ARTICLE #1 Lost Causes No More: A Breakthrough for Autistic Children
ARTICLE #2 Doing Your Homework, plus 7 Treatment Strategies
ARTICLE #3 Is Autism a G-Alpha Protein Defect Reversible with Natural Vitamin A?
ARTICLE #4 Breakthroughs in the Evaluation and Treatment of Autism
ARTICLE #5 Taking it to Vaccine Court
ARTICLE #6 Major CDC Study on Thimerosal FLAWED
ARTICLE #7 A Testimony to Congress
ARTICLE #8 The MMR Vaccine and Autism
ARTICLE #9 Deadly Immunity
ARTICLE #10 Autism in Denmark (pdf)
ARTICLE #11 Autism in the US (pdf)
ARTICLE #12 VACCINES, MERCURY, AUTISM---THE CHEMICAL CRIMES
ARTICLE #13 "The Special Foods Diet" For Austic Individuals
ARTICLE #14 CDC Ignored Autism-Mercury Data
ARTICLE #15 "A Dragon By The Tail"- Vaccine Cover-Up Exposed!
ARTICLE #16 Autism IS Linked to Vaccines
ARTICLE #17 U.S. scientists back autism link to MMR
ARTICLE #18 Irrefutable Evidence that Links Mercury Toxicity to Autism and Alzheimer's Disease
ARTICLE #19 Hannah Poling and Vaccine Caused Autism
SITE #1 The Gluten Free Casein Free Diet
On a typical morning, five year old Luis Hernandez starts the day with pancakes made from hazelnut flour. but his unusual breakfast doesn't stop there. Before serving Luis his pancakes, his mother, Mary, sprinkles them with gamma linolenic acid oil. Then she pours her son some juice (actually a teaspoon of honey mixed with water because he can't tolerate fruit juice) and stirs in more nutrients, including super-concentrated vitamins A and B.
Along with his fortified honey water, Luis takes supplements, including digestive enzymes, fish oil, oil of oregano, grapefruit seed extract, and an array of vitamins, minerals, and amino acids. Downing them all (a process that's played out at dinner time, too) usually takes about 30 minutes. And once this routine is complete, Mary also rubs two creams containing glutathione and magnesium sulfate into her son's skin before he heads out the door to school.
The Hernandezes' daily routine is part of an alternative therapy program developed by specialists to treat children like Luis who suffer from autism spectrum disorders (ASD), which include Luis's problem, pervasive development disorder (PDD). Since he was diagnosed a year and a half ago, Mary has made it her mission to find out everything that's going on in cutting-edge autism treatment, a world of practitioners and therapies unsanctioned by any mainstream medical group and yet reporting remarkable progress in both identifying potential causes of autism and devising treatments. For what they put her and her son through every day, Mary feels nothing but gratitude. "I can't believe the difference a year has made," she says.
Before Luis started his new diet, he spoke very few words and didn't even know how to point. "When he was hungry, he'd just grab me and push me toward the refrigerator," Mary says. Luis had also developed compulsive routines that tied the family's schedule in knots, such as refusing to get into the car until he had spent ten minutes riding around it on his toy ride-along car. He suffered from extreme night terrors; trivial events often triggered uncontrollable rages. He had terrible stomachaches and diarrhea. Perhaps worst of all, though, says Mary, was his detachment from those around him. "He'd sit and stare into space and seem completely uninvolved in anything," she says. "It was heartbreaking to try to get through to him."
A perfect example of the contrast between then and now was the way Luis celebrated his last two birthdays. When he turned four, he sat alone in a corner, refusing to acknowledge his playmates while his three-year-old sister Ana opened all his gifts for him. "It was questionable whether he even knew what was going on," says Mary. This year, he came to his party. "Luis was happy and excited to see everyone, and he had to open each present himself and play with it," says his mother. "It was so wonderful to see him act like any other five-year-old."
Mary is not the only one noticing her son's progress. His teachers say they're happy to participate in his program (even though it means giving him supplements with his lunch and rubbing his skin with creams at recess) because they can see the results. And Luis's progress is quantifiable. The first time he was evaluated using the Autism Treatment Evaluation Checklist, a score developed by the Autism Research Institute to measure autistic behavior and track response to treatment, he rated 127, or "severe". On his most recent test he scored a 30, placing him at the mildest end of the spectrum.
That's extraordinary growth for a child who received no treatment before age four; most autism experts believe a child has the best chance of doing well if behavioral therapy starts by age three. "His autistic symptoms are very mild at this point," says Mary. While he still shows a significant language delay, Luis has made so much progress that, with the help of an aide, he will attend a mainstream kindergarten in September.
Dietary Salvation
The idea that parents like Mary have reason to hope for something akin to a cure is so radical that most autism experts won't even entertain the possibility. Autism, a complex developmental condition also known as a spectrum disorder (because it takes so many different forms), severely impairs a child's ability to learn, communicate, and participate comfortably in day-to-day life. Children with these disorders, which include Asperger's syndrome as well as PDD, often have severe speech delays or no speech abilities at all, poor social skills, trouble sleeping and eating, and a tendency to get caught up in repetitive motions such as rocking and head banging. Until recently, there was no reason to think people with autism could ever lead anything close to a normal life.
Yet today stories of such miraculous awakenings as Luis's abound. "I've seen kids who just sat curled up in a ball, humming to themselves, and then a month after beginning biomedical treatment, they walk into my office smiling and saying hello," says Kenneth Bock, director of the Rhinebeck Health Center in Rhinebeck, New York, who estimates he has treated 600 to 800 autism patients over the past ten years.
The therapies that have worked such wonders for kids like Luis have been pioneered by a group of doctors and practitioners linked by their membership in a nine-year-old group called Defeat Autism Now! (DAN!). The DAN protocol, as it is known, has mushroomed into a long list of potential treatments, most of which are studied by DAN-affiliated doctors and publicized through biannual DAN conferences. Mary Hernandez was introduced to these treatments by Peta Cohen, a New Jersey nutritionist and DAN practitioner, who has been treating children with autism spectrum disorders for six years.
The cornerstone of the DAN treatment, also known as the biomedical approach, is addressing the digestive disorders and metabolic problems that practitioners believe literally starve the brains of kids with autistic spectrum disorders, as well as the heavy metal toxicity that DAN members think underlies these conditions. Treatment is highly individualized since autism manifests itself differently in each child, but a typical regimen would likely include a specialized diet such as the gluten-free, casein-free (GFCF) diet, a broad variety of supplements to compensate for poor absorption and digestion of nutrients, chelation to remove heavy metals, and treatment for dysbiosis, or an overgrowth of harmful bacteria, yeast, or parasites in the gut.
No one knows how many kids are being treated by some version of this approach, but Bernard Rimland, the researcher who started the Autism Research Institute, the parent organization of DAN, estimates that DAN practitioners, who number about 350, are reaching several thousand children. And while there are no hard data on the numbers who have benefited, Bock says the vast majority of the children he treats respond to at least some portion of the biomedical plan.
"It's an incredibly exciting time because each research breakthrough suggests new treatment direction, "says Bock. "We're actually able to turn some of these kids around, and it's just some of the most amazing things to see. We're so far ahead of where we were even two years ago."
The Mercury Question
Even more astonishing, perhaps, is how few parents of autistic children ever hear of these new developments. The American Academy of Pediatrics (AAP) does not account for any biomedical treatment approaches in its position paper on autism, and most pediatricians and pediatric neurologists don't recommend anything beyond behavioral therapy. There are signs of change, however: A growing number of doctors acknowledge that autistic spectrum kids have gastrointestinal problems, for instance. Many even suggest that parents try a GFCG diet for these children.
"Ten years ago, the mainstream take on autism was that it was 100 percent genetic," says Lynne Mielke, a psychiatrist who opened her autism treatment practice in Pleasanton, California, one year ago after her own autistic son was helped immensely by the DAN protocol. "Now the medical establishment is openly acknowledging that some unknown environmental factors may also be involved."
What continues to divide alternative and mainstream doctors is the role that mercury does or doesn't play in autism. Members of DAN see more than coincidence at work in the timing of the recent rise in autism cases (from 4-5 per 10,000 children in the early 1980s to 34 per 10,000 in 1996, according to one study conducted by the Centers for Disease Control and Prevention in Atlanta. Researchers note that at least some of this increase is due to a broader definition of autism.
But DAN members, among many others, counter that during that same period, the government upped the number of recommended routine vaccinations, many of which contained a mercury-based preservative called thimerosal. Before the FDA directed vaccine manufacturers to remove it from most vaccines in 1999 (flu shots still contain it), the levels of mercury in a typical six-month-old who had received all the vaccines was 187 micrograms, more than double what it had been ten years earlier.
And vaccines may be just part of the problem, some experts say; mercury can reach fetuses and breast-fed infants through their mother's dental fillings or contaminated fish she may have eaten during pregnancy, among other sources.
The main reason mercury could be such a risk factor for autism, say DAN members, is that certain kids are predisposed to a metabolic malfunction that makes it hard for them to excrete it and other heavy metals. "Some kids appear to be born with a genetic defect that makes their bodies less efficient at getting rid of toxins like thimerosal," says Bock.
In such cases, a buildup of heavy metals in their bodies would compromise their immune systems and cause brain damage. The situation for these children grows even worse, says Bock, when they are inoculated with the measles, mumps, and rubella (MMR) vaccine at 12 to 15 months, and again at four to six years.
This vaccine does not contain thimerosal, but a child whose immune system has already been compromised by mercury exposure can overreact to the live measles virus in it, which can inflame the gut and lead to the gastrointestinal problems that are a hallmark of autism, some alternative practitioners say. These stomach problems make it even harder for already sick kids to efficiently absorb nutrients, thus worsening brain damage by essentially depriving the brain of nutrients. "Heavy metals poison the body in every imaginable way," says Mielke, "and what you end up with are three layers of problems: brain damage, gut inflammation, and immune deficiency."
Mainstream medicine doesn't buy it. In May, the well-respected Institute of Medicine released a report concluding that, after an extensive review of multiple studies, it found no statistical link between thimerosal and autism. Autism is mostly the result of bad luck and genetics, say mainstream experts, though some unknown environmental factors may be partly to blame, including complications during pregnancy.
The reaction from the alternative community was what you might expect: outrage. DAN practitioners and organizations like the National Autism Association and SafeMinds criticized the report for reviewing what they say were flawed studies and for being driven by political concerns to protect the national vaccination program. "For some reason the institute considered a number of studies that had methodological flaws or betrayed conflicts of interest," says Bock, "and chose to ignore the powerful information that was presented."
In the meantime, autism practitioners continue to press forward with their innovative experiment, which is being conducted largely on the basis of shared information and individual success stories. In fact, little of what they do has been corroborated by large formal studies-most of it is just too new. Though many studies have already suggested that a significant number of autistic children do respond to certain kinds of nutritional therapy.
In one of the most recent studies, at least one theory (that heavy metals profoundly interfere with cellular function in autism patients) received some validation. Writing in the journal Molecular Psychiatry, Richard Deth, a molecular pharmacologist from Northeastern University in Boston, found good evidence to suggest that thimerosal and alcohol inhibited the activity of an enzyme that is key to the way cells communicate with each other. This enzyme, in fact, tends to be low in autism patients. In follow-up studies, which have not yet been published, he concluded that the reason for the lower enzyme activity was that these substances limit the formation of a B vitamin called methyl B-12.
"This is a critical enzyme for normal mental function," he says, "and it appears that a deficiency of methyl B-12 could be interfering with its function in these kids." He's now working with DAN-oriented doctors like Kenneth Bock to see if injections of methyl B-12 can jump-start the metabolic pathways that appear to be blocked in those with autism. "This is the hottest thing in autism treatment we've seen for some time," Deth says.
No Cure, but Better
By the time Danny Dubrowsky's mother, Rosemarie, began experimenting with alternative approaches, Danny was four years old, and she didn't believe she had any choice. "I had completely given up on doctors," Rosemarie says, explaining that she was forced to resort to doing her own research after Danny's doctors failed to offer any treatment options. "I walked out of two gastroenterologists' offices," she says. "There he was at three years old, with an ulcer and reflux so bad that his back teeth were falling out, and they couldn't help me."
Diagnosed with autism at 27 months, Danny suffered from constant digestive problems. Rosemarie put him on the GFCF diet, which reduced his symptoms by about 60 percent. "But he still had his ups and downs," she said. Next she tried secretin therapy, a controversial approach that seems to work for a small percentage of ASD kids by replacing a neurohormone that certain children appear to be deficient in. That was the first big breakthrough for Danny. "Within three days, all his physical problems were way better," Rosemarie says.
Danny then underwent a homeopathic detoxification regimen (gentler than the one prescribed by DAN) to remove contaminants and bacteria from his body. Each step resulted in some improvement. Barely verbal, Danny began uttering phrases for the first time. "He began to be more interactive, to ask for things and say what he wanted," says Rosemarie.
A bigger turning point for Danny came when he tried a series of homeopathic growth factors developed by former NIH scientist Barbara Brewitt. Marketed by Brewitt under the name Cell Signal Enhancers, the growth factors, one of which is call IGF-1, are designed to improve the body's ability to utilize nutrients. Among the more controversial of the cutting-edge autism treatments, the homeopathic growth factors are different for even the experts who use them to explain. Basically, they help the body recognize mercury and other chemicals, and get rid of them.
Gregory Saunders, a naturopath in Adrian, Michigan, whose practice has a six-month waiting list, thinks this therapy can make a difference. "I had one child who was completely nonverbal, and six months later he was not only talking, he was reciting the alphabet," he says. The growth factors helped Danny with language too, Rosemarie says. "He went from where none of his words were recognizable to where he would say 'cracker,' 'water,' 'chip,' and suddenly we could understand him."
For Danny, though, the most rewarding changes have come recently through the biomedical interventions of Kenneth Bock. Bock prescribed many aspects of the DAN regimen, including chelation therapy, digestive enzymes, and supplements.
The boy's sleeping improved almost immediately. "Danny never slept more than three hours at a stretch," says his mother. He now sleeps nine hours a night. Even more significant, says his mother, is that the treatments have helped Danny begin to emerge from his shell. "These latest treatments have made an amazing difference in his personality," she says. "He's much more energetic and aware."
Unfortunately, nothing has proved to be a miracle cure for Danny, who still struggles with basic communication skills and requires extensive behavioral therapy. "My child is not a poster child for anything," says Rosemarie. But he's no longer the child who was so aggressive and self-destructive that he had to be stopped from biting himself. "Now, when you walk in the door, he calls out 'hi!' and runs to find you," she said.
For the first time ever, Danny would rather spend time with his parents than alone, and his mother is elated. "When you've gone from no words, no interaction, and huge medical issues, to pointing, clapping, speaking, and running across the room to give you a hug, then everything's a miracle," she says.
Doing Your Homework, Plus 7 Treatment Strategies
The good news for parents of children with autistic spectrum disorders is that there's no need to reinvent the wheel; whatever your question, many concerned parents and dedicated clinicians have been there before you. Here's how to tap into the latest thinking.
RESEARCH
Your first stop is the Autism Research Institute, autism.com, where you can order a copy of the DAN protocol. Also visit physician Jeff Bradstreet's International Child Development Resource Center at gnd.org
READ
Several books describe unconventional approaches to treating autism with an emphasis on nutrition. Three of the most popular include Karyn Seroussi's now-classic book, Unraveling the Mystery of Autism and Pervasive Development Disorder: A Mother's Story of Research and Recovery, Children with Starving Brains: A Medical Treatment Guide for Autism Spectrum Disorder by Jaquelyn McCandless,M.D., and Facing Autism: Giving Parents Reasons for Hope and Guidance for Help by Lynn Hamilton.
FIND A DAN PRACTITIONER
The biomedical approach to treating autism is far too complicated to tackle on your own. To find a doctor or practitioner qualified to supervise treatment, use DAN's state-by-state listing, available at cgiworker.com/danlist/danlist. Once you've found a practitioner, he or she can test your child and then help you find the most appropriate options.
Here are a few promising treatment strategies:
1. Test Before Treating. A series of blood, urine, stool, and sometimes hair tests will reveal a great deal about the toxins your child has been exposed to, the condition of his or her digestive system, and the nutritional deficiencies and metabolic imbalances your child most likely suffers from.
2. Deal With Diet. Kids with autistic spectrum disorders appear to benefit significantly from specialized diets. For guidance on the popular glutein-free casein-free (GFCF) diet, or specific carbohydrate diet, visit gfcfdiet.com, or the Autism Network for Dietary Intervention (autismndi.com), or breakingtheviciouscycle, a website built around the work of nutritionis Elaine Gottschall.
3. Supplement with Vitamins and Minerals. To treat the metabolic issues that accompany, and perhaps underlie autism, you'll need a host of vitamins and minerals, including magnesium, zinc, B vitamins, omega-3 fatty acids, and vitamin A. Showing particular promise is a so-called quintet of metabolic enhancers, including tri-methyl-glycine, folinic acid, glutathione, allithiamine, and methyl B-12.
4. Experiment with Enzymes. In addition to specialized elimination diets, many parents trying the DAN protocol report benefits from digestive enzymes, including those made by Houston Neutraceuticals (houstonni.com) and EnZymAid by Kirman. A useful resource is Enzymes for Autism and Other Neurological Conditions by Karen DeFelice. She also has a website at Enzymestuff.com.
5. Detoxify. DAN practitioners favor chelation therapy as a way to rid the body of contaminants; some parents prefer the gentler route offered by homeopathy. Amy Lansky describes the dramatic improvement her son Max underwent, for instance, after undergoing homeopathic treatment in Impossible Cure: The Promise of Homeopathy.
6. Consider Growth Factors. These substances, such as IGF-1 developed by Barbara Brewitt, are showing promise in treating some children with autistic spectrum disorders. For more information, visit Biomedcomm.com.
7. Keep Up. New treatments and products are being developed all the time; stay abreast of the latest research by visiting the DAN website (autism.com) and attending autism conferences.
Is Autism a G-Alpha Protein Defect Reversible with Natural Vitamin A?
by Mary N. Megson, M.D., F.A.A.P.
Autism may be a disorder linked to the disruption of the G-alpha protein, affecting retinoid receptors in the brain. A study of sixty autistic children suggests that autism may be caused by inserting a G-alpha protein defect, the pertussis toxin found in the D.P.T. vaccine, into genetically at-risk children. This toxin separates the G-alpha protein from retinoid receptors. Those most at risk report a family history of at least one parent with a pre-existing G-alpha protein defect, including night blindness, pseudohypoparathyroidism or adenoma of the thyroid or pituitary gland.
Natural Vitamin A may reconnect the retinoid receptors critical for vision, sensory perception, language processing and attention. Autism spectrum disorders have increased from 1 in 10,000 in 1978 to 1 in 300 is some US communities in 1999. Recent evidence indicates that autism is a disorder of the nervous system and the immune system, affecting multiple metabolic pathways.
Autism has been defined by DSM-IV criteria as a childhood behavioral and neurological disorder with onset prior to three years of age. Autistic children and adults have qualitative impairments in social interaction and communication, including either a delay in or complete lack of language development. Furthermore, many people with autism engage in restrictive patterns of behavior including rigid adherence to routines and/or repetitive motor mannerisms such as hand flapping (1).
Autistic spectrum disorders have increased from 1 in 10,000 in 1978 to 1 in 300 is some US communities in 1999 (2). Recent evidence indicates that autism is a disorder of the nervous system and the immune system, and it affects multiple metabolic pathways.
This study of 60 autistic children and their families suggests that inserting a G-alpha protein defect, namely the pertussis toxin in the D.P.T. vaccine, (3) into genetically at-risk children causes autism. This toxin separates the G-alpha protein from retinoid receptors. Those most at risk report a family history of at least one parent with a pre-existing G-alpha protein defect, exhibited in disorders such as night blindness, pseudohypoparathyroidism or adenoma of the thyroid or pituitary gland (4).
This hypothesis asserts that treating these children with natural cis forms of Vitamin A may have the effect of reconnecting the hippocampal retinoid receptor pathways that are critical for vision, sensory perception, language processing and attention (5).
Many of these especially vulnerable children have tissue types of HREs DR 3, DR4, and DR5 (6). These particular tissue types form the tightest bonds with blocked RAR and RXR retinoid receptors (7).
Autism is a true developmental disorder. Many of these children are exposed to wheat at nine months, followed by exposure to the measles antigen at 12 to 15 months (8). The human measles antibody that is produced cross-reacts with intermediate filaments, which are known to be important for maintaining tight junctions and gap junctions between cells, gut mucosal integrity and cell to cell communication (10)(11).
Many of these children, who need natural, unsaturated cis forms of Vitamin A found in sources such as cold water fish like salmon, or cod, liver, kidney, and milkfat, are not getting this in the modern diet. Instead, they are dependent on Vitamin A Palmitate, found in commercial infant formula and lowfat milk. Unfortunately, absorption of Vitamin A Palmitate requires an intact gut mucosal microvilli surface at the right PH, in the presence of bile for metabolism (12). However, many of these children already have damaged mucosal surfaces due to unrecognized wheat allergy or intolerances.
The Role of Vaccinations in G-Alpha Protein Defects
When the live viral measles vaccine is given, it depletes the children of their existing supply of Vitamin A (13), which negatively impacts the retinoid receptors. Natural Vitamin A, in the cis form, is important for activation of T and B cells for long-term immune memory to develop (14) and is necessary for natural killer cell function (15). Scrimshaw, et al. (1968) reviewed over 50 studies of infection and nutrition and wrote, "no nutritional deficiency in the animal kingdom is more consistently synergistic with infection than that of Vitamin A" (16).
If artificial Vitamin A Palmitate binds the now free G-alpha protein, it deactivates by 90% the "off switch" for multiple metabolic pathways, involved in vision and cell growth, and disrupts hormonal regulation and metabolism of lipids, protein and glycogen (17). Measles, mumps and rubella titers are either significantly elevated or negative, in spite of one or two doses of the vaccine given to many of these children. Fish oils contain one retinoid metabolite, alpha 14 hydroxyretroretinol that has a role in T-cell activation, vision and growth of lymphoblasts (18). Further research is needed to understand the complete role of these metabolites in the immune system.
At 18 months of age, when the pertussis toxin is added, as "lymphocytosis proliferating factor," it creates a chronic autoimmune monocytic infiltration of the lamina propia in the gut mucosa (19) and may disconnect the G-alpha protein pathways, leaving some G-alpha modulated pathways unopposed. Consequently, the non-specific branch of the immune system is turned on, and without retinoid switching, cannot be down-regulated. The metabolic consequences could be far-reaching.
These 60 children and their families reveal possible consequences of losing the "off-switch" in G-alpha protein modulated pathways through abnormalities in lipid, glucose and protein metabolism in hormone regulation and in oncogene suppression and autoimmune disorders.
Case Studies
Our early experience with treatment with natural cis forms of Vitamin A in Cod Liver Oil (CLO) in these autistic children, followed by stimulation of blocked acetylcholine receptors for neurotransmitters affected with a blockage of G-alpha pathways in the cell, is promising. There are dramatic, immediate improvements in language, vision, attention and social interaction in some of these children, as evidenced by the following case reports.
My earliest evidence came from a ten-year-old boy diagnosed with autism by DSM-IV criteria (20). The patient’s parents suspect he has been reading since age four but his inability to communicate made this unverifiable. Over an eight-year period of regular visits I had never heard him speak. Standardized IQ tests revealed moderate mental retardation. His mother developed night blindness and hypothyroidism in college and had responded well to Vitamin A and thyroid hormone replacement. The patient’s mother’s sister was diagnosed in infancy with gluten enteropathy that had improved on a gluten free diet. She has had lifelong dry eyes and is night blind (treated with amber glasses.)
For these and other reasons I started the boy on cod liver oil (5,000 IU of Vitamin A, given in 2500 IU/b.i.d.) and a gluten free diet. After one week, he began to sit farther from the television and to notice paintings on the walls at home. He had always gone out of his way to follow the sidewalk and driveway to meet the school bus. On Vitamin A, he began to run across the grass directly from the front door to the school bus. After three weeks, he was given a single dose of Urocholine, an alpha muscarinic receptor agonist, to increase bile and pancreatic secretions and indirectly stimulate hippocampal retinoid receptors. It has minimal cardiac effect, is FDA approved, has been used safely in children since the 1970’s for reflux, and does not cross the blood-brain barrier, unlike secretin (21). It stimulates post-synaptic cell membranes via receptors for acetylcholine, a neurotransmitter in the parasympathetic system.
