Meryl Dorey and the Woodford “free speech, democracy” thing

Posted in Alternative "medicine" scams, Denialism, Human Rights, Legal by

The comments of Joe Stella, editor of The Daily Grind on ABC’s The Drum [December 13th, 2011] on the topic of free speech, highlights Ms. Dorey’s abuse of democratic freedoms.

He chips in here at 1:40, and the same video can be found on yesterday’s post. His blurb on Dorey’s appearance at Woodford is:

It’s up to individuals in the audience to go seek out alternative views if they so want. It isn’t a university or public school… it’s a festival. Everyone’s entitled to their views no matter how wrong. […] It’s perfectly fine in a democratic country for people to be wrong.

And I really er, obviously she’s a nutter and vaccinate your kids and that’s all very important, but the tenor of those who oppose her right to speak, saying ‘oh she should have a disclaimer on her website before she can put her views’, or ‘she shouldn’t be allowed to speak in public’, ah, I find that really unsettling in a democratic society.

Mr. Stella exhibits a poor appreciation of the dynamics pertaining to the HCCC request that Ms. Dorey place a notice revealing her anti-vaccination position on her website. The AVN qualifies as a health service in NSW and is thus subject to the HCCC mandate. This qualification as a health service has been established in the NSW Supreme Court during the AVN appeal against the HCCC decision. This was conceded in court by Ms. Dorey herself on July 28th, 2011.

The HCCC decision was backed by Victoria’s Chief Health Officer Dr. John Carnie, speaking on ABC’s The World Today, July 13th, 2010. Our TGA’s Complaints Resolution Panel investigates breaches of the Therapeutic Goods advertising code and when complaints are upheld, requests for notices to be published on the offending site. Would Joe Stella suggest this is also a matter of “tenor” that we should “find really unsettling in a democratic society”?

If anything, it is the toothless tiger status of health regulators that has been shown up as a problem time and again. Retraction demands are simply ignored by colleagues of Ms. Dorey, in the full knowledge the drain on public funding renders it not in the community interest to prosecute. Had Dorey doused her ego in cold water and ignored the HCCC and their public health warning her right to deceive Aussies and place community health at risk would be just as in tact as it remains today, minus the scathing public attention.

It’s almost an Aussie tradition when it comes to alternatives to medicine. They lie about efficacy or evidence, someone complains, the complaint is upheld, a request to publish a retraction or warning is made, they point and laugh at the impotent request and life returns to normal.

Ms. Dorey’s right to speak freely has never been a factor. It is her refusal to comply with authority that concerns her critics. That underscores the recklessness of providing a platform to a skilled manipulator who snubs simple laws that everyday Australians comply with daily.

In revoking the AVN’s Charitable Fundraising Licence (October 20th, 2010), the NSW Office of Liquor Gaming and Racing acknowledged the HCCC decision and Ms. Dorey’s refusal to comply. In doing so they found that consumers may be misled into making donations, or purchasing membership “in good faith”. The import of this decision is reinforced by the fact that the OLGR found 23 breaches of the Charitable Fundraising Act 1991, following a 2010 audit of The Australian Vaccination Network. Charity fraud.

The Northern Star reported at the time that the AVN provided a media release which:

…said the OLGR had found several errors with the network’s bookkeeping system and some minor problems with the way in which fundraising income was accounted for.

And:

“Had the OLGR based its decision upon the simple errors which were found during our audit – errors which any small, volunteer-run organisation can and does make – it would have been unfair but not unexpected,” Ms Dorey said.

“What makes this decision difficult to understand is that the revocation was based solely upon a questionable decision by the NSW Health Care Complaints Commission (HCCC) which we believe is not relevant to the OLGR’s mandate.”

So, how did we get from “errors which any small, volunteer-run organisation can and does make” to 23 breaches of the Act? Was it really “based solely” upon the HCCC decision? Here’s Dorey’s famous email to members in which she copies and pastes items a, c and f from the OLGR’s letter of revocation, forgetting that readers may wonder just what items b, d, e and any other content may have referred to.

From that day forth Dorey’s claim to members has been this consistent deceit. The HCCC do not have authority. The OLGR decision is based on the HCCC’s “illegal” investigation and thus also carries no weight. Only 6 days ago Dorey informed her rapid turnover membership, via her various internet outlets, of The attack against the AVN – a repeat of the information:

It has been brought to my attention that newer readers may not be aware of the circumstances behind the warning by the HCCC against the AVN…. The HCCC does not have the authority to recommend that the AVN put this or any other statement on its website…. The HCCC has adopted pro-vaccination assumptions and values. In other words, it has adopted a partisan position. That is not its role.

By issuing a public warning about the AVN, the HCCC overstepped its mandate…. The complaints to the HCCC against the AVN are part of a systematic campaign to shut down the AVN…. Those who have attacked the AVN have ridiculed and slandered AVN members, made false claims about their beliefs, made numerous complaints to a variety of official bodies, and made personal threats against individuals. The HCCC has allowed itself to be a tool of opponents of the AVN.

