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virus evolution

Virus evolution — debunking anti-vaccine myth that they become less virulent

Apparently, a 125-year-old debunked idea about virus evolution has circulated around the anti-vaccine world. They believe that if viruses are left on their own, they always evolve to become less virulent to humans. That’s why they falsely claim that the Omicron variant is almost nothing and very soon SARS-CoV-2, the virus that causes COVID-19, will evolve into something that we can ignore.

The old Skeptical Raptor is going to take a deep breath and hope he doesn’t lose any brain cells repeating that to all of you. Anti-vaxxers and COVID-19 deniers are wrong, completely and utterly wrong. It’s as if they never took a class on virology, evolution, or anything else germane to the discussion.

I know that any of you spending time reading this article are already listing out a dozen things that debunk this myth. Because we all know that first, that’s not how evolution works, and second, there are dozens of viruses that are known from the dawn of human history that have remained virulent over thousands of years.

Let’s take a look at this nonsense. Maybe I’ll give you some information to debunk some anti-vaxxer or COVID-19 denier nonsense.

Read More »Virus evolution — debunking anti-vaccine myth that they become less virulent
a sick man covering his mouth

Thanks to COVID-19, we beat the flu for the first time in history

The COVID-19 pandemic has been a horrible experience for the past two years, but it had one silver lining – beating the flu.

As I have written before, the annual rite of winter life, flu outbreaks, became almost nothing during the 2020-21 flu season. On average, the flu infects roughly 30 million Americans every year and kills over 30,000. Worldwide, the World Health Organization estimates that over 650,000 people die of respiratory illnesses related to the flu.

As with COVID-19, the elderly, the poor, and people of color are all overrepresented among the victims of the flu. Moreover, the annual economic cost of the flu in the USA averages nearly $90 billion.

Of course, things changed during the 2020-21 flu season. The US had only around 2,000 cases of the flu. No, that is not a typo, there were only 2,000 flu cases in the USA during the 2020-21 flu season. In other words, there were 17,000 times fewer flu cases than the 35 million cases during the 2019-2020 flu season.

During the 2019-20 flu season, 199 children died of the virus. In 2020-21, only one child died.

In fact, other respiratory viruses nearly disappeared during the COVID-19 pandemic – respiratory syncytial virus, parainfluenza, rhinovirus, and adenovirus. I’ve been watching infectious diseases for decades, and this was truly amazing.

So how can we stop the flu once the COVID-19 pandemic is done? And that’s where it gets complicated.

Read More »Thanks to COVID-19, we beat the flu for the first time in history
shoenfeld

Vaccine adverse events are very rare – vast benefits outweigh risks

Like all medical procedures, devices, and pharmaceuticals, vaccines are not perfect – there are rare vaccine adverse events. What matters is that the benefits, not only medically but also economically, outweigh any risks. As far ask I know, no perfect medical procedures, devices, or pharmaceuticals, none, that are perfectly safe or perfectly effective. Sometimes the ratio is small.

For example, there are chemotherapy drugs that only add a few months to a patient’s life, usually with substantial side effects to the medication. Yet, if you ask a patient whether it was worth it, to spend just a few extra months with their children and loved ones, the value becomes nearly incalculable.

But mostly, the FDA and other regulatory agencies demand that new products and procedures must meet or exceed the safety, and meet or exceed the financial and health benefits of currently acceptable versions. Actually, the FDA examines a lot more than that.

They check the packaging, shelf life, instructions, manufacturing practices, and so much more, it would take a book to explain it (and there probably are several). It may not be a perfect process, but it’s better than what we had 100 years ago, and it continues to improve every single day. People tend towards a form of confirmation bias where they remember where a drug may have been found to be dangerous (the best example is Vioxx).

But they forget about the millions of medications and devices that save lives or measurably improve the standard of living. 

Read More »Vaccine adverse events are very rare – vast benefits outweigh risks
polio vaccine causes cancer

Polio vaccine does not cause cancer – anti-vax myth debunked

Apparently, the “polio vaccine can cause cancer” zombie memes have been reanimated by the anti-vaccine world. Lacking evidence for their beliefs, retreading old debunked memes is their standard operating procedure. And once again, I’m seeing it.

