Archives for posts with tag: vaccines

Imagine tending to a very sick patient who was about to die. Imagine having, on one hand, a doctor or nurse working with the patient to make their remaining time as comfortable as possible, and comforting the family in their grief. On the other hand, you have a preacher telling that patient that they must immediately convert over to Jesus before they passed away, unless they wanted to go to Hell. Who would you choose?

Or imagine going to university, taking geology or botany or zoology, and having two classes for each subject – one that presented the scientific view, and the other threatening students that they must deny evolution and accept an 8,000 year old Earth, in order to pass their final exams.

Not appropriate, right? But this is the problem we seem to be increasingly facing these days – one of ideology over expertise.

There was a debate on the radio a few days ago where there two worlds came clashing together in an interesting way. The subject was vaccinations. On the one hand, you had people arguing from scientific and medical perspective, while on the other hand, you had people with strongly anti-vaccination worldviews. (They prefer to call themselves “vaccine informed, but let’s call a spade a spade, shall we? In the end, it amounts to the same thing).

If you were a parent, concerned about nasties such as whooping cough, rubella, measles and the flu, whose advice should you listen to? Your doctor, who, has the training, clinical expertise and direct experience working in the community with patients? Or perhaps some random person with none of this experience who tells you to ignore or distrust the doctors, that they are all shills or dupes, that they have done all their research on the Internet and are therefore more knowledgeable?

This is the choice that people have. And it should be a no-brainer. In fact, for decades it has been a no-brainer. Most people wouldn’t even think about going for the ideologue over the trained expert.

But it seems this is not as much the case today. More people choosing the naturopath over their doctor, choosing detox over vaccines and choosing all sorts of fad diets so they can avoid cancer and live forever. In certain areas, ideology is starting to win over expertise.

Much of it is marketing. Ideologues are getting better at exploiting hopes and fears. There are certain messages they put across that have an emotional impact. Tell people Big Pharma is out to get them. Tell them they only care about profits and not health. Tell them that there are poisons and chemicals being injected into their children. Tell them there is another way, and that it’s being suppressed. Tell them about the brave lone pioneers who have been castigated for their views. These are powerful, emotive messages that can be applied to any situation. They do not need facts to support them, just half-truths, glimmers of hope and a large dollop of fear.

Experts are to be distrusted, according to the ideologues. Experts, particularly individual experts, can sometimes get things wrong, so the ideologues use that against them. Knowledge is often incomplete, as is the way with science, so ideologues will exploit the gaps in knowledge for their own purposes. Companies sometimes do unethical things, so ideologues will use this to portray them in the worst possible light.

But let’s not kid ourselves – when it comes to a fight between expertise and ideology, expertise wins. It has the facts on its side.  Just maybe not the marketing.

It takes an extraordinary person to go after a global pseudoscience network and dismantle it, piece by piece. The network involved is the Genesis II cult, whose schtick has been to promise “miracle” cures to parents of autistic children. If they would only drink bleach, or have it forced up their rectums, their children would be cured of autism. These people have made their fortunes by selling industrial bleach to vulnerable parents. They couldn’t care less who got hurt in the process. Despite negative publicity and widespread condemnation, they seemed unstoppable. Business is business, right?

Then someone – a parent of autistic children – took them on. Working with concerned parents in other countries, she got the media to take note. By contacting the papers, independent journalists, TV stations, radio stations and networks, she brought the church’s tactics into the light. Documentaries were commissioned, special investigations produced, exposing Genesis II for who they were. At this time, the cult and their associates are in disarray. The light of publicity has not been kind to them. Some of the perpetrators are in prison, and more criminal convictions may soon follow.

The person who helped to make this happen is Fiona O’Leary. Fiona is an extraordinary person who I’m proud to know. Based in West Cork in Ireland, Fiona spends hours each day following up leads, talking to people around the world, reaching out to parents and victims – all the while getting the message out about the bleacher cult and their tactics. Fiona herself is on the autistic spectrum, which perhaps contributes to her tenacity. She is courageous to a fault; she has a strong sense of justice and she won’t easily give up.

Enter Andrew Wakefield. Wakefield is notorious in pseudoscience circles, having been responsible for perhaps the greatest health scare in recent memory. The story of Andrew Wakefield is as bad a tale of professional misconduct as it is possible to find. After the publication of a now discredited and retracted paper that associated the MMR vaccine with bowel and brain damage, a public health crisis emerged that resulted in old-diseases making an unwelcome return, with avoidable injury and needless deaths following in their wake. Wakefield’s medical license was revoked after he failed to disclose financial conflicts of interest and ethics violations.

