Le Mur – Censored

Because I’m so annoyed by the anti-vaccination gangsters, I tend to read nearly every article, blog, and CDC statistic (seriously, I’m a vaccine geek) about vaccines.  While doing some background reading on the Patriot Nurse (read about her if you haven’t), I found a blog called Autismum (it’s been promoted to my favorite blogs in the side bar).  Once I start reading a blog, I keep going back to see what’s up.

She wrote a short post about the French movie, Le Mur (the Wall).  It’s a French documentary about some of the abusive practices in the French medical system for autism, including le Packing, which is a procedure (no, a procedure is evidence based, this is just plain medieval) where an autistic child is wrapped in cold wet sheets.  Now, I’m a Francophile.  My ex-wife is born and bred Parisienne.  Both of my daughters’ first language is le Francaise.  I love French food (mostly).  I find the myths about France and the USA to be amusing and untrue.

But this nauseates me at the basic level.  How can a modern country allow this practice?  What’s worse is that the French government is censoring the movie because, I suppose, it offends them.  This makes me despise French political system and hope that whatever we do to improve the US healthcare system, let’s not emulate France.

If you do anything else, read Support the Wall, and give them whatever verbal, monetary, or political support you can.

Source:  Le Mur – Censored « Autismum

 

No whooping cough deaths in California in 2011

The California Department of Public Health announced this week that there were no whooping cough (pertussis) deaths in California for the first time in 20 years, although there were still over 3000 cases of the infection identified in the state.  As a comparison, there 9000 cases and 10 deaths in 2010 in California.  The state worked closely with hospitals, schools, doctors and clinics to get more people vaccinated against whooping cough, a bacterial infection that afflicts the respiratory system.  Despite the myths that whooping cough is harmless, pertussis can be dangerous to infants because they cannot be fully vaccinated until they are six months old.

Despite the protestations, denialism and disinformation from the anti-vaccination gang, this is evidence of how vaccinations can have a positive impact on the public.

 

Colorado health officials mulling mandatory vaccinations

Colorado health officials mulling mandatory vaccinations | Vaccine News Daily.

Healthcare workers should be obligated to receive influenza vaccinations, mainly because they can be a nexus of spreading of the disease.  I personally don’t get why a healthcare worker should invent non-evidence based excuses for not getting the vaccine (I’ve heard them all), but it happens.

That the Association of American Physicians and Surgeons opposes this law is because it is a politically conservative group of physicians.  They’re opposed to mandatory vaccinations of any kind (even children), don’t support Medicare and Medicaid , even considering it evil and immoral, and are, of course, deeply opposed to Obama’s health care plan. I don’t care that there are conservative physicians, but I expect them to use evidence-based decision when dealing with medical and healthcare policy questions.  This group is incapable of evidence-based thinking.  Personally, I wouldn’t visit a physician who belonged to this group.

Nevertheless, if you observe Association of American Physicians and Surgeons opposing anything in healthcare, be very skeptical.  Extremely skeptical.

Gates contributes $750 million to Global Fund

Gates contributes $750 million to Global Fund | Vaccine News Daily.

Bill Gates, founder and former chairman of Microsoft, is contributing a huge amount of money to the Global Fund to Fight AIDS, Tuberculosis, and Malaria.  The Global Fund provides grants (through an application process) to evidence-based  and cost-effective healthcare interventions for infectious diseases.  They are large supporter of vaccines as the primary step to prevent infectious diseases.

I’ve never been a fan of Microsoft, but I think Bill Gates’ legacy is probably going to be more about his charitable work than Microsoft Windows.  And his contribution to the Global Fund, about which there are unsubstantiated rumors (my assumption is that Gates wouldn’t have contributed $1.00 if they were true) regarding their finances, is critical to their strategy of eliminating infectious diseases.  Global Fund’s success is documented:

New HIV infections are declining in many of the countries most affected by the epidemic. More and more countries are in a position to target the elimination of malaria from their territories. The world is on course to halve TB mortality by 2015 in comparison with 1990.

Since its inception in 2002, the Global Fund to Fight AIDS, Tuberculosis and Malaria has been a major engine driving this remarkable progress.

We should applaud Bill Gates and the Global Fund.

Erin Brockovich to probe New York ‘mass hysteria’ case

Erin Brockovich to probe New York ‘mass hysteria’ case – latimes.com.

