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Sharyl Attkisson is slowly catching up to Neurodiversity.com and Arthur Allen

2 Aug

Sharyl Attkisson has posted yet another in her series on vaccines in autism.

It’s the first time we know of that the government has “conceded” an autism case in vaccine court. But CBS News has learned the government has previously been court-ordered to pay on other vaccine injury cases in which a child ended up with damage including autism or autistic symptoms.

And then discusses the case involving a child with Tuberous Sclerosis (TS).

Sharyl Attkisson would do well to read (if she hasn’t already) the Neurodiversity.com blog where previous cases. In specific, the post “a not so hidden history“. One of the cases there, Suel v. HHS involves a child with TS and autistic symptoms. While the case Ms. Attkisson is discussing appears to be a different one (from 1986), it uses the same expert witness (Gomez).

Will Ms. Attkisson now “discover” the other cases of compensated vaccine injury involving people with autism or autistic symptoms?

Maybe in her extensive research she missed Arthur Allen’s piece on the same subject? He cleverly hid it under the title “Recent Vaccine-Autism Award Not the First“.

Yet another look at CBS's view of Offit's COI's

2 Aug

Paul Offit has been much in the news and blogOsphere lately (Say, here , here and here. Dr. Offit is a vaccine researcher and vocal supporter of vaccines. This makes him a target amongst some groups, leading to a recent example of the “investigative reporting” that CBS news’ Sheryl Attkisson brings to the public.

A big question comes up as to Dr. Offit’s conflicts of interest. Ms. Attkisson’s story brings up a few. Let’s take a look. First we have the fact that Dr. Offit holds an endowed chair:

Offit holds in a $1.5 million dollar research chair at Children’s Hospital, funded by Merck. He holds the patent on an anti-diarrhea vaccine he developed with Merck, Rotateq, which has prevented thousands of hospitalizations.

OK, simple fact check: the endowed chair is $2M, with $500,000 seed money put in by Children’s Hospital of Philidelphia and the University of Pennsylvania.

Not many people have reason to know the details of what an endowed chair is. If I didn’t know better, the above quote makes it sound like the $1.5M from Merck is something akin to a grant, giving Merck some leverage on Dr. Offit. Actually, chair endowments are basically trust funds. In this case, Merck donated $1.5M to CHOP and Penn, who manage the money independent of Merck. These institutions use the proceeds of the endowment to pay for salary and research funds for the chair holder. CHOP and Penn decide who get the chair after Dr. Offit leaves or retires. It is not “His” chair, but the institutions’.

Remember that bit about “research funds”? This is money that allows a the chair holder (Dr. Offit in this case) to do independent research. He doesn’t have to apply for grants, but has a constant supply of money. Merck doesn’t have a say in how he spends those funds.

Isn’t that a good thing? Independent researchers, not beholden to funding agencies?

So, the endowed chair is not a conflict of interest at all.

What other conflict of interest did Ms. Attkisson “unearth”? Well, she noted in the above quote that Dr. Offit is a co-inventor of a patent on a Rotavirus vaccine. She goes on to state:

And future royalties for the vaccine were just sold for $182 million cash. Dr. Offit’s share of vaccine profits? Unknown.

OK, I am going to be picky on details again. Yep, I make a lot of mistakes too, but I gotta get this one out. Dr. Offit doesn’t “hold” a patent on the vaccine. He is an “inventor”. He “assigned” the rights to:

The Wistar Institute of Anatomy and Biology, Philadelphia, PA
The Children’s Hospital of Philadelphia, Philadelphia, PA

I’ll also point out that he is listed as an inventor on about 24 patents worldwide, with about 10 on Rotavirus. Of those, there are multiple US Patents. (I’ll note that Dr. Offit does not list all his patents on his resume.)

I’m sure I’ve made the “holds patent” mistake a lot. I would venture to guess that you might even find the mistake in statements by Dr. Offit. In general, I wouldn’t think “holds patent” is a big deal. He may discuss it as “his” patent because the ideas are “his” and his co-inventors. But, in the financial sense, the patent belongs to the assignee. Initially, this was CHOP and the Wistar Institute. So, why bring it up here? Because, (a) a news reporter should be more accurate and (b) I think the language is important in this specific case.

What Dr. Offit (and his co-inventors) proabably [edit–no probably about it, hat-tip to Scwhartz for catching this] “hold” is an agreement with the assignees (CHOP and the Wistar Institute) for some share of license fees or for bonuses based on the successful licensing of the patent.

That’s how research works. The company or institution takes the risks that a researcher’s work will never pan out. They pay salary, they pay the fees to file patents. Typically, researchers’ shares in license fees are determined before research is completed, often when the researcher is hired.

But, that doesn’t sound as interesting as “He holds a patent licensed for $182 million”, does it?

I’m not going to downplay the likelihood that Dr. Offit made money off of the vaccine patents. I hope he did. But, if he were in it for the money, there were a lot of things he could have done to make more in his career once it became obvious that RotaTeq was likely to succeed. Talking about the lack of science behind the autism/vaccine connection isn’t one of them.

And that’s what this is all about, isn’t it? The implication that Dr. Offit is out for the money. People want to make the public think that he speaks out on vaccine safety because he will get more money.

Well, recall that the future royalties on RotaTeq have been sold. What does that tell us about Dr. Offit’s conflicts of interest? It tells us that the financial COI on RotaTeq is basically over!

Consider the world view of those who claim that Dr. Offit speaks out on vaccine safety to line his own pockets. How much money will Dr. Offit make on RotaTeq if he speaks out on autism issues? How much will he make on RotaTeq if he stops speaking out?

They are the same amount.

So, CBS had two potential COI’s on Dr. Offit: the endowed chair and the RotaTeq royalties. Neither of which is an active COI at this time and into the future.

