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Antivaccine lunatics invent another hero for their cause

Yes, out of the blue, the vaccine denialist cult is going to foist another individual who will trumpet the evils of vaccination. No, it’s not another Jenny McCarthy. Or Alicia Silverstone. Or Mayim Bialik.

No, this is big time. Wait for it. This is really big.

It’s Bernard Dalbergue.

I think I hear chirping crickets out there. No, I had no idea who this dude was, so as a public service, I decided to find out what I could find out.

So who is this Bernard Dalbergue and why is he important to the antivaccinationists? Well, it’s because, as the antivaccination fringe proclaim loudly, Dr. Dalbergue is a “former pharmaceutical industry physician with Gardasil manufacturer Merck.” And he apparently made some nasty comments about Gardasil in the April 2014 issue (pdf, French) in the French anti-science magazine Principes de Santé (Health Principles). 

Source: CDC

Source: CDC

In case you don’t know, Gardasil (or Silgard in Europe) is a HPV quadrivalent vaccine, which is vitally important part of the war against infectious diseases, by preventing the transmission of certain types (pdf), specifically 6, 11, 16, and 18, of the human papillomavirus (HPV). Importantly, HPV types 16 and 18 cause approximately 70% of cervical cancers, and cause most HPV-induced anal (95% linked to HPV), vulvar (50% linked), vaginal (65% linked), oropharyngeal (60% linked) and penile (35% linked) cancers. These HPV-related cancers can be prevented as long as you can prevent the HPV infection itself, which are generally passed through genital contact, most often during vaginal, oral and anal sex.

In that article, Dr. Dalbergue claimed that (translated from French):

The full extent of the Gardasil scandal needs to be assessed: everyone knew when this vaccine was released on the American market that it would prove to be worthless! Diane Harper, a major opinion leader in the United States, was one of the first to blow the whistle, pointing out the fraud and scam of it all.

Gardasil is useless and costs a fortune!  In addition, decision-makers at all levels are aware of it!

Cases of Guillain-Barré syndrome, paralysis of the lower limbs, vaccine-induced MS and vaccine-induced encephalitis can be found, whatever the vaccine.

I predict that Gardasil will become the greatest medical scandal of all times because at some point in time, the evidence will add up to prove that this vaccine, technical and scientific feat that it may be, has absolutely no effect on cervical cancer and that all the very many adverse effects which destroy lives and even kill, serve no other purpose than to generate profit for the manufacturers.

There is far too much financial interest for these medicines to be withdrawn.

Uh oh, Diane Harper, that “major opinion leader in the USA” is being compared to Dr. Dalbergue. And in case you don’t know about Dr. Diane Harper, according to a number of vaccine refuseniks (there are numerous websites that repeat the same story, almost verbatim), she decided to “come clean” about Gardasil so that she could “sleep at night.” The antivaccination world have attached themselves to this story, because they think it uncovers a conspiracy or lies by the vaccine manufacturers, and since Dr. Harper obviously escaped from the evil clutches of Big Pharma. The myth of Diane Harper also includes the ridiculous belief that she was the “lead researcher” for Gardasil.

Dr. Dalbergue’s story seems awfully like Dr. Harper’s. Except for the small fact that I can find no evidence that he ever worked for Merck (as opposed to Dr. Harper, who actually did, though not quite in the role she and the antivaccine world claimed). As far as I was able to uncover through sources and background checks, Dr. Dalbergue was the Directeur Medicale (Medical Director) of a drug distributor, Martin & Harris Pvt. Ltd. Let’s look at this step by step. Every medical products distributor in the world has a Medical Director, someone who signs off on documentation, occasionally holds pharmacy licenses, and provides advice on medical issues to the partners, principles and executives of the company.

A Medical Director is almost always a critical role in pharmaceutical companies undergoing research and development. Almost every medical or pharmaceutical company must have an MD approve regulatory documents. However, being a Medical Director for a minor pharmaceutical distributor, by itself, lends no credence to a statement that he was deeply involved with Merck. He was not employed by Merck.

Since Martin & Harris was not a primary manufacturer of vaccines, Dr. Dalbergue had little, if any, access to privileged information. As best as I can surmise, Martin & Harris is a defunct distributor of pharmaceuticals from the larger pharmaceutical companies. Just a brief aside in this discussion. Pharmaceutical companies, in general, do not sell directly to hospitals, physicians or pharmacies. Owning and maintaining a huge international distribution network for just a few drugs would be incredibly inefficient and expensive. So, a whole industry of medical products distributors has grown up throughout the world, with the USA having a rather complex system of distribution with separate companies focusing their efforts on either the hospital, physician or retail pharmacy markets (and generally, there is no overlap).

Basically, the distributor gets about 15-30% of the price paid by the hospital for a product. So, if a $40 vaccine is purchased by a physician, the distributor gets around 20% or $8, and the pharmaceutical company around $32. But I’m over simplifying this system because it would be a 50,000 word document to describe the medical distribution system adequately.

