vaccination

Queensland to Provide Whooping Cough Vaccines for Pregnant Women – Campaign for all Australian States To Follow

On July the 9th, Queensland Premier Campbell Newman and Health Minister Lawrence Springborg made a long hoped for announcement – Queensland will be providing free Whooping Cough (Pertussis) vaccinations for women in their third trimester of pregnancy, following dedicated campaigning by doctors, parent groups and concerned citizens.

Read more: Free whooping cough vaccine for all pregnant women in Queensland Courier Mail, 10th July 2014.

Premier Campbell Newman and Health Minister Lawrence Springborg announce free whooping cough vaccinations for pregnant women in Queensland.

Premier Campbell Newman and Health Minister Lawrence Springborg announce free whooping cough vaccinations for pregnant women in Queensland.

 

This is wonderful news for newborns and their families in Queensland. Maternal immunisation during the third trimester of pregnancy and the resulting passive antibody transfer to the infant has been shown to provide substantial protection to newborns during the first two months of life, before they are able to begin receiving whooping cough vaccinations (a three dose schedule, which is completed at six months). Maternal immunisation can also prevent the mother from contracting whooping cough herself, risking passing it on to her vulnerable infant.

Hopefully Queensland’s new policy will pave the way for other Australian states and territories to institute similar schemes, allowing families better access to a measure which can protect newborns from illness, disability and death.

If you are so inclined, please consider writing to and/or tweeting your state or territory leaders, health ministers and shadow health ministers to let them know that there is high community support for the provision of free whooping cough vaccines for pregnant women. I have listed contact details and Twitter accounts for them at the end of this post, and have been tweeting myself, using the hashtag #freewhoopingcoughvax.

 

 

I would like to share with you this letter written to the Premier of New South Wales, Mike Baird, and the New South Wales Minister for Health, Jillian Skinner. It was composed by Heidi Robertson and Alison Gaylard on behalf of the Northern Rivers Vaccination Supporters, a community group of concerned citizens who support vaccination and live in an area of New South Wales with alarmingly low vaccination rates.

 

Wednesday, 9th July, 2014

Dear Premier Baird and Ms. Skinner,

We write with regards the initiative announced by Queensland Premier Campbell Newman this morning (9th July 2014). Premier Newman revealed that Queensland Health will be funding a free Pertussis (whooping cough) vaccine for women in their 3rd trimester of pregnancy.

We sincerely hope that NSW will follow suit with this initiative. It is of course based on the latest research and evidence which states that the Pertussis vaccine given in the third trimester is very effective at protecting the newborn baby during those crucial first two months before they can receive their first Pertussis vaccine. Mothers-to-be are also protected from Pertussis with this initiative which of course reduces the chances of transmission to the baby. Mothers, often being the primary caregiver of the baby, are in close physical proximity on a 24- hour basis and are often inadvertently responsible for passing this potentially deadly infection on to their babies.

Losing a baby to Pertussis, a Vaccine Preventable Disease, is of course devastating; the economic cost to government will also be greatly reduced if less infants need to be hospitalised in Paediatric Intensive Care Units (over 9 out of 10 babies under three months of age need to be hospitalised as a result of contracting pertussis).

Please consider following Queensland in this important endeavour.

Regards,

Heidi Robertson and Alison Gaylard – acting on behalf of Northern Rivers Vaccination Supporters.

 

Again, if this issue is important to you, please consider writing or tweeting to your state or territory health MPs. Thank you.

(more…)

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PSA: The “Vaccinations Lead To Heroin Use” Graphic Is A Parody

It has been said that some of the most effective satire is nearly impossible to distinguish from the truth. As such, occasionally a graphic or quote which has been created as a parody is shared on social media, creating confusion, fear and outrage among a wide range of people… particularly those not familiar with the source and their particular brand of humour.

