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By Josh Witten | April 22nd 2009 01:13 AM | 16 comments | Print | E-mail | Track Comments
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About Josh Witten

100% of this the rugbyologist's revenue is donated to Doctors Without Borders (Medecins Sans Frontieres). A click on one of my articles is a click that helps bring high quality medical care to the... Full Bio

Bernadine Healy, MD is extremely qualified. A expert even. You could check out the description from her US News&World Report blog, but the Age of Autism 2008 person of the year announcement wields the expertise stick with more verve:
But be prepared to argue with someone your own size -- in fact, someone much more imposing in terms of credentials and credibility. Member of the Institute of Medicine. Former head of the Red Cross. And, most importantly, former head of the National Institutes of Health.

Well, frack me, with credentials like that what are we wasting all this research money for? Just ask Healy, and shots for everyone on the NIH.

Sadly, Francis Bacon and friends didn't ask for Age of Autism's opinion when they were developing the scientific method:
Badges? We don't need no stinking badges!
    -Mexican Bandit in Blazing Saddles

True science cares not for credentials. It cares about evidence. But, when you don't have any of that, we suppose credentials can come in handy.from Despair, Inc.

Speaking of credentials, at times like these, it is instructive to recall the tragic story of Linus Pauling. Pauling could be described by terms including father of molecular biology, father of modern chemistry, two time Nobel laureate (Chemistry and Peace), one of the most brilliant people to ever live, etc. Credentials coming out his wahoo, to get technical. Unfortunately, Pauling also died a crank, convinced that vitamin C was the Philosopher's Stone.

Credentials don't make someone right.

In her article, The Vaccine-Autism War: Detente Needed, Healy calls for appeasement of the anti-vaccine movement by the medical community in three areas:

1: Stop overvaccinating
While there are certainly public health and economic reasons to consider when determining how many vaccines to give, Healy is presupposing that there is an epidemic of negative vaccine reactions that requires explanation. There isn't.

Forgetting the irrelevance of her point, the US has more vaccine doses on the schedule than other developed countries. We probably do that just to line the pockets of Big Pharma at the expense of our children. Of course, other countries set their vaccine schedules without the input of the Illuminati. Differences in schedules wouldn't have anything to do with different disease risks in different countries or reducing costs for universal health care, would it?

2. Be flexible on vaccine schedules
Healy wants more flexible vaccination schedules:
. . .pediatricians might do families a great service if they could work with them to loosen up the schedules to accommodate reasonable concerns and allow more choice.

If Healy considers Jenny McCarthy's vaccine-autism spectrum disorder fears reasonable, we shudder to think what she might consider unreasonable.

Why do we give vaccines? To prevent them from getting diseases. Why do we give them at the times we do? So that children will be immunized before they are exposed to diseases, to prevent them from getting diseases. The vaccines are spaced out to give the adaptive immune system the time necessary to build strong and long-lasting immunity.

But, that is fancy expert talk. And the folks at Age of Autism hate them an expert, unless that expert (or pseudo-expert, Healy is a cardiologist, not a pediatrician or immunologist) agrees with them.
Go tell it to Dr. Healy, Paul Offit. Go tell it to Dr. Healy, Dr. Tayloe. Go tell it to Dr. Healy, all you condescending public health officials who cite your eight or nine or however many studies that "prove" vaccines don't cause autism.
    -Dan Olmstead, Editor of Age of Autism


3. Study genetic predisposition to negative vaccine reactions
There are rare, significant negative reactions to vaccines. Some of these reactions may have underlying, non-random causes. It is undeniably important to develop methods to identify these individuals. Glad Healy suggested that. Someone should get on that. Oh wait, they already are. Of course, having identified people that cannot be vaccinated, we need to do something to protect them from infection.

Normally, herd immunity keeps those who cannot receive vaccinations safe by preventing the spread of disease through the community. The loss of herd immunity due to vaccine non-compliance leaves those without immunity at risk. This may not be a problem if you think avoiding exposing your kid to a non-existent risk is worth exposing everyone else to potentially deadly disease.

Do we think Healy is a dyed in the wool anti-vaccinationist? Certainly, not. But, she has let herself become a rallying point for and given a false imprimatur of legitimacy to the anti-vaccinationists. And that is stupid. And that gets a free ticket to the Festival of Idiots.

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Comments

Becky Jungbauer's picture
I like Healy about as much as I like Sanjay Gupta. Sure, you have M.D. at the end of your name, but you're still a media whore. And when you try to please everyone, you're going to leave some science behind, which is unacceptable when your job is to communicate science to the people.

