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To: TomB
READ on about vaccines and what has been published...

Vera Schreibner is another one of those supposed quacks - I think time will prove her correct!

Read the list of research that has been done on vaccinations...

SBS - The vaccination Link

Vera Schreibner, 1998 Recently there has been quite an "epidemic" of the so-called "shaken baby syndrome". Parents, usually the fathers, or other care-givers such as nannies have increasingly been accused of shaking a baby to the point of causing permanent brain damage and death. Why? Is there an unprecedented increase in the number of people who commit infanticide or have an ambition to seriously hurt babies? Or is there something more sinister at play? Some time ago I started getting requests from lawyers or the accused parents themselves for expert reports. A close study of the history of these cases revealed something distinctly sinister: in every single case, the symptoms appeared shortly after the baby's vaccinations. While investigating the personal medical history of these babies based on the caregivers' diaries and medical records, I quickly established that these babies were given one or more of the series of so-called routine shots - hepatitis B, DPT (diphtheria, pertussis, tetanus), polio and HiB (Haemophilus influenzae type B) - shortly before they developed symptoms of illness resulting in serious brain damage or death. The usual scenario is that a baby is born and does well initially. At the usual age of about two months it is administered the first series of vaccines as above. (Sometimes a hepatitis B injection is given shortly after birth while the mother and child are still in hospital. However, a great number of babies now die within days or within two to four weeks of birth after hepatitis B vaccination, as documented by the records of the VAERS [Vaccine Adverse Event Reporting System] in the USA.) So, the baby stops progressing, starts deteriorating, and usually develops signs of respiratory tract infection. Then comes the second and third injections, and tragedy strikes: the child may cry intensely and inconsolably, may stop feeding properly, vomit, have difficulty swallowing, become irritable. stop sleeping, and may develop convulsions with accelerating progressive deterioration of its condition and mainly its brain function.

This deterioration may be fast, or may slowly inch in until the parents notice that something is very wrong with their child and then rush it to the doctor or hospital. Interestingly, they are invariably asked when the baby was immunised. On learning that the baby was indeed "immunised". the parents may be reassured that its symptoms will all clear up. They are sent home with the advice. "Give your baby Panadol". If they persist in considering the baby's reaction serious. they may be labeled as anxious parents or trouble-makers. So the parents go home, and the child remains in a serious condition or dies.

Until recently, the vaccine death would have just been labeled "sudden infant death", particularly if the symptoms and pathological findings were minimal. However, nowadays. with an alarmingly increasing frequency. the parents (or at least one of them, usually the father) may be accused of shaking the baby to death. The accused may even "confess" to shaking the baby, giving the reason, for example, that having found the baby lying still and not breathing and/or with a glazed look in its eyes. they shook it gently - as is only natural in their attempt to revive it. Sometimes, ironically, they save the baby's life. only to be accused of causing the internal injuries that made the baby stop breathing in the first place, and which in fact were already present when they shook the baby to revive it.

No matter what the parents say or do, everything is construed against them. If they are crying and emotional, they will be accused of showing signs of guilt. If they manage to remain composed and unemotional, they will be called calculating and controlling - and guilty because of that.

In another scenario the distraught parents try to describe the symptoms to an attending doctor in hospital or a surgery but are totally at a loss to understand what has happened to their baby. To their shock and dismay, they later discover that while they were describing the observed symptoms, the doctor or another staff member was writing three ominous words in the medical record: shaken baby syndrome.

Many of these parents end up indicted and even sentenced to prison for a crime that somebody else committed. Some of these cases have been resolved by acquittal on appeal or have been won based on expert reports demonstrating vaccines as the cause of the observed injuries or death. However, only God and a good lawyer can help those parents or care-givers who happen to be uneducated, or have a criminal record, particularly for violence, or have a previous history of a similar "unexplained" death of a baby in their care, or, worse still, a vaccine-injured baby with a broken arm or fractured skull. More and more often, the unfortunate parents are given the option of a "deal": if they confess and/or plead guilty, they will get only a couple of years in prison: but if they don't, they may end up getting 20 years.

I was told by a social worker in the United States that many foster parents are rotting in US prisons. First, they are forced to vaccinate their charges, and then, when side effects or death occur, they are accused of causing them.

Inevitably the possibility exists that infanticide or child abuse is involved in some of the cases. However, there is no determinable reason why so many parents or other care-givers would suddenly begin to behave like this. It is incredibly insensitive and callous to immediately suspect and accuse the distraught, innocent parents of harming their own baby.

MEDICAL STUDIES

Let's now have a look at medical literature dealing with shaken baby syndrome and child abuse.

Caffey (1972, 1974)[1][2] described the "whiplash shaken infant syndrome" as a result of manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with permanent brain damage and mental retardation. He referred to his own paper, published almost 30 years prior to the above quoted papers, which described what he called "the original six battered babies in 1945". The essential elements in this description were subdural haematomas, intraocular bleedings and multiple traction changes in the long bones. These findings became a benchmark of the "evidence" that a child had been shaken before developing these signs.

Reece (1993)[3] analysed fatal child abuse and sudden infant death syndrome (SIDS) and considered the critical diagnostic decisions. He emphasised that distinguishing between an unexpected infant death due to SIDS and one due to child abuse challenges paediatricians, family physicians, pathologists and child protection agencies. On the one hand, they must report instances of suspected child abuse and protect other children in the family; and on the other, all agree that the knowledge in this area is incomplete and ambiguity exists in many cases.

Dubaime et al. (1992)[4] wrote that "patients with intradural haemorrhage and no history of trauma must also have clinical and radiographic findings of blunt impact to the head, unexplained long-bone fractures or other soft tissue inflicted injury, in order to completely eliminate the possibility of spontaneous intracranial haemorrhage such as might rarely occur from a vascular malformation or a bleeding disorder".

While it is not disputed that some parents and care-givers may cause the above injuries by mistreating infants, one must take great care in interpreting similar pathological findings of injury caused by other insults which have nothing to do with mechanic injuries and mistreatments of infants.

I shall never forget the father of a 10-month-old infant, who after being acquitted on appeal of causing shaken baby syndrome said words to the effect, "We still don't know what killed our baby". It did not occur to them and nobody told them that it was the vaccine that killed their baby.

So what else can cause brain swelling, intracranial bleeding ocular retinal haemorrhages, and broken skull and other bones Ever since the mass vaccination of infants began, reports of serious brain, cardiovascular, metabolic and other injuries started filling pages of medical journals.

Indeed, vaccines like the pertussi (whooping cough) vaccine are actually ally used to induce encephalomyelitis (experimental allergy encephalomyelitis) in laboratory animals (Levine and Sowinski, 1973[5]) This is characterised by brain swelling and haemorrhaging of a extent similar to that caused by mechanical injuries (Iwasa et al. 1985[6]).

