Archive | Paul Offit RSS feed for this section

Why now, Jenny?

6 Oct

I try to stay away from mind reading. It is all too prevalent on the internet: “I know why so and so did such and such.” That said, who didn’t find the timing odd of Jenny McCarthy’s Amanda Peet attack and that really strange interview where Ms. McCarthy “forgives” Barbara Walters?

For those who have been lucky enough to miss this mess, here are brief timelines.

Amanda Peet gave an interview to Cookie Magazine for their August issue. It went online about July 10th. In that interview, she commented that people who don’t vaccinate are parasites. A week later (about July 17), Ms. Peet came out with an apology. I thought it was very well written, and have since been pleased to confirm that yes, indeed, Ms. Peet wrote it herself.

Fast-forward to September 30. That’s when Jenny McCarthy decided that it was time to make a public statement about the apology. That’s what, 7 weeks later? Of course, it’s also a week after Jenny’s book debuted.

Story line two: Let’s go all the way back to September, 2007. Jenny McCarthy is on “The View” for her first autism-book tour. Barbara Walters committed a terrible “sin”: she actually treated it like an interview and questioned Jenny McCarthy. I’d like to show you the video, but the video is now pulled from YouTube and the link to the video from the more recent story (which included the bit from “The View” also doesn’t seem to work anymore.)

Some short time after taping “The View” Ms. McCarthy was at a TACA picnic where she is said to have made some rather rude suggestions towards Ms. Walters.

Fast-forward to the present. On September 29th, Ms. McCarthy “forgave” Barbara Walters.

No, really. After Ms. McCarthy got a bit cross on the show and then took it out on Barbara Walters at the TACA picnic, she “forgives” Barbara Walters.

Boggles the mind, doesn’t it?

In that same interview, according to Ms. McCarthy (and only according to her, since Ms. Walters seems above responding to this), there was a bit of a heated exchange backstage with Ms. Walters after taping “The View”. Ms. McCarthy gives no indication of whether she (Ms. McCarthy) lost her cool at all.

But now, you see Ms. McCarthy understands what was going on with Barbara Walters. Remember that intro about “reading people’s minds”? Well, missing from the timeline above is the fact that Barbara Walters came out with, Audtion, a Memoir. In Audition, Ms. Walters discusses her life growing up with a special needs sister. Soooo, back to the mind-reading: Jenny McCarthy says that Barbara Walters was angry that she (Jenny) cured her son, while Barbara Walters had to go through tough times with her sister.

Yep.

Of course, did this “forgiveness” come out say, in May, when Audtion came out? No. Jenny McCarthy waited 4 months and “forgave” Ms. Walters…during the book tour for Warrior Mothers. (and after it was pretty clear that she wasn’t going to be a guest on “The View” this time).

Anyone want to guess how long before Jenny McCarthy apologizes to Ms. Walters for the rude statements?

Somehow I don’t think it’s going to happen. If I put on my mind-reading hat, I would say that these recent publicity events were, well, just that: publicity. Staged for the time when it benefited Ms. McCarthy.

I’m not shocked by the idea that a celebrity would work the press. Would anyone?

Let’s take another look at the timeline, shall we? Let’s take a look at how Jenny McCarthy’s book tours have created a buzz. As a measure, let’s use Google Trends. Google Trends gives you a rough idea of search engine traffic for specific terms. In this case, I chose “Jenny McCarthy” as the search term.

Let’s look back when Ms. McCarthy was doing the “Louder than Words” book tour, shall we? (click to enlarge)

It’s pretty impressive. For about 2 weeks, the search traffic was much higher than the average, reaching a peak of about 14 times the normal traffic for Jenny McCarthy.

Let’s expand this so we can see from 2007 to the present, shall we? (click to enlarge)

Google Trends for Jenny McCarthy 2007-2008

Google Trends for Jenny McCarthy 2007-2008

First, note that these data are week-by-week, not the day-by-day of the first figure. This smooths things out some, so the 14x peek we saw before is only about 7x in this graph. Still impressive. So, how about the traffic for “Mother Warriors”? I don’t see it either. Let’s zoom back in, but on the last 30 days. (click to enlarge)

Last 30 days Google Trends for Jenny McCarthy

Last 30 days Google Trends for Jenny McCarthy

(here’s the original graph from Google if you want to see it).

Warrior Mothers came out on the 23rd. See that little blip? This is a day-by-day trend, so we can compare to the first graph that showed a 14x spike in search traffic and a two-week increase. Instead, looks like it went up to about 1.7 and came back down fast.

But, wait, there’s another peak in early October? It goes to 4.

Remember those media events described above: the attack on Amanda Peet and the “forgiving” of Barbara Walters? Those happened on the 29th and 30th of September. After attacking Amanda Peet in the press, the Jenny McCarthy “buzz” went up.

Again, the timing is just too coincidental to suggest anything by a calculated decision by Ms. McCarthy.

