TMA: Vaccines, autism, and Andrew Wakefield’s wake

by Steve Levine

TMA: Vaccines, autism, and Andrew Wakefields wakeThe sad story of the fraud Dr. Andrew Wakefield perpetrated on the world’s autism community lies at the intersection of my personal and professional lives. Could these latest revelations be the final chapter?

As chief of communications at Texas Medical Association, I promote the fact that physicians rely on good, hard, peer-reviewed science to make medical decisions. We endorse immunizations as safe and effective public health tools that save lives. We publicize the repeated scientific findings that find no relationship between immunizations and autism.

TMA and other medical organizations have spent far too much effort combating Dr. Wakefield’s fraudulent “research findings.” His well-publicized but poorly documented study linked the measles-mumps-rubella (MMR) vaccine to a new pathology he called “autistic enterocolitis.”

Frightened that “the triple jab” would impose the horrors of autism on their normal toddlers, parents first in Britain, then around the globe, began refusing the MMR vaccine. Then all childhood vaccinations became circumspect. Infectious diseases we once had on the run are returning. Polio is back in Asia, and we have an epidemic of pertussis right here in the Austin metropolitan area.

Globally, we’ve spent millions of dollars trying to replicate or repudiate Dr. Wakefield’s findings. Those millions could have been so much better spent on finding new therapies or on furthering the promising research into other causes of autism. How many thousands of children could have been spared if scientists hadn’t been forced to follow Dr. Wakefield down his deceptive rabbit hole?

That’s my professional role. As a father, I have a different perspective. My three children include a 21-year-old son with severe autism. Thankfully, he has a good job. But he never learned to speak, and his disability will significantly limit him for the rest of his life.

Like most other parents of people with autism, I desperately want someone or something to blame for what’s happened to my son. “Desperately” is the operative word.

Autism has no cure. There is little that science can offer other than intensive, individualized education. That works, but it’s hard work. We’ve run an applied behavior analysis program (ABA) for our son for 15 years. He’s made tremendous progress (Did I say he has a job?), but he still has autism and always will.

For some parents, especially young parents with once-healthy children now afflicted by an unknown evil, that prognosis is just too much to accept. They are desperate for a miracle. They desperately want a villain to blame.

As King Claudius said to Rosencrantz in Hamlet, “Diseases desperate grown by desperate appliance are relieved, or not at all.”

And that’s the tragedy of what the British Medical Journal called Dr. Wakefield’s “deliberate fraud.” It led desperate parents to seek those desperate appliances.

Since my son was diagnosed, I’ve heard about so many desperate interventions for the disease. I’ve seen the rise and fall of facilitated communication, which claimed to unlock autistic brains through the power of the keyboard. I’ve seen severely restrictive diets. I’ve become angry at physicians who traded on parents’ desperation by prescribing expensive quack cures like secretin injections. So many parents I know have spent thousands having their sons and daughters’ hair and blood analyzed for so-called micro-toxins and rare minerals imbalances.

As most, but not all, of these “treatments” cause no damage, you might ask, “Where’s the harm?” Just look at the waste of these children’s precious time and the parents’ hard-earned money.

Every month squandered on these unproven, or disproven, treatments is a month of delayed ABA. Every dollar wasted on these unproven treatments is a dollar that could have been spent on therapists who could help turn these children’s lives around.

I’ve met and spoken with Dr. Wakefield. He’s a personable, charismatic man. I can see how desperate parents would fall for this pied piper. I’d like to think he didn’t intentionally cause so much damage.

Like so many other people with autism, my son has a hard time discerning intent. But he can see consequences. And so can I.

Steve Levine is Vice President, Communications of the Texas Medical Association.

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  • http://www.MDWhistleblower.blogspot.com Michael Kirsch, M.D.

    Autism is a terrible disease, and we all hope for effective treatment. There is no solid scientific evidence linking vaccines to this illness. The special ‘vaccine court’, a balanced means to adjudicate claims of vaccine harm, has repeatedly ruled that there is no evidence of a causal link.

    • http://Www.twitter.com/alicearobertson Alice

      No solid evidence because they have not followed anecdotal trials to compare the groups.

      Heads up…the CDC now says on their site they are going to study autism in light of the environmental triggers. What a broad term that is….and what is and what isn’t will takes years to define.

      ***************snippet*********
      The CDC plan adopts recommendations approved by the National Vaccine Advisory Committee of the US Department of Health and Human Services. It also comes one month after the federal government’s leading autism body, the Interagency Autism Coordinating Committee (IACC), signaled a shift in research priorities toward environmental triggers for autism, which the IACC said could include toxins, biological agents and “adverse events following immunization.”

  • doc99

    Who cares about Science when we have Jenny McCarthy and Don Imus?

