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Is Mercury in Vaccines Dangerous?

"Once you recognize what is happening, you have a moral obligation to become involved."  Stanley Monteith, M.D.

   

 

 The Science

January 2006

 Open Letter to Legislators and Physicians:

The foregoing information is to assist you in making an informed decision regarding the urgent need to eliminate mercury from vaccines.  Scientific documentation is provided below this letter as local documents, media files or Internet links as indicated by color coding.  Other statements which are opinions will be clearly marked as such.

From the perspective of a policy maker or a physician, you will want to be certain that:

1) Mercury (Thimerosal) is indeed a real problem and that there is sufficient scientific data to support this.

2) Mercury-free vaccines or those with only trace amounts are now available that would not disrupt a physician's ability to administer scheduled doses to children or adults.

The term "Autism Spectrum Disorder" is confusing in that these disorders (which include ADHD, Asperger's, PDD-NOS, and Autism) are not psychiatric problems per se, they are medical problems (toxic insults) with psychiatric (behavior) manifestations.  As one can easily understand based on the presentation below, the toxic insult in most cases of Autism Spectrum Disorders is undoubtedly mercury toxicity secondary to thimerosal.  Other neurodevelopmental disorders of childhood (ie. Tourettes, mental retardation, etc) and adults may have their foundations from this same insult, since mercury poisoning can have a plethora of clinical manifestations.

It is the purpose of this presentation to prove these points.

The medical profession, State Legislators and Congress must stand together and demand accountability from its peers and policy-makers. If we fail to police our own profession, we cannot reasonably complain when the crimes of a few taint the reputations of all.

Respectfully submitted,

Alan D. Clark, M.D.

Lujene G. Clark

 

Addendum:

It is with deep sadness that we announce Dr. Alan Clark passed away on February 7, 2006 from cancer.  One of his final wishes was to see his work and the work of NoMercury continue.  It is in his honor, and as his legacy, that we will continue this endeavor on behalf of children worldwide.

The Alan D. Clark, M.D. Memorial Research Fund was established by his family to provide grants to physicians and researchers striving to prevent, protect and reverse the devastating effects of mercury, particularly when used in medicine.

Donations may be made to The Alan D. Clark, M.D. Memorial Research Fund, c/o US Bank, 2208 S. Grand Avenue, Carthage, Missouri 64836.  The fund is a private endowment and not associated with NoMercury.

 

Is Mercury in Vaccines Dangerous?

 

Overview

Vaccines can be important to the overall health and well-being of children.  Our stance is not "anti-vaccine".  The aim is to reinforce the need for safe vaccines--and we are not alone.  In fact, as early as July 1999, the US Public Health Service and the American Academy of Pediatrics released a joint policy statement regarding Thimerosal declaring:

"thimerosal containing vaccines should be removed as soon as possible".

Further, in October of 200l, the Institute of Medicine - Immunization Safety Review Committee concluded the link between thimerosal containing vaccines and neurodevelopmental disorders as "biologically plausible" and stated:

"The committee recommends the use of the thimerosal-free DTaP, Hib, hepatitis B vaccines in the United States,
 despite the fact that there might be remaining supplies of thimerosal-containing vaccine available."

They went even further by stating:

"The committee recommends that full consideration be given by appropriate professional societies and government agencies
 to removing thimerosal from vaccines administered to infants, children, or pregnant women in the United States."

So why is thimerosal still used in vaccines?  In our personal opinion, money and politics.  Both are pitiful reasons to expose children to a known neurotoxin.  That is why we think it is time for clearer heads and purer motives to prevail.  Once you review the evidence, we believe you will concur.

Mercury is Dangerous!

Is mercury dangerous?  Is it toxic?  Is it harmful to children and adults?  Yes, according to the Agency for Toxic Substances and Disease Registry (ATSDR) located in Atlanta, Georgia.  They are one of the most respected authorities on toxic substances in the world and operates under the auspices of the Centers for Disease Control.

The ATSDR ToxFAQs™ on mercury states in part:

"The nervous system is very sensitive to all forms of mercury."

 " ... mercury can permanently damage the brain, kidneys, and developing fetus."

 
"Effects on brain functioning may result in irritability, shyness, tremors, changes in vision or hearing, and memory problems."

"Very young children are more sensitive to mercury than adults."

