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"Thomas Maugh Can't Read (or just doesn't wanna)"

31 Comments -

1 – 31 of 31
Blogger Minority said...

But here is where the slight of hand takes place... pay close attention.

That should be sleight of hand.

Great job though, this is a wonderful article.

9:58 PM

Blogger Minority said...

Autism was part of the EXCLUSION criteria for the first study, therefor it was also not measured in the second study. Not children in these two studies had autism.

Sorry, two more typos:

should be therefore (I think?)

and None of the children

10:00 PM

Blogger Ginger Taylor said...

Thanks... my husband always says I shouldn't type angry.

10:10 PM

Blogger K Fuller said...

Cut and paste...insert study that might fool a few. Damn it my Mom and my husbands Mom's read the Times. Both will cut it out and send it to me. After all it's in the Times. Gag.

10:47 PM

Blogger nhokkanen said...

Thanks, Ginger, for your excellent summation. I posted the link and a quoted paragraph onto my state's biomed listserv.

You're right about Maugh. He's as stubborn as a mule even when he's totally, completely, embarrassingly wrong.

11:39 PM

Blogger Jim Thompson said...

Ginger, good work!

This is spreading throughout the media with apparently no editorial review. Look at http://online.wsj.com/article/SB10001424052748704113504575264421687548864.htm .

Google the phrase: Dr. Michael J. Smith and Dr. Charles R. Woods pediatrics , then see how many May 24, 2010 media sites show up. This is timed right after the Matt Lauer unfair faux interview of Dr. Wakefield.

8:38 AM

Blogger Jim Thompson said...

http://online.wsj.com/article
/SB10001424052748704113
504575264421687548864.html

8:40 AM

Blogger Minority said...

Hi Ginger,
I've skimmed through the original study (round one on this data, not what Maugh reviewed just now) and it is clear that autism wasn't studied, but it doesn't say anywhere (that I could find) that children with autism were excluded.

Do you have more info that isn't from the published study?

11:43 PM

Blogger Jim Thompson said...

No where is autism considered per the following:

Smith and Woods (2010) re-visited data from Thompson, Price, Goodson et al (2007)


Smith and Woods (2010) said:

“Publicly available data, including age at vaccination, from a previous VaccineSafety Datalink study of thimerosal exposure and 42 neuropsychological outcomes were analyzed.

In summary, these include assessments of speech and language, verbal memory, achievement, fine motor coordination, visuospatial ability, attention and executive-functioning tasks, behavior regulation, tics, and general intellectual functioning. Page 1135

See Page 1134 at http://pediatrics.aappublications.org/cgi/reprint/peds.2009-2489v1


Thompson, Price, Goodson et al (2007) said

“We enrolled 1047 children between the ages of 7 and 10 years and administered standardized tests assessing 42 neuropsychological outcomes. (We did not assess autism-spectrum disorders.)”

See http://content.nejm.org/cgi/content/full/357/13/1281 .

7:23 PM

Blogger Jim Thompson said...

Smith and Woods (2010): Drs Smith and Woods are or have been unfunded subinvestigators for cross-coverage purposes on vaccine clinical trials for which their colleagues receive funding
from Wyeth, Sanofi Pasteur, GSK, MedImmune, and Novartis; and Dr Woods has received honoraria for speaking engagements from Merck, Sanofi Pasteur, Pfizer, and MedImmune and has received research funding from Wyeth and Sanofi Pasteur.

8:31 PM

Blogger Jim Thompson said...

Thompson, Price, Goodson et al (2007): Dr. Thompson reports being a former employee of Merck; Dr. Marcy, receiving consulting fees from Merck, Sanofi Pasteur, GlaxoSmithKline, and MedImmune; Dr. Jackson, receiving grant support from Wyeth, Sanofi Pasteur, GlaxoSmithKline, and Novartis, lecture fees from Sanofi Pasteur, and consulting fees from Wyeth and Abbott and serving as a consultant to the FDA Vaccines and Related Biological Products Advisory Committee; Dr. Lieu, serving as a consultant to the CDC Advisory Committee on Immunization Practices; Dr. Black, receiving consulting fees from MedImmune, GlaxoSmithKline, Novartis, and Merck and grant support from MedImmune, GlaxoSmithKline, Aventis, Merck, and Novartis; and Dr. Davis receiving consulting fees from Merck and grant support from Merck and GlaxoSmith-Kline. No other potential conflict of interest relevant to this article was reported.

8:32 PM

Blogger Minority said...

Hi SDtech,
I saw what you saw. And I agree that autism wasn't assessed in either study. But I still can't find anything which actually says that children with autism were excluded from the original study.

Excluded is different from not being assessed.

