Tayloe, Offit, Minshew, Katz, Snyderman, et. al.: Feeding a Hungry Lie
http://www.ageofautism.com/2009/01/cdc-aap-paul-offit-feeding-a-hungry-lie.html
There is a very, very hungry lie, and the lie needs more food. Dr. Paul Offit is this lie's public chef, but it also gets fed by the Centers for Disease Control, American Academy of Pediatrics, and many other parties who have a vested interest in protecting our current vaccine program. The problem with a lie as big as this one is that it never knows when it has had enough to eat, and it always needs more food.
It's a simple lie, really. And, it's being told with more and more frequency lately, which is really no surprise. Lies like this tend to get fatter and fatter and hungrier and hungrier before they explode, and many, many people need this lie to be true.
Like many lies, this one has evolved. The lie-tellers used to tell half-truths, but they seem to have abandoned the half-truths and just gone for the big, big lie. That's how hungry a lie tends to get. Don't feed me half-truths, the lie screams, feed me lies!
Like other very big lies, this one retains a lot of credibility with people who have a lot of credibility. And, we have seen this movie before, whether it's Colin Powell blessing the presence of WMDs in Iraq or the SEC blessing the trading prowess of Bernie Madoff. We know how the movie ends.
Stephen Greenspan, a psychologist and expert on gullibility, explains this recurrent experience of smart people falling for big, hungry lies as due to "the tendency of humans to model their actions—especially when dealing with matters they don't fully understand—on the behavior of other humans."
So, some humans purportedly in the position to understand something say the lie, and repeat it over and over again and pretty soon a bunch of people who don't really understand it start saying the same thing.
What's the big lie? Trust me; I really 
									want to tell you, I've just struggled with 
									which lie-teller to quote first. These days, 
									there are so many people telling the lie I 
									hardly know where to start. 
									 
									I thought long and hard about which 
									lie-teller should get us going, and I've 
									settled on Dr. David Tayloe. As the 
									President-elect of the American Academy of 
									Pediatrics, he's supposed to have our kids' 
									back. Of course, he doesn't. And he's 
									certainly not above telling the lie. 
									 
									I also picked David Tayloe because he said 
									on Larry King Live that, in all his decades 
									of being a pediatrician, he'd never reported 
									an adverse event from a vaccine. Given how 
									long he's practiced, and how many kids he's 
									shot-up, it's a near impossibility that no 
									child had an adverse event to a vaccine from 
									his practice, so that makes Dr. David Tayloe 
									somewhat or fully full of shit. So, he gets 
									the nod.
									 
									I've dragged this out so long, I almost 
									don't want to drop it on you now, but here 
									goes, here's Dr. David Tayloe, 
									President-elect of the AAP, telling the big, 
									big, very hungry lie:
									 
									"Vaccines do not cause autism and we're not 
									afraid of the truth."
									 
									Dr. Tayloe may not be afraid of the truth, 
									but he's certainly afraid to speak it. 
									 
									Lest you think I'm picking on Dr. Tayloe, 
									which I certainly am, just know that he is 
									well-supported by other humans who don't 
									really understand the issue telling the same 
									lie he's telling because they heard other 
									people say it. Consider these luminaries of 
									the hungry lie:
									 
									Dr. Paul Offit: "It's been asked and 
									answered: Vaccines don't cause autism."
									 
									Amanda Peet, spokesperson for Sanofi Pasteur 
									and Every Child By Two: "Fourteen studies 
									have been conducted (both here in the US and 
									abroad), and these tests are reproducible; 
									no matter where they are administered, or 
									who is funding them, the conclusion is the 
									same: there is no association between autism 
									and vaccines."
									 
									Dr. Nancy Minshew, director of the 
									University of Pittsburgh's Center for 
									Excellence in Autism: "The weight of 
									evidence is so great that I don't think that 
									there is any room for debate. I think the 
									issue is done. I'm doing this for all the 
									families out there who don't have a child 
									with autism, who have to deal with the issue 
									of 'Do I get a vaccination or do I risk my 
									child's life' because they don't understand 
									what the science is saying."
									 
									Dr. Michael Katz, senior vice president for 
									Research and Global Programs for the March 
									of Dimes: "The implication that vaccinations 
									cause autism is irresponsible and counter 
									productive."
									 
