WSJ Editorial of 2-16-04

[Guest guest]

Found this WSJ editorial as I was exploring the link 'ginam' posted about Andy

Wakefield, and don't recall seeing it on this list or any other I subscribe to.

I'm too sick to my stomach after reading it to make any intelligent response

right now, but I trust that some of you will have MUCH to say about its

contents.

REVIEW & OUTLOOK

Autism and Vaccines

Activists wage a nasty campaign to silence scientists.

Monday, February 16, 2004 12:01 a.m. EST

Everyone in our business learns to take a punch, but even we've been surprised

by the furious response to an editorial we ran a few weeks ago about vaccines.

The subject deserves further attention, not least because the goal of our

antagonists appears to be to shut down public debate on the matter.

For the past few years, a small coterie of parents has taken to loudly claiming

that thimerosal, a preservative used in vaccines for 60 years, is the cause of

autism in their children. Their allegations have scared many parents about

immunizations, sent trial lawyers scurrying to sue the few remaining vaccine

makers, and inspired an ugly political dispute. Lost in the controversy has been

a little thing called science.

We felt someone ought to point out that nothing currently exists in the medical

world to justify this furor--that thimerosal has never been credibly linked to

autism, and that recent studies in leading medical journals have also failed to

find a link. That research is one of many reasons the medical community remains

solid in its belief that vaccines are safe.

To our surprise, we had wandered into a hornet's nest of moral intimidation. In

letters and e-mails we've since been accused of " fraud, " a " terrorist act, " and

of having an " industry profit promoting agenda. " We've been told we belong to a

vast conspiracy--including researchers, pediatricians, corporations, health

officials and politicians--devoted to poisoning their children. A few have

harassed our secretaries and threatened an editorial writer.

As writers for an independent newspaper, we aren't about to shut up. But what

worries us is that these activists are using the same tactics in an attempt to

silence others with crucial roles in public health and scientific research. The

campaign to silence or discredit them has already had damaging consequences.

A case in point is the National Alliance for Autism Research. This widely

respected outfit was founded by parents of autistic children, and its staff and

volunteers have raised millions for research. When the autism claims first

surfaced, NAAR dutifully cofunded a Danish study, which found no connection

between the measles-mumps-rubella vaccine and autism. Within days, the critics

were trashing NAAR, claiming it was under the influence of drug companies

(untrue) and suggesting its research couldn't be trusted. NAAR had to spend

valuable time and resources rebutting those claims so it can remain a source of

honest information for worried parents.

Meanwhile, doctors who have spoken about the benefits of vaccination-- Offit

and Katz (the co-creator of the measles vaccine)--have been targeted as

baby killers and compared to Hitler. The goal appears to be to silence doctors

who encourage immunizations.

That would be a disaster. While we don't know what causes autism, we do know

that diseases like measles cause blindness and brain damage. Doctors are already

struggling to be heard over Internet rumors, and they report that parents are

increasingly nervous about vaccines. That's how paranoia started in England and

Ireland, where parents were swept up in autism claims and refused to immunize.

Ireland, a country with a population 77 times smaller than that of the U.S.,

reported 2,000 measles cases in 2002. The U.S. had 37.

As it happens, the thimerosal flap has already taken a human toll. Health

officials recommended taking thimerosal out of vaccines in 1999 to help calm

fears--but this only fueled claims of a government cover-up. Worse, as Dr. Offit

reported in a recent issue of Pediatrics, some hospitals misinterpreted

thimerosal-related recommendations and suspended some vaccinations for newborns.

One institution later reported the death, from acute hepatitis B-induced liver

failure, of a three-month-old infant who wasn't immunized.

Aided by trial lawyers, the intimidation has spread to Congress. Vaccine makers

receive some liability protection from the federal Vaccine Injury Compensation

Program--which pays out to the rare family whose child is injured by vaccines.

But tort lawyers have exploited loopholes to file billion-dollar thimerosal

suits that could bankrupt the few remaining vaccine makers.

When Republican Majority Leader Bill Frist tried to modernize VICP--and require

autism claims to go through the program like everyone else--the autism police

went to work. They camped out in Washington and convinced three Republican

Senators to kill any liability protection. The Senators claimed in a recent

letter to us that they hope the bill will be reconsidered, but it seems to have

disappeared. The lawsuits go on.

None of this, we should stress, is in the interest of families struck with

autism. Researchers have spent years studying the vaccine-autism link, and we

hope they continue. But if the research disproves a connection--as it has up to

now--the autism community needs to listen and move on. Research dollars are

limited, and parents of autistic children deserve to see the money spent where

it will do the most good.

Autism is a terrible diagnosis, and we hope science soon gives parents the

chance at a cure. But the best way to achieve that goal is through open and

honest inquiry that shouldn't be stopped because of the clamoring of an

intolerant few.