.A., speaking for the AVN, Wilyman raised the claim that vaccination policy is corrupt because “the governed” must be consulted. “Well I don’t recall being consulted” she managed incredulously then, “Do you recall being consulted?”.

She serves it up to Tanya Plibersek also:

The government requires “the consent of the governed who have the right to full participation in the decision-making process” before it implements public health policy (NRC- National Research Council, 1996). Therefore, until the issues below are addressed and consumers have equal representation on decision-making boards, the community is rejecting vaccination policy that is linked to financial benefits for parents.

Well I don’t recall being consulted for my opinion as your community member Judge Judy. How about some of that precious “balance” we hear so much about?

Wilyman then lists seven Big Pharma conspiracy themes, two of which are “hidden ties”. One between Big Pharma and peer review editors. The other between university academics and government advisory boards. Her supervisor is conspiracy theorist and post modernist “whistleblower”, Dr. Brian Martin, himself shown the door from any and everything “advisory”. One wonders if the latter is water cooler sour grapes.

Her scientific concerns to Plibersek are that a.) no studies exist into “the chemicals in vaccines.. causing the steep increase in chronic illness in our children.” Also b.) “… no controlled clinical study comparing vaccinated and unvaccinated…”, has ever been done. Clearly no longer in Kansas Toto, she finishes with:

Until these issues are addressed the public is rejecting coercive or mandatory immunization policies that result in the discrimination of healthy individuals. I hope the Health Minister will reply to these community concerns personally.

I’m not sure which is more absurd. The patently fictitious accusations, or this notion of Judge Judy speaking for the community and advising what “the public is rejecting”. I know Judy may not be all that well – perhaps a few screams short of a tantrum in the old currency. But Margaret Court is hard evidence that living a delusion and causing community harm are not mutually exclusive.

Let’s hope Tanya Plibersek steps up monitoring of such individuals and groups along with how they exploit loopholes in legislation and academic privilege to bring harm to our most vulnerable community members.

To put this in better context AVN Facebook member, Wendy Elphinstone bragged in late November of intentionally infecting her daughter with varicella – chicken pox. This is abuse of a child, all to make a statement against artificial “health fascism” and suppression of rights. It is in effect the right to choose gone mad.

You quite rightly can’t smoke a cigarette in a confined space near anybody, much less your own children. Euthanasia is still illegal. So is pot. But you can risk your child’s life, make them sick, scared, miserable and harm them, because it’s the latest fad.

Varicella killed 0.41 per million before vaccination was instigated. MMR and DTap (diphtheria, tetanus and pertussis vaccine) have no demonstrable history of fatality. This mother will not give her child MMR or DTap, but will expose her to a known risk of death via varicella. A risk of death that is about half of the risk of MMR induced brain injury that is often used as justification for denying vaccination.

Had Wendy Elphinstone’s unwelcome guest been passed on to an infant the risk of death is four times that of children aged 1 – 4. Strangely, Wendy never did explain how she controlled this.

Necrotizing Fascilitis is better known as “flesh-eating disease”. You can catch it from serious skin wounds, weakened immunity (such as associated with vaccine preventable diseases) yet also following varicella. Varicella pneumonia can occur and varicella encephalitis – although rare – can occur following infection. Any deterioration in patient health requires monitoring for neurological or super bacterial infection.

Then it lays dormant until again, it may emerge as shingles, encephalitis and potentially lead to stroke, disability or death.

Of course, Meryl Dorey went ballistic over a community member doing the right thing and acting in the interest of the child – the proxy of vaccine choice insanity. Dorey demoted varicella to almost harmlessness claiming purposeful exposure is something our “mothers and grandmothers” would have done. I mean, really Meryl? Don’t make me get out the Four Yorkshiremen again.

Just before Dorey came to Australia, she lived in a country where varicella killed 100 children per year, effected 4 million children and was behind $400 million in lost wages and medical costs annually. Half a million needed medical care and 10,000 were hospitalised. Frankly, I’d have expected more composure from “Australia’s leading vaccination expert”.

Meryl launched into accusations against the good citizen who cared enough to ensure this child’s welfare was not in serious danger. She claimed he’d accused her fallaciously of microchips and human culling. Which she er, wrote about here and then here, still later urging her members to keep it secret here.

Despite turning the issue into a “poor me” episode, in my mind it underscored just how dangerous Meryl Dorey and her AVN really are. Overtly wringing hands over unproven problems with “chemicals” and “toxins” in vaccines, buttressed by cries of no testing and poor record keeping, they now claim a right to casually infect their own children with a disease.

