Finnish Study Confirms Safety of MMR Vaccine BMJ

Finnish study confirms safety of MMR vaccine | BMJ
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Finnish study confirms safety of MMR vaccine

BMJ 2001; 322 doi: http://dx.doi.org/10.1136/bmj.322.7279.130/b (Published 20 January 2001)
Cite this as: BMJ 2001;322:130.3
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Re: What's the Point?

5 May 2003
I most heartily concur with Lisa Blakemore-Brown. Her "lemon sole" analogy puts me in mind of the story posted by Lenny Schafer on the
Schafer Autism Report:
Raining Pianos: A Short Course on Anecdotal Evidence By Lenny Schafer
Patient: Doctor, my son has this terrible headache. He's dizzy and he's been fainting a lot. He says his arm is numb.
Dr. Steinway: What happened?
Patient: We were walking down the street and a piano fell on his head.
Dr. Steinway: Anything else happen at the time that might have caused this?
Patient: What do you mean, "anything else?" A PIANO FELL ON HIS HEAD!
Dr. Steinway: Perhaps, but that's only a temporal coincidence. Several studies done by eminent scientists have failed to find a connection
between pianos and concussions. The cause could be any number of environmental factors. Kids get bumped by stuff all the time. Not all
get concussions. Maybe your child has a genetically predisposed soft skull.
Any family history of concussions?
Patient: But I was there! I saw it falling from the second story of a piano factory! I couldn't get him out of the way fast enough and he
caught a piece of the candelabra. If it's not the piano, what else could it possibly be?
Dr. Steinway: Hysteria, guilt. Perhaps you just want your child to be ill to get more benefit money. What you're telling me is called
"anecdotal evidence". Such evidence can be either evaluated for further research, or completely dismissed as useless without even
looking at it, depending on the interests or bias of the researchers. The important thing is that it isn't pianos . . .hey wait, where are you
going, we're not through. . .
Patient: I'm going to look for care somewhere else, and to see a lawyer to sue the piano company. . . and maybe even you.
Dr. Steinway: [to himself] Uh huh, lawyers. I thought someone might have put this Mum up to this. Lawyers. . .taking advantage of
ignorant hysterics looking for something to blame for their woes. . . The problem's not pianos, the problem is lack of tort reform. . .she
wouldn't even let her kid have one of our complimentary "We're Silly for Eli Lilly" clinic balloons.
[The Schafer Autism Report welcomes a diversity of informed opinions on topics related to autism. The opinions expressed in these
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commentaries are not necessarily those of all who contribute to this publication.
Special note to the humour-impaired reader or Latent Autistic Personality Syndrome Entity (LAPSE): The above anecdote is intended as a
satirical treatment. Some statements may be exaggerated to illustrate absurdities and are not intended to be taken literally. That includes
elements of this disclaimer, which have been rendered in accordance with the guidelines established by the American Sarcastological
Association, and the Internet Derisive Insights Act. -LS]
-----------------------------------------------------------When are people going to realise that children ARE damaged? The government is playing a game of mimicking the proverbial ostrich
which will have profound sociological consequences for us all. Already the results of some kind of environmental damage seems to be
affecting our children causing a massive increase in disorders such as ADHD, Asperger's and behavioural disorders. The research so far
does seem to indicate vaccine damage is responsible for this rise. This argument will be settled once and for all in the courts next year.
Already, Japan has settled compensation on parents for MMR vaccine damage this year.
It is no coincidence that we are now seeing a massive jump in the numbers of children committing crimes, (crime rates in the UK are at an
all-time high - with the largest increase in the youngest offenders), literacy is at an all time low in the population, and even related
immunological diseases such as asthma and food allergies have rocketed in incidence.
How is it possible, in today's society with all the supposed stringent tests that the Government have in place, for a child to reach the age
of 15 with no ability to read or write autonomously whatsoever? What does this young man do to survive in the world after school? Teen
suicide has rocketed in the last few years, and social services - the bastion of last resort to whom many desperate parents eventually turn,
are denying that support due to sheer pressure of numbers.
What kind of society will we have in 10, 20 or even 30 years time if we don't act now to prevent a sociological breakdown from the rising
numbers of children developing these problems? Already the health service is stretched to breaking point trying to cope with ASD, just
think how much worse it will be in 10 years time. Lisa Blakemore-Brown's prophecies are indeed dire, but they are also coming true.
I would urge medical professionals to look at the children and listen to the trained specialists like Lisa Blakemore-Brown, Andrew
Wakefield and Paul Shattock, amongst the many others who see these children every day. Don't rely on what is often heavily biased
epidemiological evidence (often funded by the very drug companies that produce the vaccines) that takes no account of the problems our
children are facing. The Piano story may sound funny, but actually it is heartbreaking in its truth.
Competing interests: Parent and carer of a New Variant Autistic child who lives with daily pain from chronic headaches, bowel problems
and now has to use a wheelchair. He has no formal medical diagnosis because there is no formal recognition of his vaccine damage
status.
Competing interests: None declared
Vanessa King, Biopsychologist/carer
Norfolk
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What's the Point?

