Tuesday, September 28, 2010

Law chief orders probe into secret files on death of Dr David Kelly/ Mail Online

UPDATE:  From the October 18 MailOnline:


Ambulance chiefs face renewed pressure to explain the loss of a key medical record relating to the death of Dr David Kelly after the investigating police force said it had no record of ever having received the document.
Bosses at South Central Ambulance NHS Trust were criticised last month when The Mail on Sunday revealed they could not find the patient report form (PRF) completed by paramedic Vanessa Hunt, who attended the scene of the former weapons inspector’s death in 2003...
Dr Michael Powers QC, who is leading a group of doctors campaigning for an inquest into Dr Kelly’s death, accused the Ambulance Trust of trying to shift the blame.

‘The document is the closest thing to a full record of what the ambulance team at the scene saw and noted down. I would have expected such a form to have been filled out and to have been kept, particularly given national and international interest in the case.’

Unresolved issues: Lord Hutton's inquiry concluded that Dr Kelly slit his writs to kill himself - but a key medical record relating to his death is still missing

At the time of the death, Ms Hunt and her colleague Dave Bartlett, who also attended the scene in woods near Dr Kelly’s home, worked for Oxfordshire Ambulance Trust.
Mr Bartlett’s claim in The Mail on Sunday last month that Dr Kelly’s body had been moved added to the increasing demand for an inquest...
From the Sept. 24 Daily Mail:
Secret files on the death of Dr David Kelly will be handed over to medical experts to see if the suicide verdict can be challenged.
Ministers want independent advice on whether there are any discrepancies or unanswered questions in the post mortem examination report.
Home Office pathologist Nicholas Hunt concluded the weapons inspector died after cutting a small artery in his wrist. But a group of doctors campaigning for an inquest into Dr Kelly’s death claim he would not have lost enough blood to end his life.
Attorney General Dominic Grieve wants to establish whether they have a solid case.
The Mail can reveal the doctors have now begun legal action, calling on Mr Grieve to petition the High Court for an inquest.
...  Lord Hutton had instructed the papers should remain secret for 70 years. But Mr Grieve used special powers he holds to take control of the files – which campaigners believe could hold the key to the case...

Missing weaponized anthrax at Fort Detrick?/ new release from AMEDD

More material has been released on the anthrax letters case by the Army:

https://mrmc.amedd.army.mil/index.cfm?pageid=foia_reading_room.overview

Contact for questions (the person overseeing the production)
John P Mr CIV USA MEDCOM HQ Peterson
 

Also see:  http://www.newanthraxandalqaeda.com
http://www.blurb.com/books/1443811

From: [redacted]
To: [redacted]
Sent: Wednesday, December 12, 2007 12:30 PM To:
Subject: Question about MRIID (UNCLASSIFIED)
Classification: UNCLASSIFIED Caveats: NONE

__(b) (6)_____asked me about something that _(b) (6)_____ told her. There was weaponized anthrax that came to Detrick and then was shipped out and some was missing. I told her I would ask if any situation occurred that led him to say this. I remember the Southern Research issue when they shipped anthrax to California, and it got lost. I think they ended up locating it.

(remainder redacted)

Flu shot side effects worse than the disease/ Sydney Morning Herald

People in Australia are waking up to the evidence that in some cases, vaccines cause more harm than good.  Furthermore, the longterm sequellae from a seizure are likely to be more serious than from flu.  From the Sydney Morning Herald Sept 18:
PUBLIC health experts have called for an independent body to monitor drug safety after it emerged that young children were more likely to end up in hospital because of side effects from a flu vaccine than they were from the disease itself.
The analysis contradicts government safety advice that the harm did not outweigh the risk and raises concerns about the Therapeutic Goods Administration's assessment of the vaccine.
More than 1000 adverse responses in children under five were reported to the TGA by June this year, including nearly 100 instances of febrile convulsions, a seizure which in a small number of cases has been associated with long-term adverse health outcomes.
The side effects were linked to one of the three seasonal flu vaccines, Fluvax and Fluvax junior, from the drug company CSL, but the TGA maintained despite that, that "the overall risk-benefit balance of both products remains positive".
But research published yesterday in the journal Eurosurveillance showed Fluvax might have caused two to three hospital admissions due to seizure for every admission from flu it prevented.
The chief executive of the Public Health Association of Australia, Michael Moore, said further examination of risks was needed, at arm's length from the TGA. The government should consider creating an independent centre.
"There is a concern … that the TGA is the body that approves vaccines and is also the body that determines what the risks and benefits are when concerns are raised," he said.
Peter Collignon, an infectious diseases expert at the Australian National University, said the vaccination program in children under five did more harm than good. "The TGA made that decision [about risk-benefit] without any evidence to back it up."
 UPDATE from the SMH of Sept. 26:
... Professor Bishop (Commonwealth chief medical officer) told the Herald yesterday that while the rate of convulsions linked to Panvax was about four times higher than the usual experience with flu vaccinations, it was not comparable with Fluvax, where the convulsion rate had been 50 times higher...
Dr. Meryl says "DUH?!"  Panvax only quadruples seizures in kids, while Fluvax increases seizures by a factor of 50.  This is supposed to assuage my concerns about Panvax?  Why doesn't the Commonwealth tell the public how many healthy children die or become disabled by influenza each year?  For the 4 years prior to 2009-10, less than 100 children died each year from influenza in the US, and most were probably chronically ill to start with.  Australia's population is about 1/15th of the US.  An extrapolation suggests 4 children die each year from flu in Australia, and probably 2 or 3 are chronically ill.  How many seizures is it acceptable to cause to prevent 4 deaths?  How many other, unidentified vaccine injuries can be caused as acceptable collateral damage?  Where is the risk/ benefit balance?

UPDATE 2 from the Wall Street Journal:
EUROPE and the US have banned an Australian-made flu vaccine for young children, after a surge in febrile fits in Australian children.
The US Advisory Committee on Immunisation Practices has taken stronger action than Australia's Health Department, by recommending that children younger than nine not be vaccinated with CSL's seasonal flu vaccine.
Europe has followed Australia's decision to suspend the CSL vaccine only for the under-fives...
Australian health authorities suspended the use of CSL's seasonal flu vaccine, Fluvax, for the under-fives in April, after it was found to trigger febrile fits at nine times the normal rate.

Monday, September 27, 2010

The Imperial Presidency: USG Wants to Wiretap the Internet/ NY Times

From Charlie Savage at the NY Times:
WASHINGTON - Federal law enforcement and national security officials are preparing to seek sweeping new regulations for the Internet, arguing that their ability to wiretap criminal and terrorism suspects is "going dark" as people increasingly communicate online instead of by telephone.
Essentially, officials want Congress to require all services that enable communications - including encrypted e-mail transmitters like BlackBerry, social networking Web sites like Facebook and software that allows direct "peer to peer" messaging like Skype - to be technically capable of complying if served with a wiretap order. The mandate would include being able to intercept and unscramble encrypted messages.

The bill, which the Obama administration plans to submit to lawmakers next year, raises fresh questions about how to balance security needs with protecting privacy and fostering innovation. And because security services around the world face the same problem, it could set an example that is copied globally...

Friday, September 24, 2010

Mandating flu vaccine for health care workers

Although CDC said it would not support mandatory flu vaccinations for healthcare workers (imagine the lawsuits if this were a federal government mandate), various organizations have recently published policy statements* in favor of such mandatory inoculations for all workers in healthcare facilities.

What is truly strange about this effort is that you cannot find convincing medical studies that show that vaccinating healthcare workers for flu actually decreases cases, on a statistical basis.  Sure, patients come down with flu after being admitted to hospital, and one can cite a death here or there.  But no one has shown that vaccinating workers leads to healthier patients or fewer deaths, and the lack of convincing evidence undercuts the scientific and legal basis for mandating healthcare worker vaccinations.

Gregory A Poland, MD has authored a large number of papers pushing mandatory flu vaccinations, and has been the prime mover for this initiative since the 1990s.  Dr. Greg has been a CDC Advisory Committee on Immunization Practices member, and done vaccine studies for many pharmaceutical firms at Mayo Clinic, where he heads the vaccine research group.  He also was hired by the Defense Department in 1999 to go to military bases and promote anthrax vaccinations.  After I noted about 20 misstatements in his presentation on anthrax and anthrax vaccine on my website, the talks abruptly ceased.