    • http://Www.twitter.com/alicearobertson Alice

      They both have doctors supporting them. Jenny’s book is co authored by a doctor. They both represent so much more than delaying vaccines…which Dr. Oz supports. They support gluten free, and vegetarianism for health purposes. Building the immune system…not full proof…my daughter has been a vegetarian for years…she has cancer.

  • Kristen Stuppy

    Thank you for the heartfelt comments. I am saddened that so much money has gone to re-investigate the safety of vaccines, and all the legitimate studies simply reinforce other studies: autism is not caused by vaccines. How much further could we be in the treatment of autism or identification of real causes if money was shifted toward that research?

  • http://vaguelyscience.wordpress.com/ Gavin

    I’ve researched a fair bit around this particular issue, albeit from a different perspective, so it’s really good to read a far more human account from someone in your position.

    My thoughts are that, in the UK, what you are saying about looking for the villain to blame was pretty much the compelling narrative in much media reporting that helped snowball the issue, possibly leading to some of this excess, unnecessary, research and reduced uptake rates.

    Thanks for this thoughtful post.

  • http://www.texmed.org Steve Levine

    Thank you all for your comments. Much appreciated.

    Gavin: the media is definitely a villain in this sad tale as well. I guess that brings another part of my life — the eight years I spent as a reporter — into the picture. For a compelling argument about the media’s role in the Wakefield disaster, see http://www.citybeat.com/cincinnati/article-22641-media-culpable-in-va.html

  • http://zdoggmd.com ZDoggMD

    A parody rap video to help counteract the lunacy of McCarthy and crew: http://zdoggmd.com/2011/02/immunize/

  • http://www.texmed.org Steve Levine

    ZDogg — LOVE the video. Spreading it as widely as I can. Keep it up.

  • Kristen Stuppy

    ZDogg– I also love the video! I just shared the link with 1000 pediatricians on the AAP Section of Admin and Practice Management listserv. Expect some hits!

  • http://zdoggmd.com ZDoggMD

    Thanks Steve and Kristen!

  • Kim

    I knew my son, who has autism, was vaccine-injured long before I knew who Dr. Wakefield was. I didn’t know until after my son was fully vaccinated that my own sister spent a week in the hospital after her MMR (the vaccine is the documented cause of her hospitalization). My mother and my husband’s mother have lupus. So it makes sense that a fragile, compromised immune system did not need to be “tricked” with multiple vaccines.
    I always find it interesting when medical professionals try to tell parents what does not cause autism, but have no idea what does. At least all of my son’s doctors agree…his “autistic like symptoms” are the result of his vaccines.

  • Molly Ciliberti, RN

    Thank you for your wise and touching blog. Your son and your other children have a wise and caring father. We forget the “cost” of what we could have done with all the dollars and time spent chasing the white rabbit down the rabbit hole.

    • http://Www.twitter.com/alicearobertson Alice

      The rabbit trail was financed by BigPharma.

  • http://www.texmed.org Steve Levine

    Thanks for joining the conversation, Kim. I am truly curious, though, as to how your son’s doctors decided his “autistic like symptoms” are the result of his vaccines?

  • http://naturalmedicineisthebestmedicine.blogspot.com Erika

    It is a tragedy that we have missed out on (20?) years of research because of 1 fraudulent study. That is a loss that we should all mourn.

    I am curious, however, about other associations with vaccinations – what about the use of Tylenol around the time of vaccination? Some studies have shown autistic children to have low levels of antioxidant enzymes like glutathione peroxidase and superoxide dismutase, and overall low RBC glutathione levels. Is it possible that the acetominophen causes depletion of glutathione stores and subsequent altered brain chemistry? We need to start looking for other mechanisms that explain the association in timing that many parents have noticed.

  • http://www.KnowYourD.com Craig Keebler, MD

    This hoax and its consequences have affected many and may also have blocked efforts to enhance autism prevention.

    Numerous animal studies demonstrate that vitamin D deficient rats give birth to pups with multiple abnormalities in brain development. Hyperactivity and abnormal social patterns in the pups are very suggestive of ADHD and autism in humans.

    John Cannell’s Vitamin D Council tried to warn obstetricians of the potential dangers of low vitamin D in pregnancy with an ad in an obstetrical journal. The ad dared to mention autism as one of the potential consequences of low vitamin D in pregnancy. The negative response the ad generated was intense and ultimately produced a disclaimer regarding the ad. Someone who spoke with Dr. Cannell about the response told me the “vaccines cause autism” movement with its significant resources and influence led the fight.

    Much more research is clearly needed in this area. However, there is no doubt that low vitamin D in pregnancy is ubiquitous. The evidence is growing that these low levels not only negatively impact pregnancy outcomes (http://knowyourd.com/category/vitamin-d/premature-delivery/) but also appear to negatively impact the health of our children and young adults.

    It appears that the intense need for the “vaccines cause autism” movement to defend their position has prevented obstetricians from getting the information they need to protect the patients they care for.