Even though the buzz was low for Mother Warriors, this doesn’t mean that “Mother Warriors” is a flop. Supposedly it made “best seller” status.

As a rule of thumb, it takes about 100,000 copies of a book sold to get to be a “Best Seller”. As a second rule of thumb, that means about $350,000 for the author.

For “Louder than Words” Jenny McCarthy stated (if I recall correctly) that a portion of the proceeds would go to the UCLA autism program, if I recall correctly. I haven’t heard such a statement, or any statement about “Mother Warriors”.

Of course, she and Jim Carrey have been (and will almost certainly continue to be) proud supporters of Generation Rescue. They paid for a full page ad in USA Today–which I seem to recall being about $200,000. The thing is, I don’t consider that benefiting the autism community–or the community at large.

Jenny McCarthy’s potential for book profits are obvious. By improving her “brand” she also stands to gain from sales of her educational DVD’s and her soon to roll-out “Too Good by Jenny” products. That’s enough to set off conflict-of-interest alarm bells for many in the vaccines-cause-autism community. OK, that sets a pretty low bar, but you get the idea.

This sort of observation begs for comparison. As long as Jenny McCarthy is attacking Amanda Peet, let’s take a look at how much Amanda Peet makes from being a spokesperson for Every Child By Two and their Vaccinate Your Baby campaign.

ZILCH

Yes, that would be zero. As in nothing. As in she’s doing it because she thinks it’s the right thing to do. I somehow doubt the Generation Rescue crowd will believe that (or the fact that Amanda Peet wrote her own apology). They don’t seem to believe that anyone would act except out of financial self interest…well, except Ms. McCarthy. They also don’t want to admit that Paul Offit has no more conflict of interest, or acknowledge that he isn’t going to profit from Autism’s False Prophets. Seriously, I’ve seen them challenge whether he will actually donate the money.

A statement above sticks with me as I finish this post: Setting the Bar Low. When it comes to standards of behavior, yes, I think Ms. McCarthy has set the bar low. The question in my mind is this: Is she taking on the standards set by her organization or does she fit the organization because they have similar standards?

ScienceBlogs Book Club

1 Oct

I was very honoured to be asked to participate in the latest round of the ScienceBlogs Book Club.

ScienceBlogs Book Club

ScienceBlogs Book Club

The ScienceBlogs Book Club is exactly as it sounds – a discussion round table on a particular science related book. In this instance, the book in question is Dr Paul Offit’s Autism’s False Prophets.

This promises to be a very interesting discussion, mostly because numbered amongst the contributors is Dr. Offit himself. The full line up of contributors is:

Dr. Offit
Kristina
Orac
Professor Bob Park
and me.

A rather intimidating line up in which to ply my blogging wares. Everyone except me is either a Doctor or a Professor. It does feel a little like being made to sit outside the Headmasters office (again).

All joking aside, it really is an honour to be asked to blog alongside such heavy hitters (even if I do know two of the bloggers pretty well) and I hope to be making sure I am talking as much about autism and the future of autism research as I am vaccines. I think Dr. Offit – given his final chapter – will approve of that.

So – come across and participate. I’d like to see UK-ers over there too if possible (Rutty, I’m thinking of you 😉 ).

Autism's False Prophets selling well

26 Sep

“Autism’s False Prophets” has caused quite a stir in the autism-vaccine advocacy community. They started early and they worked somewhat hard to defuse the book’s impact. Consider an earlier post on the Age of Autism blog. This was titled “Phalse Profits: Offit’s Book Peaks At 8,173“.

The 8,173 was the rank of the book in Amazon.com. The blogger apparently had been watching day by day and noted the book’s rank. After the initial peak, the blogger reported back.

The blogger was trying to make a point that Dr. Offit’s book isn’t being purchased in high numbers. I never expected it too. As I write this, it has risen to #779. It was at 715 yesterday, but I haven’t been watching that closely to see if that was the “peak”. Not too shabby. It is also number 1 in a few categories, including:

Books > Science > Medicine > Administration > Policy > Health Care Delivery
Books > Science > Medicine > Administration > Policy > Public Health
Books > Professional > Technical > Professional Science > Biological Sciences > Biology > Microbiology

I don’t expect Age of Autism to write a correction. Then again, I didn’t expect longtime vaccine-autism activist Rick Rollens to admit that MMR doesn’t cause autism, so who knows?

In my mind I find an interesting analogy to Mark and David Geier declaring that the CDDS autism count showed “early downward trends”, indicating that, yes, thimerosal caused autism.

They seemed to stop watching and didn’t report back when it turned out that the “early” trend was, in fact, false.

They left that up to Schechter and Grether…

But, I digress. Autism’s False Prophets is not the kind of book to become a best seller. Too bad, really, as it is quite well done. But, that is not to say that the book isn’t doing quite well.

Good for whatever autism research group gets the proceeds. Yep, Dr. Offit is donating the proceeds to autism research.

