Vaccines and autism: A thorough review of the evidence

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

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

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

I trust you find the article a valuable resource.

Hierarchy of Scientific Evidence

© thelogicofscience.com

Fallacy Man's avatarThe Logic of Science

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

View original post 17,466 more words

Audio: Examining the anti-vax movement

Preamble…

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

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

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

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

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

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

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

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

Audio…

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

  • Listen with the player below…

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

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

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

Enjoy.

Anti-vaccine Zika virus conspiracy fails to surprise

It was an event so impossible to predict it is absent from the highly respected Before It’s NewsWhat Did Nostradamus Predict For 2016? Or the Top 10 Nostradamus Predictions for 2016. Yet anti-vaccine conspiracy theorists reckon neonatal microcephaly associated with maternal infection with the mosquito-borne Zika virus, is actually due to… a vaccine.

It’s not spread by the Aedes aegypti mosquito they warn. This truth of course, is being suppressed by a conspiracy.

A few days ago I wondered what potions, cures or other nonsense homeopaths might be selling to save the world from Zika. As it turned out I happened upon an article entitled Zika Virus. Are we being told the truth? The hosting blog, Homeopathy Safe Medicine is concocted by Steve Scrutton. Steve is also upset that the BBC aren’t playing ball with the CDC whistleblower fallacy that there is indeed a link between MMR and autism (also suppressed by a conspiracy)  – “particularly with black children”, and is happy enough to publish a final email exchange.

A little more searching would save Steve ample time on this point. For example Orac at Respecful Insolence, Rene’ Najera at Science Based Medicine and an even earlier article at SBM yield facts.

Or of course one may visit Snopes.

CDC_whistleblower_snopesSo Steve’s a conspiracy theorist. Anyway, to get back on track, you may have already guessed Steve’s answer to that title question above on Zika virus. From there we’re introduced to a fine upstanding crock of a site named The Unhived Mind III.

Here Steve alerts us to the delicate title Brazilians not buying Zika excuse for babies with shrunken brains. Charming, no? The author of this article, Jim Stone, applies the Judy Wilyman theme of logic. Namely that morbidity and mortality are not high enough for all this fuss. Jim quotes the BBC:

Zika is generally mild and only causes symptoms in one in five people. It is spread by the Aedes aegypti mosquito, which also spreads dengue and chikungunya.

And adds himself:

My comment: Ok so a do nothing virus is going around that only makes one in five people get mildly sick, with no symptoms in 4 out of 5 people.

Had he continued quoting the BBC we’d have read more on this “do nothing virus”:

Brazil is experiencing the largest known outbreak of Zika.

President Dilma Rousseff, visiting Recife in the worst-affected north-east of the country, said Brazilians needed to engage in the fight against the virus. […]

Forty-nine babies with suspected microcephaly have died, Brazil’s health ministry says. In five of these cases an infection with Zika virus was found.

Jim Stone has his own tortuous conspiracy ramble site including an utterly ridiculous piece on the Zika virus. Jim advises his poor readers:

The claim is that a mosquito naturally carried this disease across almost all of South and Central America in only six months. This defies all logic because mosquitoes have a life cycle that is too long for immediate propagation and won’t fly more than a mile from where they hatch, which would limit the movement of a totally new disease to a mile or so a month, not 30 miles a day.

Jim gets pretty worked up about reports on the Wikipedia Zika virus page suggesting the carrier can “just rip across continents to all corners in months, faster than a bush tribesman could travel. It really is that way, Wikipedia said so!”. Well, no not really. What Wikipedia did note but Jim didn’t is:

The global distribution of the most cited carrier of Zika virus, A. aegypti, is expanding due to global trade and travel. A. aegypti distribution is now the most extensive ever recorded – across all continents including North America and even the European periphery. […]

Jim has also conveniently ignored the impact of human travel. Like many who seem happy to blame the Tdap vaccine, Jim is worried that the association between microcephaly and Zika virus has not been made before. It was initially identified in rhesus monkeys in 1947 then in humans in 1952, in Uganda.

Conspiracy theorists fail to grasp that the first documented outbreak of Zika virus in a human population was in 2007 and 2013 in the Pacific (Yap and French Polynesia, respectively), and later in the Americas in 2015 (Brazil and Colombia) and Africa (Cape Verde) [WHO Zika Fact Sheet]. ( Edit: The possibility of sexual transmission {2} is being investigated ). It is believed to have arrived in Brazil in 2014, and spread slowly. The outbreak in Columbia was reported by the WHO on October 21, 2015.