No doctors are involved, no monitoring follows. No possible spread to the unaware, immunocompromised or vulnerable is prevented or documented. Any notion of clinical (“allopathic”) support is derided.

But vaccination schedules are “a crime against humanity”.

Happy Australia Day.

Vaccine Package Inserts: Not all you should be reading

If the AVN do make it to Canberra during this first quarter, “to lobby for changes to Federal legislation protecting the rights of Australians to choose not to vaccinate or to vaccinate selectively”, I’ll be particularly interested in the worth of item 5 on their list:

All parents to be provided with the manufacturer’s package inserts to the vaccines they are supposed to be giving their children with the ingredients, side effects and contraindications highlighted. We want this information to be provided well in advance of them having to make these decisions to allow them time to ask their healthcare providers questions about both safety and efficacy.

Of what possible use is this complex clinically relevant information to parents who need advice on vaccination? How often have we heard antivaccination lobbyists rattle off the worst of the worst as if they are guaranteed in all cases? Just who will these opportunistic “healthcare providers” be who finally chat with the wide eyed terrified parents thinking of an alternative? This particularly immoral intent of Meryl Dorey’s overall scheme to sabotage vaccination in Australia is born of connivance of such intellectual paucity as to demand it be placed in context.

Assuming Meryl will be flying to Canberra, let’s imagine for a moment, it is not vaccination but air travel that’s being targetted as dangerous and thus in need of informing passengers of all “adverse side effects” to flying. This becomes compelling when we note that deaths from MMR and attributed to DTap vaccination remain at zero. Studies examining the that myth DTap – or any vaccination – is related to SIDS found the rate of SIDS in those recently vaccinated was equal to chance.

Around 1990 Hannah Buxton was injected with contaminated MMR. 18 months later she was dead due to the contaminants, not MMR, and her parents were awarded £20,000. A BMJ article (also citing Hannah) published in September 1994 notes over 100 families had won the right to seek (operative word “seek”) compensation for the death and disability of their children following MMR. In the 1990’s vaccines were looking like big business for injury compensation lawyers and this BMJ article is cited as desperate “proof” of MMR fatality. Yet that’s a distortion of the truth. No fatalities have been attributed to MMR. Encephalitis from vaccination is so rare and from measles comparatively so common that to refuse MMR on these grounds is to be grossly misinformed.

Let’s imagine if an airline took this “package insert” logic seriously and chose to inform all passengers of all risks prior to flying. We’ll exclude specifics like metal fatigue and focus on injury and death. To cover “discussion” with a healthcare professional they might add descriptive accounts of what happens to passengers involved in accidents. It could be worked in to the pre flight briefing.

Here’s my proposed “report”, using entirely accurate information and statistics, of flying with such an airline. Airlines that believe in informed choice. Let’s say I’m in need of a decently priced flight, scanning the internet for a bargain…

——————————————–

One caught my eye. Package Insert Airlines: Where Informed Choice Matters. “Strange”, I thought. I called the number and spoke to the charming lass on the other end. Yes, they had a seat going my way at exactly the time I needed it. Good price too. Just before I hung up, I asked about the name. She explained to me that the airline had been set up by a small consortium who made their fortune printing vaccine package inserts.

“Before take off we explain everything you need to know about your safety and flying”, she gushed happily, “so you can make an informed choice about staying on board”. Wow. Sounded generous. I packed a quick bag and headed off.

After booking in I had a while to wait but before I found an uncomfortable chair, we were paged to start boarding. It didn’t take long for the airliner to fill up. A few moments later an air hostess with a name badge reading Johanna took her position as the standard safety recording started. She pointed out the exits and toilets then, keeping up with the recording, helped demonstrate the possible effects of crashing on take off.

16% of on board fatalities occur during take off, the recording informed us pleasantly. Passengers are usually burned horrifically beyond recognition in a giant fireball. The unspeakable agony felt by those not immediately toasted is at times expressed in blood curdling screams but this is hampered by inhaled high temperature air igniting throat, larynx and lung tissue, poisonous gases and melting facial tissue, particularly the nose, lips and tongue. Loved ones in the terminal are ensured an excellent view. 

Johanna did her best to imitate writhing dying passengers with melting faces, finally letting out a high pitched scream and then finished with a pleasant smile. The recording continued. 14% of onboard fatalities occur during the initial climb, usually due to catastrophic systems failure. Cabin staff will wander by lying to you that everything is just fine. The pilots are trained to try to guide the highly explosive jet-fuel filled plane in for an emergency landing. You will guess something horrible is wrong and the plane will veer dramatically as we return to the tarmac. Johanna gestured pleasantly out the window, smiling all the time.