Vaccines on the Hill

25 Sep

With a hat-tip to Kim Stagliano at the Age of Autism blog. They got ahold of an email sent by Amy Pisani of Every Child by Two to legislators who were sending staffers to a briefing by Mark Blaxill and David Kirby on vaccines and autism.

Mr. Kirby promised to talk about, amongst other topics, Hannah Poling. That’s not what I would call a good briefing. A good briefing would be if the legislators asked HHS to talk to them about what the concession meant. Somehow, I think the two briefings would be significantly different. Then again, I suspect a briefing by the doctors who are studying that potential cause of developmental regression via mitochondrial dysfunction would also have a very different story to tell than Mr. Kirby. I strongly suspect that.

But, I digress, as I often do. You see, Every Child by Two thought that the legislators who were sending staff to the Kirby/Blaxill briefing should be informed that the information provided by that team was, well, not accepted by the mainstream.

The letter, respecfully written, respectfully submitted is quoted below. One reader of this blog asked Ms. Pisani for permission to reproduce it here. I am using the text from the AoA blog.

Why reproduce it here? Because many in the greater autism community agree with Ms. Pisani. This blogger certainly does. I hope that legislators know that many members of the autism community side with Every Child by Two on this subject.

So, after much delay, here is something written much better than the ramblings I’ve put together:

Today you have been invited to attend a briefing to provide “updates on the recent autism-vaccines debate”. While I recognize that most of you will likely be dealing with other priorities and will not attend the Maloney briefing, I write to you this morning because I feel it is critical to clarify that there is no debate among the scientific community regarding vaccines and autism. Instead, the debate rages on in the media due to the efforts of those who wish to sidetrack critical research away from finding the true cause(s) of autism and treating children and their families struggling with this condition.

‘Last week Dr. Paul Offit’s new book “Autism’s False Prophets, Bad Science, Risky Medicine, and the Search for a Cure” was published by Columbia University Press. This book is a must read for all those concerned with children dealing with autism. The Philadelphia Inquirer writes that “Offit’s account, written in layman’s terms and with the literary skill of good storytellers, provides important insight into the fatal flaws of the key arguments of vaccine alarmists, including such well-known names as Robert F. Kennedy Jr., Sen. Joseph Lieberman (I., Conn.), and Sen. John Kerry (D., Mass.).” And the Wall Street Journal writes “Ever since psychiatrist Leo Kanner identified a neurological condition he called autism in 1943, parents whose children have been diagnosed with the most severe form of the illness — usually in the toddler stage, before age 3 — have found themselves desperately searching for some way not to lose their children to autism’s closed-off world. Unfortunately, such parents have often found misguided doctors, ill-informed psychologists and outright charlatans eager to proffer help.”

In 1999 I was pregnant with my first son just as the questions first arose regarding the MMR vaccine and subsequently the thimerosal in vaccines. After attending Congressman Burton’s hearings (quite pregnant I might add) I too became alarmed. Fortunately, as the Executive Director of Every Child By Two I had at my disposal the scientific research and advice of the world’s leading experts on vaccines and I was able to confidently vaccinate my son without fear of side effects. As of today, eleven studies now show that the MMR vaccine doesn’t cause autism, six have shown that thimerosal doesn’t cause autism, and three have shown thimerosal doesn’t cause neurological problems.

I urge you to read a few of the reviews of Dr. Offit’s book which are listed below and contact us if you wish to have a copy sent to you.

I also ask that you please visit our new website www.vaccinateyourbaby.org – this site was unveiled in August with our new spokeswoman Actress Amanda Peet specifically for parents who have questions about vaccine safety.

at the risk of making this an extremely long blog post, let me do what the Age of Autism did not do: list some of the reviews of the book.

A definitive analysis of a dangerous and unnecessary controversy that has put the lives of children at risk. Paul A. Offit shows how bad science can take hold of the public consciousness and lead to personal decisions that endanger the health of small children. Every parent who has doubts about the wisdom of vaccinating their kids should read this book. — Peter C. Doherty, Ph.D., St. Jude’s Children’s Research Hospital and Nobel Laureate in Medicine for fundamental contributions in Immunology

As a parent it is my job to protect my children. Hearing all the rumors about vaccine side effects made me question the right thing to do. This book makes it clear that vaccines save lives, and that they clearly do not cause autism. — Amy Pisani, mother

In his latest book Paul A. Offit unfolds the story of autism, infectious diseases, and immunization that has captivated our attention for the last decade. His lively account explores the intersection of science, special interests, and personal courage. It is provocative reading for anyone whose life has been touched by the challenge of autism spectrum disorders. — Susan K. Klein, MD, Ph.D., Case Western Reserve Hospital, and Rainbow Babies and Children’s Hospital, Case Medical Center

No one has been more vocal-or courageous-than Paul A. Offit in exposing the false and dangerous claims of the growing antivaccine movement. Offit’s latest book lays waste to the supposed link between autism and vaccination while showing how easily Americans have been bamboozled into compromising the health of their own children. Autism’s False Prophets is a must read for parents seeking to fully understand the risks and rewards of vaccination in our modern world. — David Oshinsky, winner of the Pulitzer Prize in History for Polio: An American Story

All good reviews. But, dang, a Nobel Laureate in Medicine. Not just medicine but immunology? Plus a Pulitzer prize winner? Begs the question of why the Age of Autism didn’t include them.

