autism-vaccine link?

In my province, even more specifically-in my city, you don't need complete records to get your child into childcare or schools. They ask for the records, but don't care if they are incomplete or missing altogether. My daughter ended up in a dayhome where the dayhome provider did not vaccinate her own children. The dayhome company told me it was a parent's choice, and didn't even need exemption paperwork. As a parent you can say the kid is getting updated soon, and still get into any childcare facility or school. Or you can get an exemption for whatever reason under the sun. Or you can just leave it.

It's very very easy to have your own way on this issue if you don't want your kid to have any vaccines.
 
In my province, even more specifically-in my city, you don't need complete records to get your child into childcare or schools. They ask for the records, but don't care if they are incomplete or missing altogether. My daughter ended up in a dayhome where the dayhome provider did not vaccinate her own children. The dayhome company told me it was a parent's choice, and didn't even need exemption paperwork. As a parent you can say the kid is getting updated soon, and still get into any childcare facility or school. Or you can get an exemption for whatever reason under the sun. Or you can just leave it.

It's very very easy to have your own way on this issue if you don't want your kid to have any vaccines.

It looks like most on the complaints on this issue are specific to the US. My kids couldn't step foot into the school when we moved to the US until the immunization form was handed in. Even then, there was a hold-up because the school nurse reviewing the form decided the records were erroneous because the date given for one of the vaccines was obviously wrong. It was dated July 4 and no doctor's office would be open on a holiday. She was truly dumbfounded to discover that Canada does not celebrate the independence of the United States - one of many delicious examples I encountered of the profound obliviousness of some Americans to the rest of the world.

Linda
 
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Interesting. There are more people in the states, so I guess the disease threat would be more ominous. I guess people can move here and enjoy our many health freedoms, including the lack of immunization leading to whooping cough epidemics. One mom at my school whined about coughing until she threw up. People just don't seem to realize that diseases don't spread around as much if the kidlets are immunized. Then people whine about the adults no longer being protected by childhood immunizations. Well, not every bug is the same, and not all protection is the same. Thing is, a baby with whooping cough is more likely to die than an adult with whooping cough. If you want to whine about vaccination, then don't whine if you get the disease. If you don't want the disease, then realize that herd immunity is a good thing.
 
I think we've now observed a tendency to dismiss this by making not-too-faint suggestions that the person who raised the issue harbors racist and anti-semitic genocidal tendencies.
The suggestion is not that you have racist or anti-semitic tendencies; it is that these are instances of a class, and that polarization on issues like vaccination, abortion, and environmental policies easily leads to other instances of the same class; where "we" are having a dialogue, the exchange of useful information is possible. Once it becomes "us versus them", it tends to become more of an exchange of blows than an exchange of information. I'm not attempting to dismiss you as belonging to any kind of a "them"; if anything, I'd have to accept you as one of "us" even though we do not yet agree on some details of policy.

I think this can be extended further. As Beth points out, the most rabid anti-vaxers -- those who are completely opposed to vaccination for anyone (whether they openly admit that this is their position or not) -- actually represent only a small minority, just as those who would outlaw the eating of animals represent a small minority of all vegetarians. Though there is no corresponding opposite extreme (no one advocates vaccination for everyone all the time), there is a gradient, one which includes many people who may be receptive to arguments in favor of immunization. If you want to close their ears to whatever you might have to say, then start with an emotional appeal, and make it one that emphasizes how ignorant and irresponsible they are for having made certain choices regarding their own health care. Then implement measures that will force them into a class of citizens they might not otherwise have joined, one which will provide them with strong communal reinforcement.

I wonder why it is, if fanatical political expressions are so harmful, fanatical expressions are used by those who oppose fanatical expressions?
I think the substantive difference is that while Beth and I were attempting to point out the flaws in your suggestion through the use of a reductio ad absurdum argument, you appear to have actually meant what you said.

