Measles makes a slow start to 2018 in Australia

According to the Australian Government’s Department of Health;

Measles is a highly infectious disease caused by the Morbillivirus. The virus is spread from person to person through droplets in the air. Symptoms take between 10 and 14 days to show after infection and include rash, fever, cough, runny nose and inflammation of the eye. Complications of measles include ear, brain and lung infections, which can lead to brain damage and death. Approximately one child in every 1,000 who contracts measles will develop inflammation of the brain (encephalitis). Immunisation rates of up to 95% are required for the sustained control of vaccine preventable diseases, such as measles.

The description above was last updated on March 20th, 2014. As evidenced in the National Notifiable Diseases Surveillance System table below, 2014 was a frightening year for measles infection. The year’s total of 339 was the highest for 16 years and each of the first three months had higher notifications than any other month of the year. Although June and July notifications were only two and four less, respectively.

Numbers of measles notification per State and Territory are tabulated here.

In fact 2014 saw measles outbreaks across the globe. Australia experienced an influx of cases from Asia, Indonesia and the Philippines which resulted in unvaccinated children in Australia being infected according to the Department of Health. There were over 58,000 cases in the Philippines and 110 deaths, reported in February 2015. The USA experienced an outbreak with a similar cause.

The Disease Daily reported in Outbreaks of 2014;

Over the course of the last year, there have been 610 reported cases of measles across twenty states.  The reemergence of measles can be attributed, in part, to increased international travel where infected travelers have imported the disease into the United States. Particularly for 2014, many measles case clusters were traced back to the large ongoing measles outbreak happening in the Philippines. However, those in the United States who have become infected are generally unvaccinated, often by their own volition.

Further highlighting the role the unvaccinated play in sparking measles epidemics, one notes that the CDC also highlighted the role of unvaccinated Amish communities;

2014: The U.S. experienced 23 measles outbreaks in 2014, including one large outbreak of 383 cases, occurring primarily among unvaccinated Amish communities in Ohio. Many of the cases in the U.S. in 2014 were associated with cases brought in from the Philippines, which experienced a large measles outbreak.

The Public Health Agency of Canada also raised concerns of measles infection and unvaccinated children;

Widespread use of the measles vaccine has dramatically reduced the numbers of cases in Canada over the past 45 years. But the recent outbreak in British Columbia is underscoring how the highly contagious virus can very effectively seek out groups of unprotected children.

With respect to The Netherlands a paper by Woudenberg, et al, entitled Large measles epidemic in the Netherlands, May 2013 to March 2014: changing epidemiology examined two measles epidemics (1999-2000 and 2013-14) that primarily effected orthodox Protestants. In the second epidemic, 27 May 2013 – 12 March 2014, 2,700 cases were reported. Molecular typing of the outbreak strain indicated a sequence indistinguishable from a strain first identified in Wales UK in the second half of 2012: the Taunton sequence.

The first Dutch case was identified with the Taunton sequence in May 2013. By this time 900 identical sequences had been reported from the UK, France, Ireland and the Russian Federation, making a source country difficult to identify. The Netherlands outbreak was indicated as the source of outbreaks in Belgium and Canada and from Canada to the USA. Social ties between orthodox Protestants in the Netherlands and Canada leading to the spread of vaccine-preventable disease such as polio, measles, mumps and rubella to Canada has been previously reported.

Reinforcing the importance of national herd immunity to international control of measles the authors of this study conclude in part;

The number of individuals refraining from vaccination is insufficient to sustain endemic measles transmission in the Netherlands. Nevertheless, this situation does pose a risk to public health in the Netherlands and contributes to the worldwide spread of measles, thus forming an impediment to the elimination of measles in Europe and elsewhere.

Amish communities and orthodox Protestants had a documented impact on reducing measles herd immunity in the USA, and Europe and Canada respectively and this was reflected in the 2014 outbreaks. In Australia whilst small numbers struggle to meet immunisation requirements due to social hardship, the anti-vaccination lobby have for years worked hard to spread disinformation, driving down immunisation rates nationally.

In June 2015 the ABC reported that the “surge” of measles the year before resulted in health authorities calling on Australians to ensure they were up to date with immunisations. If we compare this month’s present number of 4 notifications to the 78 for January 2014 it is clear measles notifications for the first month of this year are just over 5% of January 2014. The figure may rise slightly as further notifications for January reach the NNDSS but at this stage such a low figure is comforting.

Still, there have been warnings specific to measles this year and late last year. Victoria issued a measles health alert (Confirmed measles case in Melbourne) on December 5th 2017. This was a single case acquired overseas and fortunately the national total for December 2017 remains at 2. The alert is now resolved. An identical measles health alert for Melbourne, differing only in where the individual travelled when infectious was issued on January 17th 2018 and remains active.

This was reported in The Age on the same day.

Passengers who flew from Dubai to Melbourne last Thursday have been warned that a fellow passenger has an “extremely infectious” case of the measles.

[…]

Measles has an incubation period of seven to 18 days, so fellow passengers may develop symptoms from Thursday until the end of the month.

As today is the last day of the month this status may change to resolved as of midnight. W.A. Health issued a very similar warning via Twitter on January 11th.

This was reported the same day in Perth Now by Cathy O’Leary.

We have no way of telling what measles notifications will be over the remainder of 2018. September and October last year saw a worrying spike in notifications in Melbourne. However we in Australia can be grateful for No Jab No Pay legislation.

