Dorit Rubinstein Reiss – an index of contributions to this website

Dorit Rubinstein Reiss

Dorit Rubinstein Reiss – Professor of Law at the University of California Hastings College of the Law (San Francisco, CA) – is a frequent contributor to this and many other blogs, providing in-depth, and intellectually stimulating, articles about vaccines (generally, but sometimes moving to other areas of medicine), social policy and the law. Her articles usually unwind the complexities of legal issues with vaccinations and legal policies, such as mandatory vaccination and exemptions, with facts and citations. I know a lot of writers out there will link to one of her articles here as a sort of primary source to tear down a bogus antivaccine message.

Professor Reiss writes extensively in law journals about the social and legal policies of vaccination–she really is a well-published expert in this area of vaccine policy, and doesn’t stand on the pulpit with a veneer of Argument from Authority, but is actually an authority. Additionally, Reiss is also member of the Parent Advisory Board of Voices for Vaccines, a parent-led organization that supports and advocates for on-time vaccination and the reduction of vaccine-preventable disease.

Below is a list of articles that Dorit Rubinstein Reiss has written for this blog, organized into some arbitrary and somewhat broad categories for easy reference. This article will be updated as new articles from Professor Reiss are added here.

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Syracuse University mumps outbreak – bad anti-vaccine math

Syracuse University mumps outbreak

Partially because I’m an alumnus, and partially because I watch new reports about infectious disease outbreaks all over the world, I’ve been following the recent Syracuse University mumps outbreak. As of 13 November 2017, Syracuse University (SU) Health Services has reported 41 confirmed cases and 78 probable cases of the mumps on the SU campus.

One of the age-old tropes of the anti-vaccine statistics world is that kids who have been vaccinated against the mumps (or measles or any disease) are more likely to get mumps (or any disease) than those who are not vaccinated. I squashed this myth before, but you know what happens – the anti-vaccine zombie tropes tend to reappear over and over and over and over again.

Now, the anti-vaccine statistics deniers have jumped into the Syracuse University mumps outbreak with their alternative facts, or should I say alternative math. So, once more unto the breach, dear friends, once more. We will take down this trope. Continue reading “Syracuse University mumps outbreak – bad anti-vaccine math”

National Vaccine Injury Compensation Program facts

national vaccine injury compensation program

In this post I explain how one goes about proving a case in the  National Vaccine Injury Compensation Program (NVICP), and how that differs from proving a case in the civil courts, focusing on what it means to have a no-fault program and proving causation. I will use a case that started with the tragic death of a young child after a vaccine to illustrate the complexity and operation of the program, and also to address the idea of federal preemption, and how it limits the ability of those claiming vaccine injuries to use state courts for their claims.

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The myth of Big Pharma vaccine profits – it’s not what they say it is

Several of the ongoing memes, tropes and fabrications of the vaccine deniers is somehow, somewhere, in some Big Pharma boardroom, a group of men and women in suits choose the next vaccine in some magical way, and foist it upon the world just to make billions of dollars through vaccine profits. Of course, while magically concocting this vaccine brew, these pharmaceutical execs ignore ethics and morals just to make a profit on hapless vaccine-injured victims worldwide.

The Big Pharma vaccine profits conspiracy trope ranges across the junk medicine world. Homeopathy, for example, claims that Big Pharma suppresses the data that shows water cures all diseases. Like Ebola.

But the Big Pharma vaccine profits conspiracy is still one of most amusing myths of the antivaccination world.

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Gardasil safety and efficacy – debunking the HPV vaccine myths

Gardasil safety and efficacy

There was an article published in Pediatrics that described how educating either teenagers or their parents about HPV vaccinations had little effect on the overall vaccination rate for the vaccine. Essentially, the researchers found that it was a 50:50 probability that any teen would get the vaccine, regardless of their knowledge of HPV and the vaccine itself. Some of the reasons why the HPV vaccine uptake is so low is a result of several myths about Gardasil safety and efficacy.

So I thought about why that Pediatrics study found that education about HPV and Gardasil didn’t move the needle on vaccination uptake. It’s possible that the benefits of the vaccine is overwhelmed by two factors–first, that there’s a disconnect between personal activities today vs. a disease that may or may not show up 20-30 years from now; and second, that the invented concerns about the HPV quadrivalent vaccine, promulgated by the usual suspects in the antivaccination world, makes people think that there is a clear risk from the vaccine which is not balanced by preventing cancer decades from now. It’s frustrating. Continue reading “Gardasil safety and efficacy – debunking the HPV vaccine myths”

HPV vaccine safety – another massive scientific study (UPDATED)

HPV vaccine safety

In a 2013 study of over 1 million girls, the overall HPV vaccine safety for teenage girls was reaffirmed. There appear to be no links between serious adverse events and the HPV vaccines. This is in line with numerous other large size epidemiological studies of HPV vaccines.

