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The Wakefield Legacy

18 Jul

A report in the online Times about the appalling practices of Andrew Wakefield, revealed what will be his true legacy. Sickness, hospitalisation and (God forbid) death.

We know now after the Cedillo hearings that not only was Andrew Wakefield using a contaminated lab that couldn’t possibly have located measles virus but that at the time he was writing his Lancet paper he knew that what he was saying was false. He knew his positive results were actually not positive at all. And still he went ahead.

There is yet another measles outbreak in London at the moment:

City and Hackney Teaching Primary Care Trust says that there have been 32 cases in Hackney since May and 13 in the past week. Most of the cases were among the Orthodox Jewish community.

Let us all hope that none of these people come to any serious harm. And whilst we hope we should be horrified by the unmissable implications of measles data from England and Wales:

Of 133 cases in England and Wales last month, only six were in people who had been vaccinated.

That is about the clearest signal I can imagine that what not vaccinating leads to is illness. Over 95% of the measles cases in England and Wales last month are happening to non-vaccinated people. This is very, very worrying.

This is the real legacy of Andrew Wakefield’s antivax stance. Looking at a possibility never hurt anyone. Researching a hypothesis never hurt anyone. Refusing to see the inevitable when study after study fails to establish a link is hurting people.

The bottom line is this – MMR doesn’t cause autism. There is no evidence to suggest it does. Those who perpetuate the belief that there is or who continue to cry shamefully for ‘just one more study’ share responsibility for these outbreaks and the people who get hurt in them. For the sake of your conscience’s alone, I hope no real harm comes to any of these people.

What will change?

30 Jun

The first of the nine ‘test’ Autism Omnibus cases has wrapped up. This was also the first of the designated three that will attempt to associate autism with MMR _and_ Thiomersal causation.

In todays’ Wall Street Journal, Professor Roy Richard Grinker, author of Unstrange Minds wraps up what we’ve seen over the last couple of weeks:

Over the last three weeks, I listened to testimony in the first of nine test cases in the U.S. Vaccine Court (Cedillo v. Health and Human Services) considering the question of whether a mercury-based vaccine preservative called thimerosal (which used to be in many vaccines), or the MMR (Measles, Mumps, Rubella) vaccine, or both together, caused autism in Michelle Cedillo, the plaintiffs’ daughter.

I heard some of the world’s leading experts on autism, immunology, and vaccines testify that there is no biological model to account for an autism-vaccine connection, no scientific evidence or credible studies linking the two. They argue, instead, that autism is largely genetic. And yet just last week, Robert F. Kennedy, Jr., wrote in the Huffington Post that there are “hundreds of research studies” from a dozen countries providing “undeniable” proof that vaccines cause autism and Rep. Dan Burton (R-Indiana) wrote a letter to the president of NBC claiming that there is increasingly conclusive evidence that thimerosal caused an “epidemic” of autism. Scores of websites and autism advocacy groups are convinced of the connection, and the vast majority of scientists and physicians can’t understand why.

………….

The scientific testimony has been devastating to the plaintiffs because the recognized experts on autism, vaccines, and immunology do not support even one of these premises, let alone a linkage between any of them. The only thing the government and Cedillos agree on is that Michelle Cedillo has autism.

However, I can assure you that those who support the Cedillo’s – and the Cedillo’s themselves don’t see it like that.

I was able to attend the hearing on Friday.

As I sat in the court room and listen to the twisted bull generated by the defense, I wanted to scream out, “you have proof of what
thimerisol does in the human body-look at all these damaged kids.”

This was posted by Holly (I assume Bortfield) on the Yahoo EoH group. Her response typifies exactly why it won’t make one shred of difference to these people what the outcome of the Cedillo case is – or the other eight to come.

These are not people who are swayed by science. To them, decent, peer reviewed science is ‘twisted bull’. To them idiocy posted to JPANDS, Medical Veritas etc is gospel truth.

This court hearing revealed once and for all Andrew Wakefield’s deliberate falsification of science and the O’Leary labs accidental false reporting of negative samples. In the O’Leary lab it was sloppy science. In Wakefield’s hands it was knowingly ignoring evidence that showed his error plainly. Without Wakefield and without the O’Leary results there was no MMR association to autism whatsoever. That testimony alone is enough to sink the Cedillo case and all other MMR related cases that may come after.