Globally at present measles is proving a problem in developed and developing nations. In the UK the NHS has confirmed well over 100 cases in five regions. The high risk of being unvaccinated and travelling is being stressed to the public. Dr Mary Ramsay, head of immunisation at Public Health England said;

People who have recently travelled, or are planning to travel to Romania, Italy and Germany and have not had two doses of the MMR vaccine are particularly at risk

Countries at risk are evident in this January 12th, 2018 report, Measles in the EU/EEA: current outbreaks, latest data and trends – January 2018. Most cases were unvaccinated or incompletely vaccinated. The report included.

The spread of measles across Europe is due to suboptimal vaccination coverage in many EU/EEA countries: of all measles cases reported during the one-year period 1 December 2016 to 30 November 2017 with known vaccination status, 87% were not vaccinated.

In the first two weeks of January the measles outbreak in the Ukraine has resulted in 1285 cases. Ukraine measles vaccination uptake is regarded as the worst in Europe, being under 50% in recent years according to the Ukraine Health Ministry. It was reported on January 21st that The Acting Health Minister Ulyana Suprun said;

Yesterday it became known about yet another death from measles. This is a child who has not been vaccinated. This is the eighth death case since the start of the outbreak, and this is the tragedy of our society, in which people die from diseases that are prevented by vaccinations […]

In order to achieve the measles elimination goal, the vaccination coverage rates for children targeted by routine vaccination programmes should increase in a number of countries, as the vaccination coverage of the second dose must be at least 95% to interrupt measles circulation and achieve herd immunity.

Presently a tragedy due to neglect, poverty, malnutrition and measles is unfolding in Papua, Indonesia.

AFP reported on January 28th;

Some 800 children have fallen ill and as many as 100 others, mostly toddlers, are feared to have died in what Jakarta called an “extraordinary” outbreak that was first made public this month. […]

When Widodo took office in 2014, he vowed to speed up infrastructure development and services, bolstering hopes for the region, observers said.

“What the government is saying is what we think is important to do (for Papua) is in fact not being done,” said Richard Chauvel, a Papua expert at the University of Melbourne’s Asia Institute. […]

“As measles is easily prevented with a safe and inexpensive vaccine, these deaths should never have happened,” said Freddy Numberi, a former governor of Papua. [He added] that Papua has Indonesia’s lowest life expectancy and highest infant, child and maternal mortality rates.

Without a doubt it is the same pattern across the globe. Measles epidemics will sprout wherever herd immunity is unsuitable. More so it is the unvaccinated who will suffer the consequences of widespread infection, whether in developing or developed nations.

Indeed even with low levels of infection the unvaccinated, with an infection rate of approximately 90%, bear the brunt of infection. Australia’s anti-vaccination lobby has for years pushed fear and disinformation, spreading ignorance and apathy leading directly to low herd immunity and epidemics of vaccine preventable disease.

This has resulted in effective legislative change manifesting as No Jab, No Pay and No Jab, No Play. The policy has been successful in raising vaccination uptake.

According to Immunise Australia;

The disease which requires the highest level of vaccine coverage to achieve herd immunity is measles as it is highly infectious. It is estimated that coverage of 92-94% is required for herd immunity from this virus. For this reason the national aspirational immunisation coverage target has been set at 95%. This target provides sufficient herd immunity to prevent transmission of other vaccine preventable diseases and supports Australia’s contribution to achieving measles elimination in the Western Pacific Region.

Fortunately January 2018 has indicated measles notification the lowest in four years. Whilst measles continues to present challenges around the world, Australia should remain vigilant and ensure we keep ahead of any potential outbreak.

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Features of the anti-vaccination movement on Facebook

Recently Australia’s most vocal, persistent and offensive anti-vaccine pressure group, The Australian Vaccination-skeptics Network argued vaccination is a breach of religious freedom. They misinformed the federal parliamentary inquiry into religious freedom that vaccines were prepared with “the products of abortion”.

Vaccination was therefore “a moral evil”, violating teachings of Christianity, Islam, Judaism and Buddhism, they contended citing absolutely no evidence to support their stance. The Australian Medical Association noted that their position was “irrational” and “unscientific”.

It was clear that the AVN was trying to find its way around the No Jab No Pay family assistance requirements and the No Jab No Play policy requirements. In April 2015 it was initially announced that religious exemptions for vaccination would cease. This was reinforced by health minister Greg Hunt in March this year. The only grounds for exemption of childhood vaccination are medical. The AVN’s claim that vaccines contain “the products of abortion” is not only baseless, but well refuted.

The AVN’s ignorance of the moral considerations involved are not difficult to discern. A Vatican City 2005 Statement, Moral reflections on vaccines prepared from cells derived from aborted human foetuses, includes in reference 15;

…the parents who did not accept the vaccination of their own children become responsible for the malformations [due to rubella infection] in question, and for the subsequent abortion of fetuses, when they have been discovered to be malformed.

Still it is quite predictable that this morally bereft pressure group will continue to press the fallacious contention that vaccines contain aborted foetal cells. Social media, particularly Facebook and Twitter are means by which the anti-vaccination lobby interact. Indeed the conduct of antivaccinationists on Facebook has revealed much of their conspiratorial, cruel, cult-like nature.

First we witnessed the anti-vaccine lobby grow with simple access to misinformation via the Internet combined with the ability to invent and spread more. With the growth of social media we have witnessed this social malignancy improve it’s networking skills and spread their dangerous misinformation and conspiracy theories in real time.

