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Opinion: why vaccine denialism is so annoying

SwineFluVaccineI’m writing this opinion piece not for those who vaccinate themselves or their children, because they accept the science either because they reviewed it and accepted it, or they just know that vaccines work and are relatively safe.

On the other hand, this article is not written for the antivaccinationists, because they don’t listen to logic anyways. They ignore real science to invent their own, based on lies, pseudoscience, and logical fallacies.

No, this article is written for those who may be on the fence about vaccines, and thinks there’s some sort of balanced discussion or debate about vaccines. It’s time to dispel the false-balance discussion pushed by pseudoscience for the simple reason because they lack the intellectual and scientific evidence.

Let’s look at how the antivaccinationists have gone off the rails of real scientific understanding.Read More »Opinion: why vaccine denialism is so annoying

Vaccine exemptions contribute to outbreaks of preventable diseases

vaccines-religious-exemptionOnce again, a new study is published in a peer reviewed journal that shows that exemptions to proper and recommended levels of vaccination for children before entering public school are harming the general population. I’ve talked about the issue of exemptions causing outbreaks or epidemics previously in New York, Washington, and other places

Over the past few years, there have been several outbreaks of whooping cough (Bordetella pertussis), including one that reached over 9000 individuals in California in 2010, considered one of the worst pertussis outbreaks in the USA during the past several decades

The original DTP vaccine (diphtheriatetanus and pertussis) became available in the USA in 1948 and was critical to dropping the number of cases of whooping cough from 260,000  in 1934 to less than a few thousand per year in the 1990′s. The Advisory Committee on Immunization Practices (ACIP) recommends (pdf) that children should get 5 doses of DTaP (the replacement for the original DTP vaccine), one dose at each of the following ages: 2, 4, 6, and 15-18 months and 4-6 years. Those children who are not completely vaccinated according to these ACIP recommendations for pertussis are considered to be “undervaccinated.” 

Whooping cough is a serious disease that has significant complications for children:

  • 1 in 4 (23%) get pneumonia (lung infection)
  • 1 or 2 in 100 (1.6%) will have convulsions (violent, uncontrolled shaking)
  • Two thirds (67%) will have apnea (slowed or stopped breathing)
  • 1 in 300 (0.4%) will have encephalopathy (disease of the brain)
  • 1 or 2 in 100 (1.6%) will die. In 2012, pertussis killed 18 infants in the USA.

Even in adults, there are substantial complications from whooping cough, such as broken ribs from coughing, that can have a significant impact on the overall health.Read More »Vaccine exemptions contribute to outbreaks of preventable diseases

Anti-vaccine lunacy–more lies about Gardasil

One of the hallmarks of pseudoscience is an over-reliance on confirmation rather than refutation of a hypothesis. The antivaccine crowd are well-known for this particular violation of the scientific method. As discussed previously, science works on refutation–creating experiments that might actually disprove a hypothesis as a method to develop evidence in support of it. The anti-vaccination crowd actually hypothesizes (but not in a scientific sense) that a vaccine or set of vaccines was the causal factor in some side effect (autism, death, or whatever else), then they should establish an experiment (double-blinded of course) that would refute that hypothesis. If at some point, the data cannot refute it, then the anti-vaccinationists would have supporting data for their particular supposition. 

But instead of actually performing experiments (which cost money, which may show that they are wrong, or which might not be ethical), they resort to mining data to prove their point. Data mining is dangerous, because confirmation bias, that is, finding information or data that supports a belief while ignoring all other data that does not, makes the data suspect or even useless.

So, in that vein, the anti-vaccinationists often mine data from any database they can find, such as the Vaccine Adverse Event Reporting System (VAERS),  which is a program for vaccine safety, managed by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). VAERS functions as a post-marketing safety surveillance program (similar to other programs for almost every regulated medical device and pharmaceutical) which collects information about adverse events (whether related or unrelated to the vaccine) that occur after administration of vaccines.

VAERS has numerous limitations, including lack of scientifically designed questions, unverified reports, underreporting, inconsistent data quality, and absence of an unvaccinated control group. VAERS is basically a collector of information, but has limited value in making conclusions since it does not provide information that is obtained in a controlled manner.  However, it does have some usefulness, in that certain trends may be spotted given enough time and data points.Read More »Anti-vaccine lunacy–more lies about Gardasil

Cocooning the family to protect infants from whooping cough

Infant being treated for pertussis infection. ©CDC, 2012.

Over the past year or so, there have been several outbreaks of whooping cough (Bordetella pertussis), including one that reached epidemic levels in Washington state, which has been considered one of the worst pertussis outbreaks in the USA during the past several decades. The disease lead to 18 infant deaths in the USA during 2012.

