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Brian Deer’s Charges Against Wakefield Are False: Documents Analyzed by Outside Expert

Painting by Gina Tyler, talented artist and homeopath (http://ginatyler.com)

Painting by Gina Tyler, talented artist and homeopath, http://ginatyler.com. All rights reserved by Gina Tyler.

In a rather dramatic development, Dr. Andrew Wakefield has been shown to be innocent of a significant charge levied by Brian Deer and the British Medical Journal. Because this is documented by the pretigious journal Nature, the BMJ has doubled-down on their attack.

The BMJ had supported Deer’s claim that Wakefield is the sole person responsible for claiming that nonspecific colitis was found in children with autism.

Now, there’s incontrovertible evidence that the claim is not true. So, they are trying to railroad the rest of Wakefield’s research team, plus six “senior personnel at the highest level” of University College London (UCL) . Fiona Godlee, BMJ‘s editor, demands that UCL initiate an investigation immediately, and if they refuse, parliament itself should do so.

The BMJ is acting in a manner that seems to indicate a state of panic. Following a tried and sadly, too often true, method of defending when there is no legitimate defense, they’ve gone on the attack. This time, their attack is in conflict with their initial claims.

Claims and Lies

The BMJ and Deer claimed that Wakefield—Wakefield alone—falsely diagnosed the children analyzed in The Lancet paper, “Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children“, with nonspecific colitis. It is a central point in the charges against Wakefield.

Wakefield discussed the matter with ex-Environmental Protection Agency microbiologist, Dr. David Lewis, who had been forced out of the EPA for blowing the whistle on their promotion of human waste sludge for farms. Ultimately exonerated, Lewis is now a member of the National Whistleblowers Center, which seeks to aid others who find themselves in similar positions.

Wakefield provided him with the documents of the pathologists who had actually made the diagnoses based on the original lab reports. Lewis analyzed them and determined that Wakefield did not commit fraud. He then sent a letter to the BMJ, published on 9 November (yesterday), which concluded:

As a research microbiologist involved with the collection and examination of colonic biopsy samples, I do not believe that Dr. Wakefield intentionally misinterpreted the grading sheets as evidence of “non-specific colitis.” Dhillon indicated “non-specific” in a box associated, in some cases, with other forms of colitis. In addition, if Anthony’s grading sheets are similar to ones he completed for the Lancet article, they suggest that he diagnosed “colitis” in a number of the children.

Deer had claimed that Wakefield had altered these diagnoses. Obviously, he did not.

Lewis also wrote to the journal, Nature, which yesterday published an article on the issue. It states:

On 9 November, David Lewis of the National Whistleblower’s Center in Washington DC published a letter in the BMJ arguing that Wakefield did not commit research fraud. Lewis told Nature that he thinks the combination of public charges and a slow, secretive investigation has left the public not knowing whom to believe and is unfair to the accused researcher. “[The system] throws people like Andy into a no-man’s-land,” Lewis says.

The Plan of Attack

Obviously, the BMJ is in a bad spot. They have made strong accusations against Wakefield, and those accusations are clearly documented as false. So, along with publishing the letter, the BMJ went on the attack.  They are now calling for an investigation against all  the members of Wakefield’s research team for the Lancet paper, and adding in six senior academics at the University College London (UCL), which has taken over divisions of the Royal Free Hospital and is now responsible for the work Wakefield did.

Fiona Godlee, BMJ‘s editor, sent a letter directly to the chair of Parliament’s Commons Science and Technology Committee, Andrew Miller, pressing for a parliamentary probe if UCL doesn’t act immediately to investigate.

There is no attempt to explain why Wakefield has been accused of something for which he clearly was not, and could not have been, guilty. The documentation has been available all along. The pathology reports were there. They were blinded; the pathologists did not have any information about the children or their diagnoses. Wakefield did not misrepresent or change anything. There is now no avoiding that fact.