In this light I was grateful that the sharp eyes of others interested in the impact of the anti-vaccination lobby had come across the following research paper.

Mapping the anti-vaccination movement on Facebook. Naomi Smith and Tim Graham.

Information, Communication & Society

Published December 27th, 2017. https://doi.org/10.1080/1369118X.2017.1418406

It looked at 6 anti-vaccine Facebook pages.

  1. Fans of the AVN
  2. Dr. Tenpenny on vaccines
  3. Great mothers (and others) questioning vaccines
  4. No vaccines Australia
  5. Age of autism
  6. RAGE against the vaccines

Post, like and comment data were further used to generate 6 social networks which were then further analysed.

Abstract;

Over the past decade, anti-vaccination rhetoric has become part of the mainstream discourse regarding the public health practice of childhood vaccination. These utilise social media to foster online spaces that strengthen and popularise anti-vaccination discourses. In this paper, we examine the characteristics of and the discourses present within six popular anti-vaccination Facebook pages. We examine these large-scale datasets using a range of methods, including social network analysis, gender prediction using historical census data, and generative statistical models for topic analysis (Latent Dirichlet allocation).

We find that present-day discourses centre around moral outrage and structural oppression by institutional government and the media, suggesting a strong logic of ‘conspiracy-style’ beliefs and thinking. Furthermore, anti-vaccination pages on Facebook reflect a highly ‘feminised’ movement ‒ the vast majority of participants are women. Although anti-vaccination networks on Facebook are large and global in scope, the comment activity sub-networks appear to be ‘small world’. This suggests that social media may have a role in spreading anti-vaccination ideas and making the movement durable on a global scale.

Some key points from the paper’s Discussion and Conclusion might be listed as follows.

  • There is a large amount of online information that is important to the anti-vaccination (AV) community.
  • Social media acts as an “effective hub” in the communication of AV information. The information is “designed to encourage grass roots resistance”.
  • AV communities are relatively sparse, not functioning as close knit communities of support.
  • Yet participation alone in AV groups can reinforce AV beliefs.
  • AV participants are reasonably active across a number of groups.
  • This suggests AV users participation in various AV groups is more autonomous than would be explained by Facebook’s recommender system.
  • Liking and commenting across a number of AV pages may create a “filter bubble” effect.♠
  • This effect is a pattern of involvement and activity that reinforces AV beliefs and conduct.
  • More research is needed to discern how much of this effect is due to the users own conduct as opposed to Facebook’s algorithmic structure.
  • AV Facebook pages exhibit “small world” network structure characteristics. Information diffuses quickly through the network via user comments.
  • “Small world” characteristics may be due to inherent aspects of the AV movement or may manifest due to the Facebook “platform”.
  • Either the former or latter aspect driving development of “small world” specifics will have unique and interesting implications.♣
  • The former suggests that as a social movement the AV lobby might develop as a “small world” network that may be amplified and made more visible online.
  • If the latter, the Facebook platform may be instrumental in the growth of the AV movement, protecting from disruption of outside influences.
  • Wide sharing of posts suggests the AV community has scope beyond the public Facebook pages.
  • Sharing may be important in spreading AV information and growing the AV movement.
  • Gender composition of AV movement reflects cultural understanding of parenting – primarily maternal.
  • Vaccination is historically “a mother’s question”. AV is described by the authors as “a mother’s question”.
  • “AV movement is primarily led by women”. Note; Sherri Tenpenny runs “Vaccine Info” on Facebook.
  • Whilst anti-vaccination is not gender specific, the “gendered nature” of Facebook page participation suggests the AV movement is “feminised”.
  • Several key pre-occupations of AV communities are evident on Facebook pages; institutional arrangements are seen to be perpetuating the harmful practice of vaccination.
  • AV community is “morally outraged about vaccination and structurally oppressed by seemingly tyrannical and conspiratorial government and media”.
  • There is a strong belief in conspiracies driven by government and media; Cover up of vaccine injury and death, spreading of Zika virus by Bill Gates and belief in chemtrails.
  • Comparison of vaccination to the Holocaust indicates strong sense of persecution within AV Facebook pages studied.
  • Strong anti-science and anti-medicine beliefs in tandem with use of natural remedies.
  • Findings limited by sample size.
  • Further, more comprehensive research is needed.

♠ Commonly referred to as an “echo chamber’.

Final paragraph;

The results of this investigation suggest a robust and highly gendered network structure that has a strong sense of moral outrage associated with the practice of vaccination. This ‘righteous indignation’, in combination with the network characteristics identified in this study, indicates that anti-vaccination communities are likely to be persistent across time and global in scope as they utilise the affordances of social media platforms to disseminate anti-vaccination information.

Concerns about vaccination reveal a community that feels persecuted and is suspicious of mainstream medical practice and government-sanctioned methods to prevent disease. In a generation that has rarely seen these diseases first hand, the risk of adverse reaction seems more immediate and pressing than disease prevention.

♣ Regarding “small world” characteristics being due to either AV specifics or to the Facebook platform, the authors write;

Both outcomes are equally interesting. The former suggests that social movements (like anti-vaccination) may inevitably develop as ‘small world’ networks structure that is further amplified and made visible online. If it is the latter, this demonstrates that Facebook as a platform has important implications for the dynamics, spread, and durability of social movements outside of the specific case examined here. Indeed, if the materiality or architecture of Facebook shapes networks towards ‘small-worldness’, this suggests that such platforms may be instrumental for the anti-vaccination movement and social movements more broadly to blossom, flourish, and resist being dismantled or disrupted by outside influences.