Munoz et al. (1981)[7] studied biological logical activities of crystalline per tussigen - a toxin produced by Bordetella pertussis, the causative agent in pertussis and an active ingredient in all types of pertussis vaccines whether whole-cell or acellular - in a number of laboratory experiments with mice. They established that minute amounts of pertussigen induce hypersensitivity to bistamine (still detected 84 days after administration), leucocytosis, production of insulin, increased production of IgE and G1 antibodies to hen egg albumin, susceptibility to anaphylactic shock and vascular permeability of striated muscle. A dose of 546 nanograms per mouse killed 50 per cent of mice. Typically, the deaths were delayed. When a dose of five micrograms of pertussigen was administered, most mice did not gain weight and died by day five; the last mouse died on day eight. A one-microgram dose of one preparation killed four out of five mice. They first gained weight from days two to five, but then remained at nearly constant weight until they died. Even the one that survived for 16 days (it was then killed) experienced crises (stopped putting on weight) on the days when the others died. Had that one lived longer. it might have died on day 24. This is another of the critical days - identified by Cotwatch research into babies' breathing - on which babies have flare-ups of stress induced breathing, or die, after vaccination.

Interestingly, when laboratory animals develop symptoms of vaccine damage and then die, it is never considered coincidental; but when children develop the same symptoms and/or die after the administration of the same vaccines, it is considered coincidental or caused by their parents or other carers. When all this fails, then it is considered "mysterious".

Delayed reactions are the norm rather than the exception. This has been explained as a consequence of an immunological intravascular complexing of particulate antigen (whole-cell or acellular pertussis organisms) (Wilkins, 1988[8]). However, vaccinators have great difficulty with this, and as a rule draw largely irrelevant timelines for accepting the causal link between administration of vaccines and onset of reactions - usually 24 hours or up to seven days. However, most reactions to vaccines are delayed, and most cases are then considered unrelated to vaccination.

One only has to peruse a product insert of hepatitis B vaccine to see that besides local reactions, a number of neurological signs may occur, such as paraesthesia and paralysis (including Guillain-Barre syndrome, optic neuritis and multiple sclerosis).

Devin et al. (1996)[9] described retinal haemorrhages which are emphatically being considered the sure sign of child abuse, even though these can be and are caused by vaccines. Goetting and Sowa ( 1990)[10] described retinal haemorrhage which occurred after cardiopulmonary resuscitation in children.

Bulging fontanelle due to brain swelling was described by Jacob and Mannino (1979)[11] as a direct reaction to the DPT vaccine. They described a case of a seven month-old baby who, nine hours after the third DPT vaccination, developed a bulging anterior fontanelle and became febrile and irritable.

Bruising and easy bleeding is one of the characteristic signs of the blood clotting disorder, thrombocytopenia - a recognised side-effect of many vaccines. Its first signs are easy bruising and bleeding and petechial (spotlike) rash. Thrombocytopenia may result in brain and other haemorrhages (Woerner et al., 1981[12]).

The convulsions which follow one in 1,750 doses of the DPT vaccines (Cody et al., 1981[13]) can result in unexplained falls in bigger children who can sit up or stand, which may cause linear cracks of the skull and other fractures. When one considers that babies are supposed to get a minimum of three doses of DPT and OPV (oral polio vaccine), then the risk of developing a convulsion is one in 580, and with five doses the risk rises to one in 350. This means that a great number of babies develop convulsions after vaccination between the ages of two to six months, at about 18 months, and at five to six years. The convulsions often occur when the parent or another carer is not looking, and the child, while standing or sitting on the floor, simply falls backwards or onto its arm.

All these signs can be misdiagnosed as a result of mechanical injuries, particularly so because vaccinators simply refuse to admit that vaccines cause serious injuries, or they only pay lip service to the damage caused by the pernicious routine of up to 18 vaccines with which babies are supposed to be injected within six months of birth.

The court system should therefore be more open to the documented viable and alternative explanations of the observed injuries, and be more wary of the obviously biased statements of the provaccination "experts", that nothing else but vigorous shaking can cause retinal haemorrhages - even though such statements only reflect their ignorance. Such "experts" then go home and continue advising parents to vaccinate, and thus, with impunity, they cause more and more cases of vaccine-injured babies and children.

THE UK MEASLES EPIDEMIC THAT NEVER WAS

The term "Munchausen syndrome per proxy" has been used to identify individuals who kill or otherwise harm a child in order to attract attention to themselves. The term was used in many instances in the 1980s when earlier attempts were fashioned to explain some of the cases of sudden infant death.

According to Meadow (1995)[14], "Munchausen syndrome per proxy" is flamboyant terminology originally used for journalistic reasons. It was a term commonly applied to adults who presented themselves with false illness stories, just like the fictional Baron von Munchausen who travelled on cannon balls. The term is now used to apply to parents of children who present with false illness stories fabricated by a parent or someone else in that position.

While the term may have some validity in describing this special form of child abuse in the documented cases of parents slowly poisoning their child or exposing it to unnecessary and often dangerous and invasive medical treatments, more recently it became a way for some doctors to camouflage the real observed side effects of especially measles (M), measles-mumps-rubella (MMR) and measles-rubella (MR) vaccinations in the UK. Many thousands of British children (up to 15,000 in my considered opinion) developed signs of autism usually associated with bowel symptoms after being given the above vaccines in 1994.

The Bulletin of Medical Ethics published two articles, in 1994 and 1995, dealing with this problem. The October 1994 article ("Is your measles jab really necessary?") stated that during November 1994 the UK Government would be running a mass campaign of measles vaccination with the intention of reaching every child between the ages of five and sixteen.

It claimed that the purpose of this campaign was to prevent an epidemic that would otherwise occur in 1995, with up to 200,000 cases and up to 50 deaths. The article also showed that since 1990 there have been only 8,000 to 10,000 cases of measles each year in England and Wales, and that coincidentally there was an epidemic of only about 5,000 cases in Scotland in the winter of 1993-94. Between May and August 1994 the notification rate in England and Wales dropped sharply, so there was nothing that clearly suggested an imminent epidemic.

The nine-page article in the August 1995 issue of BME stated among other things that on 14 September 1992 the Department of Health (DoH) hastily withdrew two brands of MMR vaccines following a leak to the national press about the risk of children developing mumps meningitis after administration of these vaccines. Both brands contained the Urabe mumps vaccine strain which had been shown to cause mumps meningitis in one in 1,044 vaccinees (Yawata, 1994[15]).