The original DTP vaccine (diphtheriatetanus and pertussis) became available in the USA in 1948 and was critical to dropping the number of cases of whooping cough from 260,000  in 1934 to less than a few thousand per year in the 1990′s. The Advisory Committee on Immunization Practices (ACIP) recommends (pdf) that children should get 5 doses of DTaP (the replacement for the original DTP vaccine), one dose at each of the following ages: 2, 4, 6, and 15-18 months and 4-6 years. Those children who are not completely vaccinated according to these ACIP recommendations for pertussis are considered to be “undervaccinated.” 

Whooping cough is a serious disease that has significant complications for children:

  • 1 in 4 (23%) get pneumonia (lung infection)
  • 1 or 2 in 100 (1.6%) will have convulsions (violent, uncontrolled shaking)
  • Two thirds (67%) will have apnea (slowed or stopped breathing)
  • 1 in 300 (0.4%) will have encephalopathy (disease of the brain)
  • 1 or 2 in 100 (1.6%) will die

Even in adults, there are substantial complications, such as broken ribs from coughing, that can have a significant impact on the overall health of the individual.

One of larger concerns with recent outbreaks of pertussis has been that adults with lapsed immunity or unvaccinated older children may pick up the infection, then pass it to these unvaccinated or partially vaccinated infants (usually less than 1 year old). 

Read More »Cocooning the family to protect infants from whooping cough

Judging the quality of science sources

science-evidence

Note: this article has been substantially updated, just click the link.

 

Recently, I wrote articles on skepticism and debunking pseudoscience, both of which require large amounts of evidence. And of course, a true scientific skeptic needs to judge the quality of evidence, because individuals who push science denialism often cherry pick seemingly high quality science to support their beliefs.

A good scientific skeptic needs to decipher the science (or pseudoscience) in popular news articles, for example, to determine its validity. We should be critical, if not skeptical, of what is written in these articles to ascertain what is or is not factually scientific. We even need to determine the quality of science from the best to the weakest, so that we can determine the level of authority of the science before we pass it along to others.

With the social media, like Facebook and Twitter, which provides us with data that may not exceed a few words, then it’s even more imperative that we separate the absurd (bananas kill cancer) from the merely misinterpreted (egg yolks are just as bad as smoking).

Wikipedia is one place which can either be an outstanding resource for science or medicine, or it can just a horrible mess with citations to pseudoscience, junk medicine pushers. For example, Wikipedia’s article on Alzheimer’s disease is probably one of the best medical articles in the “encyclopedia”. It is laid out in a logical manner, with an excellent summary, a discussion of causes, pathophysiology, mechanisms, treatments, and other issues. It may not be at the level of a medical review meant for a medical student or researcher, but it would be a very good start for a scientifically inclined college researcher or someone who had a family who was afflicted with the disease.

Read More »Judging the quality of science sources

How pseudoscience tries to fool you

Editor’s note: This article has been updated and divided into a multi-part article. The comment section has been closed, so go to the new article if you want to make a suggestion, make a comment, disagree, or make us laugh. 

Pseudoscience is enticing partially because it’s easy and partially because it gives black and white false dichotomies about the natural world, including medicine. Pseudoscience tries to make an argument with the statement of “it’s been proven to work”, “the link is proven”, or, alternatively, they state some negative about scientifically supported therapies. It really  has an appeal to it because it digest complex analysis to a simple “yes, this works.”

For example, real science has debunked the “there is a proven link between vaccines and autism,” a common and popular pseudoscientific belief.  Or that most alternative medicine (CAM) therapies work based on numerous logical fallacies that suspends reason, and accepts “belief” in the therapy, something that evidence-based medicine just doesn’t do.

So, I decided to highlight what separates real science from pseudoscience. We’ll explore what exactly makes an idea scientific (and spoiler alert, it isn’t magic), and contrary to real science, what makes an idea “pseudoscientific.” So sit down, grab your favorite reading beverage, because this isn’t going to be a quick internet meme. I intend to show you the lies of pseudoscience, and how it’s used with creationism, vaccine denialism, alternative medicine, or whatever you want to debunk. Read More »How pseudoscience tries to fool you

Despite activities of vaccine refusers, nearly all kids immunized

The United States Centers for Disease Control and Prevention (CDC) reported that most kindergartners in the United States received their recommended vaccines for measles and other diseases during the 2012-2013 school year. However, the CDC also mentioned concern about unvaccinated clusters of children that are at risk from vaccine preventable diseases, and may pose a health risk to the community at large.

