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Autism/MMR link debunked

Hopefully the message is sinking into parents again to put some trust into MMR. However, ther remains a small core of dedicated antivaxers who will promote their cause to the death (not their own, but that of susceptible infants).

They are currently whipping themselves into a frenzy on the BMJ electronic responses web site. The shame of this is that they are reaching a wider audience with their nonsense than they would do in their own antivax forums. They are posting several messages each day (as they have done for many months), and claiming victory for their cause by citing each other's pseudoscientific ramblings as "evidence".
No scientist/medic/researcher has time to respond with a serious well-researched/referenced reply at this rate, and each time one does, several antivaxers immediately post further claims.

After the Japan study was published, they mysteriously failed to mention it until it was pointed out to them. Since then they have tried to refute it, and strangely now think that they have proved it as scientifically invalid, merely because several of them have claimed it as so. So now they refer to it with relative impunity as the "discreditied japanese autism study" without a futher flicker of uncertainty in their minds.

I have seldom seen such clear examples of cognitive dissonance.
http://bmj.bmjjournals.com/cgi/eletters/330/7491/552
http://bmj.bmjjournals.com/cgi/eletters/330/7483/112-d
 
It is one of the fundamental problems of dealing with the hardcore anti-vaccinators, IMO. They apparently have a lot of time to type up voluminous responses to scientific research on the subject.

Of course, don't confuse "volumnious" with "credible", because in many cases the responses are full of woo-woo drivel. But because credible scientists either a.) laugh off these responses as nonsense or b.) simply don't have the time or inclination to respond, anti-vaxers can claim "victory" and that the study is thus debunked. That has often been my experience.
 
Deetee said:
However, ther remains a small core of dedicated antivaxers who will promote their cause to the death (not their own, but that of susceptible infants).

They are currently whipping themselves into a frenzy on the BMJ electronic responses web site. The shame of this is that they are reaching a wider audience with their nonsense than they would do in their own antivax forums. They are posting several messages each day (as they have done for many months), and claiming victory for their cause by citing each other's pseudoscientific ramblings as "evidence".
From one of Deetee's links:
For Jennifer Best to compare two children with renal transplants (with all the immune suppression steroids etc. following transplantation) and long term neurological sequelae, subsequent to measles, to the herd is beyond any reasoning I can conjure. Are the pro-vaccinators now to the point that they would recommend multiple jabs in patients undergoing organ transplantation? If so, I'm running as far and fast as I can.
This poster was referring to a reference to the two boys from London who had had renal transplants and were dong very well until they both contracted measles. If I've got it right, one is now confined to a wheelchair and the other is practically blind.

Neither would have been vaccinated, of course, under any circumstances. Nobody would have contemplated vaccinating them, if for no other reason than that the immunosuppressive drugs they were taking would have rendered it highly unlikely they would have produced an immune response.

In a normal, decent world, both boys should have been able to rely on their schoolmates' vaccinations to keep measles out of the group as a whole, and so protect them, the vulnerable minority. Herd immunity, in fact. However, what happened was that one boy caught measles from a schoolmate whose parents were vaccine refuseniks (and who may well have had a very mild attack of the condition). Then, before the infection was advanced enough to show clinical signs, he attended a renal outpatients' clinic where he met up with the other boy as he often did, the two being friends after having undergone their transplants together. And he infected the other transplant boy.

To anyone with two brain cells to keep each other company, this is a perfect example of the need for herd immunity. These boys were exactly the people who needed their schoolmates' parents to be responsible and vaccinate them, and they were shamefully betrayed. Someone on immunosuppressive drugs can't be vaccinated and if he catches the infection is far more likely to suffer a severe clinical illness. So every precaution should be taken to ensure that he doesn't become exposed to the virus. But some people were too selfish and decided that their children were so special they should skip the vaccine, so condemning the really "special" children to a lifetime of disability.

But instead of understanding this pretty simple concept, all we get is a rant suggesting that the evil pro-vaccinators are advocating vaccination of transplant patients. Is anything more required to show how brain-dead these people are?

The point about herd immunity is that it protects those who cannot be vaccinated (like these two boys), and those not yet old enough to have received the vaccine, and those who, although vaccinated, fail to mount an effective immune response. Some people just don't care about these vulnerable groups, or the fact that some of these groups will catch the disease and some of them will suffer serious consequences unless a high proportion of those eligible are vaccinated.

Makes me sick.

Rolfe.
 
They've had me puking for a while, but I can only do so much.
 
Rolfe,

In a perfect world, everyone who could vaccinate their child would. But you can't force a parent to vaccinate their child - if they believe the risk is more than they can bear (even if they're totally, absurdly wrong) it's their decision to make. Parents have to ultimately be the decision makers about non-emergency medical care.

I'm going to take a different position, but IMO, the problem lies with the medical community and local and national governments. The general impression I get is that they think of the anti-vax groups as some kind of fringe cult. The truth is that many of these groups have some big money health quackery behind them, and use the power of the internet to gain a perceived legitimacy they don't deserve.

If entities with an interest in seeing a highly vaccinated population don't step to the front and counter the misinformation presented by the anti-vaccine community, then more and more people will actually believe there's some legitimacy to the arguments. The counter to that is an aggressive communication campaign - not against the individuals, but against the messages they espouse. You won't sway the hardcores, but people in the middle may not be so quick to give the quack organizations credibility.