This is what Poland says on his own Mayo website:
"In Dr. Poland's war, there are no rules of engagement; anything goes."
 And Poland acknowledges the lack of evidence supporting vaccinations in this 2007 piece: 
 Jacobson RM, Targonski PV, Poland GA. Why is evidence-based medicine so harsh on vaccines? An exploration of the method and its natural biases. Vaccine. 2007 Apr 20;25(16):3165-9.
UPDATE:  Here is the abstract for Poland's article:
"Vaccines have been hailed as one of the greatest success stories of public health in the 20th century. The 20th century also produced a call for evidence-based medicine (EBM) with applications inclusive of preventive health. Since then, several major EBM analyses have called into question vaccine practices well-accepted by physicians, public health officials, and even the lay public. For example, while counter to existing studies and policies, EBM analyses have concluded that data are lacking to support influenza vaccination of healthcare workers to prevent flu complications among the elderly. In this review, we examine the criticisms and consider the shortcomings in the field of vaccinology as well as in the methodology of evidence-based medicine."
And here are Dr. Greg's disclosures for another 2007 article:
Gregory A. Poland, MD, is the director of the Vaccine Research Group at Mayo Clinic, Rochester, MN, and has disclosed that he has served as a consultant to
Dynavax,
Novavax,
Merck,
Protein Sciences,
GlaxoSmithKline,
Novartis Vaccines,
CSL Biotherapies, and
Avianax.
Dr. Poland has also disclosed that he has received research grants from Novavax and Merck.
Dr. Poland has also disclosed that he has served as a chair for the novel vaccine DMSB for Merck.

There will always be people who think they know (or are paid to know) what is best for the rest of us, evidence be damned, and will do their best to coerce us to comply.  Most of the know-it-alls in this case have been shown to be compromised by their income from the vaccine industry, and it appears their input was critical in creating the swine flu boondoggle last year.  Funny how failure doesn't stop them.

One author reports that he is a consultant for Joint Commission Resources. He and some other authors report various financial relationships with Avianax, BD Diagnostics, Care Fusions, CSL, Cubist, EMD Serono, Emergent BioSolutions, GlaxoSmithKline, Human Genome Sciences, Liquidia Technologies, MedImmune, Merck, Novartis Vaccines and Therapeutics, Novavax, OrthoMcNeil, PaxVax, Pfizer, Rymed Technology, Sage, Sanofi Pasteur, Theraclone Sciences (formally Spaltudaq Corporation), Vaxxinate, and/or Wyeth.  This is according to Medscape.

Wednesday, September 22, 2010

CIA runs a 3,000 man paramilitary army in Pakistan/ Washington Post

Detailed in a book review  of "Obama's Wars" by Bob Woodward in today's Washington Post:

We have not declared war against Pakistan, and Congress has not approved making war in Pakistan.  Yet we illegally send drones there to kill, and our CIA runs a mercenary army in Pakistan.  The American Rule of Law is what took the biggest hit on 9/11.

Tuesday, September 21, 2010

US BARDA commits $51 to $186.6 MIllion to EBS for Next Generation Anthrax Vaccine

Recently there have been criticisms that BARDA has not spent much of the 6 billion dollars set aside for biological and chemical warfare treatments and preventive strategies after 9/11.  In fact, a plan was introduced to transfer some of the monies into other programs.

In good bureaucratic fashion, BARDA responded by spending.  Emergent BioSolutions, aka Bioport, will be the beneficiary of more largesse from the federal government.  BARDA, meanwhile, has demonstrated its commitment to develop a next-generation, recombinant anthrax vaccine despite earlier failures and many millions down the drain in this pursuit during the past ten years.

Here is the agency announcement.

Canadian Surveillance of H1N1 swine flu cases/ Medscape and PLOS

From MEDSCAPE:
  • Like all flu seasons, mortality in the elderly was highest from swine flu during the 2009-10 season
  • Preexisting antibodies were common in the elderly:  present in 88% of those aged 90-99, present in 27% of those aged 79, and present in 4-5% in those younger than 60.
  • Six studies from Canada consistently found that prior year vaccination in 2008/09 for seasonal influenza was associated with a 1.4- to 2.5-fold increased risk for hospitalization for H1N1 infection, said Naveed Z. Janjua, MD, also from the British Columbia Centre for Disease Control.
"As for the mechanism behind those differences, studies in swine suggest that a vaccine that induces "nonneutralizing or subneutralizing concentrations of antibody can enhance the infection rather than protect from that infection," Dr. Janjua said.

Dr. Skowronski acknowledged the limitations of case–controlled studies. She suggested that the Canadian findings might be more rigorous than similar studies from the United States and Mexico that reached different conclusions on the effect of vaccination for seasonal influenza on H1N1 infection.
Good immunization records and the use of a single brand of vaccine within a geographic region also are factors contributing to the rigor of the Canadian analysis, she pointed out.

The studies were conducted with funding from various Canadian government agencies. None of the presenters disclosed no relevant financial relationships."

Friday, September 17, 2010

Holt: FBI anthrax investigation is itself subject of probe/ NJ.com

http://mobile.nj.com/advnj/pm_31088/contentdetail.htm;jsessionid=324CEF6CC147295B74C534B1C27049AB?contentguid=Hg5hcoWW

Matt Fair

After years of questioning the conclusion and methods of an FBI investigation into the 2001 anthrax attacks that killed five people and sickened dozens of others, Rep. Rush Holt (D-Hopewell) announced yesterday that the U.S. Government Accountability Office (GAO) is opening an inquiry into the matter.

Holt, along with a handful of other legislators, had sent a letter to the GAO in May requesting an investigation into the FBI’s handling of the case. The FBI officially closed the case in February after concluding in 2008 that Dr. Bruce Ivins, a former biodefense scientist, was the sole culprit in the attacks.

Ivins, a resident of Frederick, Md., committed suicide shortly before government investigators planned to formally file charges against him.

“In the wake of the bungled FBI investigation, all of us — but especially the families of the victims of the anthrax attacks — deserve credible answers about how the attacks happened and whether  the case is really closed,” Holt said in a statement yesterday.

Holt has charged in the past that the FBI investigation failed to address basic questions including Ivins’ motive and his connections with the local area.

Investigators determined that at least one of the letters was sent from a mailbox on Nassau Street in Princeton Borough. The letters were sorted at a postal service facility on Route 130 in Hamilton, where several employees became ill.

“The American people need credible answers to many questions raised by the original attack and the subsequent FBI handling of the case,” Holt said. “I’m pleased the GAO has responded to our request and will look into the scientific methods used by the FBI.”
The GAO’s investigation will look to address a handful of specific questions as requested by Holt.

He asked the agency to identify and judge the quality of the microbial and technical forensics methods employed by the FBI in concluding Ivins was responsible for the attack. He asked what, if any, scientific concerns and uncertainties remain after the closure of the official investigation. Finally, he wanted to determine what agencies are responsible for monitoring high containment laboratories.

However, officials with the GAO, in accepting Holt’s request for an inquiry, admitted that its efforts may be hampered by lack of access to classified material.

“Please know that we may encounter challenges to our access to sensitive and classified information from the FBI and the intelligence agencies,” Ralph Dawn Jr., managing director of congressional relations for the GAO, said in a letter to Holt last month.

In 2008, the FBI commissioned its own inquiry from the National Academy of Sciences (NAS) into the results of its investigation. The results of the NAS report are expected to be released later this year.

Holt has also introduced legislation calling for a formal congressional commission to investigate the attacks. Similar to the 9/11 Commission, the panel would hold hearings and be granted subpoena power.

Officials with the Obama administration earlier this year said the president would veto any such legislation, saying it would be redundant in the wake of the FBI and NAS investigations.

Thursday, September 16, 2010

New Review of FBI's Work in Anthrax Letters Case/ WSJ

New Review of FBI’s Work in Anthrax Letters Case

By Devlin Barrett, Wall Street Journal
The investigative arm of Congress will take another look at the science the
FBI used to determine who mailed deadly anthrax-laced letters in 2001.

The Government Accountability Office has notified Rep. Rush Holt, a New
Jersey Democrat, that the agency will review the science behind the FBI's
conclusions that Army scientist Bruce Ivins sent the letters that killed
five people.

The letters were mailed from a mailbox in Princeton, N.J., which is in
Holt's district. The congressman has long maintained that the FBI's work on
the case was shoddy and full of holes. The FBI concluded Dr. Ivins was a
disturbed man who sent the letters while his laboratory faced the prospect
of losing support for its anthrax vaccine program.

