Showing posts with label MMR. Show all posts
Showing posts with label MMR. Show all posts

Sunday, February 16, 2020

The "Wakefield Generation"

Andrew Wakefield, disgraced anti-vaccine doctor turned documentarian is the gift that keeps giving (not really).  England has reported a decade-high number of mumps cases:
Last year there were nearly five times as many cases of mumps as the year before – 5,042 lab-confirmed cases as opposed to 1,066 in 2018, said PHE. The trend is continuing, with 546 new cases last month, compared to 191 in January last year.
Wales has also reported a significant rise in mumps cases:

Public Health Wales identified 2,695 potential cases of the viral infection last year - up from 519 in 2018.

The areas with the most suspected cases were Cardiff and Swansea, which have large numbers of students.
 And so has Scotland:
There were 281 laboratory-confirmed mumps cases in 2018, which is a decrease compared to 2017 during which 385 cases were reported. From 1 January to 30 September 2019, 534 laboratory-confirmed mumps cases were reported. A number of NHS Boards have experienced clusters of mumps thus far in 2019, mainly in adolescents and young adults.
The mumps portion of the MMR is the least effective so two doses are necessary.  The majority of cases are in unvaccinated young adults in higher education settings which is an ideal opportunity for mumps transmission.  However, some with one dose and fewer that received two doses have also been infected.

Why blame Wakefield?  Because his retracted "study" that was published in 1998 and his subsequent "media tour" playing up the alleged link between autism and the MMR jab drove down vaccination rates in several birth cohorts.
Most outbreaks have been in colleges and universities. “Many of the cases in 2019 were seen in the so-called “Wakefield cohorts” – young adults born in the late 1990s and early 2000s who missed out on the MMR (measles, mumps and rubella) vaccine when they were children,” said PHE in a statement.

Many parents, especially in London, did not take their children for the two shots of MMR vaccine at the ages of 1 and nearly 4, because of the scare around a paper in the Lancet journal by gastroenterologist Andrew Wakefield and colleagues in 1998. The research focused only on a small number of children who had bowel disease and autism, but Wakefield made a link with the MMR vaccination, wrongly claiming that it could “overload” the immune system.

Monday, April 17, 2017

Andrew Wakefield is the Anti-Vaxx Gift That Keeps Giving

The Minnesota Department of Health has confirmed that at least eight children have measles.  They are all between the ages of 1 year and 4 years old and NONE have been vaccinated against measles although they are age-eligible.  Seven of the eight children belong to the large Somali community in Hennepin County and six have been hospitalised.  There may be more cases given the low MMR vaccine uptake among those in that community and only one case could be traced to a contact.

Andrew Wakefield, professional fraud made at least three trips to the Minnesota Somali community between 2010 and 2011 to pimp his faux concern about autism and measles jabs.  The result was a 50% uptake in the MMR jab as of 2013.  Even before his visits, Wakefield's fraudulent 1998 study linking MMR jabs to autism and visits from other anti-vaxx groups impacted this community and decreased the MMR vaccine uptake from ~90% to 54% sparking an outbreak in 2011 after his visits there.

Andrew Wakefield promised this community he would investigate their autism rate; he never did.  Instead he convinced them to eschew vaccination and gave them measles outbreaks.  That's the Wakefield Touch.

Update 18 April 2017:  The Minnesota Department of Health has confirmed a ninth measles case in Hennepin County in an unvaccinated child.

Update 20 April 2017:  The Minnesota Department of Health has confirmed  eleven cases of measles in Hennepin County all in children ages 1-5 years old, nine confirmed in unvaccinated children and nine in the Somali community.

Update 22 April 2017:  The Minnesota Department of Health has confirmed twelve cases of measles in Hennepin County all in children under 5 years old and all unvaccinated.  The uptake of MMR in the Somali community there is 42% in children under the age of two years old.

Update 25 April 2017:  The Minnesota Department of Health has confirmed twenty cases of measles in Hennepin County now.  One child less than one year old has been infected and 50% of infected children have been hospitalised.  Sixteen children have been confirmed unvaccinated.

Update 27 April 2017:  The Minnesota Department of Health has confirmed 24 cases of measles in Hennepin County.  Twenty-three of the 24 cases have been confirmed UNVACCINATED.  All children infected are five years old and younger. It has been confirmed that NONE of the infected children were vaccinated, 50% have been hospitalised and the infected children are between 10 months and 5 years old.  The outbreak may have emanated from a daycare.

Update 1 May 2017:  The Minnesota Department of Health has confirmed 32 cases of measles, 30 in Hennepin County and has spread with one in Ramsey County and one in Stearns County.  Of the 32 measles cases, only one child has received a single MMR jab, all others are UNVACCINATED.

Update 5 May 2017:  The Minnesota Department of Health has confirmed 41 cases of measles which has spread to Crow Wing County involving another unvaccinated child.  The stats of this outbreak are:
• 1 involves an adult and the rest are children age 10 or younger
• 39 involve people who were not vaccinated against the disease
• 34 are from Minnesota's Somali community
The case previously reported from Stearns County was ruled out as measles with confirmatory testing.
Anti-vaxx groups continue to stoke unfounded fears of vaccines causing autism among the Somali community in Hennepin County.

Update 8 May 2017:  The Minnesota Department of Health has confirmed the measles outbreak is up to 48 cases.
  • 45 in Hennepin County
  • 2 in Ramsey County
  • 1 in Crow Wing County
  • 45 confirmed to be unvaccinated
  • 1 had 1 dose of MMR
  • 2 had 2 doses of MMR
  • 41 of the cases are Somali Minnesotan 
Update 11 May 2017:  The Minnesota Department of Health has confirmed the measles outbreak is up to 51 cases:
  • 47 confirmed to be unvaccinated
  • 1 had 1 dose of MMR
  • 2 had 2 doses of MMR
  • 1 case has unknown vaccination status
  • 48 in children (ages 0-17 years)
  • 3 cases in adults
  • 46 of the cases are Somali Minnesotan 
Update 15 May 2017:  The Minnesota Department of Health has confirmed the measles outbreak is up to 58 cases:
  • 49 in Hennepin County
  • 3 in Ramsey County
  • 4 in Crow Wing County
  • 2 in Le Sueur County
  • 55 confirmed to be unvaccinated
  • 1 had 1 dose of MMR
  • 2 had 2 doses of MMR
  • 55 in children (ages 0-17 years)
  • 3 cases in adults
  • 49 of the cases are Somali Minnesotan
Additionally, the cost of this outbreak is estimated to be ~$1 Million Dollars.