One such example is currently doing the rounds; a graphic which appears to be an anti-vaccination claim, which seems to suggest that childhood vaccination leads to heroin use, due to needles being regarded as something positive.

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Parody image by Something Awful forum user Bog Chef, using a photograph sourced from Flickr user e_monk.

I’d like to reassure anybody concerned that this has not been created by an anti-vaccinationist (though, being familiar with the wide range of bizarre claims made by anti-vaccination campaigners, I can understand why it could be read as real). Furthermore, in case I need to clarify this, there is no known causal link between vaccination and intravenous drug use later in life.

This graphic was created as a part of Something Awful’s Photoshop Phriday in 2013, in which SA forum participants tried to create over the top parodies of anti-vaccination posters. After showing some examples of actual anti-vaccination memes, the SA admins issued a challenge: “If they can take anti-vaccination posters to this level of absurdity, imagine what we can do!”

Unfortunately, this one has escaped its context and repeatedly gone viral – on its current round, it has managed to spread far enough to grab the attention of the media, with the Sunshine Coast Daily reporting, “Viral anti-vaccination meme shocks professionals“.

“The image, which depicts a drug addict slumped in a corner with the text “their first injection was a vaccination: protect your children from vaccinations”, has gone viral on social media and has recently found its way to Coast news feeds.”

The version of the image which has been received by the Sunshine Coast Daily has been cropped of the Something Awful watermark and as such, is not identifiable by doing a reverse Google Image Search. Generally though, reverse image searching is an excellent way to check the source of an image – and if there is a watermark present, do check the nature of the website it came from before sharing.

If you see this image on social media, my recommendation is not to share it, but to let others know that it is both factually incorrect and was created as a parody by the Something Awful forum participants.

UPDATE 05/06/2014 11:41am: The Sunshine Coast Daily have updated their article, with information from this post.

UPDATE 05/06/2014 10:30pm: Ten News Brisbane have also reported on the meme, acknowledging that it is a parody image. Video report: Confronting Parody

UPDATE 11/06/2014 5:40pm: I have written a letter to the editor of the Sunshine Coast Daily newspaper regarding their use of the above post in an article.

UPDATE 21/03/2015 11:11am: It’s very much doing the rounds again! Please keep in mind that this image was created as a joke and is currently being shared by certain trollesque Facebook pages in order to provoke outrage. Before sharing it on social media, I ask that you consider whether you really want to give trolls oxygen. While the spike in blog traffic over here is kind of nice, I’d rather see this silly graphic out of circulation.

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Anti-Vaccination Advocates on the Front Line of Public Health

I have a confession to make, people. Sometimes I read the comments. And sometimes I even join in.

Earlier today, ABC News posted a news article on their Facebook page regarding Federal Health Minister Peter Dutton’s meeting with his state counterparts to discuss a possible decision to withhold Family Tax Benefit payments from parents who refuse to vaccinate their children, for non-medical reasons. It’s a complicated issue and one that Dr Julie Leask has addressed in the news article itself.

ABC News’ Facebook moderator invited comments from Facebook users on the topic, prompting much discussion, both advocating and opposing vaccination itself, and agreeing with or criticising the proposal to withhold benefits from families who choose not to vaccinate their children. Having a little free time on my hands, I had a look over the comments and made a few myself; predominantly providing rebuttals to anti-vaccination rhetoric and suggesting that people discuss any concerns that they may have about immunisation with a qualified health professional.

Here’s a fairly typical example of the sort of comment that those who oppose vaccination make on such threads:

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Usually I’ll respond to this sort of statement with an explanation of herd immunity, that unimmunised children increase the risk of vaccine preventable diseases entering our community, the importance of protecting children for whom vaccines are medically contraindicated (be it due to medically diagnosed allergy, an immunocompromised state due to cancer therapy or organ transplant, or being too young to yet be immunised), that vaccines aren’t one hundred percent effective (often noting that seatbelts aren’t either, but it’s sensible to take the high level of protection that we can get over none at all).