									Dr. Renee Jenkins, current President of the 
									AAP: "A television show that 						productive."
									 
									Dr. Renee Jenkins, current President of the 
									AAP: "A television show that perpetuates the 
									myth that vaccines cause autism is the 
									height of reckless irresponsibility on the 
									part of ABC."
									 
									Dr. Nancy Snyderman, medical correspondent 
									for NBC: "Sixteen separate studies have 
									shown no causal association [between 
									vaccines and autism]."
									 
									The American Medical Association: 
									"Scientific data overwhelmingly show that 
									there is no connection between vaccines and 
									autism."
									 
									Whew. I'm tired just typing all those 
									quotes. If that's not a sign that there is 
									"consensus" on an issue…I don't know what 
									is. 
What do we make of so many official people saying, and at times shouting, the same thing? The late Michael Crichton, himself an M.D., addressed this notion of a bunch of pedigreed people shouting the same lie, with a level of eloquence I could never summon:
"I want to pause here and talk about 
									this notion of consensus, and the rise of 
									what has been called consensus science. I 
									regard consensus science as an extremely 
									pernicious development that ought to be 
									stopped cold in its tracks. Historically, 
									the claim of consensus has been the first 
									refuge of scoundrels; it is a way to avoid 
									debate by claiming that the matter is 
									already settled. Whenever you hear the 
									consensus of scientists agrees on something 
									or other, reach for your wallet, because 
									you're being had."
									 
									Birth of the Lie: 2004
									 
									We all know the year. We all know the 
									organization. We all know the document. No 
									document on earth has ever been more widely 
									quoted, misquoted, represented, and 
									misrepresented to prove, once and for all, 
									that vaccines do not cause autism. Because 
									this document is so damn important, and 
									because we know exactly when the document 
									was released, we can be very clear about 
									exactly when this very hungry lie was born:
									
									May 17, 2004.
									 
									Before I continue, I need to tell you 
									something, and I really, really need you to 
									listen. I'm going to quote a cliché, one 
									that has been used many times, and is used 
									so often that sometimes we may forget to 
									reflect on its meaning, so please, take a 
									moment and really think about this: The 
									devil is in the details. Always.
									 
									With that cliché now bouncing around in your 
									head, let's look at the birth date of this 
									very hungry lie when the Institute of 
									Medicine released a document with the very 
									official sounding name Immunization 
									Safety Review: Vaccines and Autism.
									
									(HERE)
									 
									There it is. There's the very first lie. 
									And, oddly enough, it's the title of the 
									entire document. Stick with me on this, and 
									remember the cliché I just mentioned to you. 
									The title of the document is "Vaccines and 
									Autism." To the average person, this would 
									presume that the document explores the 
									concept of whether or not vaccines cause 
									autism.
									 
									But, it doesn't. And, the study itself is 
									far more honest than its own title. The 
									study itself actually tells you what the IOM 
									looked at and here it is, the IOM summary of 
									what they actually looked at in the study 
									they released on May 17, 2004:
									 
									"In this report, the committee examines 
									the hypothesis of whether the MMR vaccine 
									and the use of vaccines containing the 
									preservative thimerosal can cause autism."
									 
									Wait a minute. The world thinks the IOM 
									considered whether or not vaccines can cause 
									autism. There are 11 separately licensed 
									vaccines given to children (I'm counting 
									DTaP and MMR as one each, even though they 
									are triple shots), many given multiple 
									times. The IOM looked at only one of these 
									vaccines, the MMR, and an ingredient found 
									in many others, Thimerosal. 
									 
									But, the hungry lie started that day, two 
									months before my own son was diagnosed with 
									autism. It started with a very odd and very 
									contradictory piece of journalism by a 
									writer from Reuters who seems to be more 
									confused by the issue than most. This 
									writer, Maggie Fox, reported on the IOM's 
									document soon after its release, and her 
									headline is clear enough:
									 
									VACCINE DOES NOT CAUSE AUTISM, PANEL 
									SAYS 
That's as clear and concise a version of 
									the lie as you will ever see, although the 
									use of the word "vaccine" rather than 
									"vaccines" is odd. Within her own story, Ms. 
									Fox goes on to explain what the IOM study 
									actually did do, which contradicts her own 
									headline:
									 
									"Neither the measles, mumps and rubella 
									vaccine nor a mercury-based preservative 
									used in some childhood shots cause autism, a 
									U.S. health panel has found."
									 