Thirty minutes after administration of the Urocholine, the patient, who was sitting in a chair, swung his feet over the side, pointed to a glass candy jar on my shelf and said, "May I have the red Jolly Rancher® please?" He had read the label on the candy in the clear jar. These were the first words he had spoken in eight years, and the first proof that he could read. We took him outside and he said, "The leaves, the leaves on the trees are green! I see! I see!" When I asked to take his picture he looked at the camera, smiled and waved. When he left the office I said, "See you later." He asked, "What time?"
In this child’s case, after several weeks of treatment with Vitamin A in CLO 3500 IU/day, the Urocholine acted like a switch. When absorbed, he immediately became socially engaged, made excellent eye contact, hugged his mother tightly and said, "I love you so much," looking at her face. At that point we both realized that this child had a blocked pathway. The change in language and social interaction was dramatic and immediate. Yet he reverted to the pre-treatment state of silence when the dose wore off. On lower daily doses of Urocholine (12.5 mg bid) along with the Vitamin A, his language and social interactions have continued to progress, albeit slowly.
I discussed the case with Dr. Bernard Rimland, head of the Autism Research Institute. He called me later to get permission for a mother in Kentucky to call me. She was frantic because her fourteen-week-old infant had stopped making eye contact, began to stare at lights and fans, stopped cooing and laughing and no longer turned to sound after early normal development. The mother reported she was night blind and had irritable bowel syndrome. By mother’s report, the infant was weaned and placed on standard formula, which was tolerated well. An audiological evaluation revealed normal auditory brainstem responses and tympanograms. The child went to a pediatric Ophthalmologist, who stated the child was farsighted. The exam was otherwise normal. The doctor was unable to get the infant to track in daylight, but when he placed an amber screen in front of his eyes he would easily track all objects.
I spoke with the child’s pediatrician who obtained a Vitamin A level. The value was 26 ug/dl (normal is 30-90 ug/dl). I instructed the mother to add 0.85 cc of CLO (Vitamins A/D) of cod liver oil to a bottle that night, and 0.85 cc CLO to a bottle at 11 am the next day. When the baby woke from his nap, he was back to normal, smiling, laughing, turning to sound, and tracking objects. As a developmental pediatrician, I have followed his development. By his mother’s reports, his receptive and expressive language, cognition, fine and gross motor skills are all normal for his age of nine months. He has remained on 0.85 cc CLO without significant increase in his vitamin A and D levels. He has had further immunizations without regression.
In both cases the improvement was so dramatic that it seemed we were dealing with a blocked pathway, presumably in the hippocampus or amygdala, with an intact cortex.
Effects of Blocked Retinoid Receptors
In December 1998, Ron Evans et al., at Cornell, isolated RAR-B and RXR receptors in the hippocampus in mice, which, when blocked, created long-term potentiation and depression of neurotransmission (22). The hippocampal pathways are important in spatial learning and memory. When mice with these blocked receptors were put in a maze, and then the maze was changed, these mice never learned to accommodate for the change. However, both normal mice and blind mice easily learned the new pathway with subsequent trials. Evans reported that these mutations affected cognitive functions such as learning and memory and reports that the mice acted as if "they had significant visual perceptual deficits." (23)
Of note, the hippocampus, on staining and electromagnetic exam, revealed no anatomic abnormalities. Presynaptic and post-synaptic responses were normal (24), so the authors concluded that the changes involved changes in inhibition or potentiation at the cellular level. The authors suggested that lack of retinoid signaling did not affect neuronal development (25).
Six of the autistic children I have tested also have had hypothyroidism. Recently reported was the association of central hypothyroidism when RXR receptors were blocked (26). These RXR receptors are nonspecific members of the superhormone receptor system, and have been identified as calcitonin/secretin, thyroid and retinoid receptors specific for binding with the short carbon chain cis forms of Vitamin A, found in liver, kidney, milkfat and CLO (27).
In the cell membrane, in the hippocampus (28) and retina (29) are G-alpha proteins with RXR and RAR-B receptors that potentiate or depress the signal in a given cell (30). Congenital night blindness is caused by a single protein deletion in G-alpha membrane proteins inside the cell attached to the retinoid receptors which traverse the cell wall, leading to decreased potentiation of the signal (29). Normally, the signal is amplified ten million times from stimulation by the time it exits the G protein coil, providing night vision in conditions of very low light. Gi alpha inhibits cAMP synthesis, closes Ca+ channels and opens K+ channels, while Gs alpha has the opposite effect (30). Both stimulatory and inhibitory G-alpha proteins modulate acetylcholine and adrenergic amines, neurotransmitters and chemokines, all affected in autism (31).
Vitamin A and Urocholine
Autism may be a disorder linked to the disruption of the G-alpha protein and the resulting effects on the retinoid receptors. These cell membrane proteins are coils that modulate sensory input. Cis forms of retinoids may act by replacing these receptors and by easily penetrating the cell membrane for more direct effects on nuclear retinoid pathways.
Many children treated with Vitamin A in CLO for two months followed by Urocholine show an immediate improvement in their autistic behaviors including improved eye contact, ability to socialize, and increased language use. Many have been able to toilet train easily and have begun to sleep through the night. Postganglionic parasympathetic muscarinic receptors innervate the bowel and bladder through sacral roots, and the pineal gland where melatonin is produced, through fibers from the upper cervical ganglia. This may be why the children are able to improve their sleep cycles and to toilet train on Urocholine and natural Vitamin A.
One of the first improvements noted on Vitamin A in CLO in children is the dis-appearance of the "sideways" glance at people and objects. By doing this, these children with poor rod function are getting their best three dimensional view of the object by directing light through the pupil onto the fovea (32), which is off-center in the retina, the area of the greatest intensity of red and green cones and greatest acuity. Improved eye contact is noted almost immediately in the autistic children on Vitamin A.
Importance of Binding Proteins
Cellular retinaldehyde-binding protein is important in transferring retinal from the photoreceptor to the retinal plasma epithelia. This binding protein is found in the retina and pineal gland. The human genome has sequence similarities with yeast SEC14 protein, which stimulates secretory activity of the Golgi apparatus (33).* These Muller cells are Potassium sinks, which are RXR and RAR-B receptors modulated by G-alpha proteins (34). If depolarization here is not "intensified" because of a G-alpha protein defect, this may decrease the stimulus to the brain from the neural retina. This protein binds only the 11-cis and other di and tri cis isomers of retinaldehyde to form a stable complex with opsin, the forms found in CLO (36).
P19 cells are neuron stem cells, which, in their response to their RXR and RAR receptors being stimulated by retinoic acid, undergo cell differentiation. As these cells differentiate, they express characteristics of epithelial cells. Many syndromes with neurocutaneous markers are associated with autism. These cells, upon differentiation, have a small voltage outward current, but when differentiated have large inward sodium, potassium and CA+ currents. As mature cells they synthesize acetylcholine, not catecholamines (37). Urocholine stimulates alpha muscarinic postganglionic parasympathetic acetylcholine receptors. Affected G proteins, trimeric guanine nucleotide binding proteins, rely on signals from protons, hormones, odorants, and neurotransmitters and either decrease transmission, causing less effect when stimulated by hormones, or increase transmission (38). Sensory abnormalities seen in these children may be due to a lack of modulation in signal in the cell membrane, but this warrants further study.
Abnormal Lipid Profiles
Also, there appeared to be a very high incidence of abnormal lipid profiles in the children. These serum values were drawn prior to the administration of Vitamin A in CLO, due to the known effect of retinol and the synthetic retinoids causing hyperlipidemia. Doses of Vitamin A in CLO in our trial are far below minimal supplemental doses required to induce elevations of lipids, especially triglycerides and VLDL. Of note, supplementation with fish oils with eicosapentenoic acid (EPA) and decosahexenoic acid (DHA) has been reported to reduce these lipid levels (39).
Blocked Neurotransmission
For many of these children, autism represents blocked neurotransmission that can be reconnected. Correcting immunodysfunction and their metabolic disorders will be important for prevention of future early heart, endocrine and malignant disorders of endothelial origin.
To quote Alfred Gilman, winner of the Nobel Prize for his discovery of G-alpha proteins, we have been "barbarians at the gate" of cellular function in multiple organ systems (40). These children have been devastated and we have abandoned them and their families from healthcare and rehabilitative services and appropriate educational opportunities.
The far-reaching metabolic consequences may be enormous, with potential links to not only autism, but dyslexia, attention deficit hyperactivity disorder (ADHD), bi-polar disorder, schizophrenia, Chronic Fatigue Syndrome, fibromyalgia, Type II hyperlipidemia, gluten enteropathy, cancer of the mucous secreting glands, and autoimmune disorders including muscular dystrophy and rheumatoid arthritis. S-Adenosylmethionine (SAMe), called a supernutrient, is an enzyme-important in acetylcholine synthesis. Loss of gut mucosal integrity would decrease by 85% gut absorption of CoA, shunting choline into homocysteine production. Increased production of acetylcholine may explain why a continuous dietary source of this nutrient makes people with multiple disorders feel better. Increased serum homocysteine levels have previously been associated with early cardiac disease (41). The incidence of mucous-secreting malignancies in parents and grandparents of the children in the study was 62 cases within 60 families. Cases of adenocarcinoma of the colon alone were seen in 1 in every 4 families when the lifetime risk is approximately 4 percent (42).
The current clinical trial using Vitamin A in CLO vs. placebo in a double blind, cross-over study is necessary prior to a trial using Vitamin A and Urocholine. Data from this trial is important and will have very broad ramifications, including rethinking infant formula composition and timing of immunizations. If this hypothesis is correct, we are one step closer to treatment and prevention of autism.
REFERENCES
1.Wolaich, ML, Felice, M, Drostart, D. The Classification of Child and Adolescent Mental Diagnoses in Primary Care. Elk Grove Village, Ill: American Academy of Pediatrics, 1996: 316-317.
2.Rollens, R. Testimony before the United States House Committee on Government Reform, Aug. 3, 1999. By permission.
3.Farvel, Z, Bourne, HR, Iiri, T. The Expanding Spectrum of G Protein Diseases. N Engl J Med 1999; 340: 1014, 1018.
4.Farfel, Z, Bourne, HR, Iiri, T., p. 1013.
5.Chiang, MY, Misner, D, Kemperman, et al. An Essential Role for retinoid receptors RARß and RXRa in long-term potentiation and depression. Neuron, 1998; 21: 1353-1361.
6.Sporn, M, Roberts, A, Goodman, D. The Retinoids: Biology, Chemistry and Medicine. Raven Press, 1994: 331.
7.Sporn, M, et al., 331.
8.Mandell, GL, Bennett, JE, Dolin, R. Principles and Practice of Infectious Diseases, 4th edn. New York: Churchill Livingstone, 1995: 1523.
9.Cohen, A., Bennett, J. Rheumatology and Immunology, 2nd edn. Orlando:Grune and Stratton, 1986: 442.
10.Sporn, M, et al., 636.
11.Fauci, AS. Harrison’s Principles of Internal Medicine, 14th edn. New York: McGraw Hill, 1998:510.
12.Sporn, M, et al., 231.
13.Sporn, M, et al., 231.
14.Sporn, M, et al. 536-537.
15.Sporn, M, et al. 531-532, 535.
16.Sporn, M, et al.,
17.Berman, D, Gilman, A, Mammalian RGS Proteins: Barbarians at the Gate. J Biol Chem. 1998; 273:1269-1272.
18.Wakefield, A, Murch, S, Anthony, A., et al. Ileal Lymphoid-Nodular Hyperplasia, Nonspecific Colitis And Pervasive Developmental Disorders In Children. Lancet 1998; 351:639.
19.Sporn, M, et al. 536-537.
20.Wolraich, ML, 316-317.
21.Arky, R, Physicians Desk Reference, 52nd edn. Montvale, NJ: Medical Economics Co.; 1997:1759.
22.Chiang, et al., 1353-1361.
23.Chiang, et al., 1359.
24.Chiang, et al., 1356.
25.Chiang, et al., 1359.
26.Sherman, SI, Gopal, J, Haugen, BR. Central hypothyroidism associated with Retinoid X Receptorselective ligands. N Engl J Med 1999; 340:1075-1079.
27.Sporn, M, et al. 333.
28.Chiang, et al., 1353-1361.
29.Sporn, M, et al., 353.
30.Farvel, Z, et al., 1012.
31.Meisenberg, G, Simmons, W. Principles of Biochemistry, St. Louis: Mosby, 1998:577-594.
32.Sporn, M, et al., 352.
33.Luscher, C, Jan LY, Stoffel, M et al. G Protein Coupled Inwardly Rectifying K+ Channels (Girks) Mediate Postsynaptic But Not Presynaptic Transmitter Actions In Hippocampal Neurons. Neuron 1997; 3:687-695.
34.Zahraoui, A, Touchot N, Chardin, P, Tavitian, A. The Human Rab Genes Encode A Family Of GTP-Binding Proteins Related To Yeast YPT1 And SEC4 Products Involved In Secretion. J Biol Chem 1989; 264:12394-12401.
35.Sporn, M, et al.,356.
36.Sporn, M, et al.,356.
37.Sporn, M, et al., 484-485.
38.Farvel, Z, et al., 1012-1015.
39.Sporn, M, et al., 650.
40.Berman, DM, et al., 1269-1272.
41.Nygard, O, Nordrehaug, JE, Refsum, Ueland, PM, Farstad, M, Vollset SE. Plasma Homocysteine Levels and Mortality in Patients with Coronary Artery Disease. N Engl J Med 1997; 337:
42.Wijnen, JT, Vasen, HFA, Khan, PM, Zwinderman, AH, et al. Clinical Findings With Implications For Genetic Testing In Families With Clustering Of Colorectal Cancer. N Eng J Med 1998; 339:511.
Dear Parents, Friends and Relatives,
Here is an update of my synopsis of the "DAN" Conference (Defeat Autism Now), presented by Dr. Bernard Rimland, Dr. Jon Pangborn, Dr. Sidney Baker and their colleagues. The DAN Conference was formed by Dr. Rimland to bring together the world's foremost doctors and scientist to form an effective protocol to treat Autism. The DAN autism conference had so much important information, that I found it overwhelming, even with my Honors Degree in Biochemistry and my Medical Training as a doctor. It took me about 3 Dan Conferences before I really felt comfortable with all the information. The fourth DAN Conference was finally a breeze. So I spent hundreds of hours to put together my first synopsis of the DAN Protocol in order to help parents grasp what the essentials were. So many changes have occurred that I feel compelled to provide an update.
At this point, I would like to point out that this is not medical advice, even though I am a Medical Doctor. Rather, this is a wish for your child or your loved one(s) to have the advantage of what took us eight years to discover. Please take this as a medical disclaimer. All suggestions here should be done at your own risk. Though, hopefully, the risk is minimal. These protocols are best done with someone who is familiar with the DAN Protocol, (a DAN Doctor). As I mentioned in my website, www.miriamjangmd.com, I am set up to treat Autistic individuals anywhere in the United States or Canada. Please feel free to contact us to treat your Autistic child, if you wish. In this synopsis, I will also be including some information about my son, Marky, to elucidate some finer points of treatment.
In the last six years of attending the "DAN" Conference annually, for the parents that have followed the "DAN" protocol faithfully, in almost its entirety, their children have made great gains. It has been reported that a fifteen- year old non-verbal male started speaking after correcting some of the biochemical abnormalities. Another eighteen- year old young lady started speaking for the first time after her biochemical abnormalities were regulated. There is now a protocol that is so effective that it is claiming 85 percent improvement! When you balance your child biochemically, all the other therapies work so much more easily, whether it's Applied Behavior Analysis (A.B.A.), Occupational Therapy (O.T.), Speech Therapy, etc. The child is happier, calmer and more focused. Very often, the child starts to retain what he is taught. One child even lost his "stim" behaviors after chelation. Wouldn't that be a dream? There is now some evidence that the gains made from ABA are not sustained as the years go by. It is believed that if the biochemical problems are not corrected, the toxins will eventually take away the gains one makes with the other therapies in many cases. There are no promises, but if you don't try, you'll never know how far your child can go!
In both Chinese medicine and Ayurvedic medicine, the sages believed that there were only two ways to health: one was to correct deficiencies; the other was to get rid of toxicities.
In Autism, the toxicities often are:
1. Mercury (and other heavy metals). Most Autistic children, genetically, cannot detoxify well. So when these heavy metals accumulate from vaccines in the form of Thimersol, (a preservative), in dental amalgams, in utero, from the mother's blood, seafood, water, etc., these children run into more trouble. Mercury toxicity creates a clinical picture very similar to Autism, even in adults.
Mercury binds to sulfur in cysteine, an amino acid present in many enzymes. There is solid evidence that one of these enzymes shuttles the innocent immune stem cells into the pathway Th1. In the absence of this enzyme, these cells get shuttled into the pathway Th2. The pathway Th1 converts the immune cells to fight viruses and yeasts. The pathway Th2 converts the immune cells to cause food allergies, asthma, eczema, and autoimmune diseases. Which pathway do you prefer? That is why, in Autistic kids, many have food intolerances and high yeast overgrowth. It might also be why many people believe that the predisposed infant cannot fight the measles virus in the MMR vaccine and ends up with Autism, days, weeks or months after the MMR vaccine (www.909shot.com) Evaluation and chelation (removal) of mercury and other heavy metals is a must. If the child has mercury dental amalgams, they must be removed ASAP!
An important finding is that about 85 percent of Autistic kids are high in Copper and low in Zinc. Furthermore, these kids are very low in an important protein call Metallothionein, or MT Protein. This MT Protein acts as a magnet to Mercury and protects the Autistic individual from further harm caused by mercury, among other important functions. This protocol claims that even older Autistic individuals can be helped, that great gains could still occur. Very often, parents of older Autistic children despair because it seems that there is nothing that can help these children. It seems that this particular protocol can help! Still, generally, the younger the child, the faster and more the improvements are. Also, the sooner that the casein and gluten free diets are started, the faster the progress is.
2. Food intolerances - because of toxins, maldigestion and abnormal gut flora, Autistic children develop the "leaky-gut" syndrome. Chains of amino acids (peptides) that are not supposed to leak through the bowel membranes into the bloodstream, do. This, in turn, sensitizes the body to these foods. Also, these peptides mimic eurotransmitters, so that they bind up the normal neurotransmitter receptor sites, affecting the development and function of the brain, adversely (This problem is metabolic and not just immunologic). The most common allergens and peptide sources are: casein (all dairy products), gluten (in wheat, barley, rye, oats), soy, and corn. Please note that eating one crouton is as bad as eating a whole loaf of bread. It has to be 99-100% avoidance. There are many hidden sources of gluten and casein. For instance, it is reported that McDonald's French fries are coated with gluten to keep the fries from clumping together, and yet this gluten does not show up in their product list.
A good resource is the Feingold diet. Also check on the websites that are in this synopsis. Again, just because your child does not go berserk after casein or gluten, it does not mean that they are O.K. with these substances; there is the problem of delayed hypersensitivities that symptoms do not show up until days later. Also, the byproducts of casein and gluten are toxic to the brain and will prevent your child from recovering as far as he or she should. Many DAN Doctors would not even enter a treatment agreement with you unless you agree to be serious about this diet! I know how hard this diet is; remember that I have a child on this horrible diet, too!
3. Yeast - because of the reasons mentioned previously, overgrowth of yeast happens in the majority of these kids. The byproducts of yeast overgrowth are toxic to the Autistic child. One must control yeast by diet (there are many books on yeast-free diets), anti-yeast medications (Diflucan, Nystatin, etc.) and pro-biotics (different strains of lactobacilli - some are tougher than others; some do not survive in the hostile environment of the gut). Remember that a normal IgG or IgM antibody test against Candida is not indicative of having no problems with yeast. The IgA test is the important one to see if there is yeast in the gut. There are excellent books on yeast-free diets. Most importantly, avoid sugar-laden foods!
In Autism, many children are picky eaters. Even if they are not, they often lack necessary enzymes and liver function to digest and absorb properly.
THE DEFICIENCIES FALL UNDER:
Vitamins
Essential fatty acids
Amino acids
Minerals
Enzymes and co-enzymes
I will include a list of supplements that Marky is taking. There are many protocols, with many rationales. When we write down the dosages, please take into consideration that Marky is 11 years old and weighs 75 pounds. Please adjust your dosages according to your child's weight. We include brand names with the supplements, just to be helpful, but there are many good companies, with many excellent products out there. If you are obtaining your supplements from other sources, make sure that they are casein and gluten free. If possible, they should be soy, corn and dye free as well. Different children will have different needs. Once you have the tests results, you will have to experiment with what works with your child. This list of supplements works well for many Autistic children. The most important fact to remember is that different Autistic kids responds to different treatments, our job is finding the treatment that makes a big difference!
TESTS NECESSARY TO DETERMINE TOXICITIES AND DEFICIENCIES
1. Hair analysis: In Marky this test indicated high lead levels. The absence of mercury, in this test, does not indicate that your child's mercury level is normal. If you cannot detoxify Mercury, it will not show up excreted in your hair. Watch for elevated antimony, which can also be a problem for Autistics. Lead often shows up high in this test.
2. Elemental analysis: packed erythrocytes In Marky, this test showed high mercury, copper and antimony. This test would show mineral deficiencies, as well as high levels of metals.
3. 24-hour urine elemental analysis: If this test is negative, it does not mean that the mercury is not high. In many cases, one would have to use a chelating agent to do a challenge test. In the challenge test, the chelating agent moves the mercury from the intracellular space into the extracellular space, so that it can be measured. If your child is not toilet-trained, you might want to do a 6-hour or 12-hour urine test, instead.
4. Plasma amino acids: Marky was deficient in 13 out of the 23 amino acids tested). These kids cannot digest well because of poor pancreatic and/or liver, biliary function. Often amino acid supplementation helps mental function. Many key enzymes cannot be produced in amino acid deficiencies. The 24-hour urinary amino acid works better than the plasma amino acid if your child is toilet-trained.
5. C.D.S.A. (Comprehensive digestive stool analysis): Marky showed very poor ability to absorb fat, hence, he was very deficient in vitamins A, D, E and beta-carotene. Marky's lactobacillus level in the bowels, was zero, even though we were giving him 60 billion a day. This test indicates what is happening to digestion and absorption. It would tell you how to repair the bowel condition and what is needed to help digestion.
6. Anti-Candida Antibody Test - IgA, IgG, IgM: Initially, these were very high in Marky, but after three years of antifungal treatment, they are now normal. You need to monitor the yeast level every two or three years after treatment, as recurrence often happens, especially when you are chelating.
7. Food allergy test - IgE, IgG: In food allergies, the IgE mediated response is obvious - you get an immediate reaction like hives, itchy eyes or difficulty with breathing. With the IgG mediated response, it's a delayed reaction, so that you may not even get the stuffy nose or headache until three days later. Please note that food allergens change, so that it is a good idea to repeat this test every year or two. The food allergens act as toxins and would interfere with your child's mental functioning, etc. For instance, one child became toilet-trained, two weeks after the allergens were removed. (ImmunoLab does a good job on this test).
8. CBC and Differential, CHEM 25: This is just to make sure that the blood count is normal and that the liver and kidneys are working well enough to chelate, if necessary.
9. Serum ceruloplasmin and copper that need to be tested in acid etched test-tubes and plasma Zinc done in EDTA test-tubes- this is done before and after Zinc loading before the actual Metallothionein Promotion takes place.
All these tests are available through Great Smokies Lab, 1-800-522-4762, (except the anti-Candida antibody - that is from ImmunoSciences Lab). Test # 8 can be done in any lab at all. Your doctor can also consult a Great Smokies staff doctor to go over all the results and recommendations, once the results are back. Dr. Pangborn is one of the world's geniuses in Biochemistry; he consults for Great Smokies.
The other labs that are also excellent for these tests are:
Biocentre Lab........1-800-494-7785
ImmunoLab.......1-800-231-9197
Immunosciences.......1-800-950-4686
Meridian Valley Lab.......1-253-859-8700
Metametrix........1-800-221-4640
Dr.'s Data Lab.......1-800-323-2784
Please note that only your doctor can order test kits from these labs.
USEFUL RESOURCES:
1. Dr. Sidney Baker's Book, "Detoxification and Healing" ISBN 0-87983-709-8 Publisher: Keats Publishing Inc. This book is easy to read and is very important to understanding Autism, or how to stay healthy yourself. In addition, Dr. Baker's web site is a very valuable source of information on Autism and healing. www.sbakermd.com
2. DAN Protocol: $25.00 Explanation of all of this material, more accurately and more scientifically. Phone: 619-281-7165 (Autism Research Institute). www.autism.com/ari
3. "Children with Starving Brains", by Jacquelyn McCandless M.D. A book that every Autistic child's parent should read and study ISBN 1-883647-09-6. It is a well-written book on the DAN protocol.