"Mercury in the mother's body passes to the fetus and may accumulate there."

"Mercury's harmful effects that may be passed from the mother to the fetus include brain damage, mental retardation, incoordination, blindness, seizures, and inability to speak."

"Children poisoned by mercury may develop problems of their nervous and digestive systems, and kidney damage."

"Properly dispose of older medicines that contain mercury."

"Keep all mercury-containing medicines away from children."

We concur with their assessment and the policy recommendations of the various entities as outlined above; Thimerosal should not be in vaccines.  Unfortunately, it is still in vaccines despite the numerous recommendations since 1999.   Because our federal regulatory agencies and Congress have failed to protect citizens, particularly pregnant women, infants, children and the elderly from this toxic substance, the job falls to our state elected officials to insure that vaccines do not include mercury or mercury derivatives.

Specific Toxicities of Thimerosal

After years of medical practice, many physicians and other health professionals were indeed shocked to learn the preservative, known as Thimerosal used in most vaccines over the years actually contained up to 25 micrograms of mercury.   Thimerosal, also known as thiomersal or merthiolate, is 49.6% ethyl mercury by weight.  Despite what some have professed, it has a very similar toxicological profile as the dreaded methyl mercury found in water, fish, and soil. 

As a physician, I was recently shocked by the comments of a neighboring state's chief epidemiologist who informed a state legislator who was considering a bill to ban Thimerosal that ethyl mercury, compared to methyl mercury, was safe because ethyl alcohol was safe and methyl alcohol wasn't.  Of course, any high school chemistry student knows better.  Would this same epidemiologist take an injection of ethyl plutonium?  Of course, not.

In fact, there have been many peer-reviewed studies that addressed Thimerosal specifically. Here are just a few highlights:

The comparative toxicology of ethyl and methyl mercury by Magos, Brown, Sparrow, Bailey, et al published in the Archives of Toxicology (1985) 57: 260-267., has stated:

"There was little difference in the neurotoxicities of methylmercury and ethylmercury
 when effects on the dorsal root ganglia or coordination disorders were compared."

and further:

"The neurological signs and symptoms of methyl- and ethyl mercury intoxication are identical..."

David S. Baskin, M.D., and his colleagues at Baylor College of Medicine, Department of Neurosurgery published their findings regarding the Toxicity of Thimerosal  in Toxicological Sciences, 2003 74 : 361-368.  They concluded:

"We found that thimerosal in micromolar concentrations rapidly decreased cellular viability."

Also a recent study, published by a group of Japanese researchers in Toxicology further attest to the toxicity of Thimerosal in a study titled Effect of thimerosal, a preservative in vaccines, on intracellularCa2+ concentration of rat cerebellar neurons whereby they conclude:

 "Results indicate that thimerosal exerts some cytotoxic actions on cerebellar granule neurons
 dissociated from 2-week-old rats and its potency is almost similar to that of methylmercury."

In a 1977 study titled Organ mercury levels in infants with omphaloceles treated with organic mercurial antiseptic by Drs. Fagan, Pritchard, Clarkson and Greenwood refers to 10 deaths among 13 infants in which thimerosal was used as a topical treatment for umbilical hernias and states that:

"The results showed that thiomersal can induce blood and organ levels of organic mercury which
 are well in excess of the minimum toxic level in adults and fetuses."

The Russians have long studied Thimerosal and published numerous peer-reviewed studies on its acute toxicity.  We will discuss of few of those here. We appreciate Safe Minds sharing the translated versions.  In March 1977, Dr. Mukhtarova published Late After-Effects Of The Nervous System Pathology Provoked By The Action Of Low Ethyl-Mercuric-Chloride Concentrations.  They concluded:

"The pathology of the nervous system presented certain peculiarities by comparison with the early period."

 "In evidence were changes in the sympatico-adrenal system function, vascular lesions of the brain after the type of transient derangements of the cerebral circulation in the vertebro-basilar basin and angiospasms, diffuse changes in the nervous system with the predominant involvement of the hypothalamic cerebral structures and in some cases psychic disturbances were on record."

The cytotoxic action of adsorbed DPT vaccine and its components on cells of the continuous L132 line raised concerns about the use of Thimerosal in another study by Kravchenko, et al from May 1982 when they state:

 “The components of B. pertussis antigens and thimerosal solutions have been found
 to produce the most pronounced cytotoxic effect on the cells”.