Based on the epidemiology of measles, there: was never going to be a measles epidemic in 1995 and there was certainly no justification for concomitant rubella vaccination. The mass campaign was planned as an experimental alternative to a two-dose schedule of measles-mumps-rubella vaccination. The UK Government knowingly misled parents about the need for the campaign and about the relative risks of measles and measles vaccination. The DoH broke the European Union's law about contracts and tendering to ensure that specific pharmaceutical companies were awarded the contracts to provide the campaign vaccines. All this must have been extremely fortunate for the drug companies in question, since the supplies of measles and rubella vaccines which they'd been left with in 1992 and for which there was virtually no demand were soon to go out of date.

The vaccination campaign achieved very little. Indeed, in 1995 there were twice as many cases of serologically confirmed rubella in England and Wales as in the same period of 1994: 412 cases against 217. Six cases of rubella in pregnant women were reported. The data indicate that more measles cases were notified in the first quarter of 1995 (n=11) than in the first quarter of 1994 (n=9). Despite this, there were several claims from government doctors that measles transmission had stopped among school children. Higson (1995)[16] wrote that two DoH officials tried to justify the success of the measles and rubella vaccination campaign by using data that cannot be used to give year-on-year comparison for measles infections. Indeed, he wrote that the data collected by the public health departments on the measles notifications show no indication of benefit from the highly expensive campaign. The British government spent some £20 million purchasing the near-expiry-date measles and rubella vaccines.

Some 1,500 parents are now participating in a class action over the damage (most often the bowel problems and autism) suffered by their children.

Wakefield et al. (1998)[17] published a paper in the Lancet in which they reported on a consecutive series of children with chronic enterocolitis and regressive developmental disorder which occurred 1 to 14 days (median, 6.3 days) after M, MMR and MR vaccinations. They also quoted the "opioid excess" theory of autism, that autistic disorders result from the incomplete breakdown and excessive absorption of gut-derived peptides from foods, including barley, rye, oats and milk/dairy product casein, caused by vaccine injury to the bowel. These peptides may exert central-opioid effects, directly or through the formation of ligands with peptidase enzymes required for the breakdown of endogenous central-nervous-system opioids, leading to disruption of normal neuroregulation and brain development by endogenous encephalins and endorphins.

A number of British parents approached me last year and complained that their children had developed behavioural and bowel problems after vaccination (as above), and that instead of getting help from their doctors they were told that they just imagined the symptoms or caused them in order to attract attention to themselves. The term "Munchausen syndrome per proxy" was used. It caused a lot of hardship and marital problems and did nothing for the victims of vaccination. Their stories were horrifying.

EDUCATION ON VACCINE DANGERS

In summary, the trail of vaccine disasters is growing. Not only do vaccinations do nothing to improve the health of children and other recipients, they cause serious health problems and hardship for their families by victimising the victims of vaccines.

Parents of small children of vaccination age should use their own judgement and should educate themselves about the real dangers of this unscientific, useless. harmful and invasive medical procedure. No matter how much vaccines are pushed, vaccination is not compulsory in Australia (though the Liberal Federal Minister for Health has announced his plan to make it so in the near future - which, to me, sounded more like a threat at the time), and parents do not have to vaccinate their children. Those parents who think they are safe when they follow the official propaganda may be in for a rude awakening: they may be accused of causing the harm which resuued from vaccination.

I also urge medical practitioners to use their own judgement and observations and study the trail of disaster created by vaccination. They should listen when their patients and especially the parents of small children report side effects of vaccinations.

The inability to listen and observe the truth has created a breed of medical practitioners who inflict illness rather than healing, who become accusers rather than helpers, and who are ultimately just covering up - whether consciously or unknowingly, but with frighteningly increasing frequency - for the disasters created by their useless and deadly concoctions and sanctimonious ministrations. Maybe the term "Munchausen boomerang" should be introduced to describe those members of the medical profession who victimise the victims of their own harmful interventions (vaccines in particular). I would like to remind those who may still think the risks of vaccine injury are outweighed by the benefits from vaccines, that infectious diseases are beneficial for children by priming and maturing their immune system. These diseases also represent developmental milestones. Having measles not only results in a lifelong specific immunity to measles, but also a non-specific immunity to a host of other, more serious conditions: degenerative diseases of bone and cartilage, certain tumours, skin diseases and immunoreactive diseases (Ronne, 1985[18]). Having mumps has been found to protect against ovarian cancer (West, 1966[19]). So there is no need to try to prevent children from getting infectious diseases.

Moreover, according to orthodox immunological research, vaccines do not immunise, they sensitise: they make the recipients more susceptible to diseases (Craighead, 1975[20]). It is the vaccinated children who suffer chronic ill health (asthma and constant ear infections being two of many vaccine side effects); who develop side effects to diseases like pneumonia or atypical measles (which carries a 12 to 15 per cent mortality risk); or who may have difficulty going through even such innocuous iseases as chicken pox because their immune system has been suppressed by vaccines.

In my closing remark, I urge parents to ask themselves a few questions. Have you noticed how much the vaccines are pushed by threats, coercion, victimisation and monetary punitive measures, with parents then being accused of causing what are clearly side effects of the vaccines? Would you succumb to the same type of pressure if any other product were pushed with the same vengeance? Wouldn't you be suspicious and ask what's wrong with the product if it has to be forced upon consumers? Why do so many informed parents, as well as many informed medical doctors, now refuse vaccination? Shouldn't you be suspicious of a medical system which forces itself upon you, which won't accept responsibility for vaccine injuries and unlawfully tries to take away your constitutional, democratic and legal right to have control over your own and your children's health without being hassled and victimised?

Endnotes

[1] Caffey, J. (1972), 'On the theory and practice of shaking infants', Am. J. Dis. Child 124, August, 1972.

[2] Caffey, J. (1974), 'The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracramal and intraocular bleeding, linked with residual permanent brain damage and mental retardation', Pediatrics 54(4):396-403.

[3] Reece, R. M. (1993), 'Fatal child abuse and sudden infant death syndrome', Pediatrics 91 :423-429.

[4] Duhaime, A. C., Alario, A.J., Lewander, W. J. et al. (1992), 'Head injury in very young children mechanisms, injury types and opthalmologic findings in 100 hospitalized patients younger than two years of age', Pediatrics 90(2):179-185.

[5] Levine, S. and Sowinski, R. (1973), 'Hyperacute allergic encephalomyelitis', Am. J. Pathol. 73:247-260.

[6] Iwasa, A., Ishida, S., Akama, K. (1985), 'Swelling of the brain caused by pertussis vaccine: its quantitative determination and the responsible factors in the vaccine', Japan J. Med. Sci. Biol. 38:53-65.

[7] Munoz, J.J., Aral, H., Bergman, R. K. and Sadowski, P. (1981), 'Biological activities of crystalline pertussigen from Bordetella pertussis', Infection and Immunity, September 1981 , pp. 820-826.

