The anti-vaccination lobby’s long history

Hat tip to @BadScienceWatch.

From Jenner to Wakefield: The long shadow of the anti-vaccination movement


From YouTube Description:

In 1998 a medical furore broke out when The Lancet published an article by Andrew Wakefield questioning the benefits of the MMR vaccination which was being given unquestioningly to children throughout the UK.

Coming 202 years after the first vaccination by Edward Jenner, which led to the eradication of smallpox throughout the world, this recent incident is only the latest in a long history of questioning the benefits of vaccination.

From early irrational fears born of outdated medical understanding through to the latest medical research and findings, Professor Gareth Williams traces the history of the anti-vaccination movement and its long tail, reviewing the social settings in which the fears were found and offering a balanced assessment of vaccination as we find it today.

The transcript and downloadable versions of the lecture are available from the on the Gresham College website:
http://www.gresham.ac.uk/lectures-and…

Gresham College has been giving free public lectures since 1597. This tradition continues today with all of our five or so public lectures a week being made available for free download from our website.
http://www.gresham.ac.uk

Dorey and Dingle’s Vaccine-Autism Doppelgänger

Back on January 15th Meryl Dorey offered a rather messy tweet designed to sustain her fictitious claim that all vaccines are causally linked to autism.

Dorey_Jan15

I say “messy” because the January 14th Huffington Post article linked to, refers to the Vaccine Compensation Injury Program Court, compensating children that the ‘Post author wrongly insists have autism. Yet suppose this author – anti-vaccine terror-tattler David Kirby – was correct. We are still left with compensation awarded to children with autism. Not because of their autism.

Thus Dorey’s misleading query, “… how many more do we need b4 govt admits vaccines cause autism?”, is rather scurrilous. And that’s only if Kirby’s attempt to mislead the reader is based in fact. As it turns out the heading Vaccine Court Awards Millions to Two Children With Autism does not describe the events as they occurred.

In the case of Ryan Mojabi, on page 2 of the Court of Federal Claims Decision Awarding Damages document one reads:

On June 9, 2011, respondent filed a supplemental report pursuant to Vaccine Rule 4(c) stating it was respondent’s view that Ryan suffered a Table injury under the Vaccine Act – namely, an encephalitis within five to fifteen days following receipt of the December 19, 2003 MMR vaccine… and that this case is appropriate for compensation under the terms of the Vaccine Program.

That’s clear. Encephalitis, which is a Table injury under the Vaccine act.

Still, referring to Ryan the family had blamed all vaccines administered between March 25th 2003 to February 22nd 2005 as collectively causing “a severe and debilitating injury to his brain, described as Autism Spectrum Disorder”. Without picking over every detail there is a lack of agreement on exactly when and how persistently ill Ryan became. The family had travelled overseas and whilst the totality of doctor’s visits falls well short of that expected for a child as ill as Ryan’s parents allege, evidence was provided that he had presented with fever and rash in Tehran on January 6th 2004.

In August 2007 Ryan’s parents testified he had (post vaccination) experienced screaming, lethargy, floppiness, fever and shaking hands in 2003, just prior to travelling overseas. Ryan’s doctor has no evidence nor record of these events being reported as claimed. Nor that he had agreed to an overseas trip for Ryan whilst he was in that condition.

On page 15 of an earlier court document, Revised Ruling Regarding Factual Finding (May 2009) Ryan’s performance under Checklist for Autism in Toddlers [CHAT] on two dates well past his MMR vaccination, is discussed.

On May 10, 2004, at Ryan’s sixteen month well-child visit, Dr. Armstrong completed a Checklist for Autism in Toddlers (CHAT) screen. Ps’ Ex. 4 At 25. That CHAT screen indicated that Ryan was interested in other children, pretend play, peek-a-boo, points with index finger, makes eye contact, and brings object for show. On January 25, 2005, Dr. Armstrong examined Ryan for his twenty-four month well-baby check. Ps’ Ex. 4 at 31. During the visit, Dr. Armstrong conducted another CHAT screen, and again Ryan positively performed each of the listed behaviors.