These relatively recent initial outbreaks are exactly why little is known about complications associated with the disease. Experts, including the WHO are not yet certain a causal link has been established between microcephaly and Zika virus. However health officials are operating under the assumption there is one.

Should this be the case it appears that infants born to mothers who had the virus during the first trimester are at an increased risk of microcephaly. The failure of the Tdap conspiracy theorists is partially evident in their inability to produce any data beyond a crude correlation. The Tdap vaccine is being offered in the third trimester (28 to 32 weeks). In the US and UK when there is a suspicion of foetal microcephaly where pregnant women have returned from Latin America, ultrasound screening will be offered from 20 weeks every 2 to 4 weeks.

Thus foetal microcephaly due to maternal infection with Zika could be evident 2 – 3 months before the vaccine is even offered. Essentially the conspiracy coincidence is vanishingly small and demonstrably false.

It would thus seem there is an opportunity to identify the time of malformation or the absence of genetic material of the Zika virus in placental tissue, to advance the case of the conspiracy theorists. Their case could do with real hard evidence as opposed to yet another vaccine timing coincidence.

The Internet is of course teeming with rubbish sites pushing the lie of vaccine induced birth defects. The Zika virus gives them something to exhaust the correlation gambit on. A nice twist that appears on No Vaccines Australia evokes The Bill and Melinda Gates Foundation.

The release of genetically modified Aedes aegypti mosquitoes by a British biotech’ company they fund, named Oxitec has come under scrutiny. However a critical 2010 Science article suggests the Foundation had not funded a 2009 project that saw release of the mosquito on the Caribbean island of Grand Cayman. In a very recent article on the Zika virus the authors give the same GM project the thumbs up.

They write under There must be a better way to control mosquitoes?

Not yet but they’re in the works. A British biotech called Oxitec—which was recently purchased by Intrexon, a U.S. synthetic biology company—has developed A. aegypti mosquitoes containing a gene construct that will kill their offspring before they reach adulthood. When massive numbers of male individuals of this strain are released in the wild, they will mate with local females, producing offspring that are not viable, which has been shown to make a dent in the population.

For now I can offer the below press releases.

To wind up we can turn back to Steve the homeopath to realise that like Nostradamus he’s had a bash at predicting the future.

He writes:

If there is any truth in this, conventional medicine will have to act quickly and effectively.

  • They will have to denounce this as a ‘conspiracy’ theory.
  • They will have to convince us that it is mosquitoes, and not Big Pharma, who have caused this microcephaly.
  • They will have to move quickly to defend mandatory vaccination, especially the vaccination of pregnant women.
  • They will have to convince us that the TDAP vaccine is different to the DPT vaccine that they have been giving our children for decades.

And perhaps most difficult of all, the pharmaceutical industry, and conventional medical doctors, will have to convince us that this time they are telling the truth about this matter!

In fact if there were a conspiracy under way the amount of work needed to pull it off would simply dwarf Steve’s list. More so all evidence suggests it is impossible to convince such minds of the truth – regardless of evidence.

Regrettably this is just another opportunistic and disturbing effort by predictable conspiracy theorists.

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Measles Vaccination: make an informed choice

Recently in Melbourne Australia, the wanderings of a baby infected with measles prompted Victoria’s Chief Health Officer Dr Rosemary Lester to name certain venues and alert the public. The 11 month old had, while infectious, visited four major shopping complexes, two restaurants, a cafe, a children’s play centre, a church and a chemist. Dr. Lester stressed those who attended these venues should ensure they pay extra attention to symptoms such as;

…common cold symptoms such as fever, sore throat, red eyes and a cough. The characteristic measles rash usually begins 2-5 days after the first symptoms, she said, generally starting on the face and then spreading to the rest of the body.

A bit of a rash, sore throat and temperature then. I’ve heard groups who insist vaccines don’t work or aren’t needed pass measles off as nothing to worry about. Yet the article also included this from Dr. Lester;

“Anyone developing these symptoms is advised to ring ahead to their GP or hospital and alert them that they have fever and a rash,” Dr Lester said. “If you know you have been in contact with a measles case please alert your GP or hospital emergency department. The GP or hospital will then be able to provide treatment in a way that minimises transmission.”

Hmmm. Maybe hospitals in Victoria are running drills this month. Practising for something serious with this little rashy-coughy thing. After all a Slovakian micro-palaeontologist had described it as a simple “right of passage”. And if anyone would know about infectious disease in Australia it is a Slovakian micro-palaeontologist, not a mere Chief Health Officer of a state holding around six million people. But then the piece by the paper’s Health Editor went on to state measles is highly infectious. It is particularly dangerous for young children and young adults.