Update 22 May 2017:  The Minnesota Department of Health has confirmed the measles outbreak is up to 66 cases:
  • 56 in Hennepin County
  • 4 in Ramsey County
  • 4 in Crow Wing County
  • 2 in Le Sueur County
  • 62 confirmed to be unvaccinated
  • 1 had 1 dose of MMR
  • 3 had 2 doses of MMR
  • 63 in children (ages 0-17 years)
  • 3 cases in adults
  • 57 of the cases are Somali Minnesotan 
Update 2 June 2017:  The Minnesota Department of Health has confirmed the measles outbreak is up to 73 cases.
  • 64 in Hennepin County
  • 3 in Ramsey County
  • 4 in Crow Wing County
  • 2 in Le Sueur County
  • 68 confirmed to be unvaccinated
  • 2 had 1 dose of MMR
  • 3 had 2 doses of MMR
  • 70 in children (ages 0-17 years)
  • 3 cases in adults
  • 60 of the cases are Somali Minnesotan

Thursday, November 24, 2016

Aliana is dead


Aliana has passed away from SSPE, a severe, always fatal measles complication, this morning - in a short statement on their Facebook page, her father writes:

Our litte angel went on her way this morning. The last months were a hard time, she fought a lot, but sadly she lost. She went from us really peacefully with a beautiful smile on her lips. This is going to be a hard time for us, but Aliana has decided that she will be better where she is now, without suffering and without pain. We thank everyone who supported us until now and are still supporting us. Please light a candle, so we can accompany Aliana on her way to a better place.




I am tired. How often do we need to report on preventable deaths? My thoughts and deepest condolences are with her family. Please light a candle. Please vaccinate your children.

Monday, August 24, 2015

"Vaccine Whistleblower": A Review of the Preface and Foreword

This book is being released today and is surely much anticipated by the anti-vaccine brigade which has desperately sought to get their "whistleblower" William Thompson heard by, well anyone in a position of authority or respected media.  Even the anti-vaxx-funded Rep. Bill Posey, R-FL couldn't raise any interest in the "CDC Whistleblower" manufactroversy when he made allegations against the CDC parroting William Thompson's uncorroborated claims.  Kent Heckenlively, a contributor to the autism-hating, anti-vaccine blog Age of Autism breathlessly proclaims:
"This is a slim, elegant book which can be read in a few hours and has the potential to change the minds of a lot of people."
It will, no doubt change the minds of a lot of people, it certainly changed mine but not in the way that Kent Heckenlively hopes.  It will only reinforce the true believers' minds but certainly illuminates the true colours and motives of those involved as well as show how desperate some are to think that so little is of such import as to have a congressional hearing over it.  This book is so bad that it's good, so good in the sense that it contains such demonstrably false information and a re-hash of previously debunked claims that I have chosen to review it in parts, the first being the Preface (Boyd Haley) and Foreword (Robert F. Kennedy, Jr. (RFK Jr.)), Introduction and then groups of chapters.

Preface by Boyd Haley, PhD

The Preface is written by Boyd Haley, PhD and formerly with the University of Kentucky Department of Chemistry.  Boyd Haley has been a long term steadfast proponent of the "autism is mercury poisoning" failed hypothesis.  He has referred to autism as "Mad Child Disease" and has created OSR #1 as an industrial sludge chelator but saw the financial opportunities and re-branded OSR #1 as a "supplement" for "treating autism". Fortunately the FDA forced Haley to remove OSR #1 from the market as a supplement but that hasn't stopped him from still attempting to take advantage of desperate parents; he's just doing what he should have done to begin with which is properly test and manufacture the product as a drug that needs approval.
I was exposed to the opinions of both autistic parents and the CDC on the involvement of vaccines, or components of vaccines, in the well-recognized epidemic of autism that started in approximately 1990. I came to this issue as a scientist. I am not the parent of a child with autism, nor, to my knowledge, are any of my relatives afflicted with this illness.
Thank you Boyd Haley for that time-saving tip.  Here I thought that autism prevalences were estimated via systematic collection and analyses of data but all we need to do is get the opinions of "autistic parents" [sic] and the CDC.  Haley's contempt of autistics is also noted.
I'm not sure what his significance is as a scientist is; he's a chemist and his only contribution to "autism research" has been some self-serving, dodgy letters and studies with the likes of the Geiers, Sykes and Blaxill.
The material herein, mostly presented by Dr. Thompson, a self-described whistleblower, details his experiences with inappropriate CDC handling of data used in peer reviewed journals to demonstrate vaccine safety. His statements are incredibly damaging to the reputation and credence of any work that the CDC supported that addresses the autism and vaccine safety issue.
There is indeed a disconnect with this claim by Haley as according to him and his confederates, the studies which cannot find any association between particular vaccines and vaccine constituents are never accepted by them but someone like William Thompson can make mere assertions and that's somehow damaging to the CDC and unravels all the vaccine safety studies they have conducted.  Haley like RFKJr. seem to think that the CDC is the sole arbiter of vaccine science everywhere in the world.
The inability of the CDC to identify the causes of Autism Spectrum Disorders, no matter the rate, is apparent. Perhaps the reluctance of its leaders to appropriately consider potential causes that they find unpleasant to accept is the reason.
Haley is erecting an absurd strawman here.  He somehow tasks the CDC with being the only agency responsible for identifying Autism Spectrum Disorders aetiology and when they don't, it must be vaccines and that is an inconvenient truth they don't wish to acknowledge.  It's really a shame that anti-vaxxers can't get better representation.
Vaccine safety goes well beyond autism as well. It is disturbing to think that the comparatively high infant mortality rate that the US has compared to its peer nations, many of which have schedules far less aggressive than the US’s schedule and many of which do not mandate vaccination, may be explained, at least in part, by the possible illness-inducing effects of our vaccine program. Would the lack of safety research be an explanation for the CDC’s claim of one in six children with neurodevelopmental issues in the United States?
Haley makes a very rookie mistake by invoking the vaccines-cause-infant-mortality canard.  There is no association and one of the biggest mistakes that people who believe this and disseminate this make is that the definition of infant mortality from country to country is static.  It is very disingenuous of Haley to perpetuate this myth; he claims he has the acumen to comprehend vaccinology but completely fails to apply any scrutiny to what amounts to be an urban, anti-vaxx myth.
However, with the recent success in the push by the vaccine industry supporters to demand all children be vaccinated, this series is as necessary for parents and pediatricians to read as it is for our congressional members to read and investigate thoroughly.
This is a case of "be careful what you wish for".  I know true believers like Boyd Haley think that this book is going to be the spark that finally gets their congressional hearing or somesuch but I suspect all it will do is fall by the wayside like their previous attempts to garner attention for #cdcwhistleblower.  If this is any indication of what the book contains then a bunch of unsupported statements and a few talking heads telling readers what they ought to believe is going to have a very disappointing outcome indeed.