4. Another very informative web site is www.rxforautism.com
5. Web sites for casein and gluten free diets are: www.gfcfdiet.com www.gfcfkids.com and www.missroben.com
6. Dr. Megson at the Pediatric and Adolescent Ability Center www.megson.com
7. Valuable information on mercury can be found on the following sites: http://altcorp.com/autism.htm : http://www.house.gov/reform/hearings/healthcare/00.07.18/index.htm : http://www.cureautismnow.org/sciwatch/invest.cfm.
SUPPLEMENTS:
1. Transfer Factor: This is the first substance that we gave Marky that made a substantial difference in having him become more sociable, co-operative, calm, having great eye-contact and more speech. Transfer factor is extracted from colostrum or blood. It can be given by injection or orally. Transfer factor may have anti-viral properties, so that if you have the flu, and you take 9 capsules a day for three days, you may shorten the natural course of the flu. Initially, we did not believe that the MMR vaccine contributed to Marky's Autism, because Marky's Autism did not manifest until he was two years old. But if there were no viral inflammation, the transfer factor would not have worked. We noticed a difference in Marky in less than a week. Transfer factor also improves the environment in the gut.
There are two commercial sources of oral Transfer Factor that we are aware of:
a) Chisolm's Lab (Phone: 1-800-664-1333) This is a specific Transfer Factor against childhood flus, viruses, including MMR, DPT. At the present time, I recommend immune factor #4; they are supposed to be coming out with one specific to Autism soon.
Dosage: 1 cap/day. Dr. Bradstreet (www.gnd.org) had good results with this.
b)Life (Phone: 1-888-454-3374) This is a non-specific Transfer Factor. You start with 1 capsule 2x 1 day, then 3x 1 day, up to 3 capsules 3x/day. Dr. Peter Bock had the kids maintain this dosage for 3 months, then backed off to 1 capsule, 3x/day for maintenance.
2. DANplex (Phone: 1-800-792-6670). This is a vitamin/mineral/amino acid nutritional supplement, compounded by Hopewell Pharmacy, under the recommendations of many of the DAN doctors. Some people prefer Super-NU- Thera from Kirkman's 1-800-245-8282. There is also a good tasting multi-nutrient-Brain Child from Michael Lange, 1-831-465-9405.
3.Omega Brite (Phone: 1-800-383-2030). This is the best source of omega-3 and omega-6 essential fatty acids ("essential" means that the body cannot produce it from something else). These fatty acids are necessary for the maintenance of the cell membranes as well as cell-to-cell communication. Dr. Andrew Stoll has found that a dosage of 1 capsule, 3x/day, helped many Autistic children. When you are on this product, you don't need to continue with flaxseed oil or evening primrose oil.
4. Sphingolin (Ecological Formulas 1-800-888-4585). Many Autistic children have anti-myelin antibodies. You can do a specific blood test for this or just give a trial of this supplement. It is inexpensive and has no side effects that we know of, at the proper dosage. The dose is a half a capsule a day, regardless of the child's size. Please note that you should not be on Sphingolin and Secretin at the same time.
5. Cod Liver Oil (Kirkman Labs 1-800-245-8282). Dr. Megson (www.megson.com) has done remarkable research on the necessity of obtaining vitamin A (the "cis" form) from cod liver oil. It turns out that most of the vitamin A (including vitamin A from beta-carotene), is in the "trans" form, a form that we cannot utilize. The "cis" and "trans" forms are mirror images of each other; the "cis" form works better on the human body. The dosage is 1 capsule 3x/day.
There is also a good tasting, orange-flavored one called Dale Alexander's Cod Liver Oil, by Twinlabs, in many health food stores.
6. Digestive Enzymes: These help to break down the foods that the kids eat, into absorbable components. Most of the kids have very poor digestion. I recommend taking EnZym-Aid (Kirkman's), with another enzyme, which contains lipase, (such as b, c or d below), to break down the fats since EnZym-Aid has no lipase in it.
a)EnZym-Aid (Kirkman's). Phone: 1-800-245-8282
b)Plantizyme (Thorne's). Phone: 1-800-228-1966
c)Megazyme (Whole Foods). Creon - 10. Creon - 20 by prescription
7. Probiotics: This is to supply the body with "good" bacteria to keep down the yeast growth and to acquire many other health benefits from them. This is well explained in Dr. Sidney Baker's book. Remember, some lactobacilli do not survive the hostile environment of the unfriendly pH's in these children's intestines.
a)Lactobacillus sporogenes (Thorne) 1-800-228-1966 - This is a tougher form of lactobacillus since it is in the spore form.
b)Enterogenic concentrate (Preventhium)
Phone: 1-800-755-1327 (They often have phone problems)
Fax: 1-770-831-8610
c)Pro-Bio Gold (Kirkman's)
Phone: 1-800-245-8282
d)Cuturelle has the reputation that it can actually colonize in the gut. Many health food stores carry it.
8. Mineral Supplements
a)Citramin I or II (Thorne). Phone: 1-800-228-1966
b)Trace minerals (Thorne). Mineral supplementation is a must in chelation on the "off" days. Phone: 1-800-228-1966. It is also a good idea to add extra Zinc, as this mineral seems to be deficient in most Autistic kids. Zinc must be taken on an empty stomach, at bedtime, for best absorption.
9. D.M.G. (Kirkman's). This helped 40% of the Autistic kids in Dr. Rimland's study. You may need higher doses than you think in order to have a great effect. DMG helped Marky calm down, almost over-night after his car accident. He was pinching and biting himself and others to the extent of drawing blood. Now he is on 12 capsules a day. Phone: 1-800-245-8282
10. Fibre: Arabinex or Medibulk (Thorne) 1-800-228-1966. This is important for the health of the intestines as well as the survival of the lactobacilli.
11. Secretin This substance is helping a lot of Autistic kids, but not as many as originally thought. It is available in I.V., oral and skin patch forms. Again there is controversy as to whether the latter two forms work.
12. I.V. Glutathione: There have been some benefits with this therapy as far as calmness and getting rid of "tics" are concerned, as well as some acceleration in cognitive abilities. Of course, Glutathione is also available in oral and topical forms.
13. Metallothionein Promotion Therapy: This seems like a really exciting therapy with promising results as mentioned earlier in this synopsis. There is basically 2 phases to this protocol. The first phase is to increase the zinc and to decrease the copper. The second phase is to give the body the amino acids necessary to build the MT Protein. The MT Protein will then help the body heal and catch up in the necessary areas. Taurine interferes with Zinc absorption, so no Taurine on the days of Zinc Therapy.
14. A very exciting area is being researched at Harvard Mass. General Hospital where hundreds of Autistic kids are being endoscoped by Dr. Tim Buie. The findings are, that even in the absence of G.I. symptoms, there is inflammation of the gut. When the gut is given the appropriate therapies to heal, the Autistic symptoms greatly recede.
If you live outside the US, you might need to find the non toll-free number through a friend. In some cases, your friend might have to order it and ship it to you, as regulations may not permit shipping outside the country. This applies to all the toll free numbers mentioned.
Please remember that, if you introduce your child to a new supplement, it is not unusual for the child to experience some adverse effects for a short while. These effects may include hyperactivity, skin rashes and behavioral regressions. When this happens, it does not necessarily mean that you should discontinue the supplement, unless the adverse effects are dangerous, or persistent. Usually these side effects wear off in a few days. Please remember to start with a very low dose, even as low as a quarter capsule. If there are adverse effects, stay at this dose until the adverse effects are gone, then proceed to a slightly higher dose, etc. Marky became hyperactive for a few days, when we first started most of these supplements. In addition, you may not see the beneficial effects of these supplements for a period of time. Also remember that just because a therapy did not work before, it does not mean that you should not re-visit that therapy at a later time, for instance, after you clean up the gut problem. Please consult your doctor about any adverse effects that persist or cause concern.
GENERAL POINTERS TO CHELATION
1. Make sure your child is balanced nutritionally - i.e. amino acids, vitamins, minerals etc., before chelation. If the child is very out of balance, chelation may lead to seizures (especially if the child is low in magnesium or taurine)
2. Do not take mineral supplements on the days of chelation, but make sure you do take them on "off" days. Even though the agents are not supposed to affect calcium and magnesium, I found that taking extra amounts of these reduces the muscle twitching and headaches. The revision in the chelation protocol advises us to take some Zinc and some selenium even on the days of chelation. We find that doing this helps cut down the irritability by quite a bit. Also, Kirkman (1-800-245-8282) now has packages of replacements and supplements to support chelation.
3. In dosing of the DMSA or DMPS, chelating agents, remember to remind your doctor, to "go low" and to "go slow"!
4. Make sure you have a knowledgeable doctor supervising the chelation - what blood parameters to monitor etc. Dr. Rimland's institute, Autism Research Institute, has a list of doctors who are familiar with the DAN protocol. Phone: (1-619-281-7165). Again, we are set up to treat Autistic individuals anywhere in the U.S.A. or in Canada, so you can contact us at the e-mail or phone number at the beginning of this document, if you wish. We are passionate about giving our Autistic children their best chance!
5. There are three agents for chelation of mercury:
a) DMPS (Heyl is the purest brand) oral, I.V. or I.M.
b) DMSA (Chemet, Succimer). (Kirkman makes a very palatable form) oral.
c) DMSA with ALA (alpha lipoic acid) oral.
Allithiamine- this is a mild chelator and is used as a cream on the soles of the feet. The advantage of this treatment is that you don't end up with so many problems with over-growth of yeast and different bacteria as you do with DMSA or DMPS.
There are many chelation protocols, please consult either the web site of the Autism Research Institute www.autism.com/ari. Most chelation is done orally; some doctors implement the oral chelation with I.M. shots of DMPS.
Please note that most of the information from this DAN Conference (including the Autistic child's underlying inability to detoxify, deficiency states and toxicity and the treatments as discussed), is not yet widely accepted by the medical profession. The conventional medical community takes a very long time to embrace and accept new ideas. Don't be surprised if your doctor regards this information with skepticism (as I once did). You may need to find a DAN Doctor (see # 4 above) or a doctor who is open-minded enough to supervise the testing and treatment with you.
SUMMARY
In the beginning of this journey, I did not believe all the theories and explanations, presented at the DAN conference, even although I greatly respected the presenting doctors and scientists. How can so many things be going wrong, biochemically, in our Autistic kids? Throughout the years, we would try this therapy and then that therapy, with very minimal results. When we finally did all the testing recommended, we were shocked! All the things that they postulated at the DAN conference, turned out to be true for our son. Marky could not detoxify. He had high levels of mercury, lead, copper and antimony. Marky could not digest or absorb fat and was deficient in fat-soluble vitamins. Marky was also deficient in 13 out of the 23 amino acids tested. Marky also had yeast overgrowth, as indicated by his anti-Candida antibody test. He was allergic to 21 food items!
In a nutshell, we are trying to correct Marky's deficiencies, by giving him the supplements mentioned, as well as his amino acid supplements. We are trying to eliminate his toxicities by anti fungal therapies, probiotics, a diet free from his identified food allergens, and soon, by chelating the heavy metals. We are continuing Special Education Classes for three hours a day, individual tutoring for 6 hours a day, his Occupational and Speech therapies. It's really quite a lot, but then, the rewards are worth it! Marky is calm, happy, focused and interactive. Both his teacher and tutor state that he is learning faster and retaining what he learns. Also, both his expressive and receptive language has progressed markedly. We still have a long way to go, but hopefully, the chelation will give us additional improvement.
The DAN doctors and scientists now believe that Autism is a biochemical disease that can be helped greatly through much effort and persistence. I used to think that organic foods were for the truly neurotic. Now I believe that, for ultra-sensitive people, like our Autistic kids, organic foods are a necessity. Who knew that they could be, not only sensitive to so many foods, but also to dyes, preservatives, molds and fungi? In many cases, filtered water is also a must. So, be curious and be persistent. Take good care of yourselves so that you can endure this arduous journey called "Autism"!
Remember, the lesson is in the journey, not in the destination.
"Spiro, Spera" "While I breathe, I hope" Never give up!
God bless you and good luck!
ADDENDUM
1. There is significant evidence that the measles virus, in the form of the vaccination, MMR, plays an important role, in the etiology of Autism.
2. There are other more "in depth" tests as well, among them are:
Intestinal permeability
Detoxification profile
Vitamin profile
Essential fatty acids profile
All the tests for different antibodies, and immunoglobulins
3. This Metallothionein Promotion Therapy is claiming excellent results and bears watching and trying. We certainly intend for all our patients to be on it, after evaluation.
4. When the test results for the plasma or urinary amino acids are back, and you know what amino acids are necessary, a good compounding pharmacist is College Pharmacy (Colorado), Phone: 1-800-888-9358.
5. Prayer is very important! (Probably the most important)! "My Father, if it be possible, let this cup pass from me..." In our prayers, we alternate between praising God and groveling to Him!
6. If you find something that works for you, don't be afraid to pass it on to us, and to others; we would be very grateful.
7. Don't be afraid to do some of the tests or take some of the tests yourself. Remember that there is a genetic component to Autism so that the defects might be present, but to a slighter degree, in other members of the family. Also, don't forget that Autism is just a part of a spectrum that includes A.D.D., A.D.H.D., obsessive-compulsive disorder, manic- depressive disorder etc. Many members of the family feel and perform so much better on the diets and some of the supplements that these kids are on. You might want to have your mercury dental amalgams replaced. There is a Dental Materials Compatibility Test by Clifford Labs, (1-719-550-000), to find out which amalgams will not be toxic to you, in the long run.
8. Please feel free to photocopy this and distribute this to anyone who might benefit from it. You might want to send copies of this to your local and national parent support groups for Autism. Think big! We want as many children to benefit from this information, as possible. Maybe you might want to mail this out to other countries and ask your contacts there to forward this document to the local and national parent support groups there. This goes for all useful information that you might have. Let's not fight Autism alone, but as a united group!
Again, God bless you and good luck!
Miriam Jang, MD


Rising rates of autism in California (long curve) and in U.K. (short curve). Start of MMR vaccination shown by arrows (CA, 1978; U.K., 1988).
Parents say mercury in shots caused their children's autism, and they want drug firms to pay. The industry calls its defense rock-solid.
By Myron Levin
Times Staff Writer
August 7, 2004
As parents of two severely autistic boys, Kevin and Cheryl Dass of Kansas City , Mo. , face a world of heartache and worry.
Last year Kevin, a FedEx driver, and Cheryl, a part-time hairdresser, spent $27,000 on therapy for their sons. Financially exhausted, they are gnawed by these questions:
How will they continue the special help that Dillon and Kyle, their 4 1/2 -year-old twins, so desperately need? Willthe boys who barely speak, are not toilet-trained and go bonkers when taken out in public ever be able to live on their own? If not, what will become of them when Kevin and Cheryl are gone?
"It's torn our life apart, it really has," Kevin Dass says. And, he insists, it didn't have to happen. The boys were born prematurely and alarmingly small. Yet at 3½ months, Dass says, they were given four shots in a single day, including three containing small amounts of mercury, a neurotoxin.
"They were still in the hospital on oxygen, staying alive, and they put this poison in them," Dass says. "They were fried. They were totally fried."
Like many anguished parents of autistic kids, the Dasses blame the condition on thimerosal, a mercury-based preservative that until recently was added to many routine children's shots.
Thimerosal was used to keep bacteria out of vaccines sold in multi-dose vials. But there were no studies beforehand of its possible effects on the developing brains of infants. And health officials, who aggressively expanded immunizations during the 1990s, did not consider that mercury exposure for millions of children would exceed federal guidelines.
Now, in a dispute overflowing with bitterness and rancor, more than 4,200 families, including the Dasses, are demanding compensation to help pay for their kids' special needs. Their claims have inundated an obscure branch of the U.S. Court of Federal Claims in Washington , sometimes called the "vaccine court."
The parents are pushing a disturbing theory: that their children were casualties of the war on disease, suffering brain damage from thimerosal by itself or in combination with measles virus in the measles-mumps-rubella vaccine. They blame mercury from vaccines and other sources for an epidemic rise in autism and related neurological disorders.
They theorize that their children were devastated because they were less able than most kids to clear mercury from their bodies.
Vaccine makers and health officials strenuously dispute the claims. While voicing compassion for the children and their families, they say there is no proof that tiny exposures typically 1 part mercury per 10,000 parts of vaccine can cause brain damage.
"There's simply no reliable scientific evidence" that thimerosal causes autism, said Loren Cooper, assistant general counsel for GlaxoSmithKline, the global pharmaceutical giant.
Dr. Stephen Cochi, head of the national immunization program at the U.S. Centers for Disease Control and Prevention, argues that only "junk scientists and charlatans" support the thimerosal-autism link.
In May, a committee of the national Institute of Medicine declared that evidence "favors rejection" of the thimerosal-autism link. Opposing studies, the panel said, were riddled with "serious methodological flaws."
In response, parent activists point out that some studies have indicated a link. They also charge that data were manipulated in one key study cited by the Institute of Medicine, and that authors of other studies had ties to vaccine makers.
At stake are not only vast sums of money but reputations and careers. Vaccine makers face a potential litigation nightmare. And the allegations confront two agencies: the Food and Drug Administration, which licenses vaccines, and the CDC, which is in charge of seeing that children are immunized against everything from polio to whooping cough.
The immunization program has been hailed as a spectacular success, responsible for saving countless children from illness and death. But if the parents are right, thousands of their children have become collateral damage.
For now, the main battleground is a tiny tribunal most people have never heard of.
The vaccine court was created in 1986 as Congress' response to a liability crisis. In rare cases, vaccines were being blamed for catastrophic injuries and even death. Makers were threatening to quit the business, which in turn threatened the vaccine supply.
The National Vaccine Injury Compensation Act shielded the industry from civil litigation by instituting a system of no-fault compensation. Under the law, aggrieved families file petitions, which are heard by special masters in the vaccine court. Successful claims are paid from a trust fund fed by a 75-cent surcharge per vaccine dose. The Department of Health and Human Services oversees the fund, with the Justice Department acting as its lawyer.
The autism case is approaching a crucial stage: a hearing within the next few months in which experts will joust over whether mercury causes autism.
If the verdict is no, the case ends there. If the special master finds for the parents, individual claims will be heard. A flood of successful claims could exhaust the $2-billion fund.
Big vaccine makers such as Merck, Wyeth and Aventis-Pasteur, along with Glaxo, are watching with trepidation. Though safe from liability in the vaccine court, they are anxious because claims have begun to leak into the civil courts.
Under the law, petitioners who have gone more than 240 days without a ruling in the vaccine court can opt out and file a civil suit. More than three dozen families who've waited long enough have opted out, and more are sure to follow. A handful of suits are set for trials next year in Texas , Pennsylvania , Maryland and Georgia .
A legal Catch-22 could doom many claims in both the vaccine court and civil courts. The compensation law requires that petitions be filed within three years of the first sign of injury. In many cases, by the time children were diagnosed with autism and parents learned of their mercury exposure, the deadline had passed. This technicality could cause as many as 60% of the petitions to be discarded in the vaccine court, lawyers for the parents say. And some civil courts have decreed that people who did not file on time in the vaccine court can't pursue civil litigation.
"The parents are going through hell. The children are going through hell," said Richard Saville, a lawyer for some of the parents. "What we're trying to avoid - is a situation in which no court ever hears their complaint."
Even so, families who reach the civil courts may gain some advantages there. They will have access to internal industry documents that are not available in the vaccine court. Moreover, whereas the vaccine court pays medical and living costs and up to $250,000 for pain and suffering, civil juries can award punitive damages as well.
Vaccine makers insist that their defense is rock-solid.
The evidence "is so overwhelmingly one-sided that we are confident that juries will overcome their natural sympathy for plaintiffs and decide these cases as science dictates," said Daniel J. Thomasch, lead outside counsel for Wyeth.
Privately, however, some industry figures conceded that when it comes to sick children and brokenhearted parents, science doesn't always win the day.
The companies "are terrified" of huge jury awards because "the injuries are so grave," said Kevin Conway, a lawyer for parents. "It's not just the kids, it's the parents, it's the siblings. These people just live emotionally exhausted and financially devastated lives."
Even if the companies are exonerated, victory will not come cheap. An industry representative, who predicted vaccine makers will win every case, said it could cost them hundreds of millions of dollars to do so.
Autism is the most severe of a range of neurological conditions called autism spectrum disorders. It limits the ability to communicate, form relationships and respond appropriately to the environment. Symptoms can include loss of language and eye contact, extreme withdrawal, violent or repetitive behavior, and extreme sensitivity to light and sound.
One in every 166 U.S. children suffers from an autism spectrum disorder, according to an estimate by the CDC and American Academy of Pediatrics. In California , the number of cases rose 273% from 1987 to 1998, according to the state Department of Developmental Services.
It's been suggested that broader definitions and better reporting are behind the apparent spike. But a study in 2002 by the MIND Institute at UC Davis found that these are at most minor factors, and that the increase is real.
In the search for a cause, thimerosal only recently became a suspect.
The compound is 49.6% ethyl mercury, not the methyl mercury found in fish and power plant emissions. Both forms are toxic, though some research suggests ethyl mercury is more quickly purged from the body.
Developed 75 years ago by Eli Lilly & Co., thimerosal has been used in vaccines since the 1930s and was the main ingredient in Merthiolate, an antiseptic daubed on millions of skinned knees before it was taken off the market 20 years ago.
Medical literature includes reports of thimerosal poisoning at a sufficient dose - along with advice to curb its use. Perhaps most alarming was a 1977 report on the thimerosal-linked deaths of 10 babies in Canada .
According to the article in Archives of Disease in Childhood, the antiseptic had been used to treat exomphalos, a type of umbilical hernia. Tissue and blood tests revealed high mercury levels in the dead infants. Moreover, the authors said, it "is extremely unlikely" that babies who survive the treatment "escape neurological damage, which may be subtle."
Mercurial antiseptics should be tightly restricted or banned from hospitals, they wrote, "as the fact that mercury readily penetrates intact membranes and is highly toxic seems to have been forgotten."
However, thimerosal remained the most popular of several preservatives used by vaccine makers to avoid the risk of bacteria from repeated needle insertions into multi-dose vials. Vaccines also come in single-dose vials or disposable syringes that do not require preservative. But doctors and clinics traditionally preferred multi-dose vials because they were cheaper and easier to store.
No one would have cared but for this confluence of trends: autism rates were rising, while more mercury was being injected into kids.
The CDC sets the country's immunization schedule, which, in effect, has the force of law, since in many places children can't enter day care or school or qualify for public assistance unless their shots are up to date.
Mercury exposure increased markedly in 1991, when the CDC added hepatitis B and Haemophilus influenza type b, or Hib, vaccines to the schedule.
Because these were mostly sold in multi-dose vials, children whose dutiful parents stayed current with their shots received as many as nine injections with as much as 187.5 micrograms of mercury in their first six months of life exposures well above Environmental Protection Agency guidelines.
This was disclosed in 1999 in a federal review, which showed that health authorities had ignored the rising exposures as they added shots.
In e-mails to colleagues at the time, Dr. Peter Patriarca, a senior FDA official, acknowledged that the agencies were open to attack. The FDA could be charged with "being 'asleep at the switch' for decades by allowing a potentially hazardous compound to remain in many childhood vaccines, and not forcing manufacturers to exclude it from new products," he said in a June 29, 1999, e-mail later disclosed at a congressional hearing.
It didn't take "rocket science" to track the rising exposures, Patriarca wrote. Critics may wonder "what took the FDA so long to do the calculations? Why didn't CDC and the advisory bodies do these calculations when they rapidly expanded" childhood immunizations?
In July 1999, the CDC and American Academy of Pediatrics called on vaccine makers to remove thimerosal as a precaution. Manufacturers began switching to single-dose containers. By 2002, thimerosal was present only in trace amounts in routine vaccines.
Now it is making something of a comeback. This year, the CDC added flu shots to the vaccine schedule for children 6 months and older. Aventis, the only producer of flu vaccine for infants and toddlers, makes it both in single-dose and mercury-containing multi-dose vials. The CDC has spurned appeals to recommend thimerosal-free shots for all children and pregnant women fearing parents might refuse a shot for their kids if they couldn't get it mercury-free.
Exasperated by the agency's stance, lawmakers have filed bills in Congress and several states, including California , to ban thimerosal from pediatric vaccines.
Cochi of the CDC says such bills are ill conceived. He says children die of the flu, including more than 140 last year, while the risks of thimerosal are at most theoretical. He blames the uproar on those eager "to capitalize on the tragedy of parents with children who have autism, because they see a huge pot of gold at the end of the rainbow."
