Welcome to Facts, not fantasy. This is a "learning node" of the internet where we try to clear up some misconceptions and lies that are going around about vaccines and evolution. Click on the main item of interest (Vaccines or Evolution) and you should find a list of "points" that you are free to use (or research). All we ask is that you link back to this page if you use anything from it. Thank you for visiting.

Vaccines win their day in court again!

Monday, March 15, 2010

 
Here is a quick update from Dr. Plait. I would like to emphasize what he says in the last part of it. Now, it is valuable to make sure that vaccines don't cause autism, and the science has been done with all the techniques and technology we have. And should new techniques and technology become available, it's not a bad thing to take another look. However, the anti-vax pro-disease nutters are diverting tremendous resources in their quixotic pursuit of this non-existent link. Not that it will stop them. Reason and reality very rarely has an effect on these people. Facts are just an obstacle to overcome for their propaganda.

Vaccines win their day in court again!

A special court set up as part of the National Vaccine Injury Compensation Program

has ruled that there is no evidence that thimerosal — a preservative used in vaccines, but removed from virtually all of them years ago — causes autism.

Yay!

Last year, this same court ruled that evidence presented by families claiming their children were harmed by vaccines was insufficient to show that vaccines cause autism. In fact, one judge said that the families were misled by antivax physicians.

This new ruling is a good one. Medically and scientifically, it’s been known for some time that thimerosal does not cause autism. This graph makes it pretty clear:


Since the removal of thimerosal from most vaccines, autism rates have increased. The antivax movement has frothed and railed about this, but as usual reality is firmly against them. I suggest you read Australian skeptic Maggie’s take on this topic as well.

As a parent myself, I have sympathy for parents of autistic children, I really do: no parent could deny the strong urge to defend and protect their child against all threats. But because we are so strongly emotional in cases like this, we have to be ever-more vigilant about using logic, evidence, and rationality, lest we react to a problem that doesn’t exist. The parents who brought their cases to this court are, I suspect, well-meaning and desperate for answers. But the respite they seek will not be found in an imagined link between vaccinations and autism.

This movement is doing serious damage in two ways. One, it’s scaring parents unreasonably into not vaccinating their kids, putting these children and others at risk for contracting preventable diseases. But second, this whole debacle is distracting researchers against looking for the real causes behind autism. In other words, these people are fighting against their own cause.

We need real answers about autism, and the antivax movement is wasting tremendous resources that could be far, far better spent looking at the reality of the situation. Instead, they rail against phantoms, and the real victims are children, theirs and everybody’s.

Labels: ,


That Sound You Hear is Jenny McCarthy Throwing a Fit

Friday, March 12, 2010

 
As mentioned on the main debunking page, courts are much more lax than science. And even by that lax standard, the anti-vax pro-disease nutters can't make their case. So I was happy to see this on CNN today. of course, the ill-educated and deluded are out en masse in the comments section...

The federal "special vaccine court" ruled Friday that parents who said their children's autism was caused by a preservative did not prove their case and are not entitled to compensation.

The cases, brought by the children's parents, all alleged that vaccines containing thimerosol, a mercury preservative, caused or contributed to autism spectrum disorders in their children.

Thousands of parents of children with autism have filed petitions seeking compensation from the Department of Health and Human Services' Vaccine Injury Compensation Program, a federal program intended to compensate victims of injuries caused by vaccines, since 2001.

A panel of "special masters" began hearing three test cases in 2007 brought by parents of children with autism who also had said vaccines caused the disorder in their children.

In February 2009, a special court ruled that no link between autism and certain early childhood vaccines could be proven based on evidence presented in the three cases brought in 2007.

Read full CNN.com story

Washington (CNN) -- A federal court ruled Friday that the evidence supporting an alleged causal link between autism and a mercury-containing preservative in vaccines is unpersuasive, and that the families of children diagnosed with autism are not entitled to compensation.

Special masters of the U.S. Court of Federal Claims released more than 600 pages of findings after reviewing three test cases and finding all the claims wanting.

"Petitioners' theory of vaccine-related causation is scientifically unsupportable," wrote Special Master Patricia Campbell-Smith in her conclusion about William P. Mead, whose parents, George and Victoria Mead, had brought one of the suits.

"In the absence of a sound medical theory causally connecting William's received vaccines to his autistic condition, the undersigned cannot find the proposed sequence of cause and effect to be logical or temporally appropriate. Having failed to satisfy their burden of proof under the articulated legal standard, petitioners cannot prevail on their claim of vaccine-related causation."

In the second test case, Special Master George L. Hastings Jr. wrote, "The record of this case demonstrates plainly that Jordan King and his family have been though a tragic ordeal," referring to the minor, whose parents, Fred and Mylinda King, had brought suit.

"After studying the extensive evidence in this case for many months, I am convinced that the opinions provided by the petitioners' experts in this case, advising the King family that there is a causal connection between thimerosal-containing vaccines and Jordan's autism, have been quite wrong." The special master italicized the last two words.

"Nevertheless, I can understand why Jordan's parents found such opinions to be believable under the circumstances."

"In this case, the evidence advanced by the petitioners has fallen far short of demonstrating such a link," he said.

In the final test case, Special Master Denise K. Vowell wrote of Colin R. Dwyer, a minor, that his parents, Timothy and Maria Dwyer, "have not demonstrated by a preponderance of the evidence that Colin's condition was either caused or significantly aggravated by his vaccinations. Thus, they have failed to establish entitlement to compensation and the petition for compensation is therefore denied."

Congress set up the special judicial forum, sometimes called the "vaccine court," in 1986 to address claims over vaccine safety.

Rebecca Estepp, who attended the hearings and said her 12-year-old son, Eric, has been diagnosed with autism she blames on vaccine, described herself as "devastated" with the rulings, but not surprised.

"The deck is stacked against families in vaccine court," she said in a telephone interview from her home in Poway, California, about 20 miles north of San Diego. "You have government attorneys defending a government program using government-funded science before government judges. Where's the justice in that?"

Tom Powers, a Portland, Oregon-based lawyer for the families involved, said his clients were disappointed.

"All three families are committed to following the appeals process, and pursuing that avenue to get justice and compensation for their kids," he said.

The special masters' decisions are subject to review by judges in the U.S. Court of Federal Claims. Within the next 30 days, attorneys for the families will ask the claims court judges to review the decisions and rule that the children are, in fact, entitled to compensation.

After government lawyers have a chance to respond to the motions for review, the judges will schedule oral argument and hearings, probably in the summer, Powers said.

Though Friday's decisions do not end the legal battle, Dr. Paul Offit, chief of infectious diseases and the director of the Vaccine Education Center at the Children's Hospital of Philadelphia, was optimistic.

"Parents should take heart in this decision and continue to immunize their children with the confidence that they are the safest, most effective way to protect against dangerous diseases," the pediatrician said.

"It's time to move forward and look for the real causes of autism," said Alison Singer, president of the Autism Science Foundation. "Our children deserve real answers and at this point doing more and more studies of vaccines, when the science is so clear, would be allowing politics to triumph over science."

The three test cases represented thousands of children who have autism and whose parents contend their disorder was triggered by an early childhood vaccination.

The vaccines contained thimerosal, a mercury-derived compound the parents say helped bring on regressive autism, in which normally developing children suddenly exhibit learning disorders and behavioral problems, typically between ages 1 and 2.

The theory that vaccines or thimerosal can cause autism is rejected by most medical experts, including the Institute of Medicine, the U.S. Centers for Disease Control and Prevention and the American Academy of Pediatrics. Multiple scientific studies also have failed to prove a link.

Thimerosal was removed from infant vaccines in 1999.

In February 2009, the court's special masters concluded that the evidence supporting a link between measles-mumps-rubella vaccine, or MMR, combined with thimerosal-containing vaccines, was also unpersuasive.

This week, the U.S. Supreme Court agreed to hear the appeal of parents who say that a range of vaccines administered to their child caused serious health problems.

The justices on Monday agreed to decide whether drug makers can be sued outside the vaccine court.

The lawsuit was brought by the parents of Hannah Bruesewitz, a girl from the Philadelphia, Pennsylvania, area. The parents said she was healthy as an infant in 1992 when given a series of DPT shots -- a combination of vaccines to prevent diphtheria, pertussis (whooping cough), and tetanus.

After the third series, according to court briefs, the child began having seizures and became disabled. Now a teenager, Hannah continues to suffer what is described as "residual seizure disorder."

The Bruesewitzes alleged Wyeth Laboratories failed to adequately warn them and other parents of the risks associated with the vaccine. The vaccine court rejected the initial claim, so the family tried to revive the lawsuit in other federal courts.

A federal appeals court eventually ruled for Wyeth, now owned by Pfizer Inc., concluding all design-defect claims were barred under statute. Despite that victory, the company urged the high court to hear the case, saying it seeks final resolution on the broader legal questions.

