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General discussion

Interesting case of fraud in vaccine research ...

Feb 22, 2004 1:20AM PST

When something goes wrong in the process of reporting on vaccine safety the usual suspect is the pharmaceutical industry since it has a vested interest in the vaccines. Not so with this one:
(from Journal Regrets Vaccine-Autism Link Study - I have not been able the source article, presumably in Lancet, to see if it includes further information)
...
The editor of the Lancet, Dr. Richard Horton, said Dr. Andrew Wakefield and a team of British scientists who conducted the study on the triple measles-mumps-rubella (MMR) vaccine didn't reveal that they were being paid by a legal aid service looking into whether families could sue over the immunizations.


Horton called it a "fatal conflict of interest."


Wakefield's study suggested that the MMR vaccine could put children at risk of autism ? a developmental disorder often arising in the first few years of life ? and inflammatory bowel disease.


The paper has since been discredited on scientific grounds, but some parents have clung to the findings and health officials say that vaccinations have fallen dangerously low since its publication.
...

Discussion is locked

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Re:Interesting case of fraud in vaccine research ...
Feb 22, 2004 1:53AM PST
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There are other articles as well ...
Feb 22, 2004 2:05AM PST

I did find the ones you linked to. What I could not find was the article with the statements from the editor about the severe conflict of interest in the original MMR/Autism paper.

It is possible that the statements quoted in the news piece were made by Lancet's editor but not actually published in Lancet.

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Re:There are other articles as well ...
Feb 22, 2004 2:29AM PST
It is possible that the statements quoted in the news piece were made by Lancet's editor but not actually published in Lancet.

I believe this is probably the case. His remark, "fatal conflict of interest" does do notcome up in a full text search of the Lancet.

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Re:Interesting case of fraud in vaccine research ...
Feb 22, 2004 1:58AM PST
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and another...
Feb 22, 2004 2:04AM PST
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Re: and another...
Feb 22, 2004 5:44AM PST

Hi, Clay.

It would be interesting to know if the "indpendent verification" had a similar conflict. Such conflicts are now taken very serious (such was not the case even five years ago) -- to get Federal funding you have to have in place a "conflict of interest policy," and each faculty member must sign a form annually stating whether there are any such potential conflicts of interest. They do not ordinarily disqualify one from doing the research, btw, but they must be clearly disclosed, and there's usual an indpendent scientific auditor appointed to review the data before the paper can be submitted. Peer review by journal reviewers does not ordinarily include the raw data.

-- Dave K, Speakeasy Moderator
click here to email semods4@yahoo.com

The opinions expressed above are my own,
and do not necessarily reflect those of CNET!

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Re:Interesting case of fraud in vaccine research ...
Feb 22, 2004 2:18AM PST

Bill, as you point out, biased "scientific research" is easily motivated by the pharmaceutical industry's vested interest in marketing their vaccines and drugs. The FDA is supposedly there to ensure the bias is left out of the final research. When the drug begins showing unexpected (or expected but un-reported) side effects, the lawyers step in and finance the contra-research. Their motivation, obviously, is a share of the claims by the people hurt by the side effects that were fraudulently unreported or missed by shoddy research during the FDA approval process. Typically, one would expect the contra-research financed by the tort lawyers to be better science than the alleged bad science of the drug-makers, in that the lawyers know going into the project that this time there will be one set of scientists arguing with another set of scientists in an open court room and much will be at stake as to which set of scientists is right (or at least right enough to convince the judge/jury to find in their favor...). What is interesting here is that the tort lawyers indulged in even worse science than the industry. And got it published... The yahoo article didn't go into whether or not the flawed, but published, study was ever the basis for a legal settlement, but it would seem that such a settlement should now be overturned. Furthermore, while I'm not a big fan of the piggy pharmaceutical companies, it sure looks like they could make a case against the lawyers group for lost sales, plus more damages somehow for having adversely affected public safety by discouraging the public with this bad science from getting necessary vacinations.

One thing this time that did not seem to be unique, however, was the uncovering of the hidden interests of the invisible financiers of so-called "objective" research.

dw

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One might think litigants would want strong studies, but ...
Feb 22, 2004 2:51AM PST

I don't buy the conclusion that "one would expect the contra-research financed by the tort lawyers to be better science than the alleged bad science of the drug-makers ..." The statement sounds reasonable but I don't believe it is correct.

Too many legal cases are decided on the basis of junk science. For example, there used to be a pill called Bendectin that was used for morning sickness. There were a few case reports of newborns with cardiac defects after their mothers took Bendectin during pregnancy. There never was any real evidence that Bendectin caused the defects, but IIRC there were lawsuits that resulted in awards. The company eventually took the drug off the market. I was still in med school when the company withdrew the drug, but I remember being impressed at how irrational the process was (and still is).

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I work in the field of autism and mental retardation ...
Feb 22, 2004 2:37AM PST

and this type of work has done tremendous damage to parents and others who, IMO, have been deceptively convinced of various causes of autism. Not to mention all the bull**** "facilitated communication" "research". Scientific research must be conducted with the utmost of controls and ethics.