"That's the other side of this story," Cochi said, "that it has the potential to be a gigantic scam on the American taxpayer."
Of all the resentments of the parents, the idea that they are out for a buck seems to gall them the most.
And when they talk about their lives the social isolation, financial distress and bleak prospects of their children many can't help but weep. At such times, it's easy to see why vaccine makers would rather not face them in court.
Kyle and Dillon Dass arrived three months early in January 2000 weighing 1 pound, 7 ounces and 2 pounds, 15 ounces, respectively. That was six months after the appeal to remove thimerosal from vaccines.
Kevin, their father, keeps a copy of an advisory sent to doctors by the Academy of Pediatrics shortly before his sons were born. "If there are limited supplies of thimerosal-free products available, priority should be given to use in premature infants," it says.
At 3 1/2 months, the boys got four shots in one day. Three contained thimerosal, according to medical records the Dasses later obtained.
At the time, the couple had never heard of thimerosal, but Cheryl Dass said she questioned giving several shots to her tiny babies. She did not put up a fight, however, deciding, "Oh well, you know what you're doing because you save lives everyday."
Lyn Redwood, who lives near Atlanta , says her son Will began receiving doses while still in the womb.
Redwood, a former nurse, had amniocentesis during pregnancy. Because her blood was Rh negative, after the procedure she was given shots of gamma globulin to protect her fetus from an illness called Rh incompatibility disease.
Years later, Redwood said, she was amazed to learn that the two gamma globulin shots during pregnancy, and a third when she was breast-feeding, contained thimerosal.
Will, who has pervasive development disorder, a milder form of autism, had received an additional 237.5 micrograms of mercury in vaccines by the time he was 1 1/2 , Redwood said.
Even so, he seemed to progress nicely until his first birthday. Redwood recalled that he started to walk, talk and generally do things on time before suddenly regressing and slipping away. "He stopped looking at us. He stopped playing…. It was like 'Invasion of the Body Snatchers,' " she said. "Somebody had taken away my baby's soul and just left a shell of him in there."
The bizarre and disruptive behavior of many autistic children can make their families virtual prisoners in their homes.
Going out in public "is a train wreck," said Cheryl Dass. It's impossible to do the family things others take for granted, like going to a movie or church or "even to pick out a pumpkin."
Kelly Kerns of Lenexa , Kan. , who has an autistic daughter and twin sons, said, "We're not the families that are doing baseball and birthday parties.
"I'm a mother that lives in a tunnel," she said. "I haven't been to a family reunion in four years. My family doesn't understand. They wouldn't understand.
"I used to be a decent person, and I just have acid rolling from my lips every time I open my mouth," Kerns said. "I ask God every day what did I do to deserve this. What did these kids do to deserve what they got?"
Some parents are hopeful, though not holding their breath, for help from the vaccine court. Others say they'd just as soon get a chance to bloody the industry in a civil trial.
Said Georgia Mueller of Kansas City , who has an autistic son: "I want it to hurt" the manufacturers, because they "never did the research to make sure this was safe."

Major CDC Study on Thimerosal Flawed
Author Admits Findings Incorrect
The author of a major study of the link between Vaccinations and Developmental Disorders which is widely quoted by the Centers for Disease Control and Prevention (CDC) has admitted that the study is inaccurate in its findings. Dr. Thomas Verstraeten, of the CDC's National Immunization Program, is quoted as saying, "One thing is for sure, there is certainly under-ascertainment of all these [conditions] because some of the children are just not old enough to be diagnosed." This was confirmed by a professor who has reviewed the research. He stated that there were too few children in the study to pick up all cases of autism.
The study in question has been widely quoted as evidence that Autism and other Pervasive Developmental Disorders are in no way linked to the vaccines which are routinely given to children around the world. Now it seems this conclusion is invalid and the true relationship has yet to be discovered.
Additionally, it appears that the CDC is now reversing its stand. According to the Sunday Times, the Centers for Disease Control and Prevention has found a "statistically significant" link between mercury in vaccines and developmental disorders, including Attention Deficit Disorder and speech and language delays. The CDC, however, still recommends vaccinations with thimerosal containing vaccines, saying there are safety measures in place to prevent overdoses of mercury.
Autism rates around the world are rising and the rise coincides with the availability of more vaccines containing mercury, a lowering of the age at which vaccines are given to babies and the introduction of the combined MMR vaccine, which does not contain mercury, but which has been linked to Autism by some researchers.
Now that the research quoted by the CDC and other governmental agencies has been found inadequate, and since there are research findings which suggest a link between mercury and developmental disorders, it is time to begin serious research into these issues. In addition, the link between the MMR vaccine and Autism should be explored further, since it appears to be associated in some way with the increased rates.
In spite of the dangers of mercury exposure in infants, the CDC continues to recommend that, "State and local immunization programs or private health care providers should use the vaccines available in their stock. All vaccines are safe and effective as stated by FDA." Yet the American Academy of Pediatrics and other medical groups has called for the removal of mercury from all vaccines. Why then does the CDC continue to state that they should be used? While they say they are working cooperatively with vaccine manufacturers to implement a plan to reduce and eventually eliminate future purchases of thimerosal containing vaccines for federal programs, it appears that these moves may be too little, too late. While the government is, "working cooperatively," with the manufacturers, more and more children are being exposed to potentially toxic levels of mercury and more and more families are having their lives destroyed by its effects. The time to act is now.
Congressman Dan Burton (R-Indiana) and others have called for the removal of all vaccines containing thimerosal. So far their words have fallen on deaf ears. Vaccines with excessive levels of mercury are still being routinely used and there is no clear end in sight. Until adequate research is done either proving or disproving the relationship between these vaccines and neurological damage, their use should be discontinued. Vaccines which do not contain thimerosal are available and their use should be mandated by the federal government.
Vijendra K. Singh, Ph.D.
Department of Biology & Biotechnology Center
Utah State University, UMC 4700
Logan, Utah 84322
Today, I will be speaking about the autoimmunity aspect of vaccines in autism, a medical condition that has been largely ignored by the medical community and federal government for a very long time and yet the incidence of autism is increasing at an alarming rate. An estimated one-half of a million Americans, mainly children, and millions more worldwide are known to suffer from autism, a heart-rending disorder that severely impairs higher brain functions: social interaction, communication, language, imagination and cognition. The disorder is a life-long mental disability with devastating consequences for both the patient and his/her family. Thus the financial burden is huge for the families who care for children with autism.
Autism is an idiopathic brain disorder, which simply means that the etiology of the disorder is not known. And there is no single, clear-cut cause for autism. Causally speaking, I tend to think that autism is a complex disorder, in which autoimmunity to brain plays a key role. Today, in spite of virtually no funding available, autoimmunity is the most extensively investigated topic of research in autism. This is by and large due to the fact that autoimmunity is the prime target of therapy that has proven to be quite effective in ameliorating autistic characteristics. Thus the autoimmunity research, unlike the genetic research, has already significantly improved the health and welfare of individuals with autistic disorder. I have recently coined a term “Autoimmune Autism (AA)” to refer to a subset of autism that has autoimmune etiology. Moreover, there are scientific reasons to think that this subset may indeed be a result of vaccine injuries to children who display autistic regression.
Autoimmunity is an abnormal reaction immune reaction, in which the immune system becomes primed to react against body organs. It’s a mosaic of highly complicated interactions and networking between cells and molecules of the immune system. The body makes autoantibodies against itself, resulting in damage to tissues and organs. The “autoimmune” response is what happens in autoimmune diseases such as lupus, and my research showed that a similar response my account for the brain abnormalities found in people with autism.
Autoimmune diseases are identified and characterized by many factors. The hallmark is the “organ-specific autoantibodies” that have also been identified in people with autistic disorder. To that end, I have recently summarized laboratory data of approximately 400 cases (autistic and controls) and found that up to 80% of autistic children have autoantibodies to specific brain structures, in particular a brain protein known as myelin basic protein (MBP) of the myelin sheath, a fatty coating that insulates nerve fibers and absolutely essential for higher brain functions. These autoantibodies are present quite frequently (65-85%) in autistic children, but only rarely (0-5%) in normal children and other disease controls. Accordingly, I postulated that autism involves a specific autoimmune response to MBP -- an immune assault that impairs myelin development in the developing brain, thereby modifying the nerve cell functions of the brain. Ultimately, by way of impaired wiring diagram in the brain, this results into autism.
Autoimmunity is commonly triggered by environmental exposures such as viral infections. Virus serology (or virus antibodies) is an excellent tool for studying virus infections in disease states. However, until recently, such studies had not been performed for autism. Because of my ongoing research, I became interested in examining a virus link with autoimmunity in autism. I recently raised two specific questions: (1) Does autistic children have a hyperimmune response (or increase of antibodies) for a specific virus? (2) Is there a relationship between virus antibodies and brain autoantibodies in autism? I conducted a carefully designed study to address these two questions. Succinctly, I made two very important observations: first, there was indeed a hyperimmune response to a virus and it was specifically for the measles virus (MV), but not for the other viruses tested [human herpesvirus-6 (HHV-6), rubella virus (RV), and cytomegalovirus (CMV)]; and secondly, there was an association between measles virus antibodies and MBP autoantibodies (i.e., the higher the measles virus antibody level the greater the chance of brain autoantibody). Few months earlier in the same year (February, 1998), I had already found that many autistic children had antibodies to a specific protein of the measles-mumps-rubella (MMR) vaccine (MMR vaccine preparation). These viral antibodies were also related to positive titers of brain MBP autoantibodies. This was most probably the first laboratory-based evidence to link measles virus and/or MMR vaccine to autoimmunity in children with autism. Collectively, these observations led me to speculate that autism may be caused by a measles- or MMR vaccine-induced autoimmune response. Unfortunately, due to lack of funding, I have not been able to extend this research and the progress has been hampered.
As I made scientific presentation of my initial findings, a vaccine-autism connection became even more apparent. I compiled a nonscientific, anecdotal survey of vaccine-injured children with “autistic regression” or autistic disorder, as reported by families. Surprisingly, up to 93% of the reported cases had autistic symptoms shortly after vaccinations (52% post-MMR, 33% post-DPT, and 8% post-MMR and/or post-DPT). The remaining 7% of the reported cases were not linked to any vaccination at all. Indeed, if these numbers are reproducible, the data will lead to inescapable conclusion that these vaccines can potentially cause autoimmunity in autism. Quite candidly, this will not be first time that a vaccine has been linked to a disease or disorder. There is quite a bit of literature linking vaccines to autoimmune diseases. Furthermore, an epidemiological study just published in JAMA (March 8th issue) described “extraimmunization” amongst American children and considered it to be a contributing factor for the adverse effects of the vaccines. And I think the vaccines and autism connection is no exception to these adverse effects.
In summary, the rapidly accumulating evidence strongly implicates autoimmunity in autism, which in many may result from a vaccine injury. There is a possibility of an atypical measles infection in autism, but the evidence also suggests a MMR vaccine infection. Without any reservation, I would strongly recommend that this Congressional Committee reviews all the information in bipartisanship, and explore the possibility that drug companies never properly evaluated the safety of vaccines in the first place. If this indeed were true then it becomes imperative that we as a society must pay an immediate attention to this problem; otherwise, an epidemic of autism is a real good possibility. There should be no mistaking about it because autism is on a sharp rise and vaccinations, especially the extraimmunization, could potentially explain this rise. The onset of autism (or autistic regression) post-immunization should no longer be regarded as merely a coincidence with the timing of the vaccinations, as our federal health officials continue to do. We must find new ways to curve adverse effects of vaccines, including autism. Considering a population of 500,000 cases of autism in the United States, the autoimmunity research, but not the genetic research, has already had a great impact on the health and welfare of autistic people. Since brain autoimmunity is found in up to 85% of cases, it can potentially help an estimated 425,000 Americans. Indeed, many of them are already reaping the benefits of the experimental autoimmune therapy. Thus there is an urgent need to promote autoimmunity research in autism. This recommendation is in contrast to the opinions held by the directors of the federal agencies and major private foundations (Cure Autism Now and National Alliance for Autism Research) who are erroneously committed themselves to fund genetic research only. Finally, I urge the Government Reform Committee to provide leadership for new solutions to the existing problems surrounding autism research, and request the Committee Members to be visionary and offer new hope to the people with autism -- The essence of life is to care.
Since the MMR vaccine was introduced about 35 years ago,the incidents of autism in children have increased by 1,000 percent - from two or three in 10,000 - to one in 500.
Evidence of a possible link between the MMR vaccination and autism came from the finding of children from villages, within two miles of each other in Scotland, being diagnosed with autism after MMR inoculation.1 The three children from different families in Ayrshire were given MMR vaccine at the same health center within four months of each other. Child neuro-psychologist, Ken Aitken, said that the cluster of cases in Ayrshire indicated the need for further research before the MMR vaccine can be declared safe beyond doubt.
"More children are being diagnosed with autism and clusters like these are deeply worrying", he said. "There is strong circumstantial evidence to point to the MMR ä as the reason, but there has to be much more coordinated research to look into this issue in detail. Research so far hasn't been adequate to address the questions that are being raised about the possible links and there have been a lot of queries about the validity of the conclusions which were drawn."
In the 1980s, one in 2500 children in Britain and America were diagnosed as autistic. Latest figures compiled by researchers revealed a dramatic leap - to one in 146.
The MMR immunisation was introduced in the UK in 1988 with the first dose aimed at children of 12-15 months, a the second dose at 3-5 years. It is designed to protect against measles, mumps and rubella (German Measles) and works by stimulating the immune system to produce antibodies against the viruses without causing harm. It was so well received by both parents and doctors that over 90 per cent of children were being immunised by 1992.
Most children received the vaccine with no obvious serious side-effects, but some became seriously ill within a few weeks. These children began behaving strangely, stopped talking and became socially withdrawn, staring into space for hours on end. Many developed a raging thirst, bizarre eating habits, multiple food allergies, hyperactivity and sleep problems. This was usually accompanied by abdominal pain, bloating and bowel disturbances. Some children became incontinent of urine or feces. Their development deteriorated. Thousands of children now fall into this category of abnormal development only after receiving the vaccine.
Professor John O'Leary, Director of Pathology at the Coombe Women's Hospital in Dublin, told the US Congress in April, 2000, that he had produced compelling evidence of an association between autism and the MMR vaccine. Professor O'Leary found the measles virus in the guts of 24 out of 25 children who had developed autism, after an apparently previously healthy infancy.
His research supported the findings of Andrew Wakefield, of the Royal Free Hospital, London, who claimed there was an etiological implication between persistent measles virus infection or measles vaccination and inflammatory bowel disease (IBD), mainly on the basis of epidemiological and immunohistochemical findings. Dr. Wakefield identified "autistic enterocolitis", an inflammation of the gut in 150 autistic children who became autistic after receiving the vaccine.
Dr. Aitken, based at Edinburgh University, said, "The substantial increase in cases in the US began about three years after MMR vaccine was introduced and the same thing happened three years after MMR was introduced in Britain. There has been a national increase throughout Britain and I find it very surprising that the change is so tightly linked in time with when triple vaccine was introduced."
On February 28, 1998, Wakefield reported in The Lancet a possible connection among inflammatory bowel disease, autism, and viral infection associated with measles, mumps, and rubella (MMR) vaccination. The damage from autism is thought to be provoked by an allergic reaction initiated by the body's reaction to the vaccine. This auto-immune response may also reduce levels of the dipeptidyl peptidase (DPP)-IV enzyme, thereby connecting vaccines to the opioid theory of autism.
Andrew Wakefield did his first colonoscopy on an autistic child, because the anguished mother begged him to find the reason why her son had such terrible gastrointestinal problems. Finding some very specific pathology, Dr. Wakefield proceeded to investigate 11 more autistic children, again finding similar pathology in all children. These children had lost acquired skills, including communication, after a period of apparent normality.
Among eight of the children, the onset of behavioral problems had been linked, either by the parents or the child's physician, with MMR vaccination Five had an early adverse reaction to immunization (rash, fever, delirium, and seizures in 3). The average interval from exposure to first behavioral symptom was 6.3 days (range: 1-14 days).
Among the remaining 4 children, one received monovalent measles vaccine at 15 months, after which his development slowed. A striking deterioration then occurred in his behavior at age 4.5 years, the day after he received an MMR vaccine. A second child received the MMR vaccine at 16 months, developing at 18 months a combination of recurrent, antibiotic resistant, otitis media, along with his first behavioral symptoms (lack of interest in siblings and lack of play). A third child received an MMR at 15 months, experienced recurrent "viral pneumonia" for the next 8 weeks, and developed behavioral symptoms 4 weeks after the MMR ( loss of speech development and deterioration in language skills). The fourth child developed self- injurious behavior 2 month after the MMR.
Urinary methylmalonic acid excretion was significantly raised in all children tested (8 of the 12). Ten of the twelve children showed lymphoid nodular hyperplasia of the terminal ileum on endoscopy. The eleventh child had prominent luteal lymph nodes and the ileum was not reached in the twelfth (who had an ulcer in the rectum along with chronic colitis).
Wakefield, concluded that a subset of autistic people may suffer brain inflammation resulting from infections that began in their intestines after they were inoculated with the measles-mumps-rubella (MMR) vaccine. Theoretically, this condition could occur after naturally-acquired infection as well. The pro-vaccine community would argue, if this is true, that vaccination still reduces the incidence of disease by reducing the number of infections.
Wakefield's studies received enormous press attention in the United Kingdom. The immediate result of Dr.Wakefield's paper was a vitriolic attack from every front. A flood of opposing articles appeared in the same issue of The Lancet, and systematic criticism, nearing persecution, of Dr. Wakefield began, and is still going on. Rates of vaccination against measles fell to about 85 percent last year. Epidemiologists have been predicting a measles epidemic to result. Ireland reported an outbreak of 300 measles cases as of summer, 2000, compared to only 30for all of 1999. Two of the new cases were infants who had to be hospitalized with pneumonia complications.
Distraught parents of affected children have become even more confused, because no one has been able to prove conclusively to them yet, that an MMR vaccine-Autism connection does not really exist.
We know from data reported before the availability of MMR vaccine, that a subset of autistic children suddenly regressed at age 15 months, long before the measles vaccine became available.There have been no safety follow-up studies looking beyond four weeks post vaccination, and many studies quoted, have been partially funded by vaccine manufacturers, with obvious commercial interests.
No serious researcher has looked at a large sample - three to nine months post MMR vaccination, when auto-immune diseases usually would occur. When some parents in England became vocal, the pro-vaccine authorities in the UK reacted forcefully, to protect the MMR vaccination program. The single measles, mumps and rubella vaccines effectively became unavailable, and every effort was made to prove Dr. Wakefield wrong.
Despite the above, Britain's National Health Service's Chief Medical Officer, Sir Kenneth Calman, felt confident enough to say, "I have concluded there is no link between MMR immunisation and autism." Questioned in Parliament in 1997 on the possible link between MMR and autism, then health minister Tessa Jowell reassured Parliament that: "No vaccine is issued in the United Kingdom unless it passes the highest standards for quality, and parents should have confidence that the vaccines that are provided are both safe and efficacious."
In 1999, two studies appeared that the Department of Health claimed "reinforce the conclusion that there is no link" between MMR and autism. The first, by the Committee on the Safety of Medicines, involved examining questionnaires sent to the parents who had suspected MMR as a cause for their child's autism - 1200 questionnaires were distributed and 126 examined in detail. The study concluded: "It is impossible to prove or refute the suggested associations between MMR vaccine and autism" - hardly convincing reassurance.
The second study cited by the DOH looked at one area - north London - and found an alarming increase in autism there. The incidence was running steadily at between four and eight of the children born there each year between 1978 and 1985. Then came a dramatic increase to just under 50 of the children born in 1992 - the last year studied by Professor Brent Taylor and colleagues at University College London. Curiously, however, they concluded: "Our analyses do not support a causal association between MMR vaccine and autism."
The Taylor study was funded by The Medicines Control Agency and The Public Health Laboratory Service and was published in The Lancet, June 1999. Taylor, et al. stated that the age of diagnosis was the same before and after the introduction of the MMR vaccine, and used this finding to conclude that the MMR vaccine did not have a causative role in autism. Dr. Taylor stated: "For age at first parental concern, no significant temporal clustering was seen for cases of core autism and atypical autism, with the exception of a single interval within six months of MMR vaccine associated with a peak in reported age of parental concern at 18 months." Taylor, et al. Could not explain the increase in autism noted in 1992, the last year for which they examined data.
To others, Taylor's failure to explain the massive increase in autism only added fuel to the controversy. Children who were born in the mid-1980s in Britain and the 1970s in the United Sates were the first to receive the MMR vaccine. In California the incidence of autism was running at 150-200 a year until 1980, when it dramatically rose to reach nearly 600 in 1990.
While Taylor argued that MMR cannot contribute to autism, and Wakefield argued that it might, both studies may be correct. What Taylor may have missed is the susceptible child argument. He limits himself to the more typical, reductionistic, one variable theory of disease. In this theory, one agent causes a disease. All individuals exposed to this agent have equal probability of developing the disease.
A more accurate theory of disease posits susceptible individuals who succumb to the disease after multiple contributory insults. Wakefield worked backwards from children who definitely had autism with gastrointestinal symptoms. Taylor worked forward from all children receiving the MMR vaccine. While various authors question his sampling effort and point out potential bias in how he selected his subjects, the much more important problem lies in Taylor's type of study posing no help for the question of whether susceptible children could be more likely to develop autism after MMR vaccine.
We have only begun to speculate about who is susceptible to autism. We know the risk is higher if one or more family members have the condition. But what are the promoting agents that make autism more likely? Not all children with autistic siblings develop autism. The genetic penetration is not 100%. Non-genetic factors must play a role. Could vaccines be one of these promoting agents? Wakefield suggested yes, and Taylor's study did not really address that question.
Some other investigators have not been able to reproduce Wakefield's findings [M.A. Azfal and colleagues]. They could not detect measles viruses in the bowel, brain, or any other tissue of the patients in Wakefield's series.2
Subjectively, we cannot deny that many parents report developmental deterioration following MMR vaccination. Neurological sequelae following MMR are also widely reported. Dozens of heart-rending, anecdotal accounts link permanent neurologic disability or death to vaccine use. One of the leading sites in the anti-immunization field is the National Vaccine Information Centre (NVIC).
Other studies besides Wakefield's have suggested a link between autism and vaccination. H.H.Fudenberg reported that the first symptoms of autism among 15 of 20 children developed within a week of vaccination. S.Gupta commented on the striking association between MMR vaccination and the onset of behavioral symptoms in all the children he investigated for regressive autism.
The MMR vaccine is all live virus. Disintegrative psychosis is recognized as a sequela of measles encephalitis. Viral encephalitis can give rise to autistic disorders, particularly when it occur early in life.
A genetic association for autism is represented by a null allele of the complement C4B gene located in the class III region of the major histocompatibility complex. The C4B-gene is also crucial for protection against viruses. Affected individuals may not handle certain viruses appropriately - even the attenuated ones used in vaccines. In an addendum to the paper, Wakefield, et al. noted that their sample size had increased to 40 children by Jan 28,1998, with 39 of those showing similar findings. The C4b null allele is present on chromosome 6.3
These studies support our view that MMR vaccine may trigger a cascade of events leading to autism in genetically susceptible children, and not affect children who lack susceptibility. Unfortunately, vaccination among public health and medical practitioners has become almost sacred. Questioning the wisdom of vaccination for certain children is seen as professional heresy. Nevertheless, the possibility cannot be ignored.
Could killed (rather than live virus) MMR accomplish the same task? Should measles be administered separately from mumps? We know that the combination of chicken pox and measles dramatically increases the risk for subacute sclerosing panencephalitis. Perhaps other mixed viral infections are also clinically significant.
More important is the science we must use to explore this. Simple correlation analysis and comparison studies will not suffice. If autism is indeed linked to the MMR vaccine in genetically susceptible individuals, unless these individuals are selected from the larger pool, the statistical significance will cancel out in these studies.
Medical research also suffers from a failure to consider interactions and synergy in the disease process. Simple epidemiology will not suffice either, since we are not even sure what the potential genetic defect is in autism - or if autism is one syndrome or many.
The United States' Center for Disease Control (CDC) believes that the current scientific evidence does not support the hypothesis that MMR, or any combination of vaccines, cause the development of autism, including regressive forms of autism.4 CDC argues that the apparent link between MMR and autism is purely coincidental, based upon the fact that the MMR vaccine is usually given between the ages of 12 and 18 months, which is also the most common age at which autism is diagnosed. One could say, "go figure!", or pursue more sophisticated studies.