The angle of descent will be simply horrific, the recording went on. The fuselage and wings will shudder under the force of descent and you will be convinced you are about to die. Passengers must remain seated, but may pray, swear, scream and make hurried calls to loved ones not in the terminal. Due to the extreme strain placed upon the aircraft systems, small fires may well break out burning, choking and gagging you. Any fires near the fuel tanks may result in a catastrophic explosion creating quite a spectacle. Your loved ones in the terminal will have an excellent view of something like this. Johanna turned to point at a large image that had come up on the screen behind her:

Assuming we do not make it in for a safe emergency landing there is information available in small packages on the back of the seat in front of you. Please remove package insert one, instructed the recording. “Ah, Package Insert Airlines“, I mused staring at a bunch of information I couldn’t really understand. Surely this was written for scientists, or experts in this field. It was about G forces and deceleration and how much energy the cabin would absorb.

Please turn to Table One said the pleasant recording as Johanna held up an example of Table One:

Assuming we will be crash-landing and not emergency landing you should familarise yourself with the pain and suffering that possibly awaits. As we observe, up to a 40G deceleration may result in nasal fracture, compression of a vertebral body (the bones of your spine), a broken lower jaw or a fracture dislocation of the top most bone of your spine – on which rests your skull – on the vertebral bone beneath. The classic “hinge fracture”. At this point any sudden or unnecessary movement as opposed to say, lying motionless, will sever your spinal cord leaving you paralysed for life. Except for your facial muscles.

Johanna beamed and highlighted her face like she was selling moisturiser. The recording continued with Johanna doing her best to imitate horribly injured and dying passengers. “Around 50G the maxilla, or front of your face, breaks up and may pierce the skin of the face, but will certainly lacerate the upper mucosa of the lip and cheek. Bleeding will be profound. The major vessel carrying blood to and from the heart spontaneously sprouts big leaks and that can be bad.

Above 80G it just rips open and blood quickly fills your thorax or abdomen, choking you in a grotesque display of gurgling and gasping as blood forces it’s way out from the lungs to the mouth and nose. Johanna was writhing dramatically upside down over the back of a seat gagging and snotting like a trooper. Your bladder and bowel, the recording went on, if not having done so already, will empty spontaneously and dramatically. Please remain seated. I looked at Johanna expectantly but she gave a gentle shake of her head.

 Above this level as we enter 100G plus, the pelvis will fracture of it’s own accord. Please refer to package insert 1A for information on how crucial the pelvis is for ambulation, spinal health, organ protection, core stability, bladder and bowel, sexual health, reproduction, sitting comfortably… on and on it went covering every tiny detail of a fractured pelvis, pain, rehabilitation and permanent disability. People had for some time been leaving in ones and twos. A mother grabbed her baby and screamed that we were all insane before sobbing her way off the plane. I was starting to forget exactly what I was doing here myself.

Vertebral body transection means the bones of your spinal column split transversely and slice front to back or back to front, with part of the vertebra slicing through the spinal cord. This can occur at multiple points. It is important to remember, the recording intoned, that these injuries are not exclusive. So a crash landing deceleration at around 200G may include a fractured nose with the front of your face crumbling off but stuck under the skin, vertebral compression and transection with almost certain quadriplegia or paraplegia, your insides filled with blood that you gurgle and splatter from your nose and mouth and a shattered pelvis, leaving you to wallow in your own waste, until you die are burned or perhaps rescued to begin your life as a permanent patient.

Johanna had been mimicking at extraordinary speed, pulling grotesque faces, shuddering with vertebral injuries, shaking her head violently back and forth working up to a grand finale in which she gasped wide eyed, spluttered and with tongue hanging out collapsed in a heap on the aisle floor, twitching and writhing. Those of us not vomiting into the sick bags broke into a round of applause. She stood up beaming, adjusting her hair. Thinking this must surely be the end of a compelling but pointless exercise a few of us settled down until, horribly, the recording started again.

13% of fatalities occur during the latter stage of the climb once flaps have been raised. Please open package insert 2 and note injuries, suffering and death are much the same as for the initial initial phase of climb. You will note on package insert 2A we have included Total Body Fragmentation which applies to both failed ascent and descent and is pretty much what it sounds like, the soothing voice continued. We shall cover this in due course but it is important to stress that you may be killed during the latter part of ascent.

