The Australian Vaccination Network: Meryl Dorey’s continued pertussis misinformation

Last time we left The Australian Vaccination Network, or rather President Meryl Dorey, we’d had a close look at her use of unrelated data sets and the tendency to use two figures twenty years apart, to argue pertussis vaccination is not efficacious.

Four days later, an AVN member repeated the very same claim on the very same forum. Also, back on the day I posted Meryl had written an extraordinary attack on official health figures based upon the newspaper article, More testing finds more coughing. Dorey’s completely unreferenced and innuendo filled post is entitled 100 times increase in Whooping Cough – is it REALLY just more testing? 

The article quoted is quite sensible and accurate. Dorey’s feverish and misleading extrapolation can only be examined if one reads her entire diatribe then copies and pastes the news article link at the bottom into a browser. What sets her off is focusing on the first paragraph, whilst ignoring the second. The article opens with the observation that better testing has more to do with the outbreak in NSW than with drops in immunisation. Then continues in the second paragraph with [bold mine] “there was no doubt whooping cough increased in areas with low vaccination rates”, according to Professor Booy who is a professor of child health at Westmead Children’s Hospital.

Dorey uses the same leap in notifications from 1991 to today, ignoring the peaks and troughs of infection, smirking that the outbreak, “isn’t real – it’s just more testing”. Then a simple falsehood. “So the fact that we have gone from 300 cases in 1991 to more than 35,000 cases today is just a figment of our imagination…”. From 332 cases in 1991 we had 34,794 last year and as of “today” have 18,299. Source here. Then it’s classic Reductio Ad Persecutorum, the classic logical fallacy named after Meryl Dorey herself.

And the vilification of families who have chosen not to vaccinate by the media, the medical community and the government that has occurred over the last 2 years because of this non-existent epidemic…

There’s been no vilification. Facts are facts. The Reductio Ad Persecutorum we see is entirely down to denial of vaccine efficacy and germ theory. Dorey ignores here the effect on herd immunity in areas with low vaccination rates, and has now redefined the epidemic as “non-existent”. Astonishing. The Hon Nicola Roxon, Federal Minister for Health and Ageing released Protecting Bubs: Whooping Cough Epidemic on February 21st this year, including;

As the current whooping cough epidemic continues, Health and Ageing Minister Nicola Roxon has reminded parents to protect their children with vaccinations, which can begin six weeks after birth.

“All parents should take advantage of the free vaccines provided by the Australian Government to protect young children from whooping cough,” Ms Roxon said. “Babies can be protected with vaccinations at six to eight weeks after birth, then at four months, and then when they reach six months old.

“Vaccines worth about $86 million will be provided in 2010-2011––free of charge for infants, children and adolescents.

[…..]

“Babies are not fully protected until their third dose of the vaccine, so it is important for those around new babies to be free of infection.

Remember, Dorey’s continued demonstrably false argument is that high vaccination rates and increasing pertussis cases prove the pertussis vaccine is not efficacious. This, she argues, is supported by a corresponding rise in diagnoses and notifications. In her article she is clearly selecting the reality of more widespread testing and using it out of context. Her context is that reported effective wider testing is a ploy by the government to dodge the higher notifications of pertussis (and thus vaccine inefficacy). In reality, more widespread testing explains the rise in notifications over the past four years.

Nonetheless she states without any supporting references;

But be that as it may, the fact is that the government has declared an epidemic by their own figures and now, faced with the inconvenient fact (which we have been stating for years) that vaccination rates are at an all-time high, they are now trying to say that there was no epidemic in the first place -it’s only smoke and mirrors. Don’t count on our statistics -they’re only rubbery figures, after all.

Oh, and we haven’t actually seen an increase in pertussis deaths either because Professor Booy says that they were much higher ten years ago. In fact, there were NO deaths at all from pertussis for well over a decade prior to the deaths that occurred in 2009 – one of which was in a child too young to be vaccinated and the other 2 in older, partially-vaccinated infants. So again, don’t trust the government’s statistics because they seem to be either inaccurate or simply made up on the spot!

