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"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.

John McCain starting to back away from vaccines?

28 Aug

I’m a bit hesitant to blog about political figures from other countries. I don’t know an awful lot about John McCain other than he was a Vietnam (I think) veteran and was a POW for awhile. I know the Bush team sledged him pretty badly in the run up to Bush’s current term and I know he tries hard to cultivate a old-fashioned-take-no-shit-youngster attitude. I neither like him nor dislike him.

However, back in February he did irritate me quite a lot when he said:

[Autism]….is on the rise amongst children, the question is what’s causing it. And we go back and forth and there’s strong evidence that indicates that it’s got to do with a preservative in vaccines.

It irritated me because firstly, there’s no evidence its ‘on the rise’ in the sense I think he meant it. There’s no way of scientifically telling from current studies if it is or not. In fact, the best science done so far on the issue (Shattuck, 2006) states:

The mean administrative prevalence of autism in US special education among children ages 6 to 11 in 1994 was only 0.6 per 1000, less than one-fifth of the lowest CDC estimate from Atlanta (based on surveillance data from 1996). Therefore, special education counts of children with autism in the early 1990s were dramatic underestimates of population prevalence and really had nowhere to go but up. This finding highlights the inappropriateness of using special education trends to make declarations about an epidemic of autism, as has been common in recent media and advocacy reports.

In other words, because autism has not been tracked well up until now, there is no way we can say with any degree of confidence that is increasing. It may be, but most scientists think that instead of an _increase in autism_ , we are seeing an increase in _accurate diagnosis_ of autism.

Secondly, McCain’s statement irritated me because, of course, there is _no_ evidence, strong or otherwise, that indicates autism is caused by preservatives in vaccines. And certainly McCain totally failed to provide any kind of evidence for this silly statement.

However, as election time draws nearer, it seems McCain’s statements are growing a bit more (he said with no trace of irony) conservative. Maybe someone explained the facts of life to him: after having someone of less than stellar brain power in office for the last eight years, it might be a good idea to evaluate things properly, rather than just sound off and come across as Dubya Part II.

Here’s what he said recently:

We don’t know what causes [autism]. There’s a huge debate going on now about vaccinations. And I’ve read and studied and gotten briefings, and I don’t know all the answers.

Thats quite a lot more circumspect than ‘there’s strong evidence that indicates that it’s got to do with a preservative in vaccines’. A simple statement of facts. After all, its true – we _don’t_ know what causes autism. And there _is_ a debate going on about vaccinations. And guess what? John McCain _doesn’t_ know all the answers.

I’m guessing McCain’s team have suggested to him that if he doesn’t want to be known as the also-ran who hyped up unfounded fears of vaccinations in the middle of a measles epidemic sweeping through the country he’s attempting to lead then it would be a good idea to engage his brain before opening his mouth.

Busy day at the Trib for vaccines

27 Aug

According to the Chicago Tribune’s “On This Day In History“, on this day in “1906 Albert Sabin, the Polish-American doctor who developed a polio vaccine, was born”.

Coincidentally, the Tribune had a couple of pieces on vaccines in the past few days. The main story, Kids’ vaccinations face risky resistance discusses how fears over vaccines and autism are causing a drop in uptake. This is worrying doctors given this year’s outbreak of measles in the U.S. The authors note:

Doctors say worried parents tend to find scientific data less persuasive than the horror stories they hear about vaccine side effects online or from friends. One expert said attitudes are likely to change eventually, but only after children start dying again of diseases parents have come to think of as obsolete.

Or, to put it another way:

“I think people have a hard time separating out what’s reliable information and what’s not reliable,” Dr. Ruben Rucoba, a Wheaton pediatrician. “What gets attention is not the statistics, but the story. All it takes is one friend of a cousin of a neighbor who they can point to who says, ‘My child got an immunization, and now he has a problem.’ “

Another page listed “Common Vaccine Beliefs“. Number one on the list being:

1. Vaccines cause autism.

The issue usually raised is thimerosal, a mercury-based preservative formerly common in vaccines. It has since been removed from most shots to reduce children’s exposure to mercury. Also, because signs of autism may appear about the same time children receive the measles, mumps and rubella vaccine, some parents think there is a connection. Many studies, including a report by the Institute of Medicine, have concluded there is no association between autism and vaccines that contain thimerosal or the MMR vaccine.