									Hmm, that's weird. Even weirder is the quote 
									she pulled out of Marie McCormick, the 
									chairperson of the very IOM committee that 
									issued the report that started the lie:
									 
									"The weight of that evidence is pretty 
									substantial," said Dr Marie McCormick, an 
									expert in child and mother health at the 
									Harvard School of Public Health who chaired 
									the panel. "The overwhelming evidence from 
									several well-designed studies indicates that 
									childhood vaccines are not associated with 
									autism," she added. 
Childhood vaccines are not associated 
									with autism? That's quite a statement; 
									particularly given the panel only 
									contemplated two things: the MMR vaccine and 
									an ingredient (mercury) in some vaccines. 
									It's not just quite a statement; it's an 
									unbelievably bold misrepresentation, which 
									is a nice word for a lie. 
									 
									I have noticed this trend a lot lately, 
									where health authorities in positions of 
									influence seem to bounce back and forth 
									between representing honestly what research 
									has actually been done and making sweeping 
									statement of false reassurance. Consider the 
									curious case of Dr. Paul Offit, a henchman 
									for Merck and vaccine patent-holder. In an 
									article in the New England Journal of 
									Medicine several years ago, Dr. Offit 
									spelled out the research fairly clearly:
									 
									"Fourteen epidemiological studies have 
									shown that the risk of autism is the same 
									whether children received the MMR vaccine or 
									not, and five have shown that 
									thimerosal-containing vaccines also do not 
									cause autism."
									 
									Today, why bother with the details? It's 
									much easier for Offit to say, "It's been 
									asked and answered: Vaccines don't cause 
									autism" and be done with it.
									 
									I wish I was done at this point, partly 
									because all these details really wear me 
									out, but the story actually gets a lot 
									worse.
Devilish Details
									 
									I'm now going to make a point, and this is 
									without a doubt the most important point I'm 
									making today, so I hope you can once again 
									take just a little bit closer of a listen. 
									As we all know, the IOM looked at many 
									different studies regarding both Thimerosal 
									and the MMR vaccine. 
									 
									But, there is a point, and it's a point many 
									of us think we know, but it's a point rarely 
									discussed and a point so important that I 
									think someday when they are piecing together 
									how in the world the autism epidemic ever 
									happened and how in the world such a big 
									hungry lie was ever told for so long, I 
									think this is the point they will make, so 
									I'm going to make it first:
									 
									There isn't a single study contemplated 
									by the IOM, or cited by any medical 
									authority whether CDC, AAP, WHO, IOM, or 
									ECBT, that compares anything EXCEPT 
									vaccinated children.
									 
									How can that be? How can the IOM's document 
									that tells the world that vaccines do not 
									cause autism be resting on a foundation of 
									studies that only ever looked at vaccinated 
									children?
									 
									We need some analogies here:
									 
									That would be like looking at people who 
									smoke one pack a day versus two packs a day 
									and seeing no difference in lung cancer 
									rates and saying cigarettes don't cause lung 
									cancer.
									 
									That would be like looking at people who eat 
									chocolate chip cookies with chocolate chips 
									and chocolate chip cookies without chocolate 
									chips and seeing no difference in obesity 
									rates and saying cookies don't contribute to 
									obesity.
									 
									That would be like looking at people who 
									smoke low-tar cigarettes and people who 
									smoke normal cigarettes and seeing no 
									difference in lung cancer rates and saying 
									cigarettes don't cause lung cancer…
									 
									Do I need to continue? When I explained this 
									trick to my 9 year-old, he got it, so I hope 
									you do, too. If you can look at these 
									studies and say that vaccines do not cause 
									autism, well, I think you make Foghorn 
									Leghorn look like Chickenhawk.
									 