[8] Wilkins, J. (1988),'What is 'significant' and DTP readions' (letter), Pediatrics 81(6):912-913.

[9] Devin, F., Roques, G., Disdier, P., Rodor, F. and Weiller, P. J. (1996), 'Occlusion of central retinal vein after hepatitis B vaccination', Lancet 347:1626, 8 June 1996.

[10] Goetting, M. G. and Sowa, B. (1990), 'Retinal haemorrhage after cardiopulmonary resuscitation in children: an etiologic evaluation', Pediatrics 85(4):585-588.

[11] Jacob, J. and Mannino, F. (1979), 'Increased intracranial pressure after diphtheria, tetanus and pertussis immunization', Am. J. Dis. Child 133:217-218.

[12] Woerner, S. J., Abildgaard, C. F. and French, B. N (1981), 'Intracranial haemorrhage in children with ideopathic thombocytopenic purpura', Pediatrics 67(4):453-460.

[13] Cody, C. L., Baraff, L. J., Cherry, J. D., Marcy, S. C. and Manclark (1981 ), 'Nature and rates of adverse reactions associated with DTP and DT immunizations in infants and children', Pediatrics 68(5):650-660.

[14] Meadow, R. (1995), 'What is and what is not 'Munchausen syndrome per proxy'?', Arch. Dis. Child 72:534-538.

[15] Yawata, Makoto (1994), 'Japan's troubles with measles-mumps-rubella vaccine', Lancet 343:105-106, 8 January 1994.

[16] Higson, N. (1995),'Evaluating the measles immunisation campaign', British Medical Journal 311 :62.

[17] WakeField, A. J., Murch, S. H., Anthony, A., Linnell, J. et al. (1998), 'Ileal-lymphoid-nodular hyperplasia, non-specific colitis and pervasive developmental disorder in children', Lancet 351:637-641, 28 February 1998.

[18]. Ronne, T. (1985),'Measles virus infection without rash in childhood is related to disease in adult Life', Lancet, 5 January 1985, pp. 1-5.

[19] West, R. O. (1966),'Epidemiologic studies of malignancies of the ovaries', Cancer, July 1966, pp. 1001-07.

[20] Craighead, J. E. (1975), 'Report of a workshop: disease accentuation after immunisation with inactivated microbial vaccines', J. Infect. Dis. 1312(6):749-754.


25 posted on 08/12/2002 11:27:42 AM PDT by krodriguesdc
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To: krodriguesdc
Read the list of research that has been done on vaccinations...

So research on Shaken Baby syndrome is research on vaccines? Looking at the references, I don't see many vaccine safety studies.

Do you REALLY want to get into a numbers war with studies on vaccine safety?

Vera Schreibner is another one of those supposed quacks - I think time will prove her correct!

She's already been proven wrong over and over.

Viera Scheibner

The 1997 winner of the Australian Skeptics Bent Spoon Award, presented annually to the Australian "perpetrator of the most preposterous piece of pseudoscientific piffle", was announced at the convention. The unanimous choice of the judges was Dr Viera Scheibner for her high profile anti-immunisation campaign which, by promoting new age and conspiracy mythology and by owing little to scientific methodologies or research, poses a serious threat to the health of Australian children. Unlike most previous recipients, Dr Scheibner responded to her award with a demand that she be allowed space to present her case. As the Skeptic does not seek to silence its critics, we have offered her space in the next issue.


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In 1993 Ms. Scheibner published a book "100 Years of Orthodox Research Shows that vaccines Represent a Medical Assault on the Immune System." The most famous of her claims is that SIDS (sudden infant death syndrome) supposedly disappeared in Japan following a change in the pertussis immunization schedule.

Ms. Scheibner's credentials are ambiguous. As Viera Scheibnerovà she was an assistant professor in the Dept. of Geology at Comenius University in Bratislava until 1969.

She then immigrated to Australia and was a member of the Geological Survey of New South Wales until her retirement in the mid 1980's.

A medline search of the indexed peer reviewed literature covering some 3,600 health-related journals reveals that Ms. Scheibner has never published a single study on human health.

While Ms. Scheibner apparently has training in paleontology, her training in the health sciences and her experience in human health research is NON-EXISTENT!

Ms. Scheibner claims to have researched "60,000 studies" (up from 30,000!). However, in Australia Ms.Scheibner was the 1997 recipient of the Bent Spoon Award for her role as the "perpetrator of the most preposterous piece of paranormal or pseudo-scientific piffle."

A further review of her book is also available.

Also, an examination of Ms. Scheibner's claims of a disappearance of SIDS in Japan following a change in the pertussis immunization schedule is shown to be completely erroneous.

Ms. Scheibner has also claimed that Japan discontinued measles and pertussis immuniztion. An examination of relevant current data reveals her claim to be erroneous. According to the World Health Organization Japan has high levels of pertussis immunization coverage(over 80%).

Ms. Scheibner's lack of training in the health sciences has led her into other blunders. One of many examples: at one point in her book she claims the cause of Legionnaire's Disease is the flu vaccine (disease is actually caused by the organism Legionella pneumophilia and related strains.)


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And here you can see what Schreibner's ideas eventually lead to. Support for a child abuser.

29 posted on 08/12/2002 11:48:04 AM PDT by TomB
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To: krodriguesdc

Anti-immunisation scare: The inconvenient facts

Dr. Steve Basser
(Vol 17, No 1)

Introduction

Over the last few years immunisation rates in Australia have fallen. As a result there have been outbreaks of the infectious diseases immunisation is designed to combat. Earlier this year there was a significant outbreak of pertussis (whooping cough) with at least three children dying from this preventable disease.

There has been a lot of media attention focused on the immunisation issue, and in an attempt at ?balanced? reporting the views of individuals and groups who oppose immunisation have been given plenty of coverage. The most well known example of this was the ABC TV Quantum two part series aired on September 26 and October 3, 1996.

The Australian Skeptics have been critical of the media in the past when they have unquestioningly given coverage to issues such as alien abductions or astrology. Can we now have our cake and eat it too? Is it reasonable to expect the media to only present the ?immunisation is good? message? Are there really two sides to the immunisation ?debate?? This is the question the sceptical scientist should be asking.

Perhaps the answer lies in the distinction between scientific evidence and individual opinion. There will be a number of different opinions, or beliefs, about immunisation but, as the Australian Skeptics have so often observed, believing something to be so does not necessarily make it so.

There is no scientific doubt about the efficacy of immunisation, and my concern about some of the media coverage is that this has not always been made clear.

This has not entirely been the fault of the media, though. Part of the responsibility must lie with so-called mainstream scientists, who have at times been unwilling to appear alongside immunisation opponents. The latter are often more media savvy, and are always willing to accept airtime or print space to state their views. Whilst I can well understand the reticence felt when faced with an invitation to respond to an anti-immunisation spokesperson armed mostly with anecdotes, I believe more attention should be paid to combating their misinformation.

