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By Josh Witten | November 2nd 2009 02:44 PM | 20 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

the rugbyologist's hometown rag, The Columbus Dispatch, was wondering why only one-third of Ohioans are planning to get the swine flu vaccination. Maybe it's because you publish letters to the editor like Dr. Phillip DeMio's "Better think before getting H1N1 vaccine":
I am just one of thousands of doctors, scientists and parents who do not think that mass vaccination with H1N1 swine-flu vaccine is a good idea.
-Phillip DeMio, MD

Done in the style of Jessica Hagy's "Indexed"Now, let's ignore for a moment that "mass vaccination" is the most effective way to use vaccines to prevent disease, if only because it does not appear that there will be enough vaccine to mass vaccinate. DeMio makes it sound like there are thousands of doctors and thousands of scientists and thousands of parents that question the swine flu vaccine. Rather, the "thousands" is the sum total of those groups, whose distribution we have clarified in graphic form.

The Festival board agrees with DeMio on one point and one point only (perhaps in the entire universe on points). One should always carefully consider the costs and benefits of any medical intervention. For example, parents of autistic children should very carefully consider the potentially fatal risks relative to the zero chance of benefit from the chelation therapy available form DeMio's medical practice, which focuses on "treating" autism with a variety of methods that have no scientific support. One should also carefully consider what a certification by his American Medical Autism Board (identified by Quackwatch as a "Dubious Certifying Board") actually tells you about the doctor with that certificate. 

But, this isn't about DeMio. Unlike the Jenny McCarthys and Oprah Winfreys of the world, medical doctors do not have the luxury of being idiots; happily ignorant doctors are either incompetent hazards or unethical asses. This is about the editors of The Columbus Dispatch. The "Letters to the Editor" section of papers provides an important public forum for the exchange of opinions, even asinine ones. Those opinions, however, need to be informed by the facts. As Daniel Patrick Moynihan is credited with saying:
Everyone is entitled to his own opinion, but not their own facts.

DeMio supports his position in the swine flu debate with the following "facts":
The risk of autism, brain damage and immune dysfunction is high, especially for children, pregnant women and elders.
-Phillip DeMio, MD (emphasis ours)

Except that the scientific evidence (or here, here, and here for a small sampling of specific studies) shows that "the risk of autism, brain damage and immune dysfunction is" not high. There is no difference between the factual basis of DeMio's argument and a letter opposing NASA's research program based on the assertion that the Sun orbits the Earth.

DeMio's medical degree and certification board lend false credibility to his claims, including discouraging some of the most "at-risk" groups to eschew vaccination. His credentials falsely suggest that he knows what he is talking about. While The Columbus Dispatch editors have every right, and perhaps a responsibility, to print inflammatory opinions, they also have a responsibility to the public to ensure that the evidence does not completely contradict the available scientific evidence.

In case you are confused, we have created a helpful guide for distinguishing between statements of opinion and statements of fact (including shit that was made up, masquerading as fact):
STATEMENT OF OPINION: I think the risk of autism, brain damage and immune dysfunction is high. . .
STATEMENT OF FACT: The risk of autism, brain damage and immune dysfunction is high. . .

When you move from impartially moderating the debate (despite political debates this still entails preventing debaters to from just making shit up) to allowing a free-for-all shouting match that is unconstrained by evidence, you have taken an active role in the demagoguery. In the United States, there is freedom of speech. The Columbus Dispatch, however, is not required to provide a venue for misinformation.

The Columbus Dispatch, for betraying the public trust, confusing opinion with fact, and restoring the credibility of CNN's fact-checking, you are the newest member of The Festival of Idiots. We hear print newspapers are dying. Maybe it is natural selection.


Comments

Gerhard Adam's picture
The Columbus Dispatch, for betraying the public trust, confusing opinion with fact...

Where did you get the impression that the editorial page (or letters to the editor) was a source of facts?


jtwitten's picture
It is a source of opinion. When a letter, however, purports to make statements of fact, like DeMio's, especially from a supposed position of authorty, the editors have a responsibility to address the accuracy of those facts.

Gerhard Adam's picture
I understand the sentiment, but this is a very difficult area to police.  Who's to say that a medical doctor isn't entitled to diverge from the common consensus?  The "position of authority" is one that we impose (and one that I'm sure he takes advantage of), but how is this different from any other circumstance where similarly qualified individuals have differences?

If he isn't, in fact, qualified to make the statements he's making then he should rightfully be challenged, but I would also suggest it's a bit beyond the ability of a newspaper editor to fulfill that role.

Instead of vaccines. imagine that this were an article about global climate change.  How would people feel if the editors decided what was pertinent and good science?  What about all the countless economic and political opinions that are also expressed as "facts", despite there being no evidence to support their positions?  In many cases, there are outright lies being reported, and yet I don't hear a similar outrage regarding newspaper reporting practices.