									Let's go back to Reuters for a second, 
									because the article is terribly important, 
									being the media's first brush with the lie 
									and all. Let's look at what else Ms. Fox 
									said back in 2004:
									 
									"The panel, which included experts in 
									paediatrics, family medicine, statistics and 
									epidemiology, had reported in 2001 that 
									there was no proven link between vaccines 
									and autism but said there was not quite 
									enough evidence to be definitive. Since 
									then, they have reviewed five large 
									epidemiological studies done in the U.S., 
									the U.K., Denmark, and Sweden that found 
									Children who were vaccinated with 
									thimerosal-containing vaccines were no more 
									likely to have autism than children who 
									received thimerosal-free vaccines."
									 
									Five large studies done? OK. And, these 
									studies were the ones that turned the tide, 
									right? That's certainly what this writer 
									appears to have learned from the IOM. Just 
									for fun, let's actually look at the "new" 
									studies that were contemplated by the IOM. 
									Not all five of them, but just for fun I'll 
									pick two of the studies Ms. Fox is talking 
									about, the one from the US and the one from 
									the UK, published in 2003 and 2004, 
									respectively.
									 
									Before we look at these two studies, I need 
									to make another point: the majority of 
									studies that authorities point to as proof 
									that vaccines do not cause autism have been 
									published in a journal called Pediatrics. 
									As Pediatrics will tell you, they 
									are the official journal of the American 
									Academy of Pediatrics. As we know, the AAP 
									is a trade union for pediatricians with two 
									unfortunate truths:
									 
									- The AAP derives a majority of their 
									outside contributions (estimated at more 
									than $25 million per year) from 
									pharmaceutical companies who make vaccines
									
									- The very people the AAP represents, 
									pediatricians, derive the majority of their 
									annual revenues from the administration of 
									vaccines to children
									 
									Do you think that's a coincidence? 
									 
									CDC Study, the one that just won't 
									go away
									 
									The first of the two studies I'll look at, 
									the one that most people cite as the 
									definitive work that vaccines do not cause 
									autism, was published in Pediatrics in 
									November 2003 and was written by the CDC by 
									a lead researcher named Thomas Verstraeten. 
									It's called Safety of Thimerosal 
									Containing Vaccines: A Two-Phased Study of 
									Computerized Health Maintenance Organization 
									Databases. 
									 
									To say that much has been written about this 
									study is like saying much has been written 
									about Britney's love life – it's always an 
									understatement. So, I'm just going to make 
									two points about this study, two points that 
									will show you how big this lie has really 
									become:
									 
									1. The study's authors, after analyzing the 
									only data ever run on American children 
									(data that was later lost by the CDC), 
									concluded that they couldn't prove anything 
									either way. Their study was simply 
									inconclusive. Not positive, not negative. 
									Just neutral. After the press and vaccine 
									talking heads tried to turn the study into 
									the first evidence of the very big lie, the 
									study's lead author, that same guy 
									Verstraeten, wrote a desperate letter to 
									Pediatrics because he was distraught at how 
									his study--the one he was the lead author 
									for--was being misused:
									 
									"Surprisingly, however, the study is 
									being interpreted now as negative [where 
									'negative' implies no association was shown 
									between Thimerosal and autism] by many...The 
									article does not state that we found 
									evidence against an association, as a 
									negative study would. It does state, on the 
									contrary, that additional study is 
									recommended, which is the conclusion to 
									which a neutral study must come...A neutral 
									study carries a very distinct message: the 
									investigators could neither confirm nor 
									exclude an association, and therefore more 
									study is required."
									 
									It's hard to imagine a second point actually 
									worse than the point I just made, the point 
									that one of the most famous studies 
									routinely held up to support the position 
									that "vaccines don't cause autism" actually 
									reached no decision at all. 0./But, it does 
									get worse.
									 
									2. Like every study the IOM considered in 
									reaching their conclusion, and like every 
									study ever cited by anyone defending the 
									vaccine program, this study only looked at 
									children who had been vaccinated. If that 
									wasn't bad enough, the authors actually went 
									a step further. Because there were so few 
									children available who had received vaccines 
									without Thimerosal, they actually compared 
									children who had received MORE Thimerosal 
									with children who received LESS Thimerosal 
									to try and reach a conclusion. In point of 
									fact, this "large-scale" study, as it's so 
									often portrayed by the media, evaluated a 
									total of exactly 223 children with autism, 
									all of whom had been vaccinated, and over 
									80% of whom had received vaccines with 87 or 
									more micrograms of mercury.
									 