The Obama administration also urged review and is supporting the company and the federal law in question.

Wyeth and other drug manufacturers say their products are generally safe, but side effects can occur in rare cases.

Labels: ,


Silenced By Age of Autism

Tuesday, March 02, 2010

 
Unscrupulous behaviour seems to be a standard when science and reality doesn't support your mistaken opinion. That is why the dangerous and irresponsible site Age of Autism censors their comments. They know that they can't stand up to reality and actual science, so they silence anyone who dissents. That is why the intrepid Todd W. has taken up the banner of collecting comments on all the lies they spread that are silenced. For those of you who subscribe to reason and reality, I encourage you to support him.

You are entitled to your own opinions, not your own facts.” –Senator Moynihan

Labels: ,


Study Confirms Link between Older Maternal Age and Autism

Friday, February 12, 2010

 

Study Confirms Link between Older Maternal Age and Autism

Maternal age and autism are both on the rise--but only a small fraction of the increasing incidence can be explained by the trend toward later childbearing

By Katie Moisse

It is common knowledge: As women get older, pregnancy becomes a riskier enterprise. Advanced maternal age is linked to a number of developmental disorders in children, such as Down's syndrome. Now, a study has confirmed that older mothers are more likely to give birth to a child with autism, too.

The authors of the epidemiological study, published February 8 in Autism Research, examined the parental age of more than 12,000 children with autism and nearly five million "control" children between 1990 and 1999, all living in California. The researchers found that mothers over 40 had a 51 percent higher risk of having a child with autism than mothers 25 to 29, and a 77 percent higher risk than mothers under 25.

Autism—a developmental disorder characterized by impaired social interaction and communication—appears to be on the rise. The U.S. Centers for Disease Control and Prevention now estimates that as many as one in 110 children in the U.S. has an autistic spectrum disorder—a group of developmental disorders including autism, Asperger's syndrome and pervasive developmental disorder. The prevalence of autistic spectrum disorders in California in 2007 was 12 times that from 1987, representing an average annual growth of 13 percent, according to a report from the California Department of Developmental Services. Only a fraction of these extra cases can be explained by changes to diagnostic criteria and earlier diagnoses.

Maternal age is also increasing in the U.S. A California-based study reported a three-fold increase in the number of births to women aged 40 to 44 between 1982 and 2004. But this trend toward delayed childbearing accounted for less than 5 percent of the total increase in autism diagnoses in California over the decade, according to the study—a finding that surprised Janie Shelton, a doctoral student in University of California, Davis's Department of Public Health Sciences and the study's lead author. "I would have expected to see more of a contribution, because age is a risk factor and women are having kids later," she says.

Earlier work had suggested that both maternal and paternal ages are independently associated with autism risk. But the current study found that paternal age is only a risk factor when the mother is under 30. It follows similar results obtained from the same California sample, published in September 2009 in the American Journal of Public Health, which showed that pooling data artificially inflates the risk of paternal age, and that advanced maternal age likely poses the greater risk. "It's nice to see replication of prior work," says Peter Bearman, co-author of the 2009 paper. Neither research team investigated whether increasing maternal age worsened autistic symptoms, although a 2007 study published in the Journal of Autism and Development Disorders that measured autistic children's cognitive and social function failed to make that link.

Mothers over 35 are at a higher risk for prolonged labor, premature or breeched deliveries, and birth to babies with low Apgar scores (a rating index used to evaluate the condition of a newborn infant)—all factors that have been associated with autism. But they might also be more likely to seek diagnoses to explain their child's abnormal behavior. "That's definitely an important thought, and I think that there is some evidence to suggest that people with higher education and higher socioeconomic status in general are more adept at navigating the diagnostic process here in California," Shelton says. "[Parents] need to be motivated to get the diagnostic and treatment services that are granted to them by the state. There are certain cases we're missing because the parents don't know about the services that are available or they haven't worked out how to navigate the system yet." The proportion of parents of autistic children with fewer than 24 years of combined education in the study was smaller than that of "control" birth parents, (19 percent and 36 percent, respectively).

Other contributors to the increasing incidence of autism remain unclear. "We're doing a lot of research into environmental risk factors," Shelton says, describing ongoing research into possible nutritional factors and toxic chemical exposure during labor and development. It is possible that the increased risk associated with maternal age might reflect the mother's longer cumulative exposure to unknown environmental factors, the authors report.

The research team published an earlier report in the same journal describing high-incidence geographic clusters in California, another finding in line with Bearman's work that suggests environmental processes and social influences (why someone would live in a particular neighborhood) might be contributing factors. Maternal autoimmunity is another theory proposed by the researchers, who previously reported that some mothers of autistic children had antibodies to fetal brain proteins in their plasma. These antibodies (which might increase in number with age) could transfer into the fetus and interfere with early brain development, the researchers report.

Whereas biomedical studies are required to uncover the mechanisms underlying the disorder, Shelton says the present epidemiological study was important in clarifying the nuanced relationship between maternal age and autism, and defining its contribution to the rise in cases. It might have even provided biological clues. "It really is a maternally mediated biological process that's going on," Shelton says.

Although it is rising, the risk of autism is still very low and shouldn't affect the decision to have children at any age, Shelton says. "People should pursue their families whenever it's right for them," she says, adding that soon-to-be parents should "just stay as healthy as possible," and steer clear of dangerous exposures. She also encourages parents with autistic children to get involved in research. "I think parents are anxious because science hasn't figured it out yet. If they have the opportunity to be involved in supporting science and autism research, that's a great thing."

Labels: ,


And now, the antivax failure is complete: The Lancet withdraws Wakefield’s paper

Tuesday, February 02, 2010

 
Some good news from Dr. Plait's blog. Of course, this is getting reported other places as well, although I wish that the national media would really run with this, since it is over a decade late. It's not enough that it was found that this guy has acted unethically, but to be sure, he LIED beyond just poor ethics. He is indirectly responsible for deaths and suffering that really can't be measured. I only hope that he has everything about him discredited, and that he is made to in some part pay for his deceit.

And now, the antivax failure is complete: The Lancet withdraws Wakefield’s paper

Oh, this is wonderful to hear: The Lancet — a leading UK professional medical research journal — is retracting the paper published by Andrew Wakefield back in 1998 that linked vaccines with autism.

The paper has been found to be multiply and fatally flawed, with Wakefield and his work being thoroughly discredit. As the Lancet editorial itself states:

Following the judgment of the UK General Medical Council’s Fitness to Practise Panel on Jan 28, 2010, it has become clear that several elements of the 1998 paper by Wakefield et al. are incorrect, contrary to the findings of an earlier investigation. In particular, the claims in the original paper that children were “consecutively referred” and that investigations were “approved” by the local ethics committee have been proven to be false. Therefore we fully retract this paper from the published record.

That’s great news, especially after Wakefield had his head handed to him last week by the GMC over his unethical and irresponsible behavior that led to this horrible paper being published in the first place.

The Lancet statement is a bit bloodless… but they are a professional research journal and not a blog, so it’s not appropriate for them to call out Wakefield in more emotional — and utterly deserved — terms. It’s up to the blogs to call out Wakefield for his tireless efforts in creating of the modern antivaccination movement, which is becoming so successful that measles, mumps, pertussis, and other preventable diseases are on the rise again. And to note that not only was his research wrong, but that he may have faked his data. And to say that he has a huge conflict of interest here, since at the time he was involved in creating an alternative to vaccination that would make him very, very rich if people became scared to vaccinate their kids. And to inform people that Wakefield was in the pocket of lawyers trying to sue the vaccine industry. And to basically call out the entire antivax movement for the incredible damage they have done and continue to do to public health.

All that’s left now is for the GMC to officially sanction Wakefield, disbar him, essentially, to finish this all up officially.

Of course, that won’t even slow Wakefield or the antivaxxers. They don’t care for the real world, based on evidence and fact. They are, for all intents and purposes, religious zealots now, believing in Wakefield, Jenny McCarthy, and the rest with such fervor that there is literally no amount of evidence that can ever sway them. And they will continue to spin, fold, and mutilate the truth, while we watch as diseases rise back from the dead, infecting hundreds of thousands of people, and killing many of them.

Never forget what’s at stake here. Never.

Labels: ,


Andrew Wakefield Unethical so Age of Autism Stands By Him

Saturday, January 30, 2010

 
All too often, I am shocked and dismayed, but not at all surprised, at how unethical some people will behave to promote their anti-reality agendas. So, it's of course no surprise that I see this information posted throughout the web. I am shocked and puzzled why anyone would bankrupt any shred of morality they may have to continue to perpetrate these lies and deceptions. I guess after a while, there is no moral ground to stand on, so throwing out any lie or accusation they can make up off the top of their heads should be easy enough...

