Offit, Paul A.   Medical lies   Institute of Medicine (IOM)

Paul Offit Lies About Jake Crosby; Tara Palmore Throws Him Out and NIH Covers it Up

2011 Dec

By Jake Crosby

Like Seth Mnookin did earlier this month, Paul Offit blatantly lied about me while giving a lecture. The congressionally reprimanded millionaire vaccine industrialist told a room full of people I was a “stalker,” and event organizer, Dr. Tara Palmore had me escorted out of the “Great Teachers” lecture given by Paul Offit at the NIH on December 14, now on Videocast.

My crime: Asking Dr. Offit a challenging question and then pointing out one of the fallacies in a statement he made after dodging my question. Drs. Offit and Palmore also had a little talk about me at the end of the lecture, which was recorded onto the VideoCast, unbeknownst to them.

It all began when I found out online that Paul Offit would be speaking at the NIH, part of the “Clinical Center Grand Rounds – Great Teachers Series,” sponsored by Johns Hopkins School of Medicine. The title of Dr. Offit’s lecture was “Communicating Vaccine Safety Science to the Public.” He’s also author of the now infamous claim that an infant can safely take 10,000 vaccines at once. So I took the metro out to the NIH in Bethesda, Maryland, just as I did for the talk given by Fiona Godlee. As I took my seat, I saw Paul Offit in person for the first time.

Dr. Palmore – associate director of the Infectious Diseases Training Program for the National Institute of Allergy and Infectious Disease - gave a grand introduction to Dr. Offit and described how he has bravely taken on the “anti-vaccine movement” (even though most vaccine safety advocates are not against all vaccines). She called him a “Rock star in the pediatrics and infectious diseases communities.” He’s more like Ronald McDonald for the vaccine industry. She also introduced his son who was with him and looked college-age.

Despite the estimated $10 million Paul Offit earned from RotaTeq vaccine sales and despite his Merck-sponsored chair at Children’s Hospital of Philadelphia, his lecture began with his incredible claim that he has no relevant financial disclosures. He even received a congressional reprimand for taking part in voting on vaccine policies for which he is conflicted.

Here’s what he said instead:

“I’m sorry. I have no financial conflicts of interest. This is my only real conflict is that I am a Philadelphia Eagles season ticket holder, which gives me an inability to actually effectively assess that team.”

When Paul Offit’s presentation ended, the question and answer session began. A woman sitting near me asked Dr. Offit if he recommends “scare tactics” (which he favored). At that point I went to the microphone, ready to ask my question.

Even though there were already two men lined up behind another microphone, Dr. Offit looked directly at me, which I took as a cue to ask my question. So I began (42:59 on VideoCast):

“Hi, Dr. Offit - Jake Crosby - GW School of Public Health and Health Services, I’m a grad student there actually studying epidemiology for an MPH.”

Just then, as you can see in the VideoCast, Dr. Palmore – in a white lab coat – bolted from her second row seat and dashed towards the back of the room, out of camera shot. (43:12) That’s how quickly she decided I had to go – all I’d stated was my name and where I go to school. Fortunately, I had time to ask a quick question before being evicted.

“You said that Dr. Andrew Wakefield said that the MMR vaccine causes autism. He never said that actually. He said that the safety data to back up the MMR vaccine’s use was inadequate and seven years later the Cochrane Review basically came to that same conclusion. What do you have to say to that?”

Paul Offit responded, without addressing his misrepresentation of Dr. Wakefield:

“What I would say is what I said before which is that those 14 studies have looked very carefully at whether or not MMR vaccine is associated with autism - has clearly shown that it doesn’t. I think the second thing that is clear is that if you look at the cause or causes of autism I think an enormous amount of data has come up with that. We now know that there is a genetics [sic] to autism. We also know there can be environmental influences, but when those environmental influences occur, they have to occur in the first or second trimester - take your pick - valproic acid, congenital rubella virus, thalidomide. So I think that those…”

At this point, Dr. Palmore’s hand can be seen resting on his podium (44:01).