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It's not just the autism patients and families who get hurt ...
Feb 22, 2004 2:45AM PST

It's bad enough that they get misled, but that is not the end of it.

Parents of healthy children have refused to allow their children to receive the MMR, especially in the UK. If enough parents decline the vaccine we will see more of those potentially lethal diseases. Women who don't receive the MMR as infants may not be immunized later on, which would result in increased birth defects.

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Absolutely right..
Feb 22, 2004 3:03AM PST

of course. I didn't realize this was more of an issue in the UK. There seems to a growing anti-vaccine movement here in the U.S., in large part driven by the autism-vaccine "link".

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Re:Absolutely right..
Feb 22, 2004 4:40AM PST

Mark, There has been a backlash against vaccines in the UK for at least 7+ years. I really can't remember and this is not my field. But the anti-vaccine ?feeling? was not because of the MMR (being the triple vaccine). It is true to say that the link to autism (correct or otherwise) brought this feeling to a head, and in some ways many were relieved that the whole issue was brought into the spotlight.

IMO There are three camps, being (1) those parents who have had bad experiences following vaccinations (and the parents say this is an absolute - fine before the vaccination, not fine after the vaccination); (2) those parents who see no evidence of the diseases so see no reason for the vaccination. OK this is Cloud 9 perhaps, but they are not happy to put foreign bodies into their children when there is "apparently" no need. (3) More technical that, having introduced a "foreign body" at an early age, this is then embodied artificially into the body system - and it shouldn't be there. It can cause it's own repercussions. (A vaccine should activate the body's antibodies, in case the disease does strike, but this view is that these "foreign bodies" shouldn't be there in the first place and cause damage of themselves.)

The overall issue of vaccines is unlikely to go away IMO, because whatever these new reports say, there are too many people who have had bad personal experiences and too many people who question the underlying good. In some ways, diseases naturally die and cyclically come back. The trick would be to start the vaccines just before the cycle starts again - and that really is Clould 9.

Regards
Mo

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Your reason number 3;
Feb 22, 2004 1:42PM PST

...reminds me of Mad Cow Disease. Something that is added to the body that isn't supposed to be there, in a manner that would seem to be safe, then later we learn that a "foreign body" can survive even the cooking process and cause a horrible disease. What if there is some sort of "prion" or other object in vaccine that actually does cause certain serious reactions in some children, and the cause/effect has not yet been established, that is, understood.

We could probably go through history, even recent history and point out examples of life saving procedures that fell victim to diseases that weren't discovered till later, the most obvious in recent memory being HIV in blood supplies. Haemophilia is a disease that needs definite treatment with platelet replacement but nevertheless while doing something that seemed relatively safe for years, the seeds of death were being sown in the bodies of haemophiliacs the world over.

What about gamma globulin shots? In 1983, due to hepatitis exposure from a fellow soldier, I had to get 5cc of that shoved in my bun. Traveling at the time, it was not fun riding in a bouncing truck on what felt like a golf ball lump in my buttock. In 1983 they were just beginning to understand the relationship between the "Gay Men's Disease" or maybe it was called Syndrome, and blood products. You as a doctor know that gamma globulin is a blood product. You probably also know that it was collected most often from the blood of homosexuals since they had the most antibodies to hepatitis due to their lifestyle. Now, I didn't know that at the time or I probably would have refused the shot and taken delayed orders instead. I was lucky. I didn't get HIV from the shot, but DID get tests several times after that for the disease, just to be sure. In that case it would have been most advantageous to refuse the gamma globulin considering the health situation that developed over blood products and HIV in the following years, something that was not widely known at that time.

I think most vaccines are a good idea. Some I think, like the flu vaccine are not as necessary, and even pushed at people like some corner drug dealer. I have my children vaccinated, since I nor my wife ever had any serious reaction to those vaccines. If either of us had a bad reaction in past, then I might be hesitant too. If my first child had a health problem that seemed related, at least in time sequence, to a vaccine I would be understandably worried about younger children receiving the same.

I think some of the parents are unreasonable in their fears, having little to base it on. I think others have some valid concerns and should have every right to refuse certain vaccines for their children.

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The thing is - how does one know and when does one call a halt? ....
Feb 22, 2004 10:50PM PST

We, as parents, can only act on the information provided about vaccinations and take responsibility for what we have "done" to our children if we take a decision which subsequently turns out to be the wrong one.

My son has had vaccinations for diptheria, tetanus, whooping cough, polio, measles, mumps, and rubella (German measles) (7)

Even if these are considered safe on their own (or in the multiples in which they are given), do we know if they are safe together - or at all?

We were recently offered (not obligated) a Dip, Tet and Polio booster - and the safety statistics were not encouraging (IMO)

I'm not sure that we want to continue to stand in line for these vaccinations. "Not sure" are the key words here and recent news hardly inspires confidence.

Regards
Mo