It seems to me that either such tactics work (and that's why Beth and Dynamic employ them), or they don't.
Again ignoring the specific aspects of the message being communicated. Like dichotomies, do you? Here's one then: we're either going to try to solve the problem through communication and dialogue, or we're not. If you're going to simply segregate the non-vaxers, you don't need to communicate the message; at that point, you've given up on that. I'm involved in a discussion on another board with a fellow whose position is similar to what Ivor's seems to be: vaccines are probably mostly safe and effective, and what he primarily objects to is that their use is "forced". He has admitted to having the same problem with seatbelts, and if the government mandated that he sit up straight and eat his vegetables, I'll bet he'd object to that too, and I'd have to admit that he'd have a point.

Immunization strategies allow for the fact that there will always be some percentage of people who will not be vaccinated. This includes some who cannot be vaccinated for medical reasons, and it can even allow for a few fanatics of various political or religious persuasion. I wish I could be optimistic about the prospects for "marginalizing" such viewpoints, but my take on things is that the very reason that evidence-based science exists, along with its underlying disciplines: formal logic, mathematics, statistics, etc. -- and the very reason that these require so much effort to master is that they run contrary to human nature; that human cognition is hard-wired to favor speed over accuracy in decision-making. Furthermore, the "tragedy of the commons" phenomenon comes into play once a certain level of herd immunity has been reached. No vaccine is completely without risk, and there is a point at which the risk of exposure to a disease is so small that the risk from the vaccine may actually outweigh it from an individual perspective even though maintaining a high level of herd immunity through continued immunization remains the most effective strategy from a public health perspective.

Either way there should be some evidence to inform the choice of deploying this kind of highly inflammatory attack on an opposing position, right?
This from a guy who (without providing a shred of evidence to support it) specifically recommends: "anti-vaccination nuts should be frontally attacked as people who seek to harm children". In my opinion, once you begin using that kind of language, you waive your right to complain about others' use of inflammatory language in response.

I don't know nor care if the person was an expert at risk communication. This person has (or had) a voice in the public dialog on this issue; this person has credentials that will cause them to be perceived as an expert by most who are listening; this person was invited to make her remarks by a legislative body and this also lends her a perception of legitimacy.
Would you agree that not every person with expertise in the field of (say) physics is highly qualified to teach physics?
 
Yes, how... friendly. Such a lovely post. I think I might print it off and frame it.
Why beat around the bush, I prefer the frank assessment.

My response to your first line:
No worries. You insult everyone equally. Sorry, no insult meant by that. It just is what it is. (now, doesn't starting a post off like that really get your defenses up? I know that's what happened to me when I read your "friendly" post.)
Only in the politics forums. ;)

Anyway, the point of my post was just to illustrate how the material aimed at patients may be insulting to some. I was trying to point out that that may be one of the contributing problems to the distrust of the profession. I certainly didn't say that that was the case for everyone.
But by denigrating the material, you ignored its uses, its purpose, and the only reason to be put off and insulted by such material would be because you don't recognize those things.

You know what? I actually like you. I wish you would stop being so crabby, though. I wish you would stop jumping to conclusions. I wish you would stop attacking people. This is an interesting topic for me, but you're making me want to stop reading. I'm really not sure what you're trying to accomplish, other than to drive some people, who could be your supporters, away. I really don't see how the attitude (or perhaps better described as the chip on your shoulder) that you have is helping your cause, to be honest.
See reply to first comment.

I'm not the least bit angry. Linda uses the gentle approach and definitely gets through to people who get mad at what I say and don't read past what offended them. I use the gentle approach at work.

Here I try to convey some insight people are not always aware of. I'm not as much interested in persuading you to stop being offended by material you are given that is beneath your educational level. Rather, I hope people recognize that sometimes tunnel vision is at play in how we see things. That is more of a critical thinking issue than a patient education issue.

Oh and egocentric? Puleeze. You need to stop being egocentric! You expect the rest of the world to conform to your profession's preferred way of communicating to the public. (I was trying to give you an example of how that method might fail in some cases and your response, as usual, is essentially that the patients need to be the ones to change)
You still missed the point. The material provides minimum required information and documentation that the information was given the patient. It's a requirement of good medical practice. It has nothing to do with "preferred way of communicating with the public" when it is given out after a medical visit. It is often the "preferred way of communicating with the public" when it is material designed as public health education material. That material then is typically designed for a specific target audience and written in language that is aimed at that specific audience.

