Category: Public Health
Robert F. Kennedy, Jr., vaccines, the EPA, and the interface with science-based medicine and public policy
This blog is entitled Science-Based Medicine for a reason, and that’s because we here at SBM believe that the best method to result in the most efficacious treatments for the most people is through the application of science to the evaluation of the biology, pathophysiology, and treatment of disease and disorders. I may (or may not) be departing a bit from the...
Wyeth vs. Levine: Should Drug Label Standards Be Determined By Juries?
It is with some degree of trepidation that I enter the fray on the Wyeth vs. Levine case. I’ve been watching the media frenzy about the lawsuit with interest – mostly because (for the first time in a while) I think that the pharmaceutical company is in the right on this one – and that most journalists (and even medical journal editors)...
Knowledge Versus Expertise: The View From Consumer Land
“The internet, in democratizing knowledge, has led a lot of people to believe that it is also possible to democratize expertise.” – SBM Commenter, yeahsurewhatever I’ve spent the last few years of my life in Internet “Consumer Land,” doing what I can to bring accurate health information directly to patients. Of course, I have been surprised by the push-back, and the demand...
Dr. Jay Gordon and me: Random encounters with an apologist for the antivaccine movement
Although he doesn’t detest me nearly as much as antivaccine honcho and founder of Generation Rescue J. B. Handley does, Santa Monica celebrity pediatrician Dr. Jay Gordon doesn’t like me very much at all. Actually, I’m not sure whether that’s entirely true or not, but Dr. Gordon sure doesn’t like it when I criticize him for his antivaccine rhetoric. He affects an...
Calories, Thermodynamics, and Weight
When arguing against a specific scientific claim it is always desirable to be able to say that the claim violates an established law of science. Creationists attempt this with their argument that evolution violates the second law of thermodynamics (it doesn’t). The temptation is that such arguments are short and pithy, they seem conclusive, and they avoid the need to wade through...
Autism’s false prophets revealed
Dr. Paul Offit has written a book about the false prophets of autism, those who promote the idea that vaccines cause autism and those who sell quackery to treat autism, which are often the same people. If you want a good history of how the "vaccines cause autism" myth started, this is a great primer.
Bisphenol A in Plastics – Should We Worry?
Is Bisphenol A a health hazard? We can't say for certain, but more research will help us know either way.
National Health Interview Survey 2007 – CAM Use by Adults
The Center for Disease Control (CDC) conducts an ongoing telephone survey of medical problems and health care utilization – called the National Health Interview Survey (NHIS). They recently released their data from 2007. This is the first year for which they specifically broke out questions assessing the use of so-called complementary and alternative medicine (CAM). CAM is a political/ideological entity, not a...
The worst of times for antivaccine believers: Yet another study fails to show any link between the MMR vaccine and autism
THE BEST OF TIMES It was the best of times (for antivaccinationists). It was the worst of times (for antivaccinationists). It was the age of wisdom (definitely not for antivaccinationists). It was the age of foolishness (definitely for antivaccinationists). It was the epoch of belief (for antivaccinationists). Such is the time we live in, my apologies to Charles Dickens, even though he...
Attitudes and Public Health
Increasingly there is a cultural trend toward health care freedom and empowerment. This trend is partly a reaction to the paternalism of the past, and reflects an overall change in attitude by the public toward all institutions and authority. Within medicine there has also been a move toward the partnership model of practice – where patients are well-informed full partners in the...