The National Academy of Sciences is in the midst of a two-year-review of the
scientific work that led the FBI to finger Dr. Ivins after spending years
chasing other suspects. Dr. Ivins took a fatal overdose of pills in 2008 as
a federal grand jury prepared to indict him for the anthrax mailings.

In a letter to Holt, GAO officials said they would conduct their review once
the NAS reaches its conclusions, which is expected later this year.
The GAO letter to Rush Holt is here.

Wednesday, September 8, 2010

Flu Response: contradictions and dire warnings

Despite a recent attempt to paint last year's swine flu pandemic as more serious than thought, based on its higher attack rates and complications in a younger population, a new study using Wisconsin data, reported by Agence France Presse, calls those conclusions into question:
Children, which the 2009 H1N1 pandemic infection appeared to disproportionately affect, were not associated with more hospital admission or pneumonia cases when compared with seasonal H1N1 or H3N2, said the study.  Within thirty days of infection, six out of 395 children with the 2009 H1N1 virus, or 1.5 percent, were admitted to hospital, compared to five of 135 with seasonal H1N1 (3.7 percent) and eight of 255 with the H3N2 virus (3.1 percent). 
For adults six out of 150 with 2009 H1N1 or 4.0 percent went to hospital, compared to 17 out of 377 cases of H3N2, or 4.5 percent.
"Our results suggest that the clinical manifestations and risk of hospital admission are similar for 2009 H1N1 and other seasonal influenza A strains," said the study's authors.
"The perceived severity of symptoms and risk of serious outcomes (pneumonia or hospital admission) were not increased," they added.
According to Finland's YLE, The narcolepsy rate appears to be at least ten times normal after swine flu vaccination, and may be higher still given the narrow age range of 5 to 15 years reported from Finland.  On average, 3 cases are diagnosed in Finland annually, but 12-14 cases have been detected there with onset between last December and February. 

What other neurological (or other types of) disorders might also be occurring as a result of last year's flu vaccines?  It is relatively easy to identify increased rates of rare but extremely serious diseases, especially when the rate may have spiked ten-fold.  It is much harder to identify increased rates of more common or less severe diseases that may result after vaccinations.  What epidemiological efforts are being made to do so?


The Chicken Littles (flu experts) continue to exhort us to not let our guard down despite the overblown fears of swine flu:  avian flu "could spark the next global outbreak."  Speaking to reporters on the sidelines of a flu conference in Hong Kong, Robert Webster warned against complacency:
We may think we can relax and influenza is no longer a problem. I want to assure you that that is not the case," said Webster, chairman of the virology and molecular biology department at St. Jude Children's Research Hospital in Memphis, Tennessee.
Webster predicted that the next pandemic could be sparked by a virus that spreads from water fowl to pigs and then onto humans — such as the H5N1 strain of bird flu, which has killed 300 people over the past seven years. He noted that after several years of decline, the number of bird flu cases in humans increased in 2009, lifted by an uptick of cases in Egypt.

Monday, August 30, 2010

Risk-Taking Rises as Oil Rigs in Gulf Drill Deeper/ NY Times

Excerpts from today's NY Times:
Yet even as regulators investigate the causes of the Deepwater Horizon disaster, the broader dangers posed by the industry’s push into deeper waters have gone largely unscrutinized.

“Our ability to manage risks hasn’t caught up with our ability to explore and produce in deep water,” said Edward C. Chow, a former industry executive who is now a senior fellow at the Center for Strategic and International Studies...

Underwater, both powerful currents and mudslides play havoc with delicate equipment and the pipelines that bring oil and gas back to shore.

The water temperature, which hovers at just above freezing at depths below 3,000 feet, can harden natural gas into crystallike structures called hydrates that can clog pipelines and other equipment. And because the wells are deeper than human divers can go, oil companies must rely on remote-controlled submarines to maintain their equipment or perform repairs.

Problems are more common than the industry likes to admit...  Hurricanes are a constant menace. Hundreds of offshore platforms and pipelines were destroyed by hurricanes Rita and Katrina in 2005, shutting down the gulf’s entire oil and gas production for weeks. A Shell platform called Mars was badly damaged when its drilling rig tumbled over in Hurricane Katrina, shattering equipment, living quarters and the steel pipes that girdle all facilities. The two pipelines that take Mars’s oil and natural gas to shore were also badly damaged...

Under a $1 billion initiative announced in July, four oil majors — Chevron, ConocoPhillips, Exxon and Shell — said they would design and build equipment that could be used to contain and cap well blowouts at depths of up to 10,000 feet. However, they say the new devices will not be tested and ready for 18 months, and the plan is not likely to work in places outside the gulf, like Alaska, where conditions differ...

EMEA starts review of Pandemrix, will consider provisional measures at its September meeting

From Therapeutics Daily:
...  Although the cases of narcolepsy have been reported in temporal association with the use of Pandemrix, it is at present not known if the vaccine caused the disorder. The Agency’s Committee for Medicinal Products for Human Use (CHMP) will look carefully at all of the available data to determine whether there is evidence for a causal association. As part of this evaluation the Committee will also consider the so-called background rate for narcolepsy, i.e. the number of cases that would normally be expected to be diagnosed.
The Committee will be working with experts from across the EU to assess this possible safety concern and any impact on the benefit risk balance of Pandemrix. The Committee will consider at its September 2010 meeting the need for any provisional measures pending completion of the evaluation.
The Agency is also liaising with the European Centre for Disease Prevention and Control (ECDC), international regulatory partners and the World Health Organization (WHO).
The European Medicines Agency will provide updates as new information becomes available.

Saturday, August 28, 2010

David Kelly, A Textbook Suicide? Mail and Independent

Hmmm.  What exactly is a textbook suicide, Dr. Nicholas Hunt?  The most common suicide in males would be associated with alcohol excess and a gun death.  Suicide attempts do frequently involve use of more than one drug in large quantities, but I have never seen someone try drugs and cutting an artery at the same time.  If Kelly died of blood loss, which seems very unlikely, the blood had to go somewhere, but it hasn't been found.

So if he didn't die from blood loss (you have about a gallon of blood per person, and roughly more than half needs to be lost before you die... we frequently see patients with more than half gone from gastrointestial blood loss and they almost always live) and the blood levels of drugs were way below fatal levels, what did cause Dr. Kelly's death?  If he died of a cardiac arrest due to blood loss, there needs to be evidence to support the diagnosis.

According to The Independent:
In his fascinating book The Strange Death of David Kelly, Norman Baker, now the transport minister, raises the interesting question of why Dr Hunt, relatively inexperienced at the time, should have been chosen to deal with what was a sensational case.
From the Mail we find the following:
Earlier this month, the Attorney General Dominic Grieve signalled that he is prepared to intevene, saying that those people who now want a new investigation into Kelly's death should not be dismissed as conspiracy theorists.
The truth is that Hutton failed to fulfil his remit to 'urgently examine the circumstances surrounding the death of David Kelly'.
Instead, his inquiry concentrated on the roles played by Mr Blair and his advisers, concluding that they had no reason to feel any guilt and that Downing Street had not 'sexed up' the case for the Iraq War (something that Kelly had secretly expressed fears about to BBC journalists, before his identity was outed by the Labour Government).
Only a tiny part of Hutton's 700-page report probed Kelly's death and the critical hours he was missing after taking an afternoon walk from his home in Southmoor.
Amazingly, the chief inspector of Thames Valley Police force, which conducted the search for Dr Kelly, was not called to give evidence. Nor was the Ministry Of Defence doctor who gave Kelly a clean bill of health during a rigorous medical check eight days before he died.
As a result of Hutton's failings, we still don't know the precise time and location of Dr Kelly's death - yet these basic facts are surely the most fundamental requirements of an inquiry into any violent or unexpected death.
Here, the Mail reveals the other vitally important questions that must now be answered . . . was he poisoned? 
For more detail about multiple issues raised by the Mail, go here

Friday, August 27, 2010

US Defense Department makes flu shots MANDATORY for teachers and students in Europe/ Stars and Stripes

Yes, this vaccine contains the swine flu antigen used last year and now, plus two other flu antigens.  It is very similar to the vaccine banned for children in the UK and Australia, and similar to the vaccine banned last week in Finland and Sweden.  But it will "protect the mission" and prevent parents from staying home to care for sick children.  From Stars and Stripes:
For the first time, flu shots will be mandatory for students to attend Defense Department schools in Europe, education officials announced this week.
The immunization policy, mandated by U.S. European Command, covers both the seasonal and swine flu viruses and applies to teachers and employees at more than 80 Department of Defense Dependents Schools in Europe, as well as 30,000 students. Children older than 6 months enrolled in base daycare centers and daycare center workers throughout Europe also are affected by the move...
DODDS-Europe students already are required to get certain vaccinations for such viruses as polio, measles, mumps and rubella. Until now, however, the flu immunization, has been “highly encouraged,” but optional, a DODDS-Europe official said...
Requiring stateside family members associated with the military to get the vaccine when others in their community aren’t would likely cause “a tremendous amount of resistance” from teachers, students and parents, Kilpatrick said.
Mandatory inoculations may meet with less resistance overseas, where a military community tends to rely on the base for its health care, he said. In the States, even military families may have a civilian doctor “and parents get torn between medical communities...”