Once at cruising altitude you may be comforted to know that only 16% of fatalities occur up there in the cold, cold air. Although the same quantity as take off fatalities you may feel assured that on average, 57% of flight time for a 1.5 hour flight is spent cruising. Package insert 3 covers uncontrolled decompression. For our purposes please note Explosive and Rapid cabin decompression effects upon the body which you may experience alone or in tandem with high altitude injuries and hypothermia.

Should a large hole appear in the fuselage, perhaps due to a bomb, maintenance failure, metal fatigue, cargo door failure or just really bad luck passengers may expect explosive decompression. Contrary to the urban myth your body will not “blow up” killing you instantly and painlessly. As air escapes from the cabin in about half a second it will suck all the air from your lungs rupturing pulmonary tissue whilst you find it impossible to inhale as blood flows freely from your mouth and nose.

An extraordinarily rapid heart beat will only make this worse. Try try remain calm. Oxygen masks will drop down in front of you. Of such little pressure, they are useless and serve only to distract you in your final moments of life which are excruciatingly painful and unimaginably terrifying. Please keep an eye out for flying passengers, body parts or projectiles which will hit you with the force of bomb fragments, or slice, rip and tear your body into pieces.

As the freezing air fills the cabin the relative humidity changes rapidly, causing a dense fog to form. Depending on your distance from the cause of decompression, Johanna gestured to the front and back of the plane, you may experience the effects of rapid, not explosive cabin decompression. Blood and lung tissue is less likely to splatter in your vicinity although lung tissue damage to yourself and others is still likely. The further from the cause of decompression and the better restrained the more adverse reactions that can be expected over time and the more painful your slower demise.

Should you be unfortunate enough to be seated or standing near the decompression zone you will exit the aircraft at high speed experiencing physical decompression, pulmonary damage and bleeding, retinal bleeding, hypothermia, edema, numbness, wind sheer and insomnia. As you plunge toward the earth you may reach speeds that tear clothes, hair and skin from the body.

For those still on board, hypothermia sets in within a few minutes but not before hypoxia begins to kill off brain cells and precipitate organ failure. As you lapse in and out of consciousness you may notice the frozen vomit blocking the blood and pulmonary edema discharge from escaping the oral cavity. Limbs, hands and feet begin to swell as fluid escapes the blood stream and lymph vessels to build up in the tissues. Your retinas may hemorrhage as your body temperature rises to fever levels. Cerebral edema will creep up on you the longer you find the captain is able to control the plane through an interminably long descent. This brain swelling will lead to blinding headaches and more lapses into unconsciousness as life threatening hypothermia sets in. 

The recording continued on like this for a while with Johanna diving and falling and rolling about the cabin. She pleasantly gestured to where body parts are most likely to become wedged, and gave a realistic impression of someone trying unsuccessfully to breathe through the drop down oxygen masks. She sat in the seats most likely to accompany decapitation given the chosen place of decompression and managed a sterling performance as a hysterical young mother trying hopelessly to stop her toddler from being sucked out of an imaginary gaping hole in the fuselage.

I couldn’t see the point to all this convoluted intricate information. I suspected it had some legal purpose but I was 19 times less likely to die like this than in the car I drove to the airport. I couldn’t imagine the stupidity involved in thinking such highly specific and biased information had any bearing on flying whatsoever, beyond creating the illusion there was something to fear.

I tuned back in at times as this marathon of irrelevance continued to inform me that another 16% of fatalities occurred during descent and initial approach. 25% occurred during final approach and landing. Then they got onto multiple injury specifics. 45% of intact (Intact?!) fatalities had a spinal fracture. 47.6% of accident victims had a ruptured heart and 35% also had a ruptured aorta. Only 20% of fatalities don’t have limb fractures the recording pleasantly informed us adding that a sound knowledge of Total Body Fragmentation would help us make an informed choice.

Thorax injuries were the most common. Liver, spleen, diaphragm. GI tract injuries were the least common. Skull, brain and facial destruction was very common. Great I thought. Your turds survive but your brain is mash. Neck, spine, wrist, femur, humorous, tibia… then combinations… and fatalities… until I couldn’t think much beyond Total Body Fragmentation sucks man. “Flying Causes Total Body Fragmentation”, I wanted to yell. Which free speech suppressing scientists had been holding back such vital information? I needed to know this, didn’t I? I couldn’t just trust one of the most successful, safest industries in the world, could I?

Then I realised something. Total Body Fragmentation was an incredible rarity. So were aviation accidents. It was Informed Choice that really sucked, and looking around it had emptied a good deal of the plane, having filled people’s heads with nonsense.

I hoped they weren’t driving home.