Overall, 48 states and DC (as well as 8 US jurisdictions, including Guam, Puerto Rico and other territories) reported 2012-13 school vaccination coverage. Approximately 94.5% of kindergartners had received their complete MMR vaccinations, an insignificant drop from the 2011-12 level of 94.8%.  DTaP coverage was 95.1%, above Healthy People 2020 target of 95%. For the varicella vaccine, 93.8% of American kindergartners received both necessary doses.

Read More »Despite activities of vaccine refusers, nearly all kids immunized

HPV vaccinations lagging despite strong safety and effectiveness

hpvThe CDC recently reported that only about half of US teenager girls have received the safe and effective quadrivalent HPV vaccine (HPV4), a disappointing level of vaccine uptake. Moreover, this rate hasn’t changed over the past three years, despite significant efforts to increase the awareness and effectiveness of the vaccine amongst teenagers. Even worse news in this report is that only about one-third of teenage girls have been fully immunized with all three doses.

HPV quadrivalent vaccine, also known as Gardasil (or Silgard in Europe), is marketed by Merck & Co., usually for vaccination of teenage girls (with an increasing number of boys). The vaccine prevents the transmission of certain types (pdf) of human papillomavirus (HPV), specifically types 6, 11, 16 and 18. 

HPV types 16 and 18 cause approximately 70% of cervical cancers, and caused most HPV-induced anal (95% linked to HPV), vulvar (50% linked), vaginal (65% linked), oropharyngeal (60% linked) and penile (35% linked) cancers. These cancers, mostly related to HPV, can be prevented as long as you can prevent the HPV infection from ever happening, which usually happens through genital contact, most often during vaginal and anal sex.

HPV may also be passed on during oral sex and genital-to-genital contact. HPV can be passed on between straight and same-sex partners—even when the infected partner has no signs or symptoms. Approximately 79 million Americans, most in their late teens and early 20′s, are infected with HPV, and about 14 million people become infected each year in the USA.Read More »HPV vaccinations lagging despite strong safety and effectiveness

One lunatic is dangerous to children–The Jenny McCarthy Story

Screen Shot 2013-07-16 at 15.00.31Unless you’re a skeptic living under a rock on Mars (which would be pretty amazing), you’d know that the Playboy Playmate Jenny McCarthy was chosen by ABC TV (in the USA) to be a co-host on the daytime talk show, The View. Let’s just say that this has not been met positively by much of the skeptical, pro-science blogging and journalism community. In fact, from what I’ve read, hardly anyone but the vaccine denier lunatic fringe is happy about her choice a co-host.

But this isn’t just complaining about an actress getting a job on a TV show. On my personal list of things I care about, I care very little about who is or isn’t the host on The View, a show that I have honestly never watched. And given that Jenny is going to be on it, I have even less interest in watching it.

The real reason why so many of us were upset had nothing to do with her being a bad actress, but because her beliefs about vaccines are plainly untrue and unsupported by the vast wealth of science. And now she might have a platform to hawk her misguided conviction that vaccines are dangerous. Because Americans are so easily seduced by a celebrity endorsement (about 25% of Americans trust celebrities), her comments carry more weight than real physicians and scientific researchers. Read More »One lunatic is dangerous to children–The Jenny McCarthy Story

Jenny McCarthy gets to showcase her ignorance on television

© Discover Magazine Blogs, 2013

© Discover Magazine Blogs, 2013

Despite general opposition to it in the social media world, Jenny McCarthy, former Playboy Playmate of the Year, has just officially joined The View, an American daytime talk show on the ABC television network (owned by Disney). So other than being a former Playboy model, what is she notable for? Well, unless you’re just totally uninterested in the vaccine controversy, you know her as someone who heavily promotes the anti-vaccination movement.

Let’s look closely at Jenny’s background. Her extensive medical and science education includes…not much. In fact, she’s used as an authority figure among vaccine deniers, despite having no formal education in the sciences, medicine, immunology, virology, psychiatry, psychology…I’m sure you get the point.

In 2005, she announced that her child was diagnosed with autism, and she remains convinced that vaccines caused her son’s autism, although that view is unsupported by any scientific or medical evidence, which has lead to some significant skepticism and doubt that her son even has autism. Her public appearances and statements have increased the public perception of this link, and may have led to decreased immunization rates and increased incidence of some vaccine preventable diseases. Jenny has stated that chelation therapy helped her son recover from autism. Essentially, she claims that mercury in vaccines causes autism, which has been rejected by scientific and clinical studies. In fact, there is no evidence whatsoever that vaccines cause autism (this blog post thoroughly discusses all of the evidence), unless you buy into the fraudulent link between autism and vaccines promoted by MrAndy Wakefield‘s paper that alleged a connection between MMR and autism and has been retracted by the Lancet medical journal. Read More »Jenny McCarthy gets to showcase her ignorance on television