Giving space to Andrew Wakefield on MMR isn't balance, it's lunacy

The Independent should not have run the discredited doctor's claims on its front page today, says Martin Robbins.

The photograph below is all that the majority of parents with young children will see of the Independent today, waiting in supermarket queues or flicking through magazine racks. The front page quotes a doctor – never mind that he was struck off in order to protect patients – saying he was right about the MMR-autism scare. And so the zombie controversy rises from the dead again.

There are three realities that need to be addressed here right at the start. First, the MMR vaccine is safe, many tens of millions of doses have been administered worldwide, the data show no link between MMR and autism. As with any medicine there are occasional side effects, in some cases these might be serious, but the benefits far outweigh the slight risks.

Second, single vaccines are less safe than MMR. They are less convenient, leading to poor uptake and more children being unprotected for longer; and they have had far less testing.  If the NHS were to start touting single vaccines as an alternative then not only would it have a negative impact on public health, it would be taken as evidence that the problem was real, potentially leading to a catastrophic loss of public confidence in vaccines (remember Tony Blair’s role in all of this).

Third, Andrew Wakefield is about as discredited as it is possible for a doctor to get. He was found to have ordered invasive investigations on children without either the qualifications or authority to do so. He conducted research on nine children without Ethics Committee approval. He mismanaged funds, and accepted tens of thousands of pounds from lawyers attempting to discredit the MMR vaccine, being found by the GMC to have intentionally misled the Legal Aid Board in the process.  He was not just dishonest, unprofessional and dangerous; his contempt for the rules and regulations that safeguard children in research projects was vile.

Wakefield’s research was unconvincing at the time and swiftly refuted, yet the ‘controversy’ over MMR has raged for years, fuelled almost entirely by credulous idiots in the media.

As Ben Goldacre wrote almost three years ago:

“The media repeatedly reported the concerns of this one man, generally without giving methodological details of the research, either because they found it too complicated, inexplicably, or because to do so would have undermined their story. As the years passed by, media coverage deteriorated further. Claims by researchers who never published scientific papers to back up their claims were reported in the newspapers as important new scientific breakthroughs while, at the same time, evidence showing no link between MMR and autism, reviewed academic journals, was simply ignored. This was cynical and unforgivable.”

And yet, three years after Wakefield was struck off and the Telegraph’s best journalist, Tom Chivers, wrote “so, farewell then, Dr Andrew Wakefield”, here we are again with Britain’s most dangerous doctor since Harold Shipman given pride of place on the Independent’s front page.

The villain, now firmly at the heart of America’s quack autism-cure industry, has come to gloat even as 60 measles-afflicted children are sent to hospital beds in Swansea.

What impression does the Independent website give of the MMR ‘controversy’?

On Twitter, the Independent's health writer Jeremy Laurance has spent the day demanding that critics read the whole piece. “Jeeezus!”, he responded to Ben Goldacre and others at one point, “U have NOT read the story.” What Laurance fails to understand is that few people ever do read the whole story. Any competent journalist understands that people tend to grab the information at the top, and don’t always stick around until the end of the piece. 

And besides, it’s not just the headline. Laurance’s article continues to put Wakefield’s point of view for a further 14 paragraphs, before giving over barely half that space to one contrary voice, addressing only a fraction of the points made. It would be a great example of the false balance inherent in ‘he-said, she-said’ reporting, except that it isn’t even balanced – Laurance provides a generous abundance of space for Wakefield to get his claims and conspiracy theories across, and appends a brief response from a real scientist at the end. 

The Independent’s deputy editor, Archie Bland, protests that ‘it’s not as if we give [Wakefield] unqualified airtime’. Well no, but few disclaimers – calling him ‘discredited’ for example - do not address this problem of giving Wakefield a big national platform in the first place.  As Dave Jones puts it, “why do the media give a lone, discredited voice in the darkness an equal platform as the whole body of scientific evidence? Is that balance?”

On top of this, Wakefield gets his own entire article, a further 12 paragraphs apparently copied verbatim from a days-old press release, linked to prominently on the Indie’s homepage. This isn’t health journalism, it’s simple, unadulterated PR.

Earlier, Ben Goldacre asked Laurance the following on Twitter: “How on earth can the Independent justify running 12 paragraphs today on MMR by Wakefield himself?” Laurance replied, “So what do u suggest? That we ignore him and let him go on spreading poison? Or answer him, point by point, as we have done?”

There’s a difference though, isn’t there, between ‘not ignoring’ someone, and putting their opinions on the front page of a national newspaper; just as there is a difference between answering somebody’s claims, and republishing them verbatim on page 5 of the same national newspaper.

Jeremy Laurance has a history of reacting badly to the idea that health and science journalists deserve scrutiny. What he doesn’t seem to grasp is that this is not an abstract public health debate between a few angry people on Twitter - he, and journalists like him, are putting the lives of real children at risk, their clumsy reporting stoking unwarranted fears about a safe vaccine.