The above paragraph rings true and undoubtedly applies to a number of anti-science movements and conspiracy theories across the developed world.

Evidence absent for The Northern Star’s support of Olivia Odey

Update October 9th – ABC Media Watch, Northern Star HPV headline wrong

Just under a week ago The Northern Star published a one sided article alleging that a healthy 16 year old female was stricken with a host of physical ailments following administration of “the Gardasil vaccine”.

This specific claim is unverified in that conclusive evidence or clinical diagnoses pointing to Gardasil are absent. More so, from the viewpoint of international epidemiology, the two complex syndromes identified are not accepted as vaccine injuries caused by Gardasil. Toward the end of the article, Teen left in wheelchair after Gardasil HPV ‘reaction’, readers are informed that Olivia Odey (now 18);

…believes her symptoms were linked to a reaction to the Gardasil vaccine against cervical cancer, which the teenager had a few weeks prior to the onset of her symptoms.

No doubt given the weight of peer reviewed literature on the topic, and evidence offered in the article, Ms. Odey is indeed left with only her “belief”. Initially after presenting to hospital, “all tests came back normal”.

“I definitely think there was a link, but there’s no way to prove it,” Ms Odey said, admitting the proposition was controversial and “brushed aside by medical professionals”.

According to the Australian HPV vaccine website, for every million doses of the vaccine given there are only around three serious allergic reactions.

Adverse Events Following Immunisation are not “brushed aside” by Australian medical professionals. Regrettably, the article does not cast the profession in a favourable light and Ms. Odey reports, “a frustrating battle with the conventional medical system”.

“They wanted to send my mum and I across the road to a mental institution and told me ‘if there was a fire you would run right out of here’.

Ms. Odey apparently experienced photo-phobia, numbness, shingles, food allergies, tingling, joint pain, lethargy and discolouration of the legs. But it was heart palpitations that led her mother to contact a cardiologist in Auckland. The cardiologist referred her to a “specialised pain doctor”. She was diagnosed within an hour and began treatment the next day. Olivia Odey had been diagnosed with Complex Regional Pain Syndrome (Fact Sheet), also known as Reflex Sympathetic Dystrophy and Central Neural Sensitisation Syndrome [Central Sensitisation] (Physiopedia videos).

We should note with respect to diagnosing CRPS;

There is no diagnostic test for CRPS. Diagnosis is based on a person’s medical history and their symptoms. Sometimes, a doctor may order blood tests, bone scans, x-rays, CT scans or MRI scans to rule out other conditions that have similar symptoms.

Thus being diagnosed within an hour and beginning treatment within a day is seemingly unusual to say the least. Ms. Odey’s entire recovery is unusual. We’re informed neuroplasticity explains;

To come off the pain drugs Ms Odey did a three-day course on how to “retrain your brain pathways and change your physiology just by changing your thoughts and beliefs.”

CRPS is classified as a Rare Disorder and whilst there is a significant range of symptoms and intensity, factors relating to causation include trauma such as a fracture, forceful injury, crush injury, amputation, stroke, and spinal cord injury. Other disorders may predispose to CRPS;

However, it has become increasingly clear that it plays a role in many different chronic pain disorders. It can occur with chronic low back pain, chronic neck pain, whiplash injuries, chronic tension headaches, migraine headaches, rheumatoid arthritis, osteoarthritis of the knee, endometriosis, injuries sustained in a motor vehicle accident, and after surgeries. Fibromyalgia, irritable bowel syndrome, and chronic fatigue syndrome, all seem to have the common denominator of central sensitization as well. […]

What isn’t clear in Ms. Odey’s case is if these possible causes were ruled out before blaming Gardasil.

Of great significance is that;

A prior history of anxiety, physical and psychological trauma, and depression are significantly predictive of onset of chronic pain later in life. […] The onset of pain is often associated with subsequent development of conditions such as depression, fear-avoidance, anxiety and other stressors.

Again it isn’t clear if all possible contributing stressors were ruled out.

The table below summarises the range of symptoms associated with CRPS.

Source: Australian Pain Management Association

 

Given the complications listed in the above table one can appreciate the slow progression of physical therapy outlined below.

Desensitization – “to hurt is not to harm”. Over a period of time the person with CRPS will be encouraged to desensitize the affected limb so that the hypersensitivity and allodynia is reduced. For example, over a period of three years Annette, a CPRS patient, began with moving a silk scarf over her foot, progressed to being able to wear a foot stocking, to a sock, sandal and finally a closed in shoe for a short period. This process took three years but improvements are still being made.

Graded motor imagery (GMI) combined with medical management is recognized as being effective in reducing pain in CRPS. GMI involves encouraging the person to differentiate between left and right limbs to re-establish right and left concepts in the brain. Progressively, a mirror box is introduced. The person is asked to watch the mirrored image of the unaffected limb moving in the mirror. Then, the person moves the affected limb in the mirror box while watching the mirrored image of the unaffected limb. This tricks the brain into thinking it is seeing the limb with CRPS moving without pain.