We’ve got a couple more fallacies here. “Straight up poisons” sounds fairly terrifying, but doesn’t take into account the rigorous testing vaccines go through, nor the doses at which vaccine ingredients are administered. Break down our foodstuffs and you’ll find scary sounding chemicals in many fruits and vegetables in minute amounts; some of which also occur naturally in our own systems.

To suggest that anybody is proposing that parents will be “forced” to immunise children is also disingenuous. The current proposal is to withhold a payment as an incentive, the option to refuse to vaccinate would still be available.

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Earlier, I mentioned that I often suggest to people that if they have concerns about immunisation, they should discuss them with a qualified health professional. Here, Deb has informed us that she is indeed speaking as a health professional.

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In fact, she is a nurse. The sort of person we should reasonably be able to trust for sound advice and information on vaccines. A practitioner of evidence based medicine.

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Here are some odd generalisations regarding lifestyle choices! Thankfully, many parents who ensure that their kids get outside and play and give them… food stuff that is actually food stuff… also choose to vaccinate.

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Which epidemics? Were vaccinations around during these epidemics also?

Sanitation is a marvel for public health, but it is not responsible for the significant lowering of vaccine preventable diseases. More information on this frequently repeated myth from WHO.

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A healthcare practitioner who buys into the “Big Pharma” business?

It troubles me. Out of curiosity, and using publicly available data, I found Deb’s LinkedIn profile. Her name (she uses a pseudonym on Facebook, but her Facebook URL contained her surname), photo and job description matched, so I am quite confident that I’ve identified her correctly. She works as a clinical nurse in what she describes as a “large, busy, Metro ED Department”.

Her refusal to have the influenza vaccine leaves her prone to contracting it… and working in an emergency department, she is likely to have a high risk of exposure to the virus. If she is at work while contagious, there’s potential for her to pass it on to some very ill and vulnerable patients under her care.

What is also deeply disturbing to me though, is that somebody on the front line of public health – in a position of authority on healthcare – would hold views that so strongly reject many tenets of evidence based medicine. We should be able to trust clinical nurses to know better.

 

 

19:20 – 12/04/2014 Edited to add: Two more of Deb’s posts on the ABC News thread, presented without comment.

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Although the discussion on ABC News’ Facebook page is a public one and Deb uses a pseudonym, I have chosen to pixelate her photograph and surname for this post, as I am noting her as an example of a health professional who espouses anti-vaccination views, rather than an individual to be exposed.

The Australian Vaccination Network’s Much Anticipated Name Change

Just in, an announcement from the Australian Vaccination Network that they are complying with the Administrative Decisions Tribunal’s court order to change their misleading name. Their chosen (and approved) new title: “The Australian Vaccination-Skeptics Network”. From the AVN:

As of Friday, March 7th, the Australian Vaccination Network, Inc. will now officially be known as the Australian Vaccination-Skeptics Network, Inc. We will still have the same domain address (www.avn.org.au ) and will still go by the acronym "AVN".
Full announcement here.

Frankly, this strikes me as incredibly bizarre, but quite in keeping with the AVN’s previously demonstrated thinking. Admins on the AVN’s Facebook page have repeatedly condemned the skeptical movement, referring to skeptics as “Septics” and insisting that we are shills for Big Pharma and the like. At the same time, the AVN have registered the domain australiansceptics.com, an attack site which discredits the skeptical movement and claims that vaccine denialists of their ilk are “The REAL Australian Sceptics”. One wonders why the AVN wishes to co-opt a title which they have treated with such derision – I can only assume that they feel that their attempts to align themselves with skepticism lends them credibility not offered to those honest about their denialism. Presumably, this is why the AVN have been reticent to ever label themselves as anti-vaccination, regardless of the fact that all of the misinformation that they spread is undoubtedly anti-vaccine. Despite their continued attempts to discredit scientific skepticism, they are quite aware that their position is the one lacking credibility.