The second case involves Emily Lowrie. Emily has a diagnosis of Pervasive Developmental Disorder – not otherwise specified and seizure disorder. PDD is not autism, but may be referred to as “atypical autism”. It is a form of ASD. According to Australia’s Raising Children’s Network, symptoms are “usually fewer or less pronounced” than with Autistic disorder or Asperger’s syndrome. There is evidence that Emily did develop a Table injury close to the time of vaccination. Yet there is no evidence that autism resulted and Kirby’s claim is simply false.

The vaccines-cause-autism devotees excel in labeling PDD-NOS as “autism” and often flesh out large samples by including “autistic like symptoms” where clear diagnoses of encephalitis and encephalopathy exist. As it happens Kirby runs off the tried and true Bailey Banks case. Bailey was diagnosed with PDD – a class of conditions to which autism belongs. Meryl Dorey misled her audience at the Woodford Folk Festival by fudging such diagnoses and for good measure plagiarising part of the Banks’ final ruling document. She added “[Autism]” to misrepresent PDD after lifting a quote directly from page 17 of the Banks v. HHS case file.

Other stunners exploiting the “autism-like” symptoms include the Pace Law School student debacle orchestrated by Mary Holland. This motivated Dorey to inform a commercial radio audience “hundreds, possibly thousands of families had been compensated”, as a result of vaccines causing autism. You can chase more on it up here.

Kirby also mentions Hannah Poling as though it is a foregone conclusion she developed autism from vaccination. Hannah’s mitochondrial enzymatic deficit and many environmental factors may trigger the encephalopathy she was compensated for. Many children with her mitochondrial condition develop encephalopathy in the first two years of life. As is often the case when science meets law, evidence is challenged by other dynamics. In this case it was the tireless efforts of her parents.

Jon Poling a neurologist and his wife Terry Poling a nurse and lawyer unfortunately refer to their victory as a “landmark” in vaccine-autism compensation. Little wonder certain key documents now remain under seal in other cases, providing conspiracy fodder for the likes of Kirby.

Some of Kirby’s conspiratorial nonsense includes:

Some observers will say the vaccine-induced encephalopathy (brain disease) documented in both children is unrelated to their autism spectrum disorder (ASD). Others will say there is plenty of evidence to suggest otherwise. […] Whether HHS agreed with Ryan’s parents that his vaccine-induced brain disease led to ASD is unknown. The concession document is under seal.

It looked like the family had a weak case.

But then something changed.

In October, 2010, Ryan’s attorney filed four new exhibits (under seal) and proposed amending the court’s “findings of fact.” […]

Readers are supposed to conclude something dark and dastardly has occurred. Never mind Kirby actually repeats the fact that there is no evidence for his supposition.

Orac does a great job of knocking Kirby off and quite rightly refers to one jaw-dropper as “Grade A conspiracy mongering”. We’re asked to accept that Emily’s mother, Jillian Moller, is relaying a factual account when we read:

After the ASD diagnosis, the judge reportedly became convinced that Emily would prevail. “My attorney said she was angry, she felt forced into a corner with no choice but to find for us,” Moller said. “She said, ‘Emily has autism, and I don’t want to give other families who filed autism claims any hope.'”

One doesn’t expect any different from an attempt to amplify the long disproved, non-existent link between vaccines and autism from Meryl Dorey. Yet even amongst our most radical evidence denialists and defenders of alternatives to medicine, should not a PhD give pause to consult the facts? To at least, say, delineate between autism and PDD-NOS. Maintain a bit of fidelissima integritatum with one’s readers perchance?

Not for Dr. Peter Dingle it seems. He’d tweeted recently and placed the same conclusion in the lap of “the independent court”. Could it be? A fortnight later than Ms. Dorey’s effort the event was repeating itself? Surely there was a new story. But no. Doc Dingle had availed himself of Kirby’s caper and leaped to the same conclusion. With exactly the same HuffPost tweet. It was identical. It was… a dopellgänger!

Dingle_Jan29

On a serious note, the damage done by individuals such as Dingle perpetrating this myth is far from insignificant. It ignores the truth and does little for those in genuine need of compensation.

It is right and proper that children injured by vaccines are compensated. With brain damage rates of one in one million related to MMR of course we will see these cases. Yet for cases of measles infection the rates are one in one thousand. Of course there is no anti-vaccine compensation program.

