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Reaching Velocity to Escape Anti-Vax Stupidity

[NB: check the byline, thanks. /~Rayne]

Before I go any further, here’s a public service announcement:

If you were born between 1960 and 1968 and have not been vaccinated for measles since 1968, go make appointments for a two-shot MMR vaccine regimen.

“Starting in 1963 we started vaccinating,” [CBS News’ Dr. David] Agus said. “The first five years of the vaccine — some batches of it were not very good. None of us really know which batch we got.”

“So you can either go to your doctor and say, ‘Draw a blood test and see if I have a high enough level,’ or just get the shot,” he said. “By the way, it’s a lot cheaper to just get the shot. So people who were vaccinated from 1963 to 1968 — that needs to happen.”

According to Agus, those who were born before 1957 were most likely exposed to measles, meaning 95-98 percent of them have enough antibodies to fight the disease. From 1968 to 1989 doctors gave only one shot, meaning immunity among those people may be a little lower than those who received two shots.

source: CBS News

I’m in that group and I’ve gotten my first shot of the series with the next in a couple weeks. I got mine at the local health department office, easy in and out. If you’re in the age bracket, get it done some place you trust.

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I wish I could have gotten one at my usual provider – the pharmacy where I’ve gotten all my vaccinations for decades. Unfortunately that’s where things got weird immediately after my recent flu shot.

After getting my flu shot I asked the pharmacist – a new person I’d never see before – if I could get an MMR vaccine because of my age and uncertainty about my level of immunity to measles, if any. I had concerns because I was going to be around persons who were flying to and from Texas and could be exposed to measles during travel.

They told me the pharmacy only gives MMR vaccines to children, that I’d have to have a script from a physician to get one, and a physician might require a titer run first to determine if I needed a booster at all.

Then the pharmacist proceeded to tell me measles was only an Old World problem (what the fuck, I thought), that everyone in the Old World had immunity from exposures (what the actual fuck), and that the outbreak in Texas was from “border crossers” (OH NO MOTHERFUCKER).

I exited that pharmacy as fast as I could. I probably left a vapor trail behind me like the Road Runner.

I felt gross, digusted, like I needed a shower after that wretched dose of stupid.

I wish I’d known what that person really thought before I let them touch me, because I would have left and gone to a different pharmacy.

Having such a close brush with stupidity and racism was revolting. I didn’t dare confront this person in a confined space about their stupid assumptions knowing the measles outbreak was centered in a community of white Christian Texans of the Mennonite faith and not “border crossers” — code for those brown people coming into the US from Central and South America, which is the New World.

You’d think there’d be an institutional safety net protecting us from this wretchedness across the country. Sadly, we’re all of us now exposed to this kind of stupidity thanks to the Trump administration’s appointee helming Health and Human Services, our new chief anti-vaxxer, Robert F. Kennedy Jr.

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The Food and Drug Administration’s director of the Center for Biologics Evaluation and Research, Dr. Peter Marks, resigned yesterday.

In his letter, which was obtained by The Associated Press, Marks said he was “willing to work” to address the concerns expressed by Robert F. Kennedy Jr. about the safety of vaccinations. But he concluded that wasn’t possible.

“It has become clear that truth and transparency are not desired by the Secretary, but rather he wishes subservient confirmation of his misinformation and lies,” he wrote.

Of course this was RFK Jr’s work, not a resignation but a firing because Marks — a hematologist oncologist who earned a Bachelor of Science degree from Columbia University, followed by a Doctor of Medicine and PhD in cell and molecular biology from New York University — wasn’t willing to roll over and rubber stamp RFK Jr’s bullshit anti-vax nonsense.

And by nonsense I mean the deadly kind – misinformation and disinformation about vaccines directly leading to the deaths of 83 Samoans from measles after being misled by RFK Jr. about measles vaccinations.

That RFK Jr. learned absolutely nothing from these deaths, continuing to spread his well-known, well-documented dispersion of anti-vaxx bullshit, is a shame.

That he has now cost our country the top official in FDA’s vaccine regulatory system while the US is experiencing a spreading measles outbreak, is on the verge of bird flu making a human-to-human leap, and still dealing with the COVID pandemic borders on criminal.

His nonsense is even more toxic in that he not only discourages scheduled vaccinations; RFK Jr. has promoted alternative therapies which are not effective and instead create more health risks.

RFK Jr. – who is not a medical doctor, has no education in science, having a BA in American history and literature, a JD from the University of Virginia School of Law, and a Master of Laws from Pace University — touted vitamin A as a means to treat measles. This vitamin only works to alleviate some measles symptoms in patients who are malnourished; it is not an acceptable therapy.