9:18 PM

Blogger Jim Thompson said...

Seven children were omitted with no clear discussion as to their specific case history or the influence on the data.

See page 1 at http://198.246.98.21/vaccinesafety/00_pdf/Tech_Rept_Thimerosal_Vol_2_090607.pdf .

9:47 AM

Comment deleted

This comment has been removed by the author.

9:50 AM

Blogger Jim Thompson said...

http://198.246.98.21/vaccinesafety/
00_pdf/Tech_Rept_Thimerosal_
Vol_2_090607.pdf

9:54 AM

Blogger Jim Thompson said...

Thompson et al also excluded children if “… they had certain conditions recorded in their medical records that could bias neuropsychological testing (e.g., encephalitis, meningitis, or hydrocephalus) or if their birth weight was less than 2500 g.”

See page 1282 at http://content.nejm.org/cgi/content/full/357/13/1281 .

So the question “Did they exclude children with autism?” is unanswered to the readers.

This is an excellent question. There is possible fraud on the part of the authors if they willfully excluded children with autism and failed to disclose that exclusion.

10:29 AM

Blogger Minority said...

Thank you for the research, SDtech. So we don't know for sure about children with autism. Either they were included, and didn't have any effect on the analysis...

Or they were excluded, but not listed as excluded, which, as you point out, would be fraud.

Perhaps they were excluded for the other reasons listed in the exclusion list, which just happened to cover all the children in the study group who just happened to have autism: they were all children who were also premature or twins or...

1:08 PM

Blogger Jim Thompson said...

“The primary weakness of the current study is that exposure levels were not determined in a randomized controlled trial (RCT) design. Although the study measured and controlled for a wide range of potential confounders, it is impossible to know with certainty whether the threat of selection bias has been eliminated. Selection bias will have affected the results if one or more unmeasured factors have causal effects on both the amount of exposure that children receive, and outcome measures. Given this important limitation of the design of the study, results can only be judged as informative, not conclusive. The study was intended to be an important contribution to a growing literature regarding the possible effects of ethylmercury, and was not intended to be a definitive concluding statement of whether the ethylmercury in thimerosal-containing vaccine sand immune globulins does or does not cause harm.”

See Technical report. Vol. I. Bethesda, MD: Abt, 2007, page 1 at

http://www.cdc.gov/vaccinesafety/00_pdf/Tech_Rept_Thimerosal_Vol_1_090607.pdf

Also 60 out of 1,107 children were excluded after FINAL ASSESSMENT. See page 18.

2:11 PM

Blogger Jim Thompson said...

http://www.cdc.gov/
vaccinesafety/00_pdf/
Tech_Rept_Thimerosal_Vol_1_
090607.pdf

2:13 PM

Blogger Jim Thompson said...

correction

"...The study was intended to be an important contribution to a growing literature regarding the possible effects of ethylmercury, and was not intended to be a definitive concluding statement of whether the ethylmercury in thimerosal-containing vaccine and immune globulins does or does not cause harm.”

http://www.cdc.gov/
vaccinesafety/00_pdf/
Tech_Rept_Thimerosal_Vol_1_
090607.pdf

5:12 PM

Blogger Jim Thompson said...

“Paul Offit, a vaccine expert and chief of the division of infectious diseases at the Children's Hospital of Philadelphia, who wasn't involved in the study, says, ‘When you watch your kids get five shots, it's perfectly reasonable to ask if it's too much.’ Dr. Offit helped develop Merck & Co.'s Rotateq rotavirus vaccine and served on the U.S. panel overseeing children and adult vaccination schedules.”

See http://online.wsj.com/article
/SB1000142405274870411
3504575264421687548864.html

Offit = $ $ $ !

See

http://www.ageofautism.com/
2010/05/paul-offits-message-cdc-fda-nih-iom-aap-
who-and-merck-engaged-in-pseudoscience.
html?cid=6a00d8357f3f2969e20133ee6b439d970b


And Rototeq = Oink!?!

See


http://www.nasdaq.com/aspx/company-news-
story.aspx?storyid=201005061420
dowjonesdjonline000791

8:08 PM

Blogger Ginger Taylor said...

Hey guys... sorry to have missed this discussion... and thank you for having it in my absence (and pointing out that I too made an assumption on the study because of their vague phrasing). It raises new questions about sampling in this study that should be answered. Especially if they are going to keep using it to do misleading research.

Any one wanna call them and ask how many kids with an ASD diagnosis were in this sample and why those kids were dropped?

5:36 PM

Blogger Minority said...

I'm not writing to them, sorry!

9:37 PM

Blogger Jim Thompson said...

Ginger Taylor:

That is a good idea. Here is a start on the questions.

