Dumb and Dumber: Making antivaxxers look good

Sometimes what may seem like a good idea can backfire horribly because well, it really wasn’t much of an idea at all.

So it was with a post headed Australian Vaccination Network Seminars on the irreverent and uniquely themed blog, JABS, Loonies – Justice, Awareness, Basic Support and Mind Blowing Stupidity. Keep that last bit in mind – mind blowing stupidity.

Now, I get this blog. No problem. It’s giving voice to no-nonsense criticism using colourful language. The author, Rebecca Fisher or just Becky, set out to post a daily comment from JABS to reflect the tenuous grip on reality we see accompanying top shelf antivaccination beliefs. Then, to Becky’s horror JABS seemed to moderate the “loonies”. Enter Age of Autism and The Australian Vaccination Network. An excellent choice, I concur.

Becky sprinkled the above post with plenty of swearing and foul ridicule. If you know how Becky writes and appreciate her style, it may well be quite funny. I personally enjoyed the description of Greg Beattie’s book. Not that I’d describe it that way, but because Beattie is a smug, attention seeking liar happy to profit from the harm he inflicts on other Aussies. His book is banally deceptive dreck, the title of which is not worth repeating.

So, “used bog roll” does suffice although I would query the ultimate value of additional swearing. After all, describing the real Greg Beattie is far more shocking, sickening, disgusting and of course hilariously funny, than any colourful delivery could hope to accomplish.

Like the other person Becky ridicules, Meryl Dorey, he denies the origin of HIV/AIDS in favour of the notion it’s a vaccine wot dunnit. When Dorey’s “invitation” to genuine medical practitioners to present at these “seminars” was knocked back, Beattie “volunteered” to take the place of high caliber professionals. Managing in the same offer to personally sneer at another doctor. In accepting this mockery, Dorey cut her potential attendance figures significantly.

Jane Hansen admirably describes the Greg we all know and love in action at Lismore:

In the absence of a balanced debate, anti-vaccination author Greg Beattie says he is going to try to convince everyone that vaccinations are great. He confesses he did a 15-minute Google search on the benefits. “We see these recurring themes ‘vaccines saves lives, medical miracles, diseases used to kill children’,” he says, but his tone is dripping in irony. […]

He’s done a lousy job of explaining the benefits of immunisation. We did not hear, for example, that diphtheria – the biggest killer of Australians in the early 1900s – has virtually vanished. Or that the 150 deaths in Australia in 1963-64 became zero by 1998, or that the only recorded death recently was that of young woman from Queensland who was not immunised as a child. Her immunised boyfriend carried the disease back from an overseas trip. She died, at 20.

It’s plain from the petulant lead up and the reality described by Hansen that all Dorey’s propaganda on pro choice and respect for medical advice – she called one aspect “a crock” – was forgotten for what is essentially deceit. No doubt Becky is well aware of this, and in her unique way summed up Dorey’s sociopathic and narcissistic personality disorders by labelling her f***ing evil.

What Becky might not realise is that Dorey and her minions live for this very type of insult. In fact, whilst writing “in character” if I may employ a phrase, it’s easy to “hear” the tone in which it’s intended to come across. It may resonate like Penn and Teller. Or well known stand up comedians who leave us doubled over in tears, merely capable of nodding in agreement.

But the gamble is, will your audience always appreciate it? Well no, and I’m sure Becky is not that gullible nor rightly gives a toss for prudish criticism.

The problem we arrive at however is that Dorey will use this “attack”, as her personal academic-in-waiting documents such criticism, to garner sympathy with the very people Becky was hoping to persuade against tolerating such seminars. The bigger problem is that it’s a kick in the guts to those who have been tackling the AVN for years. Whilst it’s true antivaxxers use a similar template, AVN in-group management is a strictly coordinated affair.

Recently the AVN has been caught with little more than false tales of persecution. Turn up the brightness on this mess and it can be seen that their manufactured dissent is truly ridiculous, whilst a quick tally of vile outbursts, scams, intimidation and bullying puts the AVN in a league of it’s own. For the first time in two years, Dorey has not invented stories of being hassled and threatened by “the skeptics” prior to her seminars.

Well, now she doesn’t have to. The reaction to Becky’s post was swift. Cunning from the outset, notice Dorey doesn’t (or can’t) refer to herself. She claims the post is “attacking someone who believes in informed vaccination choice…”. No. It attacks only Dorey and Beattie. But almost exclusively Dorey. There’s some weird depersonalisation issues at play in that troubled, dangerous psyche.

Someone has just sent me a link to this blog Dorey announced on Facebook. And:

 – which is the foulest, most vile piece of rubbish I’ve yet to read from the pseudo-sceptics. This blog is written by a person who can’t seem to write a sentence without both attacking someone who believes in informed vaccination choice and calling them a 4-letter word.