If Ms. Dorey cannot accept the “tenor” of the NSW Supreme Court and the role of public health authorities, then defending her as a matter of democratic integrity is quite ambitious. She has conceded herself that the AVN indeed falls under the HCCC mandate. Regarding the constant myth of personal threats made against her by complainants, Howard Sattler raised this with Dorey last year:

Or download audio here.

Before a group of fed up volunteers exercised their democratic freedoms, the simple fact is that the AVN and Dorey had run amok for close to 17 years. Donations had been continually asked for and received for a Bounty Bag insert that didn’t exist. Bounty Bags themselves had never heard of this and would never entertain antivaccination propaganda. On page 18 of Meryl Dorey’s trouble with the truth Pt. 1, Ken McLeod reports on Dorey’s charity fraud:

Meryl Dorey’s Yahoo! Group Message #29638 of 41210 dated Mon May 29, 2006 7:16
“Hi All,
In the latest edition of Informed Voice, we put out a call for funds because we desperately want to be able to accomplish some very specific goals of reaching more people with our information and also hopefully, getting more members/readers – you name it. The goals were as follows: Need to raise approximately $20,000 over the next 12 months to successfully lobby Federal Parliament for chages (sic) to legislation taking away the need for parents to see doctors in order to register as conscientious objectors to vaccination $17,000 would allow us to advertise our services and our magazine in the Bounty bag. This information is currently given out to every woman who births in hospital in Australia – exactly the people who need our information the most!” “your donation will go towards the ability to offer our services and our magazine in the Bounty Bag which is given to every woman who births in hospital.”

The Internet Archive shows that this appeal has appeared on the AVN’s website since 3 February 2007. The same appeal appeared in Meryl Dorey’s emails, in the AVN magazine “Living Wisdom” and the AVN HPV brochure. This appeal remained on the AVN website until 17 July 2010.

Well, “your donation” didn’t go toward women “who need our information the most!”. This is not free speech. This is outright calculated fraud, running for years, that highlights Dorey’s disdain for, and exploitation of her members, the Australian public and new mothers. And what does such conduct say about her ongoing claim of helping Australians make an informed choice beyond sheer mockery? More so, there has been no lobbying of Federal Parliament to seek changes in the requirements for conscientious objection.

Does Meryl Dorey seriously think her necon’ ramblings about “illegal” HCCC investigations and “a systematic campaign to shut down the AVN” can expunge the import of such outright crime? Other smaller brand names have been abused in this manner also. Added to this are breaches of copyright that Dorey put down to “ignorance”. Ignorance? Not likely. On September 1st, 2010 Kate Benson in the SMH wrote:

An anti-vaccination group is under fire for allegedly breaching copyright laws by selling newspaper and medical journal articles online without permission from the authors. […]

The packs, which were selling for up to $128, included home-made books filled with articles photocopied from journals around the world, information on drugs taken from MIMS, the medical guide used by doctors and nurses, and copies of brochures inserted in medication boxes by pharmaceutical companies. […]

Dorey continues to sell articles in the AVN shop that are available freely elsewhere online. Frequently they are available on the author’s own website. The same can be said for videos. For sale from Dorey or watch online at the click of a mouse. Of the antivaccination, conspiracy theory, HIV/AIDS denial, fluoride fear mongering, fake cancer cures and pro-Scientology/anti-psychiatry books on sale virtually all are available cheaper elsewhere.

Despite the pleas of impartiality, the rank offence and mockery is at times breathtaking. As reported by reasonablehank, Dorey recently wrote, in a pitch to sell an AIDS denialist’s DVD:

In honour of Australia winning the ‘right’ to play host to a huge international conference on AIDS and HIV, here is a DVD that will give you information on the origin of and treatments for this disease that is being blamed for tens of millions of deaths since the 1980s.

Dorey is documented as scamming her members out of $12,000 for a non-existent “vaccine-autism” advertisement in 2009. In 2008 she milked the emotion of members in a dramatic telling of a family with a baby newly born to a hepatitis B positive mother “on the run from vaccination”. Whilst the situation was factual Dorey made Peter Foster look like an amateur as she relayed “reports” from the father, took full credit for saving them from DOCS and terrified members with tales that this could happen to anyone. Unless of course, the AVN was funded. The “fighting fund” she opened immediately, made almost $12,000.

Incredibly Dorey then informed her members of her intention to breach the Charitable Trusts Act 1993:

If you did make a donation but we haven’t heard from you by 7th October 2008 about this matter, we will assume that you have no objection to the AVN utilising your contribution for the administrative and operational purposes of the AVN and the Living Wisdom magazine.