Although differences are subtle, denying the evidence and etiology peculiar to vaccine injury and disability helps no-one. If we consider similar patients all presenting with Acquired Brain Injury, virtually identical symptoms yet various etiology it is easier to see the importance of this. Road trauma, stroke, near drowning, boxing or other sporting injury may all present identical motor, speech, memory and other lifestyle challenges. False links driven by ideology would rightly appear bizarre.

What we do know in these VCIP cases is that several million dollars have been awarded to each child.

Yet it was not because vaccines cause autism.

AVN: Australian Vaccination Nut-jobs?

When we had a measles outbreak this organisation pushed it around that it was a major conspiracy to push the vaccine

– NSW Minister for Fair Trading, Anthony Roberts, speaking on 2UE –

As you may be well aware the Australian Vaccination Network is confronting the reality of its deceptive name.

One possibility in view of the order to change its name within two months or face deregistration may at least save on logos and letterhead acronyms. In an interview today on 2UE NSW Minister for Fair Trading, Anthony Roberts observed that such groups were “nut-jobs” (a technical term he assured listeners) who frequently also offer the benefits of positive vibes and living on fresh air.

Yes, we’ve noticed.

Perhaps not endearing in the eyes of some but Australian Vaccination Nut-jobs is certainly a darn sight more accurate than any title conveying expertise.

Let’s face it. Anthony Roberts may be firm, but he’s also fair. The AVN could become The AVN. Which would also work for the “Hate Group”, Stop The AVN.

© – Tracey Spicer and Tim Webster interview Anthony Roberts on 2UE.

AVN name misleading

“The Northern Star tried to contact the AVN but it did not return our calls”


GAVI Alliance: the success continues

One of the most impressive speakers I’ve had the pleasure of hearing is Seth Berkley.

Seth is CEO of the GAVI Alliance. The incredible life-saving machine known as “the GAVI model” has prevented over 5 1/2 million future deaths through the immunisation of 370* million children since 2000.

* – May 2012 projection

GAVI’s mission encompasses a bold, compassionate vision, effective strategies, education and commitment. GAVI has pulled together very specific dynamics of international development, finance organisations, donor governments, the pharmaceutical industry, developing countries, WHO, UNICEF, Bill and Melinda Gates Foundation and the World Bank into a single “decision-making body”.

This uniquely complex approach allows the central part of the GAVI vision to be realised:

Saving children’s lives and protecting people’s health by increasing access to immunisation in poor countries

GAVI has every right to be proud that its model has permitted “a single-minded focus to the urgent task of closing three critical gaps in the provision of vaccines”:

  • between children for whom immunisation is a given and the 19 million children worldwide with no access to vaccines;
  • between the introduction of a new vaccine in rich countries and the average 10-15 years required for the same vaccine to reach low-income countries;
  • between the need for new vaccines in developing countries and the lack of research and funds to provide them.

In 2009 UNICEF reported that more children are being immunised than ever before and this is “directly attributable” to the success of the GAVI model. With the support of GAVI, 18 developing nations had begun to introduce the pneumococcal vaccine by mid-2012. Better still this vaccine will soon be part of routine programmes in half of GAVI-eligible countries. Pneumonia is the cause of 18% of child deaths in developing nations.

Another 18% of deaths in children is due to diarrhoea, primarily caused by rotavirus. By the end of last year 20 GAVI-eligible countries had been approved for support in implementing vaccines against rotavirus. It’s wonderful that by the end of last month Sudan was joined by Rwanda, Malawi and Ghana as the first African nations to see GAVI help roll out rotavirus vaccines.

Consider for a moment, Ghana. The first GAVI supported country to introduce both rotavirus and pneumococcal vaccines together, Ghana can now directly address and prevent the cause of 36% of childhood fatality.

GAVI have excelled in meeting demand. In the middle of 2011 more applications than ever before were made to GAVI for both new and underused vaccines. Late last year two thirds of GAVI programmes met demand for both rotavirus vaccine (representing a nine fold increase) and pneumococcal (representing a doubling of demand). The diagram below indicates how GAVI commits funds to specific purposes.

Meanwhile in the developed world we continue to enjoy the luxury of faux “vaccine injuries” and other hoax reasons proffered as cause to deny children immunisation. This itself is an indicator of, and direct result from, the success of mass immunisation. Vaccine induced immunity and herd immunity protecting the unvaccinated, remains out of reach in poorer nations wherein one child dies from a vaccine preventable disease every 20 seconds.