Great. “Pseudo-sceptics” is Dorey-code for actual skeptics, science advocates and devotees of scientific skepticism. In using the term Dorey makes a mockery of herself because the definition encompasses AIDS denial, vaccine denial, indeed evidence denial in general:

Pseudoskepticism, by contrast, involves “negative hypotheses” – theoretical assertions that some belief, theory, or claim is factually wrong – without satisfying the burden of proof that such negative theoretical assertions would require.

RationalWiki take it further such that one almost expects to read Meryl Dorey’s name as a famous pseudoskeptic. In effect, Dorey has confused notions from Hume’s philosophy of True Skepticism with a Facebook post an antivaxxer made one day using the term. Dorey delightfully called it “a keeper”, and along with her inability to research the rest is history.

Yet, as incredibly wrong as she is, her response to Becky’s post indicates a shift toward blaming her regular critics for being vile and foul mouthed attackers. Horribly she gets a free kick for that appallingly misleading “informed vaccination choice”, to describe the lockstep of vaccine conspiracy.

For impact Dorey copied in Becky’s list of top search results, then continues:

Notice the addition of “small hate group”. Suddenly Becky is a hate group? No. Dorey may follow this up with a letter blaming Stop The AVN and The Australian Skeptics. Directly pointing the finger for suppression of free speech, threats and footnoted with Dr. Brian Martin’s “research”. It’s vintage Dorey, twisting anything to her advantage and tutoring her minions to the nth degree.

Suddenly she’s gone all patriotic. One day Australia is a Health Fascist Scientocracy. Next we have our American loiterer, hell bent on destroying Australian public health, actually telling Aussies what the RSL stand for. Incapable of independent thought the flying monkeys screech into action:

Until then, Dorey hadn’t been urging her minions to write to the RSL or other Services clubs. Perhaps however, other diligent health advocates were in touch with various venues. Perhaps directing them to various accounts of Dorey’s first effort and her vicious ranting screeds in response to criticism.

Now these same clubs or individuals will read the far more offensive and pointless attack against Dorey, and associate every cautionary warning with that outburst. Those making the decision are unlikely to know the first thing about antivaccination deceit. They are far more likely to be the type of prudish critic Becky would not attract to her blog initially.

Dorey will win the sympathy vote and the persecution meme is off and running again.

The flapping, swooping and screeching actually gets worse. In this thread is a “Chris Savage” who earlier lied heroically:

I am an ex-Sgt of Police after 20 years in Queensland. Every SIDS mother told me their babies were healthy prior to vaccines and then deteriorated and died after.

So Dorey’s Darlings – and particularly stalker, poor Liz Hempel – are grabbing screenshots. Hempel has stalked one woman who jokingly said she’d throw fruit, found out she is a police communications officer from her blogger profile and urged for a complaint. Sergeant SIDS likes the idea and has chimed in with the details on where to lodge a complaint.

Now, I think that’s as pathetic as everyone else does. On a positive note it helps my steadily increasing dossier on how AVN members are demonstrably attacking people well outside of any “debate” that Dr. Brian Martin purports to be documenting.

I’ll spare you any more of the thread. It’s full of fawning and worship. At one point Meryl is likened to a giraffe and Becky’s post to a skinny, malnourished, barking chihuahua.

Whilst Meryl’s head is certainly in the clouds the problem with Becky’s post is not the suggestion to forewarn venues and certainly not the points listed. Meryl is indeed a liar, thief, scam artist, criminal and so disturbed on so many levels she appears to not care if children live or die or are brain damaged for life.

All these points can be made on merit. Not with abuse. Abuse only feeds into Meryl’s diversionary tactics and tend to lend credence to her schemes by lowering the tone of her opposition. Dorey has no evidence and that is plain. All evidence on vaccination shows her to be dangerous and all evidence on herself bears out what I just described above.

Now however, a very good opportunity to at the very least have her scrutinised at these venues has either been lost or markedly tainted. The tiresome and scratched record of persecution and abuse gets a new lease of life. Every audience will now hear of this “most vile piece of rubbish”. Every attendee will be told this is how all of her critics behave.

Personally I have no problem with Becky’s post. I think it’s entirely proper to place irrational enemies of reason in their proper place. That does include ridicule and free speech makes that everyone’s prerogative. What I am concerned about is the outcome, which was entirely predictable.

So what’s been achieved? Nothing. Backward steps. Unless one has personal contacts within the RSL it would be damaging to now write to them. Letters critical of Dorey will be associated with a senseless foul mouthed rant. The “loonies” Becky wants to launch into have a new lease on life and have bonded splendidly, reinforcing their beliefs. That is exactly what we don’t want.

There’s no doubt that abusing someone over their beliefs reinforces those beliefs. This holds true for onlookers and is actually helping Dorey. That’s bad for upcoming generations. It’s also true Dorey exploits abuse and criticism by injecting it with a dose of fiction. I doubt she’s finished with this one yet.