The interesting thing about social media (Facebook, Twitter, blogs, Google, Reddit) is that it’s fairly easy to push pseudoscientific beliefs. The first problem is that many people read the headlines, and never the underlying discussion. If it can be said in 200 characters, or a misleading infographic, many individuals will share that across the internet as a “fact”. So, if you see a claim that “Polio vaccines infected 98 million Americans with a cancer virus,” many people will immediately see that and accept it without much criticism.

Of course, this leads to a second problem. To refute anti-vaccine claims take a lot more than 200 characters. The refutation is often complex, nuanced, and highly scientific, and may take 2000 words or more to send that claim into orbit. It’s highly emotional to claim a vaccine can cause cancer. On the other hand, to say it is not isn’t emotional–it’s coldly logical. And takes a lot of words.

And the third problem is that social media fallacies have multiple lives, so when someone reads one of these memes a year from now, they think “yeah, this is great information”, and pass it along as if it’s the Truth™. Killing zombie anti-vaccine tropes and memes are just as difficult as killing zombies in real life, or at least, on a TV show. Debunking these anti-vaccine fake facts is a full-time job. Sadly, even after a thorough debunking, someone will call us a paid shill, ignore the evidence, and repeat the trope.

I need to create a bot that automatically refutes every repeated trope. In lieu of that, let’s just discuss the myth. And refute it once again.

Read More »Polio vaccine does not cause cancer – anti-vax myth debunked
post vaccination mortality

Post vaccination mortality – another anti-vaccine myth without merit

One of the most pernicious myths of the anti-vaxxers is the claim that post-vaccination mortality is a rampant “epidemic.” Their evidence of such an issue with vaccines is non-existent, but it continues to be pushed by notable anti-vaccine missionaries like Del Bigtree and Robert F. Kennedy, Jr. 

The anti-vaxxer world seems to use anecdotes and VAERS (Vaccine Adverse Event Reporting System) to create fear, uncertainty, and doubt about vaccines by claiming that vaccines kill children. Well, anecdotes do not equal data (they are filled with bias) and dumpster-diving into VAERS which does not establish correlation, let alone causation

In other words, the anti-vaccine world relies on bad data to make claims about post-vaccination mortality. 

But is there a plague of vaccine-related deaths across the world? I have long stated that there have been few, if any, documented post-vaccination deaths over the past 40 years. I determined that by attempting to search for post-vaccination mortality reported in the peer-reviewed literature, but trying to prove a negative is difficult. 

But I’m just a science blogger who hasn’t published an article in years, so even the best scientific skeptic amongst you will say, “OK, you old feathered dinosaur, I trust you, but I need something more to deal with these anti-vaxxers.”

Well, this old feathered dinosaur happens to agree. Lucky for us, a group of researchers did some investigative research a few years ago to determine if there were any cases of post-vaccination mortality that have been documented. And what they found was – not so much.Read More »Post vaccination mortality – another anti-vaccine myth without merit

Andrew Wakefield

Latest “act” from Andrew Wakefield – recycling 1986 anti-vaccine tropes

This article about the Andrew Wakefield movie, 1986: The Act, was written by Dorit Rubinstein Reiss, Professor of Law at the University of California Hastings College of the Law (San Francisco, CA), who is a frequent contributor to this and many other blogs, providing in-depth, and intellectually stimulating, articles about vaccines, medical issues, social policy, and the law.

Professor Reiss writes extensively in law journals about the social and legal policies of vaccination. Additionally, Reiss is also a 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.

In 1986: The Act, Andrew Wakefield has created a very long parade of anti-vaccine claims from the past forty years or longer. The movie combines half-truths, facts taken out of context, and blatant misrepresentations to try and mislead people into refusing to vaccinate and protect their children.

In his post on the topic, my friend and colleague Dr. Vince Ilannelli addressed the potential motivations behind 1986: The Act from Andrew Wakefield, the problems with the credibility of the director and many of the main actors, the problematic nature of the sources in the movie, and some of the inaccuracies surrounding DTP.

In this post, I will cover some of the same ground, but my main focus will be to show why the film is unreliable. Obviously, I cannot cover every detail of the long film and keep this manageable, but I can cover many of the highlights, and I hope to make it clear why I think it’s unreliable.