I am so glad that they offered Dr. Offit’s book to the legislators. I hope that the legislators, or their healthcare legislative assistants take them up on the offer. It’s a well written book, and fairly concise. It really explains how we (the autism communities) got here (into a big mess where vaccines are such a high profile subject–at least in the media) even though we shouldn’t be (because the science has been done repeatedly and shown no link).

Word back on the briefing is that about 75 people attended–a mix of staffers, parents, possibly even a member of the press. One representative was noted. Mr. Kirby gave the short version of his talk (the full version is quite long–take a look at his power point presentations sometime!). But, we can all rest assured that Mr. Kirby is there to save the vaccine program (I do hope that autism-one puts this briefing on their website. I need to hear that claim by Mr. Kirby with my own ears). Mr Blaxill took on the “sickest generation ever” theme, common to the vaccine rejectionists (a claim that has been addressed ably by epiwonk).

But, again, I digress. Let me bring you back to what I see as the one message I think you should take home from this post (repeated from above):

Why reproduce it [Ms. Pisani’s letter] here? Because many in the greater autism community agree with Ms. Pisani. This blogger certainly does. I hope that legislators know that many members of the autism community side with Every Child by Two on this subject.

Surpise! Some people don't like Autism's False Prophets

13 Sep

There is some lively discussion amongst people who don’t like Paul Offit’s, “Autism’s False Prophets“. Many of the complaints are from people who haven’t read the book. But, hey, we can all admit that just given the title and the author, many people can accurately assess that they wouldn’t like the book.

I found Mr. Olmsted’s “review” interesting.

Kim Stagliano has given some advice in the comments:

Easy – sit at Barnes and Noble, browse a copy while you sip a latte (oopsie! don’t spill!) and then when you return the book to the shelf, tuck in a copy of Dan’s review…. And return it to the shelf labeled, “Eastern Aborginal Snail Mating Habits in the 15th Century.” Five years down the road, go back and give it a good dusting…

This is the face of vaccine-oriented autism advocacy in America.

Well, should I find a defaced copy in my bookstores, I can tell you what I’ll do: go to the front desk and see if I can purchase it at a deeply discounted rate. Then, I’ll forward the book, with a copy of that blog post and some of the comments highlighted, to someone involved with autism policy in the U.S. government. With a nice cover letter, of course. I’ll point out that, yes, I am one of the parents who are angry at the vaccine-activists co-opting the autism agenda. I’ll also point out who Ms. Stagliano is in relationship to AoA/Generation rescue. I’ll ask, “is this the sort of representation we need on a Secretarial Level autism advisory board to the secretary of HHS?”

Personally, I’m not waiting to possibly find a defaced copy. I’m sending a few copies out to some people in government.

You can too. Amazon.com (and other booksellers) allow you to send books to people other than yourselves. You can look up the address for your representative or senator online.

Consider putting “attention legislative analyst for healthcare” and follow up with an email (you can contact your Senators and Representative via their webpages). Feeling a little tight on cash? Send an email and ask your legislators to get the book for themselves and their healthcare legislative analyst.

There are, of course, many other people influential inside and outside of government who could use a copy of Autism’s False Prophets, so you don’t have to feel limited to the Congress and Senate.

It doesn’t hurt to check before sending: He/she may have already read it!

And, yes, I will remember this idea when the new government takes office in early 2009.

Autism's False Prophets

5 Sep
Autism's False Prophets. Bad science, risky medicine and the search for a cure - Dr Paul Offit

Autism's False Prophets. Bad science, risky medicine and the search for a cure - Dr Paul Offit

Available now – Amazon UK, Amazon US, Amazon Canada.

NB – Dr Offit is donating all profits from this book to autism research.

So. Here’s the short review: holy shit, this is a good book, you need to buy it and pass it on. Make your local library stock a copy or three.

Here’s the longer review.

The book begins – after a dedication that made me grin from ear to ear – with a quote so acutely apposite that its like Professor Szasz said it to perfectly sum up the book and the last ten years:

When religion was strong and science weak,
men mistook magic for medicine.
Now, when science is strong and religion weak,
men mistake medicine for magic.

I knew Dr Offit got a lot of hate mail. What I didn’t know was the extent and the utter viciousness of it. From the books prologue:

Whilst sitting in my office, I got a phone call from a man who said that he and I shared the same concerns. We both wanted what was best for our children. He wanted what was best for his son, giving his name and age. And he presumed I wanted what was best for my children, giving their names and ages and where they went to school. His implication was clear. He knew where my children went to school. Then he hung up.