Wakefield has been working hard to restore his disgraced reputation. His latest attempt is “Vaxxed“, a documentary that attempts to create a parallel history of what really happened, while scaring the bejesus out of parents. The Guardian noted how the documentary ignores contradictory evidence, while rehashing utterly discredited claims. The documentary film-maker Penny Lane commented “this film is not some sort of disinterested investigation into the ‘vaccines cause autism’ hoax; this film is directed by the person who perpetuated the hoax.” The Washington Post said it should come with a warning label: “May cause irrational anxiety, especially if taken with an empty head.” Variety Magazine called it a “scientifically dubious hodgepodge of free-floating paranoia, heart-rending imagery and anti-Big Pharma conspiracy mongering.” 

As far as I am aware, none of these highly reviewers received a threat of legal action from the producers of the movie. However, last week, Fiona O’Leary did. According to the legal notice sent to Fiona “We will ask for punitive damages and financial compensation for all losses to our business directly resulting from your actions.”

What utter cowards these people are. Fiona was within her rights to alert people to the vast problems inherent in the documentary – the facts left unsaid, the real story about what Wakefield had done, the treatment of his critics. “Vaxxed” is a piece of dangerous propaganda with a direct public health impact. By attempting to rekindle the mythical link between vaccines and autism, it puts needless guilt on parents of autistic children, implying – when there is no empirical evidence to back it up – that somehow they are responsible for what happened. If you were a parent and you knew the damage that such allegations could wreak, wouldn’t you be anxious to criticise them too? Clearly, Cinema Libre, like a classic bully, prefer to go for the small people first.

So, instead of accounting for the massive problems in their worthless and dangerous pseudo-documentary, Cinema Libre took a campaigner with a distinguished record of defending autistic parents and they threatened her with legal action. Honestly, I hope this move backfires on them utterly. They deserve every piece of bad publicity they get.

Further reading:

Makers of ‘Vaxxed’ Threaten Lawsuit Over Valid Criticism

Vaxxed distributor threatened Fiona O’Leary – they’re afraid of facts

Cinema Libre Studios and Andrew Wakefield’s Vaxxed team threaten autistic autism mom

http://www.harpocratesspeaks.com/2016/07/cinema-libre-bullies-critics.html

US film studio threatens to sue Cork autism-rights advocate

 

Just because something happened before it, doesn’t mean it caused it.

Just because a footballer forgot to bless himself before a game, doesn’t mean that’s why they lost the match.

Just because a screaming sound was heard in the middle of the night, doesn’t mean your granduncle is going to die.

Just because a vaccine was given doesn’t necessarily mean it caused a sickness at a later date.

Other things: a virus, an infection, the ageing and growth process, genetics, a stressful situation, other people, might have caused it too. 

Trying to figure out root cause is really, really difficult, but if you rush to a conclusion about cause, without doing the hard work, chances are you are going to be wrong.

The hard work, trying to figure out causes? We call that science.

And that is why you need to bring in scientific voices and scientific studies when you are discussing issues like vaccines, because they are the only people who have done the work to assess root cause.

Let me reiterate that. They are the only people who have done the hard work. They are the only people who must take the emotion out of it, who must control for bias, who must look at all the data, who must go about it the right way, in order to be taken seriously. They get penalised for taking short cuts, something that doesn’t happen when we give our opinions or talk about our experience.

If you exclude the scientific consensus and scientific voices from a discussion on vaccines, or if you think it’s “just another opinion”, then you are biasing the discussion. No ifs, no buts. 

If you exclude the scientific consensus, you are not looking at the whole picture. And, you might be scaring people without just cause.

Source: vaccine.gov

Source: vaccine.gov

A BBC news report today reported that a woman in the US died from an attack of the measles. While the measles does not normally kill, a small percentage of people who get it can die; others will be left with serious health problems for the rest of their lives. If you are a rational person, measles is not something that you and your children should ever have to deal with.

Measles is one of the three diseases, along with Mumps and Rubella, that the MMR vaccine is effective in preventing. Vaccines like MMR act by priming the immune system with a weakened version of the virus. This allows your body to create antibodies, so that when the real disease comes around, the body is ready to defend itself. The mechanics of how vaccination works is not new: it was pretty much understood by the 1940s, and as the graph above shows, it has proven itself over and over again to be highly effective against the types of diseases that destroyed the lives of so many people throughout history.

The woman who died was immunocompromised, which means she was unable to take any vaccines because of a health condition. Small babies and people like this woman depend on vaccinated people to stay free from these diseases.

The choice to remain unvaccinated is therefore not a simple personal choice. If you or your children do not take vaccines, you put people such as this woman at greater risk of being exposed to the measles. While measles might be unpleasant for you, you could be directly harming their lives. This goes beyond personal choice. It makes you a menace to public health. Expect lawsuits to arise in this case against the people who put this woman’s life at risk by not vaccinating. If they had been more responsible, she would be alive today.