In the process of attacking, Godlee and the BMJ are tacitly admitting to the error! Wakefield has been crucified for making diagnoses that he did not make. Rather than acknowledge that, the BMJ is now trying to widen the circle of accusation. Apparently, they want us to now believe that there was a wide conspiracy to defraud, and that not only Wakefield was involved, but his entire team and high-level personnel helped.

In an attempt to show that the blinded pathologists were wrong, the BMJ trotted out Ingvar Bjarnason, a gastroenterologist, not a pathologist, to examine the reports. This is ludicrous on the surface. Bjarnason’s comments reference only the reports themselves. He did not review the lab results. How can anyone make a diagnosis based on the reports of the pathologists, rather than reviewing the evidence itself, the lab reports?

Backpedaling

Deer is now doing some backpedaling. He’s claiming that he never accused Wakefield of fraud. That may be technically true, but only in the sense that he didn’t use the term fraud. Everything he wrote was obviously intended to give that impression.

Godlee is now doing a bit of backpedaling, too, saying that the BMJ‘s conclusion of fraud wasn’t based on pathology, but instead was based on discrepancies in the children’s records and claims in the Lancet paper. So, why did the BMJ make such a point of claiming that Wakefield’s claims about the children’s pathology were false?

Is the Conclusion to This Sorry Episode Near at Hand?

Sadly, the end of the witch hunt against Dr. Wakefield—along with anyone else who can be dragged into the net—may be some distance away. The aggressiveness of Godlee and the BMJ may be indicative of fear, and fear tends to eliminate reason—as seems fairly apparent in this instance. By pressing ahead in a manner that effectively admits their previous accusation—that Wakefield committed fraud by lying about the results of the children’s lab tests—was, at best, in error. That, alone, should be adequate cause for reopening the case with the presumption of Wakefield’s innocence.

However, we don’t live in a world that always operates rationally. We live in a money-driven world. As ever, we need to look at the money to understand why Dr. Wakefield has been railroaded in the face of incontrovertible evidence that he was truthful about the basis of his research. The true issue is that the British government itself is fearful.

In an interview with Dr. Mercola, Dr. Wakefield discussed the fact that the Department of Health had tried to shut his research down while it was ongoing:

In the background, things were going on behind the scenes that we didn’t know about… The Department of Health had contacted my medical school, the dean in particular, and had tried to close this research down… expressing concerns that it was unethical that all these children had autism. It wasn’t fair on them to go through these procedures.

Were they justified?

Well, here you had the world’s leading pediatric gastroenterologist and his colleagues saying, “Yes, they are justified, and here are the findings. We’re happy to show you the findings at any stage, in any venue that you like.”

But nonetheless, there was a concerted effort behind the scenes to stop the work.

And it was particularly the concern of the Department of Heath that there was pending litigation where I had agreed to act as an expert in the litigation…not trying to prove that it was right or wrong, but doing my best as an expert to determine whether there is a case in law against the vaccine manufacturers.

The “pending litigation” refers to the use of a dangerous strain of the MMR vaccine,  Urabe AM9, which was known to cause meningitis. However, it was significantly cheaper, so the UK opted to throw out the health of children in favor of purchasing a vaccine known to cause meningitis. The government was so keen to save money that they agreed to indemnify the vaccine’s manufacturer, SmithKline, who refused to sell it without indemnification.

What’s on the line, then, is a nearly inconceivable amount of money. Who, ultimately, is liable for the autism epidemic if it’s known that the cause is related to a known-dangerous vaccine chosen because it’s cheaper than others?  Since the government indemnified the manufacturer, then the only one left standing is…the government.

In the face of an epidemic that fells a minimum of 1 in every 100 children, and brings enormous costs to their families and society, the costs could easily overwhelm the nation’s budget.

In the end, as with most things involving conventional medicine, it’s all about money. The lives of children have been sacrificed—and continue to be laid on the altar of Profits and Greed.