I would like to note here that scientific skeptics do well to approach the topics that they examine with an awareness of personal bias (and the utmost effort to remove such), apply critical thought and are open to changing their position based on empirical evidence. I would argue that the AVN do not qualify as such, given their dogmatic anti-vaccination position and refusal to accept the overwhelming scientific consensus that vaccination is the safest and most effective means by which we have to prevent people contracting vaccine preventable diseases. The AVN downplay the seriousness of illnesses such as pertussis and measles, spread misinformation regarding the efficacy of vaccination and make claims that the risks associated with vaccination are much higher than evidence shows.

Let us hope that if they are permitted to continue using their new name, the wider public will consider the AVN to be in the same category as “Climate Change Skeptics” – denialists without the integrity to openly admit that they are such.

Mummy Instinct

Well. I have been incredibly busy catching up with uni work after taking a break over the holiday season and have not been able to find the time to write a blog post for a couple of weeks now. As I don’t like to go for too long without putting something up here, have this:

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I feel very fortunate that my “mummy instinct” is to understand the importance of evidence and reason when making decisions regarding my children’s health and wellbeing.

Please feel free to share this image if you find it entertaining or pertinent to a discussion that you’re having.

Image created using Success Kid template on quickmeme.com.

 

Further Reading:

Parenting and the False Dichotomy Between Nature and Technology

The (soon to be) Network Formerly Known as the AVN

Just before midnight last Friday night (the 14th of December, 2012), some rather fantastic news broke.

New South Wales Fair Trading (a state government department) had that day issued Meryl Dorey, president of the Australian Vaccination Network, with a letter stating that after investigating several complaints made to the department regarding the misleading nature of the AVN’s name, it is the Commissioner’s opinion that the use of the name ‘Australian Vaccination Network’ by a group of anti-vaccinationists is against the public interest. The Commissioner then directed the AVN to change its name. The AVN have been given until the 21st of February 2013 to lodge an application for registration of change of name. If this is not done, the department may cancel the AVN’s registration, close the AVN down and seize their assets.

The full letter is available here. Thank you to Meryl Dorey for making it available to the public.

Several newspapers have run with this story, news.com.au gave us “Anti-vaccine group ordered to change name”, which the Herald Sun ran as “Minister orders anti-vaccination group to change name”, with added quotes from the president of the AMA, while The Daily Telegraph ran the truncated “Anti-jabs lobbyists warned”. A few highlights:

NSW Fair Trading Minister Anthony Roberts fired a broadside at the AVN, saying the information it provided was a public safety issue of “life and death”.

“This is not a victimless issue, it’s about the ability to stop pain and suffering,” he said.

Mr Roberts likened the AVN’s message to sanctioning speeding.

“People do not have the freedom of choice when it comes to endangering others … it’s the equivalent of saying a bloke can speed down the road and endanger others,” he said.

Mr Roberts said he was prepared for any appeals the AVN might make.

“This is an order, it is not a request,” he said.

“The Australian Vaccination Network does not present a balanced case for vaccination, does not present medical evidence to back up its claims and therefore poses a serious risk of misleading the community,” Mr Roberts said in a statement.

NSW Fair Trading Assistant Commissioner for Compliance and Enforcement Robert Vellar says the AVN’s name had misled parents seeking information.

“People are being confused about the true nature of the information they are being provided on the AVN website, the name is misleading,” he said.

The Northern Star, which is the local paper of the Northern Rivers region of New South Wales (which covers the town from which Meryl Dorey runs the AVN), published “Anti-vaccine group must change ‘misleading’ name. This article contains an unusual point worth noting – they attempted to contact Meryl Dorey for a statement, but she did not return their calls. Given Meryl Dorey’s usual eagerness to engage with the media, this is a strange event indeed.