Erin Brockovich is really getting involved with the cluster of alleged neurological issues in teenagers in the Leroy, NY area.  The article describes the symptoms as “Tourette’s-like”, but I’m troubled by the lack of a definitive description (let alone diagnosis).  Brockovich, as discussed previously, is still focused on the 1970’s train derailment which spilled arsenic and tricholorethylene.  The speculation about what is causing these issues run from mass hysteria, even outright feigned behavior, to something environmental, such as vaccines or chemicals.

It’s hard to tell what’s going on.  I am almost certain that during the next few days or weeks, the Centers for Disease Control (CDC) will get involved, interviewing and testing the students, and trying to determine if there is some correlation and possible causal factor.  We probably should wait until the real scientists get involved and provide some real analysis with evidence.

Indiana creationist bill passes committee

Indiana creationist bill passes committee | NCSE.

Midwestern U.S. states are attempting to foist creationist or intelligent design teaching on their public school students, all the while trying to circumvent the Establishment Clause of the Bill of Rights.

Indiana’s Senate Committee on Education and Career Development just reported out of committee by an 8-2 vote their version of a creationist bill.  The vote was strictly on party lines with 8 Republicans voting for it and 2 Democrats against it (Republicans outnumber Democrats in the Indiana Senate 3:1).  Even during the committee discussion, religious leaders spoke out against it and asserting the bill’s unconstitutionality.  I wonder if these Republican politicians understand how much it will cost in tax dollars to defend this bill in Federal Courts.  And lose in Federal Court.

Activist Erin Brockovich looking into teens’ mystery ailment

Activist Erin Brockovich looking into teens’ mystery ailment – USATODAY.com

I keep running into this story in various locations on the internet. During the past few months, 15 teenagers, mostly students at LeRoy (NY) High School just outside of Rochester, NY, reported neurological symptoms that resemble Tourette’s Syndrome.

Erin Brockovich, namesake of the Julia Robert’s movie, is investigating whether a train wreck in 1970 that spilled 35,000 gallons of cyanide and trichloroeythylene (TCE) near the high school caused or partially caused the symptoms.  Then we have anti-vaccination blogs that blames it on the HPV vaccine, Gardasil, of course, without one tiny little bit of evidence.

The school district has reported that there are no known environmental issues in the air and water.  Given very strict privacy laws, we don’t know if there’s some other medical link (like HPV vaccine).  Of course, if HPV vaccine or some other pharmaceutical were involved, it would be very curious that only a small, rural, upstate New York town would be involved.

TCE is a well known contaminant of groundwater all over the world.  There is some evidence that TCE may be involved with Parkinson’s Disease, though the effects usually take many years.

Right now, there is no evidence that points in any direction.  If you hear that it’s vaccines, you may as well blame alien abduction, because there’s no evidence for that either.  Everything is just speculation.

The dopes, I mean tropes, of the vaccine, evolution and climate change denialists

This morning, I was reading a posting by Orac, the nom de guerre (or nom de blog, according to him) of a rather snarky, humorous, and brilliant (yeah, I think he’s brilliant) surgeon hiding somewhere in the midwest.  In his article, The Tactics and Tropes of the Antivaccine Movement, he amusingly and pointedly exposes the pathetic myths of the anti-vaccine movement.  Seriously, it’s not that hard dismissing the unsupported claims of the vaccine denialists, but the postings from the evidence-based crowd are necessary to make sure those people who make decisions through the University of Google Medical School have some accurate information.  At least that’s the theory.

So what is a trope?  If you’re talking about a religious service, it’s a musical embellishment, which sounds about right.  But in writing, a trope is a word or words that are used in a sense that is different from their literal meaning.  Hyperbole, used frequently by the vaccine denialism gang, is an example.