She shadowed him for the rest of the talk, literally. Her shadow hovered next to him – as if to guard him from other unauthorized questions.

Seeing that he dodged my question about Andrew Wakefield and instead rehashed several of his talking points, I decided to challenge him on one of them.

“Well those are prenatal but that doesn’t mean that everything that could possibly cause autism has to be in the womb just because those two exposures just so happen to be prenatal.”

I mistakenly said “two” instead of “three,” but it hardly mattered. As with my original question, he did not address my point at all. This time, however, he got personal.

“So maybe, just for those of you…because this is a good teaching point actually.

There are many things you encounter when you stand up for vaccines. You get, uh…sometimes you get hate mail. Sometimes you get sued. And sometimes you have a stalker. I have mine; his name is Jake Crosby.” [pointing at me as if to make his lie true].

“And Jake Crosby routinely…”

“Excuse me,” I responded, “you came - I already live in the DC area - you came here to speak. I just rode the metro. I only - this is the first time I’ve seen you.”

[My only other contact with him was a brief email exchange two years ago in which I asked him to verify a blogger’s claim. He did so.]

As I was trying to defend myself, Tara Palmore tried to shout me down, “Alright, we need to move on!” Then an event coordinator came, put his hand on my shoulder and told me to leave, though his voice was not included in the recording, nor was I shown on the video being led out:

“Let’s go,” he said.

As I was turning away from the microphone, Paul Offit continued, now unchallenged:

“So what Jake Crosby does is he routinely writes articles on Age of Autism vilifying me. Jake doesn’t like me, so, but you know – life goes on.”

“Life goes on,” he says philosophically - as his henchman escorts me out - but thanks for plugging Age of Autism, Dr. Offit.

Of course, it’s okay for Paul Offit, the vaccine industry’s number one spokesman, to vilify Dr. Andrew Wakefield, Jenny McCarthy, Oprah Winfrey, David Kirby, Myron Levin, parents of vaccine-injured children and me.

As I was being led out of the room, a woman in the audience said:

“…I have heard Andrew Wakefield a number of times from a podium such as that say ‘MMR causes autism!’”

“No, he hasn’t,” I said back, as she was obviously lying to cover for the ultimate liar in the room.

“Yes! He has!”

Of all the people who stood up to ask Paul Offit questions, I was the only one who was not shown on camera. The scene of me being forced out of the “Great Teachers” lecture did not make the final cut – maybe because it would make the “teacher” look not so great.

I later saw on the VideoCast that Offit’s “stalker” claim was believed by audience members - just like his other lies.

“Hi, thanks for your talk and congratulations on having a stalker,” a man said.

Paul Offit replied:

“I think that’s when you’ve made it! You know?”

Dr. Offit seemed to be taking pride in his lie. Having been sued twice already for defamation, he just doesn’t seem to learn. Calling someone a stalker, according to Maryland Law, is a very serious accusation.

The question that directly followed mine was probably not what Dr. Offit was hoping for. An apparent acquaintance of his, “Phil” lamented that it’s the highly educated parents who are vaccinating less and that “newly minted pediatricians” are less enthusiastic about vaccines than older doctors. Perhaps that’s because younger doctors are more likely to have grown up seeing all the chronic illnesses that affect today’s children.

Later, a graduate student played teacher’s pet to the “Great Teacher”:

“So I’ll try to rescue the good name of graduate students by asking a real question.”

But his “real question” had nothing to do with the lecture and was completely self-serving:

“I’m trying to figure out what I wanna be when I grow up as a graduate student. So whose job is it and are there jobs in this field to try to bridge the gap between formal science education taking place, K-12, college, grad school so on and the people who had their last science classes 20-30 years ago from books that were 20-30 years out of date then. So whose shoulders should these fall upon? Are there potential opportunities for jobs there?”

