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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Hillary Clinton can take down the Donald Trump bogeyman - but she's up against the real thing

Donald Trump still has time to transform. 

Eight years later than hoped, Hillary Clinton finally ascended to the stage at the Democratic National Convention and accepted the nomination for President. 

Like her cheerleaders, the Obamas, she was strongest when addressing the invisible bogeyman - her rival for President, Donald Trump. 

Clinton looked the commander in chief when she dissed The Donald's claims to expertise on terrorism. 

Now Donald Trump says, and this is a quote, "I know more about ISIS than the generals do"

No, Donald, you don't.

He thinks that he knows more than our military because he claimed our armed forces are "a disaster."

Well, I've had the privilege to work closely with our troops and our veterans for many years.

Trump boasted that he alone could fix America. "Isn't he forgetting?" she asked:

Troops on the front lines. Police officers and fire fighters who run toward danger. Doctors and nurses who care for us. Teachers who change lives. Entrepreneurs who see possibilities in every problem.

Clinton's message was clear: I'm a team player. She praised supporters of her former rival for the nomination, Bernie Sanders, and concluded her takedown of Trump's ability as a fixer by declaring: "Americans don't say: 'I alone can fix it.' We say: 'We'll fix it together.'"

Being the opposite of Trump suits Clinton. As she acknowledged in her speech, she is not a natural public performer. But her cool, policy-packed speech served as a rebuke to Trump. She is most convincing when serious, and luckily that sets her apart from her rival. 

The Trump in the room with her at the convention was a boorish caricature, a man who describes women as pigs. "There is no other Donald Trump," she said. "This is it."

Clinton and her supporters are right to focus on personality. When it comes to the nuclear button, most fair-minded people on both left and right would prefer to give the decision to a rational, experienced character over one who enjoys a good explosion. 

But the fact is, outside of the convention arena, Trump still controls the narrative on Trump.

Trump has previously stated clearly his aim to "pivot" to the centre. He has declared that he can change "to anything I want to change to".  In his own speech, Trump forewent his usual diatribe for statistics about African-American children in poverty. He talked about embracing "crying mothers", "laid-off factory workers" and making sure "all of our kids are treated equally". His wife Melania opted for a speech so mainstream it was said to be borrowed from Michelle Obama. 

His personal attacks have also narrowed. Where once his Twitter feed was spattered with references to "lying Ted Cruz" and "little Marco Rubio", now the bile is focused on one person: "crooked Hillary Clinton". Just as Clinton defines herself against a caricature of him, so Trump is defining himself against one of her. 

Trump may not be able to maintain a more moderate image - at a press conference after his speech, he lashed out at his former rival, Ted Cruz. But if he can tone down his rhetoric until November, he will no longer be the bogeyman Clinton can shine so brilliantly against.