Unlike water soluable vitamins like B and C which flush out of the body as wasted in urine, vitamin A will bio-accumulate in the body’s fat until the body can use it. An excess of vitamin A can damage the liver. Knowing this you can predict what could happen next: someone takes RFK Jr’s bullshit seriously and poisons themselves or their children thinking they’re doing the right thing for measles.

What do you know but now there are patients with liver problems:

Several patients at Covenant Children’s Hospital in Lubbock have been found to have abnormal liver function, CNN reported, which can occur when a person takes excessive doses of vitamin A. Those being treated include “a handful of unvaccinated children who were given so much vitamin A that they had signs of liver damage,” the New York Times reported.

This is exactly the kind of crap which cost the lives of mostly infants in Samoa. Well-meaning parents took RFK Jr’s idiocy seriously and didn’t seek measles vaccinations which are safe and have spared hundreds of millions of people from illness and death over the last six decades.

The worst part of this mess is that some portion of the American public is just plain stupid and willful. They rely on authority figures to tell them what’s best; if it doesn’t conflict with their beliefs they’ll seize it. The parents of the six-year-old who died of measles in Texas are a perfect example:

The Texas parents of an unvaccinated 6-year-old girl who died from measles Feb. 26 told the anti-vaccine organization Children’s Health Defense in a video released Monday that the experience did not convince them that vaccination against measles was necessary.

“She says they would still say ‘Don’t do the shots,’” an unidentified translator for the parents said. “They think it’s not as bad as the media is making it out to be.” …

“We would absolutely not take the MMR,” the mother said in English, referring to the measles-mumps-rubella vaccination children typically receive before attending school. She said her stance on vaccination has not changed after her daughter’s death.

“The measles wasn’t that bad. They got over it pretty quickly,” the mother said of her other four surviving children who were treated with castor oil and inhaled steroids and recovered. …

source: Texas Tribune

I’m only surprised these poor children received castor oil and not cod liver oil for vitamin A therapy.

These are the kind of people to whom RFK Jr. is a real risk. We can only expect more illnesses and deaths among those who take seriously RFK Jr’s practicing medicine without a license let alone adequate appropriate education and training.

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How are we going to escape this stupidity? I don’t know, but you can protect yourself from some of the damage by making sure your vaccinations are up to date. Make sure your friends and family are up to date as well.

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Who Will Be Forced to Walk the Plank on November 4th?

Who will Trump force to walk the plank after the election?
(h/t Stacey Harvey for the image, [CC Attribution-NoDerivs 2.0 Generic (CC BY-ND 2.0) ]

Win or lose, Donald Trump will be looking for vengeance once the election is over. Either he will lose, and want to punish those he deems responsible, or he will win and want to punish the folks he’s had to put up with despite their failures to do what he wanted. One way or another, Trump will want to make certain people pay and pay dearly after the voting is over.

It might be to get rid of people who have angered him by not being sufficiently publicly loyal and submissive.

It might be to get rid of people who angered him by not being sufficiently good at making Trump look good before the election.

It might be to get rid of people who angered him by making him look bad, indecisive, or (gasp!) wrong.

It might be to get rid of people who stood up to him in private and made him back down on something, even if that backing down was only done in private.

It might be to get rid of people who stood up to him in public, and he had to simply take it at the time because Trump would have paid a price if he got rid of them when it happened.

Put me down for Trump demanding that the following people be forced to walk the plank:

  • Doctors Tony Fauci at NAIAD, Stephen Hahn at FDA, and Robert Redfield at CDC, along with HHS Secretary Alex Azar for not keeping these disloyal doctors in line;
  • Bill Barr for failing to deliver any indictments and convictions of any Bidens or Clintons, John Durham for dragging his feet on his reports that would have made that happen, Christopher Wray for being the FBI director and generally annoying, whoever approved letting Andrew Weissmann reveal that Manafort was breaking the gag order in his case by communicating with Sean Hannity, and a host of other US Attorneys who didn’t behave according to Trump’s rules;
  • General Mark Milley for publicly apologizing for taking part in the infamous Bible-waving photo op created by driving protesters out of Lafayette Park with chemical agents, various generals and admirals who refused to back Trump’s call to deploy US troops to American cities he didn’t like, and Secretary of Defense Mark Esper for not keeping these military folks in line;
  • Dr. Sean Conley, for not being more deceptive with the press around Trump’s COVID-19 status;
  • Mark Meadows for undermining Conley’s initial “he’s doing great” press remarks, as well as for more generally not keeping the WH functioning smoothly (as if that were possible, given his boss);
  • Mike Pompeo for failing to get Ukraine to do Trump’s bidding, as well as for not keeping folks like Fiona Hill in line.