An extensive study of the evidence was recently conducted in the United Kingdom. The British Committee on Safety of Medicines convened a "Working Party on MMR Vaccine" to conduct a systematic review of reports of autism, gastrointestinal disease, and similar disorders after receipt of MMR or measles/rubella vaccine. The National Childhood Encephalopathy Study (NCES) was examined to see if there was any link between measles vaccine and neurological events.
The CDC noted that no researchers in England had found any indication that measles vaccine contributed to the development of long-term neurological damage, including educational and behavioral deficits (Miller et al. 1997). A more recent epidemiological study also found no association between MMR vaccine and autism (Taylor et al. 1999). This study compared rates of autism between children who received the MMR vaccine and children who did not. The results found no difference in rates of autism between the two groups. On the other hand, such large scale population studies, would not necessarily be expected to identify a small difference in autistic rates, which, as parents argue, is crucial to those affected.
The CDC agreed with an expert committee from the UK Medical Research Council (MRC) who reviewed Wakefield's research and concluded that no link had been demonstrated between MMR vaccine and inflammatory bowel disease in autism.
Wakefield's study was criticized for:
Using too few cases to make any generalizations about the causes of autism; only 12 children were included in the study. The cases were selected by researchers and may not be representative of many cases of autism.
There were inadequate groups of control children. As a result, it is difficult to determine whether the bowel changes were similar to changes in normal children, or to determine if the rate of vaccination in autistic children was higher than in the general population.
The study did not identify the time period during which the cases were identified.
In at least 4 of the 12 cases, behavioral problems appeared before the onset of symptoms of bowel disease; that is, the effect preceded the proposed cause. It is thus proposed unlikely, therefore, that bowel disease or the MMR vaccine triggered the autism.
The CDC argues against any scientific research or data indicating benefit to separating the MMR vaccine into its individual components. CDC argued that splitting the MMR vaccine into three separate doses could be harmful because it would expose children unnecessarily to potentially serious diseases. If the rubella vaccine were delayed, 4 million children would be susceptible to rubella for an additional six to 12 months. This would potentially allow otherwise preventable cases of congenital rubella syndrome (CRS) to occur. Infection of pregnant woman with "wild" rubella virus is one of the few known causes of autism. Thus, by preventing infection of pregnant women, rubella vaccine also prevents autism, asserts CDC.
CDC argues that, due to the general safety of vaccines, and the rarity of serious vaccine adverse events [Ed: although, see information from the US government contained in a Database of Vaccine Injury: The Vaccine Adverse Event Reporting System (VAERS)], it is extremely difficult to study whether a subgroup (e.g., family members) are actually at increased risk compared with the general population.
The one exception, they acknowledge, is an increased risk of neurologic events -primarily febrile seizures - after vaccination with DTP vaccine and measles-containing vaccines (MCV). The risk increases if any of these have previously occurred in immediate family members. Considering the rare occurrence of these events after DTP and MCV vaccination, the generally benign outcome of febrile convulsions, and the risk of pertussis and measles to unvaccinated people and the general population, the Advisory Committee on Immunization Practices concluded that a history of convulsions in siblings or parents should not be a contraindication to pertussis or measles vaccination.
Special care in the prevention of post-vaccination fever could be warranted in children with a family history of seizures, they admit. For instance, oral polio vaccine (OPV) is contraindicated when there is a family member with immune-deficiency, since OPV can spread to family contacts.
CDC argues for evidence of the benefits of childhood immunization, including record, or near record, low rates of vaccine preventable diseases in the United States. Last year, for example, there were fewer than 100 reported cases of measles - and no deaths - in the US, compared with 27,786 cases and 64 deaths in 1990.
Kawashima, et al.5 reported that measles virus could be present in the intestines of patients with Crohn's disease. Responding to Wakefield's data on "autistic enterocolitis (see above), the authors set out to determine if the virus found in Crohn's disease, ulcerative colitis, and autistic enterocolitis came from wild strains of measles or from vaccine strains.
To do this, they found measles RNA from peripheral blood mononuclear leukocytes (PBML) in eight patients with Crohn's disease, three patients with ulcerative colitis, and nine children with autistic enterocolitis. They used healthy children and patients with subacute sclerosing pan-encephalitis and human immunodeficiency virus 1 as controls (eight patients).
RNA was purified from PBML, followed by reverse transcription. The resulting cDNAs were subjected to nested PCR for detection of specific regions of the hemaglutinin (H) and fusion (F) gene regions. Positive samples were sequenced directly, in nucleotides 8393-8676 (H region) or 5325-5465 (from noncoding F to coding F region).
One of eight patients with Crohn disease, one of three patients with ulcerative colitis, and three of nine children with autism, were positive. Controls were all negative. The sequences obtained from the patients with Crohn's disease shared the characteristics with wild-strain virus. The sequences obtained from the patients with ulcerative colitis and children with autism were consistent with being vaccine strains. The results were concordant with the exposure history of the patients. Persistence of measles virus was confirmed in PBML in some patients with chronic intestinal inflammation.
Robert F. Kennedy Jr. investigates the government cover-up of a mercury/autism scandal
In June 2000, a group of top government scientists and health officials gathered for a meeting at the isolated Simpsonwood conference center in Norcross, Georgia. Convened by the Centers for Disease Control and Prevention, the meeting was held at this Methodist retreat center, nestled in wooded farmland next to the Chattahoochee River, to ensure complete secrecy. The agency had issued no public announcement of the session -- only private invitations to fifty-two attendees. There were high-level officials from the CDC and the Food and Drug Administration, the top vaccine specialist from the World Health Organization in Geneva and representatives of every major vaccine manufacturer, including GlaxoSmithKline, Merck, Wyeth and Aventis Pasteur. All of the scientific data under discussion, CDC officials repeatedly reminded the participants, was strictly "embargoed." There would be no making photocopies of documents, no taking papers with them when they left.
The federal officials and industry representatives had assembled to discuss a disturbing new study that raised alarming questions about the safety of a host of common childhood vaccines administered to infants and young children. According to a CDC epidemiologist named Tom Verstraeten, who had analyzed the agency's massive database containing the medical records of 100,000 children, a mercury-based preservative in the vaccines -- thimerosal -- appeared to be responsible for a dramatic increase in autism and a host of other neurological disorders among children. "I was actually stunned by what I saw," Verstraeten told those assembled at Simpsonwood, citing the staggering number of earlier studies that indicate a link between thimerosal and speech delays, attention-deficit disorder, hyperactivity and autism. Since 1991, when the CDC and the FDA had recommended that three additional vaccines laced with the preservative be given to extremely young infants -- in one case, within hours of birth -- the estimated number of cases of autism had increased fifteenfold, from one in every 2,500 children to one in 166 children.
Even for scientists and doctors accustomed to confronting issues of life and death, the findings were frightening. "You can play with this all you want," Dr. Bill Weil, a consultant for the American Academy of Pediatrics, told the group. The results "are statistically significant." Dr. Richard Johnston, an immunologist and pediatrician from the University of Colorado whose grandson had been born early on the morning of the meeting's first day, was even more alarmed. "My gut feeling?" he said. "Forgive this personal comment -- I do not want my grandson to get a thimerosal-containing vaccine until we know better what is going on."
But instead of taking immediate steps to alert the public and rid the vaccine supply of thimerosal, the officials and executives at Simpsonwood spent most of the next two days discussing how to cover up the damaging data. According to transcripts obtained under the Freedom of Information Act, many at the meeting were concerned about how the damaging revelations about thimerosal would affect the vaccine industry's bottom line. "We are in a bad position from the standpoint of defending any lawsuits," said Dr. Robert Brent, a pediatrician at the Alfred I. duPont Hospital for Children in Delaware. "This will be a resource to our very busy plaintiff attorneys in this country." Dr. Bob Chen, head of vaccine safety for the CDC, expressed relief that "given the sensitivity of the information, we have been able to keep it out of the hands of, let's say, less responsible hands." Dr. John Clements, vaccines adviser at the World Health Organization, declared flatly that the study "should not have been done at all" and warned that the results "will be taken by others and will be used in ways beyond the control of this group. The research results have to be handled."
In fact, the government has proved to be far more adept at handling the damage than at protecting children's health. The CDC paid the Institute of Medicine to conduct a new study to whitewash the risks of thimerosal, ordering researchers to "rule out" the chemical's link to autism. It withheld Verstraeten's findings, even though they had been slated for immediate publication, and told other scientists that his original data had been "lost" and could not be replicated. And to thwart the Freedom of Information Act, it handed its giant database of vaccine records over to a private company, declaring it off-limits to researchers. By the time Verstraeten finally published his study in 2003, he had gone to work for GlaxoSmithKline and reworked his data to bury the link between thimerosal and autism.
Vaccine manufacturers had already begun to phase thimerosal out of injections given to American infants -- but they continued to sell off their mercury-based supplies of vaccines until last year. The CDC and FDA gave them a hand, buying up the tainted vaccines for export to developing countries and allowing drug companies to continue using the preservative in some American vaccines -- including several pediatric flu shots as well as tetanus boosters routinely given to eleven-year-olds.
The drug companies are also getting help from powerful lawmakers in Washington. Senate Majority Leader Bill Frist, who has received $873,000 in contributions from the pharmaceutical industry, has been working to immunize vaccine makers from liability in 4,200 lawsuits that have been filed by the parents of injured children. On five separate occasions, Frist has tried to seal all of the government's vaccine-related documents -- including the Simpsonwood transcripts -- and shield Eli Lilly, the developer of thimerosal, from subpoenas. In 2002, the day after Frist quietly slipped a rider known as the "Eli Lilly Protection Act" into a homeland security bill, the company contributed $10,000 to his campaign and bought 5,000 copies of his book on bioterrorism. The measure was repealed by Congress in 2003 -- but earlier this year, Frist slipped another provision into an anti-terrorism bill that would deny compensation to children suffering from vaccine-related brain disorders. "The lawsuits are of such magnitude that they could put vaccine producers out of business and limit our capacity to deal with a biological attack by terrorists," says Andy Olsen, a legislative assistant to Frist.
Even many conservatives are shocked by the government's effort to cover up the dangers of thimerosal. Rep. Dan Burton, a Republican from Indiana, oversaw a three-year investigation of thimerosal after his grandson was diagnosed with autism. "Thimerosal used as a preservative in vaccines is directly related to the autism epidemic," his House Government Reform Committee concluded in its final report. "This epidemic in all probability may have been prevented or curtailed had the FDA not been asleep at the switch regarding a lack of safety data regarding injected thimerosal, a known neurotoxin." The FDA and other public-health agencies failed to act, the committee added, out of "institutional malfeasance for self protection" and "misplaced protectionism of the pharmaceutical industry."
The story of how government health agencies colluded with Big Pharma to hide the risks of thimerosal from the public is a chilling case study of institutional arrogance, power and greed. I was drawn into the controversy only reluctantly. As an attorney and environmentalist who has spent years working on issues of mercury toxicity, I frequently met mothers of autistic children who were absolutely convinced that their kids had been injured by vaccines. Privately, I was skeptical.
I doubted that autism could be blamed on a single source, and I certainly understood the government's need to reassure parents that vaccinations are safe; the eradication of deadly childhood diseases depends on it. I tended to agree with skeptics like Rep. Henry Waxman, a Democrat from California, who criticized his colleagues on the House Government Reform Committee for leaping to conclusions about autism and vaccinations. "Why should we scare people about immunization," Waxman pointed out at one hearing, "until we know the facts?"
It was only after reading the Simpsonwood transcripts, studying the leading scientific research and talking with many of the nation's pre-eminent authorities on mercury that I became convinced that the link between thimerosal and the epidemic of childhood neurological disorders is real. Five of my own children are members of the Thimerosal Generation -- those born between 1989 and 2003 -- who received heavy doses of mercury from vaccines. "The elementary grades are overwhelmed with children who have symptoms of neurological or immune-system damage," Patti White, a school nurse, told the House Government Reform Committee in 1999. "Vaccines are supposed to be making us healthier; however, in twenty-five years of nursing I have never seen so many damaged, sick kids. Something very, very wrong is happening to our children."
More than 500,000 kids currently suffer from autism, and pediatricians diagnose more than 40,000 new cases every year. The disease was unknown until 1943, when it was identified and diagnosed among eleven children born in the months after thimerosal was first added to baby vaccines in 1931.
Some skeptics dispute that the rise in autism is caused by thimerosal-tainted vaccinations. They argue that the increase is a result of better diagnosis -- a theory that seems questionable at best, given that most of the new cases of autism are clustered within a single generation of children. "If the epidemic is truly an artifact of poor diagnosis," scoffs Dr. Boyd Haley, one of the world's authorities on mercury toxicity, "then where are all the twenty-year-old autistics?" Other researchers point out that Americans are exposed to a greater cumulative "load" of mercury than ever before, from contaminated fish to dental fillings, and suggest that thimerosal in vaccines may be only part of a much larger problem. It's a concern that certainly deserves far more attention than it has received -- but it overlooks the fact that the mercury concentrations in vaccines dwarf other sources of exposure to our children.
What is most striking is the lengths to which many of the leading detectives have gone to ignore -- and cover up -- the evidence against thimerosal. From the very beginning, the scientific case against the mercury additive has been overwhelming. The preservative, which is used to stem fungi and bacterial growth in vaccines, contains ethylmercury, a potent neurotoxin. Truckloads of studies have shown that mercury tends to accumulate in the brains of primates and other animals after they are injected with vaccines -- and that the developing brains of infants are particularly susceptible. In 1977, a Russian study found that adults exposed to much lower concentrations of ethylmercury than those given to American children still suffered brain damage years later. Russia banned thimerosal from children's vaccines twenty years ago, and Denmark, Austria, Japan, Great Britain and all the Scandinavian countries have since followed suit.
"You couldn't even construct a study that shows thimerosal is safe," says Haley, who heads the chemistry department at the University of Kentucky. "It's just too darn toxic. If you inject thimerosal into an animal, its brain will sicken. If you apply it to living tissue, the cells die. If you put it in a petri dish, the culture dies. Knowing these things, it would be shocking if one could inject it into an infant without causing damage."
Internal documents reveal that Eli Lilly, which first developed thimerosal, knew from the start that its product could cause damage -- and even death -- in both animals and humans. In 1930, the company tested thimerosal by administering it to twenty-two patients with terminal meningitis, all of whom died within weeks of being injected -- a fact Lilly didn't bother to report in its study declaring thimerosal safe. In 1935, researchers at another vaccine manufacturer, Pittman-Moore, warned Lilly that its claims about thimerosal's safety "did not check with ours." Half the dogs Pittman injected with thimerosal-based vaccines became sick, leading researchers there to declare the preservative "unsatisfactory as a serum intended for use on dogs."
In the decades that followed, the evidence against thimerosal continued to mount. During the Second World War, when the Department of Defense used the preservative in vaccines on soldiers, it required Lilly to label it "poison." In 1967, a study in Applied Microbiology found that thimerosal killed mice when added to injected vaccines. Four years later, Lilly's own studies discerned that thimerosal was "toxic to tissue cells" in concentrations as low as one part per million -- 100 times weaker than the concentration in a typical vaccine. Even so, the company continued to promote thimerosal as "nontoxic" and also incorporated it into topical disinfectants. In 1977, ten babies at a Toronto hospital died when an antiseptic preserved with thimerosal was dabbed onto their umbilical cords.
In 1982, the FDA proposed a ban on over-the-counter products that contained thimerosal, and in 1991 the agency considered banning it from animal vaccines. But tragically, that same year, the CDC recommended that infants be injected with a series of mercury-laced vaccines. Newborns would be vaccinated for hepatitis B within twenty-four hours of birth, and two-month-old infants would be immunized for haemophilus influenzae B and diphtheria-tetanus-pertussis.
The drug industry knew the additional vaccines posed a danger. The same year that the CDC approved the new vaccines, Dr. Maurice Hilleman, one of the fathers of Merck's vaccine programs, warned the company that six-month-olds who were administered the shots would suffer dangerous exposure to mercury. He recommended that thimerosal be discontinued, "especially when used on infants and children," noting that the industry knew of nontoxic alternatives. "The best way to go," he added, "is to switch to dispensing the actual vaccines without adding preservatives."
For Merck and other drug companies, however, the obstacle was money. Thimerosal enables the pharmaceutical industry to package vaccines in vials that contain multiple doses, which require additional protection because they are more easily contaminated by multiple needle entries. The larger vials cost half as much to produce as smaller, single-dose vials, making it cheaper for international agencies to distribute them to impoverished regions at risk of epidemics. Faced with this "cost consideration," Merck ignored Hilleman's warnings, and government officials continued to push more and more thimerosal-based vaccines for children. Before 1989, American preschoolers received only three vaccinations -- for polio, diphtheria-tetanus-pertussis and measles-mumps-rubella. A decade later, thanks to federal recommendations, children were receiving a total of twenty-two immunizations by the time they reached first grade.
As the number of vaccines increased, the rate of autism among children exploded. During the 1990s, 40 million children were injected with thimerosal-based vaccines, receiving unprecedented levels of mercury during a period critical for brain development. Despite the well-documented dangers of thimerosal, it appears that no one bothered to add up the cumulative dose of mercury that children would receive from the mandated vaccines. "What took the FDA so long to do the calculations?" Peter Patriarca, director of viral products for the agency, asked in an e-mail to the CDC in 1999. "Why didn't CDC and the advisory bodies do these calculations when they rapidly expanded the childhood immunization schedule?"
But by that time, the damage was done. Infants who received all their vaccines, plus boosters, by the age of six months were being injected with levels of ethylmercury 187 times greater than the EPA's limit for daily exposure to methylmercury, a related neurotoxin. Although the vaccine industry insists that ethylmercury poses little danger because it breaks down rapidly and is removed by the body, several studies -- including one published in April by the National Institutes of Health -- suggest that ethylmercury is actually more toxic to developing brains and stays in the brain longer than methylmercury.
Officials responsible for childhood immunizations insist that the additional vaccines were necessary to protect infants from disease and that thimerosal is still essential in developing nations, which, they often claim, cannot afford the single-dose vials that don't require a preservative. Dr. Paul Offit, one of CDC's top vaccine advisers, told me, "I think if we really have an influenza pandemic -- and certainly we will in the next twenty years, because we always do -- there's no way on God's earth that we immunize 280 million people with single-dose vials. There has to be multidose vials."
But while public-health officials may have been well-intentioned, many of those on the CDC advisory committee who backed the additional vaccines had close ties to the industry. Dr. Sam Katz, the committee's chair, was a paid consultant for most of the major vaccine makers and shares a patent on a measles vaccine with Merck, which also manufactures the hepatitis B vaccine. Dr. Neal Halsey, another committee member, worked as a researcher for the vaccine companies and received honoraria from Abbott Labs for his research on the hepatitis B vaccine.
Indeed, in the tight circle of scientists who work on vaccines, such conflicts of interest are common. Rep. Burton says that the CDC "routinely allows scientists with blatant conflicts of interest to serve on intellectual advisory committees that make recommendations on new vaccines," even though they have "interests in the products and companies for which they are supposed to be providing unbiased oversight." The House Government Reform Committee discovered that four of the eight CDC advisers who approved guidelines for a rotavirus vaccine laced with thimerosal "had financial ties to the pharmaceutical companies that were developing different versions of the vaccine."
Offit, who shares a patent on the vaccine, acknowledged to me that he "would make money" if his vote to approve it eventually leads to a marketable product. But he dismissed my suggestion that a scientist's direct financial stake in CDC approval might bias his judgment. "It provides no conflict for me," he insists. "I have simply been informed by the process, not corrupted by it. When I sat around that table, my sole intent was trying to make recommendations that best benefited the children in this country. It's offensive to say that physicians and public-health people are in the pocket of industry and thus are making decisions that they know are unsafe for children. It's just not the way it works."
Other vaccine scientists and regulators gave me similar assurances. Like Offit, they view themselves as enlightened guardians of children's health, proud of their "partnerships" with pharmaceutical companies, immune to the seductions of personal profit, besieged by irrational activists whose anti-vaccine campaigns are endangering children's health. They are often resentful of questioning. "Science," says Offit, "is best left to scientists."
Still, some government officials were alarmed by the apparent conflicts of interest. In his e-mail to CDC administrators in 1999, Paul Patriarca of the FDA blasted federal regulators for failing to adequately scrutinize the danger posed by the added baby vaccines. "I'm not sure there will be an easy way out of the potential perception that the FDA, CDC and immunization-policy bodies may have been asleep at the switch re: thimerosal until now," Patriarca wrote. The close ties between regulatory officials and the pharmaceutical industry, he added, "will also raise questions about various advisory bodies regarding aggressive recommendations for use" of thimerosal in child vaccines.
If federal regulators and government scientists failed to grasp the potential risks of thimerosal over the years, no one could claim ignorance after the secret meeting at Simpsonwood. But rather than conduct more studies to test the link to autism and other forms of brain damage, the CDC placed politics over science. The agency turned its database on childhood vaccines -- which had been developed largely at taxpayer expense -- over to a private agency, America's Health Insurance Plans, ensuring that it could not be used for additional research. It also instructed the Institute of Medicine, an advisory organization that is part of the National Academy of Sciences, to produce a study debunking the link between thimerosal and brain disorders. The CDC "wants us to declare, well, that these things are pretty safe," Dr. Marie McCormick, who chaired the IOM's Immunization Safety Review Committee, told her fellow researchers when they first met in January 2001. "We are not ever going to come down that [autism] is a true side effect" of thimerosal exposure. According to transcripts of the meeting, the committee's chief staffer, Kathleen Stratton, predicted that the IOM would conclude that the evidence was "inadequate to accept or reject a causal relation" between thimerosal and autism. That, she added, was the result "Walt wants" -- a reference to Dr. Walter Orenstein, director of the National Immunization Program for the CDC.
For those who had devoted their lives to promoting vaccination, the revelations about thimerosal threatened to undermine everything they had worked for. "We've got a dragon by the tail here," said Dr. Michael Kaback, another committee member. "The more negative that [our] presentation is, the less likely people are to use vaccination, immunization -- and we know what the results of that will be. We are kind of caught in a trap. How we work our way out of the trap, I think is the charge."
Even in public, federal officials made it clear that their primary goal in studying thimerosal was to dispel doubts about vaccines. "Four current studies are taking place to rule out the proposed link between autism and thimerosal," Dr. Gordon Douglas, then-director of strategic planning for vaccine research at the National Institutes of Health, assured a Princeton University gathering in May 2001. "In order to undo the harmful effects of research claiming to link the [measles] vaccine to an elevated risk of autism, we need to conduct and publicize additional studies to assure parents of safety." Douglas formerly served as president of vaccinations for Merck, where he ignored warnings about thimerosal's risks.
In May of last year, the Institute of Medicine issued its final report. Its conclusion: There is no proven link between autism and thimerosal in vaccines. Rather than reviewing the large body of literature describing the toxicity of thimerosal, the report relied on four disastrously flawed epidemiological studies examining European countries, where children received much smaller doses of thimerosal than American kids. It also cited a new version of the Verstraeten study, published in the journal Pediatrics, that had been reworked to reduce the link between thimerosal and autism. The new study included children too young to have been diagnosed with autism and overlooked others who showed signs of the disease. The IOM declared the case closed and -- in a startling position for a scientific body -- recommended that no further research be conducted.
The report may have satisfied the CDC, but it convinced no one. Rep. David Weldon, a Republican physician from Florida who serves on the House Government Reform Committee, attacked the Institute of Medicine, saying it relied on a handful of studies that were "fatally flawed" by "poor design" and failed to represent "all the available scientific and medical research." CDC officials are not interested in an honest search for the truth, Weldon told me, because "an association between vaccines and autism would force them to admit that their policies irreparably damaged thousands of children. Who would want to make that conclusion about themselves?"
Under pressure from congress, parents and a few of its own panel members, the Institute of Medicine reluctantly convened a second panel to review the findings of the first. In February, the new panel, composed of different scientists, criticized the earlier panel for its lack of transparency and urged the CDC to make its vaccine database available to the public.
So far, though, only two scientists have managed to gain access. Dr. Mark Geier, president of the Genetics Center of America, and his son, David, spent a year battling to obtain the medical records from the CDC. Since August 2002, when members of Congress pressured the agency to turn over the data, the Geiers have completed six studies that demonstrate a powerful correlation between thimerosal and neurological damage in children. One study, which compares the cumulative dose of mercury received by children born between 1981 and 1985 with those born between 1990 and 1996, found a "very significant relationship" between autism and vaccines. Another study of educational performance found that kids who received higher doses of thimerosal in vaccines were nearly three times as likely to be diagnosed with autism and more than three times as likely to suffer from speech disorders and mental retardation. Another soon-to-be published study shows that autism rates are in decline following the recent elimination of thimerosal from most vaccines.