You will see a lot of websites, alternative practitioners and some celebrities preaching the benefits of not taking vaccinations. They are wrong. The studies they use to support their beliefs are poorly thought out, incomplete, and in a few high profile cases: fraudulent. They have confused the idea of personal choice with what is good for society at large. They condemn “big pharma” and the “sickness industry” while forgetting that executives and employees of these organisations get sick too. They talk about poisons while conveniently forgetting that almost everything is a poison – it’s the dosage that matters. They cherrypick from anecdotal information and they exaggerate the dangers in order to frighten parents of small children. Not one major medical organisation agrees with them. Not one. They are manifestly wrong and they are putting lives at risk.

Ultimately, vaccines are a lot safer than the diseases they prevent. Less than a hundred years ago, people used to die, routinely, from smallpox, tuberculosis, bubonic plague, cholera, polio, tetanus and diphteria to mention just a few. Nowadays nobody does, or at least they shouldn’t. The reason is vaccines. While there can be side-effects to taking vaccines, they are usually minor and transient.

If I could recommend one link to take a look at, it’s this one: it shows clearly the difference that vaccines made when they were introduced. The evidence could not be clearer than this.

Source: Wall Street Journal

Source: Wall Street Journal

The bottom line: if you are scared by all the scare stories out there, talk to your doctor. Vaccines are safe, effective and help save lives; not just yours, but others who need vaccinated people like you to keep them alive.

Other resources:

Of all the delusions out there, homeopathy is one of the worst. On the surface it seems fairly harmless, but dig deeper and you find that it messes with people’s heads.

Homeopathy is dangerous to your health. Homeopathy is not herbal medicine. It’s not really alternative medicine either, because you can’t really call it medicine at all. Ignoring the last 100 years of medical advances entirely, it’s a mystical, quasi-religious approach to human health that states that substances become potent the more dilute they are. Homeopathic substances are normally so dilute, that not one molecule of the original substance remains in the finished product. Every single homeopathic remedy on their shelves is therefore exactly the same treatment. For every single ailment, you are receiving water dropped onto a sugar tablet.

There is no scientific evidence whatsoever to back up the claims of homeopathy. And yet, millions of people swear by it. So, what is happening? Essentially it’s a trick, exploiting the placebo effect and the fact that most illnesses get better after a time. It goes like this: you go to a homeopath, they spend time talking to you about your problem, they prescribe you a remedy, and after a time you get better. Because you are primed to connect the improvement to the prescribed remedy, the likelihood is that you will think the potion made you better. Other factors – better sleep, more rest, less stress – are discounted in favour of the stated remedy.

To me, the placebo effect is a bit like telling a small child to suck their thumb when they get upset. Thumb sucking can calm a child down very quickly. In the child’s mind it is an immediate solution to their problem. They will report less pain and less distress, depending on the severity. If you are reasonable, you would not prescribe thumb-sucking for a more serious ailment: tooth pain, the measles, or a bad burn, for example. When you are prescribing homeopathy, you are doing exactly that: telling someone to do the adult equivalent of thumb-sucking, despite the severity of the ailment. Homeopaths get away with it because, fortunately, most ailments are not severe. When they are, you hope better advice is listened to.

In a recent discussion on homeopathy, I was asked if I had ever taken gone to a homeopath for treatment, the implication being that if I had never gone to one, I could not possibly comment. This is the equivalent of saying that people who never smoked cannot comment on whether tobacco use is harmful, or that sceptics cannot criticise the Nigerian 419 scam if they have never themselves been defrauded by one. When a philosophy or treatment sounds like bunk, when almost every scientist and most medical professionals say it’s bunk, when there is a long list of people who have been damaged by bad advice from homeopaths, it’s up to the homeopaths to prove it otherwise. Telling us that it’s not up to them – it’s up to us – is ridiculous. Personal anecdote, no matter how honestly felt, is not very useful because we are all subject to bias and manipulation. Objective scientific studies are much better because you can follow a larger number of subjects, you can see how they were constructed and you can control for bias.

When it comes to scientific studies, homeopathy scores very poorly. At least 12 major reviews, examining hundreds of studies, have all concluded that it is not effective and that it does not provide any benefits beyond placebo. Homeopaths like to cite the Swiss Study, but as you will see from this linkthis link and this link, the Swiss report is not without significant objections. David Shaw, of the University of Glasgow, has called it a case study of research misconduct, concluding that it was “scientifically, logically and ethically flawed”.

Homeopaths have been known to advertise treatments for measles, AIDS, autism and cancer. Many homeopaths are avowedly anti-vaccine. There are homeopaths in West Africa right now who believe that their magic pills are curing Ebola.

You know what? This madness needs to stop.

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