Doing the right thing for people that the Dorey’s of this world have abused – many of them now “loonies” themselves – doesn’t require mockery and ridicule. Garnering support and protecting children and future generations from the damage these creatures do is something that can, if not must be done on merit. Meryl Dorey might be cowardly, cruel and callous, but she still knows how to score points.

That’s no joke.

Manipulation, not gullibility may be driving alternatives to medicine

We hear so much about what alternatives to medicine are not doing, it’s perhaps worth pondering what they might be doing.

Beyond producing a placebo effect, which I stress is nothing to sniff at, it seems we can articulate other accompanying features we would do well to understand. One usually thinks of prescription writing conventional doctors upon hearing expressions like “we expect a pill for every ill”. This is not without good cause. As we saw medicine leap forward and family consulting rooms multiply, the gap between symptom severity and seeking attention quite naturally narrowed.

Yet whatever was going on in our minds that modified our part in closing that gap is a restless beast indeed. Part worry, part suspicion, part urgency, part ignorance, part arrogance, part fear, part expectation, part assumed knowledge and more, it can play a role in convincing us we’re ill – or far more ill than we are. Doctors now know that pandering to this aspect can lead to over-prescription, self medication and hypochondriacs. As a result the medical profession has learned how to manage certain traits with placebo and/or skilled bedside manner.

However, the industry to far and away exploit the sole notion of people needing attention for absolutely no reason is the so-called Wellness Industry. It is aptly named, proffering entirely useless or arguably harmful potions, rituals, observances, gizmos, pokes, prods, states of mind and more, to the entirely well.

But why? As one woman informed ABC’s Lateline some time back as they examined the scams used by chiropractors, It’s “…maintenance… making sure everything’s working properly, making sure everything’s working at its best”.

Sure enough the chiropractor asked her to bend to the left, then right. “How that going for you?”, he asked in the tone real doctors might use when examining an actual problem. The woman gets a check up every 4 to 6 weeks. The question we need to ask is about the driving force for her to ask someone if she is in good health. Is it a type of hypochondria? Is it a type of “self medication” in which one seeks out excessive treatment? Is not this chiropractor simply pandering to a psychological state, when his best advice would be to encourage less dependence?

I’m sure she felt better after paying, because just like with Cold Reading all the action occurs within the patients mind. In this case a complex array of cues, sciency stuff, repetition, anatomy posters and models, machines that go “Bing!”, tones of voice and even payment lead up to a nice squirt of dopamine upon completion. The woman is simply conditioned to associate the entire hanky panky with feeling good and thus, better health.

Of course take away this experience without the woman’s consent, and the more time that passes the more anxiety will mess with critical thinking and the usual creaks and twangs she’d ignore become directly attributable to not making it to her “maintenance”. This is the truly brilliant aspect of Wellness Scams. Even when their “patients” are well away from them the urge to return is steadily growing.

People don’t need chiropractic rituals as “maintenance” of health. Thus to continue to exploit this woman is unethical abuse simply for monetary gain. Get them hooked on this notion and it’s easy money. When challenged for evidence of efficacy these visits are trotted out, as if volume of attendance equates to success.

This is why chiropractors, shady nutritionists, reflexologists, reiki magicians, homeopaths, traditional therapists/masseurs work so hard at reinforcing “hits” between their scam and the patient verbalising an association. In the case of New Age diagnostics – often combined with a “therapy” (say iridology and vitamin therapy) – it’s quite simple to create a syndrome that just might be about to run amok.

“Hmmm. We’d better double the selenium, calcium and vitamin E and get you to come in at least twice a week. Let’s see if we can’t nip this in the bud, shall we?”.

It is actually a welcome trait seeing individuals wanting to take more charge of their own health. Certainly that plays a role in the viability of ongoing pseudosciences that masquerade as health services. Perhaps combined with the highly visual and ritualised capers pretending to offer health people are feeling in more control of their health than with brief doctors consultations. It may be that in our present uncertain world of such frequent change to once permanent features, that one seeks out modes of reassurance.

What is certainly a concern is that as people seem intent on taking more control over, and playing more active roles in their own health management, there are charlatans highly skilled at taking advantage of human needs. Nothing is too  difficult for them, nothing cannot be understood, all can be managed and all will be well.

At the top of the scam pyramid reign chiropractors, at once tuning, “diagnosing” and “curing” entirely made up syndromes that engender fear, anxiety, poor decision making and dependence upon ritual in innocent people. So good are chiropractors at this that pregnant patients, fed lies about the needs of newborns, express an impatience for delivery. All so that their neonate can begin chiropractic and thus, start to overcome the abnormalities they believe all children are born with.

Chiropractors run workshops on increasing income. The malleable state of women in a state of hormone flux either side of gestation is well understood. Not for the “patients” benefit. For the benefit of profit born of maternal anxiety and parental fear. It becomes a matter of urgency. The longer left, the more “abnormal” the child will be. Antivaxxers make use of the maternal instinct also, as do renegade home birth groups.