Finally we can find comprehensive refutation of the notion that HPV vaccination causes Regional Pain Syndrome and Central Sensitisation from reputable sources in the literature. A Safety Study of Gardasil 9 in PRISM/Sentinel using sequential analysis, is worth consulting. Version 2 was published only three days ago – September 27th 2017. Page 2 contains the paragraph on Complex Regional Pain Syndrome. Following a clinical description of CRPS the paragraph continues (italics and bold mine);

In June 2013, the Japanese Ministry of Health, Labor, and Welfare suspended its recommendation of routine immunization with HPV vaccine in girls and women following post-vaccination reports of serious chronic pain and concern about a possible association with HPV. In early November 2015, the European Medicines Agency’s Pharmacovigilance Risk Assessment Committee completed a detailed scientific review of the evidence related to a possible association between HPV vaccines and CRPS. The Committee concluded that the evidence did not support a causal link between the vaccines and the syndrome. Although U.S. vaccine safety information sources such as the Vaccine Adverse Event Reporting System (VAERS) have not suggested an increased risk of CRPS following HPV vaccination either, some post-HPV-vaccine cases have been reported to VAERS.

Much has been made of the Japanese suspension of HPV vaccination due to post-vaccination reports of serious chronic pain and concern about a possible association with HPV. Interestingly if we follow the link above to version 2, we find that the citation to these post vaccination reports is; Kinoshita T, Abe RT, Hineno A, Tsunekawa K, Nakane S, Ikeda S. Peripheral sympathetic nerve dysfunction in adolescent Japanese girls following immunization with the human papillomavirus vaccine. Intern Med. 2014;53:2185-200.

To better understand the reliability of the report of Kinoshita et al, we should consult the 2017 critique, Tackling Antivaxers in the Literature by David Hawkes, Joanne Benhamu and Julia Brotherton. Whilst a number of examples are addressed in this publication it is the widespread criticism of Kinoshita et al and the subject of peripheral sympathetic nerve dysfunction following the HPV vaccine that is significant.

The Introduction reads;

To understand strategies used by Human Papillomavirus (HPV) vaccine critical authors, exemplified by a recent publication in the Nature published journal, Scientific Reports, to produce a false evidence base in the peer reviewed scientific literature.

Methods;

Critical analysis of anti (HPVE) vaccine papers, including retracted articles, links between authors of these papers and conflicts of interests, journals used to publish these papers, self citations and dissemination of these articles and associated commentary on social media.

HPV Vaccination: Japan;

Several publications have been produced by Japanese authors critical of HPV vaccination. In 2014, Kinoshita et al published a paper entitled “Peripheral Sympathetic Nerve Dysfunction in Adolescent Girls following Immunization with the Human Papillomavirus Vaccine” in Internal Medicine (a small journal with an impact factor of less than 1). To date it has been cited over 40 times. Despite several (published) letters of concern highlighting errors in the paper from highly respected researchers in the field the manuscript remains available. A recent publication by Aratani et al in the Nature published journal Scientific Reports has caused similar concern and is currently under review by the journal. This case garnered a much wider audience and an article highlighting concerns was featured in Science. This suggests that scientists are being more proactive in combatting bad HPV vaccination science.

In July last year Outcomes for girls without HPV vaccination in Japan was published in the Lancet. The author’s final paragraph read;

Sadly, Japan’s failure to provide HPV vaccination for young women has now become a global concern. Similar trends are occurring in countries outside of Japan, which will lead to increased incidences of HPV-related cancers. Although further efforts are required to overcome the many barriers leading to decreasing cervical cancer mortality, many challenges remain.

A comprehensive summary of the paper is available here, Lack of vaccinations increased risk of HPV infections in Japan;

Japanese women who became adolescents between 1993 and 2008, a period in which vaccination against cervical cancer was temporarily suspended, are at higher risk of having HPV16/18 infection, which is known to trigger the onset of cervical cancer. However, the infection risk can be decreased if vaccination is re-established. […]

The authors strongly recommend that HPV vaccination encouragement is resumed before the end of 2016, to reduce the risk of future infection in different age groups and to ensure all women will receive protection against cervical cancer.

As time progresses there continues to be a lack of evidence that may be considered as verification that HPV vaccines are causally linked to the conditions mentioned by Olivia Odey and described by Alina Rylko in The Northern Star article. Ms. Odey is heading to Byron Bay to begin a health blog. Yet in the present climate in which Australian vaccine safety and efficacy has been attacked by organised anti-vaccine lobbyists the tone of the article seems patently irresponsible.

The present consensus holds that CRPS and Central Sensitisation occur at levels expected of the populations effected. Evidence doesn’t support a causal link between the vaccines and the syndrome. Reports following HPV vaccination are consistent with what is expected for the age group. No fact sheets specific to these conditions list any vaccination as a cause or a predisposing condition. Data will continue to be gathered.

As yet there is no conclusive evidence to support Ms. Odey’s “belief” that Gardasil caused her condition.

———————————————————————

European Medicines Agency (EMA) virtual press briefing – Human papillomavirus (HPV) vaccines

A Little Boy Lost and the Goat in the Sheep’s paddock

A few days ago Australia’s Seven Network screened Saving Chase as the subject of their Sunday Night programme.

The general plight of Chase can be gleaned from watching the programme. However this hasn’t just happened in the last few weeks. More so in no way, as Melissa Doyle tells viewers during the introduction, is this “a classic case of what would you do?”. Indeed Doyle confirms this in her next statement.

A child just four years old suffering from a serious disability. He is distressed, in constant pain and gripped by violent, uncontrollable seizures. Understandably his parents want him to be well and happy like other little boys. In desperation they abandoned traditional style medicine and turned to a bizarre hippy-style church for help.