But as Arthur Allen writes in Slate:

None of that moves Laura Wildman, 47, whose son’s case is before the court and who drove from her home near Pittsburgh to watch the hearing, which ended this week. “I know what happened to my son after he got his MMR shot,” she told me. “I have no doubt. There’s no way they’ll convince me that all these kids were not damaged by vaccines.”

At some point we may have to realise that what we are dealing with here is simply blind, deliberate ignorance.

Even the plaintiffs lawyers realise this. Here’s a telling quote from Michelle Cedillo’s lawyer:

The government position is backed by the overwhelming weight of scientific evidence, which has repeatedly found the vaccines safe. But what the Cedillos and other parents lack in hard data, they have made up for with a stubborn passion and sorrow that science cannot dispute. _”It is parents versus science,”_ said Kevin Conway, one of the attorneys for the Cedillos.

Parents vs science. Indeed it is.

The real sorrow here is that the Cedillo’s continue, in the face of all reason, logic and evidence, to passionately insist MMR caused Michelle’s autism.

On the Evidence of Harm yahoo group – and on various other Yahoo groups, the conspiracy theories are already being polished.

Theory one states that the media – bought off by Pharma – have reported nothing but science and dismissed the opinions of parents. This theory goes on to continue to suggest that the three Special Masters will be under the sway of the media.

Its true that the media have not been kind to the mercury militia. This is because there is nothing to write about in their beliefs except for the fact that they are beliefs. The science lies with Respondents.

Theory two suggests that the Special Masters are Pharma plants. Various members of the mercury militia are carefully combing through the backgrounds of these three Special Masters for Pharma connections they can wave about.

Will they ever let this go? Of course not. You cannot reason someone out of a belief they did not reason themselves into.

Generation Rescue Survey Results

26 Jun

Brad Handley has commissioned a telephone polling company to perform a telephone poll:

Generation Rescue commissioned an independent opinion research firm, SurveyUSA of Verona NJ, to conduct a telephone survey in nine counties in California and Oregon. Counties were selected by Generation Rescue. Interviews were successfully completed in 11,817 households with one or more children age 4 to 17. From those 11,817 households, data on 17,674 children was gathered. Of the 17,674 children inventoried, 991 were described as being completely unvaccinated. For each unvaccinated child, a heath battery was administered.

Oooh – exciting!

The results are damning apparently….

We surveyed over 9,000 boys in California and Oregon and found that vaccinated boys had a 155% greater chance of having a neurological disorder like ADHD or autism than unvaccinated boys

Woah, what? _Like_ autism…? And what the hell has ADHD got to do with anything? Oh right, right – I remember, Generation Rescue redesigned their site when they couldn’t make their old message of:

Autism is treatable. It’s reversible. It’s nothing more than mercury poisoning,” said JB Handley, founder of Generation Rescue.

stick. Now its more than just mercury and its more than just autism. Hey – if you can’t make one idea work, expand it and pretend you’ve _always_ meant that. In this survey, applicants were asked about ADD, ADHD, Aspergers, PDD-NOS, Autism, Asthma and Juvenile Diabetes. Nothing like muddying the water to make things clearer.

On the Generation Rescue page I link to above, Generation Rescue have kindly provided their source data but in closed access PDF’s. How helpful. Never mind, I turned all the aggregate data into an Excel file and had a bit of a look myself. UPDATE: All Generation Rescue Survey data is now available in Excel.

Now, my issue with Generation Rescue is solely to do with autism and vaccines. I really don’t care about their newly found interest in asthma or juvenile diabetes. Lets see what they say about their autism results:

Vaccinated boys were 61% more likely to have autism

Well, thats one way to look at it. Another way is to look at it properly. In the spreadsheet I created using Generation Rescue raw data the following was found.

Number of boys with Aspergers
Unvaccinated: 2% of total
Partially vaccinated: 3% of total
Fully vaccinated: 2%
Fully and Partially combined: 2%

Conclusion: you are 1% more likely to have Aspergers if you have been partially vaccinated. If you are fully vaccinated your chance of being Aspergers is exactly the same as if you were unvaccinated.

Number of boys with PDD-NOS
Unvaccinated: 1% of total
Partially vaccinated: 2% of total
Fully vaccinated: 1%
Fully and Partially combined: 1%

Conclusion: you are 1% more likely to have PDD-NOS if you have been partially vaccinated. If you are fully vaccinated your chance of being PDD-NOS is exactly the same as if you were unvaccinated.