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So, dear reader. If you’ll pardon the foray you can appreciate just how nonsensical this obsession with package inserts is. There is however, a sinister side to this apparent “information”. As I hinted at above, using it to educate people is fatally flawed. Parents need to know about the probability of adverse events of all types, including disease affecting their children. The fact that extreme events are possible is completely irrelevant to making an informed choice.

It’s simple mum. MMR does not kill and measles is 1,000 times more likely to leave your child with irreparable brain damage. If they must, parents need to speak to a doctor about this information, not be lured into panicked confusion. Dorey’s request is just as much a statement: You are not being given safe advice. And that, is an outright lie.

Yet there’s more to consider. As I note above studies have been done on the myth of vaccine induced SIDS. This is not on package inserts, nor is Shaken Baby Syndrome. Yet Dorey insists both these causes (and others) of death are side effects of vaccination. Toxic poisoning without “prior testing on infants” is happening right now via vaccination, she claims.

In her mind extremely rare possibilities must be advertised as likely probabilities. As must a growing number of invented fictions: immune disorders, failure to thrive, leaking intestines, heavy metal build up, slow learning and almost any ailment is blamed on vaccines, water or medication. So if by chance she is granted her wish, it will only be the beginning.

I set out above to highlight what we take for granted. The fear of flying is considered irrational. A phobia. In short Dorey seeks to propagate a phobic fear of vaccines that may cripple critical and safe decision making.

Meryl Dorey is well aware that “informed choice” is in this case, “Meryl’s choice”. It is not free speech, but plain deception.

Parents deserve facts, not irrational fear.

Risk From Disease vs Risk From Vaccine

Vaccination saved us from…what, exactly?

So goes one heading over at the No Compulsory Vaccination blog, leading to a screed of disturbingly accusatory silliness borne of the confidence from one graph.

Dr Raymond Obomsawin is one of the few to knock up a bogus graph that cites decreasing incidence of measles infection rather than the boring old general mortality we’ve come to expect from antivaxxers. The obvious conclusion of course is that lethal viruses were being tamed by clean water, less wandering poo and yummy food.

Robert Webb succinctly explains where the problems lie here and also points to a further mincing of Obomsawin by David Gorski at Science Based Medicine. I quite like Gorski’s sub-heading. Intellectual dishonesty at it’s most naked.

What surprises me still however, is just how many angles these purveyors of fiction will try. As I touched on in some satire recently, Meryl Dorey’s hilarious poker face revelation on Radio 3CR whilst chatting (or rather, lying) to Helen Lobato pre Woodford was a beauty.

A lot of the credit that’s been given to vaccines for the decline in deaths and infectious diseases has nothing to do with vaccines. Because it all happened before the shots were introduced. Engineers did more to improve the health of Australians than doctors ever have.

Whilst antivaxxers have been a little more vocal of late, they seem to have really only dug their hole deeper. If not attacking those who ask questions of them, engaging in a bit of fraud or libel, it seems to be silliness as usual. Judy Wilyman is a splendid offender with this myth, claiming there is “no historical evidence” for the success of any vaccine schedule. Her trick is to use mortality rates. Usually Judy just plonks up infant fatality rates from 1900 onwards and uses the rapid decline up till 1950 to mount her case.

Let’s ignore what two World Wars did to the birth rate and consequently infant fatalities in English speaking nations over that period, and just focus on the absurdity of mortality alone. There’s no doubt improvements in sanitation, hygiene and quality of food improved our health vastly. But did it also impact on viral behaviour and immunity as is being suggested?

Bogey sites such as Child Health Safety with Vaccines Did Not Save Us – 2 centuries of official statistics excel in exploiting this myth of “mortality = disease”. As amusing as such nonsense may be, it shows the lengths some go to in protecting the vaccine-autism myth. That blog provides graph after graph of fatalities which are virtually irrelevant to disease incidence. It is only once vaccines enter the timeline do we see disease incidence almost vanish.

To me, a drop in mortality coinciding with a healthier population indicates improved rate of recovery from illness. It doesn’t say much about infection other than to hint at better general immunity that comes with better health. But better immunity is not specific immunity, and this is what antivaxxers are really claiming – even if they don’t realise it.

More so, this claim would also demand rising herd immunity before widespread vaccination programmes, on a trajectory that would have matched the herd immunity achieved by mass vaccination. Acceptance of the value of herd immunity refutes the claim infection control arose from better living. That’s one reason antivaxxers deny it. Strangely, there is silence about success of the Hib vaccine, which they should be able to explain.