EUCOM is enforcing the policy because “our mission is to protect the health and safety of our beneficiaries,” Wyatt said.
When a child gets sick, that can take a parent who has to stay home away from the mission, he said.
“It’s about protecting the mission, as well...”

Swine flu vaccine safety probed by EMEA/ Telegraph

From the Telegraph:
The safety of a swine flu vaccine is to be investigated by European drugs regulators (EMEA, the European Medicines Agency) after it was linked to a rare condition that causes people to fall asleep suddenly.

The investigation has been prompted after health officials in Finland announced they were suspending the vaccination programme there following reports of narcolepsy in people who had received the jab.

So far there have been 27 reports of suspected narcolepsy in people across Europe who had previously been vaccinated with Pandemrix, the H1N1 swine flu vaccine made by GlaxoSmithKline.

Tuesday, August 24, 2010

Narcolepsy fears may halt swine flu vaccine: Finland and Sweden/ AFP

Agence France Presse reports that Finland and Sweden fear that narcolepsy in children could be a consequence of receiving GSK's Pandemrix flu vaccine.  Pandemrix is last year's swine flu vaccine. 

Its use has now been halted for all in Finland, despite Finland's health minister saying last week that the vaccination programme would continue:
Finland's National Institute for Health and Wefare recommended Tuesday halting the use of the Pandemrix swine flu vaccine until a probe into a possible link to narcolepsy among children is concluded.
"At the moment we are not having a (swine flu) epidemic, so there is no immediate need for vaccination," the agency said in a statement.
"Besides, major parts of the population are protected against the swine flu virus either through vaccination or or after having swine flu," it added.
According to YLE, the head physician of the Finnish Medicines Agency, Kari Lankinen, says doctors failed to report their suspicions of swine flu vaccine side effects due to fears, for example, that they might have difficulty publishing in international journals.  This demonstrates the insidious impact of political correctness in medicine these days. 

Reports of narcolepsy in Sweden:
...concern children aged between 12-16 years who developed symptoms compatible with narcolepsy, a chronic sleeping disorder, that occurred one to two months after vaccination against the H1N1 pandemic.
The (Swedish) Medical Products Agency said it was in contact with European Union member states for information on any similar reports in other countries.
Narcolepsy is a serious condition: suddenly falling asleep without warning leads to many accidental deaths, especially in children and young adults.  There is no known cure.

This season's flu vaccine

The vaccine linked to seizures in children in Australia, and halted for small children in the UK and Australia, is this year's flu vaccine.  It contains the swine flu antigen plus other components.  It is not yet known how the seizure problem relates to the swine flu component, nor whether this season's vaccine may cause narcolepsy. 

However,  CDC is crowing about the fact the vaccine is already on pharmacy shelves and CDC has recommended it for everyone over 6 months old.  Outside a pandemic, flu is not expected to occur in the US until December at the earliest.  CDC appears to want us vaccinated before information on the vaccine's risks emerges.  CDC ordered 160 million doses made, expanded the target group of vaccinees to include the entire country, and now CDC needs to ensure those vaccines are injected, not rejected (like last year).

The larger point is not whether this vaccine causes narcolepsy.  Different vaccines have caused different side effects, and usually a variety of side effects may occur in a minority of recipients after any vaccination.

The point is that if you don't look for them, you will miss the side effects.  With 100 times the vaccinated population of Finland, why has the USA's CDC failed to identify any serious potential side effects? Why hasn't it held off vaccinations pending ongoing research in at least the US, UK, Australia, Finland and Sweden?

All public health programs need to have reliable data on hand before new vaccines or other public health strategies are used on a mass basis.  Every intervention entails potential benefits, risks and costs.  How significant is the expected benefit?  Does it justify the cost?  What are the risks, what is the incidence of side effects, and on balance, does the proposed intervention provide a significant net benefit commensurate with its cost?  Until US public health policy makers get back to these basics, individuals will have to scrutinize new programs for themselves to determine whether they make sense.

Why are we funding CDC when instead of providing us useful information, CDC prefers to muddy the water in ways harmful to our health and pocketbook?  CDC's 10 billion dollar budget could perhaps be better spent inspecting our food supply.

Saturday, August 14, 2010

Top Tory (Michael Howard) backs Kelly inquest calls/ UK Press Association

From the UKPA:
Former Conservative leader Michael Howard has thrown his weight behind demands for a full inquest into the death of the government weapons expert Dr David Kelly.
His call came after a group of prominent experts described the official explanation for the scientist's death seven years ago as "extremely unlikely".
Lord Howard - who is now a Tory peer - said their intervention confirmed his belief that there should now be a proper inquest.
"In view of the growing number of relevant questions that have arisen and cast doubt on on the conclusions reached by Lord Hutton, I believe it would now be appropriate for a full inquest to be held," he told a national newspaper.
"Recent evidence by the first police officer on the scene, together with new statements by doctors raise serious questions which should be considered. This has been on my mind for quite a while and recent events have crystallised my view..."

Friday, August 13, 2010

Dr Kelly investigation 'was inadequate': Now NINE (new) top doctors demand inquest/ Times and Daily Mail

The 9 new experts wrote to ministers in an open letter to the London Times.  Because the Times charges for access to its content, coverage in the Daily Mail is excerpted below:
Fresh doubts: There are calls for an inquest into the death of weapons inspector Dr David Kelly
Nine of the country’s leading doctors today dramatically question the verdict that Dr David Kelly killed himself by slitting his wrist.
The eminent medical experts say it is unlikely the weapons inspector could have bled to death in the way the authorities claim – raising fresh doubts that it was suicide.
In an open letter to ministers, they also urge the Government to conduct a full coroner’s inquest to re-examine key medical evidence surrounding the case.
The move heaps huge new pressure on the Coalition to reopen the investigation. The doctors are experts in the fields of forensic science, intensive care and law, and include Sir Barry Jackson, past president of the British Academy of Forensic Science.
Eight of the nine have never expressed their opinion on the Kelly affair publicly before. Their intervention shows the continuing deep disquiet among senior medics about the way Dr Kelly’s death was investigated by the Hutton Inquiry – dubbed a ‘whitewash’ by critics.
They join a growing chorus of experts who have made their concerns public.
Officially, Dr Kelly, 59, took his own life in woodland near his Oxfordshire home in July 2003 by cutting the ulnar artery in his wrist with a blunt pruning knife.
But a female colleague who served with him in Iraq, Mai Pederson, says a hand and arm injury had left him ‘too weak’ to cut his own wrist. Witnesses say there was little blood at the scene.
And experts have doubts that he lost sufficient blood to cause his death.
It also emerged after the Hutton Inquiry that no fingerprints were found on the knife Dr Kelly is alleged to have used, and that he was not wearing gloves when his body was found. The doctors voice their concerns in a letter to The Times newspaper.
It is backed by a second letter to Justice Secretary Kenneth Clarke, signed by Dr Michael Powers, QC. The letter questions the ‘adequacy of the investigation conducted by Lord Hutton’ and also calls on the Government to carry out an inquest... 
David Kelly

Sunday, August 8, 2010

The cloud of doubt over Dr David Kelly must be lifted/ Sunday Mail

Thanks to the Mail for pursuing this important case.  A more detailed piece the following day is here.
Dr David Kelly
Troubling: Dr David Kelly