So, what’s missing from the CBS example of “investigative journalism”? How about a discussion of Dr. Offit’s research grants? Where did the money come to support the research into the vaccine? We all know that CBS must have looked into that. Why nothing in the story? Could it be that there is no story there? Uh huh. The National Institutes of Health funded Dr. Offit’s research on rotavirus. Merck took over the development and testing phase of the vaccine in 1991, but the actual creation of the vaccine occurred without industry funding.

So, did Merck do “payback” and fund Dr. Offit’s research since then? (Again, CBS had to have considered that). Not that I can see. No Merck funded projects are listed in his resume with him as principal investigator.

Quite frankly, I am surprised by how few industry funded research projects Dr. Offit has been principal investigator on. Given his expertise, I would have expected much more industry funding. Much more.

That doesn’t make a good story though, does it?

So, how does Dr. Offit act when a COI is in play? Oddly, this discussion recently occurred on this blog.

Dr. Offit was a member of the Advisory Committee on Immunization Practices (ACIP), Centers for Disease Control and Prevention from 1998 to 2003. During this time he had to vote on a competitor’s rotavirus vaccine (RotaShield). (People seem to have a habit of confusing RotaShield with Dr. Offit (and team’s) RotaTeq)

So, when RotaShield, the competitor’s vaccine, came up for vote, what Did Dr. Offit say? He voted to include it in the schedule. It’s hard to spin that as something that would benefit Dr. Offit, as it clearly meant that the marketability of his own vaccine was reduced.

Rotashield was found to potentially cause intussusception. The numbers affected were too small to detect in the trial, so this concern was raised after the vaccine was added to the schedule. the ACIP took a vote on whether to remove RotaShield from the schedule–a move that clearly had potential benefits for Dr. Offit, so he abstained.

I guess that didn’t fit in the CBS story either.

Why are we talking about Dr. Offit again? We can all speculate, but the good folks at the Age of Autism answer the question for us:

Paul Offit is quickly coming under suspicion for his pharma ties and losing his usefulness as a vaccine promoter in the press.
It’s a little hard to pretend that all you do is work at Children’s Hosp. of Philadelphia, when you’ve gotten coverage on CBS and in the
Wall Street Journal because of serious conflicts of interest. Offit’s new book,
“Autism’s False Prophets: Bad Science, Risky Medicine, and the Search for a Cure,” is due out this fall but I hardly think anyone will think of him as a credible independent expert.

Anne Dachel
Media editor

Yep, they realize that “Autism’s False Prophets” is soon to hit the shelves of bookstores. I wish I had a copy now, as it must be pretty scary to the Generation Rescue crowd since they are putting on such a big preemptive strike.

I’ve already asked my library to order a copy.

By the way, I love how everyone at Age of Autism is an editor

Sullivan
LeftBrain/RightBrain Antarctic Bureau, Sports Desk.

Stop the presses: Paul Offit's resume is WRONG!

1 Aug

If you check Dr. Offit’s resume, you will find that he list three patents:

Clark, HF., Offit, P., Plotkin, S.A. Rotavirus reassortant vaccine. United States Patent #5,626,851. Issued May 6, 1998.

Speaker, T.J., Clark, H.F., Moser, C.A., Offit, P.A., Campos, M., Frenchick. P.J. Aqueous-based encapsulation of a bovine herpes virus type-1 subunit vaccine. United States Patent #6,270,800. Issued August 7, 2001.

Clark HF, Speaker, T.J., Offit, P.A. Aqueous solvent encapsulation method, apparatus and microcapsules. United States Patent number 6,531,156. Issued March 11, 2003.

In preparing a post, I found that the above is not accurate. I feel I must note the mistakes. Yes, there are multiple mistakes. If you do a patent search for “vaccine” with “Offit” as the inventor, you get 24 patents and applications. I list them below:

ES2216242T3 ENCAPSULACION DE VACUNA SUBUNITARIA CONTRA EL VIRUS DEL HERPES BOVINO TIPO 1 EN BASE A UN DISOLVENTE ACUOSO.

PT0873752T ENCAPSULACAO COM BASE EM SOLVENTE AQUOSO DE UMA VACINA DE UMA SUBUNIDADE DO VIRUS DO HERPES BOVINO DE TIPO-1

DK0873752T3 Vandigt oplesningsmiddel-baseret indkapsling af vaccine af en bovint herpesvirus type-1-underenhed

EP0873752B1 Aqueous solvent based encapsulation of a bovine herpes virus type-1 subunit vaccine

US6531156 Aqueous solven encapsulation method, apparatus and microcapsules

CA2065847C ROTAVIRUS REASSORTANT VACCINE

US6290968 Rotavirus reassortant vaccine

US6270800 Aqueous solvent based encapsulation of a bovine herpes virus type-1 subunit vaccine

EP0873752A3 Aqueous solvent based encapsulation of a bovine herpes virus type-1 subunit vaccine

US6113910 Rotavirus reassortant vaccine

AU0713639B2 AQUEOUS SOLVENT BASED ENCAPSULATION OF A BOVINE HERPES VIRUS TYPE-1 SUBUNIT VACCINE

ZA9803327A AQUEOUS SOLVENT BASED ENCAPSULATION OF A BOVINE HERPES VIRUS TYPE-1 SUBUNIT VACCINE.

DK0493575T3 Vaccine af reassortant rotavirus

JP10316586A2 CAPSULATION OF BOVINE HERPES VIRUS TYPE-1 SUBUNIT VACCINE ON BASIS OF AQUEOUS SOLVENT

NZ0330251A BOVINE HERPES VIRUS TYPE-1 (BHV-1) SUBUNIT VACCINE IN AN AQUEOUS SOLVENT BASED ENCAPSULATION

AU6351198A1 AQUEOUS SOLVENT BASED ENCAPSULATION OF A BOVINE HERPES VIRUS TYPE-1 SUBUNIT VACCINE

EP0873752A2 Aqueous solvent based encapsulation of a bovine herpes virus type-1 subunit vaccine
CA2229430AA AQUEOUS SOLVENT BASED ENCAPSULATION OF BOVINE HERPES VIRUS TYPE-1 SUBUNIT VACCINE

EP0493575B1 ROTAVIRUS REASSORTANT VACCINE

US5750109 Rotavirus reassortant vaccine

US5626851 Rotavirus reassortant vaccine

GR3018262T3 Rotavirus reassortant vaccine.