The point is that distributors are not owned by the manufactures (actually that’s illegal in the USA), and Big Pharma treats distributors with disdain, sometimes unbridled disgust. Essentially, Big Pharma considers distributors nothing more than truck drivers who take profits away, when in fact, distributors are generally the people who have relationships with the hospitals and physicians. It is a world of love-hate relationships that would surprise most people.

I’m willing to assume that Dr. Dalbergue was a Medical Director for the possibly defunct distributor, because that appears to be public knowledge. But he’s going to have no inside knowledge of what Merck was doing with Gardasil. None at all. The distributor’s truck drivers are going to know as much, and I’m not exaggerating. The information and research at Merck is so highly protected by confidentiality agreements, they wouldn’t pass along data to Dalbergue because he could take that information to GSK, for example. Dr. Dalbergue wouldn’t have any inside knowledge of Merck’s activities, no more or less than I do (though I probably have a LOT more, because of my former life).

A few French speakers have read some of the French language articles about Dr. Dalbergue which has been helpful in understanding better his relationship with Merck. They did indeed acquire Martin & Harris, and terminated all of the executives of the company (something that is typically done, and don’t worry, in these cases, the executives receive substantial payouts), including Dr. Dalbergue. I guess this attempt to denigrate Gardasil is his revenge, because he certainly would have no insider knowledge of the vaccine.

But let’s be clear, unless someone publishes documents disputing what I have written here, I strongly doubt that Dr. Dalbergue had any formal or even informal relationship with Merck. This is simply an invention of a wild imagination.

Furthermore, Dr. Dalbergue’s comments show his absolute lack of knowledge or insight into the safety of HPV vaccines. There is no evidence of Guillain-Barré syndrome (GBS) being associated with the HPV quadrivalent vaccine. In fact, two massive epidemiological studies, one that included over 300,000 girls, and another with over 500,000, showed no significant major adverse effects after receiving the HPV vaccine. And that includes GBS.

So here we go. The zombie apocalypse of “important Merck researchers” arising out of nowhere to attack Gardasil has travelled to France. Dr. Dalbergue might be a good guy. He may have been misquoted. Maybe he is just another member of the lunatic fringe of vaccine deniers. But there is no evidence that he knows anything more than any of the other antivaccine gang. And there is absolutely no evidence he actually worked for or has any inside knowledge about Merck. And there is plenty of evidence that he knows nothing about Gardasil.

Just another loud mouth without scientific evidence. Apparently, the antivaccination cult is so desperate, it’s inventing titles and pulling unemployed physicians out of the detritus of collapsed distributors to further their cause. But we’ve got Paul Offit, whose rotavirus vaccine will save over 500,000 lives a year. To quote Tony Stark in The Avengers, “we have a Hulk.”

Use the Science-based Vaccine Search Engine.

Key citations:

Comments (26)
  • http://www.facebook.com/exohuman Exo Human

    Why is the voice of self-satisfied ignorance always so strident? What an embarrassingly cringe-making post.

    “Be aware that homeopaths, naturopaths, chiropractors, and other
    pseudoscience based woo-meisters are simply not knowledgeable about real
    diagnostic and treatment options, and should always be ignored.”

    Where do I start..?

    Nearly 800,000 Americans die each year at the hands of
    government-sanctioned medicine. Vioxx, prescribed by “evidence-based medicine” killed over 60,000 Americans – more than the Vietnam War.

    Your views are worse than inconsequential, worse than naive, ill-informed and arrogant. They are dangerous.

    • http://www.skepticalraptor.com/skepticalraptorblog.php Skeptical Raptor

      Wow that number keeps growing. Yet it has 0 basis in fact.

      Vioxx killed 60,000 Americans? Huh, that news must have been suppressed by Merck.

      You have nothing but lies. But see, homeopaths, naturopaths, chiropractors, and acupuncturists rely on misinformation, ignorance and lies because nothing they do helps a single human being.

      Vaccines prevent disease. Probably saves millions of lives a year.

      Insulin, made by Big Pharma, saves 1 million American lives.

      Cancer treatments, many of which were invented by Big Pharma has increased lifespans of those afflicted.

      Get your lies out of here. You might think you know something, but you just want humans dead from your lies. I loathe your types.

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  • Jock Doubleday
  • Remo

    I’m curious. What if anything would be acceptable to disprove one vaccine? From what I can see this *one vaccine* is under question. Not 2 vaccines, not the entirety of the body research of on every vaccine ever issued, published, produced, etc., just this one single vaccine. The author claims that it is ineffective and given that it is a vaccine it carries risk (note: ALL vaccines carry some risks and side effects).

    So the “reasoned” response to this is “OH MY GOD THEY ARE BRINGING BACK POLIO!!! LIGHT THE TORCHES AND KILL THEM ALL!!!! HERETICS!!!! EVIL!!!! EVIL!!!!!