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  • C Cortie

    I’m confused, because the Nature article you mention doesn’t support you’re point. Quotes from the paper include “But was the paper merely mistaken, or a deliberate fraud?” and “more than 12 large-scale epidemiological studies had failed to find evidence of the hypothesized link (J. S. Gerber and P. A. Offit Clin. Infect. Dis. 48, 456–461; 2009) and the MMR vaccine is today regarded as safe.”.

    So the argument isn’t over whether he was wrong or not, because he was. The argument is over if he knew he was wrong (and guilty of fraud) or unintentionally wrong (a combination of bad luck and poor practise).

    Either way he was wrong.

    • Anonymous

      You aren’t quoting from the facts of the article. You’re merely quoting the parts that attempt to give “balance”.

      The fact is that the central point on which the entire fraud claim against Wakefield is based is a fraud.

      Oh – and quoting a pseudo-study by Paul “Profit” Offitt is hardly demonstrative of proof of anything! This is the man who claims that there would be no harm in injecting babies with a thousand time the mercury that’s in a vaccine!

      • seroj gharibian

        The fact is, if UK government wanted to publish that vaccine cause Autism, the entire government would go in bankrupcy, because parents of all Autistic children would sue the heck out of ‘em, and rightfully so,shame on Brian Deer.

      • C Cortie

        Those are quotes directly from the article…so what quotes go the other way?

        And the fact that you may not like Offit doesn’t explain the other 12 papers, each of which would be peer reviewed by numerous scientists.

        By suggesting that those scientists and know that they are putting children at risk and do it any way is accusing them (and a huge portion of the health profession) of a truly great evil.

        In my experience, doctors and nurse and medical scientists do what they do to help people, not for the money. Especially as there are easier ways to make money.

        I realise that people feel passionately about the safety of their children, and its right that they do. However, the vast majority of health research supports vaccinations method of preventing disease. Having seen the effects of diseases like polio, I can only thank my parents for vaccinating me.

        • Anonymous

          Perhaps your experience doesn’t match that of others.

          There’s are direct quotes in the article above that documents the conclusion of Lewis, which you choose to ignore. You also choose to ignore that most medical research is pseudo-research, financed by the companies that profit from the results. The peer reviews are a farce, done by people who are also reviewed – or hope to be – by the ones they’re reviewing. The study designs are also farcical, set up to “prove” what they wish to prove, not to find out the truth.

          Try to separate doctors and scientists from the money before making claims about their idealism.

        • David McElhaney

          I agree with and want to augment Heidi Stevenson’s argument here by adding that various well documented psychological and sociological effects operate to ensure that “doing harm” will seldom be perceived as such by the doer. Selection bias and community pressure (so called “group think”), work well enough of and by themselves and double-blinding and controlling to nothing to remove their impact upon experimental design and scope. The certain fact that one’s job, home and often marriage and children will be jeoprodized by any attempt to undermine a profit-generating norm using unpopular facts places the mind of the would-be whistle blower under immense stress not all of which is conscious. It is not at all necessary to postulate that the rank and file are doing conscious evil when they promulgate (as they generally do) harmful misconceptions. Rather, the cornered psyche of a practitioner who is faced on the one hand with ruin and on the other with doing evil (and who cannot live with either) will simply re-frame the entire problem with remarkable alacrity and greatly subtle facility. If the re-framed notions are lucrative and enjoy concensus support, the result is then rather assured. The odd dissenter, as we see with Wakefield, is simply dealt with along the lines of the theory of Darwin and this has additional (but not remarkable) effects upon the surviving herd of practitioners, to say the least. It is anti-scientific, therefore, to argue that these people need be (or generally even could be) consciously part of an evil conspiracy. Such a claims are abundant but they are nonsense and they are themselves actually poigniant illustrations of selection bias gone wild. The final preventatives against reality-based, non-consensus science are acheive via the simple mechanisms of specialization, compartmentalization, competition, and information overload. It’s extremely easy to acheive all of these using vast sums of money, and it is these sums, after all which are at issue and at stake.