The question rather, is “How can any parent subject their innocent, vulnerable, high needs child to the unverified guesswork pushed upon him by a reckless, dangerous and deregistered doctor who had caused “catastrophic” injuries through administering cannabis oil to prior patients?

https://youtu.be/xs4bhovdfG0

Arrogant, unrepentant and angry with the demands of genuine medical science, Andrew Katelaris, the so-called Dr. Pot is the last person who should be anywhere near a fragile child like Chase. Presently as a result of his disdain for medicine and accountability Katelaris is “permanently prohibited from supplying or administering cannabis or any of its derivatives to any person for the treatment or purported treatment of cancer”.

It appears to be a very thin line that he is walking on.

Despite being deregistered for breaking the law in 2005, Katelaris last year managed to break the law for non-registered health practitioners. He injected cannabis oil into two women suffering from ovarian cancer, in what was described as “a hasty, ill-conceived and unsafe clinical trial of injected cannabis oil as a treatment for malignant ascites”.

The ABC reported in part;

The NSW Health Care Complaints Commission concluded Dr Katelaris put his own interest in self-protection and self-promotion ahead of the health and safety of two vulnerable women suffering from ovarian cancer.

It found he posed a risk to the health and safety of members of the public, prompting him to be permanently prohibited from supplying or administering cannabis or any of its derivatives, to any person for the treatment or purported treatment of cancer.

The full HCCC finding published on October 25 2016 may be found here.

As is plain in the video Katelaris deems himself right and everyone else wrong when it comes to his use, or rather abuse, of cannabis. It’s impossible to call his guesswork the “medicinal” use of cannabis. Katelaris conducts no trials, keeps no clinical notes, takes no measurements and lacks the use of basic statistical models. As the HCCC noted last year in describing his bogus “trial” it lacked credibility, authorisation, scientific legitimacy or ethics approval. The best he could offer reporter Alex Cullen with regards to efficacy was that he sees results. However he admits his work is “experimental”.

Problems began with Katelaris at least as far back as 1986. The NSW Medical Board record that in this year he “self-administered morphine”. The 2006 NSW Medical Board Annual Report includes a compelling paragraph on page 24;

Andrew John Katelaris

In 1991 Andrew Katelaris was suspended for 12 months from the practice of medicine because of his opiate use. However on return to practice Mr Katelaris continued to indulge in use of restricted or illegal substances, including morphine, pethidine, cannabis and ketamine.

In December 2005 the Medical Tribunal found Mr Katelaris guilty of professional misconduct conduct and ordered his de-registration with no review period for three years. The Tribunal found Mr Katelaris had inappropriately prescribed schedule 8 narcotics, a schedule 4D drugs and cannabis to friends, family and to himself not in accordance with therapeutic standards. It was also alleged he breached his registration conditions. The Tribunal considered that the flagrant disregard by Mr Katelaris of the conditions on the his registration was conduct that portrayed indifference and an abuse of the privileges which accompany registration as a medical practitioner.

The full NSW Medical Tribunal Determination, December 15 2005 may be found here. Katelaris could not apply for re-registration for a period of three years. It is clear from reading this document that Katelaris struggled with his opioid addiction and this was compounded by surgery in March 1992 for a spinal disc lesion. His Schedule 8 authority was restored in August 1992 with restrictions that he could not take possession of Schedule 8 drugs, only prescribing for patients at the hospital where he worked. In October 1993 his authority was fully restored.

On 14 January 2002 the Pharmaceutical Services Branch of NSW Health Department received a report of an empty packet of ketamine at the home of Katelaris labelled with a name other than his. On 19 January 2002, Katelaris was admitted to a hospital Emergency Department. Records note he stated he had been self administering ketamine since September 2001. His struggle with addiction continued with appropriate restrictions being applied when necessary. Regrettably for him it has destroyed his medical career.

Nonetheless his problems with self medication are not the problem for Chase. The danger is his reckless use of cannabis on vulnerable patients combined with the conviction he is doing what is right and what is safe. With a history of obtaining opiates for “friends and family” it is clear his provision of cannabis could be dangerously reckless.

In 2009 he sought to “review an order that his name be removed from the register of Medical Practitioners”. You can read the full NSW Medical Tribunal determination here. It is noted that in addition to the 1986 use of morphine he used both morphine and cocaine in 1988. No conviction was recorded and he was placed on a good behaviour recognizance for two years. He again self-administered morphine and at his own request his right to prescribe Schedule 8 drugs was withdrawn.

It was 1989 when Katelaris initially sought for the prescribing restrictions to be lifted. Restrictions on Schedule 8 remained but the Medical Board, after interviewing Katelaris decided some restrictions could be lifted. This depended on undergoing urinalysis and informing his employer “of the undertakings”. Katelaris refused thus the application was unsuccessful. The determination continues on describing his addiction to and use of morphine, Pethidine, Ketamine, cocaine and Fortral.

The Goat in the Sheep’s paddock

In describing his poor insight Katelaris said;

Poor insight, really that I was prepared to stand outside of a majority opinion. I must admit I considered myself very much…like a goat in a sheep’s paddock where a lot of people were content to walk one way but I felt free and quite unconstrained to exercise my own independence of thought and action. I still in many ways feel it is the right of every sovereign being to exercise independence of thought and action but being part of a profession which has considerable responsibility and access to technologies and pharmaceuticals of considerable strength and power, they have to be constrained so whilst maintaining an independence of thought I now accept that one does have to, to a greater or lesser degree, fall in with the herd, certainly in regard to accepted behaviour such as self- administration I have very little problem with saying that without equivocation.

