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What the Papers Don't Say About Vaccines
jamie tips an article in The Guardian's "Bad Science" column which highlights recent media coverage of the MMR vaccine. A story circulated in the past week about the death of a young child, which the parents blamed on the vaccine. When the coroner later found that it had nothing to do with the child's death, there was a followup in only one of the six papers who had covered the story.
"Does it stop there? No. Amateur physicians have long enjoyed speculating that MMR and other vaccinations are somehow 'harmful to the immune system' and responsible for the rise in conditions such as asthma and hay fever. Doubtless they must have been waiting some time for evidence to appear. ... Measles cases are rising. Middle class parents are not to blame, even if they do lack rhetorical panache when you try to have a discussion with them about it. They have been systematically and vigorously misled by the media, the people with access to all the information, who still choose, collectively, between themselves, so robustly that it might almost be a conspiracy, to give you only half the facts."
No one is interested in reading positive news like the fact the vaccine isn't actually harmful so there's no money in printing it.
When it comes to something that may seriously harm your child, whether it be vaccines or the illnesses the vaccines prevent against, it is your responsibility as a parent to not go off half-cocked and to make extremely sure that you have all the facts before you make a decision regarding the welfare of your child. If you're not up to that responsibility, then you shouldn't have custody of your kids. Plain and simple.
*Father*
...to read the last sentence.
They have been systematically and vigorously misled by the media, the people with access to all the information, who still choose, collectively, between themselves, so robustly that it might almost be a conspiracy, to give you only half the facts.
Six commas...
I know this is going to be viewed somewhat as flamebait, but to put it bluntly, doctors are mechanics for the human body. No more, no less. The vast, overwhelming majority of doctors have little to no true scientific training, any more so than a business person or Joe the Plumber. Even those doctors doing active medical research have limited scientific faculties IMO, having heard about this stereotype from others, read about on the internet, and dealt with it myself. Therefore, when it comes to scientific interpretation, anything coming from a doctor's mouth should be taken with at least a grain of salt, if not a shakerful.
Just gotta give up some respect to Ben Goldacre.
In the face of the standard shrill anti-science which permeates western media, he's a guy who tells it straight. A high class myth-busters, if you like.
A geek. The man.
"Be light, stinging, insolent and melancholy"
"Make extremely sure that you have all the facts"? I'm a continuous skeptic about everything, and from what I've read, I'm 99.99% sure that autism and vaccines are not linked in any way - but the cause of autism is not known, so it would be irresponsible for me to run out and declare that I'm 100% sure. I'm not sure, and neither are you, and if you claim you're 100% sure, then you're being religious instead of scientific.
A parent who is less sure, say 90% sure, now has to balance the effects and probabilities that on the one hand, that the kid will get the almost-never-lethal-or-disabling measles; and on the other hand a minute chance that the kid will get the disabling malady of autism. It's their kid, so I find it unsurprising that parents are simply skipping the vaccines as long as there's the shadow of a doubt.
The only way to get the parents back on vaccine schedules is to determine the cause of autism.
It's a societal issue. Once a critical portion of the population is not immunized against a disease, then a widespread epidemic is more possible and likely. This could have severe economic impacts that go far beyond the goals of individual parents. This is why most immunization is mandatory unless there is a specific religious or health related exception. People invoking these exceptions trivially are endangering the functioning civil order. These vaccines have proven to be quite safe -- and, even if there is a risk of infection (say for example, with live polio), if the negative side-effect rate in the population is low-enough, its still something that should be mandated in order to ensure that the population as a whole is resilient to some of the Big Nasties.
You must be new here, for if you were not, you would know that us, the readers of slashdot, enjoy reading summaries which, when read slowly and carefully, provide some great meaning that, fortunately, could not have been presented to us without all the deliberately, refreshingly placed commas, all of which brighten our sad, lonely days in these dank, windowless basements which, for many of us, have been our homes for decades and, comma-willing, will continue to be for many more decades to come, for we would be distraught should our parents, who gave birth to us, of course, were to boot us out into the "real world", the simple notion of which frightens us beyond belief, really.
Sincerely, yours,
Reader, who is anonymous, for various reasons, none of which concern you, the reader of this comment.
The problem here is that many British newspapers have spread wholly-untrue scare stories about the MMR injections, largely based on erroneous analysis by descredited scientists, Andrew Wakefield.
No-one can be be expected to follow every major medical story by reference to the original papers (and despite your noxious smugness, you don't either). We all rely on the media, both to alert us to potential medical risks, and to give accurate and even handed treatment to medical stories.