The OLGR reported [bold mine]:

During the course of the inquiry evidence of possible breaches of the Charitable Trusts Act 1993 was detected in relation to the following specific purpose appeals conducted by AVN:

Fighting Fund – to support a homeless family, allegedly seeking to avoid a court order to immunise a child with legal and living expenses. The appeal ran for a short time in 2008 and raised $11,810. None of the funds were spent on this purpose.

Advertising Appeal – initially this was an appeal for the specific purpose of raising funds for an advertisement in the Australian commencing in March 2009 and concluding July 2009. The specific purpose was changed during the course of the appeal to fund advertisements in Child magazine. This appeal raised $11,910. None of the funds were applied to the specific purposes. It is noted that AVN did spend some $15,000 during the period December 2009 to July 2010 on various forms of advertising.

Bounty Bag Program and Vaccination Testing – for a number of years AVN has solicited for donations generally in a manner where, despite it not being AVN’s intention, one specific purpose was created in that donations could only be spent on one or more of four purposes, including funding the provision of AVN material in the Bounty Bag program and testing of vaccines. No funds raised have been spent on these two purposes.

It’s anyone’s guess how many scams Dorey has gotten away with. A favourite fiction of mine is that which she launched within weeks after the family on the run story ended. She’d had calls from nurses who’d been “forced into vaccinating” despite prior adverse reactions, she lied. Their new “life threatening” reactions were mysteriously dismissed by hospital staff. But with her trusty Google, Meryl Dorey diagnosed Lupus Panniculitis. Oh my, what could be done?!

In a master stroke Dorey announced “Pain Free Funding”:

A couple of our members have recently donated part of their Maternity Immunisation Allowance to us. They said that without the AVN’s lobbying Parliament to get legislation put through to ensure their rights to government entitlements, they wouldn’t have this money or the Childcare Allowance anyway so they felt that we deserved part of it for our support of them. We thought this was a great idea! If you are in a position to give us a portion of your Maternity Allowance, we would be very grateful – just one more idea that hopefully won’t put too big a hole in anyone’s pocket.

I think even the silliest of us can see the HCCC decision played only a minor role in the OLGR’s revocation of the AVN’s charitable fundraising status. In view of the above it is clear that the AVN present a cleverly deceptive face to the Australian public, creating the illusion of authority and authenticity on the topic of vaccination.

Australians have a right to expect our health and charity regulators will act when culpable individuals and organisations exploit laxity in existing legislation. Particularly for their own ideological and financial benefit, with no regard for the consequences of their actions. There’s far more going on here than someone exercising their democratic right to free speech.

New Yorker Meryl Dorey snubs our legislation, exploits loopholes and publically abuses our regulatory bodies. She makes a dishonest living from scamming and lying to Aussies.

Seeking to impede or put an end to this is no threat to our democracy and no threat to free speech.

Meryl Dorey at Woodford Festival discussed on The Drum

Posted in Anti-Vaccination Lobby, Health, Legal by

This woman is so laughably wrong that it almost seems cruel to get stuck into her… but when kids don’t get vaccinated, kids die”.

Cassandra Wilkinson, ex Labor staffer

Steve Canane hosts Cassandra Wilkinson, Joe Stella and Peter Black in a discussion on the merits of vaccine denier and “obviously crazy…. nutter” Meryl Dorey’s booking to speak at the upcoming Woodford Folk Festival.

The Drum discuss Dorey at Woodford

Wisdom of Meryl Dorey on measles and pertussis

Woodford Folk Festival Promote Dangerous Anti-Vaccination Myths

Posted in Alternative "medicine" scams, Denialism, Health, Scam, Science by

That’s a Blue Lotus flower. Beautiful isn’t it?

The perfect delicate corolla of petals opening up as if to embrace as much of nature as possible whilst it presents that corona or crown of pollen for harvest. For a short time it will maintain this wonderful display and then subside to make way for the next generation.

Humans have appreciated it’s beauty for thousands of years. Essential to life and death ceremonies, Egyptian artwork shows the priest Nebsini holding and gazing deeply into a Blue Lotus. Beautiful noble women reclining in splendor are also depicted holding the long stem, gazing as if hypnotised into it’s centre. The most important cultivated plant of ancient Egypt it was the flower of the water lilies that grew in the Nile. Nymphaea caerulea. The Egyptian water lily.

In Egyptian mythology it was believed to be the original container of the sun gods Atum and Ra. To Buddhists all Lotus flowers symbolise divine birth as they represent purity and spontaneity. The Blue Lotus itself represents:

The symbol of the victory of the spirit over the senses, of intelligence and wisdom, of knowledge

It contains the alkaloids nuciferene and aporphine which have mildly sedating effects. It is thought to be the plant eaten by Lotophagi in Homer’s Odyssey. “Loto” – lotus. “Phagi” – to eat. It is a favourite compound for aromatherapy and can be used to produce perfumes. Little wonder the Blue Lotus is a favourite of those who seek a more natural path in life and is often used to represent new age pursuits or brands. Blue Lotus means something to alternative mindsets.