Initially it was my intention to write an article that reviewed the scientific evidence for and against immunisation, but I have decided, instead, to review the quality of the science of one particular, very public, opponent of immunisation - Dr Viera Scheibner.

Dr Viera Scheibner describes herself as a retired principal research scientist. She has a PhD in micropaleontology and in 1993 published a book - Vaccination 100 Years of Orthodox Research shows that Vaccines Represent a Medical Assault on the Immune System.

I decided to review Dr Scheibner?s work because she is highly regarded within anti-immunisation circles. She has given lectures both here and overseas, and more importantly she was the sole expert witness called to oppose immunisation in the Human Rights and Equal Opportunities Commission hearing regarding the right of Maroochy Shire Council to exclude unvaccinated children from their child care centre.1

Dr Scheibner is staunchly anti-immunisation and she claims that she has come to this view as a result of collecting "just about every publication written on the subject of the effectiveness and dangers of vaccines".2(pxv) Lest there be any confusion I will allow Dr Scheibner to make her own position quite clear:

...there is no evidence whatsoever that vaccines of any kind - but especially those against childhood diseases - are effective in preventing the infectious diseases they are supposed to prevent. 2 (pxv) [emphasis added]

Before I go on to examine Dr Scheibner?s claims, and the objectivity of her research, in more detail it is important to make the following points unambiguously clear:

  1. Vaccines are not 100% safe.3-11
  2. Vaccines are not 100% effective.12-18
  3. Parents have a right to objective information prior to deciding whether to immunise their children.

It is not my intention to argue the first two points, and I am prepared to agree that, like any medical procedure, there are occasional individuals who suffer a seriously adverse reaction to immunisation. This reality, though, is not an argument for cessation of all immunisation, just as the occasional tragic outcome from coronary bypass graft surgery is not a valid argument for stopping all such surgery.

My primary concern is as follows: Are parents who base their decision not to immunise their child on reading Dr Scheibner?s book making a truly informed choice? Has Dr Scheibner presented her material in a scientifically balanced way? Is she telling the whole story?


Immunology 101

Immunisation is the process of artificially inducing immunity or protection from disease.19 This may be done either by stimulating the body?s immune system with a vaccine or toxoid to produce antibodies, or through the use of an externally produced antibody.

A vaccine is a suspension of live or killed organisms (bacteria or virus), or parts of organisms. A toxoid is a modified bacterial toxin that has been rendered non-toxic but is still able to stimulate anti-toxin production.19 Immunising agents usually also contain a suspending fluid, preservatives, stabilizers and adjuvants. The most commonly used adjuvants are aluminium salts, and are used to enhance the immune response.19 The aim of an immunisation program is to reduce the incidence of, or to eliminate a particular disease. Immunisation has both a direct and an indirect effect.20 The direct effect is the protection induced in the individual receiving the immunising agent. The indirect effect is the reduction of the incidence of the disease in others - so called ?herd immunity?.21

Deciding whether a particular immunisation program is successful depends upon a comparison of the number of cases of disease prevented with the range, severity, and incidence of adverse effects. That is, a comparison of the risks and the benefits.

The paradox of a successful immunisation program is that the more widespread immunisation becomes the more attention will be given to vaccine related illness. When immunisation rates are low, and the incidence of infectious diseases such as whooping cough are high, the risk from the disease is clearly far greater than the risk of harm from the vaccine.20

As immunisation rates increase, though, the disease becomes scarcer and eventually a point will be reached at which the risk from the vaccine approximates the risk of contracting the disease.20 It is important, if high immunisation rates are to be obtained, for this ?conflict? between the individual (risk of immunisation) and society (benefit of herd immunity) to be acknowledged.

This imperfect match between the individual and society is one important reason why, when one reviews the history of immunisation research, so much effort has gone (and is continuing to go) into the development of safer and more efficacious vaccines.


Pertussis

Pertussis (also known as whooping cough) is a highly contagious respiratory infection caused by the organism Bordatella pertussis.22 Pertussis causes violent episodic coughing which can make it hard for a child to eat, drink, and in some cases, breathe. Children under six months of age and children born prematurely, or with congenital abnormalities are particularly susceptible to complications, and suffer higher fatality rates.

Because of the decrease in the incidence of this disease over the course of the twentieth century it is difficult to fully appreciate how serious a condition it can be. At the end of the nineteenth century in the UK one child in every thousand under the age of fifteen died from the disease.4 In the US in the early 1940s it caused more deaths in children under two years-of-age than any other acute infection besides pneumonia and diarrhoeas.24

The pertussis vaccine is usually given in combination with those for tetanus and diphtheria. This immunising agent is commonly referred to as DTP, or Triple Antigen. In Australia it is routinely given at two, four, six, and 18 months of age. A booster may also be given at age four to five years, prior to school entry.

Dr Scheibner asserts that DTP immunisation is ineffective and unsafe. More than this, though, she specifically claims that DTP immunisation is an important cause of Sudden Infant Death Syndrome (SIDS).


The battle lines are drawn

In reviewing the development of the pertussis vaccine earlier this century Dr Scheibner mentions two studies reporting on epidemics that affected the Faeroe Islands, and reports that:

In both epidemics six patients of the 3,926 vaccinated died and 26 among the 1,073 unvaccinated cases died.2(p15)

This result appears to support a contention that is anathema to Dr Scheibner - namely that immunisation is effective - but she is not about to be discouraged, going on to say:

So the vaccine seemed to provide some degree of protection; however, the numbers of vaccinated and unvaccinated are so different that any comparison is scientifically invalid.2(p15) [emphasis added]

Any first year statistics student will be able to tell Dr Scheibner that this is incorrect. In performing a statistical analysis between two populations such as this (vaccinated vs unvaccinated) the samples do not have to be the same size, or even similar, as long as each separate sample is large enough.24

In this case the sample sizes are more than adequate and when the analysis is done on the figures provided by Dr Scheibner the difference between the populations is highly significant, with a p value of <0.0001.

It is difficult to understand how a "principal research scientist" could make such a fundamental error, and does not instill great confidence in Dr Scheibner?s ability to critically and objectively analyse the literature.

Dr Scheibner goes on to discuss the trials conducted in the UK in the 1940s under the auspices of the Whooping-cough Immunisation Committee of the Medical Research Council. She particularly refers to the trials conducted between 1946 and 1950, reported in the BMJ in 1951.25

There were approximately equal numbers of children (3,358 vs 3,352) in two study groups. The ?vaccinated? group were immunised with pertussis vaccine, whilst the ?unvaccinated? group were given a vaccine containing no pertussis organisms. This ?anticatarrhal? vaccine contained killed suspensions of Staphylococcus aureus, Stretococcus pneumoniae, Corynebacterium hofmanii, and Neisseria catarrhalis.

