vaccines

The blog post of mine that arguably "put me on the map" in the skeptical blogosphere was my very Insolent, very sarcastic deconstruction of Robert F. Kennedy, Jr.'s deceptive pseudoscience-ridden bit of fear mongering that he called Deadly Immunity. It was originally jointly published both by Salon.com and Rolling Stone, a blot that neither publication will ever overcome. At least Salon.com retracted the article over five years later. Rolling Stone never did, although the article is now available only to its paid subscribers. The reason I mention this "past glory" (if you can call it that) is…
To say that the relationship that antivaccine activists have with science and fact is a tenuous, twisted one is a major understatement. Despite mountains of science that says otherwise, antivaccinationists still cling to the three core tenets of their faith, namely that (1) vaccines are ineffective (or at least nowhere near as effective as health officials claim; (2) vaccines are dangerous, causing autism, autoimmune disease, neurodevelopmental disorders, diabetes, sudden infant death syndrome, and a syndrome that is misdiagnosed as shaken baby syndrome; and, of course, (3) the Truth (capital…
I originally wasn't going to write about this particular post, but the mass shooting in San Bernardino yesterday led me to change my mind. For those of you who either aren't in the US or were somehow cut off from media for the last 18 hours or so, yesterday a heavily armed man and woman dressed in body armor, who turned out to be a married couple, entered a conference center at Inland Regional Center, a sprawling facility that provides services for thousands of people with disabilities. There, at an annual holiday party for the San Bernardino County Public Health Department, Syed Rizwan…
I usually shy away from getting too personal in my work. But in the spirit of Thanksgiving and as a new mom, I was thinking about things for which I’m particularly grateful. One of the first things that came to mind as a public health reporter? Vaccines. So, in that vein, let’s celebrate some new and promising numbers on the worldwide effort to eliminate measles. Last month, the Centers for Disease Control and Prevention released new data on progress toward measles elimination since 2000. That’s the year the United Nations adopted the Millennium Development Goals, which included a goal to…
When it comes to blogging, sometime's it's feast or famine. Some days there are more topics and stories that I'd like to blog about than I could ever get to, given that I generally only do one post per weekday, while other days I seriously think about skipping a day because there's just nothing out there that interests me. This is one of the former kinds of days. Seriously, there was an embarrassment of riches last night, so much so that I had a hard time making up my mind what story to write about. The one that I ultimately chose only just edged out the second place choice, and then only at…
Bullying. You keep saying that word. I do not think it means what you think it means. Yes, I do so love to co-opt that famous line from The Princess Bride for my own nefarious purposes, but it's so perfect for this particular topic, which comes up every so often when I'm writing about the pseudoscience behind the antivaccine movement. It usually takes the form of an emotional screed by some antivaccine parent or other complaining about how she's being "bullied" by us nasty, evil, insensitive pro-vaccine, well, bullies. (They frequently repeat the word many times throughout the course of their…
It is an article of faith among the antivaccine movement that vaccines are degrading the health of our children, such that vaccines cause autism, asthma, diabetes, and a number of other chronic diseases. You won't have to look far on most antivaccine websites to find claims that today's children are the sickest in history and insinuations, if not outright statements, that vaccines are at least part ofthe cause. If you've been following the antivaccine movement as long as I have (more than a decade) or even if you've only been following it one tenth as long, you are probably aware that one of…
As a surgeon and skeptic, I find neurosurgeon turned presidential candidate Ben Carson to be particularly troubling. I realize that I've said this before, but it's hard for me not to revisit his strange case given that the New York Times just ran a rather revealing profile of him over the weekend, part of which included Dr. Carson answering criticism for the really dumb things he's said about vaccines, evolution, and the like. People like Ben Carson are useful examples of how highly intelligent people who are incredibly competent in one area can also demonstrate unbelievable ignorance in…
One of the key principles of skepticism, particularly in medicine, is that correlation does not necessarily equal causation. I emphasize the word "necessarily" because sometimes skeptics go a bit too far and say that correlation does not equal causation. I myself used to phrase it that way for a long time. However, sometimes correlation does equal causation. However, much, if not most, of the time it does not. So how do we tell the difference between when correlation might well equal causation and when it does not? Science, of course, and critical thinking. Science is the main reason that we…
I've used my current pseudonym since at least the late 1990s, first on Usenet and then on the first incarnation of this blog. Not surprisingly in retrospect (although it surprised me at the time), people who didn't like me began trying back in the 1990s to "unmask" me. It began with Holocaust deniers. No, I'm not trying to Godwin this post; it really did begin with Holocaust deniers because, as longtime readers know, my "gateway drug" to skepticism was refuting the lies and misinformation of Holocaust deniers. So, round about the turn of the millennium, a group of Holocaust deniers managed to…