Little wonder the guys at the Woodford Folk Festival extracted the essence of marketing from the Blue Lotus as it’s more modern property to claim with a straight face:

Pick up a steaming cup of herbal tea and head to the Blue Lotus, the Festival’s home of healing. Talks, workshops and forums invite conversation from some of Australia’s premier practitioners and open the door for Festivillian involvement…. Late afternoon forums nurture, with health, politics, beauty, revolution and adventure all playing their part. The Blue Lotus is a venue for adventures of the heart, mind and soul.

One of these “premier practitioners” is of course no such thing. How Buddha would react to see intelligence, wisdom and knowledge replaced with the cunning, recklessness and ignorance of the antivaccination lobbyist I can only guess. Last time Meryl Dorey met “lotus” on this blog was in exposing her lie that “measles in ancient Sanskrit means gift of the goddess”. It is actually a curse of the goddess Sitala Mataji, and the mother of the first child “burned” in revenge by the goddess fell into the holy lotus position to beg forgiveness.

I can guess what a great deal of Meryl’s misleading and potentially fatal scam will consist of. There will be the claim that the pertussis vaccine is not working because with 95% vaccination coverage, we happen to have the highest notification levels ever since records began, in 1991. As I noted yesterday however, Dorey will not tell these sitting ducks that of the 18 age groups making up notifications only 2 correspond to the 95% vaccination rate. The vaccination of small children is entirely unrelated to raw notification figures that contain no data on vaccine status or immunity.

16 age groups fall outside that at which immunity begins to wane. In these 16 age groups vaccination coverage is only 11.3%. When we add on numbers of infants too young to have completed pertussis vaccination, it’s clear Dorey’s figures are made up of the unvaccinated and non immune. She won’t tell these young people, young parents that yes, vaccinated people do contract pertussis – but a much milder form. That fatalities are only in the unvaccinated. Those not vaccinated who do not die yet fall gravely ill will be disabled for life if cerebral hypoxia ensues.

The Ancient Egyptians would be appalled at the abuse of their Blue Lotus

Dorey is touted by the promoters thusly:

Investigate before you vaccinate is the motto of the AVN. Having collected reports of thousands of Australian families whose children have been killed or injured by these shots, Meryl knows that the benefit of vaccines don’t always outweigh the risks. Her information is sourced from medical data and is necessary for anyone who is thinking about being vaccinated.

This alone is a collection of lies. Meryl has no reports of children “killed by vaccines”. For the organisers to simply repeat this atrocious lie of “thousands of Australian families” is a public irresponsibility of thunderous immorality. Whist it may seem idiotic at first glance, innocent Aussies will buy into these lies. The benefits of vaccination dwarf the infinitesimal risks. Her fear mongering is not sourced from medical data but cobbled together from conspiracy sites and unrelated data sets such as above.

measles mumps risk benefit chart from the encephalitis societyBasic MMR vs measles risk comparison presented by the Encephalitis Society New England

Dorey is unable to produce these so-called cases of injuries. She will maintain SIDS is due to the hepatitis B vaccine. That Shaken Baby Syndrome – what she calls Shaken Maybe Syndrome – is due to vaccines. She will perhaps misrepresent recent changes in SBS research as proving her point, as some of her members have done. Research is indicating babies may present without problems for many hours following injury. Thus, suspicion cannot always be levelled at the last person to be minding the baby before collapse. This also allows consideration of unseen or seen falls. In the USA convictions have been overturned and innocent people released from prison in light of this. But no, headlines claiming, New thinking in SBS cases, does not implicate vaccines.

For years the insinuation of knowing and having, “vaccine injured” children has sustained Dorey. Yet never have they been produced. No proof exists. Although seemingly delighted at Saba Button’s misfortune I doubt the bragging runs both ways. But at last Dorey has a token victim to abuse in pursuit of more converts. Yet will her audience be told that children die every year from influenza? Or that the risk from severe brain damage is up to 1,000 times greater for measles sufferers than in children with mitochondrial enzyme deficiency, who react to MMR? That MMR produces no fatalities.

Where are Dorey’s citations of vaccine deaths? Simple. Post hoc ergo propter hoc: After this therefore because of this. Confusing correlation with causation. In Dorey’s case (as evidenced by SIDS or claims) the time frame can be years or several years. Yet as many as 1 in 2,500 can die from measles. Deafness from mumps, blindness from rubella. Dorey will raise the isolated cases of mumps infection in unvaccinated religious communities and how such concentrations can overwhelm vaccinated subjects. She will claim this is proof vaccines do not work. She will ignore that “the outbreak is due to infection in an unvaccinated community”.