          • HeidiStevenson

            Thank you for your response. I couldn’t agree more. It doesn’t require conspiracy theories to acknowledge that the majority of people will do harm when doing otherwise is personally risky.

    • http://twitter.com/tdekoekkoek Trevor de Koekkoek

      First off Wakefield’s paper never claimed that MMR caused autism, so if this is what you are saying he was “wrong” about he didn’t make such a claim so he wasn’t wrong. What he did show was that there was a bowel disease in such children and in that he was most definitely not wrong. The MMR may be regarded by some as safe, but the evidence certainly does not back that up conclusively.

    • http://twitter.com/tdekoekkoek Trevor de Koekkoek

      First off Wakefield’s paper never claimed that MMR caused autism, so if this is what you are saying he was “wrong” about he didn’t make such a claim so he wasn’t wrong. What he did show was that there was a bowel disease in such children and in that he was most definitely not wrong. The MMR may be regarded by some as safe, but the evidence certainly does not back that up conclusively.

  • Anonymous

    Actually, Brian Deer and all of these ‘experts’ are pontificating about a bundle of unsigned undated photocopies of tick box assessment forms said to be about the Wakefield et al 1998 Lancet childrens’ intestinal biopsies. This material was part of the GMC ‘prosecution’ case against Dr Wakefield and his Royal Free colleagues. They were NOT accompanied by slides or photographs of the ACTUAL biopsies.

    To be perfectly blunt, neither Lewis nor any of the ‘experts’ employed by the BMJ could possibly come to any kind of meaningful conclusion about the Lancet childrens’ bowel conditions based on this flimsy, and open to falsification, evidence.

    • Anonymous

      Lewis came to a conclusion about the legitimacy of the documents given to him by Dr. Wakefield.

      This is turning on whether these assessment forms are legitimate, and whether Wakefield invented his own diagnoses. What is being clearly noted is that Wakefield did not – that these assessments, done in a blinded fashion by 2 different pathologists, show that Wakefield did not invent the diagnoses, but that the pathologists actually did provide them based on the lab tests.

      • Anonymous

        In response to Lewis’s letter to the BMJ, Fiona Godlee appointed two ‘experts’ to examine the same scoring sheets and present their findings in the BMJ (below). Brian Deer was also ‘commisioned’ to write an accompanying article, in which he infers that Dr Wakefield and his colleagues invented or hyped up the findings of colitis as reported in the 1998 Lancet paper.

        “I see no convincing evidence of “enterocolitis,” “colitis,” or a “unique disease process” being present in all patients. The Wakefield et al paper is obviously problematic and its wording does not reflect the data shown in the grading sheets.”
        So said Karel Geboes, professor emeritus of pathology at the gastrointestinal pathology unit of the Catholic University of Leuven, Belgium..
        http://www.bmj.com/content/343/bmj.d6985

        “We came to an overwhelming and uniform opinion that these reports do not show colitis.”
        So said Ingvar Bjarnason, professor of digestive diseases, consultant physician and gastroenterologist
        http://www.bmj.com/content/343/bmj.d6979.

        Brian Deer wrote:-
        “Wakefield dubbed this alleged disease “autistic enterocolitis”….. “the pathology appears to represent a novel inflammatory bowel disease that is associated with autism.”
        But Dhillon’s reports produced results that pathologists, gastroenterologists, and a gastrointestinal immunologist to whom we have shown them say are overwhelmingly normal and might be found in almost anybody’s gut.”
        http://www.bmj.com/content/343/bmj.d6823

        These scoring sheets are mere photocopies of tick box assessment forms. They are unsigned and undated and as such cannot, on their own, be used as reliable evidence of these biopsy findings.