Those most at risk of getting the disease are people who have not been vaccinated, particularly adults between 33 and 47 years because many in this age group did not receive measles vaccine, and people whose immune systems have been compromised because of cancer treatment, for example.

Perhaps, as they say, this is not a drill. I remember reading material from those against vaccination. They spend a lot of time and caps lock justifying why vaccines are dangerous, or useless, or part of a conspiracy. The claim that vaccines are useless is backed by graphs which plot disease induced mortality against time and contend X vaccine was introduced well after mortality reached zero. Clean water, nutrition and better living standards stopped these infectious diseases they insist, not vaccines. So I decided to check the measles graphs drawn up by renowned antivaccinationist Greg Beattie.

Beattie_measles1Greg Beattie’s “Figure 1” from Fooling Ourselves

The above graph is from Beattie’s Fooling Ourselves. The Australian Vaccination-sceptics Network is littered with this and many others from Beattie. Material published by the AV-sN has been independently examined and discredited in the preparation of a public statement and warning by the NSW Health Care Complaints Commission. It appears then, Beattie’s graphs have been examined and discredited in an official capacity. There is no mistake as to why the HCCC warned the public to exercise caution in viewing “misleading” material. It is important to focus on Beattie’s intent here. Namely that vaccines had no impact or an irrelevant impact on the control of infectious disease. In part this post challenges the intent of Beattie’s graphs by presenting independent data that show vaccines most certainly had a powerful effect in controlling the spread of vaccine preventable disease.

Thus Beattie’s cunning use of mortality rate above, is met with absolute and predicted numbers. Greg Beattie cites the Australian Bureau of Statistics, Commonwealth Year Books and “data published by the Commonwealth” in Cumpston’s 1927 The History of Diptheria, Scarlet Fever, Measles and Whooping Cough in Australia. One notes the first problem is his reliance on mortality and not morbidity. Death as a consequence of a vaccine preventable disease is a limited indicator of how effective vaccination has been in reducing infection. Overall morbidity (infection) offers a more realistic picture. Indeed the anti-vaccine lobby are today only too quick to point to the number of pertussis notifications in those vaccinated, when launching attacks on the efficacy of the vaccine or the need to be vacccinated. They concomitantly avoid noting pertussis mortality in Australia hits the unvaccinated.

The vaccinated cop a less dangerous, and to date, non-lethal infection. [Update] Children not vaccinated against pertussis are 24 times more likely to be infected with the wild strain, than those who are vaccinated. Below is another graph from Communicable Diseases Intelligence. I’ve boxed in measles in red and used coloured horizontal lines to link mortality to years pre and post introduction of the measles vaccine. It’s clear that the greatest gap – or in fact drop – in mortality follows the introduction of measles immunisation. Thereafter reductions are smaller and more evenly spaced. Diptheria tetanus polio measles highlight

Source: Communicable Diseases Intelligence

Could there be more important facts left out by Beattie? Clearly his graph is designed to visually convince the reader that the measles vaccine was introduced when measles was all but eradicated. Thus Beattie contends vaccination had no impact on its control. So what of Beattie? Do we afford him the benefit of the doubt? You be the judge. Immediately after the graph he writes in Fooling Ourselves.

The graph for measles (Figure 1) shows us that the five-yearly death rate, 100 years before the vaccine was introduced, was around 170. One hundred years later, and immediately prior to introducing the vaccine, it was less than one. That’s a reduction of 99.5%—before the vaccine arrived. The remainder of less than 1% is therefore the only portion of the decline to which the vaccine can possibly lay claim, because it simply was not around for the first 99.5%. […]

Let’s check that again: One hundred years later, and immediately prior to introducing the vaccine, it (the five year mortality rate from measles) was less than one. Looking at the CDI graph above, and countless others that can (Source: Measles Deaths, pre-vaccine – archived) be wheeled out from developed nations around the world he is simply misinforming his readers.

Update 10 January 2024: I originally published this post with no display of the graph in question. They are USA data, and the aim here is to expose Beattie’s deception, referencing the Australian figures he worked so hard to conceal. Recently, a pingback alerted me to the fact one Jordan Henderson criticised my linking to it. Jordan opined;

For example; he attempts to claim that Beattie’s Australian death rate graph is wrong by referencing a graph for the USA as if that somehow makes the Australian graph wrong because it doesn’t show what the USA graph shows.