EP0323708B1 Rotavirus reassortant vaccine

EP0493575A4 ROTAVIRUS REASSORTANT VACCINE

Why would someone leave all those patents off of a resume? A lot of these patents are international versions of US patents (Note the first two letters in each patent number US=United States, EP=European Patent, GR=Great Britain, etc.). Some of the US patents are “picture patents”. They are non-obvious variations, but similar to other, more fundamental patents.

Oh, yeah. There was another mistake. He lists patent #5,626,851 as Issued May 6, 1998. Actually, it was issued May 6, 1997. Obviously a part of some plot. I can’t tell how exactly it benefits him, but it must somehow. Just like the fact that he left patents off his resume, must be a plot. Nefarious.

Well, curiosity got the best of me. I emailed Dr. Offit to ask why these are missing from his resume. He responded that yes, indeed, they are “picture patents”, and that including them all seemed like resume padding.

There is a saying amongst old timers (in any field): “I’ve forgotten more about this subject than you will even know”. It appears that Dr. Offit has left more pertinent qualifications off his resume than his detractors (combined) will ever have.

How many of us have resumes so good that we can leave off 21 patents and cherry pick the really fundamental ones? How many of us can only list the invited talks we’ve given in the recent past (as Dr. Offit does)?

CBS news: can I have a job? I’ve “unearthed” more than you did. Oh, but it doesn’t fit with the “conflict of interest” theme, does it?

Conflicts of interest, whats good for the goose…

28 Jul

As recently blogged by Autism News Beat, CBS Evening News (an American news outlet) recently performed an investigation into ‘how independent are vaccine defenders’? Something of an exercise in futility, it concluded that:

Ideally, it [vaccines] makes for a healthier society. But critics worry that industry ties could impact the advice given to the public about all those vaccines.

So, CBS say that the vaccine schedule makes for a healthier society but that the advice given about vaccines could impact the advice given.

Uh…so? Lets go through that again. It makes for a healthier society. Would CBS rather it didn’t? Bizarre.

Specifically, they attack the AAP, the Every Child By Two website and Paul Offit. The AAP has conferences funded by vaccine manufacturers, ECBT takes money from the vaccines industry….in fact, hold on…CBS say in their report (assume breathless excitement reporter voice)

Every Child By Two, a group that promotes early immunization for all children, admits the group takes money from the vaccine industry, too…

Oh do they? They admit it do they? Under the rigour of your intrepid journalism no doubt? Except that information is clearly available for all on their website. I do wonder if anyone from CBS even spoke to ECBT.

And of course there is Paul Offit – the official poster boo-boy for anti-vaccinationists everywhere. The man who dares to make a profit from his inventions! CBS took him to task for holding a patent on a vaccine. Shall we look at another man who made a patent application for a vaccine? That’s right – Andrew Wakefield. Except, unlike Dr Offit, who made no attempt to hide his association with the vaccine he was responsible for, Andrew Wakefield’s solicitors said that ‘Dr Wakefield did not plan a rival vaccine’.

How about other people who make a tidy income from the anti-vaccine industry? The Geier’s maybe who invented their own IRB to make sure that their ‘science’ was unhindered by ethical considerations…..or maybe Dr. Jay Gordon who thinks that the Polio vaccine could be replaced by simply not eating cheese. How much do you charge your clients Dr Jay? How about Laura Hewitson who’s husband works for the Wakefield owned Thoughtful House and who seems to be part of the Autism Omnibus hearings….how independent can her science be? How about the ARI/DAN group who are led by people who clearly have no clue at all as to the medical science they are making a large profit on. How much do each of these people make? How about Rashid Buttar who lists non-existent memberships on his CV and who charges upwards of $800 for a 1 hour consultation fee and who’s ex-patients report being out of pocket by about $20,000 in about a year.

Its up to you Dear Reader – are these things we should be worried about? Are these things CBS should be worried about? Are these conflicts of interest? Does the act of making any sort of money either from treating people or from existing business interests mean you cannot and should not talk about these things? Should we assume that only certain people have an agenda?

In my humble opinion, it should only become an issue when attempts are made to hide these things. Or deny them when they are clearly true. That cannot be said of the AAP, ECBT or Paul Offit. Maybe CBS should be asking to see the balance sheets of DAN doctors or vaccine litigation specialists. What have they got to hide? Maybe CBS should be inspecting the credentials of people who claim to be able to cure autism and reverse old age. Maybe CBS should be looking at the disturbing increase in ties between autism/anti-vaccinationists and scientology.

But I would think in the meantime that CBS will take the easy route of producing crap that informs no one about anything. Lets hope it doesn’t turn around and bite them on the arse eh?

Elsewhere
Orac weighs in too.

David Kirby vs Accuracy

20 Jul

As I’ve said before, I like David Kirby personally. We exchange friendly emails. We even recently discussed the idea of having a private blog – readable by all but one that allowed only two posters (David and I) and no commenters. This would, I suggested, give us the opportunity to have a civil debate.

Unfortunately, David was too busy, which was a shame. However, the offers always open should he find a bit more time.

He did have time yesterday to blog a piece for the Huffington Post in which he discussed Amanda Peet and said she was ‘against the medical establishment’ for taking the stance she did. He cited a few things to support his point. I’d like to discuss these things but before I do I’d like you Dear Reader to take note: someone who was at the IACC meeting David talks about (he wasn’t there) will hopefully be posting their account of proceedings on LB/RB.

