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January 20, 2001 Search
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‘When Friends Ask Should Children Be Immunised,
My Answer Is No’
[”All hell will break loose” warns fellow autism
researcher Paul
Shattock commenting on today’s release of Andrew Wakefield’s
latest
research. By Lorraine Fraser in the Telegraph UK.]
http://www.telegraph.co.uk/et?ac=004193535831504&rtmo=VDqDVDwK&atmo=rrrrrrrq&pg=/et/01/1/21/nmmr21.html
The consultant who first raised concerns about MMR
vaccinations has disclosed to The Telegraph that he has identified nearly 170
cases of a new syndrome of autism and bowel disease in children who have had
the triple-dose injection.
Andrew Wakefield, a consultant gastroenterologist at the
Royal Free Hospital in London, said that in the “majority” of cases parents had
documentary evidence that their child’s physical and mental decline had followed
the vaccination.
Professor Wakefield said: “Last week in our clinic we saw
nine or 10 new children with exactly the same story, referred by jobbing
paediatricians from around the country who said, ‘This child developed
normally, had a reaction to MMR and is now autistic’”.
In his first public comments since the row erupted in
1998, when he reported on 12 cases, Professor Wakefield said that he remained
seriously concerned by the safety of the vaccine, despite reassurances from the
Department of Health.
He said: “The department says that the safety of MMR has
been proven. The argument is untenable.
It cannot be substantiated by the science. That is not only my opinion but
increasingly the view of healthcare professionals and the public.
He said: “Tests have revealed time and time again that we
are dealing with a new phenomenon. The Department of Health’s contention that
MMR has been proven to be safe by study after study after study just doesn’t
hold up. Frankly, it is not an honest appraisal of the science and it relegates
the scientific issues to the bottom of the barrel in favour of winning a propaganda
war.”
The doctor, who was fiercely attacked by health officials
for voicing his doubts three years ago, said in an exclusive interview that he
felt driven to break his silence because of the accumulating evidence. His
remarks will infuriate the Government and sharpen the dilemma of parents over
whether to have children innoculated with MMR.
It emerged last month that a rising number of doctors and
nurses were worried about giving second doses of the vaccine, and pressure is
growing for its separation into its three component vaccinations, spread over
three years. In his 1998 article in The Lancet, Professor Wakefield reported finding
a devastating combination of bowel disease and autism in 12 children.
His revelation that that figure has reached almost 170
cases will shock parents and doctors and add pressure on the Government to
justify its vaccination policy. This month Dr David Salisbury, the head of the Government’s
immunisation programme, insisted that MMR was safe.
The vaccine, which contains live measles, mumps and
rubella virus, has been given to millions of children in the UK since its
introduction in 1988 but the take-up rate has fallen sharply since Dr Wakefield
made his original claims.
Ten days ago health chiefs warned parents that Britain
could face a measles outbreak unless more had their children vaccinated with
MMR. Professor Wakefield said, however,
that if an outbreak were to erupt it would be the fault of the health
department, which had “failed to address the safety issues”.
The doctor and his colleagues are testing the hypothesis
that the measles virus from the vaccine can lodge in the gut of susceptible
children, damaging the bowel and causing autism, and that the addition of the
mumps virus makes that more likely.
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* * *
[Telegraph editorial by Lorraine Fraser.] http://www.telegraph.co.uk/et?ac=004193535831504&rtmo=qxMxqx99&atmo=rrrrrrrq
&pg=/et/01/1/21/nmmr121.html <- - address ends here.
When Andrew Wakefield first told the Department of Health
three years ago of his fears about the combined measles, mumps and rubella
(MMR) vaccine and described to ministers the terribly damaged children that he
had examined, he assumed that he would be taken seriously.
Since then, however, he has been pilloried for voicing his
concerns and the department’s only response to his findings has been to
undermine or ignore them. In fact, despite being aware of worrying new
evidence, it has continued unwaveringly to reassure the public of the safety of
the combined vaccine which a growing number of doctors fear may have triggered
serious side affects in thousands of previously healthy children.
After a period of public silence, Dr Wakefield, an expert
on inflammatory bowel disease, has decided to risk the wrath of the department again
because he believes that he has now amassed enough evidence to seriously
question the Government’s stance.
In an exclusive interview with The Telegraph, his first
substantive comments since he provoked the row in 1998, Dr Wakefield has
disclosed that he and his colleagues at the Royal Free hospital in north London
have examined and diagnosed 170 cases of a new syndrome of bowel disease and autism
which defy the official wisdom.
More often than not, these profoundly affected children
had fallen ill after being given MMR, having been normal, thriving children up
to that point. He said: “Tests have revealed time and time again that we are
dealing with a new phenomenon.”
“The Department of Health’s contention that MMR has been
proven to be safe by study after study after study just doesn’t hold up.
Frankly, it is not an honest appraisal of the science and it relegates the
scientific issues to the bottom of the barrel in favour of winning a propaganda
war.
“The official reaction to this debate is a great shame.
The parents were right. They came to us in 1995 saying their children had been developing
normally had met their milestones; speech, language, social interaction, good
eye-contact.
“Then following MMR these had disappeared; the children
had lost all their acquired skills and been diagnosed as autistic. Second, they
had bowel problems which, the parents were sure, were linked to their autism.
Third, there is an epidemic of this disease.
“We took them seriously and found that they were
absolutely right. Now what do we do when they say to us ‘I think this is MMR’?
Do we take that seriously and investigate it or do we sit at the end of a phone
in the Department of Health in Whitehall and say ‘I’m terribly sorry you child
has autism but it’s all a coincidence’?