The Trib has included some good links on vaccine information.

Bloggers respond to news. No big deal there. But, I find it is interesting to see one of the Trib’s own bloggers responding to Trib stories. Especially since the blogger, Julie Deardorff, as you can imagine if you know her blog, doesn’t agree with the Trib.

Ms. Deardorff has a number of pieces on vaccines and autism. She also is one of the AutismOne convention’s panelists on the media. She’s the one that AutismNewsBeat caught on video complaining that she isn’t allowed to “attack” vaccines.

Ms. Deardorff’s piece is “Why some parents question vaccines.” A statement towards the end makes it clear some of the mindset of Ms. Deardorff:

Vaccines represent social health without regard to individuals. That’s how they work.

Ah. Yeah. It’s hard to comment well on such rubbish, other than to thank Ms. Deardorff for actually putting that in a public place so we can understand her position. OK, I’ll add this comment–that’s not how vaccines work. She would do well to peruse the links her own organization has provided for some education on how vaccines do, in fact, work.

Scrolling back to the beginning of her piece, we see her actual thesis:

In the past, most parents didn’t question childhood vaccinations because they inherently trusted medical officials and feared common childhood diseases.

She then goes on to discuss that this trust has eroded. She takes no credit for her small part in contributing to this erosion of confidence (nor does she mention any of the other people and groups actively working to erode confidence). Instead she places the blame on public health community:

But the real crisis is not that some parents skip or delay vaccination because they believe vaccines might pose health risks or are linked to autism. It’s that they’re losing confidence in public health officials and policy, partly because vaccines are being forced on them, regardless of their personal desires or beliefs.

She then, without any indication that she sees the irony, lists a number of events and adds her own odd interpretations in order to erode confidence. I pick a few out for example:

In Maryland, parents who didn’t vaccinate their children against chickenpox and Hepatitis B were threatened with jail time and fines.

This is a grand example of Ms. Deardorff facilitating the misinformation campaign of the vaccine rejectionists. Here is the form that people in Maryland have to submit on their children’s vaccine status in order to enter the children in school. The same form has the exemption clause. In other words–the parents could have avoided any and all pressure by filling out that form. Instead, the vaccine rejectionist parents decided to make a political statement by not submitting the forms in order to gain publicity.

The AAP issued a sample letter to pediatricians suggesting that physicians tell parents who refuse to vaccinate that they have a “self-centered and unacceptable attitude” since their child is getting protection from others who have chosen to vaccinate. Parents who absolutely refuse to vaccinate could be booted from your pediatrician’s practice.

I haven’t asked our pediatrician what his policy is on vaccine rejectionist clients. I hope that when I brought my children in at 1 month, 2 months, etc., that they weren’t being exposed to vaccine-preventable infectious diseases like some of the children in San Diego’s recent measles outbreak. Yes, some children caught measles in doctor’s waiting rooms. I have zero problem with pediatricians telling vaccine rejectionist parents to find vaccine rejectionist pediatricians.

I really hadn’t intended to discussing all her points. I started with just one. The one that really caught my eye was this:

Research suggests that America might be over-vaccinating its kids and that we might want to re-evaluate and adjust the immunization schedule. But not because of health concerns; the vaccines might just be unnecessary and waste a lot of money according to the study by researchers with Oregon Health & Science University published in the New England Journal of Medicine.

The article she is referring to (I believe) is a favorite of rejectionists groups and websites. The abstract is here, and the full paper is available free.

I have a lot of concerns with the above statement by Ms. Deardorff, but I will concentrate on this on this phrase: “…the vaccines might just be unnecessary and waste a lot of money…”

Which vaccines, Ms. Deardorff? Which vaccines? Your phrase is very vague. I am often vague and don’t use language accurately, but I don’t have the Chicago Tribune’s name behind me. You see, Ms. Deardorff, your statement makes it sound like it is the “vaccine schedule” that is in question. Not a fraction of it, as the actual research would suggest. Sloppy writing is one thing. When it supports your quest to “attack vaccines” it makes me question whether it should be attributed to mere sloppiness.