The death of Dr David Kelly still worries many thoughtful people. It is easy to see why. Dr Kelly’s concerns about the Government’s case for war in Iraq began a storm of controversy at a very inconvenient moment for Downing Street.
They stirred up the wrath of New Labour’s vengeful and ruthless propaganda machine.
These events led to a sort of show trial of a public servant with a fine reputation and a long record of diligence and competence – who, paradoxically, shared the Government’s concerns about Saddam Hussein.
But there was never any satisfactory ­conclusion to this process.
Dr Kelly never felt able to speak fully in his own defence. His close family, as is their right, have always preferred to stay silent about his feelings and about what pressures may have been placed upon him in his final days.
His violent death therefore deprives us of essential information about one of the most important political and military ­controversies of our age.
This would be troubling under any circumstances. But it is made far more perplexing by the cloud of doubt which surrounds the event itself. No proper inquest was ever held, itself an extra­ordinary circumstance. 
And in the absence of a proper, open examination of his death under English law, that cloud of doubt grows and grows.
It may well be that all was exactly as we have been told, and that his death was a simple suicide.
Indeed, many of the circumstances make that a reasonable conclusion.
But with each independent account of the discovery of the scientist’s body, new questions are raised. The apparent absence of blood at the scene has always been a concern, since Lord Hutton’s report concluded that he had died from loss of blood.
Now, thanks to the recollections of Det­ective Constable Graham Coe, it is an even greater concern.
DC Coe is an experienced police officer who has been present at the aftermath of many deaths. The fact that he confirms the view of previous witnesses – that very little blood was visible at the scene – is a significant new development and strengthens the case for an inquest to be held.
The new Government should listen to that case, and so end the damaging ­uncertainty about how and why Dr Kelly came to die.

CDC Ignores Seizure Risk of Flu Vaccines/ CDC

Doctors in the UK and Australia have been instructed not to give flu vaccines this year to children under five years old.  As reported by the Telegraph:
The letter to all GPs from Prof David Salisbury, said: "Epidemiological information from Australia indicates that there has been a higher than expected increase in febrile convulsions in children related to the use of Fluvax (manufactured by CSL).
"This is the same product that will be marketed in the UK by Pfizer as Enzira and generic influenza vaccine for the 2010/11 influenza vaccination season.
"Evidence from Australia suggests a rate of febrile convulsions of about one per 100 for children who were vaccinated with Fluvax. This increased risk appears to be a product specific reaction and evidence from Australia of vaccination with other products has so far not indicated a similar level of risk.
"It is important that children over six months of age who are in clinical risk groups receive influenza vaccination. Given the availability of other influenza vaccine products, you should avoid offering Enzira or CSL Biotherapies generic influenza vaccine marketed by Pfizer to children aged under five years."

What did CDC do? This year, ignoring the risks, it has approved CSL's pediatric flu vaccine for children as young as six months.  The vaccine has a different name than in the UK or Australia.  But it is the same CSL vaccine that the Brits and Ozzies are worried about.  CDC appears to have only one worry, and that is expanding vaccine sales.  Its new flu vaccine guideline states,
"Previously approved inactivated influenza vaccines that were approved for expanded age indications in 2009 include Fluarix (GlaxoSmithKline), which is now approved for use in persons aged ≥3 years, and Afluria (CSL Biotherapies), which is now approved for use in persons aged ≥6 months."

Saturday, August 7, 2010

Tuesday, August 3, 2010

Officially sanctioned murder of US citizen supported by law banning legal challenge/ NY Times

What a Catch 22: Once the US Government designates someone as a terrorist, it becomes illegal to provide the designee with legal assistance challenging the terrorist designation!

The Obama administration announced to the world that it had the right to assassinate an American (Anwar al-Awlaki) citizen without any charges or trial last April.

According to the NY Times on April 6,
The Obama administration has taken the extraordinary step of authorizing the targeted killing of an American citizen, the radical Muslim cleric Anwar al-Awlaki, who is believed to have shifted from encouraging attacks on the United States to directly participating in them, intelligence and counterterrorism officials said Tuesday.
Once you get on the terrorist list, it becomes a crime to offer a designated terrorist any assistance, including legal assistance to challenge the designation itself.

In today's NY Times:
“The same government that is seeking to kill Anwar al-Awlaki has prohibited attorneys from contesting the legality of the government’s decision to use lethal force against him,” says the complaint, which was jointly filed by the American Civil Liberties Union and the Center for Constitutional Rights...
Working without compensation, they began developing a lawsuit over whether the executive branch could lawfully carry out such a killing in the face of the Constitution’s protection against deprivation of life “without due process of law.”
But on July 16 — before the groups were ready to file such a lawsuit— the Treasury Department’s Office of Foreign Asset Control announced that it was applying the global terrorist designation to Mr. Awlaki. That step blocked Mr. Awlaki’s assets and made it a crime for Americans to engage in transactions with him or for his benefit without a license from the office...
“Targeting Americans for execution without any form of due process while at the same time obstructing lawyers’ ability to challenge that policy is fundamentally un-American,” said Anthony D. Romero, the executive director of the American Civil Liberties Union... 
Vincent Warren, the executive director of the Center for Constitutional Rights, argued that international law did not permit a government to kill people far from combat zones, calling that assassination. And in the case of a United States citizen like Mr. Awlaki, he contended, such a policy also violates the Constitution’s Fifth Amendment — and is a dangerous precedent.
“The governmental talking points around what is at stake does not make constitutional law,” Mr. Warren said. “We are trying to take this out of the realm of Sunday morning talk shows and put these issues before a court so the government can set forth the evidence.”
Thank goodness for civil liberties lawyers, who have challenged this legal authorization of death squads and extra-judicial killings, combined with prevention of judicial review.  (Is John Yoo back in government dreaming up these pseudo-legal arguments, or have the Dems found themselves a new pack of unethical, uneducated and "creative" lawyers?)  This legal chicanery doesn't pass the [Constitutional] smell test.

CDC is not recommending mandatory flu vaccinations for healthcare workers/Medscape

I have not been able to find the official announcement of this, but according to Medscape, the "Centers for Disease Control and Prevention (CDC) announced on June 22, 2010 that it would not endorse mandatory influenza vaccination for healthcare workers."

Monday, August 2, 2010

Unexpected hazards of factory-produced foods and other products/Washington Post

This summer, Kellogg recalled 28 million boxes of Froot Loops, Apple Jacks, Corn Pops and Honey Smacks.  Dozens of consumers reported a strange taste and odor, and some complained of nausea and diarrhea.  The company blamed elevated levels of a chemical in the packaging.

In a Washington Post article titled, US regulators lack data on health risks of most chemicals, we learn that federal agencies have absolutely no information available on the toxicity of the chemical suspected in the breakfast cereal reactions: 2-methylnapthalene.  Ordinary napthalene is employed for its toxic effect:  it is the main ingredient in mothballs, and is used to produce carbamate insecticides. The EPA states the following about plain napthalene,
"Acute exposure of humans to naphthalene by inhalation, ingestion, and dermal contact is associated with hemolytic anemia, damage to the liver, and, in infants, neurological damage.  Symptoms of acute exposure include headache, nausea, vomiting, diarrhea, malaise, confusion, anemia, jaundice, convulsions, and coma."
According to the WaPo:
Under current laws, the government has little or no information about the health risks posed by most of the 80,000 chemicals on the U.S. market today.
"It is really troubling that you've got this form of naphthalene that's produced in millions of pounds a year and we don't have some of the basic information about how toxic it is," said Erik Olson, an expert at the Pew Charitable Trusts...
If a manufacturer possesses data showing that a chemical harms health or the environment, it is required to turn over the findings to the EPA. Critics say that creates a disincentive for manufacturers to test their chemicals...
Because the FDA does not know anything about the toxicity of 2-methylnaphthalene, the agency set its limit based on what it knows about the toxic effects of similar chemicals, Michael Cheeseman (of the FDA's Office of Food Safety) said.
He added that the FDA does not know what caused the Kellogg contamination, how much 2-methylnaphthalene might have migrated into the cereals or if it was the only contaminant. The agency did not perform its own tests on the cereals...
"In this case, it had an odor and it had a taste, so it was detected," said David Andrews, a senior scientist at the Environmental Working Group, an advocacy organization. "But there are hundreds of other potential impurities that we can't smell and taste, chemicals that we know very little about and the government knows little about." 

Saturday, July 31, 2010

This year's seasonal flu vaccines

Flu vaccine is being recommended for the entire US population over 6 months of age, starting this year.

