US
experts back MMR doctor's findings
(Filed: 23/06/2002) source
The man whose research first raised concern over
the vaccine's safety is winning support. Lorraine
Fraser reports from an influential Congressional
hearing.
Scientists in America have reported the first independent
corroboration of the research findings of Dr Andrew
Wakefield, the specialist who has questioned the safety of
the childhood MMR vaccine.
Dr Arthur Krigsman, from New York University School of
Medicine, has observed serious intestinal inflammation in
autistic children identical to that described by the
controversial British doctor and his colleagues in a
research paper four years ago.
Dr Krigsman's discovery is significant because it
independently supports Dr Wakefield's conclusion that a
previously unidentified and devastating combination of
bowel and brain disease is afflicting young children - a
claim that the Department of Health has dismissed as
"bad science".
Dr Wakefield has seen nearly 200 previously normal
youngsters who apparently developed the combined
behaviour and digestive problems after receiving the
three-in-one measles, mumps and rubella jab - a
vaccination given routinely to babies and pre-school
children in Britain and the United States.
Pathologists at Trinity College, Dublin, have since
identified measles virus in bowel tissue samples from 75
of these children and, as reported in The Telegraph last
week, now claim to have evidence that the virus comes
from MMR.
The Department of Health refuses to accept that such
results cast doubt on MMR's safety. A principal criticism
levelled at Dr Wakefield and his colleagues is that no part
of their research has been replicated by scientists
elsewhere.
Last Wednesday, however, Dr Krigsman reported that he
had seen the same pattern of illness in 43 American
children.
At a hearing of the Government Reform Committee of the
United States Congress on the safety of MMR and other
vaccines, he said that - like the British children - his
patients had all inexplicably deteriorated, losing language
and other skills, at around 12 to 18 months of age.
All the children had a definite diagnosis of autism and had
come to him because they had symptoms of serious
digestive problems, such as pain, constipation and
diarrhoea, for which no explanation could be found.
"Our findings, which are independent of Dr Wakefield's
findings, completely support his explanation and his
observations of the abnormalities in the bowels of these
children," he said.
The intestines of the children were "not normal", he
added. One 13-year-old autistic boy, who had become so
violent that his parents had wanted to institutionalise him,
had the "worst case" of inflammation of the colon the
doctor had ever seen through a fibre-optic scope.
Dr Krigsman, an experienced consultant paediatric
gastroenterologist and an assistant professor at the
university, told the committee that he did not know
whether his patients' illnesses were linked to MMR.
However, he now plans to have the biopsies he took
during the examinations tested independently to check for
evidence of measles virus infection.
The results will be awaited anxiously by parents and
public health officials in Britain, where the debate over the
safety of MMR began with the report from Dr Wakefield
and other doctors at the Royal Free Hospital in north
London in 1998.
Dr Krigsman's research was among presentations
described as "significant findings" by Dan Burton, an
Indiana congressman chairing the Congressional
committee.
Doctors in Britain and America are recognising more
autistic children than ever. The US National Institute of
Health estimates that one American child in 250 is
affected, compared with one in 10,000 a decade ago. A
recent survey by the National Autistic Society in England
suggested that one in 86 primary school pupils may have
the condition.
Health officials in both countries insist, however, that
there is no evidence to link this apparent increase with
the use of MMR or any other vaccine, and say there is no
reason for parents to worry. In Britain, the Department of
Health has rejected calls to allow single measles vaccines
on the NHS as an alternative, claiming that numerous
statistical studies have concluded that MMR is safe.
The Congressional committee heard evidence from other
specialists suggesting that MMR and the mercury-based
preservative, Thimerosal, may both harm susceptible
children, possibly by altering their immune system.
Thimerosal is not used in MMR, but is contained in other
childhood jabs such as DTP - the diphtheria, tetanus and
whooping-cough vaccine.
Dr Jeff Bradstreet, the medical director of the
International Child Development Resource Centre in
Florida, disclosed that tests on his eight-year-old autistic
son Matthew - who received vaccines containing mercury
and the MMR jab - have found particles of measles virus
in the fluid that bathes his brain and spine as well as in his
intestines.
Two other boys with autism who, like Matthew, have
recently started to suffer seizures, also have measles
virus in their cerebrospinal fluid.
While the significance of this is not yet clear, Dr
Bradstreet said he was broadening his research in this
area. |