4 May 2003
As I predicted over a year ago now, there would be little change this year in the recognition of vaccine reactions in children. I first posted
on this issue in 2001.
At a recent talk to 100 delegates at an Autism conference I was told by a parent that they had been told that 'it was not politically correct
to mention vaccine reactions', and this from a parent autism support group.
So, I'm not being politically correct: what is this Government, on its high moral ground, going to do about vaccine reactions?
Whats the point of voting if scandals like this continue?
Competing interests: I do not support children being damaged by vaccine or any other medical intervention
Lisa C Blakemore-Brown, Psychologist
UK
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Re: To the Point

17 February 2002
A 3rd year student has just contacted me to say how helpful she thought my `Lemon Sole` example to be in understanding the problems
around the current MMR debate. She is preparing a paper on the issues. She felt that it was the perceptions of parents and professionals
such as myself who will be able to shine a light into the contentious issues around MMR.
On receiving this email yesterday, I realised that it has been a whole year since the BMJ printed my letter `To the Point`. The issues set
within it are still not being honestly addressed, despite the many parents who have been able to now openly describe reactions to MMR,
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in some cases through before and after video of their children.

It is this kind of evidence of reactions to MMR and other triple vaccines such as DTP in certain vulnerable children, which people such as
myself have seen in our day to day work with individuals for years.
The case reported in `To the Point` verified by the BMJ Editors, is the case study of `Lorelei` in my recently published book.(1)
Judging by the current political bluster perhaps next year I will need to write again - although I will probably change the title to `What's the
point?`.
Blakemore-Brown LC Reweaving the Autistic Tapestry. 2002. Jessica Kingsley Publishers, London.
Lisa C Blakemore-Brown, Independent Psychologist. Specialist in Autism and ADHD Spectrum Disorders
UK
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Re: To the Point

17 February 2001
Absolutely right.
And whilst I'm here may I comment upon the issue of "the sudden rise in Autism because of the film Rain Man", given that particular
theory, I very much look forward to the sudden rise in cannibalistic, serial killing behaviour amongst the psychaitric profession!!
Arrogance of the medical profession......... now why would people think that I wonder!
Conflict of interest
Convent girl, influenced by many religious films to have lots of children. NOT.
Penny Mellor, Child Advocate
Home
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To the Point
14 February 2001
If a group of people collapse after eating, say, Lemon Sole,in a particular restaurant, it would be ludicrous for those responsible to wave a
hand over the problem saying that millions of people eat Lemon Sole every day and there are no problems. Health and Safety officials will
get straight to the point of the issue and look at the fish in the restaurant, look at the individuals, test findings in the lab.
As hundreds of parents have found their children to react to vaccine, in some cases leading to the `new variant autism` of loss of
communication skills, motor impairments and bowel problems, is it not these cases the Government should be looking at for answers?
The incidence of this particular tapestry of autism is indisputable. This is not related to increased recogniton of autism, The TYPE is
unusual and baffling to education and health professionals. In one of my cases of very obvious and indisputable reaction to pertussis
vaccine the child in question has been found to have Kawasaki disease, her own immune system attacking itself. She presents as
Asperger. There is no autism in the family. but the baby had allergies prior to the vaccine.It is scientific examination of cases like this
which will enable us to ultimately put measures in place to reassure the public.
Blanket refusal to look at the real issues and prevention of individuals exercising choice seems a dangerous policy, especially just before
an election.
Editorial comment
The parents of the child whose case is mentioned in this response have given their written informed consent to publication.
Lisa Blakemore-Brown, Independetn Psychologist, specialising in Autism and ADHD
UK
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Re: I am amazed
25 January 2001
Editor
I would disagree with the suggestion that only way to solve the issue is to study MMR against measles vaccines; the way to solve the
issue is to do long term prospective studies using cohorts of MMR-vaccinated against unvaccinated children, for which a cohort must now
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be available due to poor MMR uptake in recent years.

