A lot has happened in the last couple of weeks so please excuse
my lack of input during this time period. As usual, we have been very busy
during this time, but I felt that it was important to now update you on the
events which have followed the publication in the Weekend Australian's 'Health' section of Sue
Page's article, 'A Dose of Commonsense Won't Hurt: Vaccination'.
You
can read the original article at the link above and I will include my response
which was submitted and rejected below, in case you hadn't read it
yet.
Immediately after I was informed by one of our members that this
article had been published in the paper, I contacted the Editor of this section,
Leigh Dayton. She appeared to me to become immediately aggressive and angry when
she heard who I was and told me that she had no sympathy for the position of the
AVN. She also said straight off that her section only published science and
would not provide a venue for information from the 'anti-vaccination'
movement.
I told her that was great because
the AVN did not represent the anti-vaccination movement.
We were pro-information, pro-choice and pro-science and that I
felt this article defamed our organisation as well as containing information
that was not verified or verifiable. Therefore, I requested the right of reply.
She told me to submit my response and she would consider it.
I did that
about an hour later and received an email back almost straight away to say that
since Sue Page did not name our organisation in her article, she would not
consider giving us the right of reply.
I spoke with the Chief of Staff
of the Australian about this and asked for the paper's policy regarding right of
reply and was told that he did not have that information there at the time so he
could not really comment, but that the section editor had the right to include
or not include whatever she wanted in her section.
At that point, I
filed a complaint against the paper with the Australian Press Council and also
advised our readers of the fact that I had been denied the right of reply,
asking them to write to the newspaper about this issue.
More than 80 of you took the time to write and your letters are phenomenal! I
have to apologise because I usually write to thank everyone who has written in
during one of these action alerts, but it has been so full-on here, I haven't
been able to do that, so please consider this to be group thank you!
I
have put all of your letters (up until a few days ago - there are some that came
in later and they did not make it onto this page, sorry) up on our website and
would urge everyone to take the time to go and at least scan these letters since
they represent a viewpoint that is not given much airplay but that demonstrates
so clearly how those who question vaccination are highly educated and have
studied the science rather than making decisions from a basis of fear. Please
also forward this newsletter to your friends, family and colleagues using either
the forward button below or simply by hitting forward in your email
software.
The web page can be found here and if you would
prefer to just download the pdf file of the letters, you can do that directly here.
I heard
back from the Press Council fairly promptly and their reply was not at all what
I would have expected. Here is just a part:
Dear Ms Dorey,
The
Council has received your complaint form of October 19 in which you raise a
concern with material published in the Health section of the Weekend
Australian.
... The section in which the article was published is
clearly marked as being available to "health professionals". The article was
written by someone fitting that description. The newspaper undoubtedly has
restrictions on whom it publishes in that section. Nor would the Press Council
say that you or your organisation was entitled to some opportunity for response
to the published article - which is clearly the viewpoint of the health
professional expressing her opinions, which the newspaper is entitled to
publish.
(Please read the above
paragraph carefully. What the Press Council seems to be to be saying is that
health professionals are exempt from slander and defamation rules as well as the
rules governing providing proof of the veracity of their statements simply
because they are health professionals. Also, this section is in a public
newspaper, so does the Press Council think that, seeing the banner advising that
this section was available to health professionals, nobody but health
professionals would read it?)
The Press Council then went on to
urge me to submit a letter to the Editor of the Australian and said they would
write to the paper asking them to print my letter. A letter to the Editor would
be good - but is limited to 250 words, so how can I respond to this piece with
such a ridiculous number of words? And why can't a response be printed in the
same section of the paper as the original piece appeared? Are doctors really
given so much latitude that they can say and do anything with absolute
protection?
In addition, it is rather ironic that the HCCC is
investigating both myself and the AVN for being 'unregistered health
professionals' - a claim that we deny absolutely - and yet the Press Council
states that the Australian has no need to print my reply because neither "...you
or your organisation" are health professionals.
Is it a matter of using the moniker that suits the occasion -
whatever can keep our views out of the media at the appropriate
time?