Perhaps the term, tunnel vision, makes more sense to you than egocentric. The only reason to be offended by information given to you that you perceive is beneath your level of education or skills is because you believed incorrectly that the material was condescending. But if you widened your perspective and considered the material had more use than simply education, then you would see there was nothing condescending about it.

To the mods: sorry if this post is breaking the rules. I'm not attacking her. I'm just defending myself against her attack towards me. Honestly, I really think that allowing people like her to constantly berate other posters looks bad on the JREF. With that, I think I'm done for a while. I've had enough of her bad attitude (which unfortunately I get exposed to a lot, because, as an aspiring immunologist, I am naturally attracted to the same threads to which she is attracted). And no, I won't put her on ignore. She's in the field, she has a lot of knowledge, and I keep hoping to learn from her. However, I can only take so much of the attitude...
You are welcome to report my posts if they offend you. I did not find this reply offensive. If you don't say what you think, you'll continue to hold those beliefs. If you bring it up, I'll be happy to address the communication issues as well. What you perceive as a bad attitude, I perceive as getting to the point without the socially correct framework that just isn't my style. Part of being offended is simply because of the way conversation on paper differs from conversation in person.

The thing to consider here is without verbal cues and body language, a straight forward comment might sound much more snobby and offensive than it would in person. I fully admit to having a style that bothers some people. But I doubt you can find posts where I have actually insulted someone.

For example in this case I said, "this is an uninformed assessment", "You seem to have narrowly decided", and "That's rather egocentric of you." None of those comments is calling you an uninformed egocentric narrow minded person. Rather one assessment you made was uninformed (and it was), it was a narrow viewpoint, and that is an egocentric point of view (which it is). Rather than being offended, defend your argument or think about why the other person has made their observation.

Even if you perceive a post as directly insulting you might consider specifically defending that position. I take it you are trying to do that here. And as such, defense of my statements is in the above paragraph.
 
I will admit that I thought "insulted" was quite an odd reaction on your part. I can assure you that the desire to communicate in a way that is understandable to most is not meant as an assumption that that is all anyone except physicians are capable of. Rather, it is meant to be a starting point. I think you will find, on most patient information brochures/websites, a listing of additional resources for more in depth information, which includes discussion with your health care provider. The 'rule' our profession follows is to "make every reasonable effort to communicate with your patients in such a way that information exchanged is understood". I think Skeptigirl was pointing out, not that the patients need to be the ones to change, but that changes in the type of information provided depend upon the needs of the individual patient. It would be quite unreasonable for basic information to be geared toward your level, as it would represent information overload for most people. Failing to communicate by obscuring your message with too much detail is considered as egregious as withholding important details.

Linda
Here is an example of the nice way to say something. I admire Linda's skill at this. But it isn't my style. I do occasionally pick up tips from her. But I doubt I will ever change drastically from posting more frankly. Too much effort. ;)
 
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...the pro-vaccine posters I've interacted with seem extremist to me. It may be a reaction to the extremist anti-vax folks,
Would that be the evidence based position you consider "extremist"?

..but I notice that posting any sort of concerns or criticism of current vaccinations or vaccination policy tends to get the poster labeled ‘anti-vax’ when that may not be their position at all. One rule of thumb I use is that extremists view everyone who doesn't agree with them 100% as being against them and fight the moderates as hard or harder than they do the extremists on the other side. The end results is that I perceive them as fanatics and weigh the credibility of those I perceive as fanatics or extremists lower than those who can communicate calmly and rationally. Possibly, but I’m not aware of it. ...
All of us run the risk of misperceiving a person's actual position. And we all run the risk of being the person on the side of dogmatic beliefs rather than the critical thinker. But you also have to realize that you did not grasp a very basic concept of "evidence" in the thread we had such a long discussion on the matter in. And regardless of whether or not you prefer your definition of evidence, science does not accept your definition.