Foreword by Robert F. Kennedy, Jr.

RFKJr. begins with the obligatory, "I have always been fiercely pro-vaccine." but then predictably degrades into the usual anti-vaccine rhetoric.  RFKJr. bemoans the "continued presence of Thimerosal...in vaccines..." implying that Thimerosal is still in vaccines; it isn't.  It's only present in some multi-dose influenza vaccines and not paediatric vaccines nor those recommended for pregnant women.  He makes a claim that displays his ignorance and/or dishonesty regarding influenza vaccines:
Thimerosal is still present in four American vaccines, including giant “bolus” doses in fifty million flu vaccines administered each year to American adults, pregnant women, and infants.
What exactly are "giant bolus doses"?  RFKJr. would like us to believe that somehow larger-than-recommended doses of influenza vaccines are administered just because they contain thimerosal.  But let's look at some actual numbers.  Thimerosal-free influenza vaccines comprise the bulk of the supply, 66-68% to be exact or 116-118 million out of a total of 171-179 million manufactured.  The uptake for pregnant women and infants and young children is about 50% which is an order of magnitude below the availability of thimerosal-free influenza vaccines which are what is recommended for pregnant women and children less than three years old.   RFKJr. can't even qualify his statements with any evidence that these populations are receiving thimerosal-containing influenza vaccines.  In my opinion, his statement is intentionally inflammatory rhetoric and is relying upon those reading to just take his word based upon his namesake.

RFKJr. proclaims that because he published a book (my friend's ten year-old son published a book too) that he is some kind of expert in thimerosal.  He goes on to make lofty and completely unsupported claims that thimerosal is responsible for a litany of disorders and diseases.  Amusingly, other self-appointed "vaccine experts" jockeying for notoriety amongst the anti-vaxx brigade all have their own pet claims that aluminium, GMOs and foetal DNA are responsible for the same disorders and diseases that RFKJr. says thimerosal is responsible for.  RFKJr. even goes on to repeat the same hoary old trope that a broken multi-dose vial of influenza vaccine in a physician's office requires evacuation and environmental hazmat clean-up:
Thimerosal is so toxic that when a doctor carelessly shatters a multidose flu vial, state laws require evacuation of the building and clean-up by trained hazmat crews wearing protective boots, gloves, and respirators. Common sense should tell us that it’s not a good idea to inject this poison into infants or expectant mothers.
No, no and no; this is patently false and as an environmental activist or at least know someone at the EPA who could have helped him out with this one, RFKJr. should know better; I suspect he does but the reality doesn't make for whipping up indignation.  Multi-dose influenza vials contain ten doses or 5mL total volume.  There is 25μg ethylmercury per dose or 250 μg total in a full vial of a thimerosal-containing influenza multi-dose vial.  Let's compare this to a compact fluorescent bulb or CFL which contains 4-5 mg of elemental and highly volatilised mercury and what is required for cleanup and disposal.
Ventilate the room, clean it up and dispose of in a proper hazmat container.  But RFKJr. is perpetuating the myth that a full multi-dose vial with about 20 times less mercury (and a less toxic form) than a CFL somehow requires full hazmat cleanup.