									Man, I'm really tired of talking about these 
									details. If you think it's hard reading this 
									lengthy piece, try writing it. In fact, it's 
									the painful nature of these pesky details 
									that makes the lie so easy to feed and 
									perpetuate. Who really reads this shit? No 
									one, I think. In fact, I have a little 
									secret to tell you: I have actually read 
									every single study the IOM based their 
									conclusions on and every study the other 
									side claims supports their case. I have them 
									all sitting right next to me here in a tidy 
									little folder. I may be the only human being 
									on earth (except perhaps Bernadine Healy) 
									who has actually done this.
									 
									How am I so sure? I'm not, really. I just 
									know it took me several hours and several 
									hundred dollars to even get all the studies 
									together in one place. You see, many of the 
									actual studies are not freely available 
									online for the average journalist to find, 
									you have to buy them from the websites of 
									the journals. Testing this hypothesis a step 
									further, I asked a journalism friend of mine 
									to ask Every Child By Two if they had copies 
									of all the studies they cite on their 
									website that prove vaccines don't cause 
									autism. Surely they had copies and had read 
									them all…surely?
									 
									Here's what he heard back:
									 
									Unfortunately we do not have copies of 
									all of the studies available. I would 
									suggest that if you check the main library 
									at [your school]. They often get these 
									journals even though your school doesn't 
									have a medical or nursing program and you 
									can copy what you need. Some may also be 
									available online.
									 
									Rich
									Rich Greenaway
									Director of Operations and Special Projects
									Every Child By Two
									 
									Nope, even ECBT doesn't have the studies; 
									they just speak authoritatively about the 
									conclusions of studies they've never 
									actually read…
									 
									The "British" Study – Am I on 
									Neptune?
									 
									Ok, I'll admit it -- up until a week ago, 
									I'd never read the large-scale 
									epidemiological study from the UK that 
									clearly shows vaccines don't cause autism as 
									was clearly stated in the Reuters article 
									and clearly part of the IOM's very clear 
									conclusion. I feel terrible, but I just 
									never took the time to read it.
									 
									When I finally read it, cover to cover, all 
									7 pages of this published study, I only had 
									one conclusion: Am I living on fucking 
									Neptune? 
									 
									You see, if you think the CDC study I just 
									told you about is a shaky foundation for 
									building a hungry lie, then the British 
									study is the foundation of a thousand year 
									old clay shack in the Sichuan Province 
									during a 9.0 earthquake. 
									 
									Like all studies, the UK study has a very 
									official sounding name, and one I will 
									repeat so I can be as clear as possible:
									 
									Thimerosal Exposure in Infants and 
									Developmental Disorders: A Prospective 
									Cohort Study in the United Kingdom Does Not 
									Support a Causal Association
									 
									Wow, that's an earful. Oddly, like few other 
									studies I have seen, the title includes the 
									conclusion of the study, albeit a deceitful 
									representation of the actual conclusion. 
									 
									This UK study is such junk, it's really hard 
									to write about. I imagine a journalist 
									trying to read this study for the first 
									time, and probably struggling with what the 
									hell was actually done, sort of like a 
									monthly statement from Bernie Madoff, and 
									falling back to just reading the title again 
									and hoping for the best. Yet, after reading 
									the study enough times, I was able to 
									actually figure out what had been done, and 
									I'll start by quoting you from the authors' 
									own summary of what they did, from the 
									Methods section of the study on page 577 of
									Pediatrics in September 2004: 
									 
									"The study has been monitoring >14 000 
									Children who are from the geographic area 
									formerly known as Avon, United Kingdom, and 
									were delivered in 1991–1992. The age at 
									which doses of thimerosal-containing 
									vaccines were administered was recorded, and 
									measures of mercury exposure by 3, 4, and 6 
									months of age were calculated and compared 
									with a number of measures of Childhood 
									cognitive and behavioral development 
									covering the period from 6 to 91 months of 
									age."
									 