I can empathise. I’ve had cowards directly or indirectly threaten my kids too. We know who I’m referring to.

Offit refuses to feel sorry for himself and goes on to describe in painstaking detail the circumstances surrounding the rise and fall of the two main vaccine/autism ideas: MMR and thimerosal. He paints a vivid and (in my experience) completely accurate portrait of Andrew Wakefield as a vainglorious but weak king who simply doesn’t have the courage to admit his own wrongdoing. Offit recounts an anecdote from one time Wakefield supporter, John March. The setting is a meeting between March, lawyer Richard Barr and Andrew Wakefield, called to discuss their litigation strategy.

[March]…presented his data….he told them there was no difference between the children with autism and controls, he suddenly found that the meeting had moved on to a different subject. It was a Damascene conversion for him. He realised that Wakefield could not hear negative results.

Offit (rightly) does not spare Wakefield at all. This is the man who is literally, the architect of the whole idea that vaccines cause autism. Offit quotes Wakefield in an interview with US show ’60 minutes’ in 2001:

I would have enormous regrets if [my theories] were wrong and there were complications or fatalities from measles.

In Feb this year, the Gaurdian reported:

There were 971 cases of measles in England and Wales in 2007 in contrast to 740 the previous year — a rise of over 30% and the highest jump since records began in 1995, said the Health Protection Agency (HPA).

Two teenagers have died of measles in the UK. One in 2006. One in 2008. Are there any signs of Wakefield’s profound regrets?

Offit goes on to study the thiomersal hypothesis from the beginning of the noughties to 2007 and the Cedillo hearings.

It is a strange feeling reading an account of events that you have been so intimately involved in talking about for the last five years. From the bizarre Bernard et al paper and the outright insistence of certain writers and founders of autism/anti-vaccine groups that autism was just another name for mercury poisoning, through Kathleen’s demolition of the Geier’s credibility and science, all the way to Jenny McCarthy’s Oprah showboating.

The main feeling I got was how much a lot of this was now _history_ – as Offit clearly and devastatingly argues, the science has spoken. Vaccines don’t cause autism. And as I blogged about recently, it seems pretty clear that the US public are (rightly) more concerned about the possible resurgence of killer diseases such as measles than they are to keep flogging the dead horse of autism anti-vaccinationism.

But my all time favourite part of the book was the final section. My friends were interviewed at length and the clearest feeling I had from this section was – you threw everything at us. Your money, your influence, your political power. We’re still standing. You threatened us with legal action – we’re still standing. You called us and our children names and threatened their well being. We’re still standing.

Paul Offit has written a real page-turner of a book here. One that should matter to every single autistic person and every single parent of an autistic person. Ultimately, its a book written to support autistic people. Why? because it seeks to close the door on a debate with no scientific merit. Will it do that? Possibly not, we are not dealing with rational people by and large. But what it will do is once and for all dispel the notion that ‘the parents’ who believe vaccines cause autism must be listened to solely because they are parents. Amen to that.

Conflicts, then and now

3 Sep

There is a lot of talk about conflicts of interest in autism.  This is especially true with Dr. Paul Offit’s book, Autism’s False Prophets: Bad Science, Risky Medicine, and the Search for a Cure out now.

Consider his letter to the New England Journal of Medicine in May, 2008.

Dr. Offit reports being a co-inventor and co-holder of a patent on the rotavirus vaccine RotaTeq, from which he and his institution receive royalties, as well as serving on a scientific advisory board for Merck. No other potential conflict of interest relevant to this article was reported.

In August Dr. Poling responded to that May Letter, and Dr. Offit was able to comment as well. Below is Dr. Offit’s conflict of interest statement.

…

Yep, that’s right. No statement. In a few short months, the royalties for the RotaTeq vaccine have been settled and Dr. Offit’s tenure as a consultant to Merck has ended. Basically, it’s as we’ve discussed before: Dr. Offit no longer has any financial conflicts of interest in discussing vaccines.

Note this statement about the book from the publisher’s site: He [Offit] will donate all royalties from sales of this book to autism research. I.e. he also doesn’t even have a conflict of interest in promoting his newest book.

I don’t expect all the people who dislike what Dr. Offit has to say to report these facts accurately. I will say that Sharyl Attkisson didn’t repeat the “Offit works for Merck” line, and good for her. I think it is a good assumption that the people who helped her with that story probably did push the “He’s a Merck consultant” idea.

Many people people (and Orac, and Kev, and AutismNewsBeat, to name a few) have gotten it right already, so I shouldn’t be too worried about it. But, as I await the book showing up in my mailbox, I keep thinking about the issue of conflicts of interest and Dr. Offit.