Where vaccination regimes have been successful such tragic suffering is forgotten. Indeed, subtracting the impact of vaccine denial, there’s virtually no evidence of it in our midst. But this does not mean we may have cause for complacency – no matter how strong both specific and herd immunity might be. Influenza pandemics remain a serious threat to humanity. It’s been estimated that the likelihood of such a Massively Fatal Discontinuity, able to kill up to 100 million people in the next 50 years, is 100%.

Back in February 2010 Seth Berkley looked at the importance of vaccines to human health, and our survival.

Wise words.

HIV and flu — the vaccine strategy (TED Talks)


Source – GAVI


Natasha Bita: Award winner to crisis spinner?

The TGA is concerned by assertions that a number of deaths resulted from influenza vaccinations. In fact there have been no recorded deaths from influenza vaccine in Australia.

– Australian Therapeutic Goods Administration respond to Natasha Bita’s article “linking” vaccination to fatality –

Natasha Bita published Virus in the system on May 28th, 2011.

The article presents an extended account of the heart wrenching story of Saba Button who suffered permanent brain damage due to the CSL Fluvax influenza vaccine, in April 2010. A combination of H1N1 and seasonal influenza strains Fluvax is tolerated very well by adults. However for children under five a febrile convulsion rate of 0.33% was later clearly established in the only state to involve this age group: Western Australia.

At the time the ABC reported hundreds of reactions. Of the 47 children taken to hospital, The West Australian reported 23 admissions. Saba Button was one such admission. Bita doesn’t provide these details, though to her credit does report that in 2009 fifteen kids under the age of 15 died after contracting swine flu. Each year between three and nine children die from influenza in Australia.

The situation in W. A. following the use of Fluvax on small children reflects a 2006 study in which 1 febrile convulsion was recorded in a sample of 272. What emerged as deeply concerning is that 2006 fever (not convulsion) trial data rates were 39.5%. Yet Fluvax manufacturer CSL informed the TGA of their 2005 trial data on fever. A much lower 22.5%. Public confidence in regulation, safety, Good Manufacturing Practices (GMP) and ultimately use is vital. I’ve previously looked at the importance of holding CSL to account.

A primary reason is that such stories are fodder for anti-vaccination lobbyists. Public confidence in immunisation was at stake, and proper context was much needed. One glaring absence from Bita’s article was reinforcement of the importance of vaccination in preventing influenza. With the internet awash with dangerous anti-vaccination propaganda readers need to know that all vaccination schedules are of paramount importance.

The day Bita’s story was published anti-vaccination guru Meryl Dorey falsely claimed that “the skeptics” and Stop The AVN were “organising forces” to complain.

Meryl Dorey’s Yahoo! Twitter and Facebook libellous claims

I emailed Natasha that day seeking confirmation. After no reply I tried again on June 1st and CC’d The Australian online address. 16 days later I repeated this. Natasha eventually replied that no, she had received no complaints. Not one. However she had been away, she qualified. Strange, I thought. Was Bita suggesting that her absence equated to an inability to access emails, either later or indeed at any time?

I began to feel somewhat uneasy about Bita’s impartiality. Clearly she knew who Meryl Dorey was. She was the woman who had just hijacked her published account to falsely claim, “babies were being used as guinea pigs in a trial that was paid for by the drug companies involved.” Dorey was also harassing the Buttons by phone and had appointed herself the family’s unofficial conspiracy consultant.

Shortly after I’d finally received a reply from Natasha Bita she published an article on the very rare past occurrence of transverse myelitis following oral polio immunisation. Bita did little to quell the fear and uncertainty to follow in the wake of Virus in the system. The purpose of her piece was to report on the MJA article, A no-fault compensation scheme for serious adverse events attributed to vaccination published by Kelly, Looker and Isaccs. I was familiar with the article having referred to it myself almost three weeks earlier.