Errumm, yes. Or rather, no. The graph in question impressively eliminates Beattie’s case by simply highlighting the impact of vaccine introduction when actual numbers of deaths (not diluted using “per 100,000”) in a population larger than Australia, are presented. Include case numbers and the illusion of his craftwork vanishes. Also, if vaccines didn’t succeed, they didn’t succeed globally, would be my reasoning. Not just where Greg Beattie lived. Anyway, Jordan offers a cornucopia of conspiracy woo online. He writes numbered articles called “The Acorn”, and has sprouted bud by bud (sorry, couldn’t resist) into anti-5G, psyops, sheeple, the great reset, slavery, anti-mask beliefs, the awakening, more acorns and of course, being anti-vax. Now, as they all do as per their manual, he’s defending Beattie. Is Beattie a sprout I wonder? Perhaps more of a chunk of crispy old lichen, given the age of this tale.

So, onto the graph, with some added red annotation:

measlesvax_usaintro1

If QR codes are your thing, enjoy. Otherwise, it’s archived here now. Do read the piece, if the “clean water and sanitation, not vaccines controlled disease”, argument is one you’re entertaining. Engineering, clean water and sanitation did indeed catapult our health and standard of living forward. Diseases were controlled, but not eliminated. In the case of measles, vaccines later eliminated hundreds of fatalities per year and thousands of cases of brain damage, pneumonia, middle-ear infections, deafness and diarrhoea. But this argument is so petty, because we actually have successful vaccines developed long after sanitation, clean water and flushable toilets emerged.

Take the Hib vaccine. In 1985 the first Hib vaccine was launched in the USA. A more successful conjugate vaccine was licensed in 1987. Is it necessary? Have we actually seen its impact?

Hib can cause invasive diseases in young children and people who are immunocompromised. The case-fatality rate for Hib meningitis is between 3% and 6%. Up to 30% of individuals who survive Hib disease have permanent neurological sequelae. Source.

Okay, dear reader. Apologies for the interruption. Where were we? Ah yes. Up above we had… Let’s check that again: One hundred years later, and immediately prior to introducing the vaccine, it (the five year mortality rate from measles) was less than one.

Less than one for five years? Whilst the CDI graph plots 150 from 1966 – 1975. An excellent way to further debunk Beattie’s “vaccines-didn’t-save-us” mess is through statistical estimation of the deaths that would have occurred without immunisation. Cost effectiveness and the money saved through improved health is vital. Love it or loathe it the cost of running a vaccine-conspiracy would be monumental. The savings to be made in controlling infectious disease are also wonderfully impressive and much time and energy goes into ensuring we invest in what pays for itself. The figure loving, graph scribing, number crunching chaps at Applied Economics (archived) are deft hands at such dark arts. In a semantic flick of the bird to antivaccinationists they write;

The trend in measles deaths since 1940 reveals a secular decline. This reflects a reduction in case fatality associated with a general improvement in health status as well as the introduction of antibiotics in the late 1940s (Russell, 1988). By fitting a trend to measles deaths for the period 1940–69 and extrapolating it from 1970 onwards, we can estimate the deaths that would have occurred without immunisation. A trend can also be fitted to actual deaths that occurred with immunisation. The difference between these two trend curves is our estimate of the lives saved because of immunisation.

I’ll leave you dear reader to pop over and peer at their graphs revealing the “lives saved because of immunisation”. They also sacrifice many pure white A4 sheets doing the same with Hib vaccination. Nonetheless here is (the businesses end of) the table born of such mysterious chanting and ritual. Pre immunisation years from 1940 are available. The point here is to further debunk the antivaccinationist claim that vaccines did nothing. By analysing pre and post immunisation mortality and morbidity trends, a strong estimate of lives saved and disease prevented can be clearly demonstrated.