For all the trials there were 149 cases of pertussis diagnosed in the vaccinated group, and 687 in the unvaccinated. The average attack rate in the ?home exposures? group (children exposed in their own homes to infection in one or more siblings) was 18.2% for the vaccinated and 87.3% for the unvaccinated.25

This time Dr Scheibner cannot attempt to dismiss the result based on sample size difference, so she tries a different approach:

This difference in attack rates cannot be attributed solely to a protective effect of the pertussis vaccines because the so-called unvaccinated group who served as a ?control? were in fact given the anti-catarrhal vaccine like the pertussis vaccine, this anti-catarrhal vaccine contained a number of foreign proteins (antigens) and had the ability to lower the resistance of the recipients. For this reason alone, the above trial cannot be considered valid. 2(p16)

Because a truly inert placebo, such as water or normal saline, was not used in these trials it is theoretically possible that the control vaccine had an effect such as Dr Scheibner proposes. Unfortunately for Dr Scheibner the attack rate in the ?unvaccinated? group was compared to the rate in the general population, and over the whole period of the trials there was no difference noted.

If, as Dr Scheibner suggests, the anti-catarrhal vaccine was making children more susceptible to pertussis, why was the disease incidence in this group no different to the general population that did not receive the vaccine?

Once again one can only speculate as to why Dr Scheibner would choose to exclude this important information.

One can also ask why Dr Scheibner chose to exclude the final report of this Committee, published in 1959.26 Perhaps the answer lies in the report?s general conclusion:

The results of the trials clearly showed that it was possible by vaccination to produce a high degree of protection against the disease. 26(p1000)

Dr Scheibner proceeds to discuss a number of reports from the 1940s and 50s that comment on adverse effects from the pertussis vaccine. As noted earlier it is not my intention to try and prove that vaccines are 100% safe. There is no doubt that these early versions of the pertussis vaccine were associated with a number of adverse effects, and it is not unreasonable to comment on this in a historical review of the development of the vaccine.

What is unreasonable is to imply, as Dr Scheibner does, that the safety profile of the pertussis vaccine in the 1930s and 1940s should be a determining factor in deciding whether to use it today.

Dr Scheibner?s apparent lack of objectivity is again on display when she mentions a 1976 paper by Noah27:

Although there was a lower incidence of whooping cough in fully immunised children compared with those partly immunised, the fact remains that the incidence in both groups was quite high. If the pertussis vaccine were effective, no immunised child should have contracted the disease. 2(p20) [emphasis added]

This assertion by Dr Scheibner is, not surprisingly, unreferenced, and she would be hard pressed to find any immunologist, or immunology text, who would support it. Such a statement appears to demonstrate a poor understanding of the basis of immunisation, and the epidemiology of disease.


Effect of reducing immunisation

One important demonstration of the efficacy of immunisation, including pertussis immunisation, is the observed increase in incidence of diseases that occurs when there is a decline in immunisation rates in a previously well-immunised population. Dr Scheibner discusses two of these ?natural experiments? that took place in the UK and Japan respectively. There is, once again, no confusion regarding her opinion:

Reports of increased epidemics shortly after a fall in vaccination are quite untrue and, at best, exaggerated. 2(p29)

In the UK during the 1970s concern about the efficacy of the pertussis vaccine led to a decline in immunisation rates. There followed two epidemics in 1977-79 and 1981-82.28 Dr Scheibner is keen to find a reason other than reduced immunisation for these epidemics, and so she concentrates on a letter written by Professor Gordon Stewart29 that offers her some support.

Professor Stewart enumerates a number of criticisms of the conclusions that had been reached in an article by Miller et al reviewing the risks and benefits of pertussis immunisation Dr Scheibner carefully documents Professor Stewart?s criticisms, but chooses to ignore the reply to Stewart that immediately follows his letter, and addresses these criticisms.30

If Dr Scheibner is attempting to provide balanced information to allow parents to make up their own mind then this would not seem to be the way to achieve this.

In Japan in 1974-5 two children died following DTP immunisation.31 The Ministry of Health and Welfare temporarily halted the DTP immunisation program, and though this only lasted a couple of months public confidence had been eroded. The DTP immunisation rate, which had reached 85% by 1972 fell to 13.6% in 1976.31

Before looking at what happened to the incidence of pertussis during this period it might be useful to remember that Dr Scheibner states there is no evidence "whatsoever" that vaccines are effective.

Dr Scheibner discusses an article on the history of pertussis immunisation in Japan by Kanai31, but once again she appears to have kept from her readers information that fails to accord with her views.

The following are the figures for the cases of pertussis, and deaths from the disease, for the years just prior to the decline in DTP immunisation (1974-5) and for the years following.

Year

Cases

Deaths

1970

655

5

1971

206

4

1972

269

2

1973

364

4

1974

393

0

1975

1,084

5

1976

2,508

20

1977

5,450

20

1978

9,626

32

1979

13,092

41

Table 1.
Pertussis cases and deaths in Japan 1970-79.
Immunisation suspended in early 1975.
Data taken from Kanai31

In addition, it was reported that 90% of the 1975+ cases were in unvaccinated children.31 These figures were thought to clearly demonstrate "the importance and effectiveness of pertussis vaccine"32(p123), and also served to provide "convincing evidence that pertussis is still a fatal disease of babies...".31(p114)

On the basis of these figures no other conclusion is scientifically valid, and this is probably the reason why Dr Scheibner ignored the results.

Dr Scheibner?s review of the Japanese situation provides further support for the contention that her research methods are somewhat sloppy. For example, she mentions the two Japanese deaths and claims that following these "doctors in the Okayama Prefecture boycotted the vaccine."2(p46)

The two deaths in Japan occurred in December 1974 and January 1975. In the Okayama Prefecture doctors had not been using DPT vaccine since April 1973, because of concerns over adverse effects. This Prefecture experienced an epidemic in 1974 and in 1977 was considered a pertussis prevalent area.31 One can only wonder at the irony of Dr Scheibner?s comments later in her book:

Proponents of vaccination are so enmeshed in their belief in the efficacy of vaccines that they appear totally oblivious to evidence to the contrary."2(p53)

It would not be stretching things too far to suggest that this is the proverbial pot calling the kettle black!


Sweden, Sweden, Sweden

Another of Dr Scheibner?s key points is the situation in Sweden, where immunisation against pertussis was suspended in 1979 in response to concerns about the efficacy of the vaccine then in use.33 It seems that we are supposed to conclude that because a country like Sweden stopped immunising their children all other countries should follow suit.