Number of boys with Autism
Unvaccinated: 2% of total
Partially vaccinated: 7% of total
Fully vaccinated: 3%
Fully and Partially combined: 4%

Conclusion: you are 5% more likely to have autism if you have been partially vaccinated. If you are fully vaccinated your chance of being autistic is 1% greater than if you were unvaccinated.

Number of boys with all ASD’s
Unvaccinated: 4% of total
Partially vaccinated: 8% of total
Fully vaccinated: 5%
Fully and Partially combined: 5%

Conclusion: you are 4% more likely to have an ASD if you have been partially vaccinated. If you are fully vaccinated your chance of having an ASD is 1% greater than if you were unvaccinated.

These figures are laughable. 4% more likely? And that’s if your son has been partially vaccinated! If he’s been fully vaccinated the percentage increase drops to 1%. The figures for girls are even worse.

Number of girls with Aspergers
Unvaccinated: 1% of total
Partially vaccinated: 1% of total
Fully vaccinated: 0%
Fully and Partially combined: 0%

Conclusion: you are no more likely to have Aspergers if you have been partially vaccinated. If you are fully vaccinated your chance of being Aspergers is 1% less than if you were unvaccinated.

Number of girls with PDD-NOS
Unvaccinated: 2% of total
Partially vaccinated: 1% of total
Fully vaccinated: 0%
Fully and Partially combined: 0%

Conclusion: you are 1% more likely to have PDD-NOS if you are unvaccinated. If you are fully vaccinated your chance of being PDD-NOS is 2% less than if you were unvaccinated.

Number of girls with Autism
Unvaccinated: 1% of total
Partially vaccinated: 2% of total
Fully vaccinated: 1%
Fully and Partially combined: 1%

Conclusion: you are 1% more likely to have autism if you have been partially vaccinated. If you are fully vaccinated your chance of being autistic is no greater than if you were unvaccinated.

Number of girls with all ASD’s
Unvaccinated: 3% of total
Partially vaccinated: 3% of total
Fully vaccinated: 1%
Fully and Partially combined: 1%

Conclusion: you are no more likely to have an ASD if you have been partially vaccinated. If you are fully vaccinated your chance of having an ASD is 2% less than if you were unvaccinated.

My goodness, this is _awful_ for Generation Rescue. Finally, we’ll look at girls and boys together:

Number of boys and girls with Aspergers
Unvaccinated: 1% of total
Partially vaccinated: 2% of total
Fully vaccinated: 1%
Fully and Partially combined: 2%

Conclusion: you are 1% more likely to have Aspergers if you have been partially vaccinated than unvaccinated. If you are fully vaccinated your chance of being Aspergers is no greater than if you were unvaccinated.

Number of boys and girls with PDD-NOS
Unvaccinated: 2% of total
Partially vaccinated: 2% of total
Fully vaccinated: 1%
Fully and Partially combined: 1%

Conclusion: you are 1% more likely to have PDD-NOS if you are unvaccinated. If you are fully vaccinated your chance of being PDD-NOS is 1% less than if you were unvaccinated.

Number of boys and girls with Autism
Unvaccinated: 2% of total
Partially vaccinated: 4% of total
Fully vaccinated: 2%
Fully and Partially combined: 2%

Conclusion: you are 2% more likely to have autism if you have been partially vaccinated. If you are fully vaccinated your chance of being autistic is no greater than if you were unvaccinated.

Number of boys and girls with all ASD’s
Unvaccinated: 4% of total
Partially vaccinated: 6% of total
Fully vaccinated: 3%
Fully and Partially combined: 3%

Conclusion:you are 2% more likely to have an ASD if you have been partially vaccinated. If you are fully vaccinated your chance of being autistic is 1% less than if you were unvaccinated.

There’s no getting away from this. This is a disaster for Generation Rescue and the whole ‘vaccines cause autism’ debacle. Generation Rescue’s data indicates that you are ‘safer’ from autism if you fully vaccinate than partially vaccinate. It also indicates that across the spectrum of autism, you are only 1% more likely to be autistic if you have had any sort of vaccination as oppose to no vaccinations at all – and thats only if you are male. If you are a girl you chances of being on the spectrum are _less_ if you have been vaccinated! Across both boys and girls, your chances of being on the spectrum are _less_ if you have received all vaccinations.

Elsewhere

Orac
Prometheus

Autism Omnibus: Vera Byers the, uh, expert

16 Jun

The Omnibus case needs to establish (at this time) two issuses: causation to Michelle Cedillo in particular and also general causation in that thiomersal and MMR in combination cause Michelle’s autism. So far the expert witnesses for the Plaintiffs have been less than stellar but on Day 4 you could almost hear the sound of a barrel bottom being scraped.

