Pro-Vaccine World Tour

On Friday, I found myself protesting an anti-vaccine bus. A decade ago, I could not have imagined even writing such a sentence, but there I was.

Some backstory, first.  (Scroll down if you don’t need the backstory.)

In 2011, amidst a growing measles outbreak among some unvaccinated Somali-American children in Minnesota, Andrew Wakefield flew into town and held a private meeting with them. Who knows what was said in this meeting since the people in attendance were parents of autistic children who are convinced of the vaccine connection and Wakefield–a defrocked pediatric gastroenterologist. I mean, what could he say? Who knows, but it was history.

Until April of this year when measles made a predictable comeback to the same community. Wakefield didn’t come back, but there was plenty of anti-vaccine outreach into the Somali-American community to convince them not to trust public health officials (to the consternation of many Somali-Americans). The Washington Post also reported talk about white parents of exposing their children purposely to measles and convincing Somali-American mothers that there was no measles outbreak, that it was all a trick concocted by public health.

And that’s all bad enough, but the anti-vaccine community in Minnesota has been actively working on translating Wakefield’s 2015 fraudumentary, Vaxxed, into Somali for further indoctrination. I’m not done. We were all disheartened when Tribeca announced (and eventually retracted) that Vaxxed would be screened, but now the film is available on Amazon Prime and a tour RV/bus (it’s an RV, okay?) containing Polly Tommy and her friends is making its way through the country and recording stories of so-called vaccine-injury (usually autism).

Enter self-described Pro-Vaccine Troll, Craig Egan. Craig asked his Facebook friends and fans if he should follow the Vaxxed RV/bus/it’s an RV à la Grateful Dead. $10,000 in GoFundMe donations later, he was pulling into Minneapolis and following the Vaxxed vehicle.

On the day the measles outbreak was finally declared over.

End of backstory.

Everyone wants to know what it was like confronting the Vaxxed jalopy, and so I thought I would write out my story. The day before, I wanted Craig to get a real sense of what we are really fighting for–preventing kids from getting sick. So I took him to Children’s Minnesota to meet Patsy Stinchfield and Joe Kurland, who worked directly with the measles cases and with system-wide infection prevention. He interviewed them on video (and they interviewed him back):

At this point, we still had no idea where the bus was going to be. The anti-vaxxers in Minnesota were being purposely coy about where they were filming. Even though it was the day before and we had had feelers out for weeks trying to figure out where it would be, we didn’t know. But one journalist got confirmation of where it would be, and I called him Friday morning and was lucky enough to find out. This is where I admit that we tipped off a few reporters, as well. When I arrived, Craig, his girlfriend Sharon, Joe Kurland, a few mothers, and a reporter were there, being filmed by an anti-vaccine mom standing at a distance. I waved hello because I am polite.

Not much happened other than some good conversation on our end and worried looks shot our way from theirs. Joe decided to do a Facebook Live video.

Eventually Patsy Stinchfield arrived and Joe left. She pointed out the Sunday Mail journalist Ian Birrell was over at the RV. He had interviewed both of us in the week prior, and we were both impressed with his depth of knowledge concerning science and the anti-vaccine movement–especially Andrew Wakefield in particular. I knew he had connected with Polly Tommey, and he allowed her to interview him aboard their transport.

Because Patsy is brave and I want to grow up to be just like her because she is also smart and pretty and amazing, she decided she wanted to get up close to see the Vaxxed wagon. A number of people had been staring at use almost the entire time we had been there, and they didn’t look happy that we were walking closer. I held out my hand and introduced myself to a few people, only because I wanted to convey to them that I was not there to belittle or harm them. I feel like giving people your name helps you connect as people rather than representatives of some opposing side. Most of them shook my hand and told me their names, too. They were polite.

One woman, however, did refuse to shake my hand. I felt a little like Angela Merkel, and hey–that’s not bad company to be in. She also would not tell me her name. I don’t know if she was afraid of what I would do with her name (honestly, I am terrible with names, so forget is the correct answer) or if she was just being hostile.

She wanted us to say something about the names written on the bus. (The names are supposed to represent people who have been injured by vaccines. I did notice how many of the names were written in groups by the same hand, and it seems an improbability to me that anyone would have multiple people from the same family who suffered a true adverse reaction to a vaccine.)

In any case, we didn’t reply as she wanted, and she expressed her displeasure. She wanted us to know that the names were important, so I tried to prove I was listening to her by paraphrasing what I believed she was saying, but that also made her angry. I supposed she didn’t like my paraphrasing. I was trying, though! Perhaps she was just spoiling for an argument.