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Here is the cover sheet which will be greeting Meryl at her local newsagency this week.
Many thanks to Alison Gaylard and her friend for snapping a photo and sharing it.

Unsurprisingly, Meryl Dorey has reacted quite strongly to the letter from the NSW Fair Trading and subsequent media attention. She published a lengthy post on her blog in response, entitled “Government puts the boot into the AVN, Democracy and the Truth”.

I do not have the time to review the entire post, but some highlights include:

The Department’s open cooperation with the AMA is analogous to them responding to complaints by mining companies about Greenpeace’s name. After all, Greenpeace is not green, nor do they go around looking for peace, therefore, would the Department tell them to change their name too? How about the Cancer Council? Couldn’t someone be misled into thinking that they are FOR cancer? And the Department of Health? Don’t get me started! The Department of Ill-Health would be more accurate in my opinion.

Greenpeace is not green. Say it with me, “Greenpeace is not green”.

A wonderfully skilled wordsmith of my acquaintance, Shellity, has written a poem in response to the above quote of Meryl’s, I heartily suggest you give it (and the rest of her blog) a read: “Nominal”.

As for the statement regarding the Cancer Council, no Meryl, it is highly unlikely that anybody could be led to believe that the Cancer Council were pro-cancer. It is a reasonable assumption though, they they are an authority on the subject and that they provide trustworthy evidence-based information regarding cancer. The same cannot be said for the Australian Vaccination Network with regards to the topic of vaccination.

Later in the blog post, when discussing NSW Fair Trading, Meryl quips that they “might consider changing that name because at least in the present situation, it is extremely misleading!”. I assume that this is a little Merylese bon mot, but it is hard to be certain.

Several paragraphs on is another statement I that would like to address.

Blog overlap

The letter from the Department was handed to my daughter at approximately 11:45 AM and the first article appeared in the Australian media approximately 10 hours ago. But Skeptic blogs started to announce this information approximately one hour before the media did. How do you think they came by this information? I really do wonder. Is there a direct line of communication between the Australian Skeptics, Stop the AVN (SAVN) and government departments? There is a long and open history of collusion between media outlets and various ‘skeptics’ so it is not impossible that they heard about this letter before the AVN had even received it. Is this collusion one of the reasons why these departments have been ‘putting the boot’ into us for the last 4 years at an apparent cost of millions of dollars to the taxpayer? Is the fact that many SAVN members are actually employed by government departments – and use their government email addresses when writing about the AVN and wanting to close us down – cause for concern? I will leave those questions with you to ponder.

Going by the time on the blog post announcement on the AVN’s Facebook page, 11:40am on Saturday the 15th of December (the post itself has no timestamp), the “approximately 10 hours ago” statement refers to 1:40am the same day.

I was online when the news broke, it first hit Twitter at 11:29pm on Friday evening. This linked to a paywalled version of the Herald Sun article, “Minister orders anti-vaccination group to change its name”, which refers to the 14th of December as ‘yesterday’ and is dated 12:00AM, December 15, 2012, but evidently went live at least half an hour before midnight.

The skeptic (I find the dramatic quotes quite unnecessary) bloggers who wrote posts about the news did so over the next hour; there’s a satirical piece by Dave The Happy Singer titled “Meryl Dorey to rename the Australian Vaccination Network Stop Stop The AVN” (posted at 12:26am Saturday) and a rightfully pleased announcement from Peter Bowditch on The Millenium Project on Ratbags.Com (posted 1:15am Saturday).

Kate from Stop the AVN has made a timeline graphic here, which helps clarify.

Both Dave and Peter’s blog posts refer to the article on the Herald Sun, which went online almost an hour before Dave’s post was made, giving both bloggers adequate time to write and publish. More to the point, both blog posts directly refer to the Herald Sun article and contain no information that is not included in the newspaper article.