The papers and journalist in question (and. Melanie Phillips, I'm looking at you) have put sales-grabbings scare stories ahead of providing actual information -- acceptable if you're just gossiping about celebrities, but children have lost their lives because well meaning parents have been swayed by newspaper medical stories written with scant regard for the truth. Like people who shout "Fire" in a crowded theatre, they should be held to account.
Athletic Scholarships to universities make as much sense as academic scholarships to sports teams.
Remember when power lines were giving our children cancer?
I'm glad they fixed that.
Recently here in NY we had a law passed to take the mercury out of vaccines (diff. kind of mercury used and not in dangerous amounts). The mother who they put on the news to hail the bill was, like me, a parent of an autistic child. However, the reason she gave for the bill was that "infants' immune systems are not well formed enough to fight the mercury". I was laughing so hard I nearly ripped something. That's what's wrong. You protest so hard you get a bill passed and go on the news to defend it, and you lack any basic understanding of the human body. If all these people think the vaccines are harmful, so be it. But I wish they would gain some basic understanding of the body first.
When parents of my pediatric patients say they're skipping vaccines, they talk more about what they read on the Internet than what they see on television or read in the newspaper. The second most common source of information cited about how vaccines are dangerous is "people [they've] talked to." Only a small percentage make a distinction about specific vaccines; most who refuse the MMR refuse everything. So, do I have to wait until we prove another negative - autism isn't caused by DTaP - to prevent common (and sometimes fatal) whooping cough? Proving that the MMR vaccine doesn't cause autism (NEJM 347:1477-1482) hasn't been enough for my vaccine refusers so far. This is a parental issue. I think the solution is basic education in the scientific method and statistics for everyone, beginning in elementary school.
Consider the story about the dangers of germ-free environments. Specifically, excessive attempts to elminate germs can, in addition to creating super-bugs, cause our immune system to malfunction. Without the constant exercisng of our immune system by germs, our immune system goes into overdrive by generating an immune response to things (e.g., pollen) that are not germs.
The above story appeared for a brief moment in the news and then disappeared. Meanwhile, the quantity of advertisements for anti-bacterial products (containing triclosan) has exploded. The public prefers to watch pseudo-science commericials instead of genuine-science news stories.
The anti-science public does not care about science. If the public did care about science, it would have dramatically reduced its purchases of anti-bacterial products (thus protecting the health and lives of Americans). So, when the public does not care about science, science-related stories appear briefly in the news media and then quickly fade away in favor of stories about, say, Paris Hilton.
Here's my reasoning: Once in a while, an article covers a subject that I am knowledgeable about. Almost always, I will find something wrong in the article. Sometimes it's just a minor mistake or a gross over-simplification. More often than not, however, the article gets it hopelessly wrong and completely misinforms the reader.
I can only conclude that the same happens in articles that cover stuff I know nothing about.
So, I pulled the number in the headline out of my ass. Kinda like the average newspaper author.
Free Manning, jail Obama.
We may not know what causes autism, but we do know what causes measles, and whooping cough, and we know that both of these can cause death. We also know how to prevent them. Also there is a bigger connection with autism rates and cable television expansion, and the rise of the internet, I hope you think carefully about letting either cable television or a high speed internet connection in your house.
What amazes me is their complete inability to compare risk factors (tho this is much the same as Schneier talks about re perceived risk).
Chances of a mild reaction to whooping cough vaccine runs somewhere around 1 in 10,000, with the chance of a fatal reaction about 1 in 1 million (but in that case, the child's immune system is a bomb waiting to go off, and sooner or later something will get 'em).
Chances of death if the child contracts whooping cough: about 1 in 4 with modern hospitalization, or 1 in 2 without.
To me, that's a no-brainer.
The same bullshit is permeating the dog breeder community too -- "Vaccinosis" is now blamed for everything that can possibly go wrong! How about not breeding animals whose immune systems can't handle the trivial stimulation of a vaccine? And if they can't handle vaccine, how on earth are they expected to handle a realworld exposure, at hundreds or thousands of times the strength of vaccine??
~REZ~ #43301. Who'd fake being me anyway?
Ben Goldacre is actually an excellent journalist, a phrase that is increasingly becoming oxymoronic. He's happy exposing the BS of the big pharma companies, the alternative medicine quacks, and most importantly the media themselves.
In a media filled with "science correspondents" who either mindlessly reprint press releases or scaremonger to drive sales this is a breath of fresh air.
I really wish I could attribute the ignorant scaremongering of the media on issues like the MMR vaccine to the fact that most journalists have never even seen the inside of a science textbook. But I think the malaise runs far deeper.