In fact I persued this with the head of my local (Leeds) CDCC, Dr. Martin Schweiger, about two years ago after he responded to a letter of
mine suggesting this in the Yorkshire Evening Post; he said he would 'like to take up the challenge'; we entered into brief discussion and
he told me some of the difficulties he saw ahead, I do not think he has embarked on such a study yet.
His team had recently performed a 10 year retrospective study of almost 100,000 children from Leeds area in which they calculated how
many children suffered serious ADRs from wild bugs as compared to those vaccinated against them (1986 to 1996); he provided me a
draft for perusal and response; I responded with about 10 criticisms and I do not think the study was published. In fact my criticisms were
similar to those I would offer for the Fin Study, and the data was derived from medical notes of GPs and hospital physicians; not only does
this involve locating, interpretating and transcribing large amounts of variable standard of information from medical notes (probably by
clerics as opposed to the originators of those notes) but also total reliance on an ADR reporting system which is widely accepted as being
abysmal. There was, I believe, a relatively small advantage shown by 'vaccination' over 'wild bug' in this study, which could have been
reversed considerably were corrections made for ADR system failures alone.
Comparing measles vaccine against MMR is not a reasonable option for parents who wish to decide the worth of vaccine against being
unvaccinated, the choice of so many parents for their children.
The Guinea Bissau research was declared by the authors and others, including Government, to require further study; certainly measles
vaccination appears to have improved against mortality for the first five years of a Guinea Bissau childs life, children devastated by many
diseases and health problems for which the vaccine may hold unexplained benefits; for our children apparently one cannot safely
extrapolate those results. For example, a vaccinated child is believed to be more in touch with the health systems in Africa therefore may
come from a more affluent and settled background, whereas non-vaccinated are either out of touch with health systems or are easily lost
to follow up due to nomadic or unsettled lifestyles, less of a problem in the UK. Interestingly, the Guinea Bissau study looked at children to
5 years of age, well before autism is usually diagnosed (if at all in many cases) so one wonders whether the apparent 'improved mortality'
rates degenerate into significant increases in autism, inflammatory bowel, speech and communication disorders in those African children?
As I suggested to our CDCC persons, a prospective study is essential using the current increase in unvaccinated children from which to
randomly select a sizeable cohort against which to compare a cohort of vaccinated children. EASY, EFFICIENT and WILL ANSWER
MANY QUESTIONS.
Then why has it not been done?
I further suggest follow up for most of those childrens' lives, as has been done with many other studies. If we ask ALL children to accept
vaccines we should check that our request does not pose lifetime dangers to those children. We should begin to see valuable results
within the first 6 months, as many alleged serious ADRs occur within that period, many within the first 6 weeks. Children could be flagged
within the health system for 6 month follow-up or at any period of 'occurrence' of any problem for which a physician is required. Notes can
be computerised, significant, and physicians must be ready to acknowledge suspected ADRs as they occur; parental input must be part of
that system in case a physician is found wanting. MORIDE et al suggsested that physicians are underreprting ADRs by 24,500 times, this
potential must be minimised in the study by some means (eg. reasonable payment for ADR reporting has been shown to improve this in
several USA studies).
Political will is required as it is highly probable, witness widespread public experience, that vaccination is causing a huge amount of
unreported illness in our children which must be addressed sooner than later.
Any team formed should be independent of political, industrial and commercial links, experienced, and their study design should be open
to public and peer review prior to initiation to avoid later criticism; it must be publicly funded.
Regards
John H.
John P Heptonstall, Director of the Morley Acupuncture Clinic and Complementary Therapy Centre
West Yorkshire
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I am amazed
23 January 2001
I am amazed that BMJ found so much space (1) to report a non controlled study - with a three week follow up - that did not address the
issue of autism (2).
The only way to stop the sterile discussions on the possible link between MMR and autism would be to start large long term prospective
randomised controlled studies comparing measles vaccines and MMR. We must keep in mind that measles vaccine has positive non
specific effects on health detectable in third world countries where child survival rates can be used as criteria of health (3,4).
References
-1 - Wise J. Finnish study confirms safety of MMR vaccine. BMJ 2001; 322: 129.
- 2 - Patja A, Davidkin J, Kurki T, et al. Serious adverse events after measles - mumps - rubella vaccination during a fourteen - year
prospective follow - up. Pediatr Infect Dis J 2000; 19 (12): 1127-34.
-3 - Aaby P, Samb B, Simondon F, et al. Non specific beneficial effects of measles immunisation: analysis of mortality studies from
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developing countries. BMJ 1995; 311: 481-5.