RFKJr. introduces the thrust of the book and the players involved, namely Brian S. Hooker and William Thompson by immediately inflating their credentials and work to make them seem more relevant and knowledgeable than they actually are.  To whit:
Barry built his book upon four legally taped conversations between CDC senior vaccine safety scientist Dr. William Thompson and Simpson College professor and epidemiologist, Dr. Brian Hooker.
"Legally taped conversations" is arguable since William Thompson stated he didn't know he was being recorded and Brian Hooker lives in a state which requires knowledge and permission of both parties being recorded.  William Thompson isn't nor ever has been a "senior vaccine safety scientist".  He's a psychologist and worked briefly in the CDC's National Center for Immunizations and Respiratory Diseases, Influenza Division and also the National Immunisation Program.  Thompson also used to work for Merck but I guess that's only cause to discount someone if they are pro-vaccine.  Brian Hooker is a biochemical engineer, he has no epidemiology education nor experience as evidenced by his retracted Translational Neurodegeneration study in which he attempted a "re-analysis" of the 2004 DeStefano et al. MMR study and failed miserably.  Brian Hooker works in a second tier, private Christian liberal arts college with an undergraduate enrolment the same size as my child's elementary school.
He [Thompson] is also coauthor of the CDC’s seminal 2004 study known as DeStefano 2004, which dismissed the link between the MMR vaccine and autism. That study has been cited in ninety-one subsequent published studies and is one of the principal cornerstones for claims by the CDC and the vaccine industry that vaccines do not cause autism.
Another easily falsifiable claim by RFKJr.  DeStefano et al. (2004) is not a "seminal" study about MMR and autism.  Hell, reviews of MMR-Autism studies were being conducted prior to 2004 and DeStefano et al. (2004) is only one in a long list of studies from all over the world which cannot find any association between MMR vaccination or Thimerosal and autism.  RFKJr. goes on ad nauseam about (completely unsupported) statements William Thompson has made about rampant corruption within the CDC's Immunisation Safety Office.  RFKJr. also reiterates Thompson's claims of details about the "CDC's tricks for executing the fraud" but is nothing but hearsay from a person who hasn't even conducted statistical analyses for the studies he claims are fraudulent nor does he even have any expertise.  Thompson via RFKJr. claims:
That’s the gimmick the CDC has perfected, in order to preserve the illusion of Thimerosal safety. In the 2007 study, CDC scientists removed the low IQ individuals and individuals with autism or other neurological diagnosis from the pool before even beginning their study on Thimerosal exposure.
This is about as dishonest as someone can get since "Early Thimerosal Exposure and Neuropsychological Outcomes at 7 to 10 Years" wasn't even inclusive of autism per the own authors' parameters who include William Thompson.
Since the CDC is conducting a separate case–control study of autism in relation to mercury exposure, a measure of autism was not included in the test battery.
That is because a separate study examining Thimerosal exposure and autism was in the works and subsequently published as "Prenatal and Infant Exposure to Thimerosal From Vaccines and Immunoglobulins and Risk of Autism".  This study is remarkably absent from discussion for some very (not really) strange reason i.e. people like RFKJr. are confounded by the results:
In the covariate adjusted models, we found that an increase in ethylmercury exposure in 2 of the 4 exposure time periods evaluated was associated with decreased risk of each of the 3 ASD outcomes.
More on this later.  Going back to the Thompson et al. (2007) study, RFKJr. confidently proclaims that:
Despite those crooked presentations, scientists still found a persistent signal for tics, a family of grave neurological injuries, including Tourette’s syndrome that are associated with autism. Thompson now says that his bosses at the CDC pressured him to also alter the results of that study in order to conceal Thimerosal’s risks. Thompson says that the CDC’s Developmental Disabilities branch chief, Frank DeStefano, and his superiors at the CDC pressured him to manipulate the study’s findings and to bury the truth. In response to this pressure, the published version downplayed data showing that Thimerosal causes “tics.”
These are very serious allegations, allegations that would result in possible criminal penalties.  But glaringly absent is how?  Thompson didn't conduct the statistical analyses but being the lead author, he would have access to them and the raw data so should be able to provide definitive and conclusive evidence as to how the study's findings were manipulated but there is none.  Thompson et al. (2007) assessed 42 neuropsychological outcomes, tics being just one.  Thompson via RFKJr.   claims that "the published version downplayed data showing that Thimerosal causes "tics." yet the study results state:
Among boys, higher exposure to mercury from birth to 7 months was associated with significantly better performance on letter and word identification on the Woodcock–Johnson test, third edition (WJ-III), poorer performance on the parental rating of behavioral regulation on the Behavior Rating Inventory of Executive Function, and a higher likelihood of motor and phonic tics, as reported by the children's evaluators.
That is an accurate reporting of what they found and they can't say that "Thimerosal causes tics" because they also found significant positive associations:
We found no consistent pattern between increasing mercury exposure from birth to 7 months and performance on neuropsychological tests. Among girls, the only significant findings were two associations with better test performance. Among boys, there was a beneficial association between mercury exposure and identification of letters and words on the WJ-III and a detrimental association with behavioral regulation and motor and phonic tics according to the ratings of evaluators. An association with tics was also found in one HMO in the screening analysis of the CDC's Vaccine Safety Datalink4 and an analysis of the General Practice Research Database.21 The replication of the findings regarding tics suggests the potential need for further studies.
Thompson can say anything he likes but without evidence, they are just baseless charges.  Thompson too appears to be very dishonest by claiming causality.  If he is such a good investigator he should know that an epidemiological study cannot establish causality.  RFKJr. then veers the crazy train back to the MMR-causation claim:
The damage isn’t isolated to mercury-triggered neurological injuries. When Thompson discovered that the MMR vaccine was causing dramatic rises in autism in African American boys, his CDC bosses ordered him to keep his mouth shut. Thompson coauthored a seminal 2004 study on the MMR subsequently published in Pediatrics. He now admits that, under pressure from his superiors, his team fraudulently withheld data demonstrating a 340 percent higher risk of autism in African American boys who received that vaccine on time compared to boys who delayed the vaccine.
There is that claim of "seminal 2004 study" again; it's not and makes me wonder if RFKJr. knows what the word means.  DeStefano et al. (2004) did not find a "340 percent higher risk of autism in African American boys...", that was Brian S. Hooker and his incompetent "re-analysis" that apparently William Thompson helped him with.  Again I ask, if there were manipulation of the data in the DeStefano et al. study, how and why didn't Thompson give the missing data to Hooker?
When Thompson sent a letter complaining about the fraud to CDC director Julie Gerberding, her lackey, Robert Chen, chief at the Immunization Safety branch, stalked Thompson into the CDC’s parking lot to menace and threaten him. Thompson would be fired, Chen explained pointedly, if his complaints persisted.
Where is this letter?  In all of the "more than 100,000 documents" that Thompson allegedly gave Rep. Bill Posey and many to Brian Hooker, none are this letter?  Julie Gerberding has not been director of the CDC since 2009, just one of now countless facts RFKJr. can't seem to nail down.  More importantly, Thompson makes another serious allegation which is possibly a criminal activity and that is being menaced and threatened by a very accomplished and respected CDC scientist with more than 30 years of employ with the agency.  How very odd that such a blatant display of harassment could take place but Thompson is the only one to have experienced this.
Because of that study, doctors and public health officials continue to give that vaccine to children, even though its links to autism are proven in this and many other studies. On the basis of all the population data and the CDC’s most recent autism incidence estimates, at least 100,000 African American male children could have been spared debilitating neurological injury if the CDC scientists had told the truth when Thompson and his team first discovered the increased risk in 2001.
It truly boggles the mind that RFKJr. can make this leap; there are no other studies that "prove" MMR is "linked" to autism and again, even removing the DeStefano et al. (2004) study from the literature, there still exists dozens more powerful studies which cannot find any association.  It's pure race-baiting.  RFKJr. goes on to use Thompson's completely unsubstantiated hearsay to "verify" the "well-documented corruption at the CDC's Immunization Safety Office."  This appears to be the only somewhat supported allegation that RFKJr. has been able to make but has nothing to do with Thompson as he wants us to believe.  RFKJr. cites some reports such as Conflicts of Interest in Vaccine Policy Making (2000) which certainly exposes some problematic practices and it's also 15 years old, much has happened since then.  He also cites CDC Off Center (2007) in which then Senator Tom Coburn didn't agree with some spending that the CDC engaged in and even blamed the CDC when they got ripped off by employees and grantees, not much there.  Levinson (2008) found a substantial percentage of Special Government Employees within the CDC were not completing financial and conflicts of interest disclosures.  RFKJr. also invokes David Wright's scathing exit from the Office of Research Integrity but the CDC is not mentioned contrary to what RFKJr. claims.  None of this is any evidence of fraudulent behaviour by CDC scientists which is the crux of this book.
Thompson and his attorney have handed over thousands of damning CDC documents to Congressman Bill Posey of Florida in the hope that Congress will subpoena him to testify under oath.
So where are they?  If anti-vaxxers like RFKJr. and Brian Hooker want action then why is this the best they have to offer?  Rep. Bill Posey read a statement allegedly from William Thompson on the House floor in July:
At the bottom of Table 7 it also shows that for the non-birth certificate sample, the adjusted race effect statistical significance was huge. All the authors and I met and decided sometime between August and September ’02 not to report any race effects for the paper. Sometime soon after the meeting, we decided to exclude reporting any race effects, the co-authors scheduled a meeting to destroy documents related to the study. The remaining four co-authors all met and brought a big garbage can into the meeting room and reviewed and went through all the hard copy documents that we had thought we should discard and put them in a huge garbage can. However, because I assumed it was illegal and would violate both FOIA and DOJ requests, I kept hard copies of all documents in my office and I retained all associated computer files. I believe we intentionally withheld controversial findings from the final draft of the Pediatrics paper. 
If this is from Thompson, he has yet to acknowledge it although I don't doubt the veracity of the statement; it's just curious that this appears to be what Thompson wanted but is silent on the matter.  Thompson states that they decided to exclude reporting race effects but yet the final study does report race effects.  If Thompson can be this confused about such an easily verifiable fact in his own study, what does that say about his actual expertise and integrity?  His allegation that documents were illegally destroyed is very suspect and contrary to standard procedure for document dumps after electronic records are established.  Thompson so much as admits he reviewed the documents and thought they should be discarded but in the same breath accuses his co-authors of illegal document destruction.  Anti-vaxxers are putting their faith in yet again, another very suspicious person.