[note: I made a few minor edits after this post went live. They were for clarity and did not change the substance of the post]

"I don't believe that"

29 Aug

To promote his new book ‘Autism’s False Prophets. Bad science, risky medicine and the search for a cure’ (Amazon UK, Amazon US, Amazon Canada) – and look for a review here very, very soon – Dr Paul Offit went on the US radio show Talk of the nation ‘Science Friday’ earlier today.

It turned into a microcosm of exactly the sort of scenario that those of us who have blogged about this for some time have come to expect. A question, a reasoned response and then a flat statement of denial.

The show began with the show host (who’s name I didn’t catch) asking why people weren’t vaccinating. Offit gave the answers we all know.

Then the show took a turn into what could’ve been a blog argument on any one of a number of blogs – including this one. A caller called Chantelle/Chantal came on the line and essentially asked Dr Offit how it could possibly be safe for a newborn to receive up to 1250micrograms of Aluminium and that there hadn’t been any studies on how Aluminium could affect a child. She said –

that is why I will not follow the CDC’s guidelines….my child will be vaccinated on my own schedule.

(Her emphasis)

Dr Offit answered with a brief overview of Aluminium’s role in a vaccine is and then told Chantal the simple truth – one that I blogged about fairly recently – there’s more Aluminium in between 50 days to a years worth of breast milk than in the entire vaccine schedule:

We live on the planet Earth. If we choose to live on the planet Earth that means we’re going to be exposed to light metals like Aluminium and heavy metals like mercury.

Chantal then seemed (I wasn’t entirely clear) to want to compare kids with kidney issues (who clearly need to be careful with Aluminium) with _all_ kids. As Dr Offit stated – that’s hardly a valid or real-world comparison.

Then the host asked a great question:

Chantal, is there anything Dr Offit could tell you that would change your mind

.

The answer: “Absolutely not”.

And there we have it. That is the rock bottom of every single argument the autism/antivax brigade peddle. Screw the science, screw the facts. I just don’t want to hear it and I will put my fingers in my ears and make ‘la-la’ noises until you go away.

Chantal then goes on to justify this ridiculous stance by saying (a la Jenny McCarthy) that there is no independent science supporting vaccine safety. This is tosh. A study this is submitted for peer review to a science journal is peer reviewed by independent experts from the relevant field all over the world. And then, the ultimate test of impartiality takes place – the science is either replicated or it isn’t. Replicated science _has to be_ by definition be independent of its author. How could it not be? If we want to see the opposite of reproducible science, then that can be arranged.

Chantal goes on to say that Dr Offit ‘makes millions’ from speaking about the safety of vaccines. A bizarre claim that I’m pretty sure is not true. He then goes on to describe the ‘high bar’ that vaccine studies must pass. Studies with tens of thousands of participants.

Next, Chantal tries the ‘too many too soon’ dogma that we’ve become recently familiar with. She claims ‘six at one time is absurd’. Dr Offit gives Chantal some facts to play with on that score too:

…the bacteria that live on their nose [a newborn], or the surface of their throat are literally in the trillions. Those bacteria have between 2,000 and 6,000 immunological components and consequently our body makes grams of antibody to combat these bacteria….The number of immunological challenges contained in vaccines is not figuratively, it is literally a drop in the ocean of what you encounter every day.

(Emphasis his, slight paraphrasing)

Chantal then got a bit snappy.

So tell me…how many studies have been done on vaccine loading, which means five or six vaccines at one time. How many?

Dr Offit’s answer:

Somewhere in the vicinity of the high hundreds to low thousands.

Chantal:

I don’t believe that.

Boom! There it is again – she simply doesn’t believe it. Screw the facts, screw the evidence, my fingers are going right back in my ears…la-la-la-la…I can’t hear you…

Dr Offit explains further that any vaccine in the US has to undergo something called a ‘concomitant use study’. These are to establish that vaccines work OK together.

You have to show that vaccine does not interfere with the immune response or the safety of existing vaccines and similarly that existing vaccines don’t interfere with the immune response or the safety of the new vaccine

Dr Offit said ‘high hundreds to low thousands’ of studies (Chantal didn’t believe that remember). A simple Google search reveals over 1,800 results for that phrase. Searching PubMed for ‘concomitant vaccine’ returns over 700.

Dr Offit closes the interview by saying he doesn’t believe all parents are as close minded as Chantal. He uses a nicer phrase than that as he’s a gentleman but that’s how I see it. Close minded to the point of obstinate stupidity.

For some people, it truly doesn’t matter what the facts are, or what the science is. They just stick their fingers in their ears.

La-la-la.

Katie Couric, Sharyl Attkisson, Larry King, and Dr. Jay Gordon

12 Aug

As you may recall, I faxed Katie Couric a while back making some comments and asking for some information.  I find that the CBS coverage of autism is, well, a bit odd.  Sharyl Attkisson seems to be promoting an idea, not following a story where it leads.  The main example I give for that is the total lack of a followup to the assertion made by Bernadine Healy that “[t]here is a completely expressed concern that they don’t want to pursue a hypothesis because that hypothesis could be damaging to the public health community at large by scaring people.”  Who, precisely, aside from Dr. Healy expressing this concern?