									OK, I know. You have no idea what that 
									means, I certainly didn't. So, I will use 
									the kind of English most of us can 
									understand so you can see how amazingly 
									unbelievable this study really is:
									 
									-   100% of the children in this study were 
									vaccinated
									
									-   100% of the children in this study were 
									vaccinated with the thimerosal-containing 
									DTP vaccine
									
									-   If you were a child who hadn't completed 
									the full series of thimerosal-containing DTP 
									shots, which in Britain is 3 doses, you 
									weren't even in the study
									
									-   The only variable considered, and I'm 
									going to put ONLY in all-caps so you really 
									hear me, the ONLY variable considered was 
									the TIMING of the 3 doses of 
									thimerosal-containing DTP vaccines given to 
									kids
									
									-   And, when I say timing, what I mean is 
									they compared kids who had gotten these 
									shots by 3 months, 4 months, and 6 months
									 
									That's it. 
									 
									The timing of thimerosal-containing shots 
									was explored. The authors are actually 
									honest about this in their own conclusion to 
									the study:
									 
									"This study, based on a large United 
									Kingdom–based prospective cohort, shows no 
									evidence of any harmful effect of an 
									accelerated immunization schedule with 
									thimerosal-containing vaccines."
									 
									There it is, clear as day: an accelerated 
									schedule of TCVs. TIMING is the only 
									variable this study considered.
									 
									One side point, for those of you who 
									noticed. The IOM study came out in May 2004. 
									This study was published in Pediatrics in 
									September 2004, four months later. What 
									gives? What gives is that the AAP did an 
									excellent job of getting a crap study in 
									front of their friends at the IOM to give 
									them more ammunition to birth the hungry 
									lie. 
									 
									A "Dose" of Reality
									 
									It's hard to write this piece, because it 
									makes me lose even greater faith in our 
									health authorities. I think about a guy like 
									Dr. David Tayloe and I just want to know 
									what's actually true:
									 
									- Is he the gullible guy who just believes 
									what others say and repeats it?
									
									- Is he so stupid that he's read all the 
									science and believes it proves that vaccines 
									don't cause autism?
									
									- Does he know the science doesn't remotely 
									say that, but thinks it's better to say so 
									anyway and protect the vaccine program?
									 
									I don't know, but any of those reasons 
									pretty much suck.
									 
									I mention above about giving a dose of 
									reality, so I'm going to. But first, a 
									question: 
									 
									What is the purpose of science, and more 
									specifically, of medical research?
									 
									I think the purpose of science and medical 
									research is the betterment of the human 
									race. To help us live longer, healthier, 
									happier lies. To answer all the tough 
									questions about what's good for us and 
									what's bad for us. The customer of medical 
									research is mankind. 
									 
									If mankind is the customer here, I would 
									make another argument. Mankind's most 
									important members are babies and children. 
									Agree? And, nothing is more painful for 
									mankind or more detrimental to mankind's 
									life, liberty, and happiness than a sick 
									child. Ask any family. 
									 
									So, here's some reality for you:
									 
									Terry has a daughter named Hannah. Through 
									eighteen months, Hannah's pediatrician notes 
									she is meeting all developmental milestones 
									– a normal developing child. At nineteen 
									months, Hannah gets taken to the 
									pediatrician, presumably by her Mom, and she 
									gets five shots in one visit: DTaP, Hib, 
									MMR, Varivax, and IPV. A five shot visit? In 
									the U.S., this happens thousands of times a 
									day.
									 
									Suddenly, things for Hannah change. I'll let 
									the now-famous court document tell the story 
									from here:
									
									"According to her mother's affidavit, 
									Hannah developed a fever of 102.3 degrees 
									two days after her immunizations and was 
									lethargic, irritable, and cried for long 
									periods of time. She exhibited intermittent, 
									high-pitched screaming and a decreased 
									response to stimuli. Terry spoke with the 
									pediatrician, who told her that Hannah was 
									having a normal reaction to her 
									immunizations. According to Hannah's mother, 
									this behavior continued over the next ten 
									days, and Hannah also began to arch her back 
									when she cried.  
									
									On July 31, 2000, Hannah presented to the 
									Pediatric Center with a 101-102 degree 
									temperature, a diminished appetite, and 
									small red dots on her chest. The nurse 
									practitioner recorded that Hannah was 
									extremely irritable and inconsolable. She 
									was diagnosed with a post-varicella 
									vaccination rash. 
									