Here are a couple stories on this latest fiasco that clearly demonstrates the level of dishonesty we are dealing with here:

Andrew Wakefield Unethical so Age of Autism Stands By Him

The British General Medical Council (GMC) has just announced its verdict in their investigation into Andrew Wakefield, ruling that he had acted dishonestly and irresponsibly:

The verdict, read out by panel chairman Dr Surendra Kumar, criticised Dr Wakefield for the invasive tests, such as spinal taps, that were carried out on children and which were found to be against their best clinical interests.

The panel said Dr Wakefield, who was working at London's Royal Free Hospital as a gastroenterologist at the time, did not have the ethical approval or relevant qualifications for such tests.

[…]

Dr Kumar said he had acted with "callous disregard for the distress and pain the children might suffer".

He also said Dr Wakefield should have disclosed the fact that he had been paid to advise solicitors acting for parents who believed their children had been harmed by the MMR.

[My bold.]

In 1998, Wakefield claimed to have found a link between the measles virus in the gastrointestinal (GI) tract of children (following the MMR vaccine), and autism. Wakefield’s small study, popularized by idiotic news media, led to an MMR-autism scare, a significant drop in vaccine rates and a resurgence of measles in the UK. Wakefield may claim he didn’t say that MMR causes autism, but he certainly implied it strongly enough (and again, with the help of the press), that many people believed (and still believe) that the MMR vaccine causes GI problems which causes autism. The evidence though, from a panel of 28 experts, clearly showed that this was not true. The GMC have now, with this ruling, confirmed that in addition to Wakefield’s conclusions being false, he also acted unethically. We still have to wait to see what sanctions they hand down.

Various vaccines-cause-autism groups immediately revised their positions, based on the conclusions of this independent expert body, and stated that they were wrong previously to claim that the MMR vaccine causes autism.

Ha – just kidding. Of course they haven’t. Nothing would ever convince these people that their previously determined conclusion could ever be wrong. Just take a look at the flurry of activity from the Age of Autism blog in the last three days:

A Sad Day for the Future of Children – where they “unequivocally renounce the GMC’s findings” – no evidence, nothing they can say that is wrong with the GMC’s findings – they just renounce them because, well, because they do, so there.

Then from Mark Blaxill we have Naked Intimidation: The Wakefield Inquisition is Only the Tip of the Autism Censorship Iceberg - where he smears the witnesses in the case, oh and anecdotes, anecdotes I tell you (un-sourced) about anti-vaccination scientists being censored. And “the only thing for the autism community to do now is stand by Andy Wakefield” – because clearly “the only thing” you can do when a discredited doctor is also found guilty of ethical violations, is to “stand by” him. That’s “the only thing” you can do. No other options, obviously. Their hands are tied, you see.

And if that wasn’t clear enough, we have National Autism Association Supports Dr. Andrew Wakefield – the title says all you need to know.

Celebrity idiot Jenny McCarthy’s charity chimes in with Generation Rescue Supports Dr. Andrew Wakefield - (beginning to see a trend here).

Finally, we have fearless conversation advocate and fearless litigant to anyone who disagrees with her, Barbara Loe Fisher, who writes Vaccines: Doctor Judges & Juries Hanging Their Own – a touching story of the first time she met Wakefield. (Why? Who knows.)

And a couple more that I couldn’t be bothered to read.

Nothing could possibly ever convince these people that they might have been wrong. Nothing. Ever. If you want to read some good sources on the GMC’s verdict, see below.

Further Reading

Steven Novella writes Andrew Wakefield “Acted Unethically”.

Investigative reporter Brian Deer (writing a year ago) MMR doctor Andrew Wakefield fixed data on autism – on how Wakefield changed and misreported results in his research:

Although the research paper claimed that problems came on within days of the [MMR shot], in only one case did medical records suggest this was true, and in many of the cases medical concerns had been raised before the children were vaccinated. Hospital pathologists, looking for inflammatory bowel disease, reported in the majority of cases that the gut was normal. This was then reviewed and the Lancet paper showed them as abnormal.

Ben Goldacre The Wakefield MMR verdict.

And finally, there is the GMC’s actual report.


Antivaxxer movement leader found to have acted unethically

Continuing a month of skeptical victories, the UK’s General Medical Council has found that Andrew Wakefield — the founder of the modern antivaccination movement — acted "dishonestly and irresponsibly" when doing the research that led him to conclude that vaccinations were linked with autism. This is being reported everywhere, including the BBC, Sky News, the Yorkshire Evening Post, and more.

Syringe, from  http://www.flickr.com/photos/8499561@N02/2756332192/The GMC (the independent body of medical regulators in the UK, rather like the AMA in the US) didn’t investigate whether his claims were correct or not — and let’s be very clear, his claims have been shown beyond any doubt to be totally wrong — only whether he acted ethically in his research. What they found is that his research (involving spinal taps of children) was against the children’s clinical interest, that Wakefield was unqualified to perform the test, and that he had no ethical approval to do them.

Wow. Again, let’s be clear: that’s a whole lot of ethical damnation from the UK’s leading medical board.

Not to pile on here, but I was rather surprised that they didn’t mention the claims — supported by a lot of evidence — that on top of all that unethical behavior, he may have faked his results, too. There’s also no mention of his grave conflict of interest– at the time he published his paper slamming vaccines and which started the antivax craze, he was developing an alternative to vaccinations, so he had a very large monetary incentive to make the public distrust vaccines.

The GMC has not announced whether he (and two of his cohorts) will be sanctioned or not. I’ll be very curious to see what they do.

Will this deter Wakefield and the antivax movement? Ha! Of course not. Note that supporters of Wakefield heckled the GMC members as they read their announcements.

Also, the evidence was already overwhelming that Wakefield was wrong, just as it’s overwhelming that vaccines are totally and completely unrelated to autism. But the antivaxxers’ world is not based on evidence. It’s more like a dogmatic religion, since many of its believers will twist and distort the truth to fit their views, even, tragically, if it means babies will die.

The antivax movement is resulting in the deaths of children from preventable diseases, many of which were all but gone in the United States. We’re seeing the return of measles, mumps, pertussis, even polio — polio, which was eradicated entirely in the US by 1994. Because vaccines are so effective, people don’t remember these diseases and how they would kill, and now the antivaxxers are paving the way for their return.

This ruling against Wakefield is a step in the right direction, but the path is long and the antivaxxers will be there at every one of these steps, trying desperately to trip up reality. It’s up to us to make sure that we keep walking.

Labels: ,


Ongoing Human Evolution Could Explain Recent Rise in Certain Disorders

Tuesday, January 19, 2010

 
Ongoing Human Evolution Could Explain Recent Rise in Certain Disorders

ScienceDaily (Jan. 11, 2010) — The subtle but ongoing pressures of human evolution could explain the seeming rise of disorders such as autism, autoimmune diseases, and reproductive cancers, researchers write in the Proceedings of the National Academy of Sciences. Certain adaptations that once benefited humans may now be helping such ailments persist in spite of -- or perhaps because of -- advancements in modern culture and medicine.

"This work points out linkages within the plethora of new information in human genetics and the implications for human biology and public health, and also illustrates how one could teach these perspectives in medical and premedical curricula," says author Peter Ellison, John Cowles Professor of Anthropology at Harvard University.

Ellison's co-authors are Stephen Stearns of Yale University, Randolph Nesse of the University of Michigan, and Diddahally Govindaraju of the Boston University School of Medicine. The research was first presented at the Arthur M. Sackler Colloquium, co-sponsored by the National Academy of Science and the Institute of Medicine.

Colloquium presentations described in the current paper include research suggesting that:


"We're trying to design ways to educate physicians who will have a broader perspective and not think of the human body as a perfectly designed machine," says Ellison. "Our biology is the result of many of evolutionary trade-offs, and understanding these histories and conflicts can really help the physician understand why we get sick and what we might do to stay healthy."

Previous work in evolutionary medicine helped explain why disease is so prevalent and difficult to prevent -- because natural selection favors reproduction over health, biology evolves more slowly than culture, and pathogens evolve more quickly than humans.

"I think that the main take-home point is that evolution and medicine really do have things to say to each other, and some of these insights actually reduce suffering and save lives," says Stearns.


Labels: ,


The scientific language of uncertainty and anti-vax perception

Wednesday, December 30, 2009

 
Over at the James Randi Educational Foundation (JREF), Skeptigirl wrote a post that I think is very relevant and important to convey. What follows are her words:


This morning I was watching a hearing on CSPAN2 led by Senator Tom Harkin of Iowa, Funding Autism Research, original hearing was 8-5-09. Harkin is a promoter of antivaxxer woo that vaccines cause autism.