As a surgeon, I find Ben Carson particularly troubling. By pretty most reports, he was a skilled neurosurgeon who practiced for three decades, rising to the chief of neurosurgery at Johns Hopkins. Yet, when he ventures out of the field of neurosurgery—even out of his own medical specialty—he routinely lays down some of the dumbest howlers I've ever heard. For example, he denies evolution, but, even worse, he's been a shill for a dubious supplement company, Mannatech. Worse still, when called out for his relationship with Mannatech in the last Republican debate, Carson lied through his teeth…
Naturopathy is a cornucopia packed to the brim with virtually every quackery known to humankind, be it homeopathy, much of traditional Chinese medicine, vitamin C for cancer, or basically any other pseudoscientific or prescientific treatment for disease that you can imagine. I feel obligated to start most of my posts about naturopathy with a statement like this not just because it's true but because I want to remind my readers that it's true. I particularly want to remind my readers when I see naturopaths revealing their true quack selves when they think no one's watching, but I want to…
I hadn't planned on writing about this again today. (How many times have I started a post with that phrase? I forget, but a lot. Sadly, developments frequently make me change my plans about blogging.) Here's what made me change my plans It was a pair of Facebook posts on hip-hop and fashion mogul Russell Simmons' Facebook page. Here's post #1: And here's post #2: This, of course, is the news report regurgitating antivaccine talking points broadcast in Atlanta late last week by Ben Swann, an all-purpose conspiracy theorist and, apparently, now antivaccinationist, who is anchor for the…
Before yesterday, I had never heard of Ben Swann. Apparently he is the new anchor for the early evening news broadcast of the local Atlanta CBS affiliate, having joined the station in June. Apparently he is also prone to antivaccine conspiracy theories, which is a very bad thing to be prone to as a reporter or anyone working in the news media. I came to learn of Swann because of an article that looks on the verge of going viral (given that relatives have e-mailed me asking me about it) entitled CBS Reporter Ben Swann Tells the Truth About CDC Vaccine Cover-Up. Of course, I can't help but…
When it comes to immunization rates in the United States, the story is a mixed one. Among children, we’ve absolutely excelled. In fact, the Centers for Disease Control and Prevention considers the nation’s childhood vaccination rate as one of the greatest public health achievements of the 20th century. But when it comes to American adults — 50,000 of whom die every year from vaccine-preventable diseases — it’s a very different story. Earlier this year, CDC’s Morbidity and Mortality Weekly Report reported that uptake of recommended adult immunizations remains low and is far below Healthy…
No doubt, regular readers are probably somewhat surprised that I didn't discuss the antivaccine rally scheduled to be held in Atlanta last weekend that I wrote about last week. As you might recall, this rally consisted of two crappy tastes that taste crappy together, namely Robert F. Kennedy, Jr. and the antivaccine movement together with the Nation of Islam. Given that the Nation of Islam, besides being a truly crank religion on its own, of late has gotten very cozy with the Church of Scientology, thus amplifying the crank factor by orders of magnitude (at least). Readers not familiar with…
Two of the great "icons"—if you can call them "great" given that they're icons but hardly "great"—of the antivaccine movement are Andrew Wakefield and Jenny McCarthy. Over the last decade, they have arguably been the most influential people in the antivaccine movement. The reasons are simple. Let's look at Jenny McCarthy first. In 2007, when her child Evan was diagnosed with autism and she blamed MMR vaccine for it, McCarthy became virtually overnight the single most famous celebrity antivaccine advocate. With her then-boyfriend Jim Carrey, in 2008 she led an antivaccine march on Washington…
AHHH!!! 2011-- FreeOK, I give a talk vaccines, including a bit on herd immunity, and why it is important for everyone, including those of us who are not immunocompromised. 2013-- Started a new job! Had a ton of bloodwork done to get baseline readings, just in case I get exposed to another pathogen. 2014-- Go to Africa, need to make sure my vaccines are all up to date. I have two vaccine cards (a lovely 1970s avocado/lemon/lime green, they should probably be in a museum)-- Physician: "*twists face* This one card says you got one MMR, and this card says you got one too, and I think the dates…
One of the limitations constraining those of us who do human subjects research is that ethical considerations often prevent us from designing our clinical trials in what would be, from a strictly scientific standpoint, in the most methodologically rigorous way. For example, we can't intentionally infect human beings with known inocula of deadly bacteria in order to cause a reproducible severity of disease to be treated with a new antibiotic. One thing that antivaccinationists seem unable to understand is this very point with respect to vaccine trials. They will call for a "vaxed versus…
Early in the history of this blog, I had a running gag that I'd use every now and then. Basically, it involved humorously extravagant descriptions of how I wanted to hide my face behind a paper bag in sheer embarrassment at the antics of fellow physicians, particularly fellow surgeons. Over time, the gag evolved to my expressing a mock desire to hide my visage behind a metal Doctor Doom-style mask, again, over sheer embarrassment over the idiocy of my colleagues about a scientific issue, again, usually evolution. Sadly, creationist physicians are a very common source of such embarrassment,…