The simple fact is that fear sells papers. Print a headline that strikes fear into the hearts of parents and they're likely to buy the paper to read the article. Printing a headline stating the opposite ( new study finds vaccines reduce asthma deaths ) just doesn't have the same emotional impact.
This extends beyond reporting on science to a wide range of topics. Look at the coverage given to vanishingly rare child abduction/murder cases for example. If you can generate fear you can shift product.
In a wider sense I'd also say that the atmosphere of fear this kind of media coverage generates is tolerated and even encouraged by owners and advertisers because it doesn't threaten their interests, and in many cases aligns with them.
If a paper was to start scaremongering to the same extent(i.e. fearmongering multi-page spreads several times a week) about the (very real) threats to it's readers from global warming, foreign wars or lax regulations, it would be branded as a crazy left wing rag and rapidly ditched by advertisers, assuming the owners didn't fire the journo's responsible first.
I keep hearing this, and it is really off base. If you give a pathogen a place to breed it may mutate into something that can bypass vaccince-created immunity.
So as much as you are gambling that you won't get infected because 80% of others have had the vaccine, those 80% are gambling on YOUR lack of immunity rendering their own immunity null and void if you give the pathogen a place to mutate.
The unvaccinated pose a greater danger to the general population than the vaccines pose to the individual.
Today, I bow to dedicate my entire week's worth of beer fund to creating scorp1us foundation for cure to this despicable disease.
Join me, fellow slashdoters, to bring some gleam of hope and cure for this poor little sap.
"Don't let fools fool you. They are the clever ones."
I was born in the UK in 1961, and so grew up in the era where we weren't vaccinated against things like measels and chicken pox, and so of course we caught them, and we were fine. There may be rare side effects of these diseases, but the coincident rise in autism coupled with the rise in vaccination at least doesn't indicate autism as one of the side effects. As it happened I also almost died as an infant as a result of the DTP vaccine, and consequently wasn't given the 2nd shot of the series. I did subsequently catch whooping cough, and although it was unpleasant, it's sure better than being dead.
IAAP (I am a physician - specifically pediatrics). First off, "you" may have been "fine" when you "got measles," but the population of England wasn't. Measles isn't chicken pox - it's a LOT worse. It's pretty rare to die of pox, but measles will kill you, give you encephalitis, make you go deaf, or a lot of horrible, horrible things. It's not just a bunch of itchy spots for a month.
And second, as for your reaction to the DTaP vaccine, there is a widely known side effect of the vaccine (specifically the "P" part against Pertussis, aka Whopping Cough). We are well aware of the side effect and it is known. That is not the same as speculation about an unproven side effect believed by the public and rejected by most of the scientific community. Hmm, sounds a *lot* like the Global Warming denier community. Oh wait, but those guys are kooks, right? *You're* just being skeptical, right?
That being said, your physician is either an idiot, or to be fair, maybe this wasn't known in 1960s UK - the solution to the DTaP reaction you describe is to administer just the D and T portions and not adding the Pertussis part. Congratulations, you were not immunized against Tetanus or Diptheria.
The incidence of diagnosis of autism is up, but that doesn't necessarily mean the incidence of occurrence is up also. It could very well be that it simply went undiagnosed before -- instead of being called "autistic," the children were just called "slow" or "shy" or "retarded" or something.
"[Regarding the 'cloud,'] ownership was what made America different than Russia." -- Woz
I think the solution is basic education in the scientific method and statistics for everyone, beginning in elementary school.
This is wrong. People don't care. Teaching about the scientific method and statistics won't make them care. It's too many steps removed from the vaccine issue for the average attention-span anyway.
We have a cultural problem. It's not about the scientific method. People believe in conspiracy theories. People believe in shadowy corporations who are secretly out to get them. People believe in secret cover-ups. People believe everyone's got a hidden agenda or a conflict of interest. But, most importantly, people believe they're the exception. They have it figured out. They're wise. They're not going to be fooled like everyone else.
It's a self-esteem problem -- too much self-esteem. It's a lack of respect for others. It's laziness. It's irresponsibility. It's self-focus and emotional self-investment. It's not being completely grown-up.
The scientific method won't help because it's only useful if the answer it leads to fulfills some emotional need you have. Otherwise, it can be discounted in favor of the process that leads to a more fulfilling answer.
I don't know what the solution is. Removing some of the societal rewards for making bad choices would help.
If there is no connection why do we see so many stories similar to mine?
Because the age that vaccines are given is the same age that the symptoms of autism (et al) start to manifest. It's as simple as that.
People have tried vaccines without mercury. People have tried giving vaccines at different times. People have tried forgoing vaccines. And guess what? The same percentage of each group of kids developed all the same awful conditions that are blamed on vaccines.