As the federal government worked to prevent scientists from studying vaccines, others have stepped in to study the link to autism. In April, reporter Dan Olmsted of UPI undertook one of the more interesting studies himself. Searching for children who had not been exposed to mercury in vaccines -- the kind of population that scientists typically use as a "control" in experiments -- Olmsted scoured the Amish of Lancaster County, Pennsylvania, who refuse to immunize their infants. Given the national rate of autism, Olmsted calculated that there should be 130 autistics among the Amish. He found only four. One had been exposed to high levels of mercury from a power plant. The other three -- including one child adopted from outside the Amish community -- had received their vaccines.
At the state level, many officials have also conducted in-depth reviews of thimerosal. While the Institute of Medicine was busy whitewashing the risks, the Iowa legislature was carefully combing through all of the available scientific and biological data. "After three years of review, I became convinced there was sufficient credible research to show a link between mercury and the increased incidences in autism," says state Sen. Ken Veenstra, a Republican who oversaw the investigation. "The fact that Iowa's 700 percent increase in autism began in the 1990s, right after more and more vaccines were added to the children's vaccine schedules, is solid evidence alone." Last year, Iowa became the first state to ban mercury in vaccines, followed by California. Similar bans are now under consideration in thirty-two other states.
But instead of following suit, the FDA continues to allow manufacturers to include thimerosal in scores of over-the-counter medications as well as steroids and injected collagen. Even more alarming, the government continues to ship vaccines preserved with thimerosal to developing countries -- some of which are now experiencing a sudden explosion in autism rates. In China, where the disease was virtually unknown prior to the introduction of thimerosal by U.S. drug manufacturers in 1999, news reports indicate that there are now more than 1.8 million autistics. Although reliable numbers are hard to come by, autistic disorders also appear to be soaring in India, Argentina, Nicaragua and other developing countries that are now using thimerosal-laced vaccines. The World Health Organization continues to insist thimerosal is safe, but it promises to keep the possibility that it is linked to neurological disorders "under review."
I devoted time to study this issue because I believe that this is a moral crisis that must be addressed. If, as the evidence suggests, our public-health authorities knowingly allowed the pharmaceutical industry to poison an entire generation of American children, their actions arguably constitute one of the biggest scandals in the annals of American medicine. "The CDC is guilty of incompetence and gross negligence," says Mark Blaxill, vice president of Safe Minds, a nonprofit organization concerned about the role of mercury in medicines. "The damage caused by vaccine exposure is massive. It's bigger than asbestos, bigger than tobacco, bigger than anything you've ever seen."
It's hard to calculate the damage to our country -- and to the international efforts to eradicate epidemic diseases -- if Third World nations come to believe that America's most heralded foreign-aid initiative is poisoning their children. It's not difficult to predict how this scenario will be interpreted by America's enemies abroad. The scientists and researchers -- many of them sincere, even idealistic -- who are participating in efforts to hide the science on thimerosal claim that they are trying to advance the lofty goal of protecting children in developing nations from disease pandemics. They are badly misguided. Their failure to come clean on thimerosal will come back horribly to haunt our country and the world's poorest populations.
VACCINES, MERCURY, AUTISM---THE CHEMICAL CRIMES
JUNE 20, 2005. The article below, written by Robert F Kennedy, Jr., was published in Salon.com and then re-printed in Common Dreams. It concerns the toxic effects of mercury in vaccines and the cover-up of that crime.
Several comments:
This article assumes that vaccines are a good thing. I have disputed that assumption for the last 15 years, and have written much on the subject.
In general, the long-term decline in various so-called infectious diseases is attributable to factors like improved nutrition and sanitation and cleaner water supplies and less overcrowding of populations---not the introduction of vaccines.
There are still vaccines on the market that contain mercury, and there are also drugs that contain mercury.
While it may be polite to say that health authorities overlooked the mercury problem, and while it may be less polite to say they coverered it up, in reality we are talking about a crime. A crime of poisoning. It is one of the most basic and traditional of crimes. It is actually a form of warfare, no matter what rationalizations are offered.
The most often-used rationalization goes this way: "We know that vaccines are miracles of disease prevention. If we scare the public by admitting we have been using a poison in vaccines, they will stay away from all vaccines, they won't trust us, and millions of unvaccinated children will die. Therefore, we must lie."
In fact, vaccines are not miracles. They are multi-faceted poisons. They may induce the formation of antibodies, which are said to be the best protection against future disease, but human immunity from disease is a much more complex situation. Immunity really comes from basic overall health, not from a shot of attenuated and/or live germs plus mercury, aluminum, formaldehyde, and other chemicals.
Medical authorities have no problem saying the public should be the last to know. "We will protect you, but you must leave the method to us. You shouldn't enter into the process, which is really science, about which you know nothing. We're the pros. Trust us. Don't impede us."
Treating the public as a mass of uncomprehending idiots, time and time again, establishes a self-fulfilling prophecy. Walled off from vital information, the public does become more ignorant and less able to think matters through to essential conclusions.
Although it is true that admitting the mercury-autism link would greatly injure the profit picture of pharmaceutical companies and bring down hundreds of class-action suits on their heads, it is more true that a crime is in progress. In other words, if we focus too tightly on the concept that these companies are wrongly trying to protect their money, we don't emphasize strongly enough that they and the government agencies that aid them are engaged in a death-injection program.
Published on Thursday, June 16, 2005 by Salon.com
Deadly Immunity
When a study revealed that mercury in childhood vaccines may have caused autism in thousands of kids, the government rushed to conceal the data -- and to prevent parents from suing drug companies for their role in the epidemic.
by Robert F. Kennedy Jr.
In June 2000, a group of top government scientists and health officials gathered for a meeting at the isolated Simpsonwood conference center in Norcross, Ga. Convened by the Centers for Disease Control and Prevention, the meeting was held at this Methodist retreat center, nestled in wooded farmland next to the Chattahoochee River, to ensure complete secrecy.
The agency had issued no public announcement of the session -- only private invitations to 52 attendees. There were high-level officials from the CDC and the Food and Drug Administration, the top vaccine specialist from the World Health Organization in Geneva, and representatives of every major vaccine manufacturer, including GlaxoSmithKline, Merck, Wyeth and Aventis Pasteur.
All of the scientific data under discussion, CDC officials repeatedly reminded the participants, was strictly "embargoed." There would be no making photocopies of documents, no taking papers with them when they left.
The federal officials and industry representatives had assembled to discuss a disturbing new study that raised alarming questions about the safety of a host of common childhood vaccines administered to infants and young children. According to a CDC epidemiologist named Tom Verstraeten, who had analyzed the agency's massive database containing the medical records of 100,000 children, a mercury-based preservative in the vaccines -- thimerosal -- appeared to be responsible for a dramatic increase in autism and a host of other neurological disorders among children.
"I was actually stunned by what I saw," Verstraeten told those assembled at Simpsonwood, citing the staggering number of earlier studies that indicate a link between thimerosal and speech delays, attention-deficit disorder, hyperactivity and autism.
Since 1991, when the CDC and the FDA had recommended that three additional vaccines laced with the preservative be given to extremely young infants -- in one case, within hours of birth -- the estimated number of cases of autism had increased fifteenfold, from one in every 2,500 children to one in 166 children.
Even for scientists and doctors accustomed to confronting issues of life and death, the findings were frightening. "You can play with this all you want," Dr. Bill Weil, a consultant for the American Academy of Pediatrics, told the group. The results "are statistically significant."
Dr. Richard Johnston, an immunologist and pediatrician from the University of Colorado whose grandson had been born early on the morning of the meeting's first day, was even more alarmed. "My gut feeling?" he said. "Forgive this personal comment -- I do not want my grandson to get a thimerosal-containing vaccine until we know better what is going on."
But instead of taking immediate steps to alert the public and rid the vaccine supply of thimerosal, the officials and executives at Simpsonwood spent most of the next two days discussing how to cover up the damaging data.
According to transcripts obtained under the Freedom of Information Act, many at the meeting were concerned about how the damaging revelations about thimerosal would affect the vaccine industry's bottom line. "We are in a bad position from the standpoint of defending any lawsuits," said Dr. Robert Brent, a pediatrician at the Alfred I. duPont Hospital for Children in Delaware. "This will be a resource to our very busy plaintiff attorneys in this country."
Dr. Bob Chen, head of vaccine safety for the CDC, expressed relief that "given the sensitivity of the information, we have been able to keep it out of the hands of, let's say, less responsible hands."
Dr. John Clements, vaccines advisor at the World Health Organization, declared flatly that the study "should not have been done at all" and warned that the results "will be taken by others and will be used in ways beyond the control of this group. The research results have to be handled."
In fact, the government has proved to be far more adept at handling the damage than at protecting children's health. The CDC paid the Institute of Medicine to conduct a new study to whitewash the risks of thimerosal, ordering researchers to "rule out" the chemical's link to autism. It withheld Verstraeten's findings, even though they had been slated for immediate publication, and told other scientists that his original data had been "lost" and could not be replicated. And to thwart the Freedom of Information Act, it handed its giant database of vaccine records over to a private company, declaring it off-limits to researchers.
By the time Verstraeten finally published his study in 2003, he had gone to work for GlaxoSmithKline and reworked his data to bury the link between thimerosal and autism.
Vaccine manufacturers had already begun to phase thimerosal out of injections given to American infants -- but they continued to sell off their mercury-based supplies of vaccines until last year. The CDC and FDA gave them a hand, buying up the tainted vaccines for export to developing countries and allowing drug companies to continue using the preservative in some American vaccines -- including several pediatric flu shots as well as tetanus boosters routinely given to 11-year-olds.
The drug companies are also getting help from powerful lawmakers in Washington. Senate Majority Leader Bill Frist, who has received $873,000 in contributions from the pharmaceutical industry, has been working to immunize vaccine makers from liability in 4,200 lawsuits that have been filed by the parents of injured children.
On five separate occasions, Frist has tried to seal all of the government's vaccine-related documents -- including the Simpsonwood transcripts -- and shield Eli Lilly, the developer of thimerosal, from subpoenas. In 2002, the day after Frist quietly slipped a rider known as the "Eli Lilly Protection Act" into a homeland security bill, the company contributed $10,000 to his campaign and bought 5,000 copies of his book on bioterrorism.
Congress repealed the measure in 2003 -- but earlier this year, Frist slipped another provision into an anti-terrorism bill that would deny compensation to children suffering from vaccine-related brain disorders. "The lawsuits are of such magnitude that they could put vaccine producers out of business and limit our capacity to deal with a biological attack by terrorists," says Andy Olsen, a legislative assistant to Frist.
Even many conservatives are shocked by the government's effort to cover up the dangers of thimerosal. Rep. Dan Burton, a Republican from Indiana, oversaw a three-year investigation of thimerosal after his grandson was diagnosed with autism. "Thimerosal used as a preservative in vaccines is directly related to the autism epidemic," his House Government Reform Committee concluded in its final report. "This epidemic in all probability may have been prevented or curtailed had the FDA not been asleep at the switch regarding a lack of safety data regarding injected thimerosal, a known neurotoxin."
The FDA and other public-health agencies failed to act, the committee added, out of "institutional malfeasance for self protection" and "misplaced protectionism of the pharmaceutical industry."
The story of how government health agencies colluded with Big Pharma to hide the risks of thimerosal from the public is a chilling case study of institutional arrogance, power and greed. I was drawn into the controversy only reluctantly. As an attorney and environmentalist who has spent years working on issues of mercury toxicity, I frequently met mothers of autistic children who were absolutely convinced that their kids had been injured by vaccines. Privately, I was skeptical. I doubted that autism could be blamed on a single source, and I certainly understood the government's need to reassure parents that vaccinations are safe; the eradication of deadly childhood diseases depends on it. I tended to agree with skeptics like Rep. Henry Waxman, a Democrat from California, who criticized his colleagues on the House Government Reform Committee for leaping to conclusions about autism and vaccinations.
"Why should we scare people about immunization," Waxman pointed out at one hearing, "until we know the facts?" It was only after reading the Simpsonwood transcripts, studying the leading scientific research and talking with many of the nation's preeminent authorities on mercury that I became convinced that the link between thimerosal and the epidemic of childhood neurological disorders is real.
Five of my own children are members of the Thimerosal Generation -- those born between 1989 and 2003 -- who received heavy doses of mercury from vaccines. "The elementary grades are overwhelmed with children who have symptoms of neurological or immune-system damage," Patti White, a school nurse, told the House Government Reform Committee in 1999. "Vaccines are supposed to be making us healthier; however, in 25 years of nursing I have never seen so many damaged, sick kids. Something very, very wrong is happening to our children."
More than 500,000 kids currently suffer from autism, and pediatricians diagnose more than 40,000 new cases every year. The disease was unknown until 1943, when it was identified and diagnosed among 11 children born in the months after thimerosal was first added to baby vaccines in 1931.
Some skeptics dispute that the rise in autism is caused by thimerosal-tainted vaccinations. They argue that the increase is a result of better diagnosis -- a theory that seems questionable at best, given that most of the new cases of autism are clustered within a single generation of children. "If the epidemic is truly an artifact of poor diagnosis," scoffs Dr. Boyd Haley, one of the world's authorities on mercury toxicity, "then where are all the 20-year-old autistics?"
Other researchers point out that Americans are exposed to a greater cumulative "load" of mercury than ever before, from contaminated fish to dental fillings, and suggest that thimerosal in vaccines may be only part of a much larger problem. It's a concern that certainly deserves far more attention than it has received -- but it overlooks the fact that the mercury concentrations in vaccines dwarf other sources of exposure to our children.
What is most striking is the lengths to which many of the leading detectives have gone to ignore -- and cover up -- the evidence against thimerosal. From the very beginning, the scientific case against the mercury additive has been overwhelming. The preservative, which is used to stem fungi and bacterial growth in vaccines, contains ethylmercury, a potent neurotoxin. Truckloads of studies have shown that mercury tends to accumulate in the brains of primates and other animals after they are injected with vaccines -- and that the developing brains of infants are particularly susceptible.
In 1977, a Russian study found that adults exposed to much lower concentrations of ethylmercury than those given to American children still suffered brain damage years later. Russia banned thimerosal from children's vaccines 20 years ago, and Denmark, Austria, Japan, Great Britain and all the Scandinavian countries have since followed suit.
"You couldn't even construct a study that shows thimerosal is safe," says Haley, who heads the chemistry department at the University of Kentucky. "It's just too darn toxic. If you inject thimerosal into an animal, its brain will sicken. If you apply it to living tissue, the cells die. If you put it in a petri dish, the culture dies. Knowing these things, it would be shocking if one could inject it into an infant without causing damage."
Internal documents reveal that Eli Lilly, which first developed thimerosal, knew from the start that its product could cause damage -- and even death -- in both animals and humans. In 1930, the company tested thimerosal by administering it to 22 patients with terminal meningitis, all of whom died within weeks of being injected -- a fact Lilly didn't bother to report in its study declaring thimerosal safe.
In 1935, researchers at another vaccine manufacturer, Pittman-Moore, warned Lilly that its claims about thimerosal's safety "did not check with ours." Half the dogs Pittman injected with thimerosal-based vaccines became sick, leading researchers there to declare the preservative "unsatisfactory as a serum intended for use on dogs."
In the decades that followed, the evidence against thimerosal continued to mount. During the Second World War, when the Department of Defense used the preservative in vaccines on soldiers, it required Lilly to label it "poison." In 1967, a study in Applied Microbiology found that thimerosal killed mice when added to injected vaccines. Four years later, Lilly's own studies discerned that thimerosal was "toxic to tissue cells" in concentrations as low as one part per million -- 100 times weaker than the concentration in a typical vaccine.
Even so, the company continued to promote thimerosal as "nontoxic" and also incorporated it into topical disinfectants. In 1977, 10 babies at a Toronto hospital died when an antiseptic preserved with thimerosal was dabbed onto their umbilical cords. In 1982, the FDA proposed a ban on over-the-counter products that contained thimerosal, and in 1991 the agency considered banning it from animal vaccines. But tragically, that same year, the CDC recommended that infants be injected with a series of mercury-laced vaccines. Newborns would be vaccinated for hepatitis B within 24 hours of birth, and 2-month-old infants would be immunized for haemophilus influenzae B and diphtheria-tetanus-pertussis.
The drug industry knew the additional vaccines posed a danger. The same year that the CDC approved the new vaccines, Dr. Maurice Hilleman, one of the fathers of Merck's vaccine programs, warned the company that 6-month-olds who were administered the shots would suffer dangerous exposure to mercury. He recommended that thimerosal be discontinued, "especially when used on infants and children," noting that the industry knew of nontoxic alternatives. "The best way to go," he added, "is to switch to dispensing the actual vaccines without adding preservatives."
For Merck and other drug companies, however, the obstacle was money. Thimerosal enables the pharmaceutical industry to package vaccines in vials that contain multiple doses, which require additional protection because they are more easily contaminated by multiple needle entries. The larger vials cost half as much to produce as smaller, single-dose vials, making it cheaper for international agencies to distribute them to impoverished regions at risk of epidemics.
Faced with this "cost consideration," Merck ignored Hilleman's warnings, and government officials continued to push more and more thimerosal-based vaccines for children. Before 1989, American preschoolers received only three vaccinations -- for polio, diphtheria-tetanus-pertussis and measles-mumps-rubella. A decade later, thanks to federal recommendations, children were receiving a total of 22 immunizations by the time they reached first grade.
As the number of vaccines increased, the rate of autism among children exploded. During the 1990s, 40 million children were injected with thimerosal-based vaccines, receiving unprecedented levels of mercury during a period critical for brain development. Despite the well-documented dangers of thimerosal, it appears that no one bothered to add up the cumulative dose of mercury that children would receive from the mandated vaccines. "What took the FDA so long to do the calculations?" Peter Patriarca, director of viral products for the agency, asked in an e-mail to the CDC in 1999. "Why didn't CDC and the advisory bodies do these calculations when they rapidly expanded the childhood immunization schedule?"
But by that time, the damage was done. Infants who received all their vaccines, plus boosters, by the age of 6 months were being injected with levels of ethylmercury 187 times greater than the EPA's limit for daily exposure to methylmercury, a related neurotoxin. Although the vaccine industry insists that ethylmercury poses little danger because it breaks down rapidly and is removed by the body, several studies -- including one published in April by the National Institutes of Health -- suggest that ethylmercury is actually more toxic to developing brains and stays in the brain longer than methylmercury.
Officials responsible for childhood immunizations insist that the additional vaccines were necessary to protect infants from disease and that thimerosal is still essential in developing nations, which, they often claim, cannot afford the single-dose vials that don't require a preservative.
Dr. Paul Offit, one of CDC's top vaccine advisors, told me, "I think if we really have an influenza pandemic -- and certainly we will in the next 20 years, because we always do -- there's no way on God's earth that we immunize 280 million people with single-dose vials. There has to be multidose vials." But while public-health officials may have been well-intentioned, many of those on the CDC advisory committee who backed the additional vaccines had close ties to the industry.
Dr. Sam Katz, the committee's chair, was a paid consultant for most of the major vaccine makers and shares a patent on a measles vaccine with Merck, which also manufactures the hepatitis B vaccine. Dr. Neal Halsey, another committee member, worked as a researcher for the vaccine companies and received honoraria from Abbott Labs for his research on the hepatitis B vaccine. Indeed, in the tight circle of scientists who work on vaccines, such conflicts of interest are common.
Rep. Burton says that the CDC "routinely allows scientists with blatant conflicts of interest to serve on intellectual advisory committees that make recommendations on new vaccines," even though they have "interests in the products and companies for which they are supposed to be providing unbiased oversight."
The House Government Reform Committee discovered that four of the eight CDC advisors who approved guidelines for a rotavirus vaccine laced with thimerosal "had financial ties to the pharmaceutical companies that were developing different versions of the vaccine." Offit, who shares a patent on the vaccine, acknowledged to me that he "would make money" if his vote to approve it eventually leads to a marketable product. But he dismissed my suggestion that a scientist's direct financial stake in CDC approval might bias his judgment.
"It provides no conflict for me," he insists. "I have simply been informed by the process, not corrupted by it. When I sat around that table, my sole intent was trying to make recommendations that best benefited the children in this country. It's offensive to say that physicians and public-health people are in the pocket of industry and thus are making decisions that they know are unsafe for children. It's just not the way it works."
Other vaccine scientists and regulators gave me similar assurances. Like Offit, they view themselves as enlightened guardians of children's health, proud of their "partnerships" with pharmaceutical companies, immune to the seductions of personal profit, besieged by irrational activists whose anti-vaccine campaigns are endangering children's health. They are often resentful of questioning. "Science," says Offit, "is best left to scientists."
Still, some government officials were alarmed by the apparent conflicts of interest. In his e-mail to CDC administrators in 1999, Paul Patriarca of the FDA blasted federal regulators for failing to adequately scrutinize the danger posed by the added baby vaccines. "I'm not sure there will be an easy way out of the potential perception that the FDA, CDC and immunization-policy bodies may have been asleep at the switch re: thimerosal until now," Patriarca wrote. The close ties between regulatory officials and the pharmaceutical industry, he added, "will also raise questions about various advisory bodies regarding aggressive recommendations for use" of thimerosal in child vaccines.
If federal regulators and government scientists failed to grasp the potential risks of thimerosal over the years, no one could claim ignorance after the secret meeting at Simpsonwood. But rather than conduct more studies to test the link to autism and other forms of brain damage, the CDC placed politics over science. The agency turned its database on childhood vaccines -- which had been developed largely at taxpayer expense -- over to a private agency, America's Health Insurance Plans, ensuring that it could not be used for additional research. It also instructed the Institute of Medicine, an advisory organization that is part of the National Academy of Sciences, to produce a study debunking the link between thimerosal and brain disorders.
The CDC "wants us to declare, well, that these things are pretty safe," Dr. Marie McCormick, who chaired the IOM's Immunization Safety Review Committee, told her fellow researchers when they first met in January 2001. "We are not ever going to come down that [autism] is a true side effect" of thimerosal exposure.
According to transcripts of the meeting, the committee's chief staffer, Kathleen Stratton, predicted that the IOM would conclude that the evidence was "inadequate to accept or reject a causal relation" between thimerosal and autism. That, she added, was the result "Walt wants" -- a reference to Dr. Walter Orenstein, director of the National Immunization Program for the CDC.
For those who had devoted their lives to promoting vaccination, the revelations about thimerosal threatened to undermine everything they had worked for. "We've got a dragon by the tail here," said Dr. Michael Kaback, another committee member. "The more negative that [our] presentation is, the less likely people are to use vaccination, immunization -- and we know what the results of that will be. We are kind of caught in a trap. How we work our way out of the trap, I think is the charge."
Even in public, federal officials made it clear that their primary goal in studying thimerosal was to dispel doubts about vaccines. "Four current studies are taking place to rule out the proposed link between autism and thimerosal," Dr. Gordon Douglas, then-director of strategic planning for vaccine research at the National Institutes of Health, assured a Princeton University gathering in May 2001. "In order to undo the harmful effects of research claiming to link the [measles] vaccine to an elevated risk of autism, we need to conduct and publicize additional studies to assure parents of safety."
Douglas formerly served as president of vaccinations for Merck, where he ignored warnings about thimerosal's risks. In May of last year, the Institute of Medicine issued its final report. Its conclusion: There is no proven link between autism and thimerosal in vaccines. Rather than reviewing the large body of literature describing the toxicity of thimerosal, the report relied on four disastrously flawed epidemiological studies examining European countries, where children received much smaller doses of thimerosal than American kids. It also cited a new version of the Verstraeten study, published in the journal Pediatrics, that had been reworked to reduce the link between thimerosal and autism. The new study included children too young to have been diagnosed with autism and overlooked others who showed signs of the disease.
The IOM declared the case closed and -- in a startling position for a scientific body -- recommended that no further research be conducted.
The report may have satisfied the CDC, but it convinced no one. Rep. David Weldon, a Republican physician from Florida who serves on the House Government Reform Committee, attacked the Institute of Medicine, saying it relied on a handful of studies that were "fatally flawed" by "poor design" and failed to represent "all the available scientific and medical research." CDC officials are not interested in an honest search for the truth, Weldon told me, because "an association between vaccines and autism would force them to admit that their policies irreparably damaged thousands of children. Who would want to make that conclusion about themselves?"