Where then is Meryl getting the idea that skeptic bloggers had the information before the media published it? And is it then reasonable that she extrapolate from this the notion that the Australian Skeptics, SAVN and ‘government departments’ are illicitly sharing information and that the media is also in on the act? It’s a long and rather conspiracy-laden shot, Ms Dorey.

On the subject of unsubstantiated finger pointing, the AVN’s website went down on Sunday and this was the announcement:

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(The “View all 8 comments link doesn’t reveal further comments when clicked on, three have been deleted – original post here)

Fortunately, the SAVN admins are people of many talents. Here, Dave Singer outlines why it is inaccurate to blame the AVN’s website problem on a DDOS attack:

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(Original post and subsequent discussion here)

So what next for the AVN from here? I see four options, for them to change their name and complete the appropriate paperwork with all relevant authorities that that would entail, for them to continue with their current name and face being forcibly shut down by NSW Fair Trading, for them to disband in an act of grand martyrdom and for Meryl Dorey to lay low for a while or for them to apply for a right of review of the department’s direction with the Administrative Decisions Tribunal.

Either way, we live in interesting times and I am quite curious to see which direction this will progress in.

Further Reading (and some listening and watching):

Anti-Vac group told to change name – Tracey Spicer and Tim Webster on 2UE Radio discuss the NSW Department of Fair Trade’s decision with phone in guest Anthony Roberts, the Minister for Fair Trade (who is rather critical of the anti-vaccination movement and refers to groups such as the AVN as “nut jobs”). Audio available, I will link to a transcript if I see one about.

AVN ordered to change its name – An article on Australian Doctor’s website (professional credentials and login required to view full article).

Australian Vaccination Network ordered to change it’s name – The media release from the Minister for Fair Trading’s office, also published here on the Australian Healthcare and Hospitals Association’s website.

The AVN Asks – What’s in a Name? – The AVN’s official media release on the department’s direction. I’ll be sure to add links to any news services who run with the story.

AVN’s Meryl Dorey orders NSW Fair Trading to change its name – Another blog post from Dave the Happy Singer

NSW Government orders the AVN the change their name or face closure – A blog post on the Skeptics’ Book of Pooh Pooh

Panellists on ABC’s current events panel show The Drum discuss the AVN in a less than impressed manner. Thank you to Anne Blake for uploading the video.

Anti-vaccination network told to change its name or be shut down – An article on The Conversation by Rachael Dunlop

And now for some Jimmy Rustling of a different kind – And a blog post by landlockedseaotter

David Penberthy: Anti-vaccine set forced to fess up – An opinion piece by David Penberthy appearing in Adelaide Now endorsing NSW Fair Trading’s direction.

AVN – NSW Fair Trading Orders Name Change – Christine Bayne of Diluted Thinking has put together a brilliant run down of the correspondence between the AVN and NSW Fair Trading and the potential liabilities faced by AVN committee members.

I would like to note a special thanks to everyone over at Stop the Australian (anti)Vaccination Network, especially those who have been posting links and information as they’ve come across them. I have been a little overwhelmed recently, trying to work out how to balance university, parenting and getting enough sleep, so my participation and this blog (and the housework) have fallen by the wayside somewhat. I am hoping that after the holiday season is done, I will be able to rest and find the resources to put more time into both SAVN and writing.

If you are interested in supporting SAVN, you are very much welcome to like their Facebook page. SAVN also uses the hash tag #StopAVN on Twitter.

[Edit] 1:45pm 19/12/2012: Added links to the piece in The Conversation and landlockedseaotter’s post to the Further Reading section.

[Edit] 12:00pm 21/12/2012: Added links to David Penberthy’s article in Adelaide Now and Christine Bayne’s post at Diluted thinking to the Further Reading section.

Don’t Ask the AVN, Take Your Child to a Hospital

Today, there has been another instance of an adult concerned for a child’s wellbeing asking the AVN for advice – not a parent this time, but an aunt – and the AVN not issuing an appropriate recommendation to have the child assessed by medical professionals.