- 4 - Kristensen I, Aaby P, Jensen H. Routine vaccination and child survival: follow up study in Guinea-Bissau, West Africa. BMJ 2000;
321: 1435-9.
Michel Odent, Director. Primal Health Research Centre
London NW3 2NP
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Vaccine safety is subjective science

23 January 2001
Dear Editors:
The Finnish study (1) is a textbook example of adding insult to injury. The mathematics of retrospectively using obviously flawed and
grossly underreported Adverse Drug Reaction (ADR) data to come up with a definitive answer on MMR vaccine safety is nothing short of
statistical wizardry. In what other branch of science would we tolerate such blatant subjectivity and less than 10% accuracy? Let us
imagine applying this level of "science" to the safety of vehicles, aircraft, elevators, bridges and buildings. Now let us also imagine the
manufacturers of these products financing these safety studies.
A.A. Jillani
1. Wise J. Finnish study confirms safety of MMR vaccine. BMJ 2001; 322: 130.
Concerned parent. No competing interests.
A A Jillani, Associate Director
People Advocating Vaccine Education
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Did Ms Wise actually read the Finnish article?

23 January 2001
The article by Patja and colleagues (1) was published in The Pediatric Infectious Disease Journal not the most accessible journal,
although available from the British Library. Did Ms Wise read the article, or did she rely upon the spin from the Department of Health?
In Patjas 8-page article, the words autism, ulcerative colitis, Crohns disease and inflammatory bowel disease appear only once each.
These conditions were not considered in the design of the study.
1.8 million children, having 3 million doses of vaccine, were observed for up to 14 years to seek all adverse events in a causal
association with MMR vaccination. There must have been catastrophic under-reporting: only 437 minor and 173 potentially serious
adverse events of any sort were observed.
The prevalence of autism in Northern Finland is about 1:1000 (2) it is likely about 1800 of these vaccinated children have autism, yet not
one case was reported.
One hospital in Helsinki recently reported a series of 47 children with inflammatory bowel disease (3). Hence, this is not an uncommon
diagnosis in Finnish children, but Patjas nationwide study of 1.8 million vaccinated children did not find one case.
Patjas Figure 1shows the annual rate of serious adverse events; fifty in 1983, the first full year of vaccination, dropping to only 5 in 1990.
Their passive surveillance system was so passive that it observed only a fraction of all adverse events.
This is an unreliable report that provides little valuable information about the safety of MMR vaccination. Your headline, Finnish study
confirms safety of MMR vaccine is not up to your usual high standards.
The question for Ms Wise is, Did you read the whole article by Patja and colleagues before you filed your report for the BMJ?.
Roy Pounder
Professor of Medicine
Royal Free & University College Medical School, London, UK
1. Patja A, Davidkin I, Kurki T, Kallio MJ, Valle M, Peltola H Pediatr Infect Dis J 2000 Dec;19(12):1127-34 Serious adverse events after
measles-mumps-rubella vaccination during a fourteen-year prospective follow-up. http://www.ncbi.nlm.nih.gov/entrez
/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11144371&dopt=Abstract
2. Kielinen M, Linna SL, Moilanen I Autism in Northern Finland Eur Child Adolesc Psychiatry 2000 Sep;9(3):162-7
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11095038&dopt=Abstract
3. Kolho KL, Rautelin H, Lindahl H, Savilahti E Helicobacter pylori-positive gastritis in pediatric patients with chronic inflammatory bowel
disease J Pediatr Gastroenterol Nutr 1998 Sep;27(3):292-5 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&
list_uids=9740199&dopt=Abstract
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Roy Pounder, Professor of Medicine,
Royal Free& University College Medical School
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Like BSE - The Truth Will Out - and like BSE - who will take
responsibility?
22 January 2001
Editor
The Committee on Safety of Medicines and the Joint Committee on Vaccination and Immunisation appear to have accepted unscientific
evidence, or have come to an unscientific conclusion, as a basis for their stance on vaccine safety. The Government must remedy this
situation in the public interest, that is their duty of care.
A couple of years ago the Fin study was promoted, along with the Swedish study (Gillberg et al), by our Department of Health as 'proof'
that the MMR is safe and does not result in children suffering inflammatiory bowel disorders or autism. A 6th Form science student could