To be continued...

Sunday, February 8, 2015

Your freedom of choice - somebody else's baby

I am having discussions with my non-vaccinating friend at the moment, who describes herself as "pro-choice" when it comes to vaccination. What seems absolutely impossible to grasp for vaccine refusers is that their choice makes other parents' children ill, and, potentially, kills them. The parents whose babies contract measles did NOT get a choice, NO say in their children's infection. That is the effect of vaccine refusal:

The below is Mobius - there are 24 hours between those pictures - the photographer, a friend of Mobius' family, Donavan Freberg, describes their feelings (shared from Refutations against Anti-Vaccine Memes page with kind permission of Mobius' mum):

This is Mobius Loop. He is the son of my dear friends Ariel Loop and Christopher Loop. He has measles. It was just confirmed. This is real, this is awful and these two photos are 24 hours apart. The good news? He's getting better. Quarantine ends tonight and the baby seems to be recovering well. The bad news? This was caused by one thing only, total and complete ignorance and selfishness of the anti-vaxxers. Because of people not vaccinating their kids (and when I say "people", I mean much of the upper crust westside of Los Angeles) this little sprout (who was too young to be protected) fell sick to a HIGHLY CONTAGIOUS epidemic that up until recently, had been a thing of the past. This is infuriating, sad and worst of all, needless. The Loops are dear friends, long time photo clients and informed, smart people. Ariel is a nurse. You don't just vaccinate your kids to protect them, you do it to protect other's who are too wee to get the shots. You are doing it as a selfless act. Please send good thoughts and prayers to this little muppet and to his parents, who are truly some of the best people I know.

Side note: I was scheduled to photograph this sweet everlasting gobstopper, but then this happened. I intend to photograph him the moment he has fully recovered and will be donating 100% of my shoot fees to charity to raise awareness of the necessity of vaccines. As a photographer, I must do everything within my power to document this and see that the awareness of this spreads faster than the disease in question. To all people reading this and for those who may be on the fence about vaccinating your kids, please, for Mobius and for all those who are affected by this terrible and PREVENTIBLE disease, DO IT. Vaccinate!!!! Don't even think twice. Just think.

ETA: Mobius' mum, Ariel, also weighs in:


I have a lot of mixed feelings right now, but ultimately I'm relieved that Mobius is doing so well. The horrific cough aside, he's doing way better than anyone expected at this point.
However, I'm furious that we're now part of the problem. While he's up to date with his vaccines, at 4 months he isn't old enough for the one that should have made this whole outbreak almost impossible. During the four days he was contagious before his rash appeared, we went out to eat twice, ran countless errands, and have potentially infected other kids who are too young to have to go through this. That kills me. And might kill one of them.
I understand that vaccines are scary. Having to hold him tight while a stranger hurts him is hard. Having three people hold him still to get the blood to test him for measles, however, was infinitely harder. Even at the time I had this passing thought of, "Am I being paranoid? Am I putting him through more trauma while he's sick for no reason?" I found myself almost hoping it was measles then so at least having to torture him would be "worth it."
It isn't, though. He shouldn't have had to go through any of it. I shouldn't have had to set alarms for myself in the middle of the night to make sure he was still breathing. It's bittersweet--I can't be as comforted by his recovery as it is clouded with guilt and fear that we might put another family through this.
Please, don't put other families through this.

Thursday, August 28, 2014

sadly - another: Aliana has SSPE

While social media are a-buzz with stories of a CDC whistleblower - let's remind ourselves why everyone should vaccinate their children (and themselves).

Max, Micha and Natalie have already died. Angelina, who turned 9 years last week, is still fighting. We know their names, because the measles vaccine has significantly reduced the incidence of SSPE, the fatal complication, that shrinks a child's brain, many years after infection.
Now, another girl has been diagnosed - learn her name - celebrate her life - vaccinate your kids, so not one more child has to join the exclusive club:


Aliana was born in early 2010 - a "good measles year" in Germany, with "only" 780 cases. Aliana was one of them - she fell ill as a 6 months old infant, it is not clear who infected her. Then she recovered, at least so it appeared. Aliana grew, she was an open, friendly girl. She quickly found friends, because everyone liked to play with her. In retrospect, she maybe fell more than her peers, but then again, she was still little. But suddenly, Aliana started to forget everything, she couldn't speak as well as she used to. Then, motor problems started, she stumbled, and fell. Unfortunately, the original diagnosis of epilepsy was wrong and 4 weeks ago, Aliana was diagnosed with SSPE. Her grandmother describes the indescribable [my translation from the German]:

I am the granny of a girl who loved life, played games, was friendly to all, and so kind. When I sang songs with her, she immediately knew the lyrics by heart. I could tell you so much more about this little girl, but it breaks my heart how slowly, everything gets lost.

This has to stop! Every case of SSPE, a fate like Aliana's and her family's heartache can be avoided. Check your and your children's vaccination records. Everyone should get/have gotten 2x MMR to protect themselves and babies like Aliana from measles.

Thursday, June 12, 2014

A year's worth of measles cases in a week - calling it!

The CDC has just reported the measles cases for 2014 to date: 402 (that is four hundred and two) and 65 cases more than last week. The entire year 2010 only saw 63 cases and in fact, the median number between 2000 and 2010 was 60 per year. How can that be?! Very simple: Every year, measles are imported into the US from abroad. If they are imported into communities with low vaccination coverage, they will spread - usually not very far. Just that this time, measles got imported into a much larger pocket of low vaccination coverage - the Ohio population of Amish. And although these are now vaccinating, there are enough non-immune people around to sustain the outbreak, sustain it big time (I am sure we'll hear a luke warm "that's not an outbreak" from Bob Sears at some point though).

image credit nbcnews

In any case - with 402 cases, the time has come to call it - the last really big outbreak of measles in the US was in 1989 to 1991. Around 55000 people got sick, at least 123 died acutely for a mortality rate of 1 reported death in 451 reported cases. We know that there have been at least 11 SSPE cases due to that outbreak, so the death rate is more like 1 reported death in 414 reported cases. We will reach at least one of these numbers next week. That doesn't mean that someone is going to die next week, statistics don't quite work that way. However, it is, at this point, more likely than not that we'll see a death before the end this year.