Anyway. Lets proceed. David’s first piece of rhetoric to support the idea Amanda Peet was against the medical establishment was:

A workgroup report of the IACC (the Interagency Autism Coordinating Committee, which includes HHS, CDC, NIH and others) says that some members want “specific objectives on vaccine research” included in the new, multimillion-dollar national autism research program, as mandated by Congress in the Combatting Autism Act.

I’m sure that some members do want this. Lynn Redwood and Mark Baxhill to be precise. As the upcoming IACC account will show, I don’t think any other IACC workgroup members were interested. (Please see this correction of an ignorant Limey’s take on the US system.)

I would also like to correct David on his characterisation of the Combating Autism Act. The Act contains no mention of vaccines. It specifies environmental research but the words ‘vaccine’, ‘vaccination’ ‘immunize’, ‘immunization’, ‘mmr’ or ‘thimerosal’ appear nowhere in the CAA. I hope David will correct his HuffPo piece accordingly.

Notes from the meeting indicate that workgroup members want federal researchers to consider “shortfalls” in epidemiological studies cited as proof against a vaccine-autism association (by Offit, Peet, et al); as well as a specific plan “for researching vaccines as a potential cause of autism.” The workgroup also says that the final research agenda should “state that the issue is open.”

Once again, David’s notes are coming from two people, Lynn Redwood and Mark Blaxill and indeed – they asked for all these things. The account of the meeting I have heard (from someone who was there) differed somewhat. As a flavour of how much the majority of the working group listened to Redwood and Blaxill, I enclose a teaser quote from chairperson Tom Insel:

“Lyn, your community is not the whole community and there are many people with well thought out concerns about ethics of the concept of prevention and if we want to be inclusive we will not do this.”

Back to David:

July 14, 2008 – Rep. Brad Miller (R-NC), Chairman of the House Subcommittee on Investigations and Oversight, (Committe on Science and Technology) writes to HHS Secretary Michael Leavitt to complain that current federal autism research “shows a strong preference to fund genetic-based studies,” even though there is, “growing evidence that suggests a wide range of conditions or environmental exposures may play a role” in autism.

I blogged that episode here. Suffice it to say that a _politician_ is not representative of the medical establishment. I would urge everyone reading this to read that piece as it suggests amongst other things that Generation Rescue and SafeMinds be responsible for a Board that would serve as a liaison between the IACC and parents of autistic people and autistic people themselves!. After reading that I would urge everyone to contact the following people to express your thoughts (politely!) to the decision makers:

HHS Sec Mike Leavitt (mike.leavittAThhs.gov)
NIMH director/IACC director Tom Insel (tinselATmail.nih.gov)
Everyone here: http://science.house.gov/about/members.htm

Once again, back to David:

Dr. Bernadine Healy, former head of the NIH and the American Red Cross and current Health Editor of US News & World Report tells CBS News that, “Officials have been too quick to dismiss the hypothesis as irrational,” and says they “don’t want to pursue a hypothesis because that hypothesis could be damaging to the public health community at large by scaring people.”

I still can’t get over the fact that David is using this person to back up his points! He continues to trumpet the opinion of Bernadine Healy who actually did assert that cigarettes do not cause cancer and worked closely with Philip Morris to do so. She also totally reneged on her stance on fetal tissue research when she found herself in the same camp as President Bush. In AoA language she’s a shill.

David then goes on to cite al three Presidential Candidates – as if a politicians opinion in an election year means anything! I definitely fail to see what any of them have to do with being part of the medical establishment.

Onwards:

March 29, 2008 – Dr. Julie Gerberding, Director of the CDC, speaking about the Hannah Poling case on CNN says: “If a child was immunized, got a fever, had other complications from the vaccines, and was pre-disposed with the mitochondrial disorder, it can certainly set off some damage (including) symptoms that have characteristics of autism.”

Er, so? I’m really not sure how this is a ‘point’ for David (or anyone else who thinks its supportive of the idea vaccines cause autism). If she’d said ‘yes, vaccines caused autism in Hannah Poling’s case’ (which no-one ever has by the way, despite statements to the contrary) than _that_ would be a bombshell. As it was Dr. Gerberding was simply speaking what is obvious.

David again:

The CISA Network (Clinical Immunization Safety Assessment), headed by the CDC, receives a report from top researchers at Johns Hopkins University that 30 typically developing children with mitochondrial dysfunction all regressed into autism between 12 and 24 months of life. At least two of them (6%) showed brain damage within one week of receiving simultaneous multiple vaccinations.

Now, I can’t answer this as much as I’d like to. I have spoken to people involved in the preparation and writing of this report (as has David) and I was given two take home points from our email chat:

1) The science is _not yet complete_ . The paper is not published.
2) The authors feel ‘disappointed’ in the slant David has put on their work and are loth to discuss it with anyone else due to that. I was told that David might be rather surprised when everything comes out later in the year.

David once more:

Medical Personnel at HHS concede an autism case filed by the family of Hannah Poling in the federal Vaccine Injury Compensation Program, before the claim can go to trial as a “test case” of the theory that thimerosal causes autism. Though portrayed by some (ie, Dr. Offit) as a legal decision, it is in fact a medical decision. HHS doctors admit that the “cause” of Hannah’s “autistic encephalopathy” was “vaccine-induced fever and immune stimulation that exceeded metabolic reserves,”

First of all, I beg to differ with David. The concession was a legal one. By definition the phrase “autistic encephalopathy” does not exist in mainstream science so if it was used (a fact which has yet to be determined – I invite David once more to link through to the document where this is stated). A simple test of its non-existence is to search for the phrase on PubMed. I got:

Quoted phrase not found.

So we have a multitude of uncertainties here:

1) Nowhere (except in David’s writings) can we find evidence of HHS apparently saying “autistic encephalopathy” caused Hannah Poling’s autism.