She’ll insist the autism rate is 1 in 38 using one Korean study. That vaccines are to blame. Yet the Australian rate was recently cited by Swinburne researchers as 1 in 160, as documented by MacDermott et al.2007, The prevalence of autism in Australia. Can it be established from existing data? whilst Baird (USA) and Brugha (UK) suggest 1 in 100 – that’s 1%. Other later reports in 2009, suggest it’s 1 in 100 in Australia. Famously the autism rate for adults using today’s criteria is also 1%. Using the DMS on novel adult groups we find 1 in 100 have autism and don’t know it. That’s also 1%. No adults found to have autism knew they had it, the study reports.

So in 30 years there may have been no change in autism frequency. The primary variable is diagnostic criteria. This in no way dismisses the seriousness of autism, or suggests runaway diagnosis. If anything it reflects sadly on the fact so many in-need children have been previously missed. Yet what it does do is debunk the claim that over the last 30 years autism has become an epidemic and thus, vaccines are to blame.

There’ll will be no end to Dorey’s misinformation. Homeoprophylaxis will be suggested. Natural immunity is the only real immunity. Perhaps a pox party for chicken pox immunity. The immunity equivalent off throwing your child of a bridge to learn to swim. The new P.G.S. – Post Gardasil Syndrome – strangely absent from medical literature. Clean water, fresh food and sanitation wiped out disease, not vaccines, she’ll insist. Which fails utterly to appreciate the Hib vaccine – which she’ll omit.
The success of the Hib vaccine 1993 – 2005 immediately dismisses the claim “better living conditions alone” wiped out some epidemics

Running hot with the pertussis deception will be her new trick, as she opined on the ABC, that the danger in vaccines is made worse by the fact Nicola Roxon and the media did not lead with stories on explaining Conscientious Objection, over the recent immunisation incentive. As if the first piece of advice we need is how to avoid vaccination. Tragically, Dorey will give very detailed instructions on how to avoid vaccination as a C.O. and still receive government payments.

So what do people need to know?

On July 26th, 2010 the HCCC published a public health warning following the AVN’s failure to post warnings that it was anti-vaccination. Prior to this the HCCC had investigated two complaints that the AVN provided false and misleading information. The HCCC concluded it’s investigation on July 12th and gave the AVN 14 days to publish the following on it’s website:

  • The Australian Vaccination Network’s purpose is to provide information against vaccination in order to balance what it believes is the substantial amount of pro-vaccination information available elsewhere;
  • The information provided should not be read as medical advice; and
  • The decision about whether or not to vaccinate should be made in consultation with a health care provider.

As you can see this is markedly more tame than the public health warning, that followed in the wake of her refusal. Which also added that the Australian Vaccination Network;

  • provides information that is solely anti-vaccination
  • contains information that is incorrect and misleading
  • quotes selectively from research to suggest that vaccination may be dangerous

And:

… the AVN provides information that is inaccurate and misleading. The AVN’s failure to include a notice on its website of the nature recommended by the Commission may result in members of the public making improperly informed decisions about whether or not to vaccinate, and therefore poses a risk to public health and safety.

Dorey will plead conspiracies to suppress her right to free speech. But she is the author of her own dilemma. So to spell out the obvious, most of what Meryl Dorey is railing against is by her own hand. Do not be fooled by Meryl Dorey. She is adept at conning audiences and continually seeks her own gain. Do not be fooled by this woman.

Remember:

  • Ms. Dorey is a discredited anti-vaccination lobbyist deemed a threat to public health and as such can not be trusted to give reasonable or factual information.
  • Ms. Dorey has no qualifications in health, medicine, nursing, midwifery, public health or any discipline that would legitimise her argument.
  • Ms. Dorey misrepresents the import of overall infection by omitting proper context.
  • Ms. Dorey misrepresents the import of pertussis vaccination by omitting crucial information.
  • The information above is factual yet Ms. Dorey will not present it.
  • Ms. Dorey does not cite any reliable scientific information and presents arguments that are not supported by any public health authorities or published literature.
  • Ms Dorey’s aim is to discourage vaccination, to misinform – not promote informed choice.

Whether or not you become one of her victims, or the victims of irresponsible and selfish organisers is really up to you.

ABC Tonic – Whooping cough Advice

Adults need whooping cough booster

Posted in Anti-Vaccination Lobby, General, Health, Science by

Presently Australia is experiencing a major whooping cough (pertussis) epidemic.

It’s been in epidemic proportions since 2008-2009. Interestingly 2007 was the third lowest year on record since notification became compulsory in 1991. 2009 was a notably bad year for pertussis. A major contributor to epidemics is low pertussis vaccination rates, as evidenced here, in the UK and the USA. Adult boosters are crucial in combating this.

Contrary to certain claims this epidemic is not due to the pertussis vaccine nor does it demonstrate inherent flaws in the efficacy of pertussis vaccination. We do know that the age at which pertussis vaccine induced immunity wanes has fallen. Exactly how this relates to the acellular vaccine vs the older whole cell vaccine and the bordetella pertussis bacteria, is complex. However, there is a basic account here, along with interviews on The World Today and some musing on the error in blaming vaccine efficacy.