In March 1983, Kravchenko, et al again published about the toxic effects of Thimerosal in a Russian Epidemiology journal.  This one is titled The detection of toxic properties in medical biological preparations by the degree of cell damage and states:

“…thimerosal….has been found not only to render its primary toxic effect, but also capable of changing the properties of cells.

This fact suggests that the use of thimerosal for the preservation of medical biological preparations,
 especially those intended for children, is inadmissible.”

In April 1986, Dr. Kravchenko and his colleagues published Use of a diploid cell line for detecting the toxic components in medical immunobiological preparations attesting to the acute toxicity of Thimerosal (merthiolate).

"Merthiolate had the strongest irreversible lethal effect"

So it was not surprising when Drs. Chervonskaia, Kravchenko, Runova, et al published yet another study in December 1988 titled Cytotoxic action of the chemical substances found as admixtures in medical immunobiological preparations where they noted:

"...merthiolate in admissible concentrations show the highest degree of CTA [cytotoxic action]."

But were those results seen at levels comparable to mercury-containing vaccines used in the United States?  Yes!
The study found:

"...merthiolate is toxic in a dose of 0.8 micrograms/ml"

Notice the Russian studies pre-date the 1999 concerns of the United States by more than a decade.  One glaring observation is how the IOM, CDC, FDA, AAP and others are careful to craft the wording of their documents, presentations and public statements to say their assessment of "no conclusive evidence" relies on “studies” in ENGLISH.  Why only English?  The Japanese, through their experiences at Minamata, and the Russians have been studying and publishing, in their native languages, about the acute toxicity of mercury compounds, particularly thimerosal, for DECADES prior to our struggle with this toxic substance in the US and Europe.  Given their knowledge of the scientific evidence as shown above, it is not surprising to learn it has been banned in those two countries, as well as Switzerland, Sweden, Denmark and Norway.  It is no longer being used in the United Kingdom as of September 2004.

An interesting sidebar, the English abstracts and/or citations of these Russian and Japanese articles are published and readily available in PubMed which is part of the National Library of Medicine.  Therefore, it is highly unlikely the FDA, CDC, ATSDR, IOM, AAP and others did not know the studies existed.   They apparently used semantics to differentiate between “English printed studies” and abstracts (i.e. the abstracts and/or citations were in English but the full text “study” was in the native language).   We strongly suspect the June 9, 1999 Draft report of Leslie Ball, M.D. of the EPA will confirm that in their initial discussions of Thimerosal, she revealed the Japanese and Russian studies, or in the very least the existence of the abstracts.  This could explain why the FDA or the CDC have refused to release, even through FOIA, this initial version of her report and why its private release to a few select individuals caused the frantic meetings at Virginia American Academy of Pediatrics office, located away from a government location to avoid the open meetings law, just prior to the joint statement of July 7, 1999 (see Hepatitis Control Report Fall 1999 )

More recently, in the year 2000, FDA scientist William Slikker states in the journal Neurotoxicolcogy:

“Thimerosal crosses the blood-brain and placental barriers and results in appreciable mercury content in tissues including brain.”

Dr. Slikker was by no means the first to make such an assessment about ethyl mercury.  Perhaps the most recognized reference book found in many emergency rooms and poison control centers is The Clinical Toxicology of Commercial Products by Gosselin, Smith and Hodge, and in fact is part of our personal medical library.  In their 5th edition (1984), they made the following observations:

“...ethyl mercury derivatives are virulent neurotoxins on either acute or chronic exposure."

 "They are especially hazardous because of their volatility, their ability to penetrate epithelial & blood-brain barriers & their persistence in vivo."

Johanna Qvarnström and her colleagues at the Department of Chemistry, Umeå University in Sweden, published an article titled  Determination of Methylmercury, Ethylmercury,and Inorganic Mercury in Mouse Tissues, Following Administration of Thimerosal, by Species-Specific Isotope Dilution GC-Inductively Coupled Plasma-MS in Analytical Chemistry; 2003, 75, 4120-4124.  Their study analyzed the distribution of thimerosal into the tissues of mice using a novel technique known as inductively coupled plasma mass spectrometry (ICPMS) which uses radioactive isotope labeling of mercury (Hg199) to determine the distribution of mercury species transformed from standard ethyl mercury in the thimerosal.  The researchers concluded that:

“...thimerosal is rapidly taken up in organs as C2H5Hg+ [ethyl mercury] after oral treatment...In general, C2H5Hg+{ethyl mercury] is considered to be converted to Hg2+ [inorganic mercury] more rapidly than CH3Hg+ [methyl mercury]."