Let’s take a look at the story that was scary enough to be quoted by JABS. “Report: Vaccine booster shots may be unnecessary”.

So, it isn’t the schedule in whole, it isn’t even really the pediatric schedule for the most part, it’s the booster shots. What they found is that in adults–most of whom had immunity from infections, not from vaccines, by the way–kept immunity for a long time. Half-lives of immune cells were longer than human life-spans.

They measured half-lives for both people with natural immunity and for people with presumed vaccine immunity The group with the presumed vaccine-induced immunity was quite small, as noted in the supplemental information given online:

However, it is important to note that this is based on a very small sample size (n = 2-5 subjects) and more studies on a larger group of vaccinated individuals will be necessary to determine statistically significant antibody half-life measurements.

Thus the data on vaccine-induced immunity are quite limited. But, taking the data that we have, they don’t say “… the vaccines might just be unnecessary and waste a lot of money…” as Ms. Deardorff interprets them.

I found the study rather interesting, actually. I found it interesting since one of the tried and true arguments promoted by vaccine rejectionists is that vaccine immunity is short lived and “natural” immunity is somehow better. I find it interesting that JABS, GR (they host the paper on their website) and other groups latched on to this study, yet, they seem to neglect what it may actually teach.

What I also found interesting was some information I found searching for Dr. Slifka (the anchor author on that study). Turns out he wrote a review of Dr. Offit’s book “Vaccinated”. I’ll leave you with two quotes from that review:

More recently, unfounded concerns over theMMRvaccine and the use of mercury-containing preservatives have fueled a fiercely debated controversy over childhood vaccines and their suspected links to autism

and

Offit ends by emphasizing the power of preventive medicine and hopes that the great strides in vaccinology, in large part due to Maurice Hilleman, will not fall to complacency and ignorance.

Endemic in the UK

25 Aug

Endemic:

Adj. 1. endemic – of or relating to a disease (or anything resembling a disease) constantly present to greater or lesser extent in a particular locality; “diseases endemic to the tropics”; “endemic malaria”; “food shortages and starvation are endemic in certain parts of the world”

Or, another example is measles in the UK.

How very shameful in the year 2008 that we have allowed one person to create an all-encompassing atmosphere of fear – groundless fear at that – that has allowed a disease that 10 years ago was virtually unheard of to return with such vengeance that two children have died in the past two years and many more have been hospitalised.

There are two reasons I find this shameful. Firstly, there is the fact that as an autism parent I am ‘judged’ every time I leave the house. We all are. The people who stare, the people who do double takes, the people whispering behind their hands. What are they saying now? How long will it be before the general public cotton on to the fact that measles _is_ now endemic is largely due to autism parents and the quacks they pay huge amounts of money to? As a community of parents we are divided and when people ask why that is or ‘can’t we just come together?’ on this issue, this is why.

*I cannot condone or stand by quietly whilst the autism community sinks into becoming a convenient media scapegoat. Neither can I stand by and say nothing whilst autism parents sink deeper and deeper into anti-vaccinationism and pretend that hospitalisation and death in the name of chasing a belief for which there is no proof is OK.*

The CDC’s Jane Seward (deputy director of the division of viral diseases) is interviewed today by Scientific American.

…in the 1960s, right before the vaccine was developed, it killed 400 to 500 children every year out of 500,000 reported cases at that time.

That’s a death every 1,111 reported cases. The current US measles epidemic has 163 cases. You’re nearly 15% there already.

Seward also says there were 4,000 cases of encephalitis a year resulting from measles in the 60’s and goes on to describe some of things that can follow on from encephalitis. Quite a lot of anti-vaccine believers say that encephalitis can lead to autism. Taste the irony.

Kelli Ann Davis doesn't get it

23 Aug

Over on Orac’s blog, a discussion is ongoing about (you guessed it) thiomersal.