Offit replied, “I’m not sure I’m the best person to answer that question.”

Too bad the job of kicking people out for asking Dr. Offit a question he can’t answer is already taken. Throwing me out of such lectures has apparently become pharma’s new strategy; Seth Mnookin just recently booted me out of a public conference on ethical research.

I find it quite funny, given that the day before Dr. Andrew Wakefield's lecture at Brandeis University, pharma’s online mouthpiece David "Orac" Gorski blogged:

I'd like to see a bunch of skeptics show up, politely listen to Andrew Wakefield's talk, and then during the questions and answers session ask him the hard questions.

One such person showed up, asked questions, and interrupted Dr. Wakefield twice (while confusing the Lancet paper with an entirely different study). Yet no one attending the lecture was thrown out.

Not surprisingly, David Gorski does not support asking “hard questions” of Paul Offit. Gorski supports shutting up the people who ask them as he made clear when he blogged about Offit’s talk, lauding him for lying that I am a “stalker.”

But while Offit’s poor performance may be supported by his priggish fans, history suggests it will not help his image.

After Seth Mnookin kicked me out of his PRIMR talk, Dr. Judy Stone – a fan of Mnookin’s and no fan of mine - admitted earlier this month via Twitter:

some in audience would have liked to hear both sides

One person who I am especially pleased was in the audience at Paul Offit’s talk was his son, witnessing firsthand how his father deals with questions he can’t answer and the people who ask them.

Really telling was Offit’s answer to the final question:

“…we now require parents sign a consent, a form of consent, each time their child receives a vaccine…there are four papers given to you. Each one has three sentences about why you would want that vaccine and then the rest of the page about why you wouldn’t… I’m just curious if we can get rid of it. That would be helpful. Thank you.”

Offit replied:

“Well we’re never going to be getting rid of it, I can tell you that. I mean, the vaccine information statements sheets are a matter of federal law. That federal law would have to be overturned. That’s not going to happen…I couldn’t agree more with you – it’s like three lines of you know, ‘yeah, the disease is bad,’ but here’s what could happen…I…it just…if you really read that I couldn’t believe why anybody would get a vaccine! [laughing] It’s, it’s, it’s awful and I’m not sure what’s going to make it go away, but it’s not going away anytime soon.”

Yes, covering up vaccine injuries is okay, just like throwing someone out who asks a challenging question is also okay. To Paul Offit, the ends justify the means. It’s all about protecting vaccine industry profits.

Speaking of profits, after he claimed to have no financial conflicts to disclose at the beginning of his lecture, he then bragged about his involvement in the development of the rotavirus vaccine. He also had a lot to say about vaccines and autism and brought up Dr. Andrew Wakefield’s Lancet paper, misstating that it had eight subjects; in reality it had 12, just eight whom had developed autism shortly after receiving their MMR vaccinations. Dr. Offit also falsely stated there were only eight subjects in the Lancet paper when he appeared on The Colbert Report nearly a year ago.

He then attempted to make a joke about the Lancet paper:

“Just as a tip for future epidemiologists, there were actually eight study subjects and 13 authors, I think you should always have more study subjects than authors.”

But Offit then went on to acknowledge that it was a “simple case series” and not a study. Indeed, it was only good for hypothesis generating, not hypothesis-testing. There was nothing about this paper’s subject size that made it invalid, in contrast to the talking points of Offit and friends. The reason there were so many authors was because the children were so sick that they required a variety of medical care from many different specialists.

Throughout Paul Offit’s lecture, he claimed that Andrew Wakefield said that the MMR vaccine causes autism, including at the March 1998 press conference at the Royal Free Hospital; a transcript of Wakefield’s talk proves otherwise:

“It’s a moral issue for me. I can’t support the continued use of these three vaccines, given in combination, until this issue has been resolved.”