The (non-live) vaccines will contain 3 antigens, one of which is the antigen used for swine flu vaccines since late 2009.

In 2009, DHHS Secretary Sibelius issued a Public Readiness and Emergency Preparedness Act waiver of liability for injuries from swine flu vaccines, which expired June 23. Here is the law describing duration of such waivers.  Thus one should be able to sue manufacturers for injuries sustained as a result of this season's flu vaccine.

However, a similar vaccine used in Australia caused one in 110 children to have a seizure recently, so its use was prohibited in children under five while a panel is investigating the possible cause.  Although US public health agencies are well aware of this problem, US authorities chose to recommend the same flu vaccine for all children aged over 6 months.

UPDATE: In the UK, according to the Telegraph, the Department of Health has written to all GPs to avoid giving flu vaccines from manufacturers CSL and Pfizer to children under five:
The letter to all GPs from Prof David Salisbury, said: "Epidemiological information from Australia indicates that there has been a higher than expected increase in febrile convulsions in children related to the use of Fluvax (manufactured by CSL).
"This is the same product that will be marketed in the UK by Pfizer as Enzira and generic influenza vaccine for the 2010/11 influenza vaccination season.
"Evidence from Australia suggests a rate of febrile convulsions of about one per 100 for children who were vaccinated with Fluvax. This increased risk appears to be a product specific reaction and evidence from Australia of vaccination with other products has so far not indicated a similar level of risk.
"It is important that children over six months of age who are in clinical risk groups receive influenza vaccination. Given the availability of other influenza vaccine products, you should avoid offering Enzira or CSL Biotherapies generic influenza vaccine marketed by Pfizer to children aged under five years."
Furthermore, CDC plans to roll out the shots earlier than usual this flu season, during August.  That makes little sense.

Seasonal flu epidemics almost never start before December.  It takes up to 2 weeks to get maximal immunity from one vaccine dose.  Immunity wanes rapidly.  Therefore, there is no reason to get vaccinated before late November.

Furthermore, there has been almost no swine flu in the southern hemisphere this 2010 flu season (their winter is our summer).  Only 5 cases have been recorded so far this season in Tasmania, which has a population of 500,000, of whom less than 1/3 have been vaccinated.  I wonder if a much higher proportion of the Australian and US population was exposed and became immune last year than the 20% reported.  Exposure gives you much stronger and longer-lasting immunity than vaccination.

So it is likely the swine flu component of the vaccine will be unnecessary.  Australians suspect that is what is contributing to adverse reactions.  Canadians might suggest the combination is unsound.  No one knows for sure.  There is plenty of time to observe the trends of viral activity, and the adverse effect profile of the vaccine, before those in the northern hemisphere need to make a decision about whether the vaccine is likely to provide them net benefit or harm.

July’s Toll Worst for U.S. Troops in Afghanistan/ NY Times

Excerpts from today's NY Times make clear the Afghans we are supposed to be helping do not appreciate us, to put it mildly.
KABUL, Afghanistan — The deaths of at least 66 soldiers, Marines, sailors and airmen have made July the deadliest-ever month for American troops in the nine-year war in Afghanistan. The tally includes six American service members who died in four separate attacks in southern Afghanistan on Thursday and Friday.

The growing toll follows a sharp increase in the American troop commitment that now stands at 95,000, along with a concerted effort by Taliban militants to slow major NATO offensives in the Taliban heartlands of southern Afghanistan. At least 265 American troops have died this year. The Web site icasualties.org reported 63 American deaths for July; a NATO official confirmed 3 additional American deaths on Friday.

Afghan casualties are rising as well, undercutting the support of Afghan society and complicating the military mission. In Kabul on Friday, a crowd of hundreds of Afghans rioted after a sport utility vehicle carrying American Embassy contractors struck a car of Afghans, killing at least three of them, the Afghan police said.

The riot happened early Friday afternoon on the busy road that connects the American Embassy and military headquarters in Kabul with the city’s airport.

The crowd chanted “Death to America” and “Death to foreigners.”...

Wednesday, July 28, 2010

The Imperial Presidency: Demanding Data on US citizens without a court order/ WaPo

 From the Washington Post:
The Obama administration is seeking to make it easier for the FBI to compel companies to turn over records of an individual's Internet activity without a court order if agents deem the information relevant to a terrorism or intelligence investigation.

... what officials portray as a technical clarification designed to remedy a legal ambiguity strikes industry lawyers and privacy advocates as an expansion of the power the government wields through so-called national security letters. These missives, which can be issued by an FBI field office on its own authority, require the recipient to provide the requested information and to keep the request secret. They are the mechanism the government would use to obtain the electronic records.
...To critics, the move is another example of an administration retreating from campaign pledges to enhance civil liberties in relation to national security. The proposal is "incredibly bold, given the amount of electronic data the government is already getting," said Michelle Richardson, American Civil Liberties Union legislative counsel...

The Imperial Presidency: Wresting $ power from Congress/ NY Times

Excerpts from the NY Times article titled, "Budget Chief Tried to Tilt Power to Executive Branch" by Matthew Bai:
Taken together, all of these proposals would seem to represent a clear exertion of executive power over the legislative branch from an administration that was supposed to have been more deferential to Congressional prerogatives.

Somewhere along the way toward wooing Congress, however, Mr. Obama seems to have decided that the problem, at least where reducing the cost of government is concerned, is Congress itself...  And so, in a variety of ways, the administration has deliberately set out to create alternatives...

Leading Democrats in the House aren’t arguing that the legislative process, with its dueling constituencies and parliamentary procedures, is necessarily the most efficient way to cut spending. But they maintain that it’s what the framers intended — and that subverting the process amounts to an assault on the democracy.

Tuesday, July 27, 2010

'Minister ignored advice over swine flu vaccine double dose plan'/ Dutch News

The Dutch health minister overbought swine flu vaccine, ignoring official advice of authorities in Holland.  What did WHO recommend at that point in time?  From Dutch News:
Health minister Ab Klink ignored advice from both the Dutch vaccine and public health institutes when he bought 34 million doses of swine flu vaccine last year, RTL news reports.
The tv programme says the vaccine institute told Klink that two shots per person would be unnecessary. And the public health institute warned Klink delivery would be too late for a mass vaccination programme...
In the end only young children, the elderly and some categories of workers were vaccinated, leaving 19 million doses of vaccine unused. Nearly 18 million of them are now in the process of being destroyed because they are past their 'use by' date...
It emerged last year that the country's chief virologist Ab Osterhaus, who advised the government to buy a double dose of the vaccine, has close links to drugs firms. He denied any conflict of interest.

Wikileaks fallout: Why are we continuing to support Pakistan? and only 33% of Americans are happy with Obama's handling of the war/ The Guardian

When we seem to be providing the operating expenses for those who bomb and shoot our children, what is the point of this war? From the Guardian:
... The leaks have focused attention on Afghanistan at a time when the Obama administration would rather concentrate on the economy – the main issue among voters – and have put pressure on him to explain why he thinks his new strategy will succeed where the old one failed. He is also facing pressure to explain continued financial, military and other support for Pakistan, despite allegations in the documents that elements in Pakistani intelligence are supporting the Taliban.

Members of Congress are becoming increasingly sceptical in public about the conduct of the war, and public support is falling. According to the latest Reuters/Ipsos, satisfaction with Obama's handling of the war has dropped to 33%, from 38% in January and 47% in February last year...
The Senate foreign relations committee held a hearing on potential talks with Afghan insurgents and a Senate armed services committee held a confirmation hearing on General James Mattis, who is set to replace Petraeus as head of Centcom. Mattis, who will have overall responsibility for the US military in the Middle East and Afghanistan, was reprimanded in 2005 for saying: "You go into Afghanistan, you got guys who slap around women for five years because they didn't wear a veil. You know guys like that ain't got no manhood left anyway, so it's a hell of a lot of fun to shoot them."

US military fails to account for 8.7 Billion in Iraq reconstruction money/ BBC

From the BBC:
Nine billion dollars "from the sale of Iraqi oil and gas, and some frozen Saddam Hussein-era assets" should have been in "a special fund administered by the US Department of Defense, the Development Fund for Iraq (DFI), and was earmarked for reconstruction projects.
But the report says that a lack of proper accounting and poor oversight makes it impossible to say exactly what happened to most of it.
According to the report, the Pentagon is unable to fully account for $8.7bn of funds it withdrew between 2004 and 2007..."
This is not the first time that allegations of missing billions have surfaced in relation to the US-led invasion of Iraq and its aftermath.
In 2005, the inspector general criticised the Coalition Provisional Authority, the US-led occupation administration, for its management of an $8.8bn fund that belonged to the Iraqi government.
A criminal investigation conducted led to the conviction of eight US officials on bribery, fraud and money-laundering charges.