She told us that if our brakes went out in our cars, we would want to warn other people. Patsy commented that brakes are a good analogy, except that with vaccines, we need everyone to use their brakes or else we are all in trouble. We can’t allow people to opt out of brakes. This unnamed woman told us that we couldn’t use a car as a comparison because the human body is not a car. Craig pointed out to her that the car/brake analogy was hers, but that didn’t satisfy her. I’m also not really a huge fan of arguing about analogies. The thing about analogies is that they are always imperfect. The only thing that is exactly like the thing is the thing. So we moved on.

Another woman then approached us. She did give us her name (I am not going to disclose it here), shook our hands, and told us that she was vaccine injured. Patsy asked what happened, and she said she had a stroke after the flu vaccine.

I’ll just pause briefly for an evidence aside. The flu vaccine is, in fact, associated with a temporary drop in the risk of strokes and heart attacks. Unpause.

She disclosed some other information to us that isn’t pertinent to anything and I don’t think is appropriate to share publicly. It was a calm, polite conversation. No minds were changed. She probably doesn’t like us.

We returned to our picnic table, and Ian came over and chatted with us briefly. His photographer took a photo of us. He asked us not to smile, but he was standing next to an adorable baby who kept waving at us.

As we stood there, someone we called Frisbee Guy walked past and said, “I’m with you guys!” I guess while I was at the bus with Patsy, a family on a Surrey bike pointed at the Vaxxed vector and shouted, “They are the ones who caused the measles outbreak!”

Craig presented me with a check for Voices for Vaccines. He donated a third of his GoFundMe proceeds, which was incredibly generous.

As I drove home, I heard a reporter from Minnesota Public Radio give an in-depth (and really well-covered) report on the end of the measles outbreak and the Vaxxed cohort’s dealings. If possible, please listen rather than read the MPR report, as it is abbreviated in print.

If you live in Minnesota, please use the contact form on this blog to reach me and to learn how to combat the anti-vaccine movement. The next measles outbreak will happen if we do not act now.

Lessons learned:

  1. There is only one Craig Egan.
  2. Anti-vaxxers want to argue. Kind of. Not about car brakes.
  3. Read the dimensions on Amazon products carefully.
  4. Eric Clapton became a terrible person while I wasn’t looking, so I can’t tell you who I thought looked like him. (I now denounce that opinion. He was much handsomer than Clapton.)
  5. The Vaxxed tour is devolving into the end of the Spinal Tap tour. All they need is their miniature Stonehenge.
  6. Pro-vaxxers are awesome, and they are often huggers.

 

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Myths of the Minnesota Measles Outbreak

As of Friday last week, 68 people had been sickened by measles in the state of Minnesota since April 11. To put that in perspective, that’s more than had been sickened by measles in Minnesota from 1997-2016. Because of its significance, the Minnesota measles outbreak has received significant attention across the country. It has also been the source of continued anti-vaccine misinformation–possibly as an effort to downplay their own culpability in its spread. I’d like to go through some of that misinformation to clear things up.

The outbreak was caused by vaccine shedding.

Nope, nope, and nope. The virus being spread, per the Minnesota Department of Health, is the B3 genotype, one known by the World Health Organization to be circulating. The virus used in the vaccine is an A genotype.

The vaccine doesn’t cover the strain circulating in Minnesota.

Yes, this myth is a rebuttal used when the anti-vaxxers learn that the vaccine isn’t causing the outbreak. Everyone must be getting sick because the vaccine is useless. Nevermind that over 8,000 people have been exposed, and of the 68 people sickened, 64 were unvaccinated.

The truth about the vaccine is that while there are multiple genotypes of measles (think of the genotype os the spaghetti-looking stuff inside the measles virus, measles has only one serotype (think of the serotype is the knobby parts on the outside of the virus that). The vaccine is made to train antibodies to latch on to the surface of the virus–the knobby serotype–and to kill it. The vaccine works. It works remarkably well when you consider the over 8,000 Minnesotans who are not sick.

Here’s a photo from Vaccine Nation to clear the whole thing up (click to embiggen):

Measles is a Somali problem

Again, untrue. Measles doesn’t care where you were born. And, in fact, the people getting sick from measles are those born in the United States. They are Americans. Measles only cares if you are vulnerable–it is an unvaccinated person problem.