It began with this post, from Robert Catalano, who proclaims to be the President of the American Natural Healthcare Society and has authored a book titled, “The Great White Hoax, The Suppressed Truth About the Pharmaceutical Industry, American Freedom vs, Medical Power”. It appears that Robert’s description of himself as an “anti-medicine activist” is one of the few and far between moments of accuracy he experiences in his writing. Judging by this extract (and I cannot imagine how the omitted text could possibly redeem what is written here), his book is a conspiracy heavy diatribe of pure bulldust, as is this post:

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The AVN seem to be allowing a little more disagreement to be visible on their Facebook page than usual at the moment. A discussion ensued, with the AVN supporting Robert’s claims and trying to promote a book that is sold on the AVN’s website, “Diabetes Without Drugs” by Suzy Cohen.

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The uncensored conversation didn’t last long though – the next comment, in which the author suggests that Robert may not be as well informed about diabetes as he claims to be (and includes a copy-paste of accurate information), was made by one of the AVN’s own courageous anonymous admins, CP. It has since been deleted.

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Next though, was the sort of comment which makes my blood run cold (in a metaphorical sense, on the off chance that somebody thinks I’m having a dreadful reaction to the aspartame that was in a cola I drunk yesterday). It filled me with dread, in any case.

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Again, an adult responsible for a child who is described as being unwell, asking for advice on the AVN’s page.

By this point, Robert is no longer participating in the conversation. Several conscientious and sensible commenters rightly urge Jess W to get her nephew to a hospital. The AVN admin (who is not identifying him or herself at this point) ignores Jess’ comment and instead opts to debate the legitimacy of natural diabetes management and cures with Hayley A.

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Jess W returns with a direct question to the AVN. The AVN admin’s reply admonishes her for not having the time to learn about ways to help a 4 year old child and suggesting that Jess’ priorities are not in the right place, completely overlooking the fact that Jess has stated that her nephew is very unwell, difficult to rouse and has an extremely high blood sugar level reading.

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This is the time to be telling Jess W to call an ambulance immediately, not tell her off for not handing over $35, waiting for the AVN to ship the book to her (given their poor performance in delivering their magazine, “Living Wisdom”, which their subscribers pay for, there’s no precedence set for the book to arrive promptly) and reading 432 pages on the dietary management of Type 2 diabetes.

What Jess W is describing needs to be diagnosed by a professional in a clinical assessment – if it is indeed diabetes, it is extremely improbable that a four year old would be facing Type 2. Type 1 diabetes cannot be cured, nor can it be managed through diet alone. Fastidious monitoring of blood glucose levels and administration of insulin are required in order to avoid the person with diabetes developing ketoacidosis, a life threatening condition. From Diabetes Australia’s website:

Ketoacidosis is a serious condition associated with illness or very high blood glucose levels in type 1 diabetes. It develops gradually over hours or days. It is a sign of insufficient insulin.  Most cases of ketoacidosis occur in people with type 1, it very rarely occurs in people with type 2.

Without enough insulin, the body’s cells cannot use glucose for energy. To make up for this, the body begins to burn fat for energy instead. This leads to accumulation of dangerous chemical substances in the blood called ketones, which also appear in the urine.

This is a serious medical emergency and can be life threatening if not treated properly. If these symptoms are present, contact your doctor or go to hospital immediately.

It is also worth noting that “Diabetes Without Drugs” (preview viewable here) contains Quack Miranda Warnings both on the inside cover and on page xii of the introduction, urging readers not to act on the advice contained within without consulting their doctor.

Back to the comment thread, the AVN admin remains anonymous, accuses Hayley A of rejecting the suggestion that diabetes is naturally curable merely because that suggestion is coming from the AVN and then links several YouTube videos to bolster their claims.

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I am not certain what the now missing comment from Karam S was that the AVN admin is replying to in the last comment – I’m vigilant with the screencapping, but I did spend some time taking my kids swimming this afternoon.