 Estimated deaths due to, and notifications of, measles tabulated as with or without immunisation

Consequently estimated lives saved and estimated cases averted based solely on measles immunisation can be calculated as the difference

Deaths Notification
 Year Without Immunisation With immunisation Estimated lives saved Without immunisation With immunisation Estimated cases averted
1970 16 10 6 110,693 77,000 33,693
1971 15 10 5 112,391 67,459 44,932
1972 14 10 4 114,061 59,100 54,961
1973 13 10 3 115,706 51,777 63,929
1974 13 9 4 117,325 45,362 71,964
1975 12 9 3 118,921 39,741 79,180
1976 11 9 2 120,494 34,817 85,677
1977 11 8 3 122,044 30,503 91,542
1978 10 8 2 123,574 26,723 96,851
1979 10 7 3 125,083 23,412 101,671
1980 9 7 2 126,573 20,511 106,062
1981 9 7 2 128,044 17,969 110,075
1982 8 6 2 129,497 15,743 113,754
1983 8 6 2 130,932 13,792 117,140
1984 8 6 2 132,351 12,083 120,268
1985 7 5 2 133,753 10,586 123,167
1986 7 5 2 135,139 9,274 125,865
1987 6 4 2 136,511 8,125 128,385
1988 6 4 2 137,867 7,118 130,749
1989 6 4 2 139,209 6,236 132,973
1990 6 4 2 140,537 5,464 135,074
1991 5 3 2 141,852 4,787 137,065
1992 5 3 2 143,153 4,194 138,960
1993 5 2 3 144,442 3,674 140,768
1994 5 2 3 145,719 3,219 142,500
1995 4 2 2 146,983 2,820 144,163
1996 4 1 3 148,236 2,470 145,765
1997 4 1 3 149,477 2,164 147,313
1998 4 0 4 150,707 1,896 148,811
1999 3 0 3 151,927 1,661 150,266
2000 3 0 3 153,136 1,455 151,680
2001 3 0 3 154,335 1,275 153,059
2002 3 0 3 155,523 1,117 154,406
2003 3 0 3 156,702 979 155,723

 © Applied Economics – archived original

These are impressive figures. Lives are saved and disease is averted due to the MMR vaccination. Conversely with no vaccine induced protection from measles lives are lost, disease is spread and disability and suffering ensues. There can be few better examples as to the efficacy of mass immunisation, or indeed, the danger of the anti-vaccine lobby.

Consulting reputable publications we can see that measles is indeed a potentially very serious disease. Health authorities have never denied that vaccination carries a negligible risk. The anti-vaccine lobby is apt to demand vaccines be both 100% effective and 100% safe. As a public we are rather poor at assessing risk-benefit and thus many fall prey to the anti-vaccine slogans and lies.

Encephalitis is a one in a million plus risk as a consequence of measles vaccination. As a consequence of measles it is a one in a thousand risk. In short those who argue “natural immunity” is best subject their children to the risk of brain damage or death at a rate 1,000 times greater than had they chosen MMR. For every ten who contract encephalitis one will die and four will be permanently brain damaged. Around one third of those infected will develop complications that will likely require hospitalisation.

Depending on age, one child dies for every 2,500 – 5,000 cases of measles.

MMR vs infection

© The Encephalitis Society – Access full document here

Recently the vaccine-autism zombie had some life breathed into it. Fortunately it turns out that just as Wakefield perpetrated his original – and ongoing – fraud for money, the author of the latest scam is a member of a group erroneously believing vaccines cause autism and will stop at nothing to mislead the public to this same misconception. The “paper” was withdrawn in one month. A statement has been published by Dr. William Thompson who was deceived into becomming a “whistleblower”.

He was recorded against his will and it appears the anti-vaccine author Brian Hooker had worked for months to get the pro-vaccine Thompson on record as sounding like a whistleblower.

And so it continues. This is indeed not a drill. We do have reasonably healthy rates of vaccination but the return of measles, varicella and other vaccine preventable diseases means there is no room for complacency.

Make an informed decision. Vaccination saves lives.

The history of measles

Australian Immunisation Handbook – 2013

MMR

Measles Fact Sheet – WA Health

NCIRS – events in MMR vaccination practice


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Last Update: 10 January 2024

The awful autism obsession of the antivaccinationist

On page 11 of the most recent Health Care Complaints Commission investigation into the Australian Vaccination-Skeptics Network, we see the absurdity of vaccines causing autism rearing its head.

The AVSN claim to present on their website 68 “medical journal studies [that] support the link between vaccination and autism”. According to the HCCC the expert they consulted concluded a case of correlation confused as causation was evident. A read of the list shows the expert is being kind in no small part. Given that the AVSN claim these studies show a link between vaccines and autism, the list is quite absurd.

Despite the absence of mercury in childhood vaccines we get much on environmental mercury and autism, ADHD and blood mercury levels, swollen brains and autism, etc. But we have a numeric problem Houston. Of the 68 (cough) articles, I could count just 30 that included the word “vaccine” or “vaccination” in the title, abstract or conclusion. But maybe I’m expecting too much. Articles are numbered but items 5, 12, 48, 49 and 68 don’t exist. At all.