Measles is not in Minnesota because of refugees or immigration. You cannot use this outbreak as another feather in your xenophobia hat. Measles is in Minnesota because people were not vaccinated for it–pure and simple. The index case for the outbreak has not been identified, so it could have been someone traveling through the airport or to the Mall of America. It could have been someone coming home from a wild Romanian vacation. But people who travel to the United States to live and work are required to be immunized.

Somali parents are against vaccines

I hesitate to speak for any other parent about how they feel about vaccines, so I want to point out this interview with Anab Gulaid, a Somali-American researcher in Minnesota, who says, “Somali parents are not anti-vaccine. They are not the ones out there convincing other parents not to vaccinate.” Furthermore, state data seems to indicate that some Somali parents simply delay the MMR vaccine out of fear, while some get the vaccine on time. Representative Ilhan Omar, an important state and Somali community leader, states in this interview that her children “certainly are” immunized.

Minnesota’s anti-vaccine leaders only responded to Somali parent concerns

One of the starkest risk factors for vaccine hesitancy anywhere is in the vacuum of support parents of autistic children find themselves. Parents whose children receive a diagnosis are often left to navigate through the confusing world of special education, therapies, and insurance–not to mention a family life more complicated than they had expected. The anti-vaccine movement had an opening there, and they took it.

But they also persisted. During the outbreak, they have held meetings in predominantly Somali-Minnesotan neighborhoods, are currently translating the fraudumentary Vaxxed into Somali, and have attended Minnesota Department of Health community meetings to pass pamphlets out to Somali parents.

That’s not all. They are also looking to gain power within Minnesota by writing themselves into legislation. Before the outbreak began, they filed a bill in the Minnesota House that would have given their group, the Vaccine Safety Council of Minnesota, the power to oversee a statewide database of post-vaccine adverse events. (Yes, you read that correctly. They would have had oversight into medical information.) And during the outbreak, they had the chutzpah to file a bill that would have directed the Commissioner of Health to conduct a study of vaccinated versus unvaccinated Somali people. (Note: there aren’t enough unvaccinated Somali-Minnesotans to conduct such a study.) It is as if they won’t stop until everyone is sick.

Measles isn’t a big deal

This myth infuriates me. Anti-vaxxers want you to think that you can give your child megadoses of vitamin A and vitamin C, and that they will be just fine with measles. (In another racist turn on this myth, they claim that because a vitamin A deficiency is a cause of measles mortality in Africa, the fact that Somali children had parents who once lived in Africa puts them at special risk. As though these children do not have access to nutrition in the famine-stricken land known as Minneapolis.)

Measles is a big deal. A quarter of the children in this outbreak have been hospitalized. (And no, random internet person who argued with me last week, the term hospitalized doesn’t mean that they just walked into the hospital.)

What is it like being in the hospital with a child who has measles? This mother explains how her daughter’s illness changed her perspective on measles:

Soon after, the nurse put my daughter back in my arms, and then led us to where we would stay for the next few days. It was an isolation room, a small glass-enclosed space that held a crib, a television and a comfortable chair. Attached to the crib were bars to keep children from climbing out. The room reminded me of a zoo exhibit. The only thing missing was a sign saying, “Beware: human baby with measles.” In that moment, I couldn’t believe how my lack of awareness had led to such a frightening situation.

My child isn’t at risk for measles

If you think that because your child is vaccinated, you are probably correct. But if your child is unvaccinated, what magical powers do you believe you have to protect your child? Organic food can’t protect against an airborne virus. Being white and wealthy doesn’t mean anything to measles. Homeopathics and herbal supplements are no match for the most contagious virus on earth. You can either keep your child at home and away from everyone during an outbreak (and some are because their children might have been exposed at school or on the bus), or you can vaccinate. For my family, we vaccinated.

Oh, and by the way, the vaccine that protects against measles is safe.

Walgreens: Not Marco’s Puppetmaster

At some point last week, anti-vaccine crusaders decided that picking on a child was only so much fun, so they turned their sights on Walgreens:

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Multiply that times a hundred, and you get a taste of what Walgreens’ social media managers are dealing with. Why are they upset with Walgreens? Apparently, Walgreens’ name appeared in an ad on A Plus media (Ashton Kutcher’s site) in a post about Marco Arturo and his vaccine/autism video. The anti-vaaxxers claim? That Walgreens isn’t just advertising on the A Plus website Wellness section, but that they were creating this content and that Marco is just a puppet in the nefarious scheme to push vaccines for evil reasons. And of course, videos were created to promote the idea. Here is Forrest Maready’s contribution:

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A Plus, Marco, and Walgreens. Maniacal Laugh

What do they make of Walgreens advertising on the entire Wellness section of A Plus? Facts schmacts. Who needs them.