Andrew Wakefield and supporters in 2010. Photo: Getty

Martin Robbins is a Berkshire-based researcher and science writer. He writes about science, pseudoscience and evidence-based politics. Follow him on Twitter as @mjrobbins.

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Want to send a positive Brexit message to Europe? Back Arsene Wenger for England manager

Boris Johnson could make a gesture of goodwill. 

It is hard not to feel some sympathy for Sam Allardyce, who coveted the England job for so many years, before losing it after playing just a single match. Yet Allardyce has only himself to blame and the Football Association were right to move quickly to end his tenure.

There are many candidates for the job. The experience of Alan Pardew and the potential of Eddie Howe make them strong contenders. The FA's reported interest in Ralf Rangner sent most of us scurrying to Google to find out who the little known Leipzig manager is. But the standout contender is Arsenal's French boss Arsene Wenger, 

Would England fans accept a foreign manager? The experience of Sven Goran-Eriksson suggests so, especially when the results are good. Nobody complained about having a Swede in charge the night that England won 5-1 in Munich, though Sven's sides never won the glittering prizes, the Swede proving perhaps too rigidly English in his commitment to the 4-4-2 formation.

Fabio Capello's brief stint was less successful. He never seemed happy in the English game, preferring to give interviews in Italian. That perhaps contributed to his abrupt departure, falling out with his FA bosses after he seemed unable to understand why allegations of racial abuse by the England captain had to be taken seriously by the governing body.

Arsene Wenger could not be more different. Almost unknown when he arrived to "Arsene Who?" headlines two decades ago, he became as much part of North London folklore as all-time great Arsenal and Spurs bosses, Herbert Chapman or Bill Nicholson, his own Invicibles once dominating the premier league without losing a game all season. There has been more frustration since the move from Highbury to the Emirates, but Wenger's track record means he ranks among the greatest managers of the last hundred years - and he could surely do a job for England.

Arsene is a European Anglophile. While the media debate whether or not the FA Cup has lost its place in our hearts, Wenger has no doubt that its magic still matters, which may be why his Arsenal sides have kept on winning it so often. Wenger manages a multinational team but England's football traditions have certainly got under his skin. The Arsenal boss has changed his mind about emulating the continental innovation of a winter break. "I would cry if you changed that", he has said, citing his love of Boxing Day football as part of the popular tradition of English football.

Obviously, the FA must make this decision on football grounds. It is an important one to get right. Fifty years of hurt still haven't stopped us dreaming, but losing to Iceland this summer while watching Wales march to the semi-finals certainly tested any lingering optimism. Wenger was as gutted as anybody. "This is my second country. I was absolutely on my knees when we lost to Iceland. I couldn't believe it" he said.

The man to turn things around must clearly be chosen on merit. But I wonder if our new Foreign Secretary Boris Johnson - albeit more of a rugger man himself - might be tempted to quietly  suggest in the corridors of footballing power that the appointment could play an unlikely role in helping to get the mood music in place which would help to secure the best Brexit deal for Britain, and for Europe too.

Johnson does have one serious bit of unfinished business from the referendum campaign: to persuade his new boss Theresa May that the commitments made to European nationals in Britain must be honoured in full.  The government should speed up its response and put that guarantee in place. 

Nor should that commitment to 3m of our neighbours and friends be made grudgingly.

So Boris should also come out and back Arsene for the England job, as a very good symbolic way to show that we will continue to celebrate the Europeans here who contribute so much to our society.

British negotiators will be watching the twists and turns of the battle for the Elysee Palace, to see whether Alain Juppe, Nicolas Sarkozy end up as President. It is a reminder that other countries face domestic pressures over the negotiations to come too. So the political negotiations will be tough - but we should make sure our social and cultural relations with Europe remain warm.

More than half of Britons voted to leave the political structures of the European Union in June. Most voters on both sides of the referendum had little love of the Brussels institutions, or indeed any understanding of what they do.

But how can we ensure that our European neighbours and friends understand and hear that this was no rejection of them - and that so many of the ways that we engage with our fellow Europeans rom family ties to foreign holidays, the European contributions to making our society that bit better - the baguettes and cappuccinos, cultural links and sporting heroes remain as much loved as ever.

We will see that this weekend when nobody in the golf clubs will be asking who voted Remain and who voted Leave as we cheer on our European team - seven Brits playing in the twelve-strong side, alongside their Spanish, Belgian, German, Irish and Swedish team-mates.

And now another important opportunity to get that message across suddenly presents itself.

Wenger for England. What better post-Brexit commitment to a new Entente Cordiale could we possibly make?

Sunder Katwala is director of British Future and former general secretary of the Fabian Society.