But I must admit this is an incomplete list. Who else do you think might be on Trump’s Naughty List? Add your own thoughts in the comments.

Note: I also left off the list a bunch of folks like Mitch McConnell, Andrew Cuomo, Savannah Guthrie, and Cy Vance that Trump would demand walk the plank, but who remain outside his ability to make that happen. I also didn’t include Ivanka, Jared, Don Jr, or Eric, as he can’t fire his family. Though of course, he could disinherit them . . . for whatever that’s worth.

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Wednesday Morning: Whac-A-Mole

Can’t bop them on the head fast enough. There are just too many issues popping up. See which ones you can nail.

And GO!

Video popularity in Facebook’s ‘walled garden’ means change for news outlets
This is not good. This is AOL’s model come full circle. Increasingly Facebook is shutting down access from outside, forcing news outlets to move inside, and to produce video instead of text content in order to fight for attention. Numerous outlets are affected by this trend, including the former AOL (now Huffington Post). The capper is Facebook’s persistent tracking of any users, including those who click on Facebook links. What will this do to general election coverage? Facebook really needs effective competition — stat.

Weather and bad flu season raised French deaths above WWII’s rate
Wow. I knew the flu was bad last year, but this bad? Ditto for Europe’s weather, though the heat wave last summer was really ugly. Combined, both killed more French in one year than any year since the end of World War II, while reducing overall life expectancy.

FDA issues guidelines on ‘Postmarket Management of Cybersecurity in Medical Devices’ for comment
Sure hope infosec professionals jump all over this opportunity to shape policy and regulation. Imagine pacemakers being hacked like a Chrysler 300, or reprogrammed without customer knowledge like a VW diesel, or surveilling user like a Samsung smart TV…

UK’s Cameron says one thing, UK’s arms dealers another with sales of £1Bn arms to Saudi Arabia
Can’t. Even. *mumbles something about pig porker*

“The day after the prime minister [David Cameron] claimed to be ‘trying to encourage a political process in Yemen’ and declared ‘there is no military solution in Yemen’, official figures reveal that in just the three months July to September, the government approved the sale of over £1bn worth of bombs for the use of the Royal Saudi Air Force. …

[Source: The Guardian]

Lack of transparency problematic in fatal French drug trial
Like talking to a brick wall to get answers about the drug involved in one death and five hospitalizations after 94 subjects were given an experimental drug. On the face of it, simultaneous rather than staggered administration may have led to multiple simultaneous reactions.

Canadian immigrant helped two Chinese soldiers attempt theft of U.S. military aircraft plans
You want to know how ‘chaining’ works? Here’s a simple real world example allegedly used to spy on U.S. military aircraft: Identify a key node in a network; identify the node’s key relationships; sniff those connections for content and more key nodes. A Chinese immigrant in aircraft biz, located in Vancouver, shares email addresses of key individuals in the industry with Chinese officers. They, in turn, attempt to hack accounts to mine for plans, which their contact in Vancouver vets.

Now ask yourself whether these key individuals are in or related to anyone in the Office of Personnel Management database.

Ugh. Keep whacking those moles.

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Fourteen Dead and 170 Infected: Poor Regulation Built That

The latest figures indicate that fourteen people have died and at least 170 have been sickened by fungal meningitis arising from an injectable form of the steroid drug methylprednisolone. The bulk of the cases have occurred from patients receiving spinal injections for back pain but there is now at least one documented case of an infection arising from injection of an ankle. At a time when Republicans running for office all across the country routinely deride “job killing regulations”, we now have a sadly perfect example of how lack of regulation kills people.

The tainted drug causing the infections in these cases comes from a single compounding pharmacy in Massacusetts. Compounding pharmacies exist in a regulatory gray area and have pushed further and further away from their original form due to an absence of regulatory push-back. The FDA strictly regulates the manufacturing of pharmaceuticals and assures that they are produced without risk of contaminating microorganisms that could cause infection upon use of the drug. However, compounding pharmacies are regulated only at the state level, mostly because their original role was to provide unique mixtures of drugs produced in response to prescriptions for individual patients. Sensing opportunity to operate in a regulatory gray area, “the free market” has moved in and compounding operations now openly flaunt the single patient idea. In the current case, CNN reports a CDC estimate that as many as 13,000 patients may have been injected with the tainted drug compounded by New England Compounding Center in Framingham, Massachusetts.

The CNN article describes that the regulatory gaps are well-known but Congress has refused to act:

If Sarah Sellers’ warnings had been taken seriously 10 years ago, 12 people might be alive today.