I am going to call something else: one someone dies, the anti-vax are going to find something "defective" about the victim, and if it isn't something obvious (like the measles victim in Wales, who reportedly was an underweight adult with a past alcohol problem, so "clearly" not like the vaccine refusers' little snowflakes), they are going to make something up (wrong diet, blabla). No number of deaths will be "enough" for them - sad!

Now is as good a time as ever to check your children's and your own immunization records - 2xMMR is extremely effective in preventing measles and saving lives! Just do it.


Sunday, March 16, 2014

Anniversary

the third anniversary of Angelina's diagnosis. Just before, she had been a completely healthy six year old:

vorher
then SSPE, the late and invariably fatal measles complication became overt. This video by the German Association of Pediatricians explains the stages - watch it, you'll get the gist - at first, she is "only" clumsy and falls, then the seizures start, and very few months later Angelina was incapable to doing anything. This is the condition she has been in for the past 2.5 years:




Angelina's mother wonders at the end of this video, why parents do not vaccinate their children, while they are all buckling them up in the car. She does support mandatory vaccination (no shots, no school does not exist in Germany).

I agree with the doctor in this video:

Parents - go get your children vaccinated, especially against measles, mumps and rubella. If you are not immune, talk to your doctor and get yourself up to date.
If you are afraid to vaccinate, talk to your doctor and work with him/her on "unscaring" yourself. Then vaccinate your child/yourself. Thank you.

You are an anti-vaccine activist? Have a careful look at that film clip. It shows the results of not vaccinating. Measles could have long been eradicated, where it not for pro-disease activists like you. Please realise that the risk of infecting a baby with measles is something you cannot control.

Friday, March 14, 2014

Measles Madness

no really - absolutely madness. Do parents in the US not realise how good they have it with measles not circulating and their babies protected? We are 10 weeks into the year, not quite 20% and the CDC reports 71 cases of measles. SEVENTYONE! In 10 weeks! That is as many as in the entire year 2009 and more than in 2010 and 2012.

7 cases in Orange County. 19 in New York - 5 of those hospitalised - that is a quarter. Honestly? What is this? The Middle Ages? The potential for further spread and infection of vulnerable, young, old, sick, immuno-suppressed is horrendous - look at this from the Orange County outbreak:

SEVEN possible exposures in 5 different hospitals/doctors' practises, TWO different schools exposed, with 1 (only - luckily) and 13 kids with philosophical exemptions respectively. What will it take for people to sober up? For uneducated C-rated starlets to shut up and get their child appropriate medical care? Will a child have to die?

It is time for vaccinating parents to speak up. Stop being tolerant of your friends' and neighbours' vaccine denial. Tell them that what they are doing is unacceptable and dangerous. Start asking questions at your daycare centers, schools, doctors' offices - how many of their pupils/patients are unvaccinated out of personal choice. Tell them it is not acceptable and dangerous to be complacent. Speak up.

Thursday, February 27, 2014

KISS 2/27/14 Good and bad measles news

1. PSA: If you work in a cancer center, get your MMRs

A research student at the Hillman Cancer Center infected with measles has exposed 300 co-workers and cancer patients to this highly contagious disease. 15 unvaccinated colleagues have been asked to stay at home until next week, over 100 non immune patients were seen and some have had to be treated with anti-measles immunoglobulins to prevent infection. This is a total nightmare scenario, easily prevented by getting your MMRs. So if you are about to start work in a cancer research center (or hospital, or nursery, or school), or you are planning to travel abroad, check that you have had 2x MMRs. Do not be that index case!

2. Carribean has not seen measles transmission since 2002

Not that I would encourage anyone to travel unvaccinated, but you would be unlikely to bring back measles from the Carribean, as PAHO reports today. Before the establishment of PAHO/WHO’s Expanded Immunization Program in 1977, more than 250,000 measles cases and 12,000 deaths were recorded yearly in the Americas, so this is an amazing, life saving success of measles containing vaccines/MMR.

Sunday, February 23, 2014

KISS 2/23 More measles in California

Crowne Hill Elementary reports two more cases of measles amongst the 10 unvaccinated students excluded from the school last week. I wonder whether we'll ever learn how many were patients of Bob Sears, whose practise lies a mere 58 miles from the school?

In any case, let's hope none of the patients have a little sibling in River Springs Charter Kindergarten, 7 miles away, where a whopping 22% of pupils, 117, have a personal belief exemption from vaccination:


Wednesday, August 7, 2013

Matthew Mientka, Medical Daily, takes the prize for Daily Mail necromancing

and the piss poorest, most irresponsible and non-researched reporting I have seen in a decade and I have seen a lot. His latest piece in the Medical Daily's "Healthy Living" section is headed:


In his write up, Mr Mientka essentially recycles a Daily Mail article - this one:



which reports on a paper from Dr Vijendra Singh which finds inappropriate antibodies in autistic children vaccinated with MMR. If that sounds both familiar and old, it is not surprising. That article is 11 years old! Granted, as previously blogged by Liz Ditz and jdc325, the Daily Fail does not often provide date stamps on their articles, but the page info clearly has 2002-08-09 as a publication date. JDC did write to the Daily Mail in 2011, but it seems they did not add a date. However, the fact that the "current" measles cases in the Daily Mail article are compared to "the last quarter of 2001" should have given Mr Mientka a hint. Or if he misread that, seeing Andrew Wakefield being referred to as "a British expert", who "found fragments of the measles virus from the MMR jab in the guts of autistic children"..."earlier this year" should have made him suspicious.  Or that the article is "no longer" accepting comments? At the very least, a quick check with the National Autistic Society in the UK would have shown them NOT to call for suspending the MMR and Jonathan Harris has not worked for NAS since 2008 anyway is the Birmingham contact for Jabs. It is one thing for an anti-vaccine cureby or granola-mummy page to fall for such an obviously outdated article, but a journalist, one would think, should be a bit more careful. At the time of me writing this, the article had been tweeted 18 times.