“Inconvenient fact… smoke and mirrors… rubbery figures… no deaths ‘for well over a decade prior to … 2009’… statistics made up on the spot”. Statistics Dorey uses to make her entire “failed vaccine” argument, I might add. That’s quite a tantrum to throw over one small news article that refers only to vaccination rates in NSW, whilst Dorey is using national figures. Professor Peter McIntyre in a Rapid Roundup article for the Australian science media centre written in September 2010, addresses both death rates and the most important factor in recent diagnostic increases: Local GP access to PCR testing;

“The problem with whooping cough is that it is hard to get a laboratory diagnosis that is definite and doctors may not order the relevant tests so it does tend to be under-recognised. Having said that, the availability of the PCR test (since about 2000 in hospitals but especially over the past two years at the GP level) has greatly increased the number of cases and hospitalisations being recognised.

There have been big national epidemics in 1996/7, in 2000/1 and most recently in 2008/9. In South Australia, where this death occurred, the epidemic was later than in many other parts of Australia and is still current.

Bearing this in mind, it is important to note that despite a very large increase in reported cases in the 2008/9 epidemic compared with 1996/7, there were a total of nine infant deaths in 1996/7 but there have been, with the most recent death in SA, a total of four deaths recognised in 2008-2010.

Meryl Dorey also makes some alarming and demonstrably false claims about the documented mutation in two strains of pertussis. Firstly she claims it’s the “elephant in the room” that the medical community almost never refers to. This nonsense is followed by arguing that the cause is overuse of pertussis vaccination, “much like overuse of antibiotics” led to decreased antibiotic effectiveness. Vaccination levels required for herd immunity and “overuse” of antibiotics are quite different issues however.

Dorey argues incorrectly that nobody seems to know if the vaccine is ineffective or less effective. So, she then makes up her own mind claiming without evidence that the mutated strain is more virulent and dangerous, thus leading to more deaths here and around the world. Then we get this stunner;

So not only is the pertussis shot not preventing vaccinated people from getting pertussis – it could also be responsible for the increased death rate.

So what is happening? There are several strains of circulating bordetella pertussis bacteria. In early 2010 researchers from the University of NSW school of biotechnology and biomolecular sciences discovered mutations in the two most common strains – MT27 and MT70. The whole cell pertussis vaccine contained hundreds of antigens providing widespread protection. It also correlated to more cases of irritability and fever. The acellular vaccine introduced in 2000 is highly tolerable with several variations. Each variation contains between three to five purified pertussis antigens.

This certainly makes it easier for any potential mutation to defeat vaccine induced immunity. Yet in the absence of conclusive data we can only be sure that some strains will have greater effect. Co-author of the study Associate Professor Ruiting Lan says the acellular vaccine might have contributed to the mutation. What we can say is that the pertussis vaccine may not be fully effective.

Professor Lyn Gilbert is a clinical microbiologist at the University of Sydney. She was involved in the study and notes that whilst bordetella pertussis may mutate to bypass herd immunity, bacteria can and do evolve spontaneously. Dr Nick Wood, from the National Centre for Immunisation Research and Surveillance has also noted that antibiotic use may have played a role in this bordetella pertussis mutation. Do note this is not the overuse of antibiotics leading to antibiotic resistance and super strains Meryl Dorey was alluding to. The World Today covered this back on February 11th, 2010 including both Professor Lyn Gilbert and Associate Professor Lan;

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A comprehensive US article in The Journal of The American Medical Association, Research Aims to Boost Pertussis Control quotes Fritz Mooi, PhD, senior scientist at the National Institute for Public Health and the Environment, Bilthoven, the Netherlands. He suggests lowered efficacy and faster waning of immunity associated with the acellular vaccine isn’t a sufficient explanation, for the present outbreaks. He and his colleagues, “posit that this is occurring in response to selection pressure from the vaccine”. What’s quite bizarre is that Meryl Dorey posted this article on her Facebook page. It includes;

James Cherry, MD, a pediatrician at Ronald Reagan UCLA Medical Center, in Los Angeles, and one of the world’s leading experts on whooping cough, maintains that the increase in cases reflects greater awareness and improved recognition of the disease among clinicians as well as availability of better laboratory tests and greater access to them.

The one thing I don’t want to do here is to use Ms. Dorey’s misplaced confidence in blaming a pertussis mutation on “overuse” of vaccination, to convey a conclusive argument that B. pertussis strains MT27 and MT70 have not adapted to the acellular vaccine via mutation. This may well turn out to be the case, but it does not justify attacks on vaccination regimes or the vaccine. There have been mutations before through adaption of B. pertussis to the vaccine.