Monday, July 26, 2010

Wikileaks Afghanistan documents: What do they reveal about the war?

Ninety-two thousand Wikileaks documents were provided in advance of their public release today to the NY Times, the Guardian (UK) and Der Spiegel (Germany). 

The NY Times opens with this comment: 
A trove of military documents made public on Sunday by an organization called WikiLeaks reflects deep suspicions among American officials that Pakistan’s military spy service has for years guided the Afghan insurgency with a hidden hand, even as Pakistan receives more than $1 billion a year from Washington for its help combating the militants.  Pakistan, an ostensible ally of the United States, allows representatives of its spy service to meet directly with the Taliban in secret strategy sessions to organize networks of militant groups that fight against American soldiers in Afghanistan, and even hatch plots to assassinate Afghan leaders...
The reports also chronicle efforts by ISI officers to run the networks of suicide bombers that emerged as a sudden, terrible force in Afghanistan in 2006.
Another NY Times article (there are several based on the leaked documents) says:
The documents — some 92,000 reports spanning parts of two administrations from January 2004 through December 2009 — illustrate in mosaic detail why, after the United States has spent almost $300 billion on the war in Afghanistan, the Taliban are stronger than at any time since 2001.
The article notes that Stinger surface to air missiles, supplied by the US for use by Afghanis against the Soviets in the 1980s, have been used to take down US aircraft in the current war.

The Guardian mentions hundreds of civilian fatalities caused by troops from the US, France, Poland, the UK etc., for "crimes" including that the bus they were riding in came too close to a convoy.  The Guardian also discusses "how US marines sanitised record of bloodbath."  The record is replete with many different coverups.

Democracy Now! also covers the leaks, in a roundtable discussion that includes Daniel Ellsberg (who leaked the Pentagon Papers almost 40 years ago).  The Pentagon Papers had a similar impact, in that they provided the military's unvarnished assessment of its plans and progress in the Vietnam War.

My hope is that these documents lead Americans to independently evaluate the costs of the war (in terms of prestige, treasure and the possibly permanent emotional effects such warfare is having on our own troops), what the best is that we could possibly gain as a nation from continuing the war, and what the justifications are for us to continue this war.

Saturday, July 24, 2010

David Kelly death and the continuing Chilcott Inquiry into the leadup to the Iraq War

From the Express:
... Dr Fletcher, a highly ­respected retired pathologist and former chief scientific officer at the Department of Health, said: ‘‘From all the considerable reports I have read, Dr Kelly did not lose enough blood to cause his death.
“He would have had to lose three to four pints of blood but all the known evidence shows there was only a small amount at the scene. I don’t believe a coroner would determine he died of haemorrhage based on the ­evidence.”
Although an inquest was opened and a coroner assigned, it was decided that Lord Hutton himself would have the power to determine cause of death and that his public inquiry would ­effectively act as an inquest.  r Fletcher said: “With respect, Lord Hutton is not a coroner and there are many areas in the medical ­evidence which need to be analysed carefully by an actual coroner.
“There are so many unanswered questions that this Government should make it a priority to hold a proper and full inquest with people giving evidence on oath.” ...
From the Daily Mail:

... In addition, it was recently disclosed that Dr Kelly’s death certificate was not properly completed.
It was not signed by a doctor or coroner and does not state a place of death, leaving open the possibility he died somewhere other than where his body was found.
Furthermore, the pruning knife has been revealed to have had no fingerprints on it.
Campaigners are aggrieved by a mysterious decision to classify all evidence relating to the post-mortem for 70 years.
But they are encouraged by the fact that one of their most vocal supporters, Lib Dem MP Norman Baker, who has written a book questioning the Hutton verdict, is now a member of the Coalition as a Transport Minister.
A spokeswoman for Dominic Grieve said last night: ‘Mr Grieve expressed concerns about this issue when in opposition and has, since taking office as Attorney General, been exploring with ministerial colleagues any actions that may be taken.
‘No decisions have been made.’
Meanwhile, the Independent today discusses the conclusive evidence of the illegality of the 2003 Iraq war, which was made clear to Tony Blair before he went to war.  David Kelly's potential to place a monkey wrench in Tony Blair's inexorable march to war may have led to his death.

Hans Blix will testify to the Chilcott Inquiry Tuesday about his disagreements with Blair's claims about Iraqi weapons.  UPDATE:  Blix says after 500 inspections and no WMD found, Iraq war was clearly illegal.

Carne Ross was the UK's Iraq expert at the UN from 1997 to 2002.  He describes obstacles thrown up by the Foreign Office to limit his testimony to the Chilcott Inquiry in today's Guardian: specifically, he debunks the Blair claims about Saddam's nuclear capability and exaggerated claims of anthrax danger.  These were subjects David Kelly had also debunked (anonymously) to the BBC in 2003.  Kelly's death occurred several days after he was leaked as the source.
Playing by the rules, I had submitted my written testimony to Chilcot before my appearance. In the hours before my appearance, invited to visit the Foreign Office to see further documents (mostly irrelevant), an official repeatedly sought to persuade me to delete references to certain documents in my testimony.
He told me that the Cabinet Office wanted the removal of a critical reference in my evidence to a memo from a senior Foreign Office official to the foreign secretary's special adviser, in which the official pointed out, with mandarin understatement, that the paper sent that week to the Parliamentary Labour Party dramatically – and inaccurately – altered the UK's assessment of Iraq's nuclear threat.
In a clear example of the exaggeration of Iraq's military capabilities, that paper claimed that if Iraq's programmes remained unchecked, it could develop a nuclear device within five years.
The official's memo pointed out that this was not, in fact, the UK assessment: the UK believed that Iraq's nuclear programme had been checked by sanctions.
The paper to the PLP was instead sent by the foreign secretary to "brief" the wider cabinet. This paper was pure overstated propaganda, filled with ludicrous statements like "one teaspoon of anthrax can kill a million people". The paper was soon made public, as part of the campaign to create public hysteria...

There is a clear solution to these problems: break down the continued obstruction by the bureaucracy by releasing the documents – all of them. Only the most secret documents deserve continued protection, and there are very few of these. The vast majority of relevant documents relate to policy discussion inside the government before the war. Though profoundly embarrassing, there is little here that damages national security, except in the hysterical assessment of officials protecting their own reputation. Nick Clegg said a few weeks ago that almost all documents must now be released. He is right.
Last week, the Express reported that Mr. Blair has run up a bill for his security of 6 million pounds a year, courtesy of the British taxpayer.  That is about 25,000 dollars a day.  Tony's made sure there will be no David Kelly ending for him.

Tuesday, July 20, 2010

Swine Flu Fizzles Out; WHO May Declare End to Pandemic Alert/ Bloomberg

There has been almost no swine flu in the southern hemisphere so far this winter.  Finally WHO will announce we are in the post-pandemic phase.  From Bloomberg:
... More than $14 billion was spent on vaccines and medicines to fight the germ, which shared features of the Spanish flu of 1918 while causing little more than a fever and a cough in a majority of patients.
... Pharmaceutical companies reaped at least $10 billion in sales of vaccines and antivirals because of the outbreak, according to data compiled by Bloomberg. Roche of Basel, Switzerland, sold about $3.58 billion of Tamiflu last year and in the first three months of 2010. London-based GlaxoSmithKline Plc’s revenue from the pandemic reached $3.78 billion.  Novartis AG of Basel, Paris-based Sanofi-Aventis SA, CSL Ltd. of Melbourne and Baxter International Inc. of Deerfield, Illinois, also sold vaccines.

... The pandemic highlighted the unpredictable nature of influenza and showed that planning for responses to global outbreaks requires greater flexibility, Canterbury Health’s (New Zealand) Jennings said.

Closing schools and screening travelers at entry ports didn’t stop the virus, and the pandemic response wasn’t justified by its severity, said Heath Kelly, head of epidemiology at Victoria state’s infectious diseases reference laboratory in Melbourne, Australia.