The program is 2 hours 13 minutes long but the pertinent part is 10 minutes long and can be found starting at minute 25 and ends at minute 35. This is the exchange between Harkin and the director of the National Institute of Mental Health, Dr Thomas Insel.

Much of the rest of the hearing was typical anecdotal evidence testimony. [sidetrack]One of the people testifying was a woman who claimed her child had the mitochondrial problem some of you may recall. That was the bogus claim the Mayo Clinic researcher used to get vaccine compensation funding awarded. There was a lot of unethical and scientifically questionable behavior on the part of the researcher using his own data on his own child to make this claim for big bucks compensation.[/sidetrack]

So the director of the NIMH is testifying. He brings up the fact there are less antigens in more vaccines so that despite the fact kids get more vaccines today than in the past, they actually get far fewer antigens (the thing that the immune system attacks).

Harkin just doesn't get what Insel was saying about the number of vaccines not being the issue, the number of antigens is. Insel doesn't appear as familiar with the anti-vaxxer arguments and beliefs and gives up trying to explain the antigen issue and moves on to Harkin's other concern, the claim there are no studies that dis-prove a link between vaccine and autism. Ignoring the issue because Harkin didn't understand was annoying enough.

But then even though Insel goes on to make it clear there was overwhelming evidence that there is no connection between vaccines and autism, Insel is oblivious to Harkin's ignorance and ends up reinforcing the belief either "we don't know" or "the data isn't definitive".

Harkin makes it clear he believes "we don't know" and says so. Listen to the ineffective way Insel presents the data we do have. Insel uses technically appropriate language that randomized controlled prospective clinical trials have not been done. Insel seems to think it was important to discuss why such trials were unethical, I think because he expects the point one cannot withhold vaccines to be obvious.

In presenting this particular issue, the inability to do RCCTs, Insel fails to emphasize the evidence we do have is more than sufficient. He gets the information out there but doesn't counter the fact Harkin is tuning that information out and selecting the uncertainty language of science as reinforcing Harkin's pre-established beliefs.

I think anyone interested in communicating science and countering the woo beliefs of the anti-vaxxer crowd should watch this 10 minute exchange paying particular attention to the way Harkin misses the points being made and how the way Insel presents the data contributes to Harkin's reinforcing his misinformation.



I don't know if medical experts like Insel believe giving credence to the antivaxxer beliefs is somehow going to get the antivaxxer to trust the expert, or if the expert is oblivious to the message they are sending when they use the typical uncertainty language of science.

Before the thread gets sidetracked, I am not advocating anything like overstating the evidence. I'm not advocating we propagandize our positions. I am however, pointing out that every method of presenting evidence accurately is not equal.

In the case of this exchange, Insel did not stop Harkin from ignoring the antigen issue. Clearly we need a simpler means of getting that information across to someone who only understands number of vaccines.

And the issue of no RCCTs did not need to be emphasized. Rather, Insel should have emphasized the validity of epidemiological data. Harkin didn't seem to think we had unvaccinated groups to compare vaccinated kids to or that we could use timing of diagnosis and other indicators to determine if there was any relationship between vaccines and autism. Insel didn't seem to pick up on that and address it.

And if we are going to coddle the woo believers then we need some studies to determine if this is productive or not. I have seen more than one vaccine expert dealing with the anti-vaxxers using this approach. I don't think you have to legitimize their beliefs in order to legitimize their person. I think it only serves to reinforce the woo beliefs. But seeing public health experts use this approach suggests they may know something about dealing with the antivaxxer beliefs that I do not. Or it could just be they are using the typical medical provider approach to a patient and I'm not so sure that is the best technique with the antivaxxer with a cause as opposed to just the average patient with some misconception.

Labels: ,


Why Does the Vaccine/Autism Controversy Live On?

Thursday, December 10, 2009

 
I just got my newest issue of Discover Magazine, and it's the end of the year issue with the traditional end of year lists. The #1 item on their list for this year is the whole autism/vaccine non-sense. Sadly, that particular article isn't online yet, so instead I will start off this one from back in May/June.

Research has soundly disproved the alleged connection, yet fears about vaccines continue to be a major risk to public health.by Chris Mooney
From the June 2009 issue, published online May 6, 2009

Vaccines do not cause autism. That was the ruling in each of three critical test cases handed down on February 12 by the U.S. Court of Federal Claims in Washington, D.C. After a decade of speculation, argument, and analysis—often filled with vitriol on both sides—the court specifically denied any link between the combination of the MMR vaccine and vaccines with thimerosal (a mercury-based preservative) and the spectrum of disorders associated with autism. But these rulings, though seemingly definitive, have done little to quell the angry debate, which has severe implications for American public health.

The idea that there is something wrong with our vaccines—that they have poisoned a generation of kids, driving an “epidemic” of autism—continues to be everywhere: on cable news, in celebrity magazines, on blogs, and in health news stories. It has had a particularly strong life on the Internet, including the heavily trafficked Huffington Post, and in pop culture, where it is supported by actors including Charlie Sheen and Jim Carrey, former Playboy playmate Jenny McCarthy, and numerous others. Despite repeated rejection by the scientific community, it has spawned a movement, led to thousands of legal claims, and even triggered occasional harassment and threats against scientists whose research appears to discredit it.

You can see where the emotion and sentiment come from. Autism can be a terrible condition, devastating to families. It can leave parents not only aggrieved but desperate to find any cure, any salvation. Medical services and behavioral therapy for severely autistic children can cost more than $100,000 a year, and these children often exhibit extremely difficult behavior. Moreover, the incidence of autism is apparently rising rapidly. Today one in every 150 children has been diagnosed on the autism spectrum; 20 years ago that statistic was one in 10,000. “Put yourself in the shoes of these parents,” says journalist David Kirby, whose best-selling 2005 book, Evidence of Harm, dramatized the vaccine-autism movement. “They have perfectly normal kids who are walking and happy and everything—and then they regress.” The irony is that vaccine skepticism—not the vaccines themselves—is now looking like the true public-health threat.

The decadelong vaccine-autism saga began in 1998, when British gastroenterologist Andrew Wakefield and his colleagues published evidence in The Lancet suggesting they had tracked down a shocking cause of autism. Examining the digestive tracts of 12 children with behavioral disorders, nine of them autistic, the researchers found intestinal inflammation, which they pinned on the MMR (measles, mumps, and rubella) vaccine. Wakefield had a specific theory of how the MMR shot could trigger autism: The upset intestines, he conjectured, let toxins loose in the bloodstream, which then traveled to the brain. The vaccine was, in this view, effectively a poison. In a dramatic press conference, Wakefield announced the findings and sparked an instant media frenzy. For the British public, a retreat from the use of the MMR vaccine—and a rise in the incidence of measles—began.

In the United States, meanwhile, fears would soon arise concerning another means by which vaccines might induce autism. Many vaccines at the time contained thimerosal, a preservative introduced in the 1930s to make vaccines safer by preventing bacterial contamination. But thimerosal is 50 percent mercury by weight, and mercury is known to be a potent neurotoxin, at least in large doses. In 1999 new federal safety guidelines for mercury in fish stirred concerns about vaccines as well.

The U.S. government responded by ordering that thimerosal be removed from all vaccines administered to children under age 6, or reduced to trace amounts. (Some inactivated influenza vaccines were exempted.) The step was described as a “precautionary” measure. There was no proof of harm, government researchers said, just reason to worry that there might be. Meanwhile, scientists launched numerous studies to determine whether thimerosal had actually caused an autism epidemic, while some parents and their lawyers started pointing fingers and developing legal cases.

Within weeks of this year’s federal court decisions—which examined and vindicated both the MMR vaccine and thimerosal—environmental lawyer Robert F. Kennedy Jr. wrote a column in The Huffington Post in which he continued to press his case that the government has peddled unsafe vaccines to an unsuspecting public. It is a cause he has championed since 2005, when he published “Deadly Immunity” in Rolling Stone and Salon magazines. The article was a no-holds-barred denunciation of the U.S. public-health establishment, purporting to tell the story of how “government health agencies colluded with Big Pharma to hide the risks of thimerosal from the public…a chilling case study of institutional arrogance, power, and greed.” Half a decade after the original thimerosal concerns were first raised, Kennedy claimed to have found the smoking gun: the transcript of a “secret” 2000 meeting of government, pharmaceutical, and independent researchers with expertise in vaccines. Kennedy’s conclusion: The generational catastrophe was real; our kids had been poisoned. If true, it would be perhaps the greatest biomedical catastrophe in modern history.

