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Authors, readers, critics, media − and booksellers.

Review-a-Day

Vaccinations, Autism, and Mass Delusions

by Review-a-Day, February 3, 2011 12:00 AM
The Panic Virus: A True Story of Medicine, Science, and FearThe Panic Virus: A True Story of Medicine, Science, and Fear by Seth Mnookin

Reviewed by Paul Collins

The Oregonian

The news in 1998 was as startling as the jab of a needle: Dr. Andrew Wakefield, in new study in the influential medical journal The Lancet, had made a connection between MMR vaccination and the onset of autism.

"My concerns," he announced dramatically at a London press conference, "are that one more case of this is too many."

There was something to be concerned about, all right. Recently, the British Medical Journal found that Wakefield, who had undisclosed financial interests in discrediting the MMR vaccine, had forged patient records to get his results.

But for many, the news comes too late. In the years since Wakefield's incendiary report, vaccination rates tumbled -- Ashland is now one of the country's least-vaccinated cities -- even as studies disproved Wakefield's theory, and even after Wakefield himself was struck off the British medical register for ethical violations. And slowly but surely, long-vanquished diseases like whooping cough and measles returned to stalk the land again.

Seth Mnookin's The Panic Virus: A True Story of Medicine, Science, and Fear is the tale of a modern tragedy -- though first you must inoculate yourself against Mnookin himself. He begins by noting fussy anti-vaccine rhetoric among the sort of people who "drove Priuses and shopped at Whole Foods." It's a silly characterization, even if true; the very people who need to read this book may toss it aside instantly.

And that's a shame, because The Panic Virus becomes a devastating indictment of a dangerous mass delusion -- and a disturbingly profitable fraud. Mnookin reveals the long history of a conflict that harks back to the 1720s, when Cotton Mather was firebombed for advocating vaccinations. Alarmist TV reports in the 1980s, bearing titles like "Vaccine Roulette," proved scarcely less crude. The result, combined with fraudulent research bearing the imprimatur of The Lancet, is a damning parade of lazy reporters, incompetent doctors and opportunistic politicians.

But then, every decade has its charlatans. Why, one might ask, do they now have better soapboxes and bullhorns?

Much blame lies squarely upon my own profession. I've worked in British journalism enough to be unsurprised by this creeping realization as I read Mnookin's story: that the vaccine panic is best understood as the monstrous offspring of the London press' baffling aversion to fact-checking.

But, as Mnookin notes, there's plenty of blame to go around America, too: A wave of cutbacks in the industry "has led to the jettisoning of science reporters." The result, placed in the hands of untrained reporters, has been a disaster for the public's understanding of public health issues. Panics make for good stories, but terrible policy -- while quietly successful efforts get no press at all. This, Mnookin warns, "encapsulates one of the most vexing paradoxes about vaccines: the more effective they are, they less necessary they seem."

All along, the press -- and even this valuable book itself -- has also missed a fundamental moral question. But it's one that, as the father of a 12-year-old autistic boy, I have long had to confront head on. Let us say, for the sake of argument, that Wakefield had been right. The implicit calculation made when a parent subsequently refuses vaccinations for their child is this: The risk of my child's death is better than the risk of a disability.

This is an appalling philosophy.

Look: Even if a vaccine could cause autism, in the absence of a better formulation I'd still give it to my son. His disability is not a fate worse than death. And more to the epidemiological point -- it is also not worse than your child's death.




Books mentioned in this post

Panic Virus A True Story of Medicine Science & Fear

Seth Mnookin
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5 Responses to "Vaccinations, Autism, and Mass Delusions"

ant February 4, 2011 at 02:48 PM
This is one of the most bizarre reviews I've ever read. Of course the drug companies want it all just to go away. They would be sued for billions if it proved to be true. Instead of demonizing Wakefield (and very successfully, I must say) they should be spending money to establish the facts. "Look: Even if a vaccine could cause autism, in the absence of a better formulation I'd still give it to my son. His disability is not a fate worse than death. And more to the epidemiological point -- it is also not worse than your child's death." This is truly frightening. That someone could claim that all those people out there dealing with autistic children should just suck it up (which is essentially what the reviewer is saying) and get on with it and stop moaning is beyond belief. He is giving parents a choice between a dead child and a child with brain damage - and that is no choice at all. Meanwhile the drug companies who make a fortune out of vaccines are, it seems, to be portrayed as the good guys even though they have a powerful vested interest in destroying Wakefield and doing no expensive research into whether there is a link or not. I give this review and this reviewer a 'fail'.

monkeywomantoo February 3, 2011 at 01:47 PM
...or mnookin got a nice fat kick back from HUGE corporate criminals, GlaxoSmithKline, for politely neglecting to do any actual research of his own. what a (sick) joke.

Meg February 3, 2011 at 11:20 AM
wow, powerful ending! A nice sum-up of something that had always bothered me about the vaccine argument that I had never been able to put my finger on.

monkeywomantoo February 3, 2011 at 10:47 AM
angry, defensive, reactionary... wakefield's research was flawed but we still have very strong reasons to suspect the quality of and (insane) quantity of vaccinations currently recommended by the medical (pharmaceutical) community.

s h a r o n February 3, 2011 at 07:52 AM
Strange review...

Result(s) 5

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