The Voices For Vaccines fax which preceded mine was posted an autism/vaccine advocacy website within hours of being sent, begging the question of who within CBS news sent it, and why there is such a close tie between the two.

Anyway, I shouldn’t rewrite the entire previous blog post–the short version is: I had questions.  I still do.  That’s right, I still do.

I’m not complaining, just pointing out a simple fact: CBS didn’t take the time to respond to simple questions about their reporting.

Now, take a newer event in the autism world.  In preparation for the Every Child By Two press conference last week, some comments were made on the Yahoo group dedicated to the “Green our Vaccines” rally.  One comment in particular by Dr. Jay Gordon struck me as rather bothersome.   The comment was directed at a person named Avrielle Gallagher, who works for Larry King Live.

Being in the mode of wondering about how the media works, especially those apparantly sympathetic to the vaccine/autism causality question, I decided to contact Ms. Gallagher.  I sent the following email to the same address Dr. Gordon used.  For good measure, I used the Larry King Live website to send the same message:

Hello,

I saw an email from Dr. Jay Gordon to you.  It was posted on the JennDCRally autism list.  The email is listed below.

Could you explain what is meant by the term, “[redacted]?  I see that you work for Larry King Live.  Is he asking you to do a show on the conflicts of interest of these groups?

If so, perhaps you would like to read a few analyses of Dr. Offit’s conflicts of interest.  I looked into the public data and posted my views here:

https://leftbrainrightbrain.co.uk/?p=1022

I rewrote this and faxed it to Katie Couric of CBS, as noted here:

https://leftbrainrightbrain.co.uk/?p=1057

As you will see, I am not in agreement with Dr. Gordon.  You will also see that I am the parent of a young child with autism, one who does not subscribe to the autism/vaccine concept.

Rather than “[redacted comment]”, I would like you to consider going after a good, reasoned story.  I would especially like to see a good, reasoned story on the subject of Dr. Offit’s new book, “Autism’s False Prophets”.   This is causing quite a stir amongst the alt-med subset of the autism community.  They have publicly stated that they have targeted Dr. Offit and those are also promoting vaccination (like Amanda Peet).

As you will see from my posts, Dr. Offit appears to have no more financial conflicts of interest regarding vaccines.  He is actually in a position of high independence.  And, yet, he still promotes the same message as before.  That should tell us all something.  In addition, his book is going to be a big story.

So, I ask a simple question: will you go after the story or the person?

I look forward to a response.

I’m still looking forward to a response.  I’m an optimist that way, I guess. 

Oh, you are no doubt wondering why I redacted Dr. Jay’s exact words.  You see, after a bit I decided to email him.  I admit, I should have emailed him from the start, but I did wait a few days.

Dr. Gordron, I saw the below message from the JennyDCRally autism group.

If I may, could I ask what you mean by “[redacted].”?

Given that Avrielle Gallagher works for Larry King Live, this sounds like you are asking for Larry King to do a show about these people in a poor light.

I am the parent of a child with autism.  Surely you can see that the image of the autism community (or segments of the autism community) as a group that would use the media to “[redacted]” is something that I would like to avoid.  While we as a community may be divided on some issues, I would bet that the majority would agree that we rely heavily on the support of the majority of the public.

I look forward to your response.

Sullivan

Even though I misspelled his name, he responded within a couple of hours:

Thanks.

You’re correct, that was very poorly phrased.

What I meant was that there should be more light shined on the financial conflicts of interest which exist.

Jay

(emphasis his)

When I notified him that I intended to include his comments in this piece, he replied:

Dear Sullivan,

The first statement I made reflected my anger. I really do think there is far too much conflict of interest in the lives of many of the vaccine researchers, the CDC and the AAP.

The brief email answer I sent you reflects my true feelings about this.

Please feel free to quote me and, if you do, please also mention that I certainly don’t think that my being immoderate in my comments helps anybody.

Best,

Jay

Dr. Gordon did what Katie Couric, Sharyl Attkisson, Avrielle Gallagher, and the staffs for CBS News and Larry King Live failed to do: answer simple and (I hope) respectfully posed questions.

I could give a long list of the people who have answered simple, sometimes even complicated, questions, respectfully posed. I’ve been very fortunate in that regard. I would have loved to add CBS News and Larry King Live to the list.

It all just makes me wonder. CBS News and Larry King have spent decades reporting on how this person or that company or some group in the government ignored questions. Invariably, those reports cast a bad light on the groups investigated. And, yet, when presented the opportunity to clarify their own actions, they chose to be silent.

Maybe I’ll send a respectful question to Voices For Vaccines and ask if CBS News responded to their concerns. I know that CBS took the time to respond to the Orange County Register’s blog on Autism.