One of the usual antivax canards is played beautifully by Kelli Ann Davis when she says:

So Phoenix Woman [another commenter], can you explain to me what the skull and crossbones is doing on the Material Safety Data Sheet (MSDS) if thimerosal is not a poison

This is top notch antivax stupidity. Not only does she entirely miss the point of ‘Phoenix Woman’s’ comment (which was not that thiomersal was not a poison) she also infers that the fact that thiomersal is a poison means that its automatically going to cause damage. She conveniently forgets – or doesn’t care – that the adage ‘the dose makes the poison‘ always applies.

And of course we have the scare tactic of mentioning the skull and crossbones.

Thing is, there are plenty of other Toxic substances used routinely in medicine. Lets have a look at Warafrin – which is at one level rat poison and at another level an anticoagulant. And hey – look at that – the MSDS sheet has a skull and crossbones on it.

Common clinical indications for warfarin use are atrial fibrillation, the presence of artificial heart valves, deep venous thrombosis, pulmonary embolism, antiphospholipid syndrome and, occasionally, after myocardial infarction.

And also

To this day, coumarins are used as rodenticides for controlling rats and mice in residential, industrial, and agricultural areas. Warfarin is both odorless and tasteless, and is effective when mixed with food bait, because the rodents will return to the bait and continue to feed over a period of days until a lethal dose is accumulated.

So, lets spell it out nice and slow for Kelli Ann – the dose makes the poison.

And so, lets have a look at the current dose levels of thiomersal in vaccine shall we?

For an ‘average’ person of 154 pounds, there is 6mg (miligrams) – or 6000 micrograms(µg)) of mercury occurring naturally in the body. So, roughly, a person of 25 pounds has 1mg (1000µg) of mercury (or, to put it another way, 1 pound of body mass gives us 40µg). A healthy newborn weighs on average about 7.5 pounds which gives a mercury body burden of approximately 303µg of mercury.

When we look at the FDA thimerosal content of vaccines currently mandated and add them all up we see that we get 239.2µg of mercury – way under what occurs naturally in the body of a healthy 7.5 pound newborn.

Now, this is not even a fair comparison. I have added up all the vaccines for a child of 6. Including doubling up on doses of a vaccine made by different manufacturers. Quite obviously a child won’t get a Td jab from two different manufacturers at one time. I have also included all the flu jabs – again, no one will get all flu jabs in a single flu season.

The maths is quite clear. There is more mercury existing naturally in our bodies – even those of a 7.5 pound newborn – than the combined total of every single thiomersal containing vaccine on the market.

Leaky gut aka intestinal permeability

18 Aug

Leaky Gut syndrome is a hypothesis associated with autism by people who believe that toxins (particularly those caused by vaccines – notably the MMR) weakens the lining of the bowel letting various rubbish thorough (undigested food, toxins, whatever) and triggering an immune response and/or leading to Wakefield’s much-hyped but never backed up Autistic Enterocolitis.

This unverified condition has (of course) been found by any number of Wakefield supporters and yet, curiously, no researchers external to Wakefield’s peers have found any evidence for it and the phrase exists as a diagnosis within that AltMed community.

In fact, its not curious at all as the only groups that _did_ find evidence for ‘Autistic Enterocolitis’ used the now discredited Unigentics lab run by John O’Leary.

Anyway, in Feb of this year a team from the University of Calgary published a Pilot study into the ‘leaky gut’ (posh name: ‘intestinal permeability’) issue.

They enrolled 14 autistic kids (all of whom had parents who reported gastric issues), 7 NT siblings of these kids, and 8 NT non-related controls.

In the ‘leaky gut’ opioid-excess theory, it is proposed that increased intestinal permeability in children allows for increased absorption of dietary peptides, which ultimately leads to disruption of neuroregulatory mechanisms and normal brain development.

The reason for choosing autistic kids who were reported by parents to have gastric issues is that the researchers reasoned that these kids would be more likely to have ‘abnormal gastrointestinal tests’.