This was the case for The Netherlands outbreak in 1996. Ironically, Dorey has been referring to this outbreak for years as proof of general pertussis vaccine inefficacy. She has been most cautious to not admit or refer to the mutation in The Netherlands as this ran contrary to her claim that pertussis vaccination – both whole cell and acellular – was ineffective. Frankly it now beggars belief she has jumped on the band wagon only to use the situation in Australia to spread fear, rail at health departments, misinform and mislead further.

As I pointed out above, whilst Professor Booy is referring to sufficient levels of vaccination in NSW, Dorey has inexplicably launched an attack on Australia’s national figures. Less than a month before, a Herald Sun article reported AMA Victorian president Dr Harry Hemley as saying “immunisation in the community is tending to wane”.

Ultimately this is another hysterical and difficult to follow anti-vaccination rant from Meryl Dorey. She definitely wants to eat her cake and keep it also. In attempting this she meanders throughout the entire bakery emerging into the spotlight covered in flour and jam, with no more evidence than the odd crumb picked up accidentally along the way.

This Today Show clip on the pertussis epidemic offers good advice and disturbing figures.

Australian Vaccination Network 101

Meryl Dorey of The Australian Vaccination Network says opposition to her operation is an attack on free speech. That claim however, is a simple ruse to divert attention from the reality of dangerous and illegal conduct.

A Mother’s Choice: The tragedy of the Australian (anti) Vaccination Network

HCCC Find AVN Risk Australian Health

AVN Lied To Members Over Charity Status

Poll Source

How The Australian Vaccination Network misleads Aussies on pertussis (whooping cough) vaccination

She’s doing it again.

That’s all I could think when I saw the below lie published about noon by Meryl Dorey, on the Australian Vaccination Network‘s Facebook page.

Facebook post misileading about pertussis vaccine efficacyI do mean “lie” – not misunderstanding or difference in conclusion. Dorey’s had this pointed out to her countless times – as recently as last week. This was also dismissed in 2009 by the ABC, following a complaint as a breach of their editorial guidelines for fairness and accuracy in reporting. More so, she presents this sleight of hand with obfuscation of conflicting data sets published by the same government bodies and insists on cherry picking. To make the entire sorry matter patently ridiculous, a high school student would receive a dressing down if this “mistake” was honestly made. That’s because not only is Meryl Dorey hiding the truth about pertussis infection and the undoubted success of pertussis vaccine efficacy, she is using entirely unrelated data sets.

The pertussis notification data tells us zero about the vaccine status of the notified cases. By far the bulk are adults whose vaccine induced immunity has waned. Of the 18 standard recorded age categories, 16 are after the age at which immunity begins to wane. Nor does it inform us as to the location of initial infection. As a legally notifiable disease all cases diagnosed who are from an address within our borders must be reported.

This includes returning tourists, immigrants, refugees, Australian based shipping and flight crews, travel weary business men and women, and so on. Dorey’s attempted causal link is akin to saying people who hold a drivers licence are more likely to be involved at sometime in their lives in a road accident. The more licences issued in the last 20 years, the more accidents we see. Therefore the entire licensing process is either ineffective, causal or both.

Nonetheless it would be remiss of me not to address this trick for the benefit of those with confirmation bias. The burden is on Meryl Dorey to show a robust statistical association between the data she presents. She fails to do so, because it can’t be done. To be absolutely fair, let’s use Ms. Dorey’s selected data. In fact, let’s use the very data, tables and argument she submitted on September 9th, 2009 to the NSW Health Care Complaints Commission in response to a complaint about the AVN. Dorey writes on page 6;

Since the AVN was established, Australia has experienced an increase of over 23% in our rate of vaccination against whooping cough with a concurrent increase in the incidence of this disease of almost 40 times. Please refer to the Australian government graphs below:

Keep in mind, table 2 is above table 1. The 23% increase in pertussis vaccination “since the AVN was established” can be gleaned from these two tables [95.1% (Table 1) – 71.6% (Table 2 – 2001)].