Update: The helpful and vigilant Dr Rachael Dunlop has supplied the missing puzzle piece, which is indeed quite puzzling in itself:

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I will admit at this point that I was having doubts as to whether Jess W’s claims were authentic. Not enough to feel that her comments didn’t warrant attention and reasonable responses, but I did entertain the possibility that she was somebody out to demonstrate that the AVN, (who I will remind you now are recognised as a health care provider by the HCCC), provide unconscionable and dangerous advice and misinformation to those who believe them to be a credible source of information.

Thankfully, mine (and many others’) suspicions were found to be within reason. Jess W appeared on SAVN’s Facebook page, knowingly breaking her own ruse to reassure us that there was no sick child whose caregivers were relying on the AVN for advice.

I would like to note that before this afternoon’s events, Jess W was not known to me, nor to any other people involved with SAVN that I saw discussing the matter in public. To the best of my knowledge, she acted independently.

Meryl Dorey posted this when she discovered that Jess W’s story was not real:

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(Pardon the confusing timestamps, Craig D’s comment was, unsurprisingly, deleted)

Note that Meryl’s confusing disclaimer has made an appearance again.

The second comment from an AVN admin is unattributed, so I assume that it came from one of the other admins of the AVN’s Facebook page. To the best of my knowledge, there are four or five admins other than Meryl, who go by the monikers RR, B52, SB, CP and the recently appeared B9. While I support the right of internet users to anonymity and pseudonymity, I find it disturbing that people speaking on behalf of a recognised health care provider do so without declaring their credentials and affiliations.

SAVN admin Kate has posted an open letter to the anonymous AVN admin who made the second comment on the screencap above. Please take a moment to read it here.

As always, there is much considered and varied commentary on today’s events on Stop the Australian (Anti-)Vaccination Network’s Facebook page.

The thread on the AVN’s page has disappeared and reappeared. At the time of writing, it is viewable (and still being commented on) here.

The ethics of Jess W’s conduct are certainly questionable. She did perpetrate a hoax which played with my emotions very effectively and caused me some anxiety. I spent this afternoon imagining a boy of four, much like my own beloved son, listless and unresponsive while his family made the dreadful mistake of seeking advice from the AVN instead of taking him immediately to a hospital. It made me feel ill with worry, helpless and incredibly sad – and I’m sure many others felt similarly, just as we’ve felt reading about the unvaccinated baby exposed to whooping cough and the young boy suspected to have measles whose mothers also recently posted on the AVN’s Facebook page seeking help. I, personally, cannot condone Jess W’s actions, nor endorse such tactics. While they were effective in demonstrating the AVN’s response to a caregiver of a sick child, I do not feel that the lie was worth the outcome. Conversely, I am still finding myself thankful that the AVN’s response wasn’t being demonstrated with a real child’s life at risk.

While thankfully this sick young boy did not exist, he could have. Even if the AVN admins had their suspicions that Jess W’s story was not true, was it really worth ignoring then admonishing her if there was even a tiny chance that a child’s life was at risk? Why did the AVN admins cling so tightly to their need to dispense anti-medicine tropes and keep toeing the party line when they were clearly out of their depth? Why did they refuse to urge Jess W to get her nephew to a hospital?

He could have been real and this could have been tragic. I am terrified that the next time someone comes to the AVN for advice on an ill child, it will be.

The AVN do not deserve the responsibility that they are trying to shoulder. Likewise, trusting parents who are seeking health advice for their children do not deserve the dangerous lies of the AVN.

Previously on this topic:

Don’t Ask the AVN, See your GP

The AVN Issues a Quack Miranda Warning

Further reading:

The day the AVN thoroughly rustled my Jimmies by landlockedseaotter, a great blog post on today’s events which further addresses the claims made by Robert Catalano and the AVN about diabetes cure and management (as well as the AVN’s behaviour).