In this population, the researchers found:

we neither demonstrate abnormal small intestinal permeability, nor abnormal postprandial responses of the enteroendocrine peptide GLP-2.

…..

It has been suggested that increased permeability may be causally related to the onset of the inflammatory bowel disease and not just a consequence of inflammation. Our data does not support a similar hypothesis in autism.

…..

Our study did not detect differences in the functional gastrointestinal parameters measured in a group of children with autism. Although there may be a subset of children with autism with a specific gastrointestinal abnormality there is no firm evidence yet of a role for gastrointestinal dysfunction in
the etiology of autism.

One of the things the authors reported that struck me was:

The subtle endoscopic and histological findings of lymphonodular hyperplasia in the colon and ileum previously described in ‘‘autistic enterocolitis’’ (Wakefield et al. 1998, 2005) are also seen in normally developing children with similar gastrointestinal symptoms (Furlano et al. 2001).

This is only a pilot study of course so not too much can be read into the results but if the study is expanded upon and replicated then the results would be interesting to see. Its certainly a smallish spanner in the works of the ‘autistic enterocolitis’ believers.

Tags:

Fools rush in – Wakefield's race

15 Aug

In today’s Hampstead and Highgate Express there’s an interesting little piece on Andrew Wakefield’s ongoing legal altercation with the GMC.

A ROYAL Free doctor accused of serious professional misconduct during controversial MMR research admitted that short cuts were made in the quest for fame.

…..

Asked whether Dr Wakefield had pushed him into it, Prof Walker-Smith said: “I think that’s true. If we had not had any urgency to get on with it, we would not be in the muddle we are in now because we would have done it in the usual way by getting a referral. Dr Wakefield was a man in a hurry and in full-time research.

Damn. You know things aren’t going well for you when your co-accused is willing to push you under a bus.

Walker-Smith performed completely unnecessary (in my opinion) lumbar punctures on these kids and lo and behold:

Ms Smith said out of the 12 children, complications materialised in two. “I’m not suggesting that the complications were serious, but you would accept that having a child admitted to hospital overnight with a fever and feeling unwell is worrying for parents,” she said.

Performing lumbar punctures and consequently hospitalising 17% of your case load is not great. Neither is it great to perform blood draws at birthday parties and make children pass out and vomit.

But, we know Dr Wakefield is an impatient man. Remember this testimony given by Dr Nick Chadwick?

Q Okay. Did you personally test the gut biopsy samples for measles RNA?
A Yes.

Q What tests did you perform?
A A PCR test, a polymerase chain reaction.

Q What results did you receive from the gut biopsy materials for measles RNA?
A They were all negative.

Q They were always negative?
A Yes. There were a few cases of false positive results, which I used a method to see whether they were real positive results or false positive, and in every case they turned out to be false positive results. Essentially all the samples tested were negative.

…….

Q So you personally tested while you were in Dr. Wakefield’s lab gut biopsy material, CSF and PBMCs?
A Yes, that’s right.

Q And all the results were either negative, or if they were positive it always turned out that they were false positives?
A Yes, that’s correct.

Q Did you inform Dr. Wakefield of the negative results?
A Yes. Yes.

This was the test to ‘prove’ that measles virus was in autistic kids guts and hence cause their autism. Seems Dr Wakefield was too impatient to listen to his own team.

We expect Doctors to have our primary care interests at heart. We should not expect for them to sacrifice scientific integrity and our children’s wellbeing in order to make themselves famous.

Go Danish!

15 Aug

If you search around the web, you can find people suggesting other vaccine schedules than that used in the “overly aggressive” United States.

One you will find, promoted by the autism/vaccine advocacy group Generation Rescue doesn’t include any coverage whatsoever for Measles Mumps or Rubella. That is scary. Just plain scary.

They have others, though. One is “Go Danish”, with this little blurb:

Comment: Denmark is a first world country based in Western Europe. Their schedule appears far more reasonable than ours. They have also been reported to have a much lower rate of autism than the U.S. Do they know something we don’t?

They give the vaccine schedule as of December 2006. Hmmm, makes you wonder what it looks like now, doesn’t it? We’ll get to that.