California experienced a severe epidemic in 2010, confirming the problem with waning immunity. Often used as a trick by antivaccination lobbyists to claim “the vaccinated” mostly get pertussis, the reality is different. Vaccinated individuals can catch a much milder form of pertussis, yet unvaccinated patients experience severe illness, disability and even death. In this same article, under Waning Pertussis Immunity Comes as No Surprise Dr. Carol Baker writes in part:

The California epidemic was caused by underimmunization of some children, and by waning immunity in fully vaccinated children. It showed that we are not where we need to be to have herd immunity. The 2010 California outbreak caught everyone’s attention.

Recently in Australia claims were made about pertussis vaccine inefficacy on ABC which I looked at here. It’s a favourite theme of the AVN and if you’re keen to look at exposing tactics it has popped up here, and here involving abuse of WHO data whilst we even have a cameo from Viera Scheibner pushing much the same at about the 6:45 mark.

Regarding adult boosters of 1 dose, the NCIRS fact sheet on pertussis (below), backed by citations states [my bold]:

The efficacy of the pertussis components of dTpa vaccines administered to adolescents and adults is inferred from the serologic results obtained in infants immunised with paediatric DTPa in pertussis efficacy trials. For both dTpa vaccine formulations, the immune responses to all pertussis vaccine antigens in adolescents and adults 1 month after a single dose of dTpa were non-inferior to those of infants after 3 doses of DTPa.

A large clinical trial in adolescents and adults demonstrated overall vaccine efficacy against confirmed pertussis of 92%, and a clinical trial in adults demonstrated prolonged immunogenicity from a single dTpa booster dose, with pertussis antibodies remaining above pre-booster dose levels in 85% of participants for 5 years after immunisation.

It’s widely known pertussis boosters are or have been available free in many states and territories. This may vary between new parents, family members, foster parents and other adults as a view of this Immunise Australia page suggests. It’s probably best to contact your own health department or just call the local GP. So, how are adults going keeping up with boosters?

According to the Australian Government 2009 Adult Vaccination Survey:

An estimated 11.3% of Australians aged 18 years and over had received a pertussis vaccination as an adult or adolescent. Uptake was substantially higher among parents of infants aged less than 12 months old (51.5%).

Hmmm. It seems we can certainly lift our game. If you haven’t had a booster for 4-5 years please get one. If you’re an adult likely to be in contact with a newborn then definitely get one.

If you’re none too happy with the conduct of the antivaccination lobby the single greatest effect you can have against them is to get a pertussis booster. As adult herd immunity rises less infections will be passed to at risk children, non-immunised infants, other adults and there will be less notification in total. This will serve to deflate the claim that rising diagnoses are ipso facto proof that childhood vaccination is a failure.

The Australian Vaccination Network wrongly compares 95% pertussis vaccination rates in young children (11% of diagnosed age groups) with 11.3% of adult vaccination (89% of diagnosed age groups). Then claim total population infection (100% of all diagnoses) is due to ineffectiveness of childhood vaccination alone.

For example Meryl Dorey compares vaccination rates of small children – which are around 95% – with diagnosis across all age groups – which include adults at around 11.3% – to secure high notification levels. Of the 18 age groups making up notifications only 2 correspond to the 95% vaccination rate. 16 age groups fall outside that at which immunity begins to wane (the 11.3% vaccination rate). Including numbers of infants too young to have completed pertussis vaccination, it’s clear Dorey’s figures come most primarily from the unvaccinated and non immune.

Today, ABC AM interviewed a parent who lost a four week old to pertussis. She said:

I hadn’t had a booster and the most heart-wrenching thing for us is that we were not warned, there was meant to be a yellow warning sticker go on [her] blue book in the hospital, we didn’t get one.

We didn’t know about adults requiring boosters, nor did any of the adults around us, none of our family or friends knew and we also didn’t know that the area I was living in was in the grip of an epidemic.

Well, now we do know. There’s really no excuse if you’re able to be vaccinated.

Please get your pertussis booster ASAP.

Listen here:

Or download mp3 here

NCIRS pertussis Fact Sheet

Quick Pertussis Facts

Chiropractic: “The science that makes people well and happy”

Posted in Alternative "medicine" scams, Chiropractic, Health, Scam, Science by

A most annoying non-sequitur logical fallacy, is the allusion to large or seemingly large numbers of adherents as proof something is genuine.

Whenever a pseudoscientist tries to hypnotise me with big numbers I’m reminded of Tony Ferguson and his scam weight loss programme sold in pharmacies. Following a scathing Choice review which included extra demerits for pushing it onto children, Ferguson declared, “600,000 People Can’t be Wrong but Choice Magazine can’t get it right with weight loss investigation!” And yes, if you remember the first part as his sales pitch itself you’re correct. 600,000 people can’t be wrong.