In order to show that pertussis vaccination isnʼt effective, Ms. Dorey must compare vaccination status to diagnoses. Partially, fully or in need of a booster? And use a controlled single sample.

What we begin with is two separate cohorts, the lower table (1) being 2 year olds born in the first quarter of 2006, who received the trivalent Diptheria, tetanus, pertussis vaccine being fully assessed on June 30, 2008. The upper table (2) is of 0 – 6 year olds vaccinated with a monovalent (pertussis only) vaccine between 1989 and 2001.

Knowing full well that pertussis vaccination begins to wane at about age 10 years Dorey then chooses notification only (not age related) data between 1991 and 2009 – below, to secure her “40 fold increase”.

Straight off the Epic Fail factor leaps out. We cannot simply draw a line from childhood vaccination to notification in all age groups, and as I noted above from diverse backgrounds and travel habits. More so, had it been the year before, notification was less than a 17 fold increase from 1991. The two years preceding that show a 35 and 34 fold increase respectively.

In 1998 there was a 14.5 times increase from 1991. A year before was a 27.5 fold increase, whilst 1996 gives us an 11.6 fold increase – only 42% of 1997 notifications.

Clearly using even this non age related data set fails to show the claimed relation between steadily increasing vaccination and infection rates. It appears to show a regular rise and fall in infection.

Evidence of decreasing vaccination uptake and rising infection was causing significant concern in the eyes of Australian health authorities. This was clearly defined in the complaint to The HCCC. So Meryl Dorey offers another fallacy;

[Contrary to assertions] the current increase in the incidence of pertussis has nothing to do with any purported decline in the rate of vaccination. Instead, we are seeing an outbreak of pertussis despite a substantial increase in vaccination against it – an experience which is being duplicated in every country for which mass vaccination against this illness exists.

“… an experience which is being duplicated in every country for which mass vaccination against this illness exists”. Remember that. Dorey lists two references to supposedly support this. I’ll soon be getting on to how she plagiarised a WHO document graph cropping out explanatory text to replace with her own, and severely misrepresented the Netherlands pertussis outbreak. Both publications strenuously support pertussis vaccination and yes, these were the documents referenced in support of that bald faced lie.

A claim of direct causation to the vaccination regimes requires ignorance about herd immunity, pertussis strains, acellular vs live cell vaccines, periodic outbreaks or epidemics, and vaccinated vs non-vaccinated infection rates during outbreaks. Outbreaks do occur effecting unvaccinated and vaccinated children under 10 – 15 notably, whilst adults with no immunity don’t usually exhibit the classic symptoms. Certainly they are not at the risk of injury and death that infants and babies are.

But let’s look more closely at what Ms. Dorey has intentionally avoided. Age groups and the rise and fall of infection rates over the years.

From Communicable Diseases Intelligence, Vol. 32 No. 2, Figure 49 shows the rise and fall of pertussis in the ten years to 2006. Figure 50 just below it, shows notifications for 2006 by age and sex.

Zero to four years is higher than the next two age categories as it reflects the fact infants are not fully immunised until about 12 months.

We can clearly see this is a typical non outbreak year in which most cases are found in middle aged women. It’s a striking reminder that a pertussis booster is absolutely vital to protect newborn babies from infection as they are passed around family and friends or cared for by grandparents. This goes doubly for women.

Meryl Dorey was in damage control mode, trying to refute that the outbreak – now epidemic – that began in 2007 – 2008 was related to declining uptake of vaccination and that certain pockets where vaccination was low presented a lethal threat to young children. This is why her trick linking notification and vaccination rates was, and still is, doing the rounds. In June 2009, three months before our self appointed guru submitted her HCCC reply, it was reported in the Journal of Pediatrics that children who didn’t receive the pertussis vaccine were 23 times more likely to catch pertussis. In 2010 the same journal reported fears over the vaccine were unfounded. What are we to make of Australia’s so-called “vaccination expert” using “sciencey” terms to convey the opposite of research published in prestigious journals that’s pertinent to exactly the topic she claims authority on?

Notification rate for pertussis by age & sex for 2008

Dorey would have done better to stick to the facts, than to defend anti-vaccination pseudoscience and hide the high levels of infection in children.

Whilst there is strong data showing higher rates of infection in areas of low vaccination, overall Australian data showed a nation wide outbreak that we now know that has culminated in disability and death in most states.