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Spot the Walgreens logos

And then, just like that, the banner ad on the A Plus post about Marco disappeared. Almost as though the internet were not made of paper and banner ads could be cycled through.

But not so soon. A Facebook page named Hear This Well declared victory! Finally, anti-vaxxers are being heard! Only moments from now will Walgreens and the government and the lizard people finally admit that vaccines do cause autism!

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Hear This Well was a campaign started by anti-vaccine parents of autistic children. Never heard of it? Ironic.

Because I never take anything at face value, it was that point I decided to write an email to Walgreens and ask them what was up. They sent me this official reply:

We had no knowledge of, nor connection to the development of this video.  Walgreens has been an advertiser on the website only in conjunction with the Vitamin Angels program, and again we were unaware of the video’s placement on our sponsored page.

While I would have preferred a statement which would have gone on to declare that the video was awesome and anti-vaxxers can scram, this response seemed pretty corporate and normal.

Forrest Maready (who made the video alluded to above), started to change his tune. Kind of. He issued this partial retraction on his Facebook page:

I don’t believe the APlus media writer knew about the video before it went up. I spoke at length with her, twice over the past two days and she has convinced me she found the post organically through a Facebook group she follows (not a member of) called A Science Enthusiast. She is an avowed Believer, I realize. She could be lying to protect an elaborate PR set up, but I think she is telling me the truth.

Of course, he went on to add that Marco’s video is still suspicious because of Marco’s shirt and because the Google dates don’t make sense to him. The retraction, then, is just that A Plus media isn’t part of some conspiracy, not that Marco could really be awesomely intelligence and well-spoken. If you are an anti-vaxxer, you have to feed the conspiracy theorists, after all.

If pro-vaxxers were conspiracy theorists, we would be all in a tizzy about the fact that the Hear This Well Facebook page disappeared.* But then, we know that Facebook pages, like banner ads, are hardly a constant in life and that there is no point getting wound up about it. I guess no one is hearing them at all any more.

*UPDATE: They’re back.

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Filling Wakefield’s Coffers

Really, that’s all VAXXED is about. The movie, written by, produced by, funded by, and starring Andrew Wakefield is about Andrew Wakefield. It came to the city where I live and caused very little stir.

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The Uptown theater in Minneapolis didn’t even list VAXXED in its marquee while it was being shown there.

Nor should it. Andrew Wakefield is a fraud, but he is also a washed up has-been. It was no surprise when friends of mine went to see the film, sitting in nearly empty theaters.

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My gut feeling is that this film, like many of the other anti-vaccine endeavors preceding it, will fizzle out with a whimper.

But not without a fight. The anti-vaxxers are goading each other to buy tickets to the film, even if they have no intention of using the tickets. They hide this racket by terming it a donation or calling it their “Angel Ticket” program. But what they are trying to do is to make this film seem like more of a success than it is so that they can push it out to more theaters across the country.

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The Hear This Well Facebook page is only one of many encouraging people to “donate tickets” (to whom? they don’t say) in order to sell out the theaters in Florida and pressure Regal theaters to show the movie nationwide.

I have to believe that Regal will notice that no one is actually in these so-called sold out theaters, although they might not care–as long as they are selling tickets. I have heard rumors from insiders that the VAXXED DVD is coming out next month, though. I don’t know any theater that would show a movie that is also out on DVD.

All this brings me back to the beginning. The movie itself is made by, written by, promoted by, and starring Andrew Wakefield. He tried to swindle us all once with a phony study and a media tour aimed at frightening us away from the MMR vaccine. Andrew Wakefield doesn’t do anything that doesn’t benefit Andrew Wakefield, and once again–even in the promotion of this film, the main beneficiary is Andrew Wakefield (and the main victims are public health and autistic people).

 

You’re banning me!

Like so many of you, I have been banned from Dr. Bob Sears’ Facebook page. While it isn’t headline-making news, I wanted to write about the comment that got me banned because it highlights, once again, that Dr. Bob is anti-vaccine.

The problem began when he posted something on his Facebook page that stirred in me the inability to stay silent:

“DEATH IS THE ONLY LEGITIMATE VACCINE EXEMPTION . . .”