Before starting on those, however, readers deserve a reminder that Andrew Wakefield, the creator of the film, has a well-earned reputation as a dishonest scientist. Wakefield misrepresented information about MMR and hid conflicts of interests, and as a result, outbreaks of measles in Europe and the United States harmed and killed children.

And Andrew Wakefield has continued to misrepresent information in ways that harm children. 

Andrew Wakefield is not a reliable source, and his previous movies show this, too. 

1986: The Act is no different.

The movie is framed as a discovery journey of a couple from the point where the woman discovers she’s pregnant to the point where she gives birth, during which they go through a lot of anti-vaccine sources and become thoroughly and extremely anti-vaccine, ending the movie as participants in an anti-vaccine event. It is, as I mentioned, a parade of greatest hits of the anti-vaccine movement – mostly claims that have been addressed again and again over the years, some twenty years old, some almost forty years old, some older still. There is little new in 1986: The Act.Read More »Latest “act” from Andrew Wakefield – recycling 1986 anti-vaccine tropes

vaccines prevented

Vaccines prevented 200 million cases of disease in the USA from 1963 to 2015

Lest we forget, vaccines are one of the greatest medical inventions of all time. Without them, we would see cemeteries filled with children who would have died before they were even five years old.  In fact, the best evidence we have tells us that vaccines prevented 200 million cases of diseases in the USA alone in the five decades since 1963.

A recent study, published in AIMS Public Health, estimates that around 200 million cases of polio, mumps, rubella, measles, adenovirus, hepatitis A and rabies have been prevented in the U.S. from 1963 through 2015 as a result of widespread vaccination. The study, authored by Leonard Hayflick and S. Jay Olshansky, two leading experts on public health and infectious diseases, also discloses that about 450,000 deaths have been avoided in the U.S during this period, although other studies put that estimate of lives saved at a much higher number.

Dr. Hayflick discovered the human cell strain, WI-38, in 1962 which was critical to the safe manufacturing of vaccines, which became widespread in 1963. According to the article, the vaccines produced from the WI-38 cell line prevented almost 4.5 billion occurrences of the diseases, and stopped them from returning to infect us. Dr. Hayflick developed the foundation that allowed the world to have relative safe and very effective tools to prevent infectious diseases.

Prior to the development of WI-38, anti-virus vaccines were grown in monkey cells, which had some issues that made many question their safety, although most of the concern appeared to be overblown. However, once the WI-38 was available, it became easier to develop and produce vaccines for many viruses.

Drs. Hayflick and Olshansky wanted to see what effect that seminal event had on public health. And the numbers were incredible.Read More »Vaccines prevented 200 million cases of disease in the USA from 1963 to 2015

enterovirus 68

Enterovirus 68 – don’t blame vaccines or pesticides

A while ago, I reported on an outbreak of a mysterious viral disease that exhibited polio-like symptoms. At the time, around 23 children and young adults were afflicted with the disease. Some of them tested positive for enterovirus 68 (known as EV-68 or EV-D68), a member of a genus of viruses that includes over 66 different species that can infect humans. None of these children tested positive for the polio virus.

Polio is a crippling and potentially deadly infectious disease caused by the poliovirus, a human enterovirus, that spreads from person to person invading the brain and spinal cord and causing paralysis. Because polio has no cure, the polio vaccine is the best way to protect yourself and the only way to stop the disease from spreading.

The United States last experienced a polio epidemic in the 1950sprior to the introduction of the polio vaccine 60 years ago. Today, polio has been eradicated from most of the planet, as the number of worldwide polio cases has fallen from an estimated 350,000 in 1988 to fewer than 223 in 2012—a decline of more than 99% in reported cases.

Predictably, the anti-vaccine community has decided to use this extremely rare virus to make specious claims about vaccines, pesticides, and who knows what else. Typical of these tropes, we pro-science types completely debunk it, thinking it’s dead and done. But like the metaphorical zombie, it arises again to eat the brains of anti-vaccine activists. So, here I go again.

Read More »Enterovirus 68 – don’t blame vaccines or pesticides