This is the tragic irony to this ongoing and oft’ debunked abuse of her readers and members intelligence. Check that 2006 graph above again and compare to the 2008 data reflecting an outbreak on the left, from Communicable Diseases Intelligence, Vol. 34 No. 3.

Horrifically, in two years there’d been over a 6 fold increase for females and almost a 5 fold increase for males 0-4 years old. Roughly a 10 fold increase in 4-9 year olds and over a 6 fold increase for 10-15 year old children. Through all this Meryl Dorey failed to advise parents on how to protect their own and others children. Incredibly she had access to this crucial data through the very National Notifiable Diseases Surveillance System she used to create her original sleight of hand above. Here is the 2009 table of pertussis notifications by age and sex.

She continued to urge against pertussis vaccination, plying her members with bizarre pseudoscience and fear mongering, going as far as claiming vaccines are filled with poisons and cause cancer. This was a key element in her roving seminars as seen here in slides one, two, three and four. Denying pertussis infection was anything to be concerned about, her advice was and is to proactively catch it to build “natural immunity” and that it can “be treated homeopathically”.

Dorey refuses to admit she and the AVN (which is in fact one and the same) are anti-vaccination. Although it beggars belief that she would support what she has called “instruments of death”. The mantra is that “they” are for informed choice and provide information parents would not otherwise access, to assist in making a choice on vaccination. Why would parents not otherwise have access to it? Well for one, as we’ve seen here it is manufactured and fallacious. To refute Dorey’s claims with proper evidence however, is to be “suppressing free speech”.

Ironically, I can’t post this on Dorey’s Facebook page because I’ve been banned and had all my other posts deleted. I see this happen regularly to anyone who doesn’t march in goosestep anti-medicine fervor. Free speech was it? We’re all entitled to our own opinions but the assumed right to manufacture ones own “facts” to the large scale detriment of community health is beyond the boundary of free speech.

Be extremely wary of online sources that use grandiose titles reflecting a “national” vaccination service, an “information network”, “total” family health or particularly offering “the truth” or what you won’t be told elsewhere.

Please seek reputable advice on vaccination. Speak to your doctor or a conventional medical professional.

Update: July 8th. In a standard example of how misinformation is spread to misinformed members of the public, an AVN member at about 11am July 8th, posted the below item. It provides a link directly to the same page Meryl Dorey provided on July 4th. What makes this entire charade more absurd is that the URL leads to the NNDSS index – not the Pertussis notification table it is taken from. Our vaccine expert and Co. have so little experience with this data that simple navigation through the site is defeating them. Another high school failure.

Meryl Dorey misreads evidence and misleads on HPV vaccine

How much more evidence are we going to need to see before we say that we registered this dangerous vaccination before we had any idea of the many autoimmune conditions it would cause? It’s time to withdraw Gardasil and Cervarix from the market. Meryl Dorey, President Australian Vaccination Network, wrote on June 20th [or 21st Australian time].

The only problem with the above statement is that the evidence Dorey cites does not implicate HPV vaccination as causal to any reactions. We’ll get to that.

It was predictable. Any straw that blew past suggesting adverse reactions, no matter how tenuous, to vaccination against papillomavirus would be seized by Meryl Wynn Dorey. Particularly given this June 18th Lancet study abstract – two or three days earlier – entitled Early effect of the HPV vaccination programme on cervical abnormalities in Victoria, Australia: an ecological study. And just to knock out the “all vaccine research is funded by Big Pharma” untruths; the funding for this study? None.

We do know that vaccine and screening registers aren’t linked. So we’re unable to conclusively comment just yet on the numbers of vaccinated girls presenting without pre-cancerous cells. HPV vaccine is the only variable however, and database linkage would allow more explicit results. We can read above that data collected twice before and twice since the programme began, show a marked negative deviation away from the linear progression of HPV infection induced adenocarcinoma’s and cytological abnormalities.

It is further encouraging in that no change was noted in age groups already sexually active. On June 17 SMH published Cervical cancer vaccine working: study

AUSTRALIA’S cervical cancer vaccination program appears to be paying off, reducing the number of pre-cancerous cells found in young women, a new study has found.