Being the lovers of science they claim to be, Hib has falsified the claim of improved living standards, not vaccination, controlling certain diseases. In time, perhaps shortly, we may see this repeated with a hepatitis C vaccine and I predict the antivaxxers will have just as little to say by way of explanation of their “theory”.

Yet ultimately it is antivaxxers themselves who debunk this nonsensical myth. If improved living standards controlled or wiped out vaccine preventable diseases then how do we explain this present resurgence on the back of low immunisation rates? Surely living standards haven’t dropped, anymore than they improved over the 12 years from 1993 in which Hib vaccination demonstrated it’s efficacy. Added to this is the bizarre belief that children are meant to catch these diseases. Which by the way we’re told, are harmless, even “marvellous”, in the case of returning measles.

Simply put, if improved living standards can suppress these diseases we should see them eliminated, not returning. Nor does the rise of chiropractic, homeoprophylactic, herbal and other “immune boosting” hanky panky make real sense. All of this exposes the fact that it is herd immunity sustained by vaccination that largely protects those who refuse vaccination. That’s another reason to deny the value of herd immunity.

As the lie becomes harder to sustain new myths are fabricated. The pertussis vaccine has caused the outbreak. Vaccination causes the disease it is meant to prevent. “Vaccine shedding” places the unvaccinated at risk. Viruses are intentionally released into the community. Vaccination causes immune dysfunction leading to later infection. Vaccination doesn’t provide proper immunity.

It would seem it is approaching the End Game in more ways than one for this myth. It isn’t hard to answer Ms. Dorey’s question.

Vaccination saved us from the returning diseases children are not being vaccinated against.

Vaccination And Improved Living Standards

Vaccine induced autism – how Meryl Dorey misled her Woodford audience

Meryl Dorey is shown to have presented material to the audience at Woodford that in two cases argues vaccine induced autism where there is clearly none. In one case the word “autism” has been inserted, additionally, in a descriptive or qualitative fashion on her slide yet it is not present in the court ruling or transcript from where she sourced her text. In another instance there are no cases of autism following, or because of, vaccination. One awaits an explanation from Meryl Wynn Dorey.

There is an awful amount of misinformation on Meryl Dorey’s Woodford slides. Let’s examine the fatally flawed attempt to exhume the “vaccines cause autism” corpse. This is the heading of slide 18:

Meryl Dorey’s Woodford slide number 18

Not much ambiguity there I’d say. But there was seemingly intentional manipulation of a source document providing more misinformation on that slide. Dorey has usurped the case of Bailey Banks.

Bailey was indeed compensated for a vaccine injury. Was it autism, as alleged on Dorey’s slide? No.

The US Court of Federal Claims case file states clearly in it’s opening index: “Non-autistic developmental delay”.

A search of the Claims case file yields a very similar text to that which Dorey provided to her Woodford audience. There is only a one word difference. “[Autism]”. Here is the original text on page 27 of the claims file:

The Court found that Bailey would not have suffered this delay but for the administration of the MMR vaccine, and that this chain of causation was not too remote, but was rather a proximate sequence of cause and effect leading inexorably from vaccination to Pervasive Developmental Delay.

That is all. It seems Meryl Dorey needs to explain this striking addition that quite plainly seeks to falsify the court ruling. The evidence is damning indeed.

On page 2 the fact that compensation is not for autism is stressed implicitly [Bold mine]:

Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS) is a ‘subthreshold’ condition in which some – but not all – features of autism or another explicitly identified Pervasive Developmental Disorder are identified. PDD-NOS is often incorrectly referred to as simply “PDD.” The term PDD refers to the class of conditions to which autism belongs. PDD is NOT itself a diagnosis, while PDD-NOS IS a diagnosis. The term Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS; also referred to as “atypical personality development,” “atypical PDD,” or “atypical autism”) is included in DSM-IV to encompass cases where there is marked impairment of social interaction, communication, and/or stereotyped behavior patterns or interest, but when full features for autism or another explicitly defined PDD are not met.
It should be emphasized that this ”subthreshold” category is thus defined implicitly, that is, no specific guidelines for diagnosis are provided. While deficits in peer relations and unusual sensitivities are typically noted, social skills are less impaired than in classical autism.

On page 6 [Bold mine]:

Among the physicians treating Bailey, a neurologist named Dr. Ivan Lopez personally examined Bailey and diagnosed Bailey as follows:

This patient has developmental delay probably secondary to an episode of acute demyelinating encephalomyelitis that he had at 18 months of age after the vaccine. He certainly does not ___ [sic] for autism because over here we can find a specific reason for his condition and this is not just coming up with no reason.