“If you are mandated to check on vaccine safety and
maintain public confidence you don’t just dismiss the idea as a coincidence.
That is not good enough, it is not good medicine.”
Although he sees himself as primarily a scientist in
pursuit of objective truth [he trained at St Mary’s hospital medical school in
London and is a qualified surgeon] he has now become a champion of parents who
feel that their fears have been ignored. He is braced for the furore which will
erupt this weekend after the publication of his outspoken comments and a paper criticising
the paucity of safety research on MMR.
He first provoked a storm in 1998, when he and
leading colleagues
published a paper in the medical journal The Lancet
describing a new form of
serious bowel damage in 12 children with autism and
reported that several parents had said their child’s physical and mental
decline followed MMR vaccination.
Since then they have been testing the theory that measles
virus from the combined MMR vaccine can colonise the bowel of susceptible
children, producing inflammatory bowel disease which then, via a disruption of
the chemical balance in the body and brain, leads to autism. Dr Wakefield admitted
last night that the researchers have yet to prove their theory. He insisted,
however, that there is evidence enough from the research to be deeply
concerned.
In this weekend’s paper, published in Adverse Drug
Reactions, a respected medical journal, Dr Wakefield and a leading
epidemiologist, Scott Montgomery, from the Karolinska Institute in Sweden,
reveal that the longest period of follow-up in any published safety study was
just four weeks.
Evidence of bowel effects and interaction between MMR’s
measles, mumps and rubella components were ignored. It says that as long ago as
1979, autism researchers had found that unusual exposure to viruses, including MMR’s
constituents, was a risk factor for autism.
Dr Wakefield told The Telegraph that he sent an advanced
copy of this analysis to the government’s Chief Medical Officer Liam Donaldson
last May. The department has declared
it “bad science”. Professor Dame Rosalind Hurley, however, a former chairman of
the Medicines Commission, describes his paper as a “welcome contribution to the
on-going scientific debate”.
Dr Wakefield said: “Our new paper is not anti-vaccine. It
is about the safest way in which to deliver these vaccines to children in order
to protect them against acute infectious disease and against the long-term adverse
reactions that I believe we are now seeing.
Officials should have noticed the warnings from earlier
studies that such a combination could lead to problems, he said. The safest
option while doubts remain, he insisted, was for the three vaccinations to be
given to children separately.
“If measles epidemics come back then they come back
because of the failure of regulators to address the safety issues, to recognise
those clues in the early scientific papers which should have alerted them to
the possibility of long-term side effects and to respond to the question marks that
have been raised. I think they have misread the public mood.”
* * *
[By James Le Fanu, Telegraph UK.] http://www.telegraph.co.uk/et?ac=004193535831504&rtmo=qxMxqx99&atmo=rrrrrrrq
&pg=/et/01/1/21/nmmr221.html <-- address ends here.
I take a dim view of health scares for the obvious enough
reason that the hundreds I have encountered in my 15 years at The Sunday
Telegraph have proved to be without foundation. Their unifying feature, whether
it has been the imminent heterosexual Aids epidemic, passive smoking, declining
sperm counts, electromagnetic fields and so on ad nauseam, is that they are
both biologically implausible and intellectually incoherent.
The exception, clearly an important one, is the alleged
link between the MMR vaccine and childhood autism, highlighted yet again last
week by the disclosure that the safety studies conducted prior to the vaccine’s
introduction lasted a mere four weeks. By definition there was thus failure to
detect adverse symptoms appearing after this time, which renders quite meaningless
the official protestation that the vaccine has been proven to be “safe”.
The immediate response to Dr Wakefield’s report of 12
children whose autism and bowel symptoms appeared to follow soon after their
MMR immunisation was that it was “coincidence”. The MMR is usually given around
18 months of age, which is also the time it takes for parents realising that there
may be something wrong with their child’s development to obtain a specialist’s
opinion and be told the diagnosis.
Further “coincidences” explanations appear to be
vindicated by a survey conducted by Professor Brent Tayler of London’s Royal
Free hospital. On investigating the
circumstances surrounding the diagnosis of autism in almost 500 children in
north London, he found that the timing was the same irrespective of whether the
child had been immunised or not. So our parents might, quite naturally, have
suspected that with their child’s autism and MMR immunisation coming so close
together they must be related. But they were wrong. End of health scare. Or is
it?
Mosty children with autism are born with the condition,
although it may take up to 18 months before it is diagnosed, but the
characteristic feature of Dr Wakefield’s cases is that the children’s initial
development was entirely normal and they achieved their milestones just as
predicted. Then suddenly and
catastrophically they lost the skills that they had already acquired and they
became withdrawn, intellectually uncurious and socially disconnected.
This type of devastating “regressive” autism, where the
wiring of the normal brain seems to go haywire, has been recognised in the past
as a rare variant, accounting for at most five per cent of all cases. In
Professor Tayler’s survey they constitute 25 per cent and in an even more
recent one from south London they constitute 50 per cent.
Simultaneously, while the proportion of cases of
regressive autism has escalated, so has the total number - a four-fold increase
both here and in the United States in the past two decades, when the MMR
vaccine has been widely used.
Professor Tayler’s survey completely fails to address
either of these phenomena, which self-evidently are highly relevant to the
postulated link with the MMR vaccine. Hence his conclusion that it is all just “coincidence’
is, like the four-week safety studies, quite meaningless.
To put it another way, the rise
both in the frequency and type of autism is precisely what would be expected
were the link between the MMR vaccine and autism - as originally identified by
Dr Wakefield and attested to by so many parents - genuine. So now, when I am
asked by friends whether they should have their children immunised, my answer
is “no”.
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ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.