But for Kennedy to be right, a growing consensus in the medical establishment had to be wrong. Indeed, Kennedy blasted a leading organ of science that had just vindicated both the MMR vaccine and thimerosal, the Institute of Medicine (IOM). “The CDC [Centers for Disease Control and Prevention] paid the Institute of Medicine to conduct a new study to whitewash the risks of thimerosal,” Kennedy wrote, “ordering researchers to ‘rule out’ the chemical’s link to autism.” In reality, the IOM—a branch of the National Academy of Sciences (NAS), the government’s top independent scientific adviser—carefully creates firewalls between the funding it receives to conduct scientific assessments and the results it ultimately produces. “Funders don’t control the composition of the committee, and they don’t meet with the committee,” says Harvard public-health researcher Marie McCormick, who chaired the IOM vaccine-safety committee in question. “And on no NAS or IOM committee are the members paid; they all work pro bono. There’s no reason for them not to look at the data.”

The same year Kennedy’s article came out, journalist David Kirby published Evidence of Harm—Mercury in Vaccines and the Autism Epidemic: A Medical Controversy. He followed a group of parents from the Coalition for SafeMinds, an autism activist organization. They had grown convinced that vaccines and other environmental factors had caused their children’s conditions. Kirby’s chronicle of the parents’ efforts to publicize the dangers of vaccines became a best seller and greatly advanced SafeMinds’ cause.

Yet even as vaccine hysteria reached a fever pitch in the wake of Kennedy’s and Kirby’s writings, the scientific evidence was leaning strongly in the other direction. In discounting the dangers of both the MMR vaccine and thimerosal, the IOM had multiple large epidemiological studies to rely on. For MMR, the IOM examined 16 studies. All but two, which were dismissed because of “serious methodological flaws,” showed no evidence of a link. For thimerosal, the IOM looked at five studies, examining populations in Sweden, Denmark, the United Kingdom, and the United States (studies that vaccine critics contend were flawed). Since then, further research has strengthened and vindicated the committee’s original conclusion. It is a conclusion that has been “independently reached by scientific and professional committees around the world,” as a recent science journal commentary noted. Either the scientific community has found a clear, reassuring answer to the questions raised about thimerosal in vaccines, or there is a global scientific conspiracy to bury the truth.

Whether the public is hearing the scientific community’s answer is another matter. “It’s not hard to scare people,” says pediatrician and leading vaccine advocate Paul Offit, who himself coinvented a vaccine. “But it’s extremely difficult to unscare them.”

A backlash against vaccine skeptics is beginning to mount. Standing up to fellow celebrities, actress Amanda Peet, who recently vaccinated her baby daughter, has become a spokeswoman for the pro-vaccine group Every Child by Two. Offit’s book Autism’s False Prophets has further galvanized vaccine defenders—not only by debunking the science of those who claim vaccines are dangerous but also by contending that the parents of autistic children and the children themselves are indeed victims, not of vaccines but of medical misinformation.

The provaccine case starts with some undeniable facts: Vaccines are, as the IOM puts it, “one of the greatest achievements of public health.” The CDC estimates that thanks to vaccines, we have reduced morbidity by 99 percent or more for smallpox, diphtheria, measles, polio, and rubella. Averaged over the course of the 20th century, these five diseases killed nearly 650,000 people annually. They now kill fewer than 100. That is not to say vaccines are perfectly safe; in rare cases they can cause serious, well-known adverse side effects. But what researchers consider unequivocally unsafe is to avoid them. As scientists at the Johns Hopkins Bloomberg School of Public Health recently found while investigating whooping cough outbreaks in and around Michigan, “geographic pockets of vaccine exemptors pose a risk to the whole community.”

When it comes to autism, vaccine defenders make two central claims. First, the condition is likely to be mostly genetic rather than environmentally caused; and second, there are reasons to doubt whether there is really a rising autism epidemic at all.

It is misleading to think of autism as a single disorder. Rather, it is a spectrum of disorders showing great variability in symptoms and expression but fundamentally characterized by failed social development, inability to communicate, and obsessive repetitive behavior. Autism generally appears in children at early ages, sometimes suddenly, and its genetic component has long been recognized. Studies have shown that if one identical twin has autism, there is at least a 60 percent chance that the other also does. “From my point of view, it’s a condition associated with genetic defects and developmental biology problems,” says Peter Hotez, a George Washington University microbiologist and father of an autistic child. Hotez, who is also president of the Sabin Vaccine Institute, says, “I don’t think it’s possible to explain on the basis of any vaccine toxin that is acquired after the baby is born.” Still, scientists cannot fully rule out environmental triggers—including various types of toxicity—that might interact with a given individual’s preexisting genetic inclination. Autism is a complex disorder with multiple forms of expression and potentially multiple types of causation that are incompletely understood.

As for whether autism is rising, a number of experts say it is hard to know. Is the increase real, or is it largely the result of more attention to the condition, an expansion of the autism spectrum to embrace many different heterogeneous disorders, a new focus on children classified as autistic in federal special education programs during the 1990s, and other factors? It could be some combination of all these things.

But if environmental triggers of autism cannot be ruled out, the idea that those triggers can be found in the MMR vaccine or in thimerosal has crumbled under the weight of scientific refutation. Epidemiological studies have cast grave doubt on Andrew Wakefield’s MMR hypothesis—and so have subsequent scandals. Nearly all of Wakefield’s coauthors have since retracted the autism implications of their work; The Lancet has also backed away from the study. A series of investigative stories published in The Times of London unearthed Wakefield’s undisclosed ties to vaccine litigation in the U.K. and, more recently, suggested he fabricated his data (which Wakefield denies).

As for thimerosal, government precautions notwithstanding, it was never clear how threatening it might be. The federal mercury standards that first heightened concern were developed for methylmercury, not ethylmercury, the form contained in thimerosal. Ethyl­mercury has less risk of accumulating to a toxic dose because it does not last as long in the body. And, according to the IOM’s 2004 report, there had never been any evidence of a major incident of mercury poisoning leading to autism.

The strongest argument against the idea that thimerosal poisoned a generation of children does not emerge from the body of published studies alone. There is the added detail that although thimerosal is no longer present in any recommended childhood vaccines save the inactivated influenza vaccine—and hasn’t been, beyond trace amounts, since 2001—no one is hailing the end of autism. “If you thought thimerosal was related to autism, then the incidence of autism should have gone down,” Harvard’s McCormick explains. “And it hasn’t.”

In 2005 David Kirby stated that if autism rates didn’t begin to decline by 2007, “that would deal a severe blow to the autism-thimerosal hypothesis.” But as McCormick notes, despite the absence of thimerosal in vaccines, reports of autism cases have not fallen. In a 2008 study published in Archives of General Psychiatry, two researchers studying a California Department of Developmental Services database found that the prevalence of autism had actually continued increasing among the young. Kirby concedes that these findings about the California database represent a “pretty serious blow to the thimerosal-causes-autism hypothesis,” though he does not think they thoroughly bury it. In an interview, he outlined many problems with relying on the California database, suggesting potential confounding factors such as the state’s high level of immigration. “Look, I understand the desire to try to end this and not scare parents away from vaccination,” Kirby says. “But I also feel that sometimes that desire to prove or disprove blinds people on both sides.”

Kirby says—and even some vaccine defenders agree—that some small subgroup of children might have a particular vulnerability to vaccines and yet be missed by epidemiological studies. But the two sides disagree as to the possible size of that group. “If one or two or three children every year are getting autism from vaccines, you would never pick that up,” Offit says. Kirby, in contrast, feels that while the idea of thimerosal as the “one and only cause of autism has gone out the window,” he still believes there is an “epidemic” with many environmental triggers and with thimerosal as a possible contributing factor.

Meanwhile, in the face of powerful evidence against two of its strongest initial hypotheses—concerning MMR and thimerosal—the vaccine skeptic movement is morphing before our eyes. Advocates have begun moving the goalposts, now claiming, for instance, that the childhood vaccination schedule hits kids with too many vaccines at once, overwhelming their immune systems. Jenny McCarthy wants to “green our vaccines,” pointing to many other alleged toxins that they contain. “I think it’s definitely a response to the science, which has consistently shown no correlation,” says David Gorski, a cancer surgeon funded by the National Institutes of Health who in his spare time blogs at Respectful Insolence, a top medical blog known for its provaccine stance. A hardening of antivaccine attitudes, mixed with the despair experienced by families living under the strain of autism, has heightened the debate—sometimes leading to blowback against scientific researchers.

Paul Shattuck did not set out to enrage vaccine skeptics and the parents of autistic children. Currently an assistant professor at the George Warren Brown School of Social Work at Washington University in St. Louis, he has dedicated the last decade of his professional life to helping people with autism in their families. “Some of my dearest friends have kids with autism,” he says.