									Two months later, on September 26, 2000, 
									Hannah returned to the Pediatric Center with 
									a temperature of 102 degrees, diarrhea, 
									nasal discharge, a reduced appetite, and 
									pulling at her left ear. Two days later, on 
									September 28, 2000, Hannah was again seen at 
									the Pediatric Center because her diarrhea 
									continued, she was congested, and her mother 
									reported that Hannah was crying during 
									urination. On November 1, 2000, Hannah 
									received bilateral PE tubes. On November 13, 
									2000, a physician at ENT Associates noted 
									that Hannah was "obviously hearing better" 
									and her audiogram was normal. On November 
									27, 2000, Hannah was seen at the Pediatric 
									Center with complaints of diarrhea, 
									vomiting, diminished energy, fever, and a 
									rash on her cheek. At a follow-up visit, on 
									December 14, 2000, the doctor noted that 
									Hannah had a possible speech delay.  
									
									Hannah was evaluated at the Howard County 
									Infants and Toddlers Program, on November 
									17, 2000, and November 28, 2000, due to 
									concerns about her language development. The 
									assessment team observed deficits in 
									Hannah's communication and social 
									development. Hannah's mother reported that 
									Hannah had become less responsive to verbal 
									direction in the previous four months and 
									had lost some language skills. 
									
									On December 21, 2000, Hannah returned to ENT 
									Associates because of an obstruction in her 
									right ear and fussiness. Dr. Grace Matesic 
									identified a middle ear effusion and 
									recorded that Hannah was having some balance 
									issues and not progressing with her speech. 
									On December 27, 2000, Hannah visited ENT 
									Associates, where Dr. Grace Matesic observed 
									that Hannah's left PE tube was obstructed 
									with crust. The tube was replaced on January 
									17, 2001.
									
									Dr. Andrew Zimmerman, a pediatric 
									neurologist, evaluated Hannah at the Kennedy 
									Krieger Children's Hospital Neurology Clinic 
									("Krieger Institute"), on February 8, 2001. 
									Dr. Zimmerman reported that after Hannah's 
									immunizations of July 19, 2000, an 
									"encephalopathy progressed to persistent 
									loss of previously acquired language, eye 
									contact, and relatedness." He noted a 
									disruption in Hannah's sleep patterns, 
									persistent screaming and arching, the 
									development of pica to foreign objects, and 
									loose stools. Dr. Zimmerman observed that 
									Hannah watched the fluorescent lights 
									repeatedly during the examination and would 
									not make eye contact. He diagnosed Hannah 
									with "regressive encephalopathy with 
									features consistent with an autistic 
									spectrum disorder, following normal 
									development." Dr. Zimmerman ordered genetic 
									testing, a magnetic resonance imaging test 
									("MRI"), and an electroencephalogram 
									("EEG"). 
									
									Did you read that whole excerpt? Did you 
									really read it? If you did, and if you are 
									human, it rips your heart out. If you are 
									the parent of a child with autism as I am, 
									it more than rips your heart out, it causes 
									you to die all over again. And, as we both 
									know, Hannah's story is far from unique. In 
									the autism world, it's the norm. I'd hazard 
									to guess that Hannah's story is shared by 
									several hundred thousand families in the US 
									alone.
									 
									How does the experience above benefit 
									mankind? 
									 
									Can science help us out of this mess?
									 
									The Failure of Science and the Big 
									Lie
									 
									As we all know, Hannah's Mom is a nurse and 
									her Dad is a neurologist. I've never met the 
									Polings nor have I ever talked to them. But, 
									I know that Jon, Hannah's dad, was very much 
									part of the mainstream medical establishment 
									before seeing what happened to his daughter, 
									as he himself has said.
									 
									I have no doubt that as Dr. Poling was 
									watching these events unfold with his 
									daughter that he was looking for answers 
									through science and from the people and 
									journals he trusted. And, I have little 
									doubt that he found nothing.
									 