I don't think the right approach is to become heavyhanded with legal measures, if for no other reason than it gives anti-vaccine groups ammunition against "big government". I also think some independent oversight of drug policy and approval (in the U.S. at least) will go a long way towards neutering the claims that the pharmaceutical companies and FDA are somehow in cahoots.
 
Agreed.

My initial point was that someone who was apparently steeped in the debate had so little comprehension of the logic that she didn't immediately understand the point about the renal transplant boys and herd immunity. It is such an obvious point made so often that she should surely have understood it, even if she disagreed. But no, she just ranted on at the earlier poster on the assumption that she was advicating vaccination of patients on immunosuppressive drugs.

You make a different point. The impetus for this debate isn't necessarily just a small group of wrong-headed parents, it is big business - the big business of alternative medicine. The sheer size of this lobby, and its hard-hearded business and marketing tactics, is seldom appreciated by those in power whom it lobbies. For example, licensed medicines are denigrated as "big pharma", but homoeopathic products, which are manufactured and sold in bulk by multi-million-pound companies are portrayed as the small, kindly, caring cottage industry.

The sad thing is that even when the truth dawns, and the altmed lobby seen for the huge business interest it is, the political reaction may simply be to see it as another job-and-revenue-creating industry it doesn't want to offend. Like the way we're getting "regulation" (toothless legitimisation, probably) of Chinese Herbal Medicine, because of the financial and government clout behind those Chinese Medicine shops springing up on the streets.

Rolfe.
 
Rolfe said:
The sad thing is that even when the truth dawns, and the altmed lobby seen for the huge business interest it is, the political reaction may simply be to see it as another job-and-revenue-creating industry it doesn't want to offend. Like the way we're getting "regulation" (toothless legitimisation, probably) of Chinese Herbal Medicine, because of the financial and government clout behind those Chinese Medicine shops springing up on the streets.

It is estimated that the supplement businesses in the U.S. generates upwards of $10 billion in revenue per year. Homeopathy alone is a $300 million business. Admittedly, it pales in comparison to the pharmaceutical industry in terms of size and revenue, but it certainly has the money and influence to lobby for sympathetic legislation.
 
Originally posted by sodakboy93
In a perfect world, everyone who could vaccinate their child would. But you can't force a parent to vaccinate their child - if they believe the risk is more than they can bear (even if they're totally, absurdly wrong) it's their decision to make. Parents have to ultimately be the decision makers about non-emergency medical care.
I recall that when I was going to public grade school in Illinois that in some grades on the first day of the school year, children had to bring proof from their doctor that they had been vaccinated in order to be able to continue to attend. And since it was legally required in the USA (and still is) that children must go to school until they were at least 16, this essentially required that all children be vaccinated for certain diseases by certain ages. I guess this is no longer a legal approach?
 
Shera said:
I recall that when I was going to public grade school in Illinois that in some grades on the first day of the school year, children had to bring proof from their doctor that they had been vaccinated in order to be able to continue to attend. And since it was legally required in the USA (and still is) that children must go to school until they were at least 16, this essentially required that all children be vaccinated for certain diseases by certain ages. I guess this is no longer a legal approach?

In many states there are several ways to get exemptions, some are easier than others. Some anti-vax sites even have the forms for parents to file for an exemption to vaccination. edited to add this link obtained from using the phrase "vaccine exemption" in the CDC site: http://www.cdc.gov/mmwr/preview/mmwrhtml/00000608.htm

Also, private schools often do not have requirements. In the case of this story, http://www.immunize.org/stories/story51.htm , the school where the measles was spread was a highly regarded private school. The 2003 cases here were in a boarding school, http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5314a3.htm .

... and then the title of this report says it all:
Brief Report: Imported Measles Case Associated with Nonmedical Vaccine Exemption --- Iowa, March 2004
 
Thanks for the links Hydrogen Cyanide. I didn't realize it was so easy to get a vaccination exemption.
 
Add to that the fact that children in day homes don't even have to provide "exemptions" . I ended up with my child in a dayhome with the provider herself being anti-vaccine and her child not having had a single one. I had no idea this was allowed since I provided records to the dayhome organization before being introduced to the provider. I assumed they had some sort of policy. They just said "it's her choice". Well, it would have been nice to know I was putting my one year old in a home with a non-vaccinated 2 year old! If my child was 5 and had had all her shots up to then I wouldn't have worried so much, but she was only one years old.

I was flabbergasted that they allowed the provider to not have to tell anyone. The chick just got into a discussion with me because she figured my one year old was allergic to milk. She wasn't allergic to milk, she was allergic to the provider's cats. Even a doctor's note didn't convince her (doctors are stupid in her opinion). Thing is, my daughter only got sick when she went to the provider's home, but nooo, she figures we're just idiots giving a one year old milk. Why not try protein powder instead?

Raving lunatic. Protein powder for a one year old? Well, my daughter still drinks milk and still has no milk allergies. The dayhome she is in now has vaccinated children. She has shown no allergies to dogs at least, but the provider she is with now has a dog with hair (needs regular cuts, cute pup). At least the current provider has common sense about allergens (has no carpets, only hardwood floors) and preventing the spread of diseases.

My assumptions are in the toilet, and my interviews with providers are far more in depth now. No more woo providers pushing anti-vax sentiments and protein powder for me!
 

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