Joseph Mercola, along with Rosemary Fischer, are promoting vaccine awareness week this week, Nov 1-7. David Gorski, who edits Science-Based Medicine with me, thought it would be a good idea to go along with this and participate fully in vaccine awareness week. So all week we will be focusing on vaccine issues, and doing our best to counter any misinformation.
Mercola, who runs a highly commercialized website, chock full of health misinformation and anti-SBM propaganda, has started off the week with a broadside against the flu vaccine in an article titled: “New Proof that This Common Medical Treatment is Unnecessary and Ineffective”. He gives a Gish Gallop of error and misdirection – far more bits of falsehood than I have time to counter here. That’s the point of the Gish Gallop, it is far easier to create a misconception than it is to correct it. So if you throw enough mud at a topic you can overwhelm any attempt to defend accurate information, and leave your audience with the uneasy feeling that something must be wrong. In the case of Duane Gish his target was the science of evolution. With Mercola it is accurate health information.
Ironically, he starts off:
Armed with the facts, less than one-third of the US population fell for fear mongering. And together, we can do it again.
He accuses health officials of “fear mongering” – his word for warning people about the risks of the flu and recommending the flu vaccine. Of course, if you are interested in propaganda you can use this term to refer to any and every public health campaign. He picks on the H1N1 Pandemic of 2009 – an easy target. He plays Monday morning quarterback, pointing out that the pandemic was not as bad as projected. Again, it is easy to criticize officials for caution when the worst-case scenario does not unfold. When faced with a possible pandemic officials need to prepare for a plausible worst-case scenario, and then hope it doesn’t happen. What happened in 2009/2010 flu season is that the H1N1 flu showed up, but the regular seasonal flu didn’t, and so the total number of total flu cases was less than a typical year. We still don’t have an explanation for this, but it was completely unexpected. No one predicted this – not even the Mercola’s of the world.
After accusing health officials of fear mongering, Mercola then goes onto to relentlessly fear monger about an effective public health intervention – the flu vaccine. Remember his fear mongering from last year? Wasn’t the H1N1 vaccine supposed to cause an epidemic of Guillaine Barre Syndrome (GBS)? Well – it didn’t, and there was a careful surveillance program in place in the UK and US to monitor for any increase in GBS and it never occurred.
Now Mercola is at it again, and his stated goal is to scare people off the flu vaccine. He doesn’t expect to be held accountable for his dire predictions and misinformation – he just dumps as many bits of scary misinformation as he can and then moves on. Again – I can’t get to them all, but here are a few:
“Health officials have leapt ahead with recommendations of “flu shots for all” without safety studies—so by getting a flu shot, you are effectively offering yourself up as a laboratory rat. In other words, YOU are the safety study!”
This is a transparent falsehood. Simply put “flu vaccine safety” into PubMed.org and see how many studies come up. There are many studies looking at the safety and side-effect profile of various flu vaccines in the general and in specific medical populations, including the effects of adjuvants, and simultaneous vs serial vaccination. There is a serious attempt by medical scientists to evaluate the safety and effectiveness of flu vaccines. But Mercola needs you to believe that there is a dark conspiracy and you need him to open your eyes and give you the real information – all you have to do is subscribe to his site.
Australia’s flu season precedes ours, so we can look to them for a preview of vaccine issues. By June of 2010, more than 1,000 adverse reactions in children under the age of 5 resulted in the Australian government’s banning of flu vaccines for that age group. High fevers, vomiting and convulsions were the most widely reported reactions, which are also associated with long-term adverse health outcomes.
CSL’s Fluvax appears to be the main troublemaker. However, CSL has objected to being singled out, claiming any of the other three vaccines on the Australian market could be to blame.
Notice the spin Mercola puts on this news item – he implies that any trivalent flu vaccine can be to blame, CSL says so (since when does he listen to a vaccine manufacturer?). The real story is that there was an increase in fever and other complications from one brand of flu vaccine in Australia – Fluvax. The increase occurred in that brand only. It was not a single-batch problem, and so this was likely a manufacturing
. For this reason the vaccine was temporarily suspended until the facts could be sorted out.
What are the implications for the US? The CDC has recommended that the Afluria vaccine – CSL’s vaccine for the North American market, not be used in children 6 months to 4 years old. That seems like a reasonable precautionary measure. And here we can see the difference between reasonable caution and hysterical fear mongering.