Todd W. was fast to ask Mr Mientka for his sources - the answer was a bit vague:


This one, a few minutes later, is a bit more promising:


Yes, please! In all likelihood, everyone will still be playing "whack a geriatric mole" for weeks, thanks to one person's shoddy research.

Edited to correct that Mr Harris is actually working for Jabs, a UK anti-vaccine organisation. This is a mistake that Mr Mientka took from the Daily Mail web site, but the BBC had it right in 2002.

Monday, August 5, 2013

Measles in the Netherlands: I'll call it

I was tempted last week, when the measles cases in the Dutch Bible Belt topped 600, but then I didn't. It suddenly appeared morbid, petty and like I wanted it to happen. By last Thursday, 780 measles cases had been reported in the current outbreak. So I'll do it.

There'll be a death. Soon.

In Europe, for about every 1000 reported measles cases, there is one death. The latest outbreak was in Wales, it ended last month with 1219 cases and one death, Gareth Colfer-Williams, who died of giant cell pneumonia, a specific complication of measles. But that particular area in the Netherlands has had its own outbreak in 1999/2000, totalling 3292 cases, over 150 hospitalisations and 3 deaths. It is eerie how this pans out to 1 in 1000. As a side note, 94% of patients were totally unvaccinated and only 1 of the 3292 had had 2xMMR. In fact, the vaccine works so well, that unvaccinated individuals were 224 times more likely to acquire measles than were the vaccinated. But I am getting side tracked. I called it. I hope I am wrong.

Saturday, June 15, 2013

Meanwhile, measles break out in the Dutch Bible Belt...

The Netherlands do have a "Bible belt" - an area which has a high density of fundamentalist protestants, characterised by their vaccine refusal (and a generally conservative attitude amongst the very liberal Dutch). This has, over the years, given rise to serious outbreaks of vaccine preventable diseases, extending far beyond the belt region. For example, in 1978, a polio outbreak in the Netherlands, totalling over a 100 cases, of which 80 (all unvaccinated) were paralytic and one was fatal, spread to Canada and the United States leading to 14 cases of paralytic polio in unvaccinated Amish, and a further 2 non-paralytic cases in unvaccinated non Mennonite in the area. Apart from the molecular analysis of the virus, showing that the cases were related, the infection chain was also clear:
During the 1978 outbreak, members of the affected religious group traveled from the Netherlands to Canada, where cases subsequently appeared. An Amish family from an Ontario town 15 miles from the affected area moved in late summer 1978 to the Pennsylvania town where the first U.S. Amish case subsequently occurred, in January 1979.
Another polio outbreak struck the area in 1992/3, most of the 71 cases amongst the unvaccinated Bible belt inhabitants. This outbreak also spread to Canada.

In 1999/2000, a measles epidemic struck the Bible belt and neighbouring regions, totalling just under 3300 cases, of which 94% were entirely unvaccinated, and only one patient had had both MMRs. 16% had complications, over 150 were hospitalised, and 3 patients died. Importantly No association was observed between preexisting illness and either reason for admission (P = 0.5) or residual symptoms at discharge (P = 0.5) contradicting the notion that measles are a generally "harmless" disease in "healthy" children.

More recently, in 2004/5, rubella (the "r" in the MMR) swept through in the Bible belt, also spreading to Canada. The consequences were devastating:
In The Netherlands and Canada, 387 and 309 rubella cases were reported, respectively. Of these, 97% were in unvaccinated individuals of orthodox protestant denomination. Reported consequences of rubella in pregnancy were 2 fetal deaths and 14 infants with congenital infection. Of the latter, 11 had clinical defects including deafness in all but eye defects in none. 
The reason should be crystal clear - low vaccination uptake. The Dutch equivalent of the CDC, the RIVM publishes the numbers in handy maps - see the MMR vaccination coverage in the 1998 cohort (as school children, the baby chart was not available) vs measles cases:

The darker, the bad

Now, 13 years after the last big outbreak (enough time for the next generation of unvaccinated Bible belters), the next outbreak has started, with one protestant primary school boasting an impressive 1 in 5 pupils infected:

the "belt" even more visible in infant vaccination gaps

This is an impressive illustration how vaccine refusal (in religious and quasi-religious groupings) leads to large national and international disease outbreaks, causing significant illness, disability and death. These communities effective provide CPR to diseases that should have long been eradicated by providing a "renewable" population of susceptible individuals. Since it may not be possible to change the attitude of certain groups, it is even more important to uphold vaccination coverage around them, to reduce the potential for spread as much as possible.

Sunday, June 9, 2013

Insolent demands and reality

There is a measles outbreak in Wales. 1181 cases of measles have been reported since 1 November 2012. Quite impressive for a small country (Wales has about 3 million inhabitants). Public Health Wales have done a stellar job in reporting numbers, breaking them down into the different Welsh regions and they run a Facebook page on which you can ask questions and will get them answered. Countless weekend and in-school clinics were run to get the Welsh youth protected (a lot of teens did not get their MMRs/or MMR booster in the wake of Wakefield's manufactuversy).

Despite PHW's fabulous work, the pro-disease faction have been up in arms. First of all, they abused the fact that not all cases were laboratory confirmed to claim that there is no outbreak, it is fabricated, all to cause panic to increase vaccine uptake (like good vaccination uptake was a bad thing). Never mind that laboratory confirmed cases are catching up with the reported numbers (like they should, those tests take some time to come back); that is part of the conspiracy, too (lowers voice "they noticed that numbers don't match, so they are making new numbers up" - really).

Equally suspicious, according to the anti-vaccine-critical, is that the vaccination status of reported cases is not reported in real time. PHW quite clearly stated on their web site that they'll publish a full report after the outbreak:


and explained on their Facebook page (multiple times) which cases were tested:



many anti-vaccine posters still insist that the delayed publication of numbers was fishy (after all, GPs should know whether their patient has been vaccinated or not) and continually allege that real time reporting was somehow important for their decision.

I call bullshit - there is nothing unique about the Wales outbreak. Last year, just north east of Wales, the Merseyside measles outbreak saw 359 confirmed measles cases, of which, not surprisingly, only 12 (3.3%) had received 2 MMRs. Those hugely relevant numbers (the two outbreaks within a year and 150 miles of each other) are convincing truly hesitant parents:

Meanwhile, I received the following letter from my Health Board:

It seems that although we have been registered with the same GP for many years, and said GP should have all of our children's vaccination records, and I have in writing that they are up to date, their Child Health System has our son down as "not [having] completed the full course of 2 doses of MMR". Obviously, ascertaining vaccine coverage is not quite as trivial as some think.

