Sunday, March 27, 2011

Do Vaccines Cause Autism? A Victory for Science

Ohio made national news twice in one week, and the Cuyahoga River wasn’t even on fire.
First, Obama and his entourage flew here to headline the conference, Winning the Future Forum for Small Business, when he addressed small business leaders. He referred to the ‘reinvention of Cleveland’, a term that suggests we are experiencing a renaissance here, an event that most of us are unaware of. In any event, when a president flies in, it offers an opportunity to think, particularly if you are held hostage on the highway awaiting the presidential motorcade. Then, you can ponder how late you will be for your destination.

Education, one of my preferred issues, also made headlines. A Mount Vernon, Ohio teacher was accused of infecting his curriculum with creationism, among other allegations which readers can discover with a single click after a Google search. Ohioans follow the creationism issue closely and pride ourselves on being more enlightened than many spirited evangelists from the Sunflower State who tried to convince us a few years back to accept ‘intelligent design’ in the classroom. Their design was both intelligent and transparent. ‘Teach the controversy’, they argued. However, acknowledging that a controversy existed would provide them with a victory. There is no controversy. Creationism and its repackaged cousin intelligent design are not science and cannot be permitted to masquerade as such.

Science won a victory in Washington, D.C. recently. The U.S Supreme Court ruled that folks who claim injury from a vaccine may not sue the manufacturers and must rely upon the vaccine compensation system, called the National Vaccine Injury Compensation System (VICP), that was designed 25 years ago. The 6 to 2 vote suggests that this was not a close legal call. The case before the court involved parents who alleged that a DPT (diphtheria, pertussis and tetanus) vaccine caused permanent developmental deficits and seizures in their child. They sued first in state court and then in federal court when the special vaccine tribunal, referenced above, ruled that they did not prove that the DPT vaccine caused the injury.

The VCIP, or ‘vaccine court’ system, is an excellent institution that serves everyone’s interest. This court has special knowledge and expertise in vaccinations, much more so than would a jury of one’s peers have in an ordinary trial. If this court is persuaded that a claim meets their burden of proof, then compensation is speedily awarded. Granted, these petitioners may not strike lottery gold, as they might in traditional civil litigation, but they will be promptly and fairly compensated. More importantly, this system protects vaccine manufacturers from defending a deluge of annual lawsuits from folks who are convinced that their products have harmed them or their kids. Although I believe that most of these claims are sincere, the vast majority of them are unfounded. They are based on emotion and fueled by a vocal minority of anti-vaccine enthusiasts who try hard to transform anecdotes and vignettes into science.

We all are aware of a belief that measles vaccine can cause or worsen autism. This has been a wrenching issue for many families who are convinced that measles (MMR vaccine) or other vaccines caused their children to develop this serious illness. These anecdotes have been widely reported in the press and generate understandable sympathy from the public. Sympathy, however, is not science.
At this point, there is no scientific evidence that any vaccine causes autism, a finding that has been upheld by the VICP repeatedly.

While every vaccine, including measles, has potential side-effects, these are rare events. Health experts strongly advise that risks of harm from routine vaccinations are much less than the risks of not having immunity to various communicable diseases.

Autism is a mysterious and serious illness. We all hope that medical research will lead to understanding the cause of this disease and to effective treatments. So far, the verdict on the measles vaccine in the case of MMR vs Autism is not guilty.

Who says there is only bad news coming from the nation’s capital? The judicial branch of government performed superbly in this instance. We owe much gratitude to our founding fathers, who so intelligently designed our government.

7 comments:

A. Bailey said...

It seems a bit ungracious of you to link the whole autism/vaccination canard with the Intelligent Design/Creationism business. I doubt you'd be as sympathetic with a linkage between autism/vaccination and "demythologizing the Torah". Separating the Red Sea? Getting water by striking a rock? Oh come on, no one believes that stuff, do they? How unscientific can you get?

Your fiberoptic colleague.

Anonymous said...

Reference to the Torah in the context detailed in the post above is hitting below the belt, Such comments should be discouraged

A. Bailey said...

I think a very good rule is not to make light of other people's religious beliefs, especially on a medical blog. Don't make fun of Torah, don't make fun of karma, don't make fun of shari'a, and don't make fun of creationism. You don't get a free pass because you don't like one or the other's beliefs. Michael of all people should know that.

Michael Kirsch, M.D. said...

I am respectful of those who believe in creationism or 'intelligent design', but will oppose efforts to present these views as science. Any argument here?

A. Bailey said...

No.

Golly, I haven't had the opportunity to have the last word on any topic for about 15 years.

As a heretic towards the scientific method, I wonder how much wiser we would be as a race if we were allowed to ask "why?". The sacred Academy restricts us to only asking "how?"; asking more than that is grounds for excommunication.

Anonymous said...

Dr Kirsch: of course the supernatural cannot be put in a test tube, and it therefore is not scientific. However, what makes you so sure that science can explain the origin of life? How do you know that life has a scientific explanation? Would you want random chance designing your jejunum? (I am an MD; I could ask you 10,000 other questions in that line.) You are so cavalier about my tax dollars supporting the teaching of evolution in the classroom; how would you feel about your tax dollars supporting something offensive to you, say, the worship of plaintiff lawyers?

Michael Kirsch, M.D. said...

@anonymous above, why no byline? No, I may not be able to explain many of life's mysteries. But, the medical profession should rely whenever possible on the results of the scientific method and medical evidence. If physicians are offering other treatments that have no scientific basis, or have been refuted scientifically, then we should say so forthrightly.

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