Getting Back to Nature

It's good to get away from everything now and then. An opportunity to recharge, relax and forget about all of those things that cause stress. What better than to get out in nature for a bit to take in fresher air free, free from the cloistering atmosphere of the city? Enjoy the forests and birds. See the stars you can't see past the glow of civilization.

That's what I did this past week, which, for those paying attention, explains my recent absence from cyberspace. Five days of camping in the White Mountains of New Hampshire, with no computer at hand and no way for work to contact me was simply amazing. I was able to experience a number of different things that no amount of photography or video can portray adequately, and even words fail to fully encompass.

You Have No Voice

It's been a while since I've written about something I've read over at the Age of Autism blog. Frankly, I haven't frequented it nearly as much lately, partly because they have steadily drifted more and more into the fringe, with posts that simply boggle the mind. I will readily admit that I do admire the passion that they bring to the table, but that is no justification for the vitriol, misinformation and outright quackery they frequently promote. What drew me over there this morning was learning that an autistic adult, writing under the 'nym Autistic Lurker, had made some comments there and, as is usual with the AoA crowd, getting piled on, criticised and accused of not being who they said they were. This was on a post by Dan "I can't find the Amish autists" Olmstead titled The IACC (I Am Completely Clueless) Meets Again . The post basically amounts to a diatribe about how the Interagency Autism Coordinating Committee is a horrible bureaucracy (granted) that is wasting its time and money following scientific evidence rather than, as all the folks at AoA just know is true, doing research proving that vaccines did it.

If you're interested in a long, long wall of text that amounts to, "Why won't you do what a very small portion of the autism community wants you to do!?", click on the link above and take a gander. I'm not going to go into detail about it. Rather, I'm going to talk about one of the comments on the post. It's a comment that, when I read it, I was, quite literally, stunned. For several moments, I could do nothing but stare at my monitor. This was followed in quick succession by feelings of disbelief, disgust and outrage. The comment encapsulates the derogatory view that, it seems, many in the AoA echo chamber have of disabilities in general and autism in particular.

Praying, in Vain, for Exemption

In polite conversation, especially with strangers, there are some topics that you should just avoid. Anything related to politics or religion can, unless you really know your audience, produce rather, shall we say, heated disagreements. Okay, let's be real. When politics and religion come up, people can get vehemently argumentative. There tends to be such a strong personal investment in political and religious beliefs that to question the belief is seen as somehow questioning or even denigrating the individual. From personal experience, it's hard to avoid that even when sticking to the facts and avoiding personal opinion. So people tend to steer clear of such conversation topics in order to play nice, keep the peace and avoid jeopardizing friendships.

Vaccines have become a topic similar to politics and religion. Anytime I meet someone new and the subject arises (and even with good friends, on occasion), there's always this sense of trepidation. Has the person I'm talking to read something on the interwebz that they found convincing enough to distrust vaccines? How personally invested are they? If they've been fooled by anti-vaccine propaganda (which, admittedly, can be quite convincing to someone who has not been following things for a while), what arguments will they use to justify their beliefs? The rationalizations will very likely draw politics or religion (or both) into the mix, and given how intertwined are personal identity and political/religious beliefs, sticking solely to facts and reason aren't likely to sway the person. In such cases, fighting fire with fire, so to speak, might work, but it's a risky proposition, especially when using religious arguments.

The problem is that once you start bringing religion into an argument dealing with non-religious policies and topics, you get bad religion and bad policy. Take, for instance, a religiously-based list of anti-vaccine arguments [EDIT 8/12/14: updated link to a cached version of the page, as the original appears to have been taken down] recently forwarded to me.

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.

NSW Extends Free Pertussis Vaccine for New Mothers

About a month ago, Phil Plait wrote about the Victoria, Australia, Ministry of Health's decision to end a program that provides pertussis vaccine boosters for free to carers of newborns in an effort to protect infants from what can be, for them, a deadly disease. The reason cited was that the program did not "get the clinical result required". This move by the state of Victoria led Toni McCaffery, whose infant daughter, Dana, was killed by pertussis, to create a petition to the Premiers and Health Ministers of Australia to ask the states to continue to provide free pertussis vaccines to adults caring for newborns to help cocoon these infants until they are old enough to be vaccinated.

Well, the state of New South Wales has listened, to a degree.

Mark "Castrate 'Em" Geier's License Suspended - Part 6

[Edited to add: Not sure how I missed this, but when checking out Dr. Geier's listing on the Florida Department of Health's site, it looks like his certification with the American Board of Medical Genetics has been revoked, as well.]