He went on to say he was “testing the law” and was “impatient to bring forward progress in Australia”. When it came to not being able to supply cannabis to others in pain he added;

…but the insight was that I failed to appreciate the authoritarian stance and lack of compassion in the legal system

The application was dismissed and the applicant had to pay the respondent’s costs. The April 2010 NSW Medical Board News included on page 8;

Application for restoration to Register – irregular prescribing, own use of cannabis and breach of conditions

Issue

Mr Andrew Katelaris (MBBS (Syd) 1982) was deregistered in 2005 by the Medical Tribunal which set a non-review period of 3 years following a finding of professional misconduct for irregular prescribing of Schedule 8 and 4D drugs to family and friends, his own use of cannabis and breach of conditions on his registration. In his application for restoration, Dr Katelaris argued that he had developed insight and was a changed man.

Findings

The 2009 Tribunal did not accept that Mr Katelaris was a changed man, referring to his conviction for 4 criminal offences since 2005 and his inability to accept the 2005 decision; the application was dismissed.

As we can see today with respect to reckless administration of cannabis Katelaris remains very much a goat in a sheep’s paddock, unable to accept his responsibility to evidence based science. Despite his penchant for obtaining opioids for “friends and family” it is Katelaris’ reckless pseudoscientific use of cannabis that has raised complaints relating to the Drug Misuse and Traffiking Act 1985. Katelaris admitted his supply of cannabis for individuals between October 2002 and September 2004 was in contravention of the Act.

It was reported today that Katelaris was arrested yesterday and will;

…appear in court today charged with possession and supply of illegal drugs and also having cash suspected of being from the proceeds of crime. Police raided the St Ives home of Andrew Katelaris yesterday morning where they allegedly seized cash and cannabis found in the Luton Place resident of the former doctor. The 62-year-old was taken to Hornsby Police Station and charged and spent the night in the cells after being refused bail. As a doctor Mr Katelaris was an outspoken supporter of the use of cannabis oil for cancer sufferers.

Although it is almost certain that Chase’s condition is not a “vaccine injury” his parents have been convinced not only of this, but that he will die if fed and medicated properly by qualified medical staff. Under the “care” of Katelaris and others he has lost 50% of his body weight and is notably emaciated [See below].

Tragically last month his parents fled with Chase to prevent him being admitted to hospital for proper care, sparking an amber alert across QLD and NSW. In disturbing insight into how the rights of Chase are unappreciated by his mother, Cini Walker she posted a video at the time asking;

“My son is … Do I even own him anymore? Who’s going to help our family? When is this nightmare going to stop?”

Ownership of another human being? Whilst it is likely incorrect to suggest Cini thinks she owns Chase as she might a piece of property, it does yield significant insight into how incapable she is of accepting the role of Child Services, the necessity of medical care and the harm caused in snatching him from hospital to flee across state lines.

They stayed at the NSW Church of Ubuntu [Facebook] until FACS authorities under the protection of police came and removed Chase due to “medical neglect”. Indeed his life had become a perverse sideshow for a number of self-serving anti-science conspiracy theorists. The so-called church was raided on December 1st last year.

Presently Chase is safe in hospital for at least another week, despite the abuse and harassment of hospital staff by his “supporters”.

Unfortunately regardless of where he is or whom he is with Chase will continue to be used as a proxy for the antivaccinationist conspiracy theorists. A poster boy for the proposed magic of cannabis.

His parents are blind to the abuse and suffering they have allowed to be forced upon him. They have been manipulated into believing Chase must not be treated by reliable medical means and are blind to the towering immorality of what they have allowed; ongoing, sustained and life threatening medical neglect.

Only the strictest of conditions and ongoing monitoring will suffice when he is released into his mother’s “care”.

Chase before (left) and after his parents ceased prescribed nutrition

  • Updates added to text on June 1st 2017

‘Vaxxed’ Debunked – a selection of references

There is absolutely no doubt that the fraudumentary “Vaxxed: From Cover-up to Catastrophe” is demonstrably bogus nonsense.

It is also potentially very harmful nonsense and as such deserves to be debunked when the opportunity arises. There are a huge number of references that outline just why, and indeed how, this intellectual revulsion is firmly discredited by evidence. More so, there are a range of approaches presented in various critiques. This isn’t a result of authors seeking to be creative. Rather the final product of Vaxxed is so egregiously wrong on so many levels, it can be nudged into a pile of rubble from so many angles.

Interestingly the argument can be made that the main claim put forward in Vaxxed helped in destroying any attempt at credibility. The story of a so-called CDC whistleblower was easily revealed as bogus. The companion claim, that suppressed data showing a 340% increased risk of autism among specific populations of African-American boys resonated only in the echo chambers of antivaccinationists. Particularly when in the only official statement [2] from the “whistleblower”, we read irrefutable support for vaccination;

I want to be absolutely clear that I believe vaccines have saved and continue to save countless lives. I would never suggest that any parent avoid vaccinating children of any race. Vaccines prevent serious diseases, and the risks associated with their administration are vastly outweighed by their individual and societal benefits. (William Thompson)

I trust these references are helpful.

1) This article from Snopes covers various sources of disinformation that sustain the primary lies in Vaxxed. Using articles that address the fallacious claims of Brian Hooker from an evidence based background and a range of other sources Snopes offers a compelling rebuttal.

Fraud at the CDC uncovered?