And [Bold mine]:

As Petitioner’s testifying expert witness, Dr. Lopez maintained, reiterated, and elaborated upon this threshhold diagnosis.

Dr. Lopez’s diagnosis appears to conflict with the diagnosis given by Bailey’s pediatrician on 20 May 2004, who saddled Bailey’s condition with the generalized term “autism”; however, that pediatrician later acknowledged that use of the term autism was used merely as a simplification for non-medical school personnel, and that pervasive developmental delay “is the correct [i.e. technical] diagnosis.” Another pediatrician’s diagnosis noted that Bailey’s condition “seems to be a global developmental delay with autistic features as opposed to an actual autistic spectrum disorder.”

A footnote on page 16 reads [Bold mine]:

Respondent seems to have abandoned the earlier argument that Bailey suffered from autism, instead of PDD. The Court notes the various similarities between Bailey’s condition and autism as defined above, but nonetheless rules that PDD better and more precisely describes Bailey’s condition and symptoms than does autism. Respondent’s acknowledgment serves to reaffirm the Court’s conclusion on this point.

So, what does all this mean? The opening text of the ruling informs us that the court accepts that Bailey, “suffered a seizure and Acute Disseminated Encephalomyelitis” leading to PDD. The court also accepts that compensation should be paid because the court is of the view the seizure and condition would not have occurred without the administration of MMR.

Is the court right? It doesn’t matter. The legal decision must be respected. What we can clearly see is that PDD is considered quite different from autism. Bailey suffered a single traumatic event – not a gradual decline into autism as the customary antivaccination lobby tale goes. Autism is a collection of symptoms with a genetic component. Clearly in this case Bailey does not fit, nor has been found to fit a diagnosis of autism.

This makes his case no less tragic. I can’t stress that enough. What I will stress is that Meryl Dorey sourced her one liner from the same document I have quoted above. She is certain to have read that this child does not have autism and was not compensated for autism brought on by vaccination. She would have read that PDD is not the same as autism. But Meryl Dorey chose to select one line and alter it fallaciously to mislead her audience into believing compensation had been paid for autism brought on by MMR.

Meryl Dorey has again committed plagiarism and fraud in her quest to mislead the Australian public. Her disdain for this young boy is clear. Her disrespect for court proceedings and this ruling is manifest. Her callous disregard for Aussies at Woodford Folk Festival is exposed for all to see.

You may wonder where are all the other Baileys? Well, let’s meet 83 similar cases – an old trick of Meryl’s debunked back in May 2011 and covered here in June 2011. Just like PDD may produce symptoms like autism, so do many other types of brain injury. Add these to autistic children who are vaccinated and the language in VICP case files is easily abused.

Also on Meryl’s slide was this ambiguous claim. I’ve made it kind of easy to spot the semantics. “Associated”? Where is the cause? So, here we are almost 8 months since it was debunked and the best Meryl Dorey can manage is a semantic trick. The URL leads here to a PR Newswire article that has the same heading as on her slide.

It’s a SafeMinds.org media release. Safe Minds is non scientific and partisan. Led by parents of autistic children they seek to increase research into neurological damage from exposure to mercury in medical products.

I for one find it strange that Dorey was billed as an expert on autism yet was unable to source the original paper I’ve linked to below. Is this because she gets more bang for her buck with the tone of this heading? The article is biased in the extreme. There appears to be little doubt that the Safe Minds media release colours the issue in Dorey’s favour and away from the cautious approach of scientific inquiry.

Just how unreliable is this source from our self appointed vaccine expert? Back on June 7th, 2011 I wrote a piece called The “Groundbreaking” Vaccine-Autism Investigation Release of May 10th 2011. It addresses this caper which can only be described as an insult to her audience.

I focused primarily on the pseudoscience and demonstrably false fear mongering cobbled together under the auspices of “research scholar” Mary Holland. Mary is a vaccine-autism profiteer and co-author of Vaccine Epidemic: How Corporate Greed Biased Science and Coercive Government Threaten Our Human rights, Our Health and Our Children.

I also exposed Meryl Dorey’s stupendous deception a full week later on 102.9 KOFM that “hundreds perhaps thousands of families” had been compensated because their children “have become autistic after vaccination”. That it was “a fact” that vaccines cause autism.

There had been ample media prodding in the lead up to May 10th with the word “groundbreaking” popping up quite a lot. The Vaccine Injury Compensation Program (VICP) had been “quietly” and “secretly” working in the shadows it seemed “paying off” vaccine injured children with autism. On May 10th itself, Meryl Dorey claimed:

You cannot hold the truth back forever. And when that dam breaks, the flood will wash away those who have suppressed these facts to the detriment of our kids. It is time for the piper to be paid.