Let’s take a look at the HPV vaccine safety that is supported by this trial.
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Japan bans Gardasil – debunking myths about the HPV vaccine

Japan bans Gardasil

One of the most popular zombie memes and tropes of the anti-vaccination movement is that Japan bans Gardasil – oh noes! Of course, like a lot of the junk information passed along by the anti-vaccine crowd, it’s completely false, unless you’re willing to take anything they say on faith.

There are a couple of consistent trends in the anti-vaccine movement. They claim that vaccines cause autism (disproved with the highest quality of evidence); and they maintain that the HPV vaccines cause all kinds of harm to teens and young adults. And there are literally mountains of data derived from numerous huge epidemiological studies that the Gardasil cancer preventing vaccine is one of the safest vaccines on the market (and that’s a high bar to exceed, given the high safety profiles of all vaccines).

So if you really want to prevent cancer, one of the best ways available to you is getting the HPV vaccine. The idea is so simple, yet is clouded by the myths about HPV vaccines – one of the most popular, of course, is that Japan bans Gardasil. Let’s examine this fable with a critical and skeptical eye.

The tl;dr version – Japan did no such thing.

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Paul Offit MD – debunking the anti-vaccine tropes and myths

Paul Offit

I have long considered Paul Offit MD as one of heroes and leaders of the public discussion of how vaccines save lives, and how they have made the lives of the world’s children healthier and better. Dr. Offit, together with Edward Jenner (the father of immunology), Jonas Salk (discoverer of the polio vaccine), and Maurice Hillman (inventor of the MMR vaccine against measles, mumps and rubella), should have statues place outside of every pediatric hospital in the country for the number of lives that they have saved.

Unfortunately, since Dr. Offit is considered one of the “leaders” of the pro-vaccine majority, his name has been demonized by the anti-vaccine cult. These people use the Big Lie, a Nazi propaganda technique where a known falsehood is repeatedly stated, then treated as if it is self-evidently true in hopes of swaying the course of an argument in a direction that takes the big lie for granted rather than critically questioning it or ignoring it.

The vaccine deniers constantly repeat untruths about Dr. Offit so that those lies eventually evolve into apparent truths, at least for those who hold onto their pseudoscientific anti-vaccine beliefs.

The problem is, of course, that if you’re a new parent who is confused by what vaccines may or may not do, you’d assume you could not accept anything that Dr. Offit says because of those Big Lies, and many of the ridiculous tropes and memes of the vaccine denialists. And this is sad.

Let’s counter the Big Lie with the Big Facts.

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Diane Harper, lead Gardasil researcher – what are the facts?

Diane Harper

Because vaccine deniers lack any scientific evidence supporting their unfounded belief system about immunizations, they tend to rely upon unscientific information like anecdotes, logical fallacies, misinterpretation of data, or Italian provincial courts to make their case about the lack of safety of vaccines. One of the latest ones involves a so-called lead Gardasil researcher, Dr. Diane Harper, a former “consultant” to Merck (and GSK, who manufacturers Cervarix, a bivalent HPV vaccine), who apparently had some research role in the clinical trials of the HPV vaccines. But what are the facts?

It’s rather easy to debunk these claims, but because of the nature of the internet, old news is recycled as “brand new,” requiring a whole new round of blog posts to discredit the misinformation. It’s impossible to recall one single instance where a vaccine refuser made a statement about vaccines that was not, in fact, rather quickly debunked. Not one.

The pro-children’s health side, those of us who think that vaccines save lives, have been winning the hearts and minds for awhile, given that still around 95% of children in the USA get all of their immunizations prior to entering kindergarten. But that doesn’t stop the refusers from trying, because various zombie anti-vaccination memes keep reappearing, especially since the successful pro-vaccine bill was signed into law in California, keep infiltrating the internets.

Let’s take a look at the story and see what we find.

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Merck shingles vaccine lawsuit – what are the facts?

Merck shingles vaccine lawsuit

In 2016, a Merck shingles vaccine lawsuit was filed in the Court of Common Pleas in Philadelphia claiming that the plaintiff was injured by the Merck’s shingles vaccine. Since the shingles vaccine is not administered to children, it’s not covered by the National Childhood Vaccine Injury Compensation Act. Injury claims, therefore, do not go through the National Vaccine Injury Compensation Program (NVICP) before going to court.

That is a mixed bag for plaintiffs: on one hand, they can go directly to state courts, something anti-vaccine activists clamor for in relation to all suits.  On the other hand, they need to meet the more demanding requirements of regular courts, including showing that there was fault on the part of the manufacturer with one of the tools lawyers use to sue product manufacturers, meet the more demanding causation requirements that govern the process in state courts, and follow the rules of evidence in those courts.

To remind readers, in NVICP, a petitioner (as they are referred to, while claimants in state courts are “plaintiffs”) would only need to show that the vaccine caused their harm, and their damages, and pretty much any evidence is allowed, though the Special Masters may give unreliable evidence little weight. This Merck shingles vaccine lawsuit can suggest what these claims would have to demonstrate if they actually had to go to regular courts. Continue reading “Merck shingles vaccine lawsuit – what are the facts?”