The sad reality is that we do what we always do.  We have to confront individuals we disagree with in their chosen forum with facts and hope that enough people pay attention to get the lesson.  As you well know, there have been enough posts on this site challenging evolution from supposed medical doctors, that also want to capitalize on their "authority" but it changes nothing regarding the science.  In the end, people listen to whatever supports their existing beliefs, so I don't think that this editorial letter has much bearing on any particular outcome.

 

jtwitten's picture
1. This is not like climate change or economics. Climate science is technically difficult for many reasons, among which is the fact that you cannot do a random clinical trial. Furthermore, there is no scientific debate on this matter.
2. This is an immediate public health issue. Publishing a letter like this, apparently representing a medical authority, sows doubt about the vaccine, which will lead to people getting sick.
3. There is no scientific evidence to support the factual claims made in this letter. I've read many a letter to the editor with editorial statements attached to represent the current scientific knowledge. The editorial staff of a newspaper that has published numerous articles about the vaccine and vaccine clinics should be expected to be aware of this fact.
4. Many a letter to the editor contains an editor's note, such as this (based on a quick google search for the CDC):
Editor's note: The CDC ha found in clinical trials that the risk of serious side effects from the H1N1 vaccine is extremely low compared to the risks posed by H1N1 influenza infection. Based on clinical studies, the CDC recommends that individuals, particularly those in high risk groups, voluntarily receive both the seasonal flu vaccine and the H1N1 vaccine.

5. Newspaper see the swine flu and the vaccine as a story, not as a public health issue that invokes community responsibility.


Content aside - I am shocked to see this reporter using common swear words in this article. I'm a passing visitor, having surfed into this place, but I can't leave without saying I feel it is a great shame a journalist on an educational website is unable to find the vocabulary to write in a courteous and professional manner. It has the unfortunate effect of suggesting a lack of resources and respect that - while no doubt untrue - does not fit in well with the rational, considered environment of what is supposed to be a scientific journal.

jtwitten's picture
This is a blog. My blog. I am not a journalist. I am a biologist. This is not a science magazine or a journal. This is an open forum for the discussion of scientific topics and thought. I have my own personal style of discussion, which you are free to like or not.

But, rest assured, the terms "asses" and "shit" were used in a technical manner and that my opinion that The Columbus Dispatch editors acted as idiots on this matter is rational and well considered.

I stand corrected. You are not a journalist and the blog is yours, so naturally then you want to express yourself as you choose. I still think it's a pity you choose to do so in such an aggressive way - and I don't think it helps your cause much - but I hope that in spite of it you manage to get your point across to the right people, as this subject is obviously something you feel very strongly about, so good luck with it all.

jtwitten's picture
Thank you. As for my "aggressive way", I am a rugbyologist. The meek may inherit the earth, but they do not score tries.

It takes all kinds.

Andrea Kuszewski's picture
Oh, Josh. I do so love your "Festival of Idiots" posts, crass language and all. It gives it that special Josh-charm that we have all grown to love.

Keep it up. (^_^)

jtwitten's picture
You forgot to put scare quotes around "charm".

Hank's picture
I sense a reverse psychology trap.

Andrea Kuszewski's picture
Hey... I was being sincere. And yes, that happens more than once a year.

Andrea Kuszewski's picture
And incidentally, it looks like I might have contracted my second go-round of H1N1 (got it in July, but this is a new mutated strain going around now). I attribute this particular bout of illness to the lack of willingness to vaccinate against H1N1 in the population of children I work with. Consequently, people at work now are dropping like flies. I won't be surprised if the school shuts down in a few weeks because of lack of staff and/or students.

Awsome! Wonderful article.

Jim Myres's picture
Josh et al

You are neglecting an important point - this is OHIO

Not exactly the hub of liberal or open minded thinking.  MD's that take these stands would probably be laughed out of NY or California.

About the folks that blame Autism on vaccines - unfortunately they are grasping-at-straws.  I have a son Joe who has Autism.  Shit happens, I have seven other children that went through the same vaccines that Joe did and they are ok. 

Jim Myres
Cincinnati, Ohio

p.s OK Columbus, Ohio could probably be considered a hotbed of liberal thought compared to Cincinnati but ........


jtwitten's picture
Ohio looks pretty good relative to Missouri. That being said, I've been on the losing end of the voting on marriage amendments in two states now.

As a member of the Cleveland Browns/Indians/Cavaliers axis of fans in Columbus, I'd like to add that Cincinnati should really be considered part of Kentucky.

Becky Jungbauer's picture
The editorial staff of a newspaper that has published numerous articles about the vaccine and vaccine clinics should be expected to be aware of this fact.

By this I assume you mean the editorial page staff and not the editorial staff responsible for content in the rest of the paper?

jtwitten's picture
oui

Becky Jungbauer's picture
d'accord

Excellent blog post! Love it!

Thanks for your comments. Yes, I'll definitely post a link when my letter is published. Feel free to copy and post whatever you want..

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