2) The phrase itself (“autistic encephalopathy”) does not appear in the entire PubMed database, thus causing me to doubt its use by the medical establishment.

3) Is the concession legal or medical? If a diagnosis does not exist but is used in a legal document then by definition it must be legal – thats my opinion anyway.

David also mentions a HHS Vaccine Safety Working Group meeting but I know next to nothing about that so can’t comment.

I have to say that based on the above, David seems to be attempting nothing more than an intellectual ‘land grab’ i.e. to attempt to paint those who claim vaccines cause autism as part of the medical establishment and those who stand against them as not. Its a good political idea but I don’t think its going to work. There are just too many holes in this particular boat for it to float for long.

Cookie Mag talks to the expert (not plural)

18 Jul

Cookie Magazine has found itself getting a lot more traffic than normal as of late. Amanda Peet was featured and spoke out for vaccines.

Lock the doors! How could someone say vaccines are good!

Well, we all know how people can jump on that subject. All too well. Amanda Peet got her information by talking to an expert of vaccines, Dr. Paul Offit. She was pretty darned lucky to have a connection like that, in my view.

Long story short, after statements, an apology (but not backpedaling!), lots of internet discussion, a threat here and there, Cookie Magazine now has posted some interviews with Dr. Offit (vaccine expert) and, huh?, Dr. Jay Gordon.

Oh, Kay. Dr. Jay, on the same level as Dr. Offit?

Actually, I think I’ll print out the Dr. Offit interview for people with questions. As for Dr. Jay, well, here’s the final quote:

How do you reconcile the notion of not vaccinating with the public health benefit that you mentioned earlier?
I think that the public health benefits to vaccinating are grossly overstated. I think that if we spent as much time telling people to breastfeed or to quit eating cheese and ice cream, we’d save more lives than we save with the polio vaccine.

People seem to think there are two sides to this discussion. Yep, there’s preventing disease and stopping people from eating cheese.

Amanda Peet and the Streisand Effect

16 Jul

I had never heard of the “Streisand Effect” until a few months ago. That’s when Clifford Shoemaker subpoenaed.

The basic idea is simple: someone tries to censor or remove some piece of information from the internet, and, instead, the actions cause the information to be much more widely spread than it would have been otherwise.

In the case of the subpoena, many (MANY) people heard about the neurodiversity.com site and, especially, some of the actions of Mr. Shoemaker, than would have happened had the subpoena not been issued.

I was reminded of this phenomenon today when I found that the Amanda Peet story has started to catch on big. Amanda Peet was quoted in Cookie Magazine with a very pro-vaccine stance. She had been scared by…

….the amount of misinformation floating around, particularly in Hollywood

So, what did she do? She asked a medical professional for advice. Dang, what a concept! She was very fortunate that her brother in law is a doctor and, even more luckily, he works at Children’s Hospital of Philadelphia (CHOP) where Paul Offit works.

Dr. Offit knows vaccines. Not in the, “I’ve read a ton in the internet” version of “knows” vaccines. No, He researches and develops vaccines. He is also a vocal spokesperson against the idea that vaccines cause autism. That, as you can imagine, makes him very unpopular with some segments of the autism community.

So, you can imagine what happened when Amanda Peet came out pro vaccine, against the vaccine-autism connection and stated that she got information from Dr. Offit. Yes, she got the usual hate-filled reception. And make no mistake, I am not downplaying that. I would not be surprised if she, like others before her, have had to forward emails or phone calls to the authorities because they seem threatening.

But, as time goes on, the message isn’t getting quashed. Salon.com picked up the story today and stated,

Now, Peet vs. McCarthy is the celebrity smackdown du jour. Sure, we’d all be better off taking our medical advice from doctors and nurses rather than celebrities. Yet, everyone from the American Academy of Pediatrics to Salon columnist Dr. Rahul Parikh has tried to reassure parents that vaccines don’t cause autism. Meanwhile, public health officials worry when public confidence in vaccinations continues to erode, in part because of high-profile celebrity advocacy, like McCarthy’s Green Our Vaccines march and rally held in Washington, D.C., in June.

And, what was that “smackdown du jour”? Looks like E! picked up the story as well.

All these web stories give the usual crowd an opportunity to add comments. The forums and comment sections for those stories are filled with people trashing Amanda Peet. I wish those people would catch a clue–have someone outside the autism community read what they write. The comments are strident, rude and, in general, really make the autism community as a whole look bad. It’s one thing to rant away in a closed yahoo group or in the comment section of the Age of Autism blog, but the public doesn’t know (and I wish they didn’t) just how mean and nasty these “advocacy” groups can be.

This story isn’t going away. Amanda Peet is now a spokesperson for Every Child By Two, a pro-vaccine organization founded by former first lady Rosalynn Carter. (as an aside–the Carters are one of the best ex-first-families the U.S. has seen).

Now that Amanda Peet has come down against the idea that vaccines cause autism, pretty much everything she says will be picked apart and analyzed. One comment that is giving a lot of ammunition to her detractors is this: “Frankly, I feel that parents who don’t vaccinate their children are parasites.”

Read the comments and how many people try to make it sound like Amanda Peet is calling autism parents “parasites”. (Hint, she didn’t).

Let’s take a quick look at that term, parasite.

a person who receives support, advantage, or the like, from another or others without giving any useful or proper return, as one who lives on the hospitality of others.

Now, let’s take a look at what Dr. Sears, one of the people often quoted by vaccine rejectionists, has to say about the MMR vaccine:

“I also warn them not to share their fears with other neighbors, because if too many people avoid the MMR, we’ll likely see the diseases increase significantly.”

So, he appears to this reader to be telling parents who don’t give the MMR vaccination to their children to keep mum, or the herd immunity will be compromised and the advantage to those parents will be lost.

Sweet. That doesn’t sound like “receiving advantage” without giving anything useful in return, does it?