probably debunk these studies in that regard, why not our esteemed government scientific advisors?
For example
FIN study
1. The study was very dependent on ADR reporting by medical professionals, and any study which is totally dependent on adverse
reaction reporting by medical professionals must be flawed from the start. In recent years it has been widely reported that ADR-based
statistics cannot be trusted. A 1997 French study (Moride et al) suggested that doctors may be under-reporting ADRs by 24,500 times
2. Only one company supplied the vaccines, Merck Research Labs, West Point, PA, USA. the company that part- funded the research
paper.
3. The study only identified 31 children as having any ADR after MMR vaccination, that in itself is questionable. One has to note that the
children with identified ADRs typically suffered orchitis, rashes or seizures and therefore would no doubt have been returned to their
physician or to hospital to investigate. It is equally reasonable to assume that many more children may have suffered ADRs, which did not
appear to require return for medical support.
4. In the case of autism many children have been noted by their parents to have developed what they refer to as ADRs and which include
sudden regression in mental faculties, physical deterioration and the onset, albeit gradual, of speech and communication deficit.
5. Although some of the children may have experienced digestive and bowel disorders the overwhelming problems mentioned above may
have taken precedence when seeking medical support. The increasing pain threshold associated with autism may have masked any
bowel discomfort. When one's child is having a seizure, or has begun to lose significant communication skills, the last thing parents and
medical professionals are likely to focus on are runny tummies or loss of appetite. Anti-epileptic drugs are quickly introduced after EEG
and can themselves be then accused of precipitating gastric or digestive ADRs.
6. The study does not appear to have in anyway attempted to identify children who rapidly developed speech and communication
difficulties or epilepsy-like symptoms despite the high prevalence of such effects prior to the later diagnosis of autism. A high percentage
of autistic individuals suffer from epilepsy and one rare form, infantile spasms, is actually common in autism.
7. The authors note that from the onset of the MMR vaccination schedules in 1982 to the time of their study Finland had dealt out some
three million doses of MMR vaccine saying that the practice was been safe. Without doubt a large proportion of the one and a half million
children who received a double MMR assault will now exhibit not only autistic traits (1 in 100) but other chronic disorders such as asthma,
eczema, inflammatory bowels, SIDS, whether or not the vaccine was involved. That is a statistical certainty. No attempt has been made to
highlight this fact or to assess whether any of the children developed such serious events in close proximity to their vaccinations.
8. Does not Finland now have an extraordinary high rate for childhood diabetes, is this also linked to their mass vaccination campaign?
Swedish Study
The Swedish study was broadcast nationally by government sources with statements concluding that parents should not be worried about
the MMR vaccination with respect to autism as more children developed autism prior to the MMR being introduced into the Swedish
population than appear to have developed autism after introduction in 1982.
The figures were for 55 children said to have been found with autism during a major screening in 1988, 34 were believed to have
developed the disorder before MMR introduction in 1982 and 21 after.
1. Quite remarkably the study did not appear to have taken into account the fact that as many as 50% of the 34 children would have been
vaccinated in the 1970s with the measles vaccine which had been introduced during that decade. It is therefore possible that the
increased number of children identified as having autism prior to the introduction of the MMR vaccine may have been so afflicted by the
measles vaccine.
2. Furthermore, as in the UK, it is highly likely that autism was not diagnosed in children during the 1970s and 1980s until the child was at
least eight years old. The 21 children diagnosed in the 1980s may be only the tip of the iceberg. They would have been only four to seven
years old themselves when Dr. Gillberg's study took place in 1988 and many other children may have been 'incubating' autism and related
disorders due to the MMR vaccine but had not yet reached the typical age for diagnosis.
I am surprised that neither Government nor the media have presented the following study which provides compelling evidence of a link
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between measles vaccines and autism:USA Study