One reason, according to the authors, is that the ethyl mercury carbon bond is less stable than that of methyl mercury. This is good evidence of the enhanced toxicity of ethyl mercury (in thimerosal) as opposed to methyl mercury (found in fish, soil and water sources).

Thimerosal damages DNA. This fact has been well documented in lab samples (in vitro) and in animals (in vivo). A very good source which compiles much of this research can be seen in a study by Dr. Westphal and colleagues done in Göttingen Germany titled Thimerosal induces micronuclei in the cytochalasin B block micronucleus test with human lymphocytes This study published in 2003 in the Archives of Toxicology studied whether or not the known genotoxic (DNA damaging) effects of thimerosal were dependent upon any protective effect of individuals with higher levels of glutathione S-transferase (GST) which is one of the body's defenses against thimerosal.  Some individuals with genetic changes (polymorphisms) do not make as much GST and might be more susceptible to DNA damage from thimerosal.  However, this study concluded that:

"...thimerosal induced strong [DNA damaging] effects in...human lymphocytes.  Since thimerosal was repeatedly shown to be genotoxic in vitro and in vivo, there is reason for concern about its widespread use."

Since vaccines with thimerosal have been known to contain up to 50 micrograms/ml, genotoxic effects could be seen at the injection sites. Westphal found toxicity to DNA occurs at 0.6 micrograms/ml.   This should be sufficient reason to ban its use in vaccines.

Thimerosal is also immunotoxic, meaning it can damage the immune system.  There is a plethora of scientific evidence of this, such as  Induction of Autoimmunity Through Bystander Effects - Lessons from Immunological Disorders Induced by Heavy Metals
by Gilbert J. Fournié and his colleagues at Institut National de la Santé et de la Recherche Médicale in Toulouse, France which found:

"...compounds present in vaccines such as thiomersal ...can trigger autoimmune reactions through bystander effects."

One of the most respected researchers in Europe studying metal allergies and individual susceptibility to metals is Dr. Vera Stejskal, Associate Professor of Immunology in the Department of Clinical Chemistry at Danderyd Hospital and Karolinska Institute in Stockholm, Sweden.  Professor Vera Stejskal has developed MELISA®, a scientifically-proven blood test which can diagnose metal allergy.  She has also published extensively on the adverse effects of metals on the human body.  The MELISA® test is available in the United States. In Dr. Stejskal's 1999 paper published in Neuroendocrinology Letters titled The role of metals in autoimmunity and the link to neuroendocrinology she stated:

“In contrast to the toxic effects of metals, the concentration of the metal in a sensitized individual is of minor importance.”

“Minute concentrations of an allergen can induce systemic reactions in sensitized individuals.”

”In such a situation, metal induced inflammatory reactions in the brain or elsewhere could be triggered despite low concentrations detected in body fluids or locally.”

 

In Dr. Stejskal's 1994 paper, titled MELISA - An In Vitro Tool For The Study Of Metal Allergy she describes how to diagnose allergy to various mercury compounds such as thimerosal, phenyl mercury and inorganic mercury. Since these mercurials are immunologically non-cross reacting, it is possible by MELISA® not only to determine the existence of mercury allergy but also the source of sensitization.  The study concludes in part:

“…mercury-based bactericidal agents…should be replaced with non-mercury preservatives.”

Havarinsasab and colleagues recently investigated this curious ability of Thimerosal to induce autoimmunity.  In this study, Immunosuppressive and autoimmune effects of Thimerosal in mice, they looked at the effect of Thimerosal on autoimmunity in the immune compromised mouse model (similar to genetically susceptible children in the autistic population), using Thimerosal laden drinking water.  In contrast to methyl mercury, Thimerosal intake in this group of genetically susceptible mice leads to a phase of strong immunostimulation and autoimmunity (anti-nuclear antibody formation).  Equally important, the authors stated:

 “Our study clearly indicates that EtHg [ethyl mercury – a component of Thimerosal in vaccines] is similar to MeHg [methyl mercury – found in fish, coal burning power plant emissions] with respect to the immunosuppressive effect on the immune system in vivo.”