The AVSN use the typical misinformation that succeeds at confusing young worried parents and educated, affluent parents who can afford lots of Internet time. Such as citing the damage huge doses of certain toxins or heavy metals can do, without stressing vaccines contain either another variant or minuscule amounts long shown to be perfectly safe. Since having changed their byline from Love them, Protect them, Never inject them to Because every issue has two sides, they have done a poor job of presenting both sides.

The AVSN for example do not provide access to the Institute Of Medicine publication, Adverse Effects Of Vaccines; Evidence and Causality. This has been pointed out by the HCCC along with a host of biased schemes the AVSN execute in the hope of driving the public away from vaccination. In addition the hubris-riddled response that has been crafted for the HCCC and published online, is indicative of a mindset with no concept of community responsibility.

Myths and concerns about vaccination note on page 29 under “Mercury in vaccines can cause autism”:

There is no evidence that thiomersal (a mercury based preservative) in vaccines has caused any health problems, except perhaps minor reactions such as redness at the injection site. […] The form of organic mercury contained within thiomersal is “ethyl mercury” which doesn’t accumulate in the body, unlike the closely related methyl mercury which does accumulate and is neurotoxic. […] MMR vaccine and other live attenuated viral vaccines never contained thiomersal.

Of course there is a dollar to be made insisting vaccines cause autism and other disabilities. As reported recently by Fairfax:

The Office of Liquor Gaming and Racing has confirmed it is investigating ”problems” in the Australian Vaccination-Skeptics Network’s financial statements.
The anti-vaccine group has raised nearly $2 million in the past seven years but has never done any ”charity”, according to Stop the AVN, a coalition of critics formed after the parents of a baby who died of whooping cough were targeted by the network. […]

The 2008 financial statement said the group had more than $50,500 of assets, yet in its 2009 statement, assets from 2008 are listed as only about half that amount.
And nearly two-thirds of $281,855 in expenses listed on its 2010 financial statements are not explained, given only the title ”other expenses”. The 2012 statement for the group has not been submitted.
A chartered accountant who examined the documents for Fairfax Media, but declined to be named for fear he would be harassed, said the documents were ”the worst set of financial statements I have ever seen”.

$2 million! And where is that money? Well, you see… no-one really knows. A visit to this document reveals a copious tally of financial irregularities and charitable breaches by the (then) AVN. Both the Charitable Fundraising and Charitable Trusts Acts are called into question, “on a number of occasions” according to the NSW state watchdog, the OLGR.

Published just recently at Diluted Thinking the article, AVSN Pays Meryl Dorey is a must read. It is a thorough breakdown of financial irregularities and unanswered questions from 2004 to 2008.

It is of course beyond ironic that a hero of the AVSN is disgraced “vaccine/autism” fraudster, Andrew Wakefield. It’s old news that Brian Deer was able to track Andrew Wakefield’s scam because the latter had left a trail of intriguing financial records and/or references.

Follow the money was what Deer did in true investigative journalistic style. It is indeed somewhat silly that the anti-vaccine lobby today bellow follow the money, but in doing so can draw only one step from a vaccine to its manufacturer. The money trail Deer uncovered was far more impressive.

Wakefield was paid £150 plus expenses per hour by Richard Barr’s law firm. In total this came to £435 643, which was arguably to create a syndrome to drive the class action of anti-vaccine and genuinely misled (by Wakefield) litigants.

But Wakefield needed to ensure he profited from all the sufferers of his syndrome. Once the world had been fooled into believing “autistic enterocolitis” was a genuine syndrome, then it would have to be diagnosed. First he filed for his March 1995 Diagnostic patent that claimed in part:

Crohn’s disease or ulcerative colitis may be diagnosed by detecting measles virus in bowel tissue, bowel products or body fluids

Based on this, on September 9th 1996 a client of Richard Barr known as Child 2 was the first child subject to what the GMC later described as a “clinically unwarranted” ileocolonoscopy.

The day after Child 2 had undergone his ileocolonoscopy Wakefield produced a document headed, Inventor/school/investor meeting 1. 4 which calculated that by working on MMR litigant samples, profits of £72.5m per year were to be had. This document left no doubt as to from where the money should be sourced. The profits would go to a yet to be formed company specialising in molecular viral diagnostic tests:

In view of the unique services offered by the Company and its technology, particularly for the molecular diagnostic, the assays can command premium prices. The ability of the Company to commercialise its candidate products depends upon the extent to which reimbursement for the cost of such products will be available from government health administration authorities, private health providers and, in the context of the molecular diagnostic, the Legal Aid Board.