What Dr Scheibner may not want her readers to know, though, is that following suspension of immunisation there was an increase in reported cases of pertussis in Sweden.28 She also omits to explain why Sweden, if it is a country opposed to immunisation, has been so involved in research into newer pertussis vaccines?33 Why waste the time and money if they believe immunisation is ineffective?

Dr Scheibner apparently repeated her claims about Sweden when she appeared before the Human Rights and Equal Opportunities Commission in July 1996.1 It is difficult to understand how Dr Scheibner could appear as an expert witness on immunisation, and not be aware that in many areas of Sweden general immunisation against whooping cough was recommenced in 1995. This decision was based upon the results of trials of newer acellular vaccines, such as the one reported by Gustafsson et al.33

It is also difficult to understand how such an expert witness, who has "collected just about every publication written on the subject", could not be aware of Sweden?s experience with other immunisation programs.

For example, combined measles, mumps, rubella (MMR) immunisation was commenced in Sweden in 1982.34 Table 2 shows the resulting change in the number of hospitalized cases of measles and the number of cases of measles encephalitis.

If immunisation was not responsible for the post 1982 decline then what was?

Year

Cases

Encephalitis

1981

372

15

1982

388

15

1983

248

8

1984

81

1

1985

9

0

1986

11

0

1987

10

0

Table 2.
Hospitalised measles cases, and encephalitis cases in Sweden.
MMR immunisation commenced in 1982.
>From Christenson.34

Another example is Hib vaccine, which was introduced in Sweden in 1992, and was accompanied by a rapid decline in the incidence of H. influenzae meningitis and bacteraemia.35 In the pre-vaccination period of 1987-91 the average annual incidence of these conditions was 34.4 per 100,000 children aged 0-4. By 1994 the incidence in this age group had fallen to 3.5 per 100, 000.35

Did Dr Scheibner mention these results when she appeared before the Human Rights and Equal Opportunities Commission?


DTP and SIDS

One of the more important concerns regarding immunisation, particularly with the DTP, is a possible link with Sudden Infant Death Syndrome (SIDS).36 This is a matter of great concern to parents and health care workers alike, and it is important to carefully examine the available evidence?

The peak time for SIDS is between two and four months of age, which is also the recommended time for the first two doses of DTP. We would therefore expect many cases of SIDS to occur in close time proximity to immunisation merely by chance.

Particularly in those cases where autopsy is unable to identify a cause of death such a close temporal relationship, and the understandable need by grieving parents to understand why this happened to their child, are easily exploited by anti-immunisation advocates.

I will let readers of the Skeptic decide for themselves whether Dr Scheibner?s research in this area qualifies her for the title ?expert witness?.

Dr Scheibner notes a 1982 report of four unexplained deaths that occurred in Tennessee in the late 1970s.37 She first attempts to draw a link between these deaths and immunisation:

All four deaths were classified as sudden infant death syndrome (SIDS), and all had received their first vaccination of diphtheria-tetanus toxoids-pertussis (DTP) vaccine and oral polio vaccine2(p59)

She is forced, however, to concede that the author of the paper found "no evidence to support a causal relationship."37(p421) In her discussion of this study she fails to mention that the author of the paper concluded:

The findings of our study combined with the NIH results provide no support for reducing efforts to immunise infants with DTP.37(p421)

Dr Scheibner then mentions the preliminary results of a study demonstrating a possible association between DTP and SIDS presented at a meeting in 1982.38 Though the final results of this study had not been published at the time of the publication of Dr Scheibner?s book (nor published since) she seems to be prepared to accept these preliminary results as sound science because they support her beliefs.

Dr Scheibner devotes nearly a whole page to this ?study? and only one sentence to formally published studies that found no link between SIDS and DPT.39,40 She also manages, in her discussion of SIDS, to ignore completely the Institute of Medicine Report discussing the DPT vaccine.36 This found no link between SIDS and DTP immunisation.


The Japanese experience

One of Dr Scheibner?s trump cards is her claim that in Japan, following the shift in age of immunisation to two years, the SIDS rate declined. She makes much of this in her book:

In 1975 Japan raised the minimum vaccination age to two years; this was followed by the virtual disappearance of cot death and infantile convulsions.2(pxix)

When Japan moved the vaccination age to two years, the entity of cot death in that country disappeared 2(p43)

The most important lesson from the Japanese experience is that when the vaccination age was moved to two years, the entity of cot death disappeared. 2(p49)

The seeming and widely perpetuated dilemma: ?is there or is there not a causal relationship between DPT injections and cot death? has, quite adequately and indeed without a shadow of a doubt, been resolved by the Japanese experience with cot death. 2(p62-3)

This claim of Dr Scheibner?s has been unquestioningly repeated in other anti-immunisation material.41-43

Dr Scheibner?s claim rests upon her analysis of two papers, one by Noble et al44 and the other by Cherry et al.28 After reviewing both these papers it is clear that Dr Scheibner?s analysis of them is at best sloppy, and at worst blatantly dishonest.

In Japan during the period concerned there was in place a Vaccine Compensation System, and the data presented by Noble and Cherry relate to claims made through this system.28,44 Compensation was commonly awarded for events considered possibly due to immunisation, unless there was clear evidence that this was not the case. Approximately two thirds of claims submitted were accepted.

Noble and Cherry both report that when the minimum immunisation age was moved from three months to two years there were no claims made through the compensation system for vaccine related sudden death.28,44 They do not claim, as Dr Scheibner suggests, that there were no deaths from SIDS in Japan following the change in immunisation age.

Claims for vaccine related sudden death stopped, not because children were no longer dying, but because their deaths no longer occurred during a period when they were also receiving immunisation. How can you claim for a vaccine-related death if no vaccine was given?

If Dr Scheibner is really claiming that no children in Japan died from SIDS once the DTP immunisation age was changed she provides no evidence to support this claim, and I do not believe she can.

The drop in compensation claims suggests that the purported reactions in infants were in large part unrelated developmental events expected commonly in that age group but attributed to vaccine because they were time related analysis of cases with paid claims in the Japanese national compensation system indicates many of the putative cases to be related to other medical conditions. 28(p973)

Additionally, if immunisation is ineffective, as Dr Scheibner claims, then the change in the minimum age of DTP immunisation from three months to two years should not have been associated with any change in the incidence of the disease.

On the other hand, if Dr Scheibner is wrong, and DTP immunisation protects children from pertussis, we would expect that a shift in minimum age to two years would result in an increase in the incidence of pertussis in children under the age of two. This is exactly what happened.

During the period 1970-74, when DTP immunisation was begun at three months the incidence of pertussis in children aged under one was approximately four per 100,000. In 1975 the minimum immunisation age was moved to two years, and by 1984 the incidence of pertussis in children aged under one was over 20 per 100,000.44

These figures, which demonstrate well the expected change in pertussis epidemiology following shift in immunisation age, are particularly damaging to Dr Scheibner?s case, so it comes as no surprise to see her not mention them.