Sellers, a pharmacist and expert on the sterile compounding of drugs, testified to Congress in 2003 about non-sterile conditions she’d witnessed.

“Professional standards for sterile compounding have not been consistently applied,” she told the Senate Committee on Health, Education, Labor, and Pensions. “The absence of federal compounding regulations has created vulnerability in our gold standard system for pharmaceutical regulation.”

Nearly 10 years later, there are still no federal sterility guidelines for compounding pharmacies that make and distribute drugs all over the country.

Further, we see that the court system has acted to weaken the poor regulations that previously existed:

In the 1990s, FDA regulators began to more closely scrutinize the industry, as some compounding pharmacies grew into larger operations that resembled small pharmaceutical companies.

In 1997, Congress passed a law bringing compounded drugs under FDA oversight, requiring that they meet certain standards for production, labeling and advertising. Specifically, the law banned compounding pharmacies from advertising their products.

A 9th Circuit court ruled that this last requirement was unconstitutional, and the Supreme Court upheld the decision in 2002. The court did not rule on the other portions of the law, though the FDA has not actively enforced them.

We learn from USA Today that problems from compounding pharmacies lowering safety standards while chasing higher profits through high-volume compounding have led to many known cases of infections and other medical complications over the last ten years or so: Read more

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The FDA Demonstrates What “Targeting” Does

“They think they can be the Gestapo and do anything they want.” — Chuck Grassley, on learning his staffer’s emails had been surveilled by the FDA

It is utterly predictable that members of Congress only get concerned about heavy-handed surveillance when they get sucked up in the surveillance. And so it is that Chuck Grassley, who voted for the FISA Amendments Act, and Chris Van Hollen, who didn’t, are outraged that their offices have been dragged into the FDA’s invasive surveillance used to conduct a leak investigation.

The surveillance started in response to a belief that FDA scientists, upset that their concerns about the safety of medical diagnostic equipment had been overridden, leaked classified proprietary information to the NYT. But after targeting just 5 scientists suspected of the leak, the FDA developed profiles on 21 people thought to be conspiring against the agency.

What began as a narrow investigation into the possible leaking of confidential agency information by five scientists quickly grew in mid-2010 into a much broader campaign to counter outside critics of the agency’s medical review process, according to the cache of more than 80,000 pages of computer documents generated by the surveillance effort.

Moving to quell what one memorandum called the “collaboration” of the F.D.A.’s opponents, the surveillance operation identified 21 agency employees, Congressional officials, outside medical researchers and journalists thought to be working together to put out negative and “defamatory” information about the agency.

Mind you, Grassley and Van Hollen’s aides (and Van Hollen himself) were not themselves the targets of the leak investigation. The scientists were the targets. Read more

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Obama: “As the Father of 2 Daughters” I Want the Government to Ignore Science

Barack Obama, who was educated in the country’s most esteemed universities, has implied that having daughters has convinced him the government should ignore science.

His anti-science justification came in response to questions about HHS’ decision to override the FDA’s recommendation that Plan B be made available over-the-counter. He justified his support for the decision on the fact that he has daughters.

President Obama said today that “as the father of two daughters,” he supports his health secretary’s decision to block over-the-counter sales of the Plan B “morning after” birth control pill to girls under 17 years of age.

He also appealed to that classic anti-science “wisdom”–common sense–as rationale to ignore science.

“I think it is important for us to make sure that we apply some common sense to various rules when it comes to over-the-counter medicine,” Obama said during an impromptu news conference at the White House.

I find it troubling not just that Obama wouldn’t see the wisdom of making it possible for young girls to avoid unplanned pregnancies that might otherwise present a much bigger health risk to them. But I find the appeal to fatherhood as justification for ignoring science even more troubling.

Because, of course, Obama has ignored the scientists before, most notably when he decided to let his and everyone else’s daughters breathe dangerous levels of ozone for several more years so as to appease big business. It’s science that shows Obama ought to reject the Keystone pipeline for the good of his daughters. It’s science that shows if we don’t take climate change more seriously immediately, Obama’s daughters’ and the rest of their generation will face a calamitous future.

Obama’s daughters are not my business, and in any case they seem well-able to see past the bullshit of their father’s job.

But when a highly educated person decides all of us should put aside science out of the pretense that his daughters will be safer because of it–that’s highly dangerous. It’s precisely because he has children that Obama ought to make sure all government decisions are governed first and foremost by the science.

Update: Emily Douglas makes almost the same point here.

Update: See also this excellent post from Kaili Joy Gray.

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