But in 2006 Shattuck came under fire after he published an article in the journal Pediatrics questioning the existence of an autism epidemic. No one doubts that since the early 1990s the number of children diagnosed with autism has dramatically increased, a trend reflected in U.S. special education programs, where children enrolled as autistic grew from 22,445 in 1994–1995 to 140,254 in 2003–2004. Yet Shattuck’s study found reasons to doubt that these numbers were proof of an epidemic. Instead, he suggested that “diagnostic substitution”—in which children who previously would have been classified as mentally retarded or learning disabled were now being classified on the autism spectrum—played a significant role in the apparent increase.

Shattuck did not reject the idea that rising autism levels might be in part due to environmental causes; he merely showed the increase was largely an artifact of changing diagnostic practices, which themselves had been enabled by rising levels of attention to autism and its listing as a diagnostic category in special education. Yet simply by questioning autism epidemic claims in a prominent journal, he became a target. “People were obviously Googling me and tracking me down,” he recalls. Shattuck emphasizes that most e-mails and calls merely delivered “heartfelt pleas from people with very sick kids who’ve been led to believe a particular theory of etiology.” The bulk weren’t menacing, but a few certainly were.

Others attacked Shattuck’s research on the Web and insinuated that he had fabricated his data or committed scientific misconduct. “It was dismaying to feel like people were calling me a traitor to autistic kids and families,” he says.

“If there has been a more harmful urban legend circulating in our society than the vaccine-autism link,” University of Pennsylvania bioethicist Arthur Caplan wrote in The Philadelphia Inquirer, “it’s hard to know what it might be.” One type of harm, as Shattuck’s story shows, is to individual scientists and the scientific process. There is a real risk that necessary research is being held back as scientists fear working in such a contested field. Shattuck’s experience is not unique. Offit cannot go on a book tour to promote Autism’s False Prophets because of the risk involved in making public appearances. He has received too many threats.

Yet another cost comes in the rush toward unproven, and potentially dangerous, alternative therapies to treat autism. It is easy to sympathize with parents of autistic children who desperately want to find a cure, but this has led to various pseudoremedies whose efficacy and safety have been challenged by science. These include facilitated communication, secretin infusion, chelation therapy (which involves pumping chemicals into the blood to bind with heavy metals such as mercury), and hormonal suppression. It is estimated that more than half of all children with autism are now using “complementary and alternative” treatments.

Disease, however, is the greatest danger associated with holding back vaccines amid the ongoing investigation of dubious claims. Both the vaccinated and the unvaccinated populations are placed at greater risk. Given enough vaccine exemptions and localized outbreaks, it is possible that largely vanquished diseases could become endemic again. (That is precisely what happened with measles in 2008 in the U.K., following the retreat from the MMR vaccine in the wake of the 1998 scare.) The public-health costs of such a development would be enormous—and they would not impact everyone equally. “If vaccine rates start to drop, who’s going to get affected?” Peter Hotez asks. “It’s going to be people who live in poor, crowded conditions. So it’s going to affect the poorest people in our country.”

Paradoxically, the great success of vaccines is a crucial reason why antivaccination sentiment has thrived, some scientists say. Most of the diseases that vaccines protect against have largely been licked. As a consequence, few people personally remember the devastation they can cause. So with less apparently on the line, it is easier to indulge in the seeming luxury of vaccine skepticism and avoidance. Even before the recent spike in attention to thimerosal, members of the public were alarmingly skeptical of vaccines. In a 1999 survey, 25 percent felt their children’s immune systems could be harmed by too many vaccinations, and 23 percent shared the sentiment that children receive more vaccinations than are healthy. There is every reason to think that those numbers—gathered before the vaccine-autism controversy reached anything like its current intensity—have risen since.

In the United States, population pockets with low vaccination rates (such as in Boulder, Colorado, and Ashland, Oregon) have existed for some time, and the great fear among many governmental medical authorities is that high-profile claims about vaccine dangers will widen the phenomenon, with potentially disastrous consequences. Already, medical and religious vaccination exemptions are climbing: In New York State they totaled 4,037 in 2006, nearly twice as many as in 1999. In New Jersey they came to 1,923 in 2006 versus only 727 in 1990. It is not just exemptors: The far larger concern, according to McCormick and others, is those parents referred to as “vaccine hesitaters.” They have heard all the noise about vaccines and will probably get their children shots because they feel they have to, but their skepticism is growing.

Offit points to still another threat: litigation. The wave of autism-related claims filed with the U.S. government’s Vaccine Injury Compensation Program is unprecedented. Since 2001 autism claims have outnumbered nonautism cases almost four to one. Following the science, the court has now dismissed many of them, but there is the possibility that civil litigation will follow. “I still think it’s going to be another 10 years before this really washes out in litigation,” Offit says. If the legal atmosphere becomes too difficult for vaccine manufacturers, they could stop producing them or be forced out of business.

Ultimately, that is why the vaccine-autism saga is so troubling—and why it is so important to explore how science and so many citizens fell out of touch.

“It wouldn’t have been possible without the Internet,” says journalist Arthur Allen, who has covered the vaccine-autism story since 2002, when he wrote a high-profile New York Times Magazine article that took the thimerosal risk seriously. Over time Allen changed his mind, coming to reject the idea that vaccines are to blame. Still, he recognizes why it persists. “If people believe something happened to them, there are so many people on the Web you can find who believe the same thing.” The Internet has become a haven for a number of autism support groups that continually reinforce the vaccine-autism argument. This has led to the radicalization of some elements who have denounced scientists as “vaccine barbarians,” “pharmaceutical and medical killers,” and so on. And after all we have heard about environmental and chemical risks—some accurate, some not—people are now easily persuaded about all manner of toxin dangers.

But if the Internet has made it easier for pockets of antiscience feeling to grow and flourish, scientific authorities also deserve some of the blame. “I don’t think they woke up that this was a serious problem until maybe 2008,” David Gorski says about the growing antivaccine sentiment. George Washington University’s Hotez notes that “the office of the surgeon general, the secretary of Health and Human Services, and the head of the CDC have not been very vocal on this issue.” True, the CDC, the Food and Drug Administration, and other governmental organizations feature accurate and up-to-date information about vaccine risks on their Web sites. But that is very different from launching a concerted communications campaign to ensure that the public retains faith in vaccination.

Some outspoken scientists may have actually increased the polarization on this issue. For example, calling those against vaccines “scientifically illiterate”—or, as CDC vaccine expert Stephen Cochi reportedly put it to one journalist, “junk scientists and charlatans”—may just lead to a further circling of the wagons.

The most promising approach to the vaccine-autism issue comes from the government itself. Consider the work of Roger Bernier, a CDC scientist who turned to emphasizing the public-engagement aspects of the vaccine problem after hearing one parent declare any new government research on the topic “dead on arrival.” The central problem Bernier has confronted: how to deal with a situation in which so many parents are unswervingly convinced that their children have been harmed, in which they could be harming their children even more by using untested therapies, and in which dangerous misinformation abounds.

“There’s no end to the kind of noise people can make about vaccines,” he observes. “And so if you’re in the vaccine community, what’s the best approach to this? I don’t think it is ignoring people.” Instead, Bernier has headed up a series of award-winning projects that bring together average citizens with scientists and policymakers to reach joint recommendations on vaccines, holding public dialogues across the country to break down boundaries between the experts and everybody else, literally putting multiple perspectives around a table. His example suggests that while science’s first and greatest triumph in this area was to develop vaccinations to control or eradicate many diseases, the challenge now—not yet achieved, and in some ways even more difficult—is to preserve public support for vaccine programs long after these scourges have largely vanished from our everyday lives.

“The problem is not only research,” Bernier says. “The problem is trust.”

Chris Mooney will continue to report on the vaccine-autism controversy on his blog, The Intersection.

Labels: ,


Today in the News (1 Dec 09)

Tuesday, December 01, 2009

 
Evolution:
Bacteria 'Invest' Wisely to Survive Uncertain Times, Scientists Report. Like savvy Wall Street money managers, bacteria hedge their bets to increase their chances of survival in uncertain times, strategically investing their biological resources to weather unpredictable environments. In a new study available online and featured on the cover of Cell, UT Southwestern Medical Center researchers describe how bacteria play the market so well. Inside each bacterial cell are so-called genetic circuits that provide specific survival skills. Within the bacteria population, these genetic circuits generate so much diversity that the population as a whole is more tolerant of -- and is more likely to survive -- a wide range of variability in the environment.

New Fossil Plant Discovery Links Patagonia to New Guinea in a Warmer Past. Fossil plants are windows to the past, providing us with clues as to what our planet looked like millions of years ago. Not only do fossils tell us which species were present before human-recorded history, but they can provide information about the climate and how and when lineages may have dispersed around the world. Identifying fossil plants can be tricky, however, when plant organs fail to be preserved or when only a few sparse parts can be found. In the November issue of the American Journal of Botany, Peter Wilf (of Pennsylvania State University) and his U.S. and Argentine colleagues published their recent discovery of abundant fossilized specimens of a conifer previously known as "Libocedrus" prechilensis found in Argentinean Patagonia. This plant was first described in 1938 based on one fossil vegetative branch whose characteristics were said to most closely match those of a living South American dry, cold-climate conifer found in the study area: Austrocedrus (Libocedrus) chilensis, the Cordilleran Cypress.