Don’t get me wrong. For people with real reasons to avoid some or all vaccines (one regular commenter on this blog comes to mind). But, “I am scared of MMR causing autism so I am not going to vaccinate my kid, but I’ll hide in the herd immunity” doesn’t sit very well.

Also, where is the compassion for those who really need the protection of herd immunity? Where is the “Consider that your neighbor’s kids could use the advantage of your child’s immunity”?

But, to bring this back to where we started: Amanda Peet has hit the scene. She has jumped in with both feet, and appears to be staying for a while. A lot of voices appear to be trying to shout her down. Instead, they just seem to be giving Amada Peet’s message more coverage.

Age of Autism get annoyed at Amanda Peet

15 Jul

Remember last week when actress Amanda Peet gave a few people some home truths?

Once we had spoken, I was shocked at the amount of misinformation floating around, particularly in Hollywood,” says Peet, who quickly boned up on the hot-button controversies surrounding the topic, including the unproven link between certain vaccines and autism; the safety of preservatives like mercury-based thimerosal; and the fear that the relatively high number of shots kids receive today can overwhelm young immune systems. Her conclusion? Well, not only is Frankie up-to-date on her vaccines (with no staggering), but her mom will soon appear in public-service announcements for Every Child by Two. “I buy 99 percent organic food for Frankie, and I don’t like to give her medicine or put sunscreen on her,” says Peet. “But now that I’ve done my research, vaccines do not concern me.” What does concern her is the growing number of unvaccinated children who are benefiting from the “shield” created by the inoculated—we are protected from viruses only if everyone, or most everyone, is immunized: “Frankly, I feel that parents who don’t vaccinate their children are parasites.”

Well, today, Age of Autism posted a blog entry that gave full vent to their response:

…you have no idea who you are messing with. You have never seen the power of our numbers, our anger, our commitment, and our conviction. At present, you really have no dog in this fight.

Quite apart from the overtly threatening tone, I would like to remind these people that of _course_ Ms Peet has a ‘dog in this fight’. Everyone does. The collective health of us all clearly affects everyone. Parents who blog on Age of Autism and who blog about Gardasil have ‘no dog in that fight’ according to AoA logic.

The blog post contains one amusing little faux pas:

Ms. Peet’s decision to work with them [CDC] is analogous to the scientists in the 1950s who chose to assert that cigarettes do not cause lung cancer and work closely with Philip Morris to do so…

This is the same blog that continues to trumpet the opinion of Bernadine Healy who actually _did_ assert that cigarettes do not cause cancer and worked closely with Philip Morris to do so. Its either stupidity or a purposeful attempt to obfuscate the truth, I couldn’t possibly say.

The blog post closes with the contact details of Ms Peets advisors, along with the further threat:

…your client has chosen to align herself with him [Paul Offit]. In doing so, Ms. Peet puts herself directly in the line of fire.

If you wish to support Ms Peet’s stance, which I believe is a good one for both public health _and_ which will have a positive impact on autism in terms of moving on from this increasingly desperate and nasty campaign to convince the world vaccines cause autism, then please leave a comment in the comments section of this post, or email me (kevleitchATgmailDOTcom).

I can assure you that unlike the emails that will be sent using the details provided by the AoA blog, your comments will definitely be seen by Ms Peet.

Additional: There’s a nice piece on Amanda Peet and vaccines in Salon.com today.

AAP and Paul Offit under attack (again)

7 Jul

Over on the Age of Autism, a new post has appeared which goes after the AAP (I thought everyone over there was big friends with the AAP these days?), its representative Dr Renee Jenkins and the AAP in general.

They (AoA) appear concerned about the newly formed Immunization Alliance which is an alliance of groups interested in children’s health and threaten that the formation of this group will put the AAP

<blockquote>…..in the middle of the line of fire for parent activism.</blockquote>

We have to question, first and foremost, what this has to do with autism. The answer is of course nothing. But that fast becoming the way with AoA. They posted over 100 posts throughout June and about a third of them were explicitly about autism or touched on autism. There were a lot about the speaking engagements of David Kirby, a lot of posts about the green our vaccines rally, a lot of posts about Gardasil and a lot of anti-AAP etc posts.

You have taken your eyes off the ball guys. You’ve forgotten what this is supposed to be about.

Anyway, the post goes on to say that the AAP announcement is;

<blockquote>Breathtaking in its dismissiveness of parent concerns…</blockquote>

Here’s the article in full:

<blockquote>

Immunization Alliance to develop compelling messages for parents
Anne Hegland
Editor in Chief

With pediatricians facing an increasing number of parents who question the safety of vaccines, representatives from organizations with a shared interest in advancing children’s health met May 30 to compare notes and develop strategies to help recapture public trust in childhood immunizations.

The newly formed Immunization Alliance, representing 15 groups, agreed that together they must work on short-and long-term solutions before falling immunization rates lead to further outbreaks of once-common and sometimes deadly vaccine-preventable childhood diseases.

Fresh in everyone’s mind were the measles outbreaks in nine states earlier this year.

Framing the challenges

Paul Offit, M.D., FAAP, director of the Vaccine Education Center at Children’s Hospital of Philadelphia, identified some of the factors contributing to the increase in vaccine refusal and the need for quick action:

• parents who have never experienced or seen vaccine-preventable diseases;
• media and Internet reports that are unbalanced;
• decreased trust in the government and health care providers;
• an increasing number of states allowing philosophical exemptions; and
• parent-to-parent spread of misinformation.

Dr. Offit pointed out that the majority of vaccine refusals stem from parents’ fears, with only 10% of refusals associated with parents who strongly oppose vaccines.

“We need to work on public messaging around vaccines — the benefit of vaccines — and to have the right messenger delivering those messages,” said AAP President and meeting co-facilitator Renée R. Jenkins, M.D., FAAP.