        • Anonymous

          I agree, Jenny. But what Lewis has done is analyze those same copies and pointed out that they are what Wakefield has stated – that he was not creating his own diagnoses, but using the ones provided (via those tick sheets) by the pathologists.

          Bjarnason’s claim that the reports do not show colitis are absurd on the face of it, because that would require access to the lab reports. The link you gave has Bjarnason’s statement, ” Findings for all but one child represent changes within the normal appearance of bowel biopsies, and the changes reported for this child do not amount to colitis.” That’s a claim he could not legitimately make, as it would have required access to the lab results, something he did not possess.

          The sheets are not intended to be detailed reports, but merely diagnoses as defined by pathologists who had access to the lab tests. The tick boxes clearly indicate nonspecific colitis – and that’s what Wakefield reported. It wasn’t his job to make the diagnoses. That was the job of the pathologists who reported in that, apparently standard, format.

          It should also be noted that the pathologists are co-authors of the study. If they hadn’t agreed with the diagnoses, it seems quite unlikely that they’d have agreed to be authors.

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  • http://www.facebook.com/profile.php?id=742471381 Meryl Dorey

    This might actually be a good thing. If there is a Parliamentary inquiry into this issue, Wakefield et al will get what they were denied during the GMC kangaroo court – the ability to testify, call witnesses (for instance, the 12 families involved, 11 of whom are firmly in support of the treatment they received at the Royal Free) and bring in supporting experts. If the Parliament does investigate this issue, there will need to be due process – something which doesn’t happen in the stacked GMC hearings. Fiona Godlee and the BMJ (which has close financial ties with Merck – manufacturer of the MMR vaccine that Wakefield was investigating) may think that they are cutting off those inconvenient questions by going on the attack, but they may, in truth, be leaving themselves open for their own charges of complicity, conspiracy and more once the truth finally does come out. May that day be sooner rather than later.

  • Anonymous

    From above:-
    “Fiona Godlee, BMJ‘s editor, sent a letter directly to the chair of Parliament’s Commons Science and Technology Committee, Andrew Miller, pressing for a parliamentary probe if UCL doesn’t act immediately to investigate.”
    The chair of the UK Parliament’s Commons Science and Technology Committee, Andrew Miller, has written to Godlee turning down her request:-
    UCL and the work of Dr Andrew Wakefield
    http://www.parliament.uk/business/committees/committees-a-z/commons-select/science-and-technology-committee/news/111110-ucl–wakefield/

    Mr Miller told Godlee, “While the committee welcomes being alerted to issues that may require investigation, it must be careful not to appear to be vulnerable to public lobbying.”

    It’s good to see this dreadful woman being assigned to the ranks of ‘public lobbyist’. It would be outrageous for journal editors, press and media magnates, and worst of all, nasty little fantasist hack journalists like Brian Deer, to dictate parliamentary actions and agendas.

    • Anonymous

      I suspect that Parliament won’t touch this because of the full implications of the issue.

      Now, the question is how much pressure will be brought to bear on UCL to come up with the “correct” result – to squash even more people.

      But it does do the heart good to see Godlee put in the category of public lobbyist!

      • Anonymous

        UCL has now also responded to Godlee:-
        UCL responds to BMJ editorial
        http://www.ucl.ac.uk/news/news-articles/1111/111110-ucl-response-to-BMJ-editorial. 10 November 2011

        I am sure there will be a great deal of pressure on UCL from all kinds of establishment and corporate sources. Godlee’s vendetta against UCL personnel and Deer’s very obvious and expressed hatred of ALL doctors and scientists, should at least ensure that UCL won’t be inclined to cooperate with THEM.

  • http://pulse.yahoo.com/_USDBDNPHFVMFHXZL7FXOUNUFSA Tim

    Good job Heidi…

    Tim Bolen

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  • Faith

    Brian Deer should be arrested for lying and for being stupid and being Murdock’s lacky! in my opinion… 

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