If DTP immunisation caused SIDS, as Dr Scheibner claims, we would expect to observe the SIDS rate rise as immunisation rates increase. As noted earlier, in the UK during the mid 1970s pertussis immunisation rates fell.

Following the pertussis epidemics of 1977-79 and 1981-82 there were intensive efforts to improve immunisation rates. These efforts were successful and by 1992 pertussis immunisation rates were higher than they had ever been.45

Over the same period SIDS deaths in the UK were falling, and by 1992 the number of deaths was lower than it had ever been.46 If DTP is an important cause of SIDS then how is this explained? Isn?t this the exact opposite of what would be expected according to Dr Scheibner?

Finally, in reviewing the DTP/SIDS literature Dr Scheibner found a study by Baraff et al47 that described a possible link between SIDS and DTP, but she managed to miss the criticism of this paper (no account taken of the age distribution of SIDS cases) by Mortimer.48 She also failed to find the work of Bouvier-Colle et al49, and Taylor and Emory50, both of which offer no support for her belief.


Measles

Table 3 lists the number of cases of measles and reported deaths from measles for the years 1960-69 in the USA. 51

Year

Cases

Deaths

1960

441,703

380

1961

423,919

434

1962

481,530

408

1963

385,156

364

1964

458,083

421

1965

261,904

276

1966

204,136

261

1967

62,705

81

1968

22,231

24

1969

25,826

41

Table 3.
Measles cases and related deaths in the USA, 1960-69.

What these figures demonstrate is a period of no significant change in cases or deaths (1960-64) followed by a period of marked decline (1965-69). Anyone with even a rudimentary knowledge of epidemiology would look at these figures and hypothesize that something occurred around about 1963-64 that resulted in a marked decline in the number of cases and deaths from measles.

What happened at this time? Measles immunisation was introduced in the USA in 1963-64. Dr Scheibner, not surprisingly, does not report these figures, but she does claim that:

...vaccination against measles is totally ineffective

and

measles occurs irrespective of and despite vaccination. 2(p82) [emphasis added]

If measles immunisation is "totally ineffective" then I would be interested in her explanation for the above figures, and for the experience in Finland, where a nationwide immunisation program resulted in a 99% decrease in the incidence of measles.52

Dr Scheibner?s preferred approach in the case of measles is to ignore evidence such as this and instead she tries to portray measles as a disease that it is not worth immunising against. She quotes in a supportive manner from a paper expressing the view that measles is "a mild disease with rare serious complications..."2(p83)

The facts yet again tell a different story.

Measles is regarded as the most common vaccine- preventable cause of death among children in the world.53 In 1989 it was estimated that across the globe 1.5 million children per year died from measles and its complications. Up to 10% of children who get measles suffer middle ear infection and nearly as many suffer bronchopneumonia, which is the commonest cause of death. Encephalitis (inflammation of the brain) occurs in approximately one in every 1-2,000 cases. Approximately 15% of patients who suffer encephalitis will die, and 25-35% will suffer permanent brain damage.53

A rare degenerative disorder of the neurological system ? Subacute Sclerosing Panencephalitis (SSPE) - occurs in roughly one in every 100,000 patients with measles, and is characterized by progressive deterioration in neurological functioning with death occurring over a period of months or years. The use of measles vaccine has resulted in the virtual disappearance of SSPE from the USA.54

So much for a mild disease!


Conclusion

I do not believe that Dr Viera Scheibner?s claims regarding DTP and measles immunisation are supported by the available scientific evidence. On the contrary, the evidence strongly supports the view that the benefit of these significantly outweighs the risks.36

In addition I believe that the gaps in her research in this area call into question her objectivity and cast doubts on her ability to speak as an expert witness. It should be a matter of great concern that material such as Dr Scheibner?s is being promoted by groups who ostensibly argue for the right of parents to make up their own minds. How can parents be expected to do this when they are being denied access to so much information?

Dr Scheibner?s claims regarding immunisation are of the ?all swans are white? variety. Her scientific credibility is dependent upon her being able to defend the claim that there is "no evidence whatsoever" that vaccines are effective (all swans are white). Such a claim is easily disproven with just a single example of unequivocal vaccine efficacy (That is, by finding just one non-white swan).

In conclusion, therefore, I offer the following additional swans for colour coding:

  1. Typhoid - In 1911 immunisation of US army troops with typhoid vaccine became compulsory. In World War 1, with a fighting force of approximately two million there were 1,529 cases of typhoid, with 169 deaths. In the Spanish-American War of 1898 with an unvaccinated fighting force of 108,000 there were 20,738 cases of typhoid, and 1,580 deaths.55
  2. Neonatal tetanus - In China in 1994 approximately 10% of pregnant women were immunised against tetanus. Over 90,000 babies died from neonatal tetanus. In contrast in Sri Lanka in 1994 80% of pregnant women were immunised, and the disease declined to the stage where it was considered rare. In Bangladesh, where it is estimated that only 10% of women have access to a clean delivery, the incidence of neonatal tetanus has been cut from 41 per 1,000 live births to six per 1,000 live births as a result of a mass immunisation program.56
  3. Epiglottitis - Is a potentially fatal condition occurring in young children caused by Haemophilus influezae (Hib). In Finland the incidence rate of acute epiglottitis in children aged 0-4 years fell from 7.6 to 0 cases per 100,000 following the introduction of Hib immunisation.57
  4. Japanese Encephalitis - This acute neurological condition occurs predominantly in India, China, and Japan, and is associated with significant morbidity and mortality. The incidence of the condition has dropped markedly as a result of immunisation and mosquito control. Studies have shown the effectiveness of a two dose vaccine regimen to be over 90%.58,59
  5. Polio - In the Netherlands in 1992-93, after 14 years with no endemic cases of polio there was an outbreak involving 71 persons. There were two deaths and 59 cases of paralysis. None of the patients had been vaccinated, most for religious reasons. No vaccinated person contracted the disease.60

Though I have been unable in the space available to address Dr Scheibner?s comments on other immunisations, such as Hepatitis B, Rubella, Hib, and Polio, I am happy to do so at a later time.


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6. Pollock TM et al. Symptoms after Primary Immunisation with DTP and with DT Vaccine The Lancet 1984; 2: 146-49.

7. Peltola H, Heinonen OP. Frequency of True Adverse Reactions to Measles-Mumps-Rubella Vaccine A Double-blind Placebo-controlled Trial in Twins The Lancet 1986; 1: 939-42.

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32 posted on 08/12/2002 12:08:51 PM PDT by TomB
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