Melbourne researchers have reported in The Lancet that the number of high-grade cervical abnormalities found in Victorian girls under 17 has halved since the program began in 2007, taking the incidence from about one in 100 to one in 200.

It also reported the beginning of a declining trend of abnormalities in women aged 18 to 20, but said there had been no drop off in older age groups.

The researchers said this was probably because older women had already been infected with the Human Papillomavirus (HPV) through sexual activity. The cervical cancer vaccine protects females against several strains of the Human Papillomavirus because it is known to cause cervical cancer.

On July 6th, SMH published, Huge Success for Gardasil;

Rates of new genital wart infection in Australia have plummeted, research shows, in an early positive sign of the success of mass Gardasil vaccinations.

A study taking in patient data from sexual health clinics across the country has shown up to a 60 per cent drop off in new genital wart cases since 2007, when the anti-cancer vaccine was rolled out.

Gardasil works by preventing the transmission of four strains of the Human papillomavirus (HPV), two of which cause cervical cancer and two which cause genital warts.

Experts say while its effect on cervical cancer rates would take longer to materialise, the vaccine’s ability to prevent a less serious though embarrassing problem was now clear.

[….]

“While we knew from clinical trials that the vaccine was highly effective, Australia is the first country in the world to document a major benefit for the population as a whole.”

Free Gardasil vaccinations were offered to Australian girls and young women, aged 12 to 26 years, and about 80 per cent of those eligible are thought to have taken up the offer.

Researchers pooled data from eight sexual health clinics Australia-wide, covering 110,000 new patients and the period from 2004 to 2009.

So let’s quickly examine how the Australian (anti) Vaccination Network weaves it’s lethal message. Dorey’s Twitter account announces, “Autoimmune hepatitis type 2 following anti-papillomavirus vaccination in a (sic) 11 year old girl << more evidence of vax issues”. I followed the link to Dorey’s own website and Tweeted a reply I copied directly from there. “we do not provide evidence for a causal link… may be related… to vaccine… in a genetically predisposed individual”.

Remember, Australia’s self-titled vaccine expert has claimed at the top of her post that, “It’s time to withdraw Gardasil and Cervarix from the market.” I’m not dismissing the seriousness of the potential relationship here “in an 11 year old girl”. But in context imagine how many lives would be lost and disturbed if Dorey’s claim was implicated. Genital warts would increase by 60% and pre-cancerous lesions would double. Here’s the giveaway paragraph. Bold mine, showing five phrases that refute conclusive causality:

Although we do not provide evidence for a causal link, we suggest that the occurrence of the autoim- mune (sic) hepatitis may be related to the stimulation of immune system by adjuvated-vaccine, that could have triggered the disease in a genetically predisposed individual.

Here’s Meryl Dorey‘s entire post.

The actual abstract is here. More so Ms. Dorey asks, “How much more evidence are we going to need…”.

Well with all respect, a damn sight more evidence than a single case of HV2 that could have been triggered due to genetic predisposition in one child. A case that’s suggested as maybe being related to HPV vaccination, alongside a clear qualification of the absence for a causal link.

Indeed Dorey’s abuse of the word “evidence” and the quite ridiculous call to abandon the programme is neatly opposed by the caution employed by The Lancet article authors. The Guardian reports in part:

Australian study of injection to protect against HPV virus reveals drop in high-grade abnormalities among under-18s

…. That finding, say the authors, “reinforces the appropriateness of the targeting of prophylactic HPV vaccines to pre-adolescent girls”.

The findings were greeted with international interest.

“The not-so-cautious optimist in us wants to hail this early finding as true evidence of vaccine effect,” write Dr Mona Saraiya and Dr Susan Hariri of the Centres for Disease Control and Prevention in Atlanta, US, in a linked commentary for the journal.

But they said they wanted to know more about the vaccine status of the individuals (each woman is supposed to have three shots) and wanted more work to establish whether the reductions in potential cancers were really a result of vaccination or some other cause.

Michael Quinn, professor of gynaecology and gynaecologic oncology at the University of Melbourne, said: “The study is the first anywhere in the world to show falling rates of high-grade change in very young women.

“Although this is likely to be due to the effects of the vaccination programme, further analysis of information linking women’s smear history to their vaccination history will be needed to prove that the fall is entirely due to vaccination rather than other factors.”