Rumour: Data suppressed by the CDC proved that the MMR vaccine produces a 340% increased risk of autism in African-American boys.

2) Did a high ranking whistleblower really reveal that the CDC covered up proof that vaccines cause autism in African-American boys? David Gorski; Science Based Medicine, August 25th 2014 [Source]

3) Autism, Atlanta, MMR: serious questions and also how Brian Hooker and Andrew Wakefield are causing damage to the autism communities Matt Carey; Left Brain Right Brain, August 26th 2014 [Source]

4) Hey, where is everybody? The “CDC whistleblower” manufactroversy continues apace Orac; Respectful Insolence, August 26th 2014 [Source]

5) Journal takes down autism-vaccine paper pending investigation Adam Marcus; Retraction Watch, August 27th 2014 [Source]

An article purporting to find that black children are at substantially increased risk for autism after early exposure to the measles-mumps-rubella vaccine has been shelved.

Although we don’t know if the events are related, the move comes amid claims that a CDC whistleblower has accused health officials of suppressing information about the link.

Not surprisingly, the prospect that the CDC has been sitting on evidence of an autism-vaccine connection for more than a decade has inflamed the community of activists wrongly convinced that such a link exists.

The paper, “Measles-mumps-rubella vaccination timing and autism among young african american boys: a reanalysis of CDC data,” was written by Brian Hooker, an engineer-turned-biologist and an active member of that community. It was submitted in April, accepted on August 5, and published on August 8.

Translational Neurodegeneration, which published the article earlier this month, has now removed it and posted the following notice:

This article has been removed from the public domain because of serious concerns about the validity of its conclusions. The journal and publisher believe that its continued availability may not be in the public interest. Definitive editorial action will be pending further investigation.

6) Retraction Note: Measles-mumps-rubella vaccination timing and autism among young African American boys; a reanalysis of CDC data [Source]

7) CDC Whistleblower William Thompson Breaks Silence Todd W; Harpocrates Speaks, August 28th 2014 [Source]

8) The “CDC whistleblower saga”: Updates, backlash, and (I hope) a wrap-up David Gorski; Science Based Medicine, September 1st 2014 [Source]

9) MMR, the CDC and Brian Hooker: A Guide for Parents and the Media Todd W; Harpocrates Speaks, September 8th 2014 [Source]

10) Kevin Barry, you magnificent bastard, I read your antivaccine book! Orac; Respectful Insolence, August 25th 2015 [Source]

11) Reviewing Andrew Wakefield’s VAXXED: Antivaccine propaganda at its most pernicious David Gorski; Science Based Medicine, July 11th 2016 [Source]

12) Andrew Wakefield releases the trailer for his William Thompson video. Slick production and dishonesty Matt Carey; Left Brain Right Brain, March 22nd 2016 [Source]

I can’t recommend this article highly enough. In just a few paragraphs readers can see how Thompson was exploited by Hooker and Wakefield. We have this claim from the Vaxxed fiction;

“There’s a whistleblower from the CDC who is going to come out and say that the CDC had committed fraud on the MMR study and that they knew that vaccines were actually causing autism.”

Also we find when the genuine chronology of the Hooker/Thompson discourse is applied that Thompson is not a so-called “CDC whistleblower”. The manner in which Wakefield spliced unrelated conversations together to produce his fallacious narrative becomes clear. As Matt Carey writes (emphasis mine);

Well, Thompson never says in his statement that there was fraud or misconduct by the CDC team. He does say “Reasonable scientists can and do differ in their interpretation of information.”

Let’s back up a bit, what is the Hooker/Wakefield claim of fraud? In a nutshell, they claim that the CDC team found a result they didn’t want to make public and then changed the research plan/protocol so they wouldn’t have to report that. In this exchange from a phone call we can see Hooker apparently trying to get Thompson on tape saying this. Trying because Thompson refuses to say it:

Dr. Hooker: And then you basically deviated from that particular plan in order to reduce the statistical significance that you saw in the African American Cohort.

Dr. Thompson: Well, we, um, we didn’t report findings that, um…All I will say is we didn’t report those findings. I can tell you what the other coauthors will say.

As to the claim by the narrator that Thompson stepped forward and stated… “that [The CDC] knew that vaccines were actually causing autism”. Nope.

[…]

Also, Thompson provided a summary statement to Member of Congress Bill Posey. That was made public along with a great deal more documents when I released them here. What does Mr. Thompson have to say about the study in question showing that vaccines “actually cause autism”?

The fact that we found a strong statistically significant finding among black males does not mean that there was a true association between the MMR vaccine and autism-like features in this subpopulation.

It’s clear that Thompson struggled at times with mental illness. He was deeply concerned that it would become public knowledge. Wakefield’s callous disregard is on display again as we read:

The only reason people know about Thompson’s personal medical history is that Brian Hooker and Andrew Wakefield made it public. Hooker and Wakefield filed a complaint with the Department of Health and Human Services and included this statement from William Thompson:

Ya know, I’m not proud of that and uh, it’s probably the lowest point in my career that I went along with that paper and I also paid a huge price for it because I became delusional.

13) Seven things about vaccines and autism that the movie Vaxxed won’t tell you Ariana Eunjung Cha; May 25th 2016 [Source]

14) Vaxxed – a guide to Andrew Wakefield’s fraudulent film The Original Skeptical Raptor; December 22nd 2016 [Source]

15) The William Thompson Documents – There’s no whistle to blow Matt Carey; Left Brain Right Brain, January 6th 2017 [Source]

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