Under pressure from Congress, parents and a few of its own panel members, the Institute of Medicine reluctantly convened a second panel to review the findings of the first. In February, the new panel, composed of different scientists, criticized the earlier panel for its lack of transparency and urged the CDC to make its vaccine database available to the public. So far, though, only two scientists have managed to gain access. Dr. Mark Geier, president of the Genetics Center of America, and his son, David, spent a year battling to obtain the medical records from the CDC. Since August 2002, when members of Congress pressured the agency to turn over the data, the Geiers have completed six studies that demonstrate a powerful correlation between thimerosal and neurological damage in children. One study, which compares the cumulative dose of mercury received by children born between 1981 and 1985 with those born between 1990 and 1996, found a "very significant relationship" between autism and vaccines. Another study of educational performance found that kids who received higher doses of thimerosal in vaccines were nearly three times as likely to be diagnosed with autism and more than three times as likely to suffer from speech disorders and mental retardation.
Another soon-to-be-published study shows that autism rates are in decline following the recent elimination of thimerosal from most vaccines. As the federal government worked to prevent scientists from studying vaccines, others have stepped in to study the link to autism. In April, reporter Dan Olmsted of UPI undertook one of the more interesting studies himself. Searching for children who had not been exposed to mercury in vaccines -- the kind of population that scientists typically use as a "control" in experiments -- Olmsted scoured the Amish of Lancaster County, Penn., who refuse to immunize their infants. Given the national rate of autism, Olmsted calculated that there should be 130 autistics among the Amish. He found only four. One had been exposed to high levels of mercury from a power plant. The other three -- including one child adopted from outside the Amish community -- had received their vaccines.
At the state level, many officials have also conducted in-depth reviews of thimerosal. While the Institute of Medicine was busy whitewashing the risks, the Iowa Legislature was carefully combing through all of the available scientific and biological data. "After three years of review, I became convinced there was sufficient credible research to show a link between mercury and the increased incidences in autism," says state Sen. Ken Veenstra, a Republican who oversaw the investigation. "The fact that Iowa's 700 percent increase in autism began in the 1990s, right after more and more vaccines were added to the children's vaccine schedules, is solid evidence alone."
Last year, Iowa became the first state to ban mercury in vaccines, followed by California. Similar bans are now under consideration in 32 other states. But instead of following suit, the FDA continues to allow manufacturers to include thimerosal in scores of over-the-counter medications as well as steroids and injected collagen. Even more alarming, the government continues to ship vaccines preserved with thimerosal to developing countries -- some of which are now experiencing a sudden explosion in autism rates.
In China, where the disease was virtually unknown prior to the introduction of thimerosal by U.S. drug manufacturers in 1999, news reports indicate that there are now more than 1.8 million autistics. Although reliable numbers are hard to come by, autistic disorders also appear to be soaring in India, Argentina, Nicaragua and other developing countries that are now using thimerosal-laced vaccines.
The World Health Organization continues to insist thimerosal is safe, but it promises to keep the possibility that it is linked to neurological disorders "under review."
I devoted time to study this issue because I believe that this is a moral crisis that must be addressed. If, as the evidence suggests, our public-health authorities knowingly allowed the pharmaceutical industry to poison an entire generation of American children, their actions arguably constitute one of the biggest scandals in the annals of American medicine.
"The CDC is guilty of incompetence and gross negligence," says Mark Blaxill, vice president of Safe Minds, a nonprofit organization concerned about the role of mercury in medicines. "The damage caused by vaccine exposure is massive. It's bigger than asbestos, bigger than tobacco, bigger than anything you've ever seen."
It's hard to calculate the damage to our country -- and to the international efforts to eradicate epidemic diseases -- if Third World nations come to believe that America's most heralded foreign-aid initiative is poisoning their children. It's not difficult to predict how this scenario will be interpreted by America's enemies abroad. The scientists and researchers -- many of them sincere, even idealistic -- who are participating in efforts to hide the science on thimerosal claim that they are trying to advance the lofty goal of protecting children in developing nations from disease pandemics. They are badly misguided. Their failure to come clean on thimerosal will come back horribly to haunt our country and the world's poorest populations.
Robert F. Kennedy Jr. is senior attorney for the Natural Resources Defense Council, chief prosecuting attorney for Riverkeeper and president of Waterkeeper Alliance. He is the co-author of "The Riverkeepers."
end Salon.com article
JON RAPPOPORT www.nomorefakenews.com
CDC Ignored Autism-Mercury Data
SafeMinds' Report Shows CDC Ignored Autism-Mercury Data
Monday November 22, 12:49 pm ET
Documents Show Agency Discovered Elevated Autism Risks and Withheld From Public/Congress
WASHINGTON, Nov. 22 /PRNewswire/ -- SafeMinds -- America's leading scientific organization investigating the links between mercury and autism -- has released a report showing that government analysts were aware of a potential vaccine-autism link as early as 1999, but hid that information from the public and Congressional inquiry.
The SafeMinds study, "Generation Zero," details these initial findings based on data contained in spreadsheets and related email traffic from former Centers for Disease Control and Prevention (CDC) research fellow, Dr. Thomas Verstraeten. In his analysis, secured by SafeMinds through a Freedom of Information Act (FOIA) request, Verstraeten examined the connection between mercury exposure and childhood disease for the first time. SafeMinds board member and published researcher Mark Blaxill prepared the review and chose the title "Generation Zero" for two reasons: 1) the CDC analysis compared autism risks in children with high thimerosal exposure levels to children with zero exposure levels, a logical approach they abandoned later; and 2) these CDC analyses preceded four subsequent generations of reports that an earlier Safe Minds study designated Generation One through Four.
"Verstraeten's initial analysis reveals two important facts," Blaxill said. "First, CDC official were aware in 1999 of an eleven fold increase in autism risk in children who received vaccines containing thimerosal versus children who received no exposure. Second, in four subsequent generations of reports using this data, the CDC never revealed their initial risk findings to the Institute of Medicine, nor to Congress when called upon to present evidence during relevant hearings."
Thimerosal, a mercury-containing preservative used for years in many vaccines, lies at the center of the vaccine-autism debate. Although the dangers of early childhood mercury exposure have long been recognized, vaccines, including those given to infants, still contain this potent neurotoxin.
"In the most straightforward analysis of the risk of mercury exposure in children, Verstraeten discovered significant extremely elevated risks of autism as well as a range of childhood developmental disorder including ADHD and sleep disorders. In emails accompanying his analyses, Verstraeten invited his colleagues to find ways to explain away these findings. Predictably, his alarming analyses were suppressed by the CDC. Only watered-down reports were ever shared and fourth of these was made public several years late, discounting any autism-mercury link," continued Blaxill.
"A Dragon By The Tail"- Vaccine Cover-Up Exposed!
Vaccine Cover-Up Exposed!!
A byronchild world exclusive report Release: March 7, 2005 Contact: Naomi Radunski, Marketing and Strategy Byron Publications P/L 7 Palm Avenue Mullumbimby,Australia 61 02 6684 4353“This article may be freely posted, reproduced and distributed with acknowledgement to both Lisa Reagan (author) and byronchild magazine (also list www.byronchild.com).
“A Dragon By The Tail”On the eve of an historic, billion-dollar world vaccination campaign, a leaked transcript ignites questions of vaccine safety and research corruption. Meanwhile, US senators fast-track a bill to protect vaccine manufacturers from litigation. With millions of lives at stake, and billions of dollars to loose, will a merger of philanthropy, big business and compromised science win an epic race between corporate agendas and medical ethics? In this world exclusive report, byronchild exposes how the most powerful medical research bodies in the United States compromise their vaccine safety research for vested interests, as they assist in a global vaccine policy, while a bill looms in the background to protect it all.By Lisa Reagan On January 24, 2005 -- the same day the Global Alliance for Vaccines and Immunization (GAVI) announced the receipt of $750 million for its historic world vaccination campaign -- seven US Senators introduced Senate Bill 3 . The bill is an unprecedented act giving comprehensive liability protections to vaccine manufacturers , restricting Freedom of Information Acts on drug/vaccine safety, and pre-empting states' rights to ban mercury from children's vaccines, all under the bill's official title: ‘‘Protecting America in the War on Terror Act of 2005''. Meanwhile in Texas, after receiving an internal transcript that allegedly proves the Institutes of Medicine's report denying a link between childhood vaccines and autism last year was “predetermined”, a US District Court judge has ordered the worlds' “big five” vaccine manufacturers to “produce any and all documents relating to payments made to, or stock ownership” by the seventeen members of the IOM's Immunization and Safety Review Committee. A court document submitting the IOM's leaked transcript as an exhibit in the first civil juried lawsuit against the vaccine manufacturers states the transcript proves the IOM committee, “predetermined the necessity of not finding causality between vaccines and autism and/or neurological injury” in its official reports on the issue. Judge T. John Ward also ordered the vaccine manufacturers to produce all communications with “members of the World Health Organization, the Center for Disease Control, the Food and Drug Administration, the Institute of Medicine, the Brighton Collaboration, or the Global Alliance for Vaccines and Immunization relating to the issue whether the thimerosal contained in pediatric vaccines causes autism or other neurological disorders.” When the vaccine manufacturer's legal counsel balked at the amount of expense involved in producing such documentation for the court, Judge Ward reassured the defense that the process could be useful for the more than 300 pending lawsuits waiting to be tried in the US . Vaccine manufacturers Aventis Pasteur, Merck, GlaxoSmithKline, Wyeth and Eli Lilly and Co. are cited as defendants in the lawsuit brought by the parents of a child who developed autism after receiving mandatory routine childhood immunizations. The same IOM reports denying a link between vaccines and the country's autism epidemic have been used: • to endorse standardized case definitions for Adverse Events Following Immunizations for “global dissemination”; • as justification for Senate Bill 3's sweeping provisions and protections; • as a cause for no further federal monies to be spent on research of the potential vaccine/autism link; • as a reason to silence media inquiries into vaccine safety issues; • and as a defense for dismissing over 4,500 petitions for vaccine injuries in a federal court. Is it possible that a closed meeting transcript alleged as proof of a ploy to ignore vaccine risks, a near billion dollar grant for a global vaccination campaign, emerging lawsuits for vaccine injuries and a sweeping federal bill to protect vaccine manufacturers are unrelated? Is it possible that in spite of US Congressional hearings and reports citing widespread conflicts of interest between federal policy makers and the vaccine industry that Senate Bill 3 will defy the US Constitution's provisions for state and civil rights in order to shield vaccine manufacturers from liability? And finally, how will a world vaccine policy influenced by allegedly “predetermined” safety reports implemented through a global alliance of international governments and vaccine manufacturers with a fund of billions headquartered in Geneva, Switzerland, support or protect the health and human rights of targeted Third-World country peoples? History of the IOM's Immunization and Safety Review Committee Insight to these questions may lie in the pivotal year of 1999, a year preceded by a decade of declining vaccine sales, major breakups within the manufacturing industry, increased requirements for routine childhood vaccines, a growing autism epidemic, and researchers and media reports questioning the safety of vaccines and their possible link to autism. In 1999, as a US Congressional Government Reform Committee initiated an investigation into the rampant conflicts of interest between federal vaccine policy makers and manufacturers, a global rescue effort of the sinking vaccine industry began with the formation of GAVI. Originally funded by Microsoft billionaire Bill Gates through his Seattle-based Bill and Melinda Gates Foundation, GAVI's partnership of international governments and vaccine manufacturers salvaged lagging sales through an overhauled world vaccination campaign that placed GAVI, headquartered in Geneva, Switzerland, at the center of the reorganized alliance. Also formed in 1999 were the international Brighton Collaboration and the WHO Global Advisory Committee on Vaccine Safety. Brighton's sole purpose was to create standardized case definitions for Adverse Events Following Immunizations for “global dissemination”. Brighton's steering committee members currently hail from the US FDA, CDC, and Aventis Pasteur, a vaccine manufacturer and federal lawsuit defendant. Brighton's website does not include autism among its listed adverse events. The WHO Global Advisory Committee on Vaccine Safety has “ concluded that there is currently no evidence of mercury toxicity in infants, children, or adults exposed to thimerosal in vaccines” and “that current WHO immunization policy with respect to thimerosal containing vaccines should not be changed.” The Brighton Collaboration has been cited as being “fraught with pitfalls and merges regulators and the regulated into an indistinguishable group.” “ I am very concerned about the development of the Brighton Collaboration,” stated US Congressional Representative Dave Weldon, MD, (R-FL) at an Autism One Conference in May 2004. “Particularly troubling is the fact that serving on the panels defining what constitutes an adverse reaction to a vaccine, are vaccine manufacturers. What is even worse is the fact that some of these committees are chaired by vaccine manufacturers. It is totally inappropriate for a manufacturer of vaccines to be put in the position of determining what is and is not an adverse reaction to their product. Do we allow GM, Ford and Chrysler to define the safety of their automobiles?” In 1999, w ith GAVI's international partnership and Bill Gates' billions on the way to rescue the industry, the CDC hired the IOM's Immunizations and Safety Review Committee to examine multiple “vaccine safety challenges”. In its public report, the CDC specifically sited a 1998 British Lancet study recommending more research into a potential link between the Measles, Mumps, Rubella (MMR) vaccine and autism, negative press, public information vaccine conferences, the Rotavirus vaccine recall and seven congressional hearings questioning vaccine safety as impetus to employ the IOM. However, the CDC's ability to objectively and fairly evaluate vaccine risks has been denounced by a three year long US congressional investigation: “To date, studies conducted or funded by the CDC that purportedly dispute any correlation between autism and vaccine injury have been of poor design, under-powered, and fatally flawed. The CDC's rush to support and promote such research is reflective of a philosophical conflict in looking fairly at emerging theories and clinical data related to adverse reactions from vaccinations… “The CDC in general and the National Immunization Program in particular are conflicted in their duties to monitor the safety of vaccines, while also charged with the responsibility of purchasing vaccines for resale as well as promoting increased immunization rates,” states the congressional report. (View the report at www.nomercury.org/science/documents/GRC_6-15-00.pdf ) “They serve as their own watchdog -- neither common nor desirable when seeking unbiased research,” Weldon has stated in describing the CDC. “An association between vaccines and autism would force CDC officials to admit that their policies irreparably damaged thousands of children. Who among us would easily accept such a conclusion about ourselves? Yet, this is what the CDC is asked to do,” Weldon said. When byronchild asked CDC spokesperson Curtis Allen for a copy of the contract that would detail the agreement between the IOM and the CDC, Allen stated that the contract would be available only in a heavily “redacted” or blacked-out format. The IOM stated “no comment” to byronchild about the leaked transcript or its use in the pending civil court case. The Transcript of the First Organizational Meeting of the IOM Committeeclick here to see full IOM transcriptOn January 11, 2001, the IOM's Immunization and Safety Review committee members gathered for its first organizational meeting in Washington, DC. It is this meeting's transcript that has been submitted as an exhibit by Waters and Kraus, a Dallas, Texas law firm. During the IOM's open meeting, Walter Orenstein, MD, the Director of the National Immunization Program at the CDC, charged the committee to specifically address: “the causal relationship between the vaccine and adverse effect; the biologic mechanisms that could account for the adverse effect; and the significance of the safety concern in the context of society at large.” ( Orenstein presided over another leaked CDC transcript from June 2000, see sidebar 1. ) However, according to Gordon Douglas, MD, Director of Strategic Planning for the Vaccine Research Center at the National Institutes of Health (NIH) the IOM committee was hired by the CDC to “rule out the proposed links”. The NIH serves as America's medical research agency. Douglas stated in a Princeton University lecture summary that, “Four current studies are taking place at the CDC in collaboration with the NIH to rule out the proposed links between immunizations and autism, immunizations and possible developmental regression, inflammatory bowel disease and the MMR vaccine, and thimerosal and the risk of autism. In order to undo the harmful effects of research claiming to link the MMR vaccine to an elevated risk of autism, we need to conduct and publicize additional studies, strengthen the program to assure parents of MMR's safety, and further educate pediatricians and primary care physicians.” Formerly Douglas served as the president of vaccine manufacturer and federal lawsuit defendant Merck Vaccines from 1991 to 1999. According to an LA Times story on February 8, 2005, while serving as president of Merck, Douglas received a memo from Maurice R. Hilleman, MD, an internationally renowned vaccinologist, who told Douglas that six-month-old babies who received their vaccines on schedule would receive a mercury dose 87 times higher than the Environmental Protection Agency deemed safe. (The NIH announced a “sweeping ethics reform” on February 1, 2005, see side bar 2. To view the Merck memo: www.nomercury.org/science/documents/LATimes-Merck_Memo_2-8-05.pdf ) From the beginning of the IOM committee's meeting behind the closed doors of the National Academies of Science building on January 12, 2001, committee members repeatedly expressed their “need for reassurance” and concern over their charge, evidence, methodology, and public communication goals, especially to parents. “We've got a dragon by the tail here,” states a committee member in the transcript. “At the end of the line, what we know is and I agree that the more negative that presentation [the report] is, the less likely people are to use vaccination, immunization, and we know what the results of that will be. We are kind of caught in a trap. How we work our way out of the trap, I think, is the charge.” Instead of focusing on scientific data which could possibly tarnish the current routine childhood vaccine policy, “The transcript sets forth in significant detail stated biases, preferences and/or predetermination of various committee members in January, 2001, i.e. before any medical or scientific evidence had been presented to the committee (emphasis added),” states t he court document. Specifically sited are statements by the IOM's study director Kathleen Stratton, PhD, and committee chair Marie McCormick, MD. These statements, the law firm says, strongly suggest Stratton and McCormick deliberately railroaded their committee into specific outcomes (all in italics directly from court document): Dr. McCormick, for example, in speaking of the CDC, noted that the agency “wants us to declare, well, these things are pretty safe on a population basis.” (See Exhibit 1 at page 33). “The committee's bias and predetermination of the causality issues presented are found at page 74 in a comment from Dr. Statton: Dr. Stratton: “We said this before you got here, and I think we said this yesterday, the point of no return, the line we will not cross in public policy is to pull the vaccine, change the schedule. We could say it is time to revisit this but we will never recommend that level. Even recommending research is recommendations for policy. We wouldn't say compensate, we wouldn't say pull the vaccine, we wouldn't say stop the program.” Similarly, Dr. McCormick, at page 97 in discussing whether autism could be associated with vaccines, stated that “we are not ever going to come down that it is a true side effect,” despite the fact that the committee had not yet considered any evidence on this issue. At page 123, Dr. Stratton indicated that, despite not having heard any of the evidence, the probable conclusion was going to be that the evidence was “inadequate to accept or reject a causal relation.” “Chances are, when all is said and done, we are still going to be in this category. It is just a general feeling that we probably still are not going to be able to make a statement.” Stratton joined the IOM in 1990 and was later awarded the IOM's Cecil Research Award for her contributions to vaccine safety. McCormick is the Sumner and Esther Feldberg Professor of Maternal and Child Health at the Harvard School of Public Health. Congressmen, researchers and parents petitioned the IOM Committee to delay their final meeting and report last year until an animal study demonstrating a link between mercury and autism by Mady Hornig, MD, an associate professor at Columbia University, could be completed. The IOM refused to delay their final meeting and issued their “no link” report on May 2004. The Columbia University study confirming the link between mercury and autism was completed and presented to the public in June 2004. “This is a perfect example of the scientific findings that the IOM ignored when creating their recent report on the potential of the vaccine-autism link,” stated Lyn Redwood, RN, MSN, NP, president of Safeminds, an independent nonprofit organization. “The IOM was well aware that studies like these were due for release, but chose to ignore them…The findings in this study make clear that the IOM was more interested in regurgitating CDC spin than incorporating hard science like Dr. Hornig's report. Such information would force the government to face the reality of the mercury threat and take definitive action to protect countless children from potential neurological damage.” The US Office of Special Counsel (OSC) an independent investigative and prosecutorial agency that serves as a channel for whistleblowers -- forwarded hundreds of disclosures “alleging public health and safety concerns about childhood vaccines that include a mercury-based preservative known as thimerosal, and its possible link to neurological disorders, including autism” to the US Congress on May 20, 2004, the day after the IOM issued its “no link” report. The OSC letter requesting congressional action was addressed to US Senator Judd Gregg (R-NH) who introduced Senate Bill 3 and its provisions for liability protection for vaccine manufacturers on January 24, 2005. The OSC's letter to Gregg stated, “it appears there may be sufficient evidence to find a substantial likelihood of a substantial and specific danger to public health caused by the use of thimerosal/mercury in vaccines because of its inherent toxicity…” “Due to the gravity of the allegations, I am forwarding a copy of the information disclosed to you in your capacity as Chairmen of the Senate Committee and House Committee with oversight authority for HHS. I hope that you will review these important issues and press HHS for a response to this very serious public health danger,” states the OSC letter to Gregg. (To view the OSC letter: www.nomercury.org/science/documents/OSC_Press_Release_5-20-04.pdf ) Conflict of Interest in IOM Governing Council Currently, members of the IOM's governing Council include, among 19 others , Gail H. Cassell, PhD, of Eli Lilly and Company and Helene D. Gayle, MD, from the Bill and Melinda Gates Foundation the same foundation that donated the world's sixth largest charitable gift of $1.5 billion to create and sustain GAVI. Lilly is the original manufacturer of thimerosal, a mercury derivative used in childhood vaccines as a preservative. The result of a discovery process by law firm Waters and Kraus showed that Lilly knew of mercury's toxicity as early as 1930 but nonetheless “secretly sponsored a human toxicity study on patients already known to be dying of meningococcal meningitis.” “Lilly then cited this study repeatedly for decades as proof that thimerosal was of low toxicity and harmless to humans," states a press release from the law firm. While Lilly ceased the sale of thimerosal in 1991, their licensing agreements demonstrate continued profits from the product until at least 2010. Lilly is the single biggest contributor to the Republican Party from the pharmaceutical industry donating $1.6 million in the last US election. Senate Majority Leader Bill Frist (R-TN), co-sponsor of Senate Bill 3, was the author of a controversial bill that contained a provision that would protect Eli Lilly and other vaccine manufacturers from lawsuits over mercury in the 2002 Homeland Security Act. Frist's other notable tie to Lilly is the fact that the vaccine manufacturer bought 5,000 copies of the senator's book on bioterrorism and distributed them to physicians after September 11, 2001. The basis of the Frist family fortune is the Hospital Corporation of America (HCA), the largest for-profit hospital chain in the country, which was founded by Frist's father and brother. (For more on Senator Frist see sidebar 3). GAVI Using Corrupt Research to Vaccinate the World? GAVI's public and private sector partners include governments in industrialized and developing countries, UNICEF, the World Health Organization, WHO, the World Bank, non-governmental organizations, foundations, vaccine manufacturers, and public health and research institutions. WHO and GAVI's headquarters are both in Geneva, Switzerland. To date a total of almost $1.3 billion, in addition to the Gates endowment, has been raised from international governments and private sources as well as an additional $1.19 billion in pledges toward GAVI's goal of a 90% routine immunization rate by 2010 for all of its 70 underdeveloped countries/grantees. For vaccine manufacturers, the Gates' billions for GAVI represent a guaranteed pipeline of money. For governments of undeveloped countries, the funds may be used for any aspect of health as long as their country's vaccine rate increases. If the rates drop, so do the funds. According to GAVI figures, 4 million children have been vaccinated for diphtheria, tetanus, and whooping cough; 42 million more children have been vaccinated with hepatitis B; and 991 million single-use disposable syringes have been produced for the program. “ GAVI relies on technical and scientific information and advice from the Global Advisory Committee on Vaccine Safety. Based on the committee's findings, GAVI and its partners will continue to support the use of vaccines that contain thimerosal,” responded Gates Foundation spokesperson Jenny Sorensen to byronchild's inquiry. If the accusation that the IOM “predetermined” the outcome of their reports is true, what does this bode for a worldwide vaccine policy that is now being routinely employed through GAVI's partners and the governments of undeveloped countries who rely on the IOM's vaccine safety information to be accurate? World Economic Forum questions GAVI's Global Vaccine Campaign Is the solution for creating a healthy world a global vaccine campaign? During the World Economic Forum's 2003 Annual Meeting in Davos, Switzerland, GAVI's global vaccine campaign was intensely debated by panelists. WEF panelists were not convinced that GAVI's goals were realistic or a panacea for the complex needs of underdeveloped countries. "There is a strong tendency to see vaccines as a cure-all that can work in isolation," said Geoffrey Foster, Founder and Consultant, International Child Welfare and Health, Family AIDS Caring Trust, FACT, Zimbabwe, and Social Entrepreneur. “Instead, vaccines must be