It’s a trait that has served our species well. If mum receives bogus input suggesting the foetus or bub is under threat, no harm comes to either if mum acts upon it. But if mum hangs around to weigh up the risks or ignores constant cues for some time and the risk is real, the chance of this remaining as a successful evolutionary trait is zero. The strength of this trait is notable in that addiction to harmful substances can overrun it. Yet this is following changes in the reward-pleasure centre of the brain, that then initiate neuronal projections into the frontal lobe that serve to inhibit reasoning, decision making, self control and inhibition of behaviour.

Antivaccination lobbyist, AVN member, anti-medicine advocate, homeopathic immunisation promoter and chiropractor Simon Floreani who has children making up 60% of his client base once told Today Tonight:

Babies often come directly from the hospital. They’re referred from the obstetricians, the doctors, the pediatricians, the nurses because chiropractic care’s so safe for them. Many of the current medical procedures just don’t work and parents aren’t silly. They’re looking for good alternatives from people that care and are prepared to look into diet and lifestyle.

As one time Skeptic of the year, Loretta Marron contends, “what they are is faith healers”. Traditional chiropractor John Reggars insists it’s a case of self limiting conditions or perceived changes. From an evidence viewpoint there’s nothing to support chiropractic – even with sore backs.

Update: In fact studies of infant crying and chiropractic therapy suggest treatment reduces crying have a high risk of performance bias. Indeed as parents are the assessors the results may be shared by parental belief. This Cochrane review of infantile colic and chiropractic notes (p.2);

However, most studies had a high risk of performance bias due to the fact that the assessors (parents) were not blind to who had received the intervention. When combining only those trials with a low risk of such performance bias, the results did not reach statistical significance. Further research is required where those assessing the treatment outcomes do not know whether or not the infant has received a manipulative therapy.

There are inadequate data to reach any definitive conclusions about the safety of these interventions.

It’s important to realise that this review concluded the above based on “most studies”. It has consulted this RCT by Miller, Newell and Bolton (see p.25 of Cochrane review), and still found data to be inadequate to reach definitive conclusions.

Thus potentially, if parents think the infants are getting treatment they may be reporting improvement even if there is none. Conversely if they believe the child is not being treated when it is, they may report adversely. /Update

The Courier Mail reported recently:

SCIENTISTS spent $374,000 recently asking people to inhale lemon and lavender scents to see if it helped their wounds to heal. It didn’t.

The National Centre for Complementary and Alternative Medicine in the US also outlaid $700,000 to show that magnets are no help in treating arthritis, carpal tunnel syndrome or migraines.

The centre spent $390,000 to find that old Indian herbal remedies do not control type 2 diabetes and $406,000 to prove coffee enemas do not cure pancreatic cancer.

It’s the same story around the globe. One by one, weirdo treatments are being exposed as bunkum.

Why are people so gullible, handing over their hard-earned cash for unproven alternative therapies?

Why do usually sane people get sucked in by pseudo-scientific fiddle-faddle such as homeopathy, reiki, reflexology, naturopathy, aromatherapy, iridology and crystals? […]

Chiropractors have now been discredited by every reputable medical organisation from the Royal Society down, yet people still spend up on these bone-crunchers and state and federal governments seem unwilling to shut them down.

Recently I reported on two experts on alternative medicine who reviewed all the evidence and concluded chiropractic was “worthless”.

Professor Edzard Ernst and Peter Canter found no convincing data to support claims the technique was effective.

With the possible exception of the relief of some back pain – where spinal manipulation is as good but no better than conventional treatments – the technique is worthless, the review in the Journal of the Royal Society of Medicine concluded.

Another impacting feature is the “legitimising” tricks buffering complete rubbish. “Diplomas” in homeopathy. “Degrees” in chiropractic. The meaningless but very powerful use of the term Doctor. Flashy titles given to Boards or National Bodies. Misleading titles such as The Australian Vaccination Network that supports zero vaccines calling them “instruments of death”. “Pro-choice” groups. All this is strictly designed to mislead from the outset.

Yet I’m not sure asking only about gullibility is enough. Gullibility persists often due to a conscious decision to not examine criticism of what has become a comforting belief or set of beliefs. More so we are hard wired to seek out information that confirms what we think we know as fact and associate with people who reinforce our beliefs. Even internalising contradictory information about our beliefs can in time lead to reinterpretation that reinforces the opposite of the information we took in. Cognitive bias is a powerful master.

An admirable foe to conventional medicine who pops up here, Meryl Dorey, completely dismisses the findings above. Yet, when criticising vaccines she relies upon respect for the same scientific approach. “The gold standard of scientific research”, she argues, is the Randomised Controlled Trial. As RCT’s mow down alternatives to medicine Meryl insists that until vaccines are subject to RCT’s they cannot be regarded as “properly tested”. Although Meryl is beyond reason (as evidenced by this level of ignorance about how RCTs work) it’s a fine example of how belief can eliminate respect for evidence.