Nowhere in that quote did Dr. Wakefield say the MMR vaccine causes autism, rather that its safety was understudied. At that time in the UK, the MMR was available in the form of three separate shots, the use of which he supported.

Dr. Offit said that Dr. Wakefield’s Lancet paper was “bad science” but wouldn’t say why. What struck me was that Offit completely avoided Brian Deer and the BMJ’s fraud allegations.

Dr. Offit said of Dr. Wakefield:

“Andrew Wakefield is reassuring because he's immutable. He has a belief much as one holds a religious belief. I mean, he looks up at that light and he sees a truth. And that truth is that MMR vaccine causes autism. Period. And it doesn't matter what people say. It doesn't matter what the data show. He knows this to be a truth. It's a belief system. And science is never that, science is an evidence-based system. And if you ask him the question - I know this because I've asked him this question - 'Is there a study that can be done that tells you your hypothesis is wrong?' He would say 'no.' What scientist says that?”

I emailed Dr. Wakefield asking him to comment on the above quote. He did not recall having any such exchange. He did, however, say of Dr. Offit:

His use of "would" to imply an inclination rather than "Wakefield said no" is interesting. It appears to reflect his belief rather than having any basis in fact - more from the gospel according to Paul.

Studies that aim to convince people of a particular point of view - such as autism and vaccines being unrelated - are tobacco science. And yet the NIH’s director of Strategic Planning for Vaccine Research who formerly worked for Merck, Dr. Gordon Douglas, said that’s exactly what such studies finding no link set out to do:

"In order to undo the harmful effects of research claiming to link the [measles] vaccine to an elevated risk of autism, we need to conduct and publicize additional studies to assure parents of safety.”

Clearly, this is an anti-scientific, morally bankrupt position Offit supports. He cited a dozen such studies he claims show the MMR vaccine does not cause autism, the first being Brent Taylor’s, which ignored the first children to receive the MMR vaccination in the UK –and in doing so – ignored increasing autism rates that correlated with MMR’s introduction. Taylor also did not mention a cluster of reported parental concern about their children within five months after that vaccination and he turned down a request by Dr. Bernard Rimland to independently assess the study data. The second author for that study, Elizabeth Miller, sat on the Joint Committeee on Vaccination and Immunisation (JCVI) that approved a brand of the MMR vaccine knowing it can cause viral meningitis. She continues to try to cover up the link between autism and the MMR vaccine.

Offit’s list of references also included the study by indicted fraudster, Poul Thorsen, that did not report that the MMR vaccine is associated with a 45% increased risk for an autism diagnosis and a 2.5 increased risk two years after administration of the MMR vaccine. In fact, the risk of autism in children who received the MMR vaccine at all categorized ages was higher than in the non-MMR-vaccinated group. When McGill biostatistician Dr. Samy Suissa sent a letter pointing this out to the New England Journal of Medicine, they censored it from publication. Finally, Offit included the Smeeth et al. study, which the authors knew well in advance was too underpowered to determine if the MMR vaccine is associated with autism, yet it’s continually used as evidence of no link. The rest of the studies Offit cited were thrown out as uninformative either by the 2005 Cochrane Review, the recent 2011 IOM Report, or both. Indeed, all of these studies were created to cover-up a link between autism and vaccines.

Paul Offit, who consistently opposes debate against his point of view, claimed that Evidence of Harm author David Kirby should not have been allowed on NBC’s Meet the Press to debate Harvey Fineberg, the President of the Institute of Medicine (IOM), of which Offit is now a member.

Some background on the Institute of Medicine (IOM): In 2004, the institute released a report with a preconceived conclusion that mercury-based Thimerosal in vaccines does not cause autism. The IOM Committee Chairwoman, Marie McCormick, said way back in 2001 that the committee “will never come down that it [autism] is a true side effect” of thimerosal. The report relied mostly on the fudged studies of  Thorsen and colleagues. McCormick now sits on the National Vaccine Advisory Council with James Mason, the former CDC director who is now a trustee of a group that claims to faith-cure homosexuality. Defending his institute’s bogus report, IOM President Fineberg lied on Salon that none of the review panelists had ties to CDC or pharma when many of them did. Pharmaceutical companies continue to be protected from all vaccine liability by federal law.

