NYTimes- Journal Retracts 1998 Paper Linking Autism to Vaccines

Journal Retracts 1998 Paper Linking Autism to Vaccines By GARDINER HARRIS
A prominent British medical journal on Tuesday retracted a 1998 research paper that set off a sharp decline in vaccinations in Britain after the paper’s lead author suggested that vaccines could cause autism.

The retraction by The Lancet is part of a reassessment that has lasted for years of the scientific methods and financial conflicts of Dr. Andrew Wakefield, who contended that his research showed that the combined measles, mumps and rubella vaccine may be unsafe.

But the retraction may do little to tarnish Dr. Wakefield’s reputation among parents groups in the United States. Despite a wealth of scientific studies that have failed to find any link between vaccines and autism, the parents fervently believe that their children’s mental problems resulted from vaccinations.

Tom Skinner, a spokesman for the Centers for Disease Control and Prevention, called the retraction of Dr. Wakefield’s study significant.

It builds on the overwhelming body of research by the world’s leading scientists that concludes there is no link between M.M.R. vaccine and autism, Mr. Skinner wrote in an e-mail message.

A British medical panel concluded last week that Dr. Wakefield had been dishonest, violated basic research ethics rules and showed a callous disregard for the suffering of children involved in his research. Dr. Richard Horton, editor in chief of The Lancet, said that until that decision, he had no proof that Dr. Wakefield’s 1998 paper was deceptive.

That was a damning indictment of Andrew Wakefield and his research, Dr. Horton said.

With that decision, Dr. Horton said he could retract the 1998 paper. Dr. Wakefield could not be reached for comment.

Jim Moody, a director of SafeMinds, a parents group that advances the notion the vaccines cause autism, said the retraction would strengthen Dr. Wakefield’s credibility with many parents.

Attacking scientists and attacking doctors is dangerous, he said. This is about suppressing research, and it will fuel the controversy by bringing it all up again.

Dr. Wakefield is part of a small but fervent group of doctors who discourage vaccinations because of a seeming link with autism.

Dr. Wakefield’s paper reported on his examinations of 12 children with chronic intestinal disorders who had a history of normal development followed by severe mental regressions. He speculated that the combined measles, mumps and rubella vaccine may have caused some sort of chronic intestinal measles infection that in turn damaged the children’s brains. He suggested that the combined vaccine should be split into three separate shots and given over a longer period of time.

But an investigation by a British journalist found financial and scientific conflicts that Dr. Wakefield did not reveal in his paper. For instance, part of the costs of Dr. Wakefield’s research were paid by lawyers for parents seeking to sue vaccine makers for damages. Dr. Wakefield was also found to have patented in 1997 a measles vaccine that would succeed if the combined vaccine were withdrawn or discredited.

After years of investigation, the General Medical Council in Britain concluded that Dr. Wakefield had subjected 11 children to invasive tests like lumbar punctures and colonoscopies that they did not need and for which he did not receive ethical approval.

After Dr. Wakefield’s study, vaccination rates plunged in Britain and the number of measles cases soared.

In the United States, anti-vaccine groups have advanced other theories since then to explain why they think vaccines cause autism. For years, they blamed thimerosal, a vaccine preservative containing mercury. Because of concerns over the preservative, vaccine makers in 2001 largely eliminated thimerosal from routinely administered childhood vaccines.

But this change has had no apparent impact on childhood autism rates. Anti-vaccine groups now suggest that a significant number of children have a cellular disorder whose effects are set off by vaccinations.

With each new theory, parents groups have called for research to explore possible links between vaccination and autism. Study after study has failed to show any link, and prominent scientific agencies have concluded that scarce research dollars should be spent investigating other possible causes of autism.