The establishment of witnesses as ‘expert’ is vital to each sides case. They have to establish to the Special Masters (which by the way is a great title – do they have long flowing robes and carry light sabres?) that _their_ experts are indeed that – experts. Bear that in mind as you read the rest of this.

The cross examination of Vera Byers was an exercise in the destruction of a persons expert credibility. No wonder the Petitoners team decided against putting Geier, Bradstreet, Haley et al on the stand. It would’ve been a massacre.

Q: You’re not certified in allergy and immunology, are you?
A: I’m board eligible. I have not taken the test.

Q: Is board eligible a phrase that’s recognized by the organization that certifies allergists and immunologists?
A: Yes, it is…

Q: You’ll see on your screen a letter from the American Board of Allergy and Immunology referencing your status with that organization. They note that the board neither recognizes, uses nor defines the term board eligible.
A Okay.
Q: So you’ve been essentially representing that that is a qualification that you have in terms of rendering an opinion about immunology?
A: Yes, I have.

Q: You mention in your resume that you’re the medical director of the four doctor team responsible for filing the Biologics License Application for Enbrel?
A: That is not exactly correct. I was a consultant medical director. There were I think either four or five physician members of the team.
Q: So that part is perhaps a misstatement on your curriculum vitae?

[NB: Here’s the wording of Byers CV: _1998 – 2000: Immunex Corp: Medical director on the team responsible for filing the BLA for for Enbrel in methotrexate resistant rheumatoid arthritis, and as initial therapy for rheumatoid arthritis._ The section this is in is entitled: Consulting Medical Director. Misleading and ambiguous in the extreme.]

Q: If we were to check the files at FDA to see whether your name appears at all on any of the documents submitted by Immunex for Enbrel, would your name appear?
A: I’m sorry. I don’t know.
Q: We checked at FDA. Your name doesn’t appear on any of the documents submitted by Immunex on the Biologics License Application

Q: You talked this morning about Nottingham University.
A: Yes.
Q: On your CV you say that you’re still a member of the faculty there. Is that true?
A: No. I think I dropped off.
Q: So your CV is inaccurate? You are not still on the faculty of Nottingham University?
A: That’s correct. It sounds like it’s an old CV.

[NB: This detail is also on Byers CV on her website]

Q: Your CV also lists you as a faculty member at University of California-San Francisco. Are you still a member of that faculty?
A: To my knowledge I am, unless this hearing has kicked me off.
Q: We checked with University of California-San 3 Francisco. What was your faculty role at University of California?
A: I’m on the adjunct series.
Q: What did you do there?
A: I did research in poison oak and ivy dermatitis, went on rounds with the docs.
Q: How long ago was that?
A: Let me see. Through from about 1974 through about 1981, and then I went back again in 1984 and was there episodically probably through about two years ago.
……
Q: Okay. About a decade ago for the dermatitis? About a decade ago for the dermatitis?
A: About, yes.
Q: Any other involvement at UCSF, at University of California-San Francisco?
A: Well, I use their library and I go to their parties…..

Amazing. Apparently affiliation with a major university can be claimed by using the library and going to parties.

Q: They in their response indicated that your participation was I believe at best gave very occasional lectures.
A: Oh, no. That’s not true. I don’t know why they said that. Maybe they just don’t know. Who did it come from? Oh, Bruce Wintroub? See, Bruce Wintroub is the head of dermatology, right? This was in biostatistics.
Q: You worked there in biostatistics?
A: No. I took the courses in biostatistics.
Q: You took courses?
A: Yes.

Seems mini-Geier isn’t the only person who likes to claim institutional affiliation from being a student.

Q: Now, in the last decade, about the last decade, you’ve only seen patients in consultation for litigation purposes, correct?
A: They’re not specifically for litigation purposes,…..
…..
Q:Do you recall testifying in a case in February of this year, a vaccine case?
A: Probably. Was that you?
Q: Yes, it was.
A: Hello.
Q: Welcome back. Now, do you recall what your answer was about whether you treated patients or whether you saw them in consultation for litigation purposes at that time?
A: I’m sorry. I don’t.
Q: Would it refresh your recollection then to know that you testified at that time that for approximately the last 10 years you had only seen 16 patients for litigation consultation purposes?

Ouch.

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