Mass Extinction: Why Did Half of N. America's Large Mammals Disappear 40,000 to 10,000 Years Ago? Years of scientific debate over the extinction of ancient species in North America have yielded many theories. However, new findings from J. Tyler Faith, GW Ph.D. candidate in the hominid paleobiology doctoral program, and Todd Surovell, associate professor of anthropology at the University of Wyoming, reveal that a mass extinction occurred in a geological instant. During the late Pleistocene, 40,000 to 10,000 years ago, North America lost over 50 percent of its large mammal species. These species include mammoths, mastodons, giant ground sloths, among many others. In total, 35 different genera (groups of species) disappeared, all of different habitat preferences and feeding habits.

Vaccines:
Lyme Disease Vaccine? Tick Saliva Found to Protect Mice from Lyme Disease. A protein found in the saliva of ticks helps protect mice from developing Lyme disease, Yale researchers have discovered. The findings, published in the November 19 issue of Cell Host & Microbe, may spur development of a new vaccine against infection from Lyme disease, which is spread through tick bites. Traditionally, vaccines have directly targeted specific pathogens. This is the first time that antibodies against a protein in the saliva of a pathogen's transmitting agent (in this case, the tick) has been shown to confer immunity when administered protectively as a vaccine.

Availability of Vaccine No Guarantee Public Will Want It. Just because a vaccine is available doesn't mean people will choose to be inoculated, according to new UofT research published amid widespread public confusion around the merit of H1N1 flu shots. The research -- which looked at acceptability of potential future HIV vaccinations among high-risk adults in Los Angeles -- shows many factors come into play when a person is deciding whether or not be vaccinated.

Autism:
Early Intervention for Toddlers With Autism Highly Effective, Study Finds. A novel early intervention program for very young children with autism -- some as young as 18 months -- is effective for improving IQ, language ability and social interaction, a comprehensive new study has found. "This is the first controlled study of an intensive early intervention that is appropriate for children with autism who are less than 2 1/2 years of age. Given that the American Academy of Pediatrics recommends that all 18- and 24-month-old children be screened for autism, it is crucial that we can offer parents effective therapies for children in this age range," said Geraldine Dawson, chief science officer of Autism Speaks and the study's lead author. "By starting as soon as the toddler is diagnosed, we hope to maximize the positive impact of the intervention."

Parent Training Key to Improved Treatment of Behavior Problems in Children With Autism. The serious behavior problems that can occur in children with autism and related conditions can be reduced with a treatment plan that includes medication combined with a structured training program for parents, according to Yale University researchers and their colleagues. Published in the December 2009 issue of the Journal of the American Academy of Child and Adolescent Psychiatry, the study was conducted by the National Institute of Mental Health (NIMH) Research Units on Pediatric Psychopharmacology (RUPP) Autism Network. The 24-week, three-site trial was conducted at Yale, Ohio State University and Indiana University. Lawrence Scahill, professor at Yale School of Nursing and the Yale Child Study Center, is principal investigator at the Yale site.

Labels: , ,


Today in the News (16 Nov 09)

Monday, November 16, 2009

 
Evolution:
Caught In The Act: Butterfly Mate Preference Shows How One Species Can Become Two. Breaking up may actually not be hard to do, say scientists who've found a population of tropical butterflies that may be on its way to a split into two distinct species. The cause of this particular break-up? A shift in wing color and mate preference. In a paper published this week in the journal Science, the researchers describe the relationship between diverging color patterns in Heliconius butterflies and the long-term divergence of populations into new and distinct species.

Ancient Penguin DNA Raises Doubts About Accuracy of Genetic Dating Techniques. Penguins that died 44,000 years ago in Antarctica have provided extraordinary frozen DNA samples that challenge the accuracy of traditional genetic aging measurements, and suggest those approaches have been routinely underestimating the age of many specimens by 200 to 600 percent. In other words, a biological specimen determined by traditional DNA testing to be 100,000 years old may actually be 200,000 to 600,000 years old, researchers suggest in a new report in Trends in Genetics, a professional journal. The findings raise doubts about the accuracy of many evolutionary rates based on conventional types of genetic analysis. BLOG NOTE: I am almost reluctant to post this article, only because of how badly it will be misrepresented by creationists and their ilk, and you know it will... The fact that this shows that many evolutionary steps indicate an older age will escape them. Also, this is for Penguins, not all animals. Furthermore, the temperatures and climate may have some bearing on the results. That science is always learning doesn't seem to be a strenth to them.

Vaccines:
People With Less Education Could Be More Susceptible To The Flu. People who did not earn a high school diploma could be more likely to get H1N1 and the vaccine might be less effective in them compared to those who earned a diploma, new research shows. University of Michigan study looked at a latent virus called CMV in young people, and the body's ability to control the virus. Previous studies have shown that elderly people with less education are less successful at fighting off CMV, but this is the first known study to make that connection in younger adults as well, said study co-author Jennifer Dowd, who began the work while in the Health and Society Scholars program at the U-M School of Public Health. BLOG NOTE: Or is it that people who are less educated are more likely to listen to bimbos like Jenny McCarthy? Stupid is as stupid does?

Whooping Cough Immunity Lasts Longer Than Previously Thought. Immunity to whooping cough lasts at least 30 years on average, much longer than previously thought, according to a new study by researchers based at the University of Michigan and the University of New Mexico. Details are published October 30 in the open-access journal PLoS Pathogens. Once thought to be under control following widespread childhood vaccination, whooping cough (pertussis) has been on the rise since the 1980s in the United States and several other countries. Several explanations have been proposed for the surprising increase in cases, and one leading idea is that the immunity enjoyed by vaccinated or previously exposed people is waning. It has been documented that, in some individuals, immunity has waned over time, but details of how long protection typically lasts and how its waning affects disease transmission have not been clear.

Autism:
Children With Autism Show Slower Pupil Responses, Study Finds. Autism affects an estimated 1 in 150 children today, making it more common than childhood cancer, juvenile diabetes and pediatric AIDS combined. Despite its widespread effect, autism is not well understood and there are no objective medical tests to diagnose it. Recently, University of Missouri researchers have developed a pupil response test that is 92.5 percent accurate in separating children with autism from those with typical development. In the study, MU scientists found that children with autism have slower pupil responses to light change. "No comprehensive study has been conducted previously to evaluate the pupils' responses to light change, or PLR, in children with autism," said Gang Yao, associate professor of biological engineering in the MU College of Agriculture, Food and Natural Resources and the College of Engineering. "In this study, we used a short light stimulus to induce pupil light reflexes in children under both dark and bright conditions. We found that children with autism showed significant differences in several PLR parameters compared to those with typical development."

Language Support In Schools Vital For Children With Autism. Teachers and parents must be vigilant in observing difficulties with language comprehension, reading and spelling in children and young people with autism, Asperger's syndrome and ADHD. "It is important that pupils are offered the support to which they are entitled," says Jakob Åsberg in a new thesis at the University of Gothenburg. "Pupils with these neuropsychiatric disorders are often reported as having problems with spoken and written activities. However, relatively little research has been carried out within the field. Considering how important such skills are for coping independently in school and in working life and society in general, it is of great importance that we become better informed about these issues," considers Jakob Åsberg, who is publicly defending his thesis in psychology.

Why Can't Chimps Speak? Key Differences In How Human And Chimp Versions Of FOXP2 Gene Work. If humans are genetically related to chimps, why did our brains develop the innate ability for language and speech while theirs did not? Scientists suspect that part of the answer to the mystery lies in a gene called FOXP2. When mutated, FOXP2 can disrupt speech and language in humans. Now, a UCLA/Emory study reveals major differences between how the human and chimp versions of FOXP2 work, perhaps explaining why language is unique to humans. Published Nov. 11 in the online edition of the journal Nature, the findings provide insight into the evolution of the human brain and may point to possible drug targets for human disorders characterized by speech disruption, such as autism and schizophrenia. BLOG NOTE: This article has a lot to do with genetics and evolution, but there is a tie in to autism and mental dissorders, so I put it here.

Labels: , ,


Today in the News (10 Nov 09)

Tuesday, November 10, 2009

 
Evolution:
Inefficient Selection: New Evolutionary Mechanism Accounts For Some Of Human Biological Complexity. A painstaking analysis of thousands of genes and the proteins they encode shows that human beings are biologically complex, at least in part, because of the way humans evolved to cope with redundancies arising from duplicate genes. "We have found a specific evolutionary mechanism to account for a portion of the intricate biological complexity of our species," said Ariel Fernandez, professor of bioengineering at Rice University. "It is a coping mechanism, a process that enables us to deal with the fitness consequences of inefficient selection. It enables some of our proteins to become more specialized over time, and in turn makes us more complex." Fernandez is the lead author of a paper slated to appear in the December issue of the journal Genome Research. The research is available online now. BLOG NOTE: Of course, people who like to deny science because they have no comprehension of how it actually works will attempt to cite this as another example of science being wrong, as opposed to science getting better.