Well, 600,000 people were quite wrong if they were to all argue Ferguson’s magic shakes worked. That’s probably the first problem with this trick. Those figures come from signups and undoubtedly, in this case, the vast majority of that 600,000 had given no feedback and probably tried a number of fads before and since. To cut to the chase it’s a jump from sample size to claims of efficacy without bothering to do or document any science in between. We have no idea how many persisted, lost weight, kept it off or indeed ended up worse off.

Presently fundamentalist chiropractors are defending their hanky panky with the claim that 215,000 people across Australia visit a chiropractor every week. We don’t know how many are first time visitors, how many were unsatisfied, how many show no improvement, how many were injured, disabled or worse and so on. All it tells us is that 215,000 people per week visit these touchy feely agents of cosmic cockypop as part of their foray into alternatives to medicine. It also causes me quite some concern.

In removing insurance cover for the practice of neck manipulation (as reported by the National Council Against Health Fraud – Consumer Health Digest #10-34), popular US health insurer Kaiser Permanente revised their policy of coverage for chirpractic manipulation to read:

Chiropractic manipulation of the cervical spine is associated with vertebral artery dissection and stroke. The incidence is estimated at 1.3-5 events per 100,000 manipulations. Given the paucity of data related to beneficial effects of chiropractic manipulation of the cervical spine and the real potential for catastrophic adverse events, it was decided to exclude chiropractic manipulation of the cervical spine from coverage.

Now I shan’t apply the same logical fallacy and insist that at least 2.6 Aussies per week, or 10 per month, are at risk of “vertebral artery dissection and stroke”, because I have no idea how many are being, well, abused in this way. I also don’t know how accurate that figure is. I am quite sure however were I to put this to Chiropractors Association of Australia president Lawrence Tassell, he would quite rightly reveal the flaws in my reasoning.

He may even repeat the erroneous view of his immediate predecessor, Simon Floreani that the risk is 1 in 5.85 million (see Lateline video below). Quite a difference, and a figure described as “totally inaccurate” by Professor Roy Beran who published Serious complications with neck manipulation and informed consent in the MJA (2001) including deaths, stroke and other injuries from chiropractic neck manipulation.

His paper was:

…initially knocked back because it was so common knowledge and so frequent that the journal didn’t want to publish it

So all being fair the CAA are welcome to keep promoting their 215,000 patients per week visiting chiropractors, so long as we all accept the very same sales pitch should include Ten Vertebral Artery Dissections and Stroke per month.

Yet a concern of current critics increasingly involves the practice of paediatric chiropractic. Fundamentalists are taking it up in droves and at most appear to offer a light touch in a “clinical setting” to babies, gradually increasing the scope of manipulation with age. Of course the waving of hands over a small baby is an absolute scam. A goldmine given that we know trials have shown no visible effect. Chiropractors have invented “irritable baby syndrome” to revive what used to be called colic which ultimately emerged as an irritable baby, and no actual disorder at all.

Now their unproven rituals and adjustments of invisible subluxations are blessed with claims of “curing” or treating psychological conditions, improving immunity, croup, allergies, wheezing, pertussis, influenza, poor posture, stomachache, hearing loss, headaches, asthma, bedwetting, bronchitis, learning disorders, arthritis…. Soon I won’t even blink if ESP or Cosmic Consciousness makes it onto the list.

That’s only part of it. The level of mumbo jumbo that defies even basic science is close to frightening. Moderate infant complications are ramped to frightening levels as “deficits” are grossly misrepresented, paediatricians mocked and normal motor skill expression deemed a “neurological delay”. The claim that spinal adjustments improve total awareness because “all senses pass through the spinal column” is news to my ears… and eyes, and smell, and taste and vestibular balance.

Studies show that in blind trials, if parents believe the baby is being treated, they report improvement whether treatment took place or not. If told no treatment took place when in fact it did, parents report no improvement in their baby.

It may be expensive woo now but sooner or later, the USA trend of manipulating children’s necks will pick up pace in Australia. John Reggars (in the Today Tonight video), past president of the Chiropractors Registration Board of Victoria and present vice president of the Chiropractic and Osteopathic College of Australasia insists there is no evidence.

A read of Jeremy Youngblood’s death certificate gives insight into what those who stroke and die from vertebral tears brought on by cervical manipulation go through. It is doubly tragic given the view of Kaiser Permanente that there is a “paucity of data related to beneficial effects” in the first place.

In a case report review of serious adverse effects following cervical manipulation published by Edward Ernst in the eMJA in 2002 there is only one death amongst the multiple adverse outcomes. In this case it is a three month old baby and the practitioner is the sole physiotherapist listed. A physiotherapist practising Vojta Therapy which is in fact paediatric physiotherapy. The adverse event was:

Bleeding into adventitia of both vertebral arteries causing ischaemia of caudal brainstem with subarachnoid haemorrhage [and] death

The crucial point here is that regardless of profession, spinal manipulation of all types has been shown to carry significant risks. In 2001 Stevinson and Ernst published Risks Associated With Spinal Manipulation in the American Journal of Medicine, and note in the abstract:

Data from prospective studies suggest that minor, transient adverse events occur in approximately half of all patients receiving spinal manipulation. The most common serious adverse events are vertebrobasilar accidents, disk herniation, and cauda equina syndrome. Estimates of the incidence of serious complications range from 1 per 2 million manipulations to 1 per 400,000. Given the popularity of spinal manipulation, its safety requires rigorous investigation.