set firmly within a realistic and holistic context. In the past, in Europe, death and disease dropped because of nutrition and education. Vaccines must accompany poverty alleviation or children will be stunted both physically and intellectually.” The World Economic Forum is a global community of business, political, intellectual and other leaders of society. The forum is an independent international organization incorporated as a Swiss not-for-profit foundation and has NGO consultative status with the Economic and Social Council of the United Nations. Autism An Epidemic Too Big To Ignore During the years that the IOM reports were drafted, 2001 to 2004, more than 4,500 petitions for “vaccine injuries resulting in autism spectrum disorder”, piled up in an Omnibus Autism Proceeding with the US Court of Federal Claims. Currently, autism is the fastest growing developmental disability in the United States, with one in 166 US children diagnosed with Autism Spectrum Disorder, up from 1 in 2500 a decade ago, and over 1.77 million affected. In the last four years alone, the number of cases of autism has nearly doubled in California. “It is growing much faster than the growth of the population and other forms of childhood disabilities,” states Cliff Allenby, director of the State Department of Development Services. A report by the independent Environmental Working Group issued in December 2004 found that autistic children had less glutathione, an antioxidant that helps rid the body of toxic metals, when compared to a sample of healthy children. The study, led by Jill James, PhD, a professor of biochemistry and pediatrics at the University of Arkansas for Medical Sciences, found that a glutathione deficit “may contribute to the development and clinical manifestation of autism." Autism is not a disease but a ‘condition' often characterized by a failure to bond, lack of social interaction, avoidance of eye-to-eye contact, difficulties in language development, and repetitive behaviors known as stimming (self-stimulation). Milder forms of autism are Asperger's Syndrome , Pervasive Developmental Disorder and Attention Deficit/Hyperactivity Disorder . Collectively they are known as Autism Spectrum Disorder, ASD. States Take Matters Into Their Own Hands After multiple congressional hearings on conflicts of interest within the vaccine industry and government, repeated IOM reports stating no link between vaccines and autism, and with no official FDA recall for mercury containing vaccines, US citizens and state legislators took matters into their own hands and in May 2004, Iowa became the first state to ban mercury in vaccines. During the same three-year period the IOM committee reviewed its data on the vaccines and autism link, the Iowa Human Resources Committee reviewed scientific and biological data from independent researchers. ‘After three years of review, I became convinced there was sufficient credible research to show a link between mercury and the increased incidents in autism,' said Iowa Senator Ken Veenstra. ‘The fact that Iowa's 700 percent increase in autism began in the 90s, right after more and more vaccines were added to the children's vaccine schedules, is solid evidence alone…The IOM has not convinced me this action is not needed. I feel strongly we need to pursue a use of alternative vaccines.” US Congressional Representative Dave Weldon, MD, (R-FL), called the IOM reports “heavily biased and unrepresentative of all the available scientific and medical research.” Weldon said the reports discounted the biological evidence presented by US Congressional investigative reports and university studies. It also discounted thousands of parent activists who pointed to the parallel increase in vaccination requirements and the rise in autism rates starting in the early 1990s. California Governor Arnold Swcharzenegger signed his state's mercury ban last year and more than a dozen other states are currently considering their own bans. Senate Bill 3 would seek to repeal the current states bans and to prohibit more states from enacting their own bans on mercury, a violation of the US Constitution's Tenth Amendment . (See side bar 4 for a complete list of the bill's proposals.) Senate Bill 3 Dissolution of Civil Rights? Sighting the IOM reports' green light to justify the act's proposed sweeping protections for the vaccine industry, the bill states that, “ After considering recent changes in the litigation environment with respect to vaccines as well as recent scientific evidence and reports by the Institute of Medicine (italics added) and others with respect to the safety of vaccines and their components and ingredients, the Secretary of Health and Human Services and the Attorney General shall, not later than 6 months after the date of enactment of this Act, jointly submit recommendations to the appropriate committees of Congress concerning necessary modifications to the Vaccine Injury Compensation Program and Federal rules regarding litigation involving vaccines.” “The war on terror is a different kind of war and requires a different kind of preparedness,” US Senator Judd Gregg (R-NH) said in a press release about the bill. “Specifically, this bill encourages development of products needed to protect the nation against biological, radiological or nuclear agents as well as infectious diseases. It expands the availability and accessibility of vaccines. Finally, it strengthens capacity and coordination, so we can respond effectively during public health emergencies.” “This bill is labeled as an ‘anti-terror' bill, but it is power grab by the federal government and an assault on self-governance and the informed consent ethic. It takes away the freedom of the people to make their voices heard through their elected state representatives and protect themselves from unsafe drugs, such as Celebrex and Vioxx, and unsafe vaccines, such as those that contain high levels of mercury. It gives unprecedented liability protection to the drug industry and broad powers to federal officials to hide the truth from the people about vaccine and prescription drug risks,” said Barbara Loe Fisher, president of America's largest and oldest vaccine safety and consumer watchdog organization the National Vaccine Information Center. “Protecting the public health was not delegated to the federal government and public health laws, including laws governing use of vaccines, have always been under the control of citizens residing in each state,” said Fisher. “The irony of this bill is that it is using the families of citizens who have given their lives to defend our nation's freedom in order to take rights and freedoms away from other families. Military veterans should not be used to protect the drug industry and take away the freedom for all Americans to have their voices heard through their elected state representatives… This bill does not serve justice or freedom.” An internationally renowned bio-ethicist who has previously spoken on vaccine policy issues at the National Vaccine Information Center conference, told byronchild magazine that people should not be surprised by the contents of the IOM transcript or Senate Bill 3. ‘Old paradigms do not die easily,' he said. ‘This is just the nature of the beast.' Side Bar 1: Not The First Leaked Transcript The 2001 IOM transcript is not the first to be leaked to the public. Another closed meeting transcript from June of 2000 recorded 53 scientists from the CDC, FDA, and the vaccine industry at the Simpsonwood Retreat Center in Georgia to review the findings of a statistically significant correlation between mercury-containing vaccines and neurological conditions. The discovery was made by CDC employee Thomas Verstraeten, MD, using the CDC's own data. The meeting was not open to the public or announced in the Federal Register, and the CDC has still not made their findings public. Verstraeten has since left the CDC to work for a vaccine manufacturer in Belgium. He has also not responded to a US Congressional subpoena. However the meeting transcript was included in the “Mercury in Medicine: Taking Unnecessary Risks?” report that was the result of a three year investigation by the US Congress' Subcommittee on Human Rights and Wellness, Committee on Government Reform's Report published in April 2003. The Simpsonwood meeting was presided over by Walter Orenstein, MD, the Director of the National Immunization Program at the CDC. Orenstein presented the public charge to the IOM committee on January 11, 2001, the day before the closed organizational meeting. (To read the Simpsonwood transcript go to: www.nomercury.org/science/documents/Simpsonwood_Transcript.pdf To read the Verstraeten study: www.nomercury.org/science/documents/ThimerosalVSDstudy001.pdf ) Side Bar 2: Sweeping Ethics Reform to End Culture of Corruption? Drug industry influence on medical research and practice and on the prescribing of drugs is pervasive. After a yearlong investigation into the “culture” of conflicts of interest between its scientists and manufacturers, on February 1, 2005, the National Institutes of Health, the US leading agency for medical research, announced a “sweeping ethics reform”. Under the new rules which reversed a 1995 decision that allowed “moonlighting” between the scientists and industry, all NIH employees have been prohibited from engaging in employment with pharmaceutical and biotechnology companies, supported research institutions, including NIH grantees, health care providers and insurers. NIH employees were also required to sell their stock in any of the above. In a “town hall” meeting for employees on February 3, 2005, NIH director Elias A. Zerhouni, MD, announced the need for a summit of government and academic leaders to address conflicts of interest throughout American medical research as part of the ethics reform. The NIH announcement came after a year-long investigation in to conflicts of interest and the “discovery, made by congressional investigators, that more than 100 NIH employees had not disclosed various relationships they had with pharmaceutical and biotech companies, in violation of government ethics rules” according to a Washington Post article on February 3, 2005. "I came to the conclusion that we have a systemic problem," Zerhouni said in an LA Times interview on February 12, 2005. "They were not just isolated events. They reflected the complete set of rules that had been adopted over the years, which had transformed the culture. I said, if that's the case, let's bring back the culture to where it needs to be: That is, public first. "That's the hardest part," he said. "It's easy to come up with regulations. It's not easy to change a culture." To read the NIH report: www.nih.gov/news/pr/feb2005/od-01.htm Sidebar 3: Who is Senate Majority Leader Bill Frist (R-TN), co-sponsor of Senate Bill 3? According to the Center for Justice and Democracy, these are some facts about Senator Bill Frist, MD: • The basis of the Frist family fortune is the Hospital Corporation of America (HCA), the largest for-profit hospital chain in the country, which was founded by Frist's father and brother. • Frist and his wife have $26 million in HCA stock in a so-called “blind trust.” • HCA has agreed to pay the federal government more than $1.7 billion in civil and criminal penalties, the largest health care settlement in history, for massive Medicare, Medicaid and Tricare billing fraud. • Frist has gotten more than $2.3 million from doctors, health insurers, drug companies and others in the health care industry, roughly 20 percent of all the contributions to his two Senate races, raising more cash from health-care interests than 98 percent of his colleagues. • Frist has voted against patients' rights to sue their HMOs for failure to provide adequate treatment while supporting tax subsidies to HMOs and insurance companies to offer prescription drugs to seniors, rather than providing them through Medicare. Frist has received $123,750 in campaign cash from HMOS. • To date, Frist has received $265,023 from the pharmaceutical industry. The pharmaceutical industry was also the largest single contributor to the National Republican Senatorial Campaign Committee that Frist chaired, giving about $4 million and Lilly was the single biggest contributor to the GOP from that industry, having given $1.6 million in the last election cycle. • In 2002, Frist engineered the insertion of a provision into the Homeland Security bill that would protect Eli Lilly and other pharmaceutical giants from lawsuits over mercury in vaccines. Not long after Frist introduced the legislation, the Pharmaceutical Research and Manufacturers of America, the drug industry's trade group, gave $10,000 to his political action committee. This report from: www.centerjd.org/free/mythbusters-free/Frist.pdf Side Bar 4: Senate Bill 3 What It Could Do Of major concern to vaccine safety and civil rights advocates are the following provisions in Senate Bill 3: * Eliminates a state's right to more strictly regulate vaccines and drugs and more fully inform their citizens about vaccine and drug risks than does the federal government. Laws already passed in California and Iowa limiting mercury content in vaccines would be repealed. * Gives comprehensive liability protections to drug companies. Eliminates a citizen's right to seek justice in state courts for drug and vaccine injuries and deaths and limits awards in federal courts. Gives tax credits, grants and patent extensions to the drug industry. *Allows the Department of Health and Department of Justice, the defendants in the federal Vaccine Injury Compensation Program, to write the terms of their own defense in order to further limit awards to vaccine injured children. * Creates and funds a mandatory, national electronic tracking system operated by the Centers for Disease Control (CDC) to monitor vital records of citizens relating to both notifiable and non-notifiable diseases and "new trends" and "patterns in public health." Creates penalties for states and health care providers not reporting in a "timely manner" to the national tracking system. There are no provisions for mandatory reporting of serious health problems following vaccine and prescription drug use or punishments for not reporting serious side effects. S. 3 is being promoted by sponsors as a military veteran benefit bill because it raises the death benefits and other financial support for the families of soldiers who lost their lives in the war in Iraq. From the National Vaccine Information Center's website. For a point by point examination of the bill, visit the site at www.nvic.org/ActionAlerts/S3Article.htm . For the actual bill: Senate Bill 3: www.nomercury.org/science/documents/S_3_War_on_Terror_Act_2005.pdf Related articles Autism is treatable hope that is real treatment that heals - by Lisa ReaganClaiming our Sovereignty by Kali Wendorf
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A byronchild world exclusive report Release: March 7, 2005 Contact: Naomi Radunski, Marketing and Strategy Byron Publications P/L 7 Palm Avenue Mullumbimby,Australia 61 02 6684 4353“This article may be freely posted, reproduced and distributed with acknowledgement to both Lisa Reagan (author) and byronchild magazine (also list www.byronchild.com). If you do so, please notify byronchild magazine through Naomi Radunski and forward all copies (electronic and printed) to vaccine@byronpublications.com or the above postal address. Click here to download this article in .pdf format
March 2, 2006
FOR IMMEDIATE RELEASE:
Medical Journal: Autism Rates Decline as Mercury Removed from Childhood Vaccines
Independent Analysis Refutes Institute of Medicine Claims of “No Relationship,” While Mercury Still Used in Flu & Other Vaccines
TUCSON, AZ -- A new study shows that autism may be linked after all to the use of mercury in childhood vaccines, despite government’s previous claims to the contrary.
An article in the March 10, 2006 issue of the Journal of American Physicians and Surgeons (JPandS.org) shows that since mercury was removed from childhood vaccines, the alarming increase in reported rates of autism and other neurological disorders (NDs) in children not only stopped, but actually dropped sharply by as much as 35%.
Using the government’s own databases, independent researchers analyzed reports of childhood NDs, including autism, before and after removal of mercury-based preservatives. Authors David A. Geier, B.A. and Mark R. Geier, M.D., Ph.D. analyze data from the CDC’s Vaccine Adverse Event Reporting System (VAERS) and the California Department of Developmental Services (CDDS) in “Early Downward Trends in Neurodevelopmental Disorders Following Removal of Thimerosal-Containing Vaccines.”
The numbers from California show that reported autism rates hit a high of 800 in May 2003. If that trend had continued, the reports would have skyrocketed to more than 1000 by the beginning of 2006. But in fact, the Geiers report that the number actually went down to only 620, a real decrease of 22%, and a decrease from the projections of 35%.
This analysis directly contradicts 2004 recommendations of the Institute of Medicine which examined vaccine safety data from the National Immunization Program (NIP) of the CDC. While not willing to either rule out or to corroborate a relationship between mercury and autism, the IOM soft-pedaled its findings, and decided no more studies were needed. The authors write: “The IOM stated that the evidence favored rejection of a causal relationship between thimerosal and autism, that such a relationship was not biologically plausible, and that no further studies should be conducted to evaluate it.”
As more and more vaccines were added to the mandatory schedule of vaccines for children, the dose of the mercury-based preservative thimerosal rose, so that the cumulative dose injected into babies exceeded the toxic threshold set by many government agencies. Mercury is known to damage nerve cells in very low concentrations.
The concern about vaccines may actually be underrated, as it is generally acknowledged that the voluntary reporting of such disorders has resulted in vast underreporting of new cases. For example, the Iowa state legislature banned thimerosal from all vaccines administered there after it documented a 700-fold increase in that state alone. California followed suit, and 32 states are considering doing so. Up until about 1989 pre-school children got only 3 vaccines (polio, DPT, MMR). By 1999 the CDC recommended a total of 22 vaccines to be given before children reach the 1st grade, including Hepatitis B, which is given to newborns within the first 24 hours of birth. Many of these vaccines contained mercury. In the 1990s approximately 40 million children were injected with mercury-containing vaccines.
The cumulative amount of mercury being given to children in this number of vaccines would be an amount 187 times the EPA daily exposure limit
Between 1989 and 2003, there has been an explosion of autism. The incidence of autism (and other related disorders) went from about 1 in 2,500 children to 1 in every 166. Currently there are more than a half million children in the U.S. that have autism. This disorder has devastated families.
In 1999, on the recommendation of the American Academy of Pediatrics and U.S. Public Health Service, thimerosal was removed from most childhood vaccines as a "precautionary" measure - i.e. without admitting to any causal link between thimerosal and autism.
The Geiers conclude that mercury continues to be a concern, as it is still added to some of the most commonly-used vaccines, such as those for flu:
“Despite its removal from many childhood vaccines, thimerosal is still routinely added to some formulations of influenza vaccine administered to U.S. infants, as well as to several other vaccines (e.g. tetanus-diphtheria and monovalent tetanus) administered to older children and adults. In 2004, the Institute of Medicine (IOM) of the U.S. National Academy of Sciences (NAS) retreated from the stated 1999 goal of the AAP and the PHS to remove thimerosal from U.S. vaccines as soon as possible…As a result, assessing the safety of TCVs [thimerosal-containing vaccines] is a matter of significant importance.”
U.S. scientists back autism link to MMR
5/30/2006
The vaccine strain of measles virus has been found in 85% of samples taken from the guts of children with regressive autism, according to a study to be presented in Montreal, Canada, this week by Dr. Stephen Walker of the Wake Forest University School of Medicine in North Carolina.
The study replicates findings made by Dr. Andrew Wakefield, a gastroenterologist, in 1998, and by Prof. John O’Leary, a pathologist, in 2002.
More than 2,000 parents in the UK claim their children suffered damage from the measles/mumps/rubella (MMR) vaccine. They say the children were developing normally before receiving the shot between 12 and 18 months of age, then regressed into autism.
The British Department of Health reiterated last night that MMR is safe (Beezy Marsh and Sally Beck, Telegraph.co.uk 5/28/06).
Additional information:
“Detection of Measles Virus Genomic RNA in Cerebrospinal Fluid of Children with Regressive Autism: a Report of Three Cases,” by JJ Bradstreet, J El Dahr, A Anthony, JJ Karzinel, and AJ Wakefield, J Am Phys Surg , Summer 2004
The Denmark study on MMR and autism: two articles in J Am Phys Surg, Fall 2004
Irrefutable Evidence that Links Mercury Toxicity to Autism and Alzheimer's Disease
Mercury - What is its role in Autism and Alzheimer's Disease?
Boyd Haley, Ph.D.
Dr. Haley, a biochemist at the University of Kentucky, is probably one of the world's top experts on mercury toxicity. Hear this fascinating review of the irrefutable evidence that links mercury toxicity to Autism and Alzheimer's disease.
The video is from a presentation in March of 2003. The slides are courtesy of Dr. Haley. Please note: some slides (that correlate exactly with the video) are not available at this time.
Hannah Poling and Vaccine Caused Autism
Ga. Girl Helps Link Autism to Childhood Vaccines
By ALISON YOUNG
The Atlanta Journal-Constitution
Published on: 03/06/08
In a move autism family advocates call unprecedented, federal health officials have concluded that childhood vaccines contributed to symptoms of the disorder in a 9-year-old Georgia girl.
While government officials continue to maintain that vaccines don't cause autism, advocates say the recent settlement of the girl's injury case in a secretive federal vaccine court shows otherwise.
Hannah Poling requires one-on-one care at all times. Her family is trying to get details of her case opened for public review.
Jon and Terry Poling with 9 year-old daughter, Hannah. They couple says the symptoms of autism began in Hannah after shots she received during a doctor visit when she was 19 months old.
The U.S. Department of Health and Human Services has concluded the family of Hannah Poling of Athens is entitled to compensation from a federal vaccine injury fund, according to the text of a court document in the case. The amount of the family's award is still being determined.
The language in the document does not establish a clear-cut vaccine-autism link. But it does say the government concluded that vaccines aggravated a rare underlying metabolic condition that resulted in a brain disorder "with features of autism spectrum disorder."
In an interview Wednesday with The Atlanta Journal-Constitution, Hannah's parents, Jon and Terry Poling, said the government's concession in the case will help pay for the numerous therapists and other medical experts their autistic child needs now and for the rest of her life.
"At least we have some commitment from the government to take care of Hannah when we're gone," said Dr. Jon Poling, a neurologist.
But the case also thrusts the family into a national spotlight in the controversial public debate over whether vaccines have played some role in the growing number of U.S. children diagnosed with autism. Of particular concern to some families is the mercury-based preservative thimerosal, not used in child vaccines (except for some flu shots) since 2001.
Jumping in for my readers... this is not true. Thimerosal began being taken out in 1999, but is not yet fully removed.
Hannah's case was one of three vaccine-court test cases alleging that thimerosal caused the children's autism. The other cases go to trial in May.
Suspicion of vaccines is fueled in part by vocal advocates including radio shock jock Don Imus and actress Jenny McCarthy speaking out on radio and TV shows such as "Oprah" and "Larry King Live."
Even Republican presidential candidate Sen. John McCain said on the campaign trail that "there's strong evidence" that a preservative in vaccines is fueling the dramatic rise in autism cases across the country.
As many as 1 in 150 children in some communities have autism disorders, says the Centers for Disease Control and Prevention.
"We need to recognize this is a national crisis," Jon Poling said.
Autism is a lifelong neurological disorder that causes problems with communication and the ability to have normal social interactions. Autism and related autism spectrum disorders cover a range of symptoms that can vary from mild to severe. The cause is unknown, but scientists believe genes may play a role.
Pediatricians and public health officials worry that this case may cause fear among some parents and prompt them to refuse to vaccinate their children, and put them in real danger from measles, whooping cough and other diseases.
"The risks of diseases are real risks," said Dr. Melinda Wharton, deputy director of CDC's National Center for Immunization and Respiratory Diseases. Numerous large studies don't support a relationship between vaccines and autism, according to the CDC and the Institutes of Medicine.
The Georgia girl's case and its implications in the vaccine-autism debate raise more questions than it answers, experts say.
Some medical experts say it's difficult to fully assess the case because the federal vaccine-court documents are sealed from public view.
"It raised a lot of questions for us," said Dr. David Tayloe Jr., president-elect of the American Academy of Pediatrics. The national medical group's leadership has been seeking more information about Hannah's vaccine-court case since last week when a sealed vaccine-court document detailing the government's settlement was posted on the Internet by an autism book author, then circulated widely among autism groups.
The pediatrics association has been trying to get access to official documents in the case so medical experts can delve into the science, assess whether there are implications for other children and answer questions from doctors and families.
"Our responsibility is to make sure the public is given good information and make sure the hype doesn't distract from public health," Tayloe said. "I still would not think that we're going to have evidence showing a role of vaccines actually causing autism."
According to the leaked document posted online, the government's Division of Vaccine Injury Compensation concluded that five shots Hannah received in July 2000, when she was 19 months old, "significantly aggravated an underlying mitochondrial disorder" and resulted in a brain disorder "with features of autism spectrum disorder."
Sallie Bernard, executive director of the national autism advocacy group SafeMinds, called the case "unprecedented" in that a link between vaccines and autism is being made public. Federal health officials "have insisted there is no link at all between vaccines and vaccine components and autism. And apparently that is not true," she said.
The case also is significant because other autistic children have mitochondrial disorders, Bernard said. "The question is: What is the proportion?"
Robert Krakow, a New York attorney representing other autistic children in vaccine court, said the significance of the case is "potentially explosive." He said he has several clients with similar histories.
Hannah requires one-on-one care at all times, said her mother, Terry Poling, a nurse and lawyer. The Polings described how Hannah was a normal, verbal toddler until she received several vaccines during a well-baby visit. Within 48 hours of the shots, she developed a high fever and inconsolable crying and refused to walk. She stopped sleeping through the night. At 3 months of age, she began showing signs of autism, including spinning and staring at lights and fans. For a while, she lost her ability to speak.
When Hannah was 6 months old, as the family came to grips with the likelihood that she was autistic, they turned to leading experts in neurology. "I had to know. My daughter didn't just suddenly develop autism for no reason," Terry Poling said.
Hannah's father co-authored an article about her case, which was published in the Journal of Child Neurology in 2006.
Hannah, who has two older brothers, continues to have mild to moderate symptoms of autism. The family says early and ongoing intensive therapy has been critical for her.
"The biggest question right now for the public is: How unique is Hannah's case?" said Jon Poling. Poling said he suspects there are other children like Hannah.
Cliff Shoemaker, the Polings' attorney, said the family has filed a petition with the vaccine court to unseal all of Hannah's records and allow both the family and the government to fully discuss the case.
Despite this, a spokesman for the U.S. Department of Justice, which reprersents the government in court cases, would not grant interviews or explain to the AJC why it isn't releasing the records. HHS officials, who administer the vaccine compensation fund, also declined to be interviewed, citing the court's confidentiality requirements.
Shoemaker said the government's November concession in the case is public, but the government's reasons aren't. "I'm not aware of any other conceded autism cases," he said.
Congress created the National Vaccine Injury Compensation Program in 1988 after widespread lawsuits against manufacturers and health-care providers stemming from reports of side-effects of a version of the diphtheria-tetanus-pertussis vaccine used in the 1980s.
With companies getting out of the vaccine business for liability reasons, Congress established the program and a trust fund to serve as a no-fault alternative for resolving certain vaccine injury claims.
The average injury compensation to an individual in vaccine court has been about $1 million. In fiscal year 2007, more than $91 million was awarded to people harmed by vaccines.