Orac listed several tactics, then the tropes, of the anti-vaccine movement, but it’s clear that they are used by the Big 3 of pseudoscience, Climate Change Denialists, Evolution Denialists (creationist) and Vaccine Denialists.  There are others, of course, like the HIV/AIDS denialists (claiming that HIV does not cause AIDS), and Physics Denialists (homeopathy).  First their tactics (liberally paraphrasing and embellishing on what Orac wrote):

  1. Skewing the science. This involves cherry picking studies, quote-mining, and attacking science that doesn’t support their denialist point-of-view, while trumpeting any report or study that supports them. The Big 3 of Denialism even attempt to rename their pseudoscience into “science”, with creation science and the “theory” of Intelligent design by way of illustration.  Case in point, Generation Rescue, Playmate of the Year Jenny McCarthy’s vaccine denialism website, contains a list of ingredients in vaccines and the side effects.  No citations.  No list of the concentration of ingredients.  No description of the actual risk of said side effects.  In other words, it looks like science.  But it doesn’t even meet the standards of a high school science paper or Wikipedia.
  2. Shifting hypotheses. Using a football metaphor, Orac calls it, “moving the goalposts.”  The denialist crowd changes either their requirements for evidence or just dismiss whatever evidence that doesn’t support their point-of-view.  One of the best examples (of so many good ones) is the old macro vs. micro-evolution canard used by creationists.  For scientists, macroevolution (change in a large population of organisms over geologic time periods) and microevolution (change at a species level over a relatively short period of time, usually one that is observable) are both driven by the same mechanisms, that is genetic drift and natural selection.  Creationists will regularly state that they “believe” in microevolution but not macroevolution.  Science answers questions, and it thrives on answering new ones.  But artificial questions that are just invented to shift the emphasis is a waste of time.
  3. Censorship. This is an extreme characteristic of all anti-science movements. For example, the Age of Autism does not allow dissenting comments in any of their discussions about vaccines.  Answers in Genesis, the evolution denialist website, only “answers” questions that are moderated.  Real science loves these discussions.  If some vaccine denier came to this website, I’d engage them in debate (except it’s hard to debate someone who doesn’t use real evidence).
  4. Attacking the opposition. Dr. Paul Offit, a respected pediatrician, is regularly attacked by the anti-vaccine gangsters (sorry, I fell into hyperbole, please pardon the mess), because of his writings on the subject of the safety of vaccines.  His 2011 book, Deadly Choices:  How the Anti-Vaccine Movement Threatens Us All, probably angered those gangsters (oops, once again) as much as anything.  Orac himself apparently had an email campaign written about his evil ways passed along to his university (I guess his nom de blog isn’t that secret).  I once spent a substantial amount of time editing Wikipedia anonymously, focusing on vaccines, evolution, and alternative medicine articles.  I was very careful with my identity, but someone found my address in California and began spamming my email and regular mail.  They contacted my employer, but since it was my company, I wasn’t too concerned.

And now the tropes (mostly from the vaccine denialist mob):

  1. “I’m not antivaccine; I’m pro-safe vaccines.” Of course, there’s no evidence that vaccines are unsafe, but this sounds good.  A similar one is the evolution denialist “I believe in microevolution, but not in macroevolution.”  Or the climate change version, “sure, the temperature is rising, I just don’t believe humans are involved.”
  2. Vaccines are toxic. Thoroughly debunked and debunked.
  3. A demand for absolute safety.  As anyone who’s in medicine states, every medical procedure, technique, injection, device, pharmaceutical, or whatever else has some risk.  When the benefits outweigh the risk, then the choice is clear.  When the benefits outweigh an invented risk, then it’s extremely clear.
  4. A demand for absolute “proof” that vaccines are safe.  I hate these arguments.  Science doesn’t work in absolute proofs, it works to provide evidence that supports a hypothesis.  Science is open-minded, so it demands the best possible evidence, but leaves the possibility that an alternative hypothesis may supplant the original one.
  5. “Vaccines didn’t save us.”  Pure delusion.
  6. Vaccines are “unnatural.”  This trope is used by the alternative medicine world every day, because, they state, without any evidence, “natural” is better than real science.  In fact, there’s nothing more natural than inducing an immune response, since it happens billions of times.  Debunked.
  7. Choosing between “vaccine injury” and disease. What injury?  Last I checked, the real evidence doesn’t support vaccine injury.  So, there is no choice, since the real disease is worst.

What is troublesome about these tropes is that they are simple to state.  “Vaccines are toxic” is a three word statement that is scary, even if not supported by evidence.  To discredit it, one needs to discuss each of the ingredients, providing real evidence, and then try to tie it all together.  That’s way beyond three words.  I once heard Paul Offit on NPR, and his answers were intelligent and correct, but they are so nuanced and complex, the listeners defaulted to the “vaccines are toxic” meme.