Underscoring the need for compelling vaccine messages is the No. 1 ranked resolution from the 2008 Annual Leadership Forum, calling for the Academy to lead a coalition that will develop a media campaign on the value of immunizations that can be marketed to parents, added Dr. Jenkins.

The group agreed that communication strategies must appeal to parents who are Internet and media savvy, and go beyond presentation of the science by engaging consumers on an emotional level. There was acknowledgement among attendees that messages from anti-vaccine groups’ helped erode public confidence in immunizations through their use of celebrities to deliver heartrending first-hand accounts.

“The greatest challenge is getting these messages out in a timely fashion. We’ve got August coming up, which is a big month for kids going to the pediatrician for back-to-school visits and for immunizations,” said Dr. Jenkins.

At press time, Alliance members were prioritizing strategies to be shared with communication experts who will help craft messages promoting the value of immunizations.

Messages for pediatricians

Meeting co-facilitator Margaret Fisher, M.D., FAAP, chair of the AAP Section on Infectious Diseases, said the Alliance’s efforts also are an effort to help pediatricians in practice, whose messages have not always been understood by parents.

“We’re all about what’s best for children, and what we’re trying to do is find a way to re-establish our trust with the public. We want to help provide our members with the messages and the method that can regain that trust and make it easier for them on a day-to-day basis.

“The public has lost trust in medicine in general — not in their individual pediatricians,” Dr. Fisher added.

The Immunization Alliance meeting was supported by the Tomorrows Children Endowment of the AAP.

Immunization Alliance

The following groups are represented on the Immunization Alliance:
• American Academy of Family Physicians
• American Academy of Pediatrics
• American College of Obstetricians and Gynecologists
• American Medical Association
• American Public Health Association
• Association of State and Territorial Health Officials
• Easter Seals
• Every Child By Two
• Immunization Action Coalition
• March of Dimes Foundation
• National Foundation for Infectious Diseases
• National Vaccine Program
• Parents of Kids with Infectious Diseases (PKIDS)
• Rotary International
• Voices for Vaccines

</blockquote>

Now maybe its just me but I didn’t see anything there that could be described as ‘breathtaking in its dismissiveness of parent concerns’. In fact, I think the AoA need a little lesson on numbers. You are not the majority, you are not even close. You are however extremely effective at marketing needless fear. But _this_ parents concerns revolve more around the effects of _not_ vaccinating rather than actually vaccinating.

The post goes on to describe how:

<blockquote>The AAP believes the decline in immunization rates is due to “anti-vaccine groups” and “celebrities” as if Jenny and a few websites are the only problem. What they fail to realize is that the message of groups like Generation Rescue would fall flat if there weren’t tens of thousands of parents who agreed with it. 8,000 people don’t march on Washington because of Jenny McCarthy and a few websites, they march on Washington because they know what happened to their child. If parents weren’t hearing our message corroborated in their own communities, there wouldn’t be an impact.</blockquote>

The decline in immunization rates _is_ partly down to ‘anti vaccine groups’ and ‘celebrities’. You pretty much _are_ the only problem. As I said, you are extremely effective at spreading your message. You have the marketing know-how and you have the money to do it. The _way_ parents are hearing your message corroborated is down to your adverts in NYT, down to appearances on Oprah, down to your blogging etc. But what you are doing is winching autism on top of hardcore anti-vaccinationism. People believe you because you have a patina of respectability. They don’t look past the first line appearance and see the multitude of times <a href=”https://leftbrainrightbrain.co.uk/?p=428″>your predictions have been wrong</a>, that your <a href=”https://leftbrainrightbrain.co.uk/?p=820″>hypotheses have failed</a> and the <a href=”https://leftbrainrightbrain.co.uk/?p=602″>threats of violence</a> that you make to those who oppose you.

And lets be honest, even if there were 8,000 people at the ‘green our vaccines’ rally (a figure that is <a href=”https://leftbrainrightbrain.co.uk/?p=856″>very doubtful</a>) then you don’t even come close to representing teh autism community.

According to the latest figures, autism is at a rate of about 1 in 150 (0.6%) of the population. For the US that’s about 1,827,219 autistic people. That’s 3,645,438 parents. As you are believers in autism epidemic (and thus don’t believe autism exists in adults in significant numbers) lets be kind and half that number to take us back down to 1,827,219 parents.

That means that your 8,000 parents totals about 0.4% of the US autism parent community. But lets double the attendees (and oh hell, lets add on 100,000 of people we’ll think of as followers but non-attenders) to make 116,000. That means you now account for 6.4% of autism parent community.

To put it another way, 93.6% of US parents of autistic people either don’t know about you (doubtful in this internet and celeb obsessed age) or simply don’t offer you any credence. And that’s being very, very kind to your numerical position indeed.

AoA go on to claim that:

<blockquote>…there are five major problems with the AAP’s new approach:

1. You can’t defend the assertions

The “fewer antigens” argument has been a Paul Offit special for years. Not only is this argument confusing for parents to understand, it also means nothing. Offit’s claim is based exclusively on the removal of an older Pertussis vaccine (which was causing many problems) decades ago.

What parents see clearly is how many more vaccines they are getting.</blockquote>

This reveals the anti-science beating heart of AoA. A vaccine is just a vehicle for its contents. The antigens argument _is_ the point:

<blockquote>”Of course, most vaccines contain far fewer than 100 antigens (for example, the hepatitis B, diphtheria, and tetanus vaccines each contain 1 antigen), so the estimated number of vaccines to which a child could respond is conservative. But using this estimate, we would predict that if 11 vaccines were given to infants at one time, then about 0.1% of the immune system would be “used up.””</blockquote>

<a href=”http://pediatrics.aappublications.org/cgi/content/full/109/1/124”>Pediatrics</a&gt;

<blockquote>

2. The news is making them look very stupid

With the Hannah Poling case, Dr. Bernadine Healy’s recent comments, the potential for an Omnibus decision going our way, Julie Gerberding retreating, the IOM revisiting the “environment’s” role in autism, and the case reports of children falling into autism after vaccines continuing to roll in</blockquote>

The Hannah Poling case? Please demonstrate where that showed that vaccines cause or contribute to autism. Bernadine Healy was at one time (and maybe still is, I don’t know) <a href=”https://leftbrainrightbrain.co.uk/?p=846″>a tobacco company shill</a>. Gerderding and the IOM are indeed revisiting the ‘environmental’ roles in autism. What’s that got to do with vaccines? And what case reports of children falling into autism are we talking about?