Perhaps we should be asking more about what leads people to internalise so much misinformation about the world we live in and the basics about how it works. So much of the market sustaining disproved alternatives to medicine also accept without question that our environment is highly toxic, it pollutes our health and natural new age “cures” are needed. They also believe conventional medicine, hiding the truth about “natural cures”, is irrevocably corrupt, peddles poison as medication and is ironically creating a world of sickness from which it profits.

Much of this is provided to them from so-called “alternative practitioners”. Detox’ is necessary. No, it’s quite dangerous. Medicines treat the symptoms not the cause. Quite true, I hasten to add in many cases. I’m just not sure why this is assumed to be a blanket flaw. Figures on medical mishaps draw concern. Yes real doctors are accountable and mishaps are still a small percentage. Adverse reactions from drugs prove medicine is lethal. Quite wrong. Primarily ADR’s underscore patient error, and again given the millions of scripts dispensed is another small symptom of accountability.

The truth is, Conventional Medicine is not peddling sickness and keeping you ill for profit. But Alternatives to Medicine are profiting from the false belief you need maintenance and from keeping you splendidly ignorant.

This continued misinformation about real medicine takes up an exorbitant amount of the message coming from the supposed “complimentary”, “alternative” or “integrative” chapters. From antivaccination messages to the vast bulk of alternatives to medicine the claim of “efficacy” is buoyed upon a childish notion. “We are good, because they are bad”. The more “bad” squeezed in the less the need for evidence to show Theta Healing could possibly work or that oscillococcinum isn’t plain nonsense.

Still this doesn’t explain everything and I don’t imagine I could. What causes one mother to accept antivaccination hogwash in a maternal embrace and another to sink her teeth into its carotid artery, so to speak? Personal experience can shape belief but even here outside forces tend to be the final decider. Certainly scientific literacy and the awareness that one must trust experts in certain fields is crucial to good decision making.

Alternatively, having “researched” every crackpot self affirming, disreputable source whilst avoiding reputable – indeed any source – material is intellectual sabotage. Likewise being affluent and highly skilled in one area doesn’t immediately make a person “educated” as the media insist on telling us.

At best one could argue that so many scams continue to attract patronage because they offer an emotional and psychological package of oneself taking control. Lengthy consultation sessions provide for bonding and a sense of loyalty.

Much of the practice or ritualised session is designed to instil reliance and dependence upon the so-called practitioner. Bogus symptoms and syndromes are tacked on whilst alienation from conventional medicine evoking feelings of betrayal and self-superiority sinks in. Reading material and other patrons readily reinforce this.

Some charlatans often claim their Wonder Woo is suppressed by Big Pharma, as was the case with Francine Scrayen, Dr. Death Sartori charged in multiple countries and QLD MMS wielding cancer curing, scam artist Jillian Newlands. Although most often this is announced to the very desperate and the most ill.

Ultimately it appears that if we are to push down this bubble of bogus practices we need to understand just why so many of us are seeking attention to our state of being. It is not last ditch desperation or even seeking treatment for obvious illness. People need attention and in seeking it they are being sold dependence.

Dependence upon forces, rituals, cleanses and superstitions they previously never knew existed. That so much of this comes with ready packaged insults toward conventional medicine instills distrust of the very regulators who must act for the public good.

Perhaps as more and more scams are shown to be clinically useless, those that have depended upon them need to be educated in how they’ve been manipulated.

Scientific consensus is a myth and flu vaccine infects with influenza

I was astonished to read this tweet today from well known anti-vaccination identity, Meryl Dorey:

Certainly, I agree that science never “proves” anything. Mathematics and logic have “proofs”, but not science. Which is why scientific consensus provides us with invaluable insight into evidence that applies to matters of science. More so, it is the flexibility of scientific consensus that gives one confidence in science. Dorey’s proposed infinite loop of unending testing is a semantic trick, designed to convey a feel of impotent stasis.

Scientific consensus provides the best explanation from the very best and most reliable of all possible theories. It has after all, extended lifespan and quality in the developed world. Surely there must be more to this reworking of reality. Facebook rewarded my curiosity.

I see. Further application of what we consulted just recently. Meryl’s Equation: < 100% = 0%.

Thalidomide was a watershed in how drug trials are conducted. The tragedy forever changed the way trials proceed before drugs are released onto the market. Vioxx – Merck’s COX-2 inhibitor – is equally concerning. Yet Vioxx represents regulator apathy and a triumphant change in scientific consensus. The FDA approved it in April 1999 and it was recalled completely by Merck in September 2004. There was no “ignoring evidence that their consensus is wrong”.

I’m not seeking to whitewash either event but they do not render scientific consensus as a valuable and crucial notion, suddenly useless.