Thank you PHW for checking before publishing data on vaccine coverage without verification.

Now if you or your child really have not had 2 MMRs - go get them now. MMR is highly effective in protecting you and your loved ones from measles.

Wednesday, April 24, 2013

Fear mongering and responsibilties - UK private vaccine clinic fuels MMR fears

Wales is currently heading the leader board, unfortunately not in a good way (like for rugby), but for measles infections in the Western hemisphere. Since February, Wales has had nearly 900 reported measles cases, 80 of them hospitalised, and, as feared, now the first suspected death, 25 year old Gareth Colfer-Williams. A lot has been written about responsibility. Obviously, Andrew Wakefield came up as the main culprit, who in turn blamed the government for the outbreak, which they rejected. To be honest, to solely blame Wakefield for the MMR mess would be too much credit to the man. The MMR mess is a media manufactuversy as beautifully summarised by Ben Goldacre. And the greed for the headlines has not stopped, and Wakefield is still given front page coverage by irresponsible papers.

Meanwhile, clinics providing single vaccines for measles and rubella are having a field day. Under the guise of "we are just responding to parental fears" one private provider of single measles vaccines, the Children's Immunisation Clinic (CIC), is advertising their services (£ 50/~US$ 75 registration plus £ 110/US$ 165) playing on the MMR-autism lie, while making totally untenable claims. This starts off with:
A high percentage of the children we vaccinate also have allergies and excema which indicate they may not have a perfectly functioning immune system – and even so we have no recorded adverse reactions.
Wow - that is impressive. I wonder how they do that, given that the Rouvax for example, one of the vaccines that CIC is offering, has the following adverse effects (my bold):
The most common side effects (in more than 1 in 10 subjects vaccinated) seen in clinical trials were irritability/agitation and rhinopharyngeal catarrh.
Other side effects that occurred in more than 1 in 100 subjects vaccinated in clinical trials were fever >38°C, injection site reaction, rash/cutaneous eruptions, conjunctivitis, nausea, vomiting, abdominal pain, diarrhea.
They then post a google link to Hannah Poling:
In October 2008 Hannah Poling an autistic child won a huge payout from a triple vaccine manufacturer, who said that she had a DNA genetic predisposition to become autistic given the MMR vaccine More Info…
 and concluding with this beauty:
In 2009 a Dr Walker in the USA has studied 275 autistic children and found in a large percentage of the cases that these children had the live Measles virus living in their gut after vaccination with the triple MMR .You can see more about this on the Daily Mail online. We do not use the same MMR or Measles virus vaccine in the vaccine we have chosen to use.
At this point already, I know I am never going to entrust my child to this clinic. The Daily Mail as a source for medical information? Honestly? The article they mean is the one previously bemoaned by Liz Ditz to have been posted without time stamp. Everything else is false, too.

Steven Walker's work was presented as a poster at the IMFAR conference in 2006, so no "study", not in 2009 either.

The abstract reports on results of 82 kids, 70 of them supposedly had measles vaccine virus in the gut. They tell us they have samples of >275, but have not analysed them all. Also, we know since Dr Bustin's testimony to the Autism Omnibus proceedings and Hornig et al that measles virus has not and cannot been found in the guts of > 80% of autistic children.

I think this claim "We do not use the same MMR or Measles virus vaccine in the vaccine we have chosen to use" is a lie. We already know that the clinic have not looked at Walker's data, since they misrepresent his findings. There is actually no way the people at the clinic can know what vaccines the children Walker looked at had received, because it is not reported in the abstract and a full paper has not been published since 2006. Given that Arthur Krigsman is the senior author of the abstract and children have been flown to him certainly at least from the UK, it is not clear which measles vaccine strain they had been vaccinated with. The French Rouvax, CIC are offering contains the Schwarz strain, which is also the measles strain used in GSK's Priorix, often used in Europe, the Indian Sii M-Vax, also on offer at CIC contains the Edmonston-Zagreb strain, also contained in the Swiss MMR-Triviraten (Berna) (CIC also import vaccines from China and Russia, if someone knows what vaccine strain is in those, email me).

Now, tell me how you can interpret the above facts and let the clinic appear in a good light. At best, their research was irresponsibly shoddy and they conveniently believed the Daily Mail. At worst, they are intentionally fuelling parental fears to sell their singles with false claims. It gets worse though - on the side bar, on the lower right, the clinic claim:




No Autism in over 10 years and amongst 18000 Patient Record Cards?! That is an outstanding record and it sounds dangerously like a "warranty" (I am not a lawyer, but a lawyer friend of mine pointed this out). Absolutely amazing, especially given that autism/ASD prevalence in the UK has been published to be 1 in 67, so they should be looking at about 282 patients on the spectrum, give or take a few. The reason for their "Clinic Highlight" might be their rather unorthodox method of assessment...  "We [the clinic] ask you [the patient] tell us if you have an adverse reaction within a few days of the vaccine."


They are obviously way out of their depth now, because it is all fine and well to make exaggerated claims when it is "only" about people's money. But now Wales is steering towards breaking the 1000 mark of measles cases (probably by next week), children and young adults are very very sick and one might have died, and the tolerance wears thin. While CIC is still keeping up appearances for the BBC, they seriously lost it in response to a short article in last week's Sunday Times and in the middle of a massive rant (which they really want you to read in its entirety and not quote out of context, so they mention it twice, probably because they know how tedious their rant is) about "offering singles will increase herd immunity" and "not politicising the issue" slip in this paragraph (all typos are [sic]):
9) CIC is not judgmental about parents’ choice of vaccine (any vaccination ,generally ,is better than none) nor does it have any preconceived ideas as to the causes, be they single trigger(s) or perhaps even several different combinations of triggers.
Anecdotally though,  that portion of the parents who tell us their stories , all confirm that there was a dramatic change in behaviour, either with their child ,from their circle of friends , neighbours or work colleagues; and these families make up a significant minority proportion  of our population,
The emotional and financial burden on the family, the limited funding of the UK’s Health sector all point to potential benefit of further timely research into those specific cases which may then be identifiable as being preventable An unencumbered choice for either single or multivalent MMR vaccine options would do less harm  than the current situation of a large portion not willing to engage in any vaccination programme.
Goodness, somebody save them from themselves. CIC are in a hole, they should stop digging. If they wanted to keep up the illusion that they are there "to help" instead of setting up shop in Swansea in the middle of an outbreak and charging full price for their services, maybe they should have offered their singles at cost? Just to maintain the illusion that they weren't hell bent on keeping the MMR autism lie alive for their own business interest? Just an idea.