Next, I decided to proceed by investigating one of the claims made
by Sue Page in her article. The quote follows:
"In epidemics in NSW in
1981 and 1984 there were 200,000 cases [of measles] with 2,850 recorded hospital
admissions."
Now, this just did not seem right to me. Were there really
200,000 cases of measles reported and did this statement mean that there were
200,000 cases in both years or 200,000 cases between 1981 and 1984?
I
decided to do some research on this subject and proceeded to the Australian
Bureau of Statistics' (ABS) website but the earliest information available
online regarding the number of reported cases of measles was 1989 and in that
year, across all of Australia, there were a total of 169 cases. Was it possible
that in 1981 and 1984 there were 200,000 cases in NSW alone and only 5 years
later there were only 169 in the whole country?
I contacted the ABS and
spoke with one of the consultants there who told me that prior to 1989, all the
ABS did was keep track of who had contracted measles - not the actual incidence
of the disease. So they would say, for instance, that 78% of the population had
contracted and recovered from measles over all time and now were serologically
immune - they did not count the number of cases that occurred each year. The ABS
told me that NSW Health had its own tracking system and perhaps the figures
would have come from either them or the Australian Institute of Health and
Welfare (AIHW).
I contacted the AIHW first and was told that all of
their information came from the ABS - they did not have any other figures for
incidence of measles apart from what the ABS had.
Next port of call was NSW Health (evidently, this organisation is different than
the NSW Department of Health). They told me that they had only started keeping
records on the incidence of measles in 1991 - two years later than the ABS - and
had no data for anything earlier. Curiouser and curiouser.
They
suggested calling the NSW Department of Health, where I was put through to their
media department. After several days of emailing back and forth with the very
nice gentleman there who really didn't have any information but needed to keep
asking other departments for the details, I was told that, "We have been advised
that information on communicable diseases relates only to data since 1991 and
can be located here in the communicable
diseases year in review section."
So, a neat little circle had been
drawn and I was right back where I started.
I contacted Leigh Dayton
again at the Australian and if she had been angry the first time I spoke with
her, she was even more so this time. It seemed to me that she had been informed
that I was questioning the source of the claims regarding the number of cases of
measles because she immediately told me that she had spoken with Sue Page and
that Sue had provided her with the reference for the 200,000 cases of measles in
1981 and 1984. I asked her if she could tell me what the reference was and she
said that she didn't have it there and probably hadn't saved it but that Sue had
emailed it to her. I asked her if she could see if she would be able to find
this because I had contacted the ABS and NSW Health and neither of those
organisations had this information. She then told me that the reference had been
provided to her by a very trusted source, a doctor, and that was good enough for
her and that she did not have time to go running around looking for things for
me.
She then told me that the reference had been provided to
her by a very trusted source, a doctor, and that was good enough for her and
that she did not have time to go running around looking for things for
me.
She said if she could find it, she would forward it but, if not,
that would have to do and she terminated the conversation.
OK. Not to be
deterred, I decided to press on.
My next idea was to go right to the
source - Sue Page. You can read more about her here. For some time, she
was the immunisation spokesperson for the Northern Rivers Division of General
Practice and was also instrumental in setting up a website, www.vaccination.org.au, the sole purpose of which
appears to me to be to refute everything the AVN says without ever referring to
us by name. Their mascot is an echidna named Spike whose motto is "Vax 'em". Not
exactly cute and cuddly, I would have thought.
I have met Sue several
times in the past and have great respect for her support of nursing mothers and
for her calm and gentle approach every time I have seen her speak. It is only on
the issue of vaccination where we really do not agree. But surely adults can
disagree on one topic and still treat each other with respect?
The
conversation started out well - though she sounded very surprised that I'd
called her. I said that I would like to get a reference for the quote regarding
measles she had used in the Australian article and was told that she didn't have
it there. That a woman in her office who had died from breast cancer a few years
ago had held the hard copy of this paper but that, since she was gone, Sue
didn't know where it was to be found. Remember that just a few minutes earlier,
Leigh Dayton had told me that Sue had sent her the reference...