Either you can support your position with evidence, or you can't. If you want to consider evidence based medicine as an extremist position, then that is a problem. If the rest of the scientific community does not view something as evidence which you are basing your position on, then your position we are extremist just doesn't hold water.
 
It looks like most on the complaints on this issue are specific to the US. My kids couldn't step foot into the school when we moved to the US until the immunization form was handed in. Even then, there was a hold-up because the school nurse reviewing the form decided the records were erroneous because the date given for one of the vaccines was obviously wrong. It was dated July 4 and no doctor's office would be open on a holiday. She was truly dumbfounded to discover that Canada does not celebrate the independence of the United States - one of many delicious examples I encountered of the profound obliviousness of some Americans to the rest of the world.

Linda
My word, that is sad a school nurse would be that ignorant. Sadly though, it doesn't surprise me.

US vaccination laws differ by state. In some states a parent can simply write exempt for personal reasons and other states the exemption must be religious or medical and in some states you absolutely have to have a physician's statement there is a medical contraindication to vaccinations.

For those kids in school who are not vaccinated they are only sent home during an outbreak.

Here's a site with each state's rules in a summary.
 
I read more of the article, and as I suspected, vaccines are recommened for people with mitochondrial disorders:


FYI…vaccines ARE recommended for children with mito!!!! Some are advised to avoid a shot, ONLY if a history of bad reactions exists (which holds true for the general population). My friends whose children have mito ALL vaccinate their children and are mortified by people who opt to not give shots to their kids because of quack science (vaccines=autism). Those un-vaccinated children put my child and my friend’s children at risk for contracting serious diseases. Diseases that most certainly would land a child with mito in the ICU & possibly kill them.​

Go here: http://www.umdf.org/site/c.dnJEKLNqFoG/b.3616911/apps/s/content.asp?ct=4211851 and read. I will also add, it is HIGHLY unlikely that a child with autism has mito, especially if that child has never been hospitalized, doesn’t have severe health issues, eats on their own, there is no muscle-wasting, vision impairment, heart defects, etc. Read more about mito at umdf.org & see how autism doesn’t equal mito, and how this case has nada to do with what Kirby is fighting for!​
Kevin Leitch’s guest blogger SL has rounded up more information on the severity of mitochondrial disorders and the need to vaccinate children who have them.

Moreover, because of the confounding factor of multiple ear infections, it’s not 100% clear that Hannah’s vaccinations even caused her regression, although it is certainly possible. None of this, of course, has stopped antivaccinationists from taking this ball and running with it as far as they can as though it were some sort of bombshell admission from the government that it had been wrong all along.
 
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I read more of the article, and as I suspected, vaccines are recommened for people with mitochondrial disorders:
It is fever that is implicated in causing the encephalopathy, so the question is whether the child is more likely to experience fever after recieving a vaccine than to contract the illness the vaccine is intended to prevent. As the AV poster points out, the latter depends a lot on the immune status of the child's contacts; if you could guarantee that they were all vaccinated, you might be able to avoid subjecting the most vulnerable member of the group to either risk. One way of looking at it is that every person who chooses not to vaccinate a healthy child increases the risk for a child for whom vaccination is not a simple matter of choice.
 
skeptigirl said:
Would that be the evidence based position you consider "extremist"?
No. I classify people as extremist more by their behavior than their position. There are people on both sides who are extremists.
All of us run the risk of misperceiving a person's actual position. And we all run the risk of being the person on the side of dogmatic beliefs rather than the critical thinker. But you also have to realize that you did not grasp a very basic concept of "evidence" in the thread we had such a long discussion on the matter in.
Oh, I understood what you were saying. I simply think you are wrong to claim that yours is the only valid definition of evidence. You seemed to grow weary of failing to convince me of the rightness of your view by repeating the same arguments, and I’m certainly not going to convince you by repeating mine, so I choose not to respond to your last iteration of it.