Public health experts say that women should not assume they are not vulnerable to the disease after vaccination and should still go for regular screening checks.

In conclusion it appears once again Meryl Dorey is using her hatred for evidence based medicine and vaccines in particular to scare monger an innocent public.

The “Groundbreaking” Vaccine-Autism Investigation Release of May 10th 2011

“You cannot hold the truth back forever. And when that dam breaks, the flood will wash away those who have suppressed these facts to the detriment of our kids. It is time for the piper to be paid.” Meryl Dorey: President of The Australian Vaccination Network Inc, May 10th, 2011
Around the first week of May a “major investigation” breakthrough was promised by USA lawyers and anti-vaccine identities acting for certain parents, supposedly claiming to have been compensated for vaccine induced autism. Reported irresponsibly here by FOX News , the much touted “proof” was proffered by a team headed by Mary Holland. Mary is co-author of Vaccine Epidemic: How Corporate Greed, Biased Science, and Coercive Government Threaten Our Human Rights, Our Health, and Our Children.
A document compiling these Vaccine Injury Compensation Program (VICP) data would “blow the lid off” the vaccine-autism controversy. The number of cases were rumoured to be 80 plus – not “hundreds, possibly thousands”, as Meryl Dorey claimed many days later on 102.9 KOFM – see below.
The release was due to happen on May 10th. From Lisa Jo Rudy writing for About.com;
“Findings on autism and the vaccine court to be released today”
Investigators from Pace Law School in New York will be joined by parents and children with autism to announce a groundbreaking study that strongly suggests a link between vaccines and autism on Tuesday, May 10 at 12:00 pm in front of the US Court of Claims (717 Madison Place in Washington DC).
The study, which was carried out using readily available, public government data, found that a substantial number of children who have been compensated for vaccine injury by the federal government have autism – more than three times the national prevalence.
However, as the government publicly denies a link between autism and vaccines and claims these individuals have been compensated for brain damage and seizures, of which autism is often a symptom, this study casts a serious doubt on previous findings by the government regarding vaccine safety. This is the first time this study is being unveiled.The investigators will be calling upon Congress to immediately investigate the Vaccine Injury Compensation Program and plan to hold Congressional briefings.
We’ll return to Lisa Jo directly.
Some clarification:
The USA National Vaccine Injury Compensation Program, the associated Act and Court, serve a vital purpose. The programme quite rightly compensates children who suffer permanent disability from vaccine reactions. It’s absolutely essential. We’re familiar with Wakefield’s fraud, the misconception that autism can be an immediate side effect from vaccination, that autism can be eventually “caused” by vaccination and of course the resulting drop in vaccine coverage as a result of these fears. But we are less familiar with the very real tragedies that effect vaccine injured families – albeit at extremely low rates.
There are no-fault compensation schemes in 19 countries. Australia lags behind somewhat. Germany began theirs in 1961. France 1963, Switzerland 1970, Denmark 1972 and our pals across the Tasman, New Zealand in 1978. A review of international programmes was published earlier this year by Looker and Kelly – doi:10.2471/BLT.10.081901.
At time of writing an editorial was published today, May 6th, online in the Medical Journal of Australia – eMJA. Published by Kelly, Looker and Isaacs it is entitled, A no-fault compensation scheme for serious adverse events attributed to vaccination. Referring to the WHO criteria for adverse events following immunisation – AEFI – it suggests our “enviable reputation” in this area could be improved by better monitoring and a no-fault compensation scheme.
Such a programme would offer much to silence the appalling manipulation of media outlets, spread of misinformation and the many characteristics of outright offence orchestrated by the anti-vaccination lobby. Immediately we see adverse events following immunisation. A favourite of Meryl Dorey of the discredited and misnamed Australian Vaccination Network when interviewed publically is to obfuscate the anti-vaccination stance yet insist vaccination “is not the same as immunisation”. Immunisation is only truly gained from having the disease, whilst vaccination is a pharmaceutical hoax, they argue.
Also in the habit of denying herd that immunity has any protective effect, the AVN would be pushed to explain the following from the MJA editorial.
Any person who is injured while helping to protect the community — for instance, by contributing to herd immunity, such that there are sufficiently many people immunised to prevent widespread disease transmission within the community — should not bear the consequences of injury alone. In essence, the community owes a debt of gratitude to that person.