. . . said the former doctor of one of my patients-to-be. I kid you not. My wife, Cheryl, who manages the office, sometimes picks up the new patient messages on our voicemail. She never has me listen to any of them because, well, that would be stupid. But she grabbed me the other day and said, “You have to listen to this. You’re not going to believe it.”

I didn’t. Believe it, that is.

A mom actually called our office and said she needed a new pediatrician because her old one wouldn’t even discuss vaccine medical exemption with her. Now, of course, that part’s believable. There are hundreds of thousands of doctors nationwide who won’t even discuss these exemptions. And if they choose not to offer informed consent for invasive medical treatments for their patients, that’s their decision. It’s also a patient’s right to leave their care.

But this doctor took it a step further. Well, a giant leap further. The message on our phone actually was “My doctor said death is the only legitimate vaccine exemption . . . and I disagree. So I’m looking for a new doctor.”

I can’t wait to hear the whole story. I hope this patient comes in soon. We’ll see if we can find something in her child’s medical and family history that qualifies for an exemption short of death.

Dr. Bob

Everyone I have spoken to has two reactions to this post.

  1. That sounds like something that never happened.
  2. Does that mean Dr. Bob is going to sell this woman an illegitimate medical exemption?

But my reply actually gave Dr. Bob the benefit of the doubt:

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“I hope that when this parent comes in, you share with her that the contraindications to vaccines are discrete and that if her child does not fit into any of those contraindications, she is not eligible for a medical exemption.”
I also directed Dr. Bob to the list of contraindications to vaccines. This comment does not attack Dr. Bob nor does it treat him or anyone else disrespectfully. It simply points out that there are only so many contraindications to vaccines, and that a medical exemption outside those contraindications is inappropriate.

It is possible the reason for my ban was the only other comment I left on that thread. Unfortunately, I did not get a screen shot, but it was in reply to a woman who was replying to my friend’s comment, a reply filled with references to Thalidomide and smoking as proof that vaccines are terrible. Here is her reply to me:

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I cannot imagine I was banned for pointing out that Thalidomide was never approved by the FDA (fun Women’s History Month fact) or that measles and chickenpox parties, like smoking, used to be acceptable health practices, but now that science has moved on, they no longer are.

But it is significant to me that the commenter above, and others like her, were left on the page to comment freely. The woman above, for example, began her reply to my friend with this dig about her as a mother and about how she gave birth:

Do you have biological children? If so, did you have them without any drugs? If you do, or did then that true bond would not allow you to push for all these vaccines and boosters in your flesh and blood. Other countries have excellent scientists who are against so many vaccines in such a short time. I bet you only had a fraction of the vaccines that babies are subjected to these days

Yes, you read that correctly. If you had a pain-free birth, you don’t love your children and that’s why you vaccinate them.

That comment, along with the mountain-loads of misinformation posted by Dr. Bob’s fangirls, was left untouched and uncorrected by Dr. Bob because it plays into the fear of medical interventions and other doctors he promotes in order to drum up his own business and grow his own brand.

Do me a favor, friends, and call him on it–because I no longer can.

 

 

 

Be Afraid of the Many, Many Vaccines

Dr. Bob Sears wants you to believe he is a vaccine supporter. He so supports vaccines that once, while in the midst of lobbying against the elimination of vaccine exemptions in California, he asserted:

I give vaccines every single day in my office. I am pro-vaccine and understand that vaccines work and have reduced and eliminated many serious diseases. And that’s not just spouting a party line – I firmly believe that, and that’s why I give them in my office.

After all, you cannot be against vaccines if you give them in your office–every day! To be fair, it is possible to believe that vaccines should not be mandatory for school entry and still be a proponent of immunization. But don’t tell that to his fans and followers. One complained on his Facebook page:

Dr’s at Dr. Bill’s office should be made aware of this. I was bullied by a dr there, and won’t be back. She said they were completely safe and that the disease was worse than any side effects from vaccines.

Oh hey! Wait just a minute there! Vaccines are safe and the diseases they prevent are a bigger risk? Surely, pro-vaccine Dr. Sears would respond in a way that assured this parent that, yes, vaccines are safe. The diseases they prevent are worse than any side effects from vaccines. After all, that’s what someone who believes that”vaccines work and have reduced and eliminated many serious diseases” would say.

That’s not what happened.

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Admittedly, this comment is still treading the line. He wants to be liked by the anti-vax moms and he wants to be liked by the other 99% of the people in the world, too.