Well, let’s look at the “recommended” “alternate” schedule based on the 2006 Danish schedule:

DTaP at 3, 5 and 12 months
Hib at 3, 5 and 12 months
IPV at 3, 5 and 12 months, plus 5 years
MMR at 15 months and 12 years

And, this supposedly leads to a lower autism prevalence. Take a look again–that means that giving 5 vaccines at once, three times in the first year of life doesn’t cause a high autism rate. It also means that MMR at 15 months does not cause a high autism rate.

With this on their website as a something to “consider”, shouldn’t they consider what this tells us? Again, assuming that the autism prevalence in Denmark is low, doesn’t this tell us that vaccinations given in combination, early in life, don’t cause autism “epidemics”? Isn’t it pretty clear that the MMR doesn’t cause “autism epidemics”?

The current Danish schedule is now somewhat modified from the 2006 one noted at the Generation Rescue website. They’ve added the pneumococcal conjugate vaccine (PCV) at 3, 5 and 12 months. That’s 6 vaccines at once 3 times in the first year of life.

That sounds like a lot of jabs for those little Danish kids…except that they use combination vaccines. Not just DTaP, but DTaPHibIPV. Wow, a five part combination vaccine. I don’t think this is what Generation Rescue had in mind when they suggested “Go Danish”.

They have also added the HPV (Gardasil) vaccine at age 12, but I really think the discussions of that vaccine have nothing to do with autism and just paint factions of the autism community as anti-vaccine, so I prefer to stay out of that discussion.

The combination vaccine (which I assume is fairly new) and the addition of the PCV vaccine will give groups like Generation Rescue a talking point if/when the autism counts in Denmark increase to something similar to the rest of the world.

But, let’s leave where we started, with the words of Generation Rescue, speaking about Denmark:

They have also been reported to have a much lower rate of autism than the U.S. Do they know something we don’t?

Apparently, the Danish know that multiple vaccines don’t cause autism. If we believe Generation Rescue, it looks like Denmark has the data to show it.

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.

Thimerosal and Autism on Trial: Closing statement by Mr. Matanoski

31 Jul

This is a portion of the government’s closing argument given by Mr. Matanoski. It is found on the audio from Dwyer called Day02-PM3.

First I want to point out on the specific causation … lawyers are kind of slick they move things around, they kind of play a shell game. When I heard the comments about a specific causation case it made it sound like respondent has a burden here to show what actually caused it. Actually the burden is on the petitioners to show that the vaccine caused autism. And respondent doesn’t have to show that it’s genetic in origin.

And I think that the comments about Dr Leventhal’s testimony on that point are a little off the mark. What Dr. Leventhal was saying, essentially, that most practitioners, most folks who study autism as a profession believe that it’s largely genetic in nature at that’s where the research has been directed and in fact it’s been fruitful in that regard. There’s still much more to do. But everything that has come out has pointed to genetics as very strongly associated with autism and most of the research that has been done has shown that autism would have a prenatal course. That it can essentially be seen, that the preconditions, if you will, for autism are in place beginning before birth, in most instances.

I think there also is a little bit of a misconception about what the force of Dr. Leventhal’s testimony was. He basically was saying that Colin’s case really is sadly no different than many of the cases that he sees, where there is a gradually emerging picture of difference, perhaps delays, but at least difference in the quality of behavior in the child as the child develops. It’s not necessarily apparent right from the start. That’s very rare. Most of the cases it’s apparent later and it may seem that a child has reached certain milestones has subsequently had trouble keeping those milestones. As the condition progresses there often is an improvement. That’s the natural course of the condition. What Dr. Leventhal was saying is, as time has gone on, more and more of the researchers have realized that if you look back in cases, that apparently seemed to have a normal trajectory and then there seemed to be a loss, that you see earlier signs and symptoms that all was not on a normal trajectory from the beginning.
That was the force of his testimony, and that testimony was backed up by other testimony by other testimony that the court has heard before he took the stand.
Dr. Lord who has specifically studied regressive autism made that point quite clear, that as this has progressed the concept of regressive autism has become more encompassing, that autism itself seems to have a progression where it appears that there is a loss but when one goes back, one sees that there is unusual, or differences in development earlier on in almost every case. And what Dr. Leventhal was saying is that as they gotten better, folks who do this for a living, folks who make their lives studying about studying autism they’ve realized that more and more of those cases they can see earlier on. And in very few instances when they’ve studied quite closely do they see that there isn’t some sign that the trajectory or the course is not the same as other children’s.