In fact according to this RCT published in the Lancet there is no difference between manipulation or placebo when it comes to recovery from low back pain. Physiotherapists confident in spinal manipulation carried out the trial. As Chris Maher says in the Lateline video below recovery rates were almost “exactly the same”. So basically, there’s good evidence to suggest a 50% chance of sustaining an injury to any part of the spine undergoing a procedure not shown to be any more effective than placebo, when the low back is involved. Serious complications and death apply to manipulation of the neck. There is no evidence supporting application of the latter.

As reported by John Dwyer, Emeritus professor Uni NSW, the literature contains 700 cases of adverse reactions in children following chiropractic adjustments. Given the danger of all spinal manipulation, the copious numbers of adverse effects from vertebral manipulation and the inherent danger of paediatric manipulation, chiropractic faces an uphill battle in the eyes of evidence based treatment.

Added to this however, is the rapid rise of the fundamentalists, who I prefer to call the Mystic Chiropractors. Their disillusioned appreciation of conventional medicine and aversion to supporting it is nicely summed up by Lawrence Tassell on the topic of vaccination. From Adelaide Now:

He also dismisses suggestions chiropractors are anti-immunisation.

“We don’t recommend for or against vaccination; we simply say it’s a choice factor,” he says.

Which is of course, the anti-vaccination cover. Who would choose to risk their child’s life when availed of all the evidence? Yet when fed misinformation and outmoded fear mongering vaccination may seem like a “choice factor”. Chiropractors are misleadingly allowed to use the title “doctor”. They still make up the bulk of the “professional” members of the Australian Vaccination Network. In 2009 Floreani and Tassell’s CAA had a grand aim:

To achieve a fundamental paradigm shift in healthcare direction where chiropractic is recognised as the most effective and cost efficient health regime of first choice that is readily accessible to all people

Reggars claims the “all-encompassing alternative system of healthcare is both misguided and irrational”. He’s exposed the money angle informing us:

Chiropractic trade publications and so-called educational seminar promotion material often abound with advertisements of how practitioners can effectively sell the vertebral subluxation complex 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 of 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.

This video by the Council on Chiropractic Practice refers to, “the Dark Side of the profession… keeping the imprisoned impulse captive… and [its] innate potential chained”. What’s it mean? Those who reject the made up notion of “subluxation” are the dark side and as the video states the “right to treat it” is under attack. Sound familiar? It seems the theme of having a right to apply demonstrably dangerous beliefs and practices at the expense of genuine medical intervention is “a right”.

What’s insane about chiropractic is that it’s assumed everyone needs treatment. Their impulse is “imprisoned” along with its “innate potential”. The only result of pursuing this potential offered by the “science that makes everyone well and happy” is certain loss of money and a definite risk of injury, disability or death. Palmer’s 19th century superstitious and completely subjective “God given energy flows” are today’s “very principles this profession was founded on”.

In The Age yesterday it was reported in Doctors take aim at chiropractors:

CHIROPRACTORS are peddling shonky treatments that could be dangerous for people, including babies and children, a group of high-profile doctors says.

In an extraordinary attack, 34 professors, doctors and scientists issued a statement yesterday calling for more policing of chiropractors’ false claims and said the federal government should not fund chiropractic courses at Australian universities because it gave their ”pseudoscience” credibility.

The group, which includes the president of the Australian Medical Association, Dr Steve Hambleton, and head of public health at Monash University Professor John McNeil, said although some chiropractic treatments had an evidence base, claims it could cure 95 per cent of ailments was nonsense. […]

In a letter to Central Queensland University protesting against its recent inclusion of a chiropractic course, the doctors said they were also concerned about chiropractors being the largest ”professional” group in the anti-vaccination network.

One of the signatories, Professor of Neurophysiology at Flinders University Marcello Costa, said universities running such courses were encouraging the spread of quackery, misusing public money and delaying effective treatments for people who falsely believed chiropractors could cure their illnesses.

Exactly why these cosmic cuddlers assume they have a right to bring about a shift in the direction of healthcare that is overflowing with pseudoscience and risk, so they can profit, is well beyond my ethics tolerance threshold. Added to the defensive battle posture they have taken up against the “attack”, that is in reality a request for proper evidence on the magic of subluxation, a distinct malignancy is in the air.

Chiropractors aren’t treating you. You’re treating them to a free ride at risk to yourselves and your loved ones.

Today Tonight December 7th 2011

Lateline July 9th 2009