But please watch Dr. Bob carefully. He is constantly and eagerly disseminating the misinformation created by the anti-vaccine movement, as he did today on his Immunity Education Group page. This page is geoblocked and available only in the U.S., so here is a screen capture for the rest of the world.

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I asked the eminent Dr. Cox what he thought of this poster, and he told me it is filled with wrong.

  1. Number of injections: Any parent who follows the CDC schedule would look at this and think, “I really do not remember my child receiving 50 injections.” And that parent would probably be right. I checked my own child’s immunization records and noted that the DTaP, IPV, and Hib vaccines were combined into one injection. There are several combination vaccines that minimize the number of pokes a child receives.
  2. 1983 schedule: I was born, ahem, a couple of years before 1983, and my complete immunization record is longer than the list above. Why? Because I didn’t receive all my vaccines in 1983. I did receive a second dose of the MMR before I went to college (and I am fine). I also received (and continue to receive) influenza vaccines.
  3. Liability: If a pharmaceutical company manufactures a vaccine in a way that is negligent, they can be held liable, and you can sue them in civil court. The possibility of this happening is pretty remote, given the amount of FDA oversight vaccine manufacturing goes through.
  4. The doses red herring: If your child receives four pneumococcal vaccines months apart, what is the possible harm? I honestly do not understand the hand wringing over boosters. Such worrying is like letting your child sneeze on your face once and shrugging it off, but then become concerned when he sneezes again because…what? You are going to become extra sick then? Since the ingredients in vaccines are present in such minuscule amounts, booster shots are not really a concern there, either. The fear-mongering about that number, though, is itself boosted when Dr. Bob adds together doses.
  5. Forgetting the diseases: I mentioned above that I was born a tiny, little bit before 1983. I did not have to suffer measles or fear polio because of vaccines. However, a meningococcal outbreak swept through my school, and I am grateful for the vaccine. I know a young man who died from chickenpox, and I am grateful for that vaccine. I have heard absolute horror stories about Hib epiglottis, and I am grateful for that vaccine. I was hospitalized with pneumonia as a toddler, and I am grateful for that vaccine. Rather than saying, “Look at all those vaccines,” I say, “Look at all those diseases we can prevent.”

So why would Dr. Bob post such an inaccurate and terrible graphic–one that misrepresents the CDC schedule, rewrites history, misrepresents the law, and makes no mention of actual disease prevention? If he gives vaccines in his office every day, doesn’t he realize that vaccines can be combined and that we are grateful we can prevent all these diseases?

I honestly don’t know why Dr. Bob gives vaccines in his office every day. He just doesn’t seem to like them very much.

 

Are Vaccines the Real Microcephaly Culprit?

No. They are not. Vaccines are not causing microcephaly in Brazil.

If you have no idea what I am talking about, count yourself lucky and thank your friends for not bringing crazy to your social media feed. But since you are probably curious, here is a sample:

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Dr. Tenpenny, the Ohio anti-vaccine activists behind sites like All About Breast Health and TruthKings has joined the conspiracy bandwagon in insisting that the Tdap vaccine given in pregnancy to prevent pertussis in mothers and their newborn babies, is the real cause of microcephaly, and not the Zika virus.

Their overly simplistic thought process is not new. These are the people who brought us “vaccines cause autism” and “the HPV vaccine causes ovarian failure,” which require the same “We did X and Y happened” thinking. Post hoc ergo propter hoc.

Except that the connection between Zika virus and microcephaly is established, unlike the uncertain causes of autism. Yet, organizations like the poorly-named National Vaccine Information Center and Natural News continue to promote this obviously wrong and crazy theory.

And like autism, there isn’t even a correlation. If there were a correlation between the Tdap vaccine given in pregnancy and microcephaly, we would see an epidemic of microcephaly in the United States, where the recommendation for this maternal vaccine has been in place since 2013 (one year before the Brazilian recommendation), and in Australia where a similar recommendation is in place. In other words, there isn’t a propter hoc to connect the post hoc to. There are simply conspiracy theorists throwing their darts at the vaccine target to see what sticks.

Let’s hope this dart doesn’t stick. While I would love to believe that pregnant women will shake their heads in disbelief over how outrageous these claims are, I know how vulnerable a woman can be to bad information while she is expecting a baby. And so we remind people that pertussis in an infant is terrifying, and the Tdap in pregnancy is safe.

And then file this post under “Things I can’t even believe I have to write.”