This is what I meant about a patina of respectability. On the surface, it sounds, _great_ – plausible – to the untrained eye. However, a quick peek beneath the surface and it starts to shake apart.

<blockquote>

4. They are not dealing honestly with parent concerns

If you have no safety studies verifying the issue of combination risk of so many vaccines, defending the schedule in its current form will backfire on you. If your best defense is to cite the 600 deaths a year from HIB now being prevented, parents will compare this to the 1 in 150 risk or higher of autism and make their own conclusions. By not acknowledging that the risk-reward of vaccines is potentially wildly out of balance, parents will not listen to you.</blockquote>

Are you seriously suggesting that people will be more worried about autism than _death_ ???

And, as I’ve demonstrated, I don’t think that organisations that speak to less than one percent of autism parents can really claim to have their pulse on what autism parents really care about.

The last one is ‘Offit is a time bomb’. I’m not really sure what the point there is.

Paul Offit gets more threats of violence

6 Jul

Over on the EoH Yahoo Group, Paul Offit (hated because he co-produced a piece of science that suggested that theoretically, infants could cope with thousands of vaccinations and there’s no science to refute it) is a figure of hate. True, burning liquid hate. He’s received:

<blockquote>…hundreds of malicious and threatening emails, letters and phone calls accusing him of poisoning children and “selling out” to pharmaceutical companies. One phone caller listed the names of Offit’s two young children and the name of their school. One email contained a death threat—”I will hang you by your neck until you’re dead”—that Offit reported to federal investigators.</blockquote>

And here we are again, on that font of all things Offit-hatred related, EoH, with yet another threat from yet another member. This time made on the Group itself:

<blockquote>From: Sophia Lauren <sophya_lauren@***>
Date: Thu, Jul 3, 2008 at 6:44 PM
Subject: Re: Paul Offit’s Panel Not Canceled!!!!!!!!!!!!!!!!
To: EOHarm@yahoogroups.com

I see him often. Almost daily in fact. You have no idea how difficult it is for me not to slug him. Or worse.

Sophia

http://justamom2three.blogspot.com/

</blockquote>

Here’s a lady who sees Dr Offit ‘almost daily’ and wants to slug him or worse. What can we find out about this lady? She has a blog so lets start there. Of course, she’s an anti-vaccine believer (except…y’know, nobody over there is really anti-vaccine, they just want to greeeeen them, right? Right. And if you believe that…)

Sophia Lauren (which I’m assuming is a pseudonym) who sees Dr Offit almost everyday is revealing in some of her blog posts. Leaving aside the usual anti-vax canards;

<blockquote>A mom with an adorable 15 month old little boy comes to our neurology center sent by referral from her pediatrician. Needs an EEG. *I’m learning EEG*. So we’re hooking him up and I start to take the history. Mom says he takes multi vitamins, and then dad says “yes he was fine until Monday when he had his vaccinations. He had a seizure Monday night and then again yesterday.” My mouth must have hit the floor. The mother knew immediately that I sensed something. *I wear a white lab coat, says “Neurology” on the sleeve*. I guess I look like a doctor.</blockquote>

and

<blockquote>*I’m in a “teaching hospital”* that thinks the vaccination schedule is just dandy. And they don’t believe there is a link between vaccines, seizures and Autism. But I do.</blockquote>

So, here’s a lady who’s currently learning EEG in the Neurology Dept of a teaching hospital and who sees Dr Offit nearly every day which I take to mean she works in the same hospital.

She closes that particular post with this little nugget:

<blockquote>The people who make Gardasil……Someone should euthanize (sic) them. One at a time. So they can all take a number and take turns and watch.</blockquote>

Yikes.

I was intrigued (and more than a little taken aback) by the venom in this person. So I went back to her earliest blog post to have a look. Here’s what I found at the end of the first entry (dated Aug 2007):

<blockquote>He (her son) is an Indigo Child….a Crystalline Child. One of the phenomenon that we are hearing more and more about. He is, in every way, an “Angel on Earth.</blockquote>

So there you go. Sophia Lauren who wants to euthanize (sic) people is an Indigo bleever. She mentions it again here:

<blockquote>I have three children. Brilliantly intelligent and gifted children. My oldest has the gift of high intelligence and an amazing interpersonal sense…they call him an “Indigo.” (www.indigochild.com). My daughter has her mother’s fire….and a gift for art and drawing that is unmistakable. My youngest has been blessed with a love and joy of life and the true gift of the “crystal child’s” disposition….he embraces every moment, every day, with a zest and unbelievable enthusiasm that should be bottled. (http://www.starchildglobal.com/) They all have “something”…some sort of a diagnosis that makes them, let us say “neurogically different.”</blockquote>

Hot damn Sophia! You’re saying that all your kids are neurologically different and yet its the vaccines???

Denial ain’t just a river in Egypt I guess.

For a truly disturbing post, check out <a href=”http://justamom2three.blogspot.com/2007/11/happy-birthday-dad.html&#8221; rel=”nofollow”>Happy Birthday Dad</a> in which ‘Sophia’ details how her Crystal Child son is actually the divine reincarnation of her dead father. I kid you not.

I’ll close this with a hope that this person can be identified and her threat of violence reported to the relevant authorities.