VAERS a Few Things We Need to Discuss

I've been remiss. There's a topic that I've written about in passing, but I have yet to devote an entire post to it. In all this time writing about different vaccines, studies about vaccines and anti-vaccine claims, there's a subject about which I have neglected to write more about than a paragraph here or there. I'm speaking, of course, about the Vaccine Adverse Event Reporting System, or VAERS. The handful of times I have written anything about VAERS (here, here, here and here), it's mainly been a very brief overview of what it is and how anti-vaccine activists like to abuse it (except that last link, which included a study using VAERS data).

So I thought I should rectify that situation. What prompted this was an exchange on Twitter with a doctor by the name of Jim Meehan, who tried to argue that the HPV vaccine is confirmed to have caused deaths...144 of them, to be precise. His reasoning is that there are 144 reports of death associated with HPV vaccine in the VAERS database. Therefore, he thinks HPV causes death:

He also tried to dismiss me and others by claiming we had financial conflicts of interest on the topic. Actually, he's rather fond of attacking the people he's arguing against, like suggesting that because they don't agree with him, they would probably also deny the Holocaust. (On further perusing his Twitter feed, he appears to be a full-on anti-vaccinationist himself, citing Robert Kennedy Jr.'s nonsense, "too many, too soon", "unvaccinated are healthier" and so on. And on even more perusing, I find that Dr. Meehan admits to being anti-vaccine:

If only I'd known that when I first saw this guy. Would've saved me a lot of time and explains a lot of his behavior. Perhaps at some point in the future I'll need to revisit this fellow.)

In the meantime, though, I thought it might be helpful to talk a little bit about VAERS: what it is, how it's supposed to be used and how it's abused.

Anthrax - Not Just a Thrash Metal Band

The other day, I got into a bit of a back-and-forth on Twitter with some folks that question vaccines. I know, I know. Big surprise! One of those people was comedian Rob Schneider, who has recently come out as a vocal critic of California bill AB 2109, which would require parents to get informed about vaccines before they could get a personal belief exemption. Schneider chimed in with a rather bone-headed comment to me:

Or, "I probably didn't think things through, but I'm going to ask anyway."

This isn't a comment that really surprised me or threw me for a loop. I mean, I wrote about it back in November 2010 and reposted the article a little over a year later, since I noticed the argument being brought up yet again. Schneider's comment really just illustrates that he either has not really thought the question through, doesn't understand the subject, cares little to none for people around him or some combination of the above. Suffice it to say, there are very good reasons to be concerned about those who do not vaccinate.

But that's not what this post is about. Rather, it's in answer to a question asked by another person who, presumably, follows Mr. Schneider and saw my exchange with him. This person simply wondered what I thought about complications from the anthrax vaccine. This caught me off guard. I suspected there was probably a bit more behind what appeared to be a very simple question. And sure enough, there was. It wasn't just complications in general, but specifically a possible connection between the vaccine and autoimmune disorders, fatigue and hypersomnia. I had to admit that I didn't know much about anthrax vaccine, but I promised I'd look into it.

And so, here we find ourselves.

The Anti-Vaccine Crowd Shows They Are Anti-Informed Consent

"We want people to have informed choice when it comes to vaccines." These words, or at least something along these lines, are uttered by many anti-vaccine activists, like Barbara Loe Arthur (aka Barbara Loe Fisher) of the misnamed National Vaccine Information Center or the authors at Age of Autism. To hear them speak, you would imagine that they would be completely in favor of any efforts which strive to provide accurate, complete information to parents who are deciding whether or not to have their children vaccinated. Such efforts should be whole-heartedly embraced by these "pro-informed consent" warriors.

Just such an opportunity has arisen in California, with AB 2109. As I recently wrote, this bill would expand on California's philosophical exemptions regulations regarding immunization requirements for day care and school enrollment. If passed, parents seeking a philosophical exemption would need to obtain from a physician or other health care provider a signed statement that the doctor provided them with information on the benefits and risks of vaccines. Physicians are already required by Federal law to provide this information before administering a vaccine. This provision would provide an added opportunity for parents to receive sound information and advice regarding their children's vaccines.

Sounds like something Fisher and company would support, no? Surprisingly, no.

Mary Tocco, Is She Mistaken or Misrepresenting?

Something that has been noted here and elsewhere over the years is that anti-vaccine activists generally play rather loose and free with facts. They have this tendency to misrepresent reality in a way that suggests support for their opinions, and sometimes they even downright fabricate "facts" that have no basis in the real world. Take the long-debunked claim that vaccines contain anti-freeze. (They don't.) Because their goal is to stir up fears about vaccines, they latch onto scary-sounding chemical names and equate them with all manner of ills. Where nuance is called for, they resort to hyperbole. Their goal is fear, not truth.

Mary Tocco is no exception. I came across an article she wrote August 2 entitled "Seasonal Flu Vaccines, Are They Safe or Necessary?". Other than the poor word choice (I think they are generally safe and necessary in order to protect the greatest portion of the population; are they really only safe or only necessary?), I'll give you one guess as to what she thinks. In true anti-vaccine activist form, she jumps straight into getting things wrong in the very first paragraph:

Acute Thrombocytopenic Purpura, the MMR and Natural Infection

Twitter's a great tool for rapidly disseminating information. With a large network of followers, a simple message can spread like wildfire. This can be great for getting important facts out to a wide audience, like instilling a bit of rationality around the fear-infused media exaggerations of the events at the Fukushima Daiichi nuclear plant in Japan.

Of course, like all decent tools, there can be a bad side to Twitter, as well. Just as rational facts can be spread quickly, so, too, can misinformation. Given the character limits on tweets, a lot of the nuance and complexities of a given subject are often left out, resulting in messages that, on the surface, may instill readers with a sense of unease or outright anger. The careless may inadvertently scare people about a certain topic, while the nefarious use the limitations of Twitter to their advantage, purposefully spreading partial-truths or even outright lies to promote their agendas.

Such was a tweet I saw just the other day.