1) Why doesn’t the study use controls?

There are no significant amounts of zero exposure children because 97 percent of the children had 50 micrograms or more of mercury by 7 months of age. The average mercury intake from birth to 7 months was 118 micrograms and the Standard Deviation is 41 micrograms (calculated using Table 1 Cumulative Exposure to Ethyl Mercury According to Age Range). See http://content.nejm.org/cgi/content/full/357/13/1281 .


2) Why does the study use bias in selection?

“We enrolled 1047 children between the ages of 7 and 10 years and administered standardized tests assessing 42 neuropsychological outcomes. (We did not assess autism-spectrum disorders.)” See page 1281.

“Of 3648 children selected for recruitment…512 did not meet one or more of the eligibility criteria...Of the 1107 children who were tested, 60 were excluded from the final analysis for the following reasons…[including] discovery of an exclusionary medical condition during record abstraction, 47. Thus, 1047 children were included in the final analyses.” See page 1284.

3) Why are there no thimerosal based mercury intake data from between 7 months and 6 to 7 years of age?

4) Why doesn’t the study (even though its weaknesses include lack of controls and bias) state in the conclusion that there is significant evidence of neurological harm for thimerosal based mercury exposure from birth to seven months?


“We measured tics and stuttering dichotomously, and we estimated odds ratios for a 2-SD increase in mercury exposure.” See page 1283.

The increased odds ratios are given on pages 1288 and 1290.




The standard deviation (SD), calculated from Table 1, is 41 micrograms for children exposed from birth to 7 months (for birth to 1 month of age the calculated standard deviation of 6 micrograms).

9:03 AM

Blogger Jim Thompson said...

See http://content.nejm.org
/cgi/content/full/357/13/1281

9:05 AM

Comment deleted

This comment has been removed by the author.

5:53 AM

Blogger Jim Thompson said...

Question no. 5:

What are the values that the authors actually used for Standard Deviation (SD) of Thimerosal based mercury exposure for the children in this study?



Question no. 6:

What are the raw Odds Ratios for stuttering, motor tics, and phonic tics, and the raw regression coefficients for verbal IQs on Table 3, pages 1288 and 1290?

Question no. 7:

Why were these parameters (SD, raw values for Odds Ratios, and raw values for regression coefficients) not published?

5:58 AM

Blogger gtherapy.research said...

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1:49 PM

Comment deleted

This comment has been removed by the author.

1:50 AM

Blogger Jim Thompson said...

Final Question:

Why did the authors use evidence of vaccine harm to infer safety?

On the last page of the report the authors state that “The one deleterious association [from a referenced study by Andrews et al] involved an increased risk of tics, a finding similar to that in our study.”

And yet three paragraphs later, the Thompson et al paper concludes that “The weight of the evidence in this study does not support a causal association between early exposure to mercury from thimerosal-containing vaccines and immune globulins administered prenatally or during infancy and neuropsychological functioning at the age of 7 to 10 years.” See page 1291.

The term “weight of evidence” is not a scientific term. It is a legal term. A definition is found at http://legal-dictionary.thefreedictionary.com/preponderance+of+the+evidence:

“Preponderance of the evidence n. the greater weight of the evidence required in a civil (non-criminal) lawsuit for the trier of fact (jury or judge without a jury) to decide in favor of one side or the other.”


Quite the opposite, a “Safety Factor” in scientific design requires recognition of failure of design--not just a “50 percent plus a feather” weight of evidence required for a civil case in a legal court of law.

Richard Feynman addressed these issues in the Rogers Commission report on the Challenger Shuttle fatal disaster.


“If a bridge is built to withstand a certain load without the beams permanently deforming, cracking, or breaking, it may be designed for the materials used to actually stand up under three times the load. This ‘safety factor’ is to allow for uncertain excesses of load, or unknown extra loads, or weaknesses in the material that might have unexpected flaws, etc. If now the expected load comes on to the new bridge and a crack appears in a beam, this is a failure of the design. There was no safety factor at all; even though the bridge did not actually collapse because the crack went only one third of the way through the beam. The O-rings of the Solid Rocket Boosters were not designed to erode. Erosion was a clue that something was wrong. Erosion was not something from which safety can be inferred.”

See paragraph 8 at
http://science.ksc.nasa.gov/shuttle
/missions/51-l/docs/rogers-commission
/Appendix-F.txt

Similarly there is no safety factor at all with these vaccines because tics were a clue that something was wrong—“a failure of the design.” Tics were not something from which vaccine safety can be inferred.

9:39 AM

Blogger Loudtodd said...

wow your a complete idiot! How do you feel 6 years later to know he was right

2:18 PM

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