Speed Limit To The Pace Of Evolution, Biologists Say. Researchers at the University of Pennsylvania have developed a theoretical model that informs the understanding of evolution and determines how quickly an organism will evolve using a catalogue of "evolutionary speed limits." The model provides quantitative predictions for the speed of evolution on various "fitness landscapes," the dynamic and varied conditions under which bacteria, viruses and even humans adapt. A major conclusion of the work is that for some organisms, possibly including humans, continued evolution will not translate into ever-increasing fitness. Moreover, a population may accrue mutations at a constant rate -- a pattern long considered the hallmark of "neutral" or non-Darwinian evolution -- even when the mutations experience Darwinian selection.

Vaccines:
New Strategies To Combat The Flu Virus. New anti-flu drugs could become a reality as a result of a study carried out by academics at the University of Hertfordshire. Dr Andreas Kukol at the University of Hertfordshire's School of Life Sciences led a team which studied the evolution of proteins from more than 2,000 viruses, which included swine, avian and human flu. Antivirals such as Tamiflu act on surface proteins, which are highly variable among different viruses. But the researchers found that, if they went deeper than the surface proteins, they could identify proteins which remain constant in evolution and therefore can be targeted more effectively with antivirals.

Sneezing In Times Of A Flu Pandemic. The swine flu (H1N1) pandemic has received extensive media coverage this year. The World Health Organization, in addition to providing frequent updates about cases of infection and death tolls, recommends hyper vigilance in daily hygiene such as frequent hand washing or sneezing into the crook of our arms. News reports at all levels, from local school closures to airport screenings and global disease surveillance, continue to remind us of the high risk. In times of heightened health concerns, everyday behaviors like sneezing can serve as a reminder to wash our hands or take our vitamins. But, what if we overreact to everyday sneezes and coughs and sniffles? Can these signals transform healthy discretion into an unreasonable fearfulness about germs and more?

Autism:
Handwriting Is Real Problem For Children With Autism. Handwriting skills are crucial for success in school, communication, and building children's self-esteem. The first study to examine handwriting quality in children with autism spectrum disorders (ASD) has uncovered a relationship between fine motor control and poor quality of handwriting in children with ASD, according to research published in the November 10, 2009, issue of Neurology®, the medical journal of the American Academy of Neurology. The study, conducted by researchers at the Kennedy Krieger Institute, compared handwriting samples, motor skills, and visuospatial abilities of children with ASD to typically developing children. The researchers found that overall, the handwriting of children with ASD was worse than typically developing children. Specifically, children with ASD had trouble with forming letters, however in other categories, such as size, alignment, and spacing, their handwriting was comparable to typically developing children. These findings build on previous studies examining motor skills and ASD conducted in 2009 by Kennedy Krieger researchers. BLOG NOTE: As a parent of a child with ASD, I can attest to this first hand! Looking at my own handwriting, you may suspect even more!

Clinical Tests Begin On Medication To Correct Fragile X Defect. NIH-supported scientists at Seaside Therapeutics in Cambridge, Mass., are beginning a clinical trial of a potential medication designed to correct a central neurochemical defect underlying Fragile X syndrome, the most common inherited cause of intellectual disability. There has to date been no medication that could alter the disorder's neurologic abnormalities. The study will evaluate safety, tolerability, and optimal dosage in healthy volunteers. The work is the outcome of basic research that traced how an error in the fragile X mental retardation gene (FMR1) leads to changes in brain connections, called synapses. The changes in turn appear to be the mechanism for learning deficits in Fragile X syndrome. The new trial tests Seaside Therapeutics' novel compound, STX107, that selectively and potently targets the synaptic defect.

Labels: , ,


Today in the News (2 Nov 09)

Monday, November 02, 2009

 
Evolution:
Novel Evolutionary Theory For The Explosion Of Life. The Cambrian Explosion is widely regarded as one of the most relevant episodes in the history of life on Earth, when the vast majority of animal phyla first appear in the fossil record. However, the causes of its origin have been the subject of debate for decades, and the question of what was the trigger for the single cell microorganisms to assemble and organize into multicellular organisms has remained unanswered until now. Within a longstanding research collaboration between the Institute for Bioengineering of Catalonia and Bielefeld University together with the Friedrich-Miescher-Institute in Basel and the Marine Biological Laboratory at Woods Hole (Massachusetts), Xavier Fernàndez-Busquets (Barcelona) and Dario Anselmetti (Bielefeld) and their colleagues published online in the journal Molecular Biology and Evolution their biophysical single molecule results on the effect of calcium on the interactions of cell adhesion molecules from marine sponges. These simply organized organisms do not have specialized muscle or nerve cells and nevertheless survived the last 500 million years almost unchanged and are considered a link between the single-cell dominated Precambrian and later multicellular organisms.

A Solution To Darwin's 'Mystery Of The Mysteries' Emerges From The Dark Matter Of The Genome. Biological species are often defined on the basis of reproductive isolation. Ever since Darwin pointed out his difficulty in explaining why crosses between two species often yield sterile or inviable progeny (for instance, mules emerging from a cross between a horse and a donkey), biologists have struggled with this question. New research into this field by basic scientists at Fred Hutchinson Cancer Research Center, published online Oct. 22 in Science Express, suggests that the solution to this problem lies within the "dark matter of the genome": heterochromatin, a tightly packed, gene-poor compartment of DNA found within the genomes of all nucleated cells. "Speciation is one of the most fascinating, unsolved problems in biology," said Harmit Malik, Ph.D., an associate member of the Hutchinson Center's Basic Sciences Division and corresponding author of the paper.

Vaccines:
Pregnant Women At 'Serious Risk' from Flu. Pregnant women who catch the flu are at serious risk for flu-related complications, including death, and that risk far outweighs the risk of possible side effects from injectable vaccines containing killed virus, according to an extensive review of published research and data from previous flu seasons. The review, a collaboration among scientists from the Johns Hopkins Children's Center, Emory University and Cincinnati Children's Hospital, and published online Oct. 22 in the American Journal of Obstetrics & Gynecology, found substantial and persistent evidence of high complication risk among pregnant women -- both healthy ones and those with underlying medical conditions -- infected with the flu virus, while confirming vaccine safety. The findings, researchers say, solidify existing CDC recommendations that make pregnant women the highest-priority group to receive both the H1N1 and seasonal flu vaccines.

Progress Made On Group B Streptococcus Vaccine. Scientists supported by the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, have completed a Phase II clinical study that indicates a vaccine to prevent Group B Streptococcus (GBS) infection is possible. GBS is the most common cause of sepsis and meningitis in newborns in the United States, according to the Centers for Disease Control and Prevention (CDC). It can also cause severe illness in pregnant women, the elderly and adults with chronic illnesses. Colonization of the genital or gastrointestinal tract is a critical risk factor for infections due to GBS.

Autism:
New 'Schizophrenia Gene' Prompts Researchers To Test Potential Drug Target. Johns Hopkins scientists report having used a commercially available drug to successfully "rescue" animal brain cells that they had intentionally damaged by manipulating a newly discovered gene that links susceptibility genes for schizophrenia and autism. The rescue, described as "surprisingly complete" by the researchers, was accomplished with rapamycin, a drug known to act on a protein called mTOR whose role involves the production of other proteins. The idea to test this drug's effectiveness at rescuing impaired nerve cells occurred to the team as a result of having discovered a new gene that appears to act in concert with two previously identified schizophrenia susceptibility genes, one of which is involved in the activation of the protein mTOR. This piecing together of multiple genes adds support for the idea that susceptibility to schizophrenia and autism may have common genetic fingerprints, according to the researchers.

Vaccine Inoculations Show No Link to Autism, Other Health Problems: Presented at IDSA. Vaccine inoculations show no link to autism or other health problems even in children with certain genetic disorders that might put them at risk for such problems, researchers stated here at the 47th Annual Meeting of the Infectious Diseases Society of America (IDSA). The research findings could contradict previous concessions by the US Department of Health and Human Services that suggested a possibility that vaccination might have aggravated a child's underlying mitochondrial disorder and caused her autism symptoms.

Labels: , ,


Archives

May 2009   June 2009   July 2009   August 2009   September 2009   October 2009   November 2009   December 2009   January 2010   February 2010   March 2010  

This page is powered by Blogger. Isn't yours?

Recent Posts