Offit dismissed David Kirby’s meticulously written book, Evidence of Harm as “paranoid conspiracy theorist” and dismissed Kirby as having no “expertise,” even though Offit fully supports Seth Mnookin writing on the subject when his only expertise on injections is the illegal kind. Dr. Offit even lied that Kirby’s book was “paid for” by SafeMinds, which he dubbed an “anti-vaccine group.”

Paul Offit then explained why he appeared on The Colbert Report but did not accept an invitation to appear on Oprah:

“But you can’t go on these shows, tempting as it may be, because basically Oprah is there to tell a story. Her story has three roles to play. There’s the hero, the victim and the villain. Jenny [McCarthy] is the hero; her son is the victim. This leaves only one role for you. So you can’t…I mean, you’re just the guy to tell her she’s wrong. And, and she knows the cause of autism; you don’t. She has many cures for autism; you have none. You’re just the guy to say no.

And to be completely politically incorrect, it is a studio audience full of women. You just don’t go on that show and tell a woman she’s wrong. Sorry, it doesn’t work.”

Of course, McCarthy’s son, Evan, is a victim because he nearly died of a seizure disorder and regressed into autism following his MMR vaccine. Medical treatments not sanctioned by Dr. Offit successfully recovered Evan from autism, though not from his seizure disorder.

Dr. Offit told us that if there is anyone who could help the vaccine industry, it is Stephen Colbert, because:

Nothing dismisses an argument better than humor.”

This is just further proof that Dr. Offit’s main objective is to dismiss an argument, not address or look at it. He also said that Colbert’s father was an immunologist. No kidding - according to the 2009 book “Vital Signs in Charleston,” a history of the Medical University of South Carolina edited by Carolyn B. Matalene and Katherine E. Chaddock:

Dr. James W. Colbert had joined the faculty as the first vice-president and provost, and he envisioned a new integration of medical education and medical research to make MUSX a nationally recognized academic institution. He began by recruiting prominent researchers. One of the first was his friend Dr. Albert Sabin, famous for developing the live polio vaccine that eliminated the crippling disease in America.

Ironically, Sabin’s live polio vaccine proved to cause polio paralysis in some recipients and was eventually replaced with the inactivated version. Also ironic is that James Colbert died in 1974, before vaccine manufacturers were indemnified against litigation and the vaccine schedule exploded.

Stephen Colbert is named in the book’s acknowledgements for his interview about his father. The comedian is apparently the vaccine industry’s response to Bill Maher and Jim Carrey.

Offit described meeting Colbert:

“People say he never goes out of character, but he does. He’s kind enough to meet with you before the show and say ‘I play a character. I’m going to stay in character the whole show. Don’t let my character get away with anything. I mean, I believe you. I agree with you. So don’t let me get away with anything.’ It makes it a lot easier, but believe me he can kill you if he wants. He’s a very smart guy and very science-oriented.”

Colbert may be funny, but the swat team of Offit and Palmore is also quite entertaining. They had a little talk about me after everyone was told to leave the room for pizza; Offit started the exchange - caught on camera (59:42).

I saw him earlier; I saw him sitting there earlier.”

“You did?”

“I was about three-slides into it.”

“You signaled me; I didn’t realize it. I’m sorry.”

“No, no, I didn’t signal you. It was really too late.”

And thus ended the “Great Teacher’s” lecture.

Jake Crosby has Asperger Syndrome and is a contributing editor to Age of Autism. He is a 2011 graduate of Brandeis University with a BA in both History and Health: Science, Society and Policy. He currently attends The George Washington University School of Public Health and Health Services where he is studying for an MPH in epidemiology.