									Let me ask you a simple question, and I 
									particularly want to ask it of the liars 
									like David Tayloe, Paul Offit, Nancy 
									Snyderman, and others who falsely reassure 
									parents every day that everything is OK when 
									everything is not OK. Please, a simple 
									question:
									 
									Can you show me the science that would 
									convince the Polings that it wasn't the 
									vaccines?
									 
									Please. Show me. She got five vaccines in 
									one day. She was never the same. Show me the 
									science where you can proudly stand up and 
									say, "Vaccines do not cause autism, I'm 
									sorry about what happened to your daughter 
									but it wasn't the vaccines, please read 
									this." Is it the British study, the one that 
									made me think I was on Neptune? Or, is it 
									that one from CDC, the one where they were 
									unable to determine anything? Which one 
									should the Polings look at so they can move 
									off of vaccines as a likely culprit to their 
									daughter's regressive autism?
									 
									The lie needs to end. Those who have been 
									telling the lie need to be called out. They 
									need to be removed. Every day, another 
									parent is falsely reassured because they 
									listen to someone they think they can trust 
									who is feeding the hungry lie.
									 
									It makes me so damn mad to write this piece, 
									perhaps that's why it's so long, but really, 
									I don't even know how to end it. The more I 
									look at the details, the madder I get. Since 
									I can't trust myself to end this piece in a 
									thoughtful way, I will bring in Dr. 
									Bernadine Healy, the former Director of the 
									National Institutes of Health, herself an 
									M.D. from Harvard and someone who directed 
									the nation's largest organization dedicated 
									to medical research.
									 
									Dr. Healy fits into this story because it 
									was Hannah Poling's case that caused her to 
									take a closer look at the controversy. 
									Unlike many of the feeders of the lie, I 
									have no doubt that Dr. Healy actually has 
									read the science that many of her colleagues 
									claim shows vaccines don't cause autism, and 
									Dr. Healy didn't like what she learned at 
									all. So, I'm going to finish with a quote 
									from her, but not until I get one final 
									request in here:
									 
									If you are reading this, and you can do 
									something about all these liars who falsely 
									reassure parents every day, please do. Thank 
									you.
									 
									Here's Bernadine Healy, talking to CBS 
									Evening News:
									
									"We have to take another look at that 
									hypothesis, not deny it. I think we have the 
									tools today that we didn't have 10 years 
									ago, 20 yrs ago, to try and tease that out 
									and find out if there is a susceptible 
									group…A susceptible group does not mean that 
									vaccines are not good. What a susceptible 
									group will tell us is that maybe there is a 
									group of individual who shouldn't have a 
									particular vaccine or shouldn't have 
									vaccines on the same schedule…I don't 
									believe that if we identify the 
									susceptibility group, if we identify a 
									particular risk factor for vaccines or if we 
									found out that maybe they should be spread 
									out a little longer, I do not believe that 
									the public would lose faith in vaccines…
									
									I think that the government or certain 
									public officials in the government have been 
									too quick to dismiss the concerns of these 
									families without studying the population 
									that got sick…I haven't seen major studies 
									that focus on 300 kids who got autistic 
									symptoms within a period of a few weeks of a 
									vaccine…I think public health officials have 
									been too quick to dismiss the hypothesis as 
									irrational without sufficient studies of 
									causation…I think they have been too quick 
									to dismiss studies in the animal laboratory 
									either in mice, in primates, that do show 
									some concerns with regard to certain 
									vaccines and also to the mercury 
									preservative in vaccines…The reason why they 
									didn't want to look for those susceptibility 
									groups was because they were afraid that if 
									they found them, however big or small they 
									were, that that would scare the public…I 
									don't think you should ever turn your back 
									on any scientific hypothesis because you're 
									afraid of what it might show…
									
									Populations do not test causality, they test 
									associations. You have to go into the 
									laboratory and you have to do designed 
									research studies in animals…The fact that 
									there is concern that you don't want to know 
									that susceptible group is a real 
									disappointment to me. You can save those 
									children…The more you delve into it, if you 
									look at the basic science, if you look at 
									the research that's been done on animals.
									
									
									If you also look at some of these individual 
									cases and if you look at the evidence that 
									there is no link what I come away with is 
									the question has not been answered."
J.B. Handley is co-founder of Generation Rescue and a contributor to Age of Autism.