I believe that patients should be informed about their health and their healthcare choices.  But searching the internet for this information has always troubled me.  If you google “vaccines and autism”, you get over 7 million hits (with number 2 being the Jenny McCarthy Body Count, so that’s comforting).  But what is the quality of these hits?  Is Wikipedia a good choice?  Well, I’ll answer that question because I know a couple of physicians and medical researchers watch over it carefully.  In todays world of the interwebs, readers tend to accept every website as being “the truth”.  I know people who actually count the number of websites that support a particular point of view!

Where are the critical thinking skills?  I bet the various science deniers will state that they are thinking critically, but mostly what I see is trying to support a viewpoint by manipulating the information, instead of being openminded.  It is difficult to engage in this discussion with such individuals.

Other blog comments on Patriot Nurse

I didn’t realize how many bloggers about vaccines posted on this woman.  It makes me a bit concerned that we’ve given her more credit than she deserves, but it’s important to stamp out the vaccine denialism quickly.  So when someone googles “Patriot Nurse”, they find the evidence-based discussions, not the ranting of a woo-meister.

Responsible Nurses, and Then There’s This–Canadian Nurse

Vaccines are safe and effective. Scientific study has shown this to be true, beyond a shadow of a doubt. No vaccine – or any medication – is without risks, and I would encourage people to speak to their physician if they are having doubts or questions. Remember that anyone can post anything they wish on the internet – be it true or not. And simply because something SOUNDS authoritative does not make it correct.

Vaccination Ethics Come to Question as The Patriot Nurse Strikes Again–Canadian Nurse

Good morning angry supporters of The Patriot Nurse (TPN).

No one is debating your RIGHT to choose whether or not to vaccinate. But if you have the right to NOT vaccinate, then a patient – especially parents who …will be giving birth to a vulnerable neonate under your care – should have the right to choose whether or not you act as their nurse.

NO one is after The Patriot Nurse’s job. A science writer for a legitimate science zine contacted her work to verify her identity. Which is exactly what a responsible writer does before publication – verifies a source.

Non-vaccinating nurses at other hospitals have to take isolation per-cautions(gloves, gown, mask). This is to protect them and protect the patients. Regardless of whether YOU think vaccines work – science sure thinks that they do, and the employers have a right and a duty to protect those under its care.

The Patriot Nurse is a sham. She states in her video that saying this comes as a great cost to her as a nurse. If she so firmly believes in her anti-vaccination rhetoric – so much so that she would post it online AND STATE THAT SHE WAS A NURSE – then she should be well aware of the potential consequences.

All of you crying “free speech” are being deceived. The Patriot Nurse has deleted EVERY SINGLE comment that was not entirely supportive of her. You can’t claim that her free speech is in jeopardy while she refuses that right to others.

The Patriot Nurse made a video. A stupid video. In which she makes very very basic scientific errors. She was called to answer to those errors on her page, on this blog, on Orac’s blog and elsewhere. She refused to do so. She is not interested in having a dialogue. She had her little diatribe and that was that. NO ONE is so special that they can make sweeping, erroneous statements without recourse.

I know that you anti-vaccination activists have a lot of other anti-vaccination friends online. But the fact of the matter is that 94% of people are still vaccinating. You’re a blip on the radar. You’re the new “trendy” thing to be against. But when it comes down to it, all but a handful of people are intelligent enough to realize that:

1) there is NOT a global conspiracy of scientists and doctors trying to poison your children

2) a few bad nurses or doctors do not discount the whole of the scientific method; nor are the opinions of a few more valid than the opinions of millions

3) researching vaccines on Google is NOT equal to going to post-secondary education for 10+ years to be a physician, pediatrician, immunologist or what have you.

The Patriot Nurse is not a martyr. She is a nurse who is expected to uphold the ideals and principles of her nursing organization and employer. And seeing as those things adhere to evidence-based medicine – and she doesn’t – she now has a problem. She brought it on herself. It was her choice not to vaccinate, and it their choice (and DUTY to the public) to deal with her how they see fit.