I asked
her, if she didn't have a hard copy, did she at least have a citation and was
told that this information came from a NSW Health Communique from the 1980s and
that since this was before the Internet, it would not be available online and
she did not have the citation.
I then asked if the reference meant that
there were 200,000 cases of measles in both 1981 and 1984 or between 1981 and
1984 and she said 'between'. So I brought up the ABS information that there were
only 169 cases reported in all of Australia in 1989 and said I thought it was
extraordinary that we had gone from having such a high number of cases in NSW
alone over that period to having such a low number of cases in 1989 - only 5
years later.
She said no, it is not extraordinary because that was when
we had a large measles vaccination campaign. I asked her, do you mean Michael
Wooldridge's campaign (the then Federal Minister for Health who initiated the
Immunise Australia campaign in the late 1990s) and she said yes. I told her that
this campaign did not take place until 1998 so could have nothing to do with
this decline and that the measles vaccine was introduced in Australia in 1970
and added to the schedule in 1975 so again, I don't believe that vaccination had
anything to do with this decline.
Sue then went on to say that the
200,000 figure made perfect sense because if you took into account that a
20-year-old might be immune to measles through contracting the disease and that
a newborn would not have immunity and would therefore be susceptible, you would
assume, by taking into account the birth rate in NSW, that there would be a
large body of susceptible individuals and therefore there would be a large
number of measles cases because it is such an infectious disease.
I
found this reasoning astounding and asked: is this 200,000 figure the actual
numbers of reported cases or is it simply an estimate extrapolated by taking
into account the birth rate and assuming that there would be a certain number of
susceptible individuals? Sue said it was actual reported cases. Based on my
knowledge, this seemed at the time, and still does seem, very strange to
me.
So I asked her where I could get a copy of the communique that she
had referred to in her article. She told me that she doubted I could because it
was put out by NSW Health and "why would they keep a 30-year-old communique?
There is only a legal requirement to keep information for 7 years" so she
doubted that there would be any copies left!
Once again - I was astounded!
I found this situation quite surprising. I know that at the AVN,
we reference EVERYTHING to primary medical sources and we try to be as
meticulous as possible with our source documentation. Yet here is someone who is
a professional and an academic who appears to be telling me that they have
prepared an article and published it in a national newspaper which draws
conclusions about the incidence of disease based on a document or statistics
that she now cannot produce and appears to be based solely on her
recollection.
told her that I believed that NSW Health should have kept
copies of this regardless of any requirements by law and that I had been to
libraries in Sydney and Brisbane and seen medical information from health
departments going back to the turn of last century. At this point, she appeared
to begin to get angry with me then and said that, if anyone would have it, it
would be Marianne Trent who works for NSW Health. She said I should contact
Marianne to ask her for a copy.
I then said that I had approached
Marianne Trent several times in the past by telephone, email and written
correspondence but that she had not returned my calls, emails or letters.
I then asked Dr Page if she could contact Ms Trent to get a copy of the
document which could then be forwarded on to me. Dr Page did not give me a reply
to this request and at that point, terminated the conversation
OK - I
can handle that.
Next mission was to call Marianne Trent. Marianne has
worked for the North Coast Area Health Service for as long as I've been running
the AVN and her area of interest is vaccination, though I am not sure of her
actual position or title at this point in time.
This time, I was
actually able to speak with her because the receptionist did not ask who was
calling and put me straight through.
The minute she heard who was
calling, she said, "Meryl, we had an agreement that you would not call me and
everything you had to say would be done in writing." As I said, I have tried
writing and calling in the past, and I don't recall such an agreement anyway,
but at this point, the phone went dead.
It appears to me that a pattern
is developing...
So, I emailed Ms Trent - on the 22nd of October, and have yet to get a reply.
Does anyone out there know if State employees are allowed to refuse to speak
with members of the public on the phone and also refuse to reply to
correspondence? I would be really interested to know if such a policy or law
exists on this point.
So my last step has been to go back to the media
rep at the NSW Department of Health and ask him again if he could get a copy of
the communique in hard copy.
