Dr. David Brownstein is a “holistic” family practice physician in my area. Consistent with being “holistic,” he is antivaccine to the core. That’s why he’s unhappy with the recent CDC recommendation that adults over 50 receive the new shingles vaccine. He thinks he’s found a clever argument to show it doesn’t work. Unfortunately, his argument only reveals his bias and misunderstanding.
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Many are the antivaxers who claim they aren’t antivaccine. Few are the antivaxers who are honest enough to openly proclaim they are antivaccine.
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Last week, the results of ORBITA were published. This clinical trial tested coronary angioplasty and stenting versus optimal medical management in patients with single-vessel coronary artery disease. It was a resoundingly negative trial, meaning that adding stenting to drug management didn’t result in detectable clinical improvement. What was distinctive about this trial is that it used a sham procedure (i.e., placebo) control, which few trials testing surgery or a procedure use. The results of ORBITA emphasize how important sham procedure controls are, whenever they can be ethically used, and how resistant physicians can be to change.
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Southeast Michigan is currently in the midst of a hepatitis A outbreak that started in August 2016. In Algonac, a small town in the Thumb region, the mayor decided to help a restaurant whose business suffered when one of its new staff members under training caught hepatitis A. Unfortunately, the form that help took was to host an antivaccine propaganda meeting.
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Orac is back, and what does he encounter upon his return? Barbara Loe Fisher, founder of the Orwellian-named antivaccine propaganda organization, the National Vaccine Information Center, pontificating about “informed consent” and vaccines. What she really means is misinformed consent to refuse vaccines, as in consent based on misinformation, pseudoscience, and fear mongering about vaccines. Naturally, she can’t resist bringing in Nazis as well.