I imagine mentioning “mercury” is aiming to cast the removal of thimerosal from childhood vaccines, in response to unfounded fears and a drop vaccination rates, as evidence it was causally related to autism or other horrors. In fact, speaking of consensus this remains a topical point. Many insist it was foolish to pander to the anti-vaccine lobby as it may be abused to legitimise their false claims. Such is exactly what we see here.

Depending upon what it is confirming, scientific consensus may come under attack as its relationship to the scientific method is open to exploitation and abuse. Denial of anthropogenic climate change, vaccine efficacy and promotion of intelligent design (biblical creationism), rely heavily on trying to undermine the fact of overwhelming scientific consensus. A key weapon here is in producing “their” scientists to attack the work of others and advance a sham alternative.

The relationship between scientific consensus and the scientific method is perhaps poorly understood. Thus, it befalls us to educate ourselves about the sources of proposed consensus. And by that I really mean finding reputable sources and knowing how to spot disreputable sources. I found myself recently struggling to explain these notions to a friend.

In Australia a documentary aired called I can change your mind on climate change. Presenting both “sides” (denialist rehash vs evolving facts) it was followed by an episode of QandA that offered a terribly worded poll. The question was “Would you change your mind on climate change”? By itself, my answer to that question is an unhesitating Yes. Availed of convincing evidence and a change in consensus I have no problem answering that I “would”.

Yet I suspect the question was worded to be seen in the context of the programme. In which case it should have read “Would you change your mind on climate change given the pathetically, preposterous, piffle to poke at the periphery of your predisposition to weigh dissenting views?” Er… No.

Nonetheless I spent a futile half hour attempting to explain to my friend that whilst I need no convincing of anthropogenic climate change, those very views are important to me because of the relationship between the scientific method and scientific consensus. It is because the scientific method makes scientific consensus so potentially frail, that I back the notion of anthropogenic climate change.

So it is with any consensus arrived at within science. The scientific method is the weapon of choice with which consensus is changed. Little wonder then, an anti-vaccination crusader seeks to demean both.

Prior to this another tweet had caught my eye:

This is pure nonsense. Being infected with influenza is “one of the most common side effects” of vaccination against influenza? I think not.

In fact the NCIRS have a handy Fact Sheet on influenza vaccination. Influenza vaccines used in Australia are inactive. Influenza cells in vaccines cannot cause infection. They have lost their mojo.

As Julie Leask pointed out, in what a betting person might argue was the catalyst for Meryl’s merriment, only 1% – 10% of recipients report symptoms of mild infection for “a day or two”. In fact the article entitled Monday’s Medical Myth: the flu vaccine will give you influenza also noted other reasons for claims of inefficacy-by-infection.

  1. Anyone vaccinated might get another virus that feels like influenza.
  2. Some people’s immune system does not respond to the vaccine.
  3. Anyone vaccinated may get another strain of influenza.
  4. (As mentioned) less than 10% have mild flu-like symptoms for up to 48 hours.

Other strains of influenza exist because at the time production began, the vaccine strains targeted were calculated to be in circulation months later. This isn’t always correct. Combined with the other issues influenza vaccine is suboptimal. And suboptimal is manna for application of Meryl’s Equation.

Leask points out that we under-react to the risk of influenza. Costing Australia $115 million annually, it kills 3,000 and hospitalises over 13,500 people over 50 each season.

Nonetheless a visit to Facebook was a definite must.

Writing in Science-Based Medicine about problems associated with suboptimal flu vaccination Mark Crislip touches on “vaccine goofs” prone to Meryl’s Equation (<100% = 0%).

So it’s a suboptimal vaccine.  And that’s a problem. One, because it will make it more difficult to prove efficacy in clinical studies and two, there is a sub group of anti vaccine goofs who seem to require that vaccines either be perfect, with 100% efficacy and 100% safe, or they are not worth taking.

The CDC have this to say:

At least two factors play an important role in determining the likelihood that influenza vaccine will protect a person from influenza illness: 1) characteristics of the person being vaccinated (such as their age and health), and 2) the similarity or “match” between the influenza viruses in the vaccine and those spreading in the community. During years when the viruses in the vaccine and circulating viruses are not well matched, it’s possible that no benefit from vaccination may be observed. During years when the viruses in the vaccine and circulating viruses are very well matched, it’s possible to measure substantial benefits from vaccination in terms of preventing influenza illness.

NCIRS:

[In older people] influenza vaccine is about 30– 40% effective in preventing symptoms of the flu, 50–60% effective against hospitalisation due to influenza, and 70– 80% effective against death from complications of  influenza. Influenza vaccination also appears to reduce the risk of heart attacks and strokes. When there  is a good match between the influenza strains in the vaccine and those causing current disease, the vaccine can prevent illness in about 70–90% of healthy children and adults. The vaccine is less effective in those with an impaired immune system

Certainly then there is no evidence that the influenza vaccine doesn’t work or as claimed, “causes the flu”.

I don’t quite know what sparked this most recent attack on “skeptics” and science in general but I would hope to see better from a so-called “health educator” able to raise funds as a charity.