Oh my!

The “groundbreaking investigation” turned out to be an enormous flop. As promised at high noon on Tuesday May 10th 2011 Holland’s team assembled on the steps of the US Court of Claims at 717 Madison Place in Washington DC. They were presenting a paper of sorts, Unanswered Questions from the Vaccine Injury Compensation Program: A review of compensated cases of vaccine induced brain injury. By the end of the lengthy live press statement, the caper had been largely dismissed and debunked as wordplay.

As you can read in the post linked above, certain media outlets were contacted by Pace Law School students, using the Pace Law School name. This was of course, news to Pace Law Administration. From Lisa Jo Rudy writing for About.com [bold mine]:

I just heard from a representative from the Public Relations department at Pace University School of Law. She wondered why a press release cited in my earlier blog would say that members of their law school had been involved with the investigation into and presentation of “Unanswered Questions From the Vaccine Injury Compensation Program: A Review of Compensated Cases of Vaccine-Induced Brain Injury,” when there was no such involvement in either the investigation or the presentation.

I did respond to Danielle Orsino, who sent out the press release, asking the question:
Were there cases in which the vaccine court awarded a settlement for damage that manifested itself as the symptoms of an autism spectrum disorder? Was the term “autism” ever used to describe the outcome of vaccine damage (eg, “the child suffered from neurological damage resulting in autism”)?
Danielle responded quickly, saying “The study strongly suggests a link between autism and vaccines. The study found that of those who had been compensated for brain damage due to vaccines, a much-higher-than-average number also had autism. The study makes an extremely strong case for the vaccine-autism connection, which is why the study’s authors are urging Congress to investigate the Vaccine Injury Compensation Program.”
This response seems to suggest that the simple answer to my question is “no”.

I wrote at the time, 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”.

It further emerged that only 21 cases came from the VICP case files. 62 were gathered by phone calls and social communication questionnaires with other compensated families. It went as far as referencing The Age of Autism: Mercury, Medicine and a Manmade Epidemic [2010] by Dan Olmsted and Mark Blaxill. There was no ethics approval, and no independent evaluation. Many were children with autism who received a vaccination and reacted. Others were children with mitochondrial enzyme disorders known to lead to encephalopathy. Most were genuine cases of encephalopathy following vaccination at the rate of about 1 in 1 million. That’s up to 1,000 times less than measles induced encephalopathy.

For our purposes, we need to note that Meryl Dorey was claiming “possibly thousands” of compensation cases when only 21 already dismissed cases could be found. Then before heading to Woodford Meryl spoke to Helen on 3CR and, whilst now aware of the sample size, still falsely claimed:

Um, autism is I believe, related very strongly to vaccination… and in the United States they’ve actually paid compensation to at least 83 families who children became autistic after vaccination whilst claiming that vaccines can’t cause autism.

Meryl’s other slide – number 17 – can be dismissed instantly. Her claim on that slide is that diagnoses are rising. This has nothing to do with vaccination and everything to do with diagnostic technique. Her cited South Korean study sampled students in mainstream schools managing 12 hour days six days per week. This is indicative of how wide the spectrum is. The autism rate in Australia is officially 1 in 160. In the UK and USA it is 1 in 100 – 1%. Some research suggests 1% in Australia also.

There are five reasons posed for the rise in autism. None mention vaccination.

  • The actual frequency of autism may have increased, meaning more children have it
  • There is increased case reporting, leading to greater findings, better use of funding and hightened awareness
  • Changes in the DSM-III-R and DSM-IV diagnostic criteria may account for more cases
  • Earlier diagnoses have essentially added a new younger demographic to the the existing demographic of children – ie; it spans more years
  • When we examine rising autism figures we find a corresponding drop in other types of mental disability and retardation, meaning they are now within the autism spectrum

Research using modern diagnostic criteria on adults also finds a 1% rate in adults, suggesting changes in mode of diagnosis play a huge role in perceived “epidemics”. In Brugha’s survey [ doi:10.1001/archgenpsychiatry.2011.38] he found not one adult diagnosed with autism knew they had the condition. This tells us the criteria to diagnose them a generation ago did not exist.

All up it seems Meryl Dorey has a lot of explaining to do. Debunked scams, fraud, a useless “association” and unverified musings. It’s nice to know some things remain predictable.

For Aussies, the news remains good. Vaccines do not cause autism.