More could be gleaned from a confidential submission (1999) to the Legal Aid board in his quest to secure the future of an immunodiagnostic business he would be director of. Unigenetics Ltd was incorporated in February of that year with Dublin pathologist, John O’Leary and would be registered in the Republic of Ireland. Here Wakefield argued the link b/w MMR and autism had been shown. Unigenetics scored £800 000 of tax payer funds to conduct PCR tests of dubious pursuit.

In addition to these petty “legal costs and salary” monies Wakefield would get another £90 000 per year – more than half of which was for travel. Deer reported that trading was to be fronted by another planned immunodiagnostic company Carmel Healthcare Ltd (also registered in the Irish Republic) and named after Wakefield’s wife. Within this venture Wakefield would take 37% of the earnings, the parent of child “Number 10″ would take 22.2%. A venture capitalist would get 18%. Royal Free’s professor of gastroenterology, Roy Pounder would get 11.7% and Professor John O’Leary another champion of “MMR causes autism” would get 11.1%.

Deer was given a copy of a prospectus 35 pages long.

This included confirmation of planned “litigation driven testing” from the USA and UK, along with delightful profit. Of course all business relied upon Wakefield’s new syndrome which at this point remained to be proven. As he had not found Crohn’s disease in the 12 children, Wakefield coined the term “autistic enterocolitis”. The prospectus sought to raise an investment of £700 000.

It is estimated that the initial market for the diagnostic will be litigation driven testing of patients with autistic enterocolitis from both the UK and the USA… It is estimated that by year 3, income from this testing could be about £3 300 000 rising to about £28 000 000 as diagnostic testing in support of therapeutic regimes come on stream.

[…]

Once the work of Professor O’Leary and Dr Wakefield is published, either late in 1999 or early in 2000, which will provide unequivocal evidence for the presence of the vaccine derived measles virus in biopsy samples the public and political pressure for a thorough, wide ranging investigation into the aetiology of the bowel conditions will be overwhelming.

As a consequence of the public, political and legal pressures brought to bear, the demand for a diagnostic able to discriminate between wild type and vaccine derived measles strains will be enormous.

Deer reported on yet another new company which was for the running of a joint business with the UCL medical school. Immunospecifics Biotechnologies Ltd would produce immunotherapeutics, vaccines and a diagnostic test. Beneficiaries were as with Carmel. Wakefield, the parent of “number 10”, the venture capatilist, Pounder and Prof. John O’Leary.

There are issues around Wakefield’s immunodiagnostics which antivaccinationists should simply admit, and by not admitting such merely lend their cause less credence (if that were possible).

  • Transfer factor for use in vaccines and treatments had basically been written out of the literature. A lack of evidence, risk of infection and unjustified cost had relegated this 1940’s blood product to the realm of an Internet peddled cure-all scam.
  • The Neuro Immuno Therapeutics drama run by Hugh Fudenberg. To cure autism – which he reckons is caused by MMR – Hugh would use, you guessed it, Transfer factor. In August 2004 Brian Deer caught up with him. At the time he was under sanction for use and prescription of controlled drugs. Help yourself to a search-and-read on Hugh. If you remember Bill Maher’s claim that a flu shot five years consecutively equals a ten-fold increase in the chances of developing Alzheimers, you might be relieved to know that the source is Hugh Fudenberg.
  • The Dublin measles tests which could not deliver consistency of results, emerged as a problem years later, during vaccine related lawsuits in the USA and Britain.

One caper of Wakefields that many know of is his “safer vaccine” patent for a monovalent measles vaccine. As the Royal Free Hospital approached the release of his paper Wakefield made copies on tape as to how he should announce his bogus findings. One – which is in circulation today – includes:

There is sufficient anxiety in my own mind for the long term safety of the polyvalent vaccine—that is, the MMR vaccination in combination—that I think it should be suspended in favour of the single vaccines

But of course! Just as well that like the patent for immunodiagnostics he had the “safer vaccine” patent for the single measles vaccine. And he filed for this nine months before his now retracted paper was published.

Wakefield patent

The opening paragraph is breathtaking:

The present invention relates to a new vaccine for the elimination of MMR and measles virus and to a pharmaceutical or therapeutic composition for the treatment of IBD (Inflammatory Bowel Disease); particularly Crohn’s disease and Ulcerative Colitis and Regressive Behavioural Disease (RBD).