University of Michigan - Autism may be caused by an immune system response to a virus:Researchers from the University found that autistic children who had been exposed to certain viruses in the past showed unusually high
levels of antibodies to brain proteins suggesting an autoimmune response. Their findings appeared in the October 1998 issue of the
peer-reviewed journal Clinical Immunology and Immunopathology.
One possibility is that early exposure to a virus prods the body into mounting an immune response that somehow goes awry. In addition to
producing antibodies against the virus the body makes antibodies against itself resulting in tissue and organ damage. It was this
possibility that University of Michigan researchers Vijendra Singh of the College of Pharmacy and Victor Yang with undergraduate student
assistant Sherea Lin investigated.
In their study of 48 autistic children and 34 normal children and adults the researchers measured levels of antibodies to two viruses measles and human herpes virus-6 in the subjects blood. These were chosen because they are often used in research on known
autoimmune diseases. They also measured the levels of two brain autoantibodies. One, anti-MBP, is an antibody to myelin basic protein,
a protein found in the protective sheathes around nerve fibres in the brain. The other, anti-NAFF, is an antibody to neuron-axon filament
protein, a protein that makes up the nerve fibres themselves.
Virus antibody levels were essentially the same in autistic and non- autistic subjects, as the researchers expected, but the majority of
autistic children who had virus antibodies also had brain autoantibodies. The higher the level of virus antibodies the more likely the autistic
child was to have brain autoantibodies. None of the non-autistic subjects had brain autoantibodies.
The strongest link found in autistic children was between measles virus antibodies and anti-MBP suggesting that exposure to measles
virus may trigger an autoimmune response that interferes with the development of myelin. If myelin in the brain fails to develop properly
nerve fibres will not work as they should and this could be one way that abnormalities associated with autism may arise. In this study
almost all the subjects had had MMR immunisations and none had ever had measles. It is possible that some may have been infected
with the measles virus and never developed symptoms, Singh suggested, but there was no evidence for this.
The team took the study further: To examine the correlation between serology and autoantibody they measured titres of measles antibody, MMR vaccine antibody, and
MBP autoantibody. Using an enzyme-linked immunosorbant assay, positive titres to measles antibody were found in 32 of 38 (84%)
autistic sera and 12 out of 17 (70%) normal sera. Moreover, 28 out of the 32 (88%) measles-positive autistic sera, but none of the normal
sera, were positive for MBP autoantibody.
Using an immunoblotting technique MMR antibody was detected in 16 out of 27 (59 %) autistic sera and 2 out of 20 (10%) normal sera.
The result showed a 6-fold higher incidence of MMR antibody in autistic children. Furthermore 13 out of these 16 (81%) MMR-positive
autistic sera, but none of the normal sera, were positive for MBP autoantibody.
Thus a significant number of autistic children have positive titres of measles and MMR antibody, which in the vast majority of cases
(81-88%), is associated with MBP autoantibody. In view of this correlation between serology and autoantibody, the team suggested that
the measles and/or MMR- triggered autoimmune response to myelin may play a pathogenic role in autism.
I would like to see an overhaul of the various Committees the Government uses to analyse scientific evidence produced by the
pharmaceutical industry and those funded by the industry, to ensure there are no vested interests involved.
Regards
John H
John P Heptonstall, Director of the Morley Acupuncture Clinic and Complementary Therapy Centret
West Yorks
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