In their reply to the Inside Autism blog, CBS News noted:

…We believe our report was in no way defamatory of any institution or individual, and that no retraction is warranted…

As I’ve noted before, I like the irony of CBS News deciding for itself whether it was defamatory. Strikes me odd given the complaints alleged against, well, basically everyone the vaccine/autism groups have ever complained about.

But, I digress. I’d like to point out that I didn’t claim CBS was “defamatory”. I only bring this up to point out that even though CBS communicated with the Register blog, they haven’t addressed my questions.

A commenter on the Register’s blog said it best in her response to Lisa Randall of Voices For Vaccines. The Register’s blogger decided to highlight the comment, and I pull out the segment that caught my eye here:

…We expect the press to tell us the truth…

The first step is to tell us anything.

Jon Poling on Paul Offit

7 Aug

Jon Poling writes a letter in the NEJM that says:

Offit’s remarks about Hannah’s case are not evidence-based. He has no access to my daughter’s personal medical records, legal documents, or affidavits. In contrast, physicians from the Department of Health and Human Services (DHHS) who studied this information recommended that the government concede Hannah’s case. The clinical history Offit presents contains significant inaccuracies, and the resulting conclusions are consequently flawed.

This paragraph lies at the very heart of the mystery surrounding Hannah Poling’s diagnosis, concession and the subsequent media-frenzy.

There are two documents regarding Hannah Poling from which all medical information has been forthcoming.

1) Concession Report (This document has been removed due to the possibility of it being illegally obtained). If people really wish to read the document for themselves it can be founf here, at the Huffington post

2) Zimmerman Case Study

These two documents – and only these two documents – have informed *everyone’s* opinion. Aside from these two documents, there is nothing else (aside from Hannah Poling’s medical records). If anyone believes that not to be the case, I challenge them to either link to them or have the Poling’s release them. The Special Masters have made it very very clear that all that needs to happen for *all* records to be released is for the Poling’s solicitor to write and ask.

….in the case that is the subject of the media reports, if the parties who supplied documents and information in the case provide their written consent, we may then be able to appropriately disclose documents in the case.

Until the Polings elect to do this very simple action, they have to assume that people will write about what is available. They will also have to put up with the fact that people like me find it very, very suspicious that they repeatedly claim what they simply cannot back up and then refuse to release information that could clear these issues up straight away.

The Case Report contains _all_ the information necessary to make a judgement on whether:

a) Hannah Poling was diagnosed with autism (she was)
b) Hannah Poling was injured by vaccines (she was)
c) Hannah Poling’s autism was caused by vaccines (it was not)

How do I claim point c) as true? Easily. One takes the symptoms listed in the Case Study as being those caused by vaccines and compares them to the DSM (IV) criteria for autism.

fever to 38.9°C
inconsolable crying
irritability
lethargy
refused to walk
waking up multiple times in the night
having episodes of opisthotonus
no longer normally climb stairs
Low-grade intermittent fever
generalized erythematous macular rash
spinning
gaze avoidance
disrupted sleep/wake cycle
perseveration
expressive language was lost
chronic yellow watery diarrhea
appetite remained poor for 6 months
body weight did not increase
decline on a standard growth chart
atopic dermatitis
slow hair growth
generalized mild hypotonia
toe walking
normal tendon reflexes.

I have emboldened the items which match the DSM (IV). I’ve italicised the items which are repeated.

Hannah Poling’s Case Study was authored by four people. One was, of course, Jon Poling. The other authors are:

John Shoffner. In an interview in Scientific American, Shoffer agreed that the scientific evidence presented in the case did not make enough of a case to warrant compensation. He went on to say:

Shoffner notes that parents and advocates looking to impugn vaccines as triggers for autism—or mitochondrial disease—need direct, not just circumstantial, evidence. “If you were sitting in a waiting room full of people and one person suddenly fell ill or died or something,” he says, “would you arrest the person sitting right next to them?”

….

Jon Poling, says Shoffner, has been “muddying the waters” with some of his comments. “There is no precedent for that type of thinking and no data for that type of thinking,” Shoffner says.

Its worth noting that John Shoffner – unlike Jon Poling – is a mitochondrial specialist.

Andrew Zimmerman: When I attempted to get Zimmerman’s comments about the case, I received the following reply:

Dr. Zimmerman…….is not able to publicly discuss this patient. As a participant in this case, the family provided consent for Dr. Zimmerman to share information with the court, but we do not have parental consent to discuss the patient publicly – as we are bound by HIPAA privacy regulations, as in any healthcare setting in the U.S.

Why? If the Poling’s are so very keen to make an _accurate_ case then surely, giving permission to the doctors involved is the first step? What is it they don’t want Zimmerman to say?

Richard E Frye, as far as I know has not made any public statements on this case.

The report from Dr Offit was not inaccurate. It was accurate to the information we have. If there is more information then I ask the Poling’s once more to _release_ it. They are legally able to and if they really believe in what they claim then they should be doing it right now. Why aren’t they?

← Older Entries
Newer Entries →