A black hole of anti vaccine misinformation–Respectful Insolence (Orac)

Every so often, I come across a bit of antivaccine idiocy that’s so amazingly idiotic, such a–shall we say?–target-rich environment that it’s catnip to a cat. I just can’t resist it, even when there are other topics and subjects out there that have backed up over the last few days and I want to cover. You’ll see why in a minute. In this particular case the antivaccine lunacy comes in the form of a video that’s been making the rounds amazingly quickly the anti-vaccine crankosphere since it was released yesterday.

The Patriot Nurse–Autismum

Of course, whose advice you follow on such matters is your call. You can put your faith in the paranoid rantings of the Patriot Nurse, PlayBoy models and inconsequential actresses or base your opinions on the overwhelming body of scientific evidence that shows, though not perfect, for the vast majority of human beings that receive them, vaccines are safe and the best protection against potentially disabling and deadly diseases that infect us.

The Zombie Apocalypse or vaccine myths that won’t die

Pseudoscience pushing individuals can be likened to zombies.  They have no brains, and their only goal in life is to eat the brains of those who don’t adhere to their position.  The anti-vaccine crowd are my favorite zombies, because the metaphor can be further extended because the victims of these zombies can die (the logical result of non-vaccination).

Yesterday, I ran across this YouTube video by someone called the PatriotNurse.  As an aside, WordPress (the blogging software I use) allows for embedding of YouTube videos, which is perfectly within my programming capabilities.  But for some unknown, and admittedly perplexing reason, PatriotNurse disabled the embedding feature.  Lacking evidence, I won’t speculate as to why.  She also has disabled comments to her video by stating, “The comments are OFF for many reasons. Foremost is that I refuse to be abused for a contrarian viewpoint that goes against mainstream “Sickcare.”  In other words, she refuses to allow her zombie ideas to be shown in the bright light of the day.  Also, if you look at her other videos, well, let’s just say I’m concerned about who trained her as a nurse and who would currently employ her, but that’s not the point here.

Basically she uses the standard repertoire of unsupported claims, canards and fairytales that most vaccine denialists use to make their case.  Every once in a while we should list out all their claims, debunk them, and refer to them in the future.  The anti-evolution crowd, which probably relies upon 100 times more myths than the anti-vaccine group, has spawned a few websites that list out creationist claims, then thoroughly debunks them.  At this time, the anti-vax websites focus on just a few claims, all of which are easily dismissed.

In order of weakness of the argument, here we go!