    This *one* vaccine is being questioned with this study. Not the shot for polio, or small pox, or tetanus, this one HPV shot. They are saying it is ineffective and the industry people new it and promoted it anyway to make money. Making money is a very good reason to push a product and companies have stretched the truth about the effectiveness and concealed obvious risks for many many years about many different medicines and products. Why is it wrong to question this one? Why is questioning a single vaccine, yes ANY single vaccine tantamount to every moron out there saying that anyone who does so believes we should throw away all vaccines and move back into caves? Shouldn’t this be settled with actual human trials and testing so as to weigh risk vs. reward? Is blind acceptance of anything big company inc. decides to put into that needle the only acceptable correct way of thinking permissable for you idiots?

    • Yurko

      He’s skeptical, so he firmly believe in the goodness of all vaccines (brought to you by pharma corporations). As a skeptic, he’s also convinced that anyone who might have something against even a single vaccine is a brainwashed evil asshole cult member.

      Skeptics gonna skeptic, you know.

      • http://www.skepticalraptor.com/skepticalraptorblog.php Skeptical Raptor

        Brilliant deduction. Brilliant ad hominem and strawman argument. And damn, you went full Big Pharma shill.

        here’s the thing. If you don’t have one tiny piece of evidence, and you don’t, you go for the logical fallacy. Do you feel good about yourself?

        • Yurko

          Repent, ye unbelievers in the God of Science!
          Praise his son, Logic! Worship his spirit, Evidence!
          Lest the Devil named Logical Fallacy will smite thee.

        • Remo

          S.R. – you answered the easy question no answer the hard one… Has the HPV vaccine been through human testing trials that compared tangible outcomes against a placebo group? No, this hasn’t been done because why? Why is this acceptable for other types of medication but not for this vaccine? Now there are serious questions that compare the rates of actual cervical cancer numbers in 2003 and 2012 and those numbers have gone UP not down and this is with the vaccine in wide distribution.

          I am sure you can explain away the *increase* in the incidence of HPV cervical cancer with the same logic of the anti-elephant stampede totem (Gosh! If you didn’t have THIS TOTEM to protect you against elephant stampedes last nights elephant stampede would have been much MUCH worse! Buy another!).

          But you can use such a method to prove anything. Shouldn’t rates be going down not up? And again why no human trials for vaccines with placebo groups? How do you compare via the scientific method actual risk vs. reward without this?

    • Antaeus_Feldspar

      Hmmm, seems you have a bit of a double standard, Remo.

      Between your address of “you idiots”, and your bringing into the conversation as if it was relevant someone’s hysterical all-caps ranting about bringing back polio, it seems clear that you aren’t holding Skeptical Raptor responsible for what HE says, but rather for what gets said by ANYONE who shares his pro-vaccine views (including almost certainly imaginary pro-vaccine people – although if you can present us with evidence of a pro-vaccine person ACTUALLY advocating “light the torches and kill them all” in reference to anti-vaxers, please, feel free to produce the evidence.)

      But at the same time, you say “only *this one* vaccine is under question”, as if somehow THIS set of accusations from a dubious source against a vaccine were somehow SEPARATE from any other accusations made against any other vaccines, INCLUDING those trumpeted by the very same people who are now trumpeting Dalberge’s “study” (exactly how is it a “study”, BTW?)

      But let’s set aside for the moment the hypocrisy of your stance. One may well ask, “isn’t it right that a claim should be accepted, or dismissed, based on its own merits, rather than how previous claims of that nature have panned out?” And the answer is in fact “Yes.” Yes, ultimately each claim must be judged on its own merits.

      But only a fool would try to tell us that we MUST NOT learn from experience about which claims are apt to be substantiated and which are not. “Well, we’ve had someone run into the village square crying ‘Wolf! Wolf!’ each of the past 582 days. Each and every time we went out to investigate. On none of these occasions did we ever find evidence which suggested the actual presence of a wolf within the past twenty-four hours. So I’m guessing that today’s ‘wolf’ isn’t actually a wolf eith-” “YOU IDIOTS! This is only *one wolf sighting* we’re talking about! Those other 582 times have no relevance! Your skepticism that THIS sighting will turn out to be a real actual wolf just shows you’re a bad person who doesn’t take wolves seriously enough!”

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  • Toni Reid

    No evidence of Guillain Barre being associated with HPV? Why did these lawyers get a six figure payout for this woman? http://central-pennsylvania.legalexaminer.com/fda-prescription-drugs/are-gardasil-side-effects-just-part-of-the-greatest-medical-scandal-of-all-time/

  • Thelma

    As soon as you can post a study that is NOT funded by the pharmaceutical companies that produce them, I will believe your post BUT not until then.

    • http://www.skepticalraptor.com/skepticalraptorblog.php Skeptical Raptor

      Thelma, I can do whatever I want. I’m not going listen to random lunatics and psychopaths on the internet.

      I know you will sell out for $20, but most people I know couldn’t be swayed by millions of dollars from Big Pharma. I get swayed by evidence and scientific facts.

      It doesn’t matter what I present to you. You’re so close-minded, it would take a crowbar to pry open your anti-scientific lunacy.

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