For now the scientific consensus is sound and overwhelmingly in favour of mass vaccination.

Blind chiropractor who fiddled whilst patient lay dying suspended for 12 months

Dr Forte’s title of Doctor does not imply that he has any academic medical qualification. He does not. It is a courtesy title only and, ethically, is only utilised in the context of his chiropractic practice.

From Inquest finding into death of James Halloran, S.A. April 1st 2010

Mario Forte progressively lost his sight over many years.

Although holding a diploma in sports massage and working part time for himself, his loss of vision demanded a professional downgrade. By the mid 1980’s he would see only shades of light and dark. By the late 1990’s he would be totally blind. As a masseuse he would be subject to reviews, retraining, infrequent accreditation and occasional inspection. There would be… standards. Problems were foreseen (no pun intended).

Could there possibly be a related discipline that allowed contact with patients whilst you pretend to be doing something but actually do nothing? Where you just make stuff up and claim it is of the highest standard? Of course – Chiropractic! In 1978 he began training with a qualified chiropractor for a period of three years.

In the same year he began his own practice at home, whilst still working part time with his trainer. In 1979 he was accepted as a member of the United Chiropractors’ Association of Australasia Limited. When the Chiropractors Act 1981 popped up he became registered under it and has remained so ever since.

In December 2006 Mr. James Halloran visited Forte at his practice at the rear of Forte’s elderly father’s address. At some point Mr. Halloran collapsed and became “convulsive, unconscious [and] unresponsive” on the floor. Australian Doctor report that Forte rang a colleague (4 minutes) discussing options. He then rang a local doctor’s practice, whereupon he was advised to call 000. He ignored this advice.

Three minutes later he tried to call another general practice without success. Then he called 000. Time wasted: 9 Minutes. He fetched his elderly father and Forte claims they did their best to administer “late and inadequately executed” CPR.

Forte had guessed Mr. Halloran was suffering an epileptic fit. As he is totally blind and chose to work alone, a couple of problems with this spring to mind. Although he had no idea of Mr. Halloran’s medical history, for my money, if you’ve got to pick something along the spectrum from “practical joke” to “massive stroke or other cardiovascular event”, then epileptic fit is as good as any.

However, the S.A. Health Practitioners Tribunal, past whom no detail no matter how small shall pass without scrutiny noted that Forte was:

… effectively unable to monitor the patient’s vital signs because he was blind

Yay verily. They continue their astonishing insight:

In other words he did nothing effective towards assisting his patient during this time… He could not check pupil dilation and the other things that would depend upon vision, such as skin pallor or foaming at the mouth. The fact that he could not do so and had that limitation should have occurred to him.

Combining up to the minute health practice knowledge and 2 years hindsight of a 37 page Coronial Inquest Report they offer with blistering understatement:

[Even] if Mr Halloran was to die, Dr Forte’s negligence and incompetence remains just as grave, not in respect of the outcome but in respect of the fact that he did nothing.

This last statement is made due to the fact that Forte was cleared of contributing to Mr. Halloran’s death despite the Deputy State Coroner noting:

Dr Forte at times in his evidence had a reluctance to give a responsive answer to the question asked of him and was unduly intractable and argumentative. […]

In the event, I have not needed to resort to the evidence of the admission to make any finding about whether Dr Forte applied force to the cervical spine, but I do say that [“an impressive professional individual and indeed an impressive witness” – an attending paramedic’s] evidence raises a nagging doubt in my mind as to whether Dr Forte was being completely frank with the Court.

In short Forte had admitted manipulating the spine to paramedics yet testified that no such conversation took place and denied manipulation. As it eventuated the cause of death could not be isolated to having originated from his manipulation. There was pathology evidence pointing to a vertebral artery embolus that had originated elsewhere. This could have caused a respiratory arrest followed by a cardiac arrest. But this cannot be determined. The rare event of vagal inhibition leading to cardiac arrest was raised and dismissed.

In any event death resulted from lack of oxygen to the brain as a probable and direct consequence of Forte’s apathy. From the Inquest finding:

One thing that Dr Gilbert was certain about was that the global brain injury suffered by Mr Halloran was entirely consistent with his cardiac arrest and the consequent lack of oxygen delivery to the brain during that hypoxic period. Dr Gilbert suggested that a brain could survive without oxygen and not be damaged for a period of the order of 2 to 3 minutes. […]

If he was obtaining effective CPR, the 9 minutes that had been suggested might not be regarded as a full 9 minutes of hypoxia. The damage to the brain might not be as extensive as it would be if there had been a period of 9 minutes without CPR. Nine minutes of deprivation of oxygen would, however, involve a lethal insult to the brain and would cause a global severe anoxic injury incompatible with life. […]

All that said, it will be remembered that whatever the position was, Mr Halloran did suffer a severe global anoxic brain injury which signifies very strongly that there was a significant period of time following his cardiac arrest during which he was receiving no oxygen regardless of the competence of any CPR.

