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#1 Lancet retracts anti-vaccine/autism paper

Posted: Tue Feb 02, 2010 2:33 pm
by The Minx
Link

(CNN) -- The medical journal The Lancet on Tuesday retracted a controversial 1998 paper that linked the measles, mumps and rubella (MMR) vaccine to autism.

The study subsequently had been discredited, and last week, the lead author, Dr. Andrew Wakefield, was found to have acted unethically in conducting the research.

The General Medical Council, which oversees doctors in Britain, said that "there was a biased selection of patients in The Lancet paper" and that his "conduct in this regard was dishonest and irresponsible."

The panel found that Wakefield subjected some children in the study to various invasive medical procedures such as colonoscopies and MRI scans. He also paid children for blood samples for research purposes at his son's birthday party, an act that "showed a callous disregard" for the "distress and pain" of the children, the panel said.

Following the council's findings last week, The Lancet retracted the study and released this statement.

"It has become clear that several elements of the 1998 paper by Wakefield et al. are incorrect, contrary to the findings of an earlier investigation. In particular, the claims in the original paper that children were 'consecutively referred' and that investigations were 'approved' by the local ethics committee have been proven to be false. Therefore we fully retract this paper from the published record."

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Dr. Richard Horton, editor of The Lancet, said he reviewed the GMC report regarding Wakefield's conduct.

"It's the most appalling catalog and litany of some the most terrible behavior in any research and is therefore very clear that it has to be retracted," he said.

CNN was unable to reach Wakefield for a comment.

Since its publication, Wakefield's study has attracted many critics who argued that the work had been so flawed it should not be regarded as scientific.

Wakefield theorized that the measles vaccine caused gastrointestinal problems and that those GI problems led to autism. In his view, the virus used in the vaccine grew in the intestinal tract, leading the bowel to become porous because of inflammation. Then material seeped from the bowel into the blood, Wakefield's theory said, affecting the nervous system and causing autism.

But subsequent research has been unable to duplicate Wakefield's findings.

A September 2008 study replicated key parts of Wakefield's original paper and found no evidence that the vaccine had a connection to either autism or GI disorders. The study, conducted at Columbia University, Massachusetts General Hospital and the Centers for Disease Control and Prevention, also found no relationship between the timing of the vaccine and children getting GI disorders or autism.

The Wakefield study has been a key piece of evidence cited by parents who do not vaccinate their children.

"The story became credible because it was published in The Lancet," Alison Singer, president of the Autism Science Foundation, said Tuesday. "It was in The Lancet, and we really rely on these medical journals."

Singer, the mother of a child with autism, added, "That study did a lot of harm. People became afraid of vaccinations -- this is the Wakefield legacy -- this unscientifically grounded fear of vaccinations that result in children dying from vaccine preventable diseases."

Retractions are rare in medical journals and usually occur as a result of fraud or plagiarism, said Marcia Angell, a former editor of The New England Journal of Medicine.

"It is a major event when there is a retraction like this," she said. "It sounds like there was a misleading design of the study ... patients not randomly chosen. There were ethical violations."

William Schaffner, professor and chairman of the department of preventive medicine at Vanderbilt University School of Medicine, described the journal's level of action as "unprecedented."

"Since Wakefield's study came out, some 20 other studies have come out, and each one of these studies, done by different researchers, in different populations and in different countries has denied the associations between vaccines and autism," he said. "... Scientifically, this story is over."

Schaffner added, "This series of events is damning and should refocus all of us in the field to find better methods of diagnosis and treatments."

The Lancet came under criticism for the initial publication of the paper 12 years ago.

Calling the Lancet's retraction "exceptionally disingenuous," Dr. Paul Offit, author of "Autism's False Prophets: Bad Science, Risky Medicine, and the Search for a Cure," said the medical journal has much to be embarrassed about over the matter.

"The science in that paper was never that good enough to warrant publication," he said. "And it did a lot of harm. ...

"The mere publishing of this paper created something that will never fully go way -- the false notion that MMR caused autism," said Offit, the chief of division of infectious diseases at the Children's Hospital of Philadelphia.

The retraction did little to change Rebecca Estepp's opinion.

Estepp, a spokeswoman for Talk About Curing Autism, said her son has autism and bowel problems. She said she remains convinced he had a vaccine reaction and that Wakefield's research helped doctors identify how to help her son.

"I guess the GMC can say whatever they want to say for the rest of their existence, but I know that my son got better because of Dr. Wakefield," she said.

Cases in which U.S. families have sued alleging a vaccine-autism link have had mixed outcomes.

In 2007, a U.S. federal program intended to compensate victims of injuries caused by vaccines concluded that a 9-year-old girl's underlying illness had predisposed her to symptoms of autism and was "significantly aggravated" by the vaccinations. Two years later, three different American families sought compensation from the Vaccine Injury Compensation Program, but the panel ruled that they had not presented sufficient evidence to prove that the vaccines caused autism in their children.

And it's about time too! Unfortunately, this is not going to deter the more rabid among the anti-vaccination crowd. But hopefully, it will sway the fence sitters.

#2

Posted: Thu Feb 04, 2010 9:52 am
by Armaina
Finally indeed. It's sad both that, it took this long to retract it, and that it was even published in the first place.