Hank's picture
I think when the data is in, people need to look at it.   An irrational belief about vaccines and autism isn't helping kids much, though my other concern is that pharmaceutical marketing departments are looking at the goodwill of vaccines and foisting off unnecessary stuff on us.    Merck did not set up a swanky vaccine division as a profit center for the public good, they set it up because vaccines have a terrific reputation so it's easy money and they can exploit it.   "You don't want your children to die, right? "

What we don't want is for vaccines to become a medical equivalent of global warming - so much hype and exaggeration by both sides that people do nothing.    Global warming 'framing' gave us ethanol and, soon, cap and trade, as a supposed solution.  I regard recent coincidence like marketing the HPV 'vaccine' necessity, conveniently after a $5 billion court case loss, with some healthy skepticism.

Does that make me a crank?   On some science sites, sure; you are on their side of the culture war or an enemy.   Luckily, our science site has actual smart people and not fringe activists in lab coats.

jtwitten's picture
While there are certainly public health and economic reasons to consider when determining how many vaccines to give

Differences in schedules wouldn't have anything to do with different
disease risks in different countries or reducing costs for universal
health care, would it?

Cost-benefit analysis does not always support giving more vaccines.  Vaccines are costly and carry a very small risk.  In the presence of minimal benefit, cost-benefit analysis does not support continuing to give the vaccine.  That is why we no longer give the small pox vaccine.


"... they set it up because vaccines have a terrific reputation so it's easy money and they can exploit it."

We must also bear in mind that just because somebody is making a profit from a product does not mean the product is unnecessary and evil. Novo Nordisk makes a bundle on my insulin, but that doesn't invalidate my need for it.

Hank's picture
I certainly agree.  I've defended drug company marketing in the past because I believe for the most part they are decent people, just like people working at Monsanto or Exxon or anywhere else that gets a lot of political/cultural shelling from some in the culture wars (while maintaining causes they like are pure of heart) but this doesn't mean we should ignore the obvious facts.   

For less obviously beneficial vaccines companies are preying on "if we can save even one child" fear mongering, to which my response is always 'lower the speed limit to 5 MPH and ban swimming pools'.

But the fear mongering by the autism contingent is worse, because they believe in a vast (pick left or right wing) conspiracy which puts kids at risk of actual debilitating and deadly diseases.  These are the same kooks who believe companies are creating diseases to cure them.

jtwitten's picture
ban swimming pools

At least you got your stats right and didn't say ban guns.

We don't need no stinking badges! -- Treasure of the Sierra Madre

Hank's picture
'Blazing Saddles' is the definitive spoof of every western ever made so I think it's funnier using that as the cultural reference.

jtwitten's picture
You people never follow my ever so helpful and entertaining hyperlinks.  The iconic line:
Badges? We don't need no stinking badges!

is from Blazing Saddles. They were spoofing this line:
Badges? We ain't got no badges. We don't need no badges! I don't have to show you any stinkin' badges!

from the movie The Treasure of the Sierra Madre, which isn't quite as pithy.  That line was inspired by the line:
Badges, to god-damned hell with badges! We have no badges. In fact, we
don't need badges. I don't have to show you any stinking badges, you
god-damned cabrón and ching' tu madre! Come out from that shit-hole of yours. I have to speak to you.

from the novel The Treasure of the Sierra Madre, which is much less pithy.

I actually do do my research on these things.

Hank's picture
I can't speak for anyone else but I don't need to follow any links - I am the Fount of All Important Wisdom.   Cultural relevance issues forth from my recognition like an Olympian deity from the mouth of Cronos.

Nice post! I linked to you from my post on the same topic, http://genome.fieldofscience.com/2009/04/former-nih-director-bernadine-h.... Also, check out Orac's recent post on Healy and her nonsense.

Hank's picture
What's an Orac?

jtwitten's picture
Orac is one of the few, non-comic strip items in my RSS feed that always gets read.  Thanks for the encouragement. 

Orac is the name of the blogger at Respectful Insolence. Here's the blog in question:

http://scienceblogs.com/insolence/2009/04/bernadine_healy_flirtin_with_t...

Hank's picture
Oh.  That's a cool name, actually.   When I was a kid Jack Kirby did a comic book called OMAC, which I thought would be a cool name, too.  Way cooler than Kamandi, Last Boy on Earth.

OMAC
                    Cool.                                            Less cool.

jtwitten's picture
On a completely different note, are you going to be at the Biology of Genomes meeting at Cold Spring Harbor again this year.

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