Incidently, I don't why but it seems to me that medical professionals are far more likely to use the 'you did not grasp' argument than people in other professions. It's really quite patronizing to presume that when someone disagrees with you, it's because they don't have the understanding or knowledge that you do. After all, it is possible for different people to have the same information available to them and come to different conclusions.
And regardless of whether or not you prefer your definition of evidence, science does not accept your definition.
Well we were, after all, discussing a definition of evidence that I specifically and repeatedly identified as not being of scientific caliber.
Either you can support your position with evidence, or you can't. If you want to consider evidence based medicine as an extremist position, then that is a problem. If the rest of the scientific community does not view something as evidence which you are basing your position on, then your position we are extremist just doesn't hold water.
As I said earlier, it’s not the position, it’s the behavior of the person holding the position. If anyone who doesn’t agree with you 100% is treated as an enemy or an idiot who is unable to grasp what you’re saying, then I think you’re an extremist. It doesn’t matter what the issue is – vaccinations, circumcision, theism, Clinton and Obama, whatever – how people who hold differing opinions are treated is how I determine whether someone is an extremist on that issue.
 
One way of looking at it is that every person who chooses not to vaccinate a healthy child increases the risk for a child for whom vaccination is not a simple matter of choice.

Listening to antivaccinator anti-science folks is not so much of a choice either though. It is they who get the attention of the media with their controversies, stories of cover-ups, and interesting conspiracy theories. They have the limelight. This confuses and scares people.

Why? All in the name of being RIGHT. Cuz science is cold, uncaring, and boring old facts.

Nevermind that people behind the science are not cold, are not uncaring, and are not the villians here.

It is the antivaccinators that are the hypocrites here, trying to prove that they have the story to crack.

Facts and science be damned!

Thing is, I want my kids to be able to access the health miracle that vaccines offer. I want my grandchildren to have access to this medical marvel as well.

The people that want to destroy all this are clueless, full of antiscience ignorance, and pushing an agenda that will harm.

The backwardness of this world really gets to me quite often.

I only wish I could transport the whole lot of self-righteous clueless anti-medicine anti-vaccine brigade back into the world before vaccines existed and have them all suffer bouts of vaccine-preventable diseases so they can suffer as all children used to (and many who suffer now in developing countries).

Ignorance is bliss, and ignorance is spouted routinely in the media, freaking parents out everywhere.
 
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<snip>

The backwardness of this world really gets to me quite often.

<snip>

Really!? I find people who park their shopping trolleys in/at thoughtless places/angles along the isles of the supermarket a more frequent irritant to my otherwise calm temperament.


Ivor the (circumcision extremist) Engineer:)
 
Really!? I find people who park their shopping trolleys in/at thoughtless places/angles along the isles of the supermarket a more frequent irritant to my otherwise calm temperament.


Ivor the (circumcision extremist) Engineer:)

I figure this is not a laughing matter. If you figure shopping trolleys are more of an irritant, then you're not in the right thread.

Eos (who has no sense of humor reserved for this topic) of the Eons
 
Incidently, I don't why but it seems to me that medical professionals are far more likely to use the 'you did not grasp' argument than people in other professions.

I think that that medicine is one of the few areas that is subject to persistent and fairly ubiquitous second-guessing. What are the other areas - engineering/aviation with the 911 Truthers, evolutionary biology with the IDers, geology with the creationists, astronomy/military research with UFOlogists, climatologists with global warming skeptics...? And immersing yourself in the 'conspiracy' in those other areas is at your discretion (and therefore not ubiquitous), whereas interest in your own health is essentially a necessity. Rather than a characteristic of medical professionals, I think the same would be said of any profession that was the target of a concerted attack. That is, any professional would recognize the knowledge/experience gap as relevant if the opportunity arose. It simply arises much more frequently in medicine.

I try to work around the fact that my perception of this will be biased. But I don't see the field of 'alternative' or 'complementary' engineering. Nor do major news outlets have correspondents devoted solely to biology like they do medicine.

It's really quite patronizing to presume that when someone disagrees with you, it's because they don't have the understanding or knowledge that you do.

I agree, but aren't we well beyond that point?

After all, it is possible for different people to have the same information available to them and come to different conclusions.

I agree. But that doesn't seem to describe the situation here as it's pretty clear people are coming to different conclusions based on less information.

Linda
 

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