  • After my friend’s neighbor’s cousin’s sister-in-law’s daughter was vaccinated, she got….This argument is a typical example of the logical fallacy called post hoc ergo propter hoc or post-hoc fallacy, a Latin phrase which literally means, “after this therefore because of this.”  In other words, just because one event follows another event, one cannot conclude the first event caused the second event.  Or even that they are even peripherally related.  One of the worst mistakes in science is conflating correlation (this event happens when another event happens) with causation (that one event actually causes the second event).  Let’s put it this way.  I’m sure a certain percentage of children who are vaccinated break there arms in a fall, get a cold, or draw on the wall with a pen.  I’m sure some of us recall such an event.  But are they related to the vaccination?  Well, I’m sure someone would make a case that the child going to the pediatrician’s office to get a vaccine picks up a cold from another kid, but that’s a perfect example of pure coincidence.  In other words, without providing a logical mechanism for the correlation, then causation is far from proven.
  • Everyone I know who gets a vaccination gets sick, paralyzed, or (put almost anything here).  Similar to the post-hoc fallacy, it depends on a confirmation bias, that is, individuals look for evidence that supports their own beliefs or assumptions, ignoring all else.  Of course, the vast majority of children or adults that get vaccinated do not have any serious side effects (nota bene: I chose one of literally thousands of articles that dismiss any serious side effects from vaccines).  Essentially, this claim barely rises above personal anecdote.
  • Vaccines cause autism.  I’m not even sure this claim should be discussed because it’s been so thoroughly and scientifically quashed, it is almost sad that it’s still used as an excuse to not vaccinate.  But since this is supposed to be a thorough list, I’ll go through the debunking again.  Andrew Wakefield, who first invented the claim in a article in the British medical journal, The Lancet. Eventually, several co-authors removed their names from the paper in 2004, and finally the article was fully retracted by the journal in 2010.  Finally, Wakefield was found to be a fraud.  Still, the anti-vax conspiracists believe that vaccines cause autism, despite substantial evidence in peer reviewed journals (pdf file).  Since all the evidence dismisses the claim, but it’s still trotted out by anti-vaxers, one can only reply with the evidence.
  • Vaccines contain mercury.  In the past, a mercury-organic compound called thimerosal was used as a preservative in certain vaccines, especially those that were labeled for multiple doses (vaccines vials are often doses of 10).  But to be perfectly clear, thimerosal is not metallic mercury floating in the vial, it is a compound that is bound up in a rather large organic molecule, meaning that the mercury itself is inaccessible to the body and will be excreted.  Cans of tuna, a typical childhood meal, contains several times more mercury in the form of methyl mercury, which is easily absorbed by the gut and can be dangerous.  Vaccines that contain thiomersal contain about 25µg (or mcg or micrograms) of mercury.  A 125g (about 4 oz) portion of canned tuna contains about the same amount.
  • Vaccines contain mercury–but injected is worse than eating it.  The discussion then moves to the myth that ingesting mercury from foods is somehow better than getting it injected.  Before we continue, remember the mercury in vaccines is thiomersal which is bound up by a relatively large organic molecule.  This is a method used in a lot of pharmacological applications to isolate toxic metals from the body, but still derive a benefit from them.  Contrast agents used in enhanced radiology exams (like CT’s) contain iodine, also fairly toxic.  The organic molecule protects the patient from the toxic effects, while soon after the exam (usually within 30 minutes), the contrast agent is excreted.  The same with thiomersal.  Ingested mercury, in the form of methyl mercury (found in most fish), is actually absorbed faster, and methyl mercury also disperses to more organ systems because it mimics an essential amino acid, methionone. There are no physiological mechanisms that block the uptake of a small molecule like methyl mercury, so the effect might be worse than thiomersal.
  • Vaccines contain mercury, oh my.  Except, they don’t contain mercury, save for some flu vaccines.  So, not only eating tuna sandwiches is a larger mercury source, vaccines is not a mercury source.
  • Vaccines contain aluminum.  So we dispensed with the mercury myth, but a new one shows up.  In this case, vaccines do contain aluminum, in the form of aluminum salts.  It is used as an adjuvant to increase the immune response of the vaccine, an important requirement to confer immunity to the disease.  However, more aluminum comes from food sources (like breast milk) than from vaccines.  “During the first 6 months of life, infants could receive about 4 milligrams of aluminum from vaccines. That’s not very much: a milligram is one-thousandth of a gram and a gram is the weight of one-fifth of a teaspoon of water. During the same period, babies will also receive about 10 milligrams of aluminum in breast milk, about 40 milligrams in infant formula, or about 120 milligrams in soy-based formula.
  • Vaccines bypass the gut which is our best immune defense system.  It’s hard to disprove something that has no basis in real physiology.  If this claim were true, of course, we’d never be afflicted by most pathogens, and we wouldn’t need vaccines.  The adaptive immune response to immunizations requires interaction with the internal organs and blood.
  • Too many vaccinations. While listening to video (I couldn’t bear to watch), PatriotNurse mentioned another old canard about too many vaccine doses given to infants and toddlers.  Apparently, the anti-vaccination zombies need to run from one debunked myth to another one.  Paul Offit, much hated by the anti-vaccine gang, has stated that “Vaccines do not overwhelm the immune system. Although the infant immune system is relatively naive, it is immediately capable of generating a vast array of protective responses; even conservative estimates predict the capacity to respond to thousands of vaccines simultaneously”, that “multiple vaccinations do not weaken the immune system,” and that “vaccines represent a minute fraction of what a child’s immune system routinely navigates; the average child is infected with 4–6 viruses per year.”
  • It’s a Big Pharma conspiracy.  This conspiracy is huge, because it includes the CDC, FDA, major medical journals, physicians, and, of course, the pharmaceutical industry.  Of all the logical fallacies, the Appeal to a Grand Conspiracy is one of the most annoying.  It is difficult to disprove, because the vaccine conspiracists don’t provide any real evidence for their assertion.  Since extraordinary claims require extraordinary evidence, their claim lacks even bad evidence.

There might be other arguments that they use, and I’ll be finding them and debunking them.  In the meantime, I’m going to create a vaccine FAQ that debunks these things.