Monday, July 19, 2010

Deviations from "Good Manufacturing Practices" the rule/ the Australian

An FDA inspection uncovered multiple significant deviations from standard manufacturing processes, termed "good manufacturing practices" at CSL (previously known as Commonwealth Serum Laboratories, and previously an Australian government lab) in its manufacture of flu vaccine for the US market.  As is standard in these cases, a disclaimer was made to the effect that there is no evidence any patients were harmed.

The story grew, after The Australian investigated inspections of Australia's pharmaceutical companies by the Australian equivalent of the FDA, the Therapeutic Goods Agency.  Of 139 sites inspected during the last financial year, only 3 were free of any deficiencies.  Corrective action was required at 136 sites.

I don't know how to find similar stats for the US.  Given that many Australian pharma companies are subsidiaries of US companies, they are likely to be similar.

UPDATE (The Australian):  DOCTORS are demanding an official all clear from the nation's drug regulator about the safety of swine flu vaccines. This follows US concerns over Australian pharmaceutical giant CSL.  Australian Medical Association vice-president Steve Hambleton yesterday said GPs were still waiting for the Therapeutic Goods Administration to officially inform them about discolouration in multi-use vials of the Panvax vaccine.

"We would want them to provide further reassurances that we can maintain our confidence in the stockpile which is in many doctors' surgeries around the country," he said.  The Australian revealed yesterday that the TGA had waited until US authorities blew the whistle on vaccine production at CSL's Melbourne laboratory in April, before launching its own inquiry into discoloration of the nation's stockpile of swine flu a month later. The TGA told The Australian on Wednesday that the remaining 9.4 million doses of Panvax stockpiled by the federal government did not pose a safety risk. Testing has failed to reveal the cause of the discoloration.
The US Food and Drug Administration has written to CSL criticising "deviations from current good manufacturing practice requirements", and singled out the presence of black particles in multi-dose vials of seasonal flu vaccine made for the American market. 

At the time of the US inspection, the TGA had suspended use of CSL's seasonal flu vaccine for young children after it had triggered febrile convulsions at nine times the usual rate. The TGA has ruled out any link between problems with the paediatric flu shot and the discoloration in the swine flu vaccine.  A CSL spokeswoman yesterday said the TGA "did not find any safety issues" in an audit of CSL's laboratories last month.

The Gillard government yesterday handed CSL, a listed company, $30m of taxpayer funds for research and development.

More than 100 Australian children suffered febrile fits before the seasonal flu vaccine -- a combination of seasonal and swine flu strains -- was suspended for healthy under-fives in April.

Wednesday, July 14, 2010

F.D.A. Panel Votes to Restrict Avandia/ NY Times

 Gardiner Harris @ the NY Times follows up on the FDA Avandia review:
A federal medical advisory panel recommended Wednesday that Avandia, a controversial diabetes drug, should either be withdrawn from the market or have sales severely restricted because it increases the risks of heart attacks.
The panel’s votes, taken after two days of intensive scientific discussions, were a blow to GlaxoSmithKline, which makes Avandia. The company argued that Avandia is a safe and needed option in treating diabetes.
But panel members voiced great skepticism about the company’s trustworthiness after questions were raised about its clinical trials. And internal company documents showed that the company for years kept crucial safety information about Avandia from the public.
The panel took six votes on a variety of issues, but its most important came near the end of the meeting when asked what the Food and Drug Administration should do. Of the panel’s 33 members, 12 voted that Avandia should be withdrawn; 10 voted that its sales should be restricted and the warnings on its label enhanced; 7 voted only to support enhanced warnings on the drug’s label; and 3 voted that the drug should continue to be sold with its present warnings unchanged. One member abstained, and no one voted for a final option, to weaken the label’s present heart warnings...
FDA will then issue a decision in the near future.  One wonders why panel members would vote to restrict the drug's use, rather than taking it off the market, when Avandia does not appear to provide the benefits for which one treats diabetes:  a reduction in the consequences of the disorder. 

Monday, July 12, 2010

Gaming the Evidence: Evaluating adverse events post-vaccination/ BMJ rapid response

A letter to the BMJ questions the rationale for using certain new vaccines in India that fail to "result in significant reduction in disease burden" when older, cheaper and proven vaccines costing less than US $1.00 total per child are not being given to half the children in India.

The letter also unmasks a scam in the assessment of child deaths post-vaccination by a WHO expert panel.  The "Expert Panel was formed by the WHO Department of Immunization, Vaccines and Biologicals to provide expert advice on the potential causal association between selected serious AEFI (adverse event) cases reported in Sri Lanka in 2008 and the vaccines received by the affected infants." *

The expert panel did not perform its assessment away from the watchful eye of WHO.  "WHO/IVB (WHO Department of Immunization, Vaccines and Biologicals) staff served as secretariat to the Expert Panel to facilitate the review," according to the WHO Ad Hoc Expert Panel Report. *

WHO has standard criteria for making a causality assessment of post-vaccination adverse events.   The criteria are routinely used internationally.  However, in this case WHO's experts "deleted the categories Probable and Possible from the standard classification. All adverse events which could not be classified as Very likely/Certain were classified as Unlikely."

With this simple manuever, since they could not say causality was certain, the panel gave the impression that the vaccine was unlikely to be related to any deaths.  No explanation was given for why the WHO criteria were not used in this WHO study. 


WHO. Report of an ad-hoc WHO expert panel to review reports of serious AEFI following administration of pentavalent and other vaccines in Sri Lanka 2008 -- available at: http://jacob.puliyel.com/#paper_213.

Caustic Government Report Deals Blow to Diabetes Drug/ NY Times

The NY Times' Gardiner Harris has covered a crucial issue unpinning the use of drugs in modern medical practice.  As I point out on the left side of this blog:  "Clinical data generated or presented by the manufacturers of drugs, vaccines and devices cannot be trusted: there are hundreds of studies proving this. But this fraudulent information continues to be the only data informing the approval and use of vaccines, drugs and devices."

Harris' article points out that "the agency (FDA) rarely examines" some raw data from drug trials, which detail events occurring to individual subjects.  Due to continuing conflict over the safety of Avandia, FDA's "Dr. Thomas Marciniak took an unusually close look," demanding to see these records.  He discovered twelve serious cardiovascular adverse events that had been omitted from consideration, and "If given more time, he wrote, he would probably have found still more."

In my opinion, paying fines when such dishonest practices have been uncovered has done absolutely nothing to stop them.  Instead, the prices of drugs have risen steeply, and the fines are considered by Pharma to be the cost of doing business.  IMHO, until responsible drug company employees receive prison sentences when found guilty for making false claims about their products and hiding evidence of injuries, such practices will continue.

Excerpts from Harris' article follow.  A later Harris article on this subject was published July 12.
A federal drug official on Friday dealt a severe blow to the popular diabetes drug Avandia, issuing a scathing review of a major clinical trial that its manufacturer has been using to argue that the drug was safe.

The reviewer, Dr. Thomas Marciniak of the Food and Drug Administration, found a dozen instances in which patients taking Avandia appeared to suffer serious heart problems that were not counted in the study’s tally of adverse events.  Such repeated mistakes “should not be found even as single occurrences” and “suggest serious flaws with trial conduct,” Dr. Marciniak wrote.

The detailed report could prove crucial next week, when a panel of experts will meet to consider whether to recommend to the F.D.A. that the manufacturer, GlaxoSmithKline, withdraw Avandia from the market or restrict its sale.

An editorial in The New England Journal of Medicine on Friday accused GlaxoSmithKline of interfering with the trial and said the system for hiring trial safety experts should change.

In an interview on Friday, Dr. Jerome P. Kassirer, a former editor of The New England Journal, said the Record trial raised the question “whether the entire system is corrupt.” “To the extent that we can’t trust the data,” he added, “we are in jeopardy of giving patients the wrong drugs.” 

Others within the F.D.A. say that observational studies are not good enough and that a well-controlled “prospective” study, like the one being conducted by GlaxoSmithKline, is the only sure way to answer whether Avandia is truly dangerous.

In a report released Friday, the Institute of Medicine, the nation’s leading medical advisory group, seemed to side with those who have argued that observational studies are adequate. Indeed, the group seemed to describe almost exactly a study of 227,571 Medicare patients conducted by an F.D.A. reviewer and published June 28 in The Journal of the American Medical Association concluding that Avandia increased the risks of stroke, heart failure and death compared with Actos.  The institute concluded that such studies “can sometimes provide higher-quality safety evidence than randomized controlled trials.”