His reply to me on the 27th of October,
2009 is a classic example of bureaucratic non-answers:
Hi
Meryl,
I have again checked this out. I have been advised that the
reference you are seeking is a Commonwealth Health publication from the 1980s
entitled Infection Disease Communique.
This response made me wonder if
he had simply contacted Sue Page and repeated what she had told him? And why is
he saying that it was a Commonwealth health publication when Sue said it was
from NSW Health? Does this paper actually exist and, if so, how do we get a copy
of it without a reference? The 1980s is a pretty broad category to
search.
I have written back to the media rep to ask if he could provide
me with a copy or at least the exact citation but as of today, I have not
received any reply.
Is this how government health departments are
run?
I can picture it now. Let's look at the health department on planet
Medicos Alpha.
Bureaucrat A meets bureaucrat B in the halls of the
Medicos Alpha Health Department building.
A- I have just been reading
some information which stated that drinking water causes cancer.
B-
Incredible! Let's write into the health section of the newspaper to let people
know that. All those crackpots out there who are urging people to drink water
must be stopped!
A- Good idea! And let's get a doctor to write the piece
so it will be respected.
B- Do you have a reference to that paper you
read, by the way?
A- No, it was old and I threw it away after I read it,
but if a doctor writes the article, there won't be any need to put in a
reference. Nobody questions what doctors say.
A- That's right! What was
I thinking?
And away they go off the hall - another job well
done.
This is the sort of nonsense we at the AVN and you as people who
believe in science and asking educated questions are up against:
the immediate and
unquestioning acceptance by the media and many in the general public of anyone
who has an MD after their name.
It seems to me that for whatever reason, those who are
unhappy with our message and who also cannot respond to the scientific basis for
our statements that the benefits of vaccination do not necessarily outweigh the
risks have decided to not deal with the facts but instead to try and shoot the
messenger.
We will see how successful their attempts will be. It is up to
you who are now reading this to ensure that this information gets as wide an
airing as possible.
Below is the response, written by Meryl Dorey, which
the Australian newspaper has refused to publish.
It is dangerous
to represent a viewpoint that opposes what the mainstream considers to be
self-evident. Dr Semmelweis discovered this when he was discredited for claiming
that women and babies were dying from Puerperal fever due to surgeons going
straight from the morgue to the maternity ward without washing their hands. It
was decades before he was exonerated and decades more before hand washing became
routine.
It took decades for doctors to admit that smoking cigarettes did
not reduce the symptoms of asthma; that thalidomide did in fact cause
catastrophic birth defects; that Vioxx increased the risk of heart attacks and
stroke and that antibiotics were most-often counterproductive in the treatment
of otitis media.
In each of these instances, those who pushed for
increased attention to safety and scientific principles in opposition to
ingrained beliefs were called anti-science, ignorant or crackpots. They were
ridiculed, ignored or denigrated by those who could not accept that something
they believed in could possibly be wrong.
No other area exemplifies this
resistance to open debate more than the issue of vaccination where, instead of
examining the opposing viewpoints, the pro-choice side is accused of
misinformation even though their evidence is scientifically based.
Dr
Page criticises those who ask questions about vaccination, but who benefits when
questions are suppressed? Where would we be now if Semmelweis had been stopped
or if McBride hadn't questioned Thalidomide?
In her article, Dr Page
accuses the Australian Vaccination Network (AVN) of spreading absurd conspiracy
theories. Check our web site - we don't. Our information is referenced from
primary, peer-reviewed medical sources.
Dr Page says that death rate is a
crude measure of vaccine effectiveness, but many studies have shown that between
95-97.5% of doctor-diagnosed measles diagnoses are wrong. Other diseases such as
whooping cough are also incorrectly diagnosed more often than not. Crude though
it may be, death rate is the most accurate measure of infection we have. And as
Dr Page says, these diseases declined long before vaccinations were
introduced.
An investigative journalist would be good; a Royal Commission
would be better. How about a study examining the health of the vaccinated
compared with the unvaccinated, using the Medicare database which is linked with
the ACIR? Simple - and Australia is possibly the only country in the world that
can do it.
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