It’s inexcusable that Australia lacks such a scheme when we note Germany began theirs in 1961 and across the Tasman no-fault compensation has been a reality since 1978. Seventeen other nations have a scheme that relies upon WHO criteria for Adverse Events Following Immunisation (AEFI). It is of even greater relevance in Australia because arguments for its implementation rely upon factors anti-vaccination lobbyists deny. Firstly that vaccination provides immunity and secondly the principle of herd immunity.

The authors write:

Any person who is injured while helping to protect the community — for instance, by contributing to herd immunity, such that there are sufficiently many people immunised to prevent widespread disease transmission within the community — should not bear the consequences of injury alone. In essence, the community owes a debt of gratitude to that person.

Natasha Bita, whether consciously or not, fed the anti-vaccination machine. The piece firmed her position as a journalist lacking in scientific literacy or having a grasp of risk-benefit ratios. She belittles the term “adverse reaction” and leaves the most crucial fact that Australia’s current inactivated polio virus vaccine carries no such risk, until the last few words. In a poorly written piece she completely misses the reality that Australia’s vaccine injury chic groupies will not back this scheme, have never mentioned it and deny the merit raised by Kelly, Looker and Isaacs.

When Virus in the system won Natasha Bita a Walkley for Sustained Coverage Of An Issue Or Event, she was embraced totally by the Dark Side. Her appearance on conspiracy and vaccine denialist site The Refusers perhaps underscored just how important a few lines reminding parents that vaccines save lives can be.

On August 3rd, as Queensland mum Katrina Day lay fighting for her life against influenza, Natasha Bita published a fraudulent article falsely “linking” 10 deaths to influenza vaccines. Bita ignored the TGA warning on interpretation of data. The article highlights how dangerous it is to allow sensation-seeking journalists to consult such information. Her headline outs her as unconscionable and callous as she proceeds to ignore any difference between correlation and causation.

Bita writes misleadingly:

TEN deaths have been linked to the nation’s flu immunisation program since the 2009 swine flu pandemic, including elderly patients and unborn babies.

The CSL flu vaccine, Panvax – which taxpayers spent $131 million stockpiling for the 2009 swine flu outbreak – triggered 1716 adverse-event reports, including seven deaths.

Whilst it is well understood that seasonal influenza vaccines will not include all circulating strains (meaning one may still catch influenza) she offers:

The Therapeutic Goods Administration database of adverse events, made public this week, lists the death of a grandmother who caught the flu after vaccination last year.

This is exactly the problem faced by VAERS in the USA, which is set to be superseded. Events are reported so that trends will be picked up and viable research launched in response to perceived problems. Nonethelesss all events remain on the database. Here we have an apparent award winning journalist reporting 10 deaths “linked” to ‘flu vaccines, whilst the total is actually zero. Visitors to TGA’s Database of Adverse Event Notifications are met with:

Her article drew the following response on the same day from the TGA:

TGA is concerned by a media story that may mislead consumers and could potentially discourage them from receiving influenza vaccinations.

Vaccinations play an important role in the prevention of diseases such as influenza, which can be life threatening in some patient groups. […]

The first line of text on the Database of Adverse Event Notifications states that: An Adverse Event does not mean that the medicine is the cause of the adverse event.

The TGA is concerned by assertions that a number of deaths resulted from influenza vaccinations. In fact there have been no recorded deaths from influenza vaccine in Australia. […]

To my knowledge Natasha Bita is yet to publish a retraction, explanation or apology. On August 27th it was reported that Katrina Day had passed away after falling into a coma. The 38 year old leaves behind four children and a husband.

Yesterday new directions for the CDC were reported in Flu Creates High Risk Of Death In Children With Neurological Problems:

A disproportionately high number of children with neurologic disorders died from influenza-related complications during the 2009 H1N1 pandemic, according to a study by scientists with the Centers for Disease Control and Prevention. The report in the journal Pediatrics underscores the importance of influenza vaccination to protect children with neurologic disorders. CDC is joining with the American Academy of Pediatrics, Families Fighting Flu and Family Voices to spread the message about the importance of influenza vaccination and treatment in these children.

Influenza kills and vaccination saves lives. For certain groups this is a very real decision arising every year. In very, very rare cases adverse reactions occur. To date in Australia no fatalities have been conclusively linked to influenza vaccines, including during the CSL debacle.

It’s a shame that so-called “consumer editor” Natasha Bita has to mislead her readers to suit her own agenda.