There's been another development in the case of Dr. Mark Geier, the physician who came up with the Lupron Protocol as a purported treatment for autism. Lupron, for those who don't know about it, is a drug that is used in prostate cancer treatment, fertility treatment, to treat precocious puberty and, off-label, to chemically castrate sex offenders. It shuts down production of sex hormones (testosterone in men, estrogen in women). The reason the Geiers use this drug is because they believe that testosterone and mercury bind together, making it more difficult for the body to eliminate the mercury in, for example, thimerosal-containing vaccines. This belief comes from a single study examining testosterone and mercury in hot benzene, which, for those who might be unaware, is a condition never found in the human body. Prometheus wrote about this back in 2006. Never mind that there is no quality evidence showing that in children with autism there is any of this testosterone-mercury binding going on, nor that using lupron (followed by chelation) has any benefit at all.

At any rate, Dr. Geier's erroneously diagnosing children with precocious puberty so he would be able to prescribe lupron, among other ethical and professional lapses, led to his license to practice medicine in Maryland being suspended. This, in turn, resulted in the licensing boards in a number of other states suspending his licenses, too. Which brings us to today.

The 10 Pro-vaccine Commandments According to Anti-vaccinationists

Ahhh. Taking a few days away from it all to visit with family and friends is always good. Even better is when you get to do all that and return to find a wee bit o' the hilarious sitting in your inbox. Liz Ditz brought to my attention a relatively new group on Facebook: Provax Quacks. This group is described thusly:

Pointing out the duplicity and idiocy of the vaccine enthusiasts since 2012! Content irrelevant to the pages [sic] theme will be removed. [Edited to add: It looks like the ones running the group removed that second sentence sometime June 13, 2012 (curse my lack of foresight to get a screen grab), but looking at the comments on some of their wall posts, they have clearly been deleting comments, as predicted.]

Right off the bat, they conveniently let you know that any fact-based comments that contradict their ideological line will be censored. That saves me a lot of time. I won't waste any effort trying to comment on this new echo chamber of anti-vaccine inanity. I will, however, share with my readers a rather hilarious wall post put up by this group. If you had any doubts that the members of this group have little to no understanding of science or logic, what you are about to see will make it all perfectly, readily clear. In fact, I probably don't even need to offer my own commentary, but I just can't resist.

Without further ado, then, I present Vaccinology 10 Commandments, as seen by anti-vaccinationists:

New Report from HHS on Vaccine Storage

I heard something on the news this morning that I figured would get the anti-vaccine crowd into a fervor of excitement. It is something that they could spin to make it seem like vaccines really are dangerous or that they really don't protect people. Images leapt to mind of writers and commenters alike over at Age of Autism crying out, "See! We're not dumb for refusing vaccines!" Barbara Loe Fisher at the National Vaccine Information Center floated before my eyes, declaiming that vaccines are not safe. I could almost hear Mike Adams or Gary Null snidely claiming that this report proves (proves, I tell you!) that vaccines are ineffective. And so, I figured I should probably take a closer look into it before the wacky misinterpretations and outright lies began to flow.

What brought all this to mind? As reported by ABC news, some doctors may not be storing vaccines properly. The story is based on a new report from the Department of Health and Human Services' Office of Inspector General (OIG), titled Vaccines for Children Program: Vulnerabilities in Vaccine Management (the PDF of the full report can be found here). Briefly, the OIG found that providers of vaccines made available through the CDC's Vaccines for Children Program (VFC) (a program that provides free vaccines to kids whose families might otherwise be unable to afford to get their child immunized) were frequently storing vaccines in inappropriate conditions, potentially reducing their potency and efficacy.

There are a couple ways that I could see this report being spun by opponents of vaccination. Let's take a look...

Mostly Good News from Vermont

Back in March, I wrote about how Vermont was moving toward improved public health by putting forth a bill that, if passed,would eliminate philosophical exemptions from school and daycare immunization requirements, while still leaving religious and medical exemptions intact. After a considerable amount of going back and forth, in committee, out of committee, to the House, back to the Senate and so on, Senate bill S.199 was signed into law on May 16, 2012.

As with all things legal and political, there are positive aspects of the enacted law (PDF) as well as some negatives. The big negative, from my perspective, is that philosophical exemptions are still allowed in Vermont. But not all is doom and gloom. The various revisions the bill underwent added significantly to the school immunization laws, going beyond the simple issue of exemptions.

So, what all has changed?

Michigan Legislature Aims to Restrict Public Health

Now that Memorial Day has passed in the United States and I've had some time to get over last week's emotion-draining post, it seems like a good time to take a look at what lies ahead. What developments are in the works? Where is public health headed? We can expect the pertussis outbreaks in the U.S. to continue to spread, very likely including more pertussis deaths. We will likely see cases of measles imported from Europe. And we'll see public health officials work hard to prevent and contain outbreaks of disease.

Legislators, on the other hand, may need a bit of prodding.

In Michigan, it appears that the legislature is taking steps to make it harder for health care facilities to protect the health of their patients. A group of 11 republicans and 1 democrat have introduced legislation that aims to dictate to hospitals and other health facilities and agencies what they can and cannot do with regard to ensuring their staff are not a potential source of influenza infection.