However, as important as acknowledging vaccine related injuries do occur and deserve compensation is, we must be careful to place them in context. Risk-benefit ratio is the key here. One is far more likely to die or be maimed doing housework or changing a light globe than be injured at all by any vaccine.
Looking at the graph below, we see encephalitis effects children at a rate of 1 in 1000 – 5000 measles cases and 1 in 1 million MMR jabs. Meningitis is similar for MMR, but presents a 5000 times greater risk for measles cases. “Convulsions” are documented as RSD; Residual Seizure Disorder in the USA.
measles mumps risk benefit chart from the encephalitis society
Source: The Encephalitis Society http://www.encephalitis.info/
Read page one here. Read page two here. Read the full document here.
Autism ‘epidemic’:
The apparent “epidemic” claimed to be caused by the ethyl mercury containing vaccine preservative thimerosal, then the “number” of vaccines and now just vaccination itself (as each cause is shown to be wrong) is very likely due to diagnostic criteria.
A recent survey study in the UK, published in the Archives of General Psychiatry, May 5th, used todays diagnostic criteria on adults. Of all new cases, not one knew they had autism. Using todays criteria, children present with 10 cases in 1000. Adults, 9.8 cases in 1000. This tells us volumes about exploitation of the fear factor by anti-vaccine lobbyists. Autism for most, conjures disturbing images. In fact since Autism Spectrum Disorder became accepted we saw the growth of many expressions including High Functioning Autism and Asperger’s Syndrome, and the decline of less pleasant terms such as “retarded”, “mental”, “slow”, “special”, “difficult” and so on.
This was summed up in the opening sentence of articles reporting on these findings: “Not a single person identified with autism or asperger’s syndrome during a community survey in England actually knew they had the condition, research led by the University of Leicester reveals.” See:
“Most adults with autism go undiagnosed” AlphaGalileo
“University of Leicester researchers present further evidence from first ever general population survey of autism in adulthood.” Disabled World
“Epidemiology of Autism Spectrum Disorders in Adults in the Community in England.” Archives of General Psychiatry  –  doi:10.1001/archgenpsychiatry.2011.38
Nonetheless, with a population approaching 310 million in the USA it is expected that the VICP will be required to pay no fault compensation for life time care of steadily increasing numbers of vaccine injured children. My guess with the Mary Holland team’s grandiose promises was that something unscrupulous was afoot and legitimate encephalitis cases were being exploited. Arguably this is true for certain elements – such as Age of Autism, The Australian Vaccination Network and Generation Rescue. Personally, I conclude that “autism-like symptoms” are no doubt tragic but do not conclusively prove causality of, or existing autism.
The other concern was use of phrases like “parents of children with autism who received compensation from VICP” would speak. But we need to see “children who received compensation from VICP because of their autism… [or] … as a result of developing autism”, before one can begin to accept any claimed causal link.
Unanswered Questions:
Back to Lisa Jo Rudy. On May 11th she wrote Update on vaccination court raises questions, noting that The Pace Law School had contacted her and asked about her previous article.
I just heard from a representative from the Public Relations department at Pace University School of Law. She wondered why a press release cited in my earlier blog would say that members of their law school had been involved with the investigation into and presentation of “Unanswered Questions From the Vaccine Injury Compensation Program: A Review of Compensated Cases of Vaccine-Induced Brain Injury,” when there was no such involvement in either the investigation or the presentation.
I did respond to Danielle Orsino, who sent out the press release, asking the question:
Were there cases in which the vaccine court awarded a settlement for damage that manifested itself as the symptoms of an autism spectrum disorder? Was the term “autism” ever used to describe the outcome of vaccine damage (eg, “the child suffered from neurological damage resulting in autism”)?
Danielle responded quickly, saying “The study strongly suggests a link between autism and vaccines. The study found that of those who had been compensated for brain damage due to vaccines, a much-higher-than-average number also had autism. The study makes an extremely strong case for the vaccine-autism connection, which is why the study’s authors are urging Congress to investigate the Vaccine Injury Compensation Program.”
This response seems to suggest that the simple answer to my question is “no”.
Not much ambiguity there. Iʼd suggest: No causal relationship between vaccines and autism as it would be accepted by the medical, legal and academic community.

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