After falsely claiming MMR vaccination leads to Crohn’s disease and other forms of IBD we read on page two (far right) above (bold mine):

What is needed therefore is a safer vaccine which does not give rise to these problems and a treatment for those with existing IBD. I have now discovered a combined vaccine/therapeutic agent which is not only most probably safer to administer to neonates and others by way of vaccination, but which also can be used to treat IBD whether as a complete cure or to alleviate symptoms.

This was first revealed in the UK Sunday Times. Wakefield denied this “conspiracy”:

The claim appears to be that, whilst at the Royal Free Hospital, I was developing a new vaccine to compete with MMR and that I conspired to undermine confidence in MMR vaccine in order to promote this new vaccine, and that this represented a conflict of interest. This is untrue. The facts are that: […]

it has never been my aim or intention to design, produce or promote a vaccine to compete with MMR; […]

A provisional patent filing was made for the use of measles virus-specific TF in regressive autism and inflammatory bowel disease (Regressive Bowel Disease; RBD).

The reference to the possible use of TF to protect children against measles infection – the thrust of the Sunday Times’ conspiracy theory – was put in as an afterthought in the patent. It was entirely speculative and never pursued in any shape, manner or form.

The provisional patent filing was entirely speculative and was for a possible therapy; as such, it had no bearing on the 1998 Lancet paper.

That the patent application with its firm conclusion of an MMR derived pathology appeared nine months before publication of his paper is not the only Crystal Ball caper by Wakefield. A fortnight before selecting any children that eventually made up his insignificant 12 child sample, Wakefield and Richard Barr co-authored a letter that included (bold mine):

Children with enteritis and disintegrative disorder, form part of a new syndrome. The evidence is undeniably in favour of a specific vaccine induced pathology

That claim would have taken the word of Hugh Fudenberg at that particular time in history.

The end for Wakefield came just after plans for Carmel Healthcare were finalised, potentially making way for his incredibly profitable business. A new head of medicine, Mark Pepys was appointed to the UCL Medical School (once known as the Royal Free and University College Medical School). He is a fellow of the Royal Society and ensured impressive grant money. He wasn’t impressed by Wakefield, threatening to not transfer his own unit to UCL if Wakefield was even there.

With the help of theoretical physicist Chris Llewellyn-Smith he made his move in December 1999. A mere two months after Pepys moved to the Royal Free Wakefield was called to UCL’s London head offices. There, at last, he was made to face the audacity of his scam and handed a two page letter of his very own to have and to hold and of course, to read. It included:

We remain concerned about a possible serious conflict of interest between your academic employment by UCL, and your involvement with Carmel. This concern arose originally because the company’s business plan appears to depend on premature, scientifically unjustified publication of results, which do not conform to the rigorous academic and scientific standards that are generally expected. […]

Good scientific practice now demands that you and others seek to confirm or refute robustly, reliably, and above all reproducibly, the possible causal relationships between MMR vaccination and autism/“autistic enterocolitis”/inflammatory bowel disease that you have postulated.

Yay verily.

UCL were keen to help, offering him an ongoing position on staff or a full twelve months paid absence to allow for further research. 150 subjects would be provided to Wakefield. 12.5 times larger than his initial sample. Wakefield agreed.

Time passed.

After three months he was asked for a progress report. Six months later in September 2000 Wakefield replied:

It is clear that academic freedom is essential, and cannot be traded. It is the unanimous decision of my collaborators and co-workers that it is only appropriate that we define our research objectives, we enact the studies as appropriately reviewed and approved, and we decide as and when we deem the work suitable for submission for peer review.

Fail. By October of 2001 he was asked not to let the door hit his lying backside on the way out. In January of 2010 the General Medical Council found Wakefield had been “dishonest, irresponsibile and showed callous disregard for the distress and pain of children.”  [Science Based Medicine]

After close to a decade of multiple studies had failed to replicate his “findings” or any link between MMR, its components and autism the Lancet retracted the Wakefield paper [Science Based Medicine] [BMJ] on February 2nd 2010. The journal’s editor, Richard Horton described the statements in the “fatally flawed” paper as “utterly false”.

On May 25th of that year he was struck off the medical registrar by the General Medical Council.

Still today, as is clear above, there are scam artists profitting from peddling the lie that vaccines cause autism. Their paper-thin efforts may well be pathetic but still have a measurably negative effect on public health. With no regard for evidence or responsibility for the consequences of their actions, one can hope that these arrogant fraudsters will one day too face the weight of the law.

Yay verily.