It must be noted that the emergency dispatch operator had offered to give CPR instructions to Forte’s parents who were present. Forte agrees with this. CPR was not commenced until 19 minutes after Forte called the other chiropractor to discuss options. At a minimum Forte spent 13 minutes alone with the deceased before physically going to fetch his parents.

However long beforehand Forte had taken guessing an epileptic fit is simply not known. His information is, for whatever reason, flawed. There were two emergency calls, the second including the offer of CPR instructions, yet he at first insisted there had been only one. The paramendic observed “very, very blue” extremities suggesting no effective CPR had taken place. Forte holds a lapsed St. John’s First Aid certificate.

This tragic event highlights much of what is wrong with the pseudoscience of chiropractic masquerading as a health provision service. There is no question of Forte’s ability to manage and triumph over his blindness. Yet one must seriously query exactly what support or interventions were instigated on behalf of the Chiropractic Association and the more responsible Chiropractic Board of Australia to address Mario Forte’s obvious needs and the consequential risk to each and every of his patients. This in turn raises serious questions about accreditation and basic standards.

Let me spell it out. How the hell can a practising chiropractor not hold a current First Aid certificate? There is simply no excuse.

Ill people are fooled by the abuse of the title “Dr.” and the absurdly ambitious claims made by this careless, arrogant and woefully trained sham discipline. Had proper CPR been administered and anoxic brain injury averted Mr. Halloran may likely be alive today. A method for coping adequately with such events should have been available and well drilled. Despite Forte’s shortfalls as an honest witness he has certainly been failed by his profession.

As for the cause of Mr. Halloran’s cardiac arrest we can only glean a possible hint from 3.6 of the Inquest report:

Mr Halloran had not consulted Dr Forte prior to the occasion in question. It is not known whether, at any time prior to Mr Halloran’s arrival at Dr Forte’s clinic, Mr Halloran had any appreciation of the fact that Dr Forte was blind, but it would have been obvious once he arrived.

Obvious indeed.

 

Victorian skeptic & school teacher Adam Vanlangenberg discusses his lunchtime class

The rise of pseudoscience has been significant since cheap, rapid access to information has been the norm.

Regrettably the extreme beliefs held by many have been massaged by those who benefit such that Choice and Point of view (no matter how wrong) is taking the place of Evidence and Peer review. The trendy phrase that bothers me most is “health freedom”.

It’s one thing for hanky panky nonsense to make promises from shop windows and festivals. Yet quite another when it begins to shape the quality of science education on offer in Australian Universities. This rise in what I consider outright scams driven by those who are motivated by ego, self serving ideals and profit has a long history. I accept that many have genuine beliefs in the “wellness” industry. But I am yet to be availed of any evidence that consumer service and health is taking precedence over a vindictive confrontational trend by the many Enemies of Reason.

Recently the group Friends of Science in Medicine formed to address this:

A group of concerned Australian health care researchers and providers has set up an organisation that aims to discourage universities from offering accreditation in unproven medical therapies. The group would also like such therapies to be removed from claimable benefits by health funds.
Currently 19 (out of 39) Australian universities offer courses in unproven and often bizarre treatments such as iridology, aromatherapy, homeopathy and chiropractic.

Keeping up to speed with the norm of attacking Australian Skeptics as the proxy demon for anything evidence based, Meryl Dorey of the Australian Vaccination Network fallaciously wrote on this development:

There is an organisation in Australia which hates every natural therapy. They hate the healthcare practitioners and they hate the healthcare consumers who ‘turn their backs’ on Western medicine in favour of a range of other modalities which put no money in their pockets and take away their prestige. Worst of all, they hate anyone who chooses not to use  vaccines! That is the ultimate heresy, as far as they are concerned.

But it’s OK – because they have a plan and they have the money and media backing, they think, to bring this plan to fruition.

This group, the Australian Skeptics, has been instrumental in setting up the organisation, Stop the AVN.

Quite a lot of hatred to go with the free speech they are usually accused of suppressing. This is of course as noted before, simply scurrilous deflection from presenting any evidence or explaining missing funds. Stupidly many believers have taken up the trend. Meryl is under instruction from the Alliance for Health Freedom Australia to maintain the “enemy behind the curtain” slur on all things skeptical but ultimately it is very telling that Godwin’s Law out paces evidence provision in this matter.

Being tricked into conflict and betrayed by connivance is really what’s happening to many innocent minds. The big regret in some aspects is that heated young minds are misled as to the notion of skepticism and the aim of skeptic movements. Recently Adam Vanlangenberg, a Victorian school teacher and skeptic spoke on TV about the popularity of his lunchtime skeptic class.

Adam manages to capture in a few minutes a great deal of the bipartisan respect, tolerance and quest for verifiable knowledge that real skepticism is known for.

Adam Vanlangenberg on The Circle