Dr. Mumper’s testimony which really wasn’t really much of the focus in the closing argument here. She seems to be relying on isolated lab results to come up to a conclusion that vaccines are the cause here. She’s been asked in this case and in other cases what would that pattern be, what do we need to look at? And in fact there doesn’t seem to be a particular pattern. In the King case certain test results were relied upon to draw the conclusion that thimerosal in vaccines were associated with autism in that case, or caused autism in that case. In the Mead case other results were looked at and thought to be, by Dr. Mumper, indicative that vaccines were causing, or evidence that vaccines were causing autism. And now in Colin’s case, we see yet a different pattern of test results being relied upon to reach that conclusion.

In fact those test results, with really no pattern, how can one say that there is any kind of clinical evidence from these test results that one can rely on to make that .. to draw those kinds of conclusions that Dr. Mumper is relying on.

And as you’ll see when you go through the testimony, we believe that she largely moved away from relying on any specific test result when questioned about each specific one she said that essentially that the mercury test result, the positive provocation, was really the only test that she had that showed that the mercury was there, and she was relying on to implicate thimerosal as a cause in this case, but then she admitted that she really didn’t know what the normal range would be for that test.
How can one say that this is an abnormal result when one doesn’t know what normal is?
Her testimony seems to be formed largely by the Defeat Autism Now world view which is that toxins and heavy metals are implicated in autism. And to use the example that Mr. Powers used of Tycho Brahe I think that comes to bear with her testimony as well. It doesn’t matter which test results she’s looking at it always comes back to a heavy metal or a toxin, when it could be that the acidosis that the lactic acid build up could be because the child was crying when the blood was taken. (35 min 30 sec)

…

I’m going to touch now on the general causation because that was a matter of some discussion by Mr. Williams. I see that the glutathione theory which is where we started with this general causation case seems to have dropped out. It wasn’t in the opening statement, it wasn’t in the closing statement. It seems that the theory of causation now is neuroinflammation and largely seems to be neuroinflammation alone. That was a theory that Dr. Kinsbourne recently advaced in this case. It obviously wasn’t present until just a couple of weeks before the trial in May.
This is something after six years in the making, this seems to have come up kind of at the very end.

Mr. Powers and Mr Williams have focused on the causation burden, and say that the information they have given on neuroinflammation meets that burden, that would be the causation burden under Althen and Grant, the specific criteria that they need to meet under that test that the court has articulated, the federal circuit’s has articulated.

Respondent starts a little earlier than that if you will in the calculation and that is about what evidence feeds into Althen and Grant. We start out with the analysis under Daubert about whether there is good scientific evidence to even meet that burden. So obviously the evidence that you have or the evidence that is being offered does not meet the criteria of good scientific or reliable evidence then you have nothing at all to test about whether you’ve met your legal burden under Althen.

Our position has been throughout this that the petitioners’ evidence that they have offered, the testimony that they’ve offered, fails to meet that standard of reliability that is set out under Daubert and that this court applies. Daubert stands for the proposition that there are not multiple kinds of scientific evidence. A kind for scientists to use and a kind for judges to use. There is only one kind of scientific evidence. It is the kind that scientists use. That is the kind that judges are supposed to be looking for as well. …

Kathleen Seidel’s neurodiversity weblog has more from the Dwyer case, including audio excerpts.

Elizabeth Mumper – Autism Omnibus, Dwyer vs HHS

When I heard Mr. Matanoski say, “when one doesn’t know what normal is,” it occurred to me that it could be used as a slogan or strapline for the autism/biomed organization that is led in part by Dr. Mumper.

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