In their paper, they further stated that their previous study (Havarinasab et al., 2004), showed that a sufficient dose of thimerosal could induce all features of the mercury-induced autoimmune disease described after treatment with inorganic mercury in genetically susceptible mice (Pollard and Hultman, 1997).  Their present study concerns effects of thimerosal on cellular and humoral immunity, including cytokine expression, during development of autoimmune disease in such mice.  They concluded:

"... thimerosal treatment subsequently leads to strong immunostimulation and autoimmunity, which is at variance with only a weak autoimmune response after MeHg [methyl mercury] treatment."

Although there are several thousand articles in the medical literature documenting the toxicity of mercury and Thimerosal (49.6% ethyl mercury), the study that set off warning bells for public health officials at the CDC's National Immunization Program was first presented at the North American Congress of Toxicology in September 1998 by Dr. Gregory V. Stajich, a pharmacologist at Mercer University in Atlanta.  His study was finally published in the Journal of Pediatrics in May 2000 to the dismay of vaccine officials because this peer-reviewed paper titled Iatrogenic exposure to mercury after hepatitis B vaccination in preterm infants, was an eye-opening study which showed post-vaccination mercury levels were significantly higher in preterm infants as compared with term infants in regard to the Hepatitis B injections at birth.

While public health officials and high ranking vaccine policy-makers were disturbed by Dr. Stajich's findings, their primary concern seem to focus not on the impact mercury could have on newborns but on the impact it could have on the vaccination compliance rates.  They feared this study would cause pediatricians and parents to decline the birth dose of Hepatitis B vaccine.  The birth dose of this vaccine was the cornerstone of the CDC's National Immunization Schedule which began a rapid expansion in 1991.

These officials knew they had to mitigate the impact of the Stajich study.  Internal CDC documents indicate they contracted with Dr. Pichichero at the University of Rochester to undertake a study similar to Dr. Stajich but with very different results.  The funding was channeled through the National Institutes of Health to give the appearance of study independence from the CDC National Immunization Program (NIP).  The results of this alliance between the CDC/NIP officials and Dr. Pichichero resulted in the paper titled Mercury concentrations and metabolism in infants receiving vaccines containing thiomersal: a descriptive study in what they hoped would be the benchmark Thimerosal "toxicology" study.  In fact, the CDC, FDA, IOM, AMA, AAP and others continually refer to this study to "prove" that Thimerosal is "not toxic" in amounts found in childhood vaccines.

It must be noted that Dr. Pichichero is a pediatric immunologist and is not a toxicologist by training.  In December 2002 during an interview with Dr. Pichichero, he admitted the following:

"...Our study did not examine toxicity, but we measured blood levels of free mercury, not of ethyl mercury."

According to this study, administration of vaccines containing Thimerosal did not seem to raise blood concentrations of mercury above assumed safe values in infants.  They concluded that ethyl mercury seems to be eliminated from blood rapidly via the stools after parenteral administration of Thimerosal in vaccines.

Unfortunately, the half life studies in this report are totally invalid based upon standard toxicological analysis. A stunning review of the flaws in the Pichichero study has been outlined by SafeMinds.  Also, keep in mind that a short half life does not mean a substance is safe (e.g., cyanide has a very short half-life).  Missouri State Representative Roy Holand, M.D., chairman of the House Heath Care Policy Committee in 2004, gave perhaps the best summation of a primary weakness in the Pichichero study during the committee hearing held on February 4, 2004 by pointing out the damage to the neurofibrils occurs within the first 30 minutes after the introduction of mercury to the brain cells as evidenced by The University of Calgary video.

Dr. David Baskin, a highly respected neurosurgeon, along with his colleagues at the Baylor College of Medicine, Department of Neurosurgery, published a very important peer-reviewed paper in late May of 2003 detailing the toxic effects of Thimerosal against neuronal and fibroblastic tissue.

Jeff Bradstreet, M.D., a family physician in Florida, has published and researched extensively on the causal link between Thimerosal  and neurodevelopmental disorders. This paper, published Summer 2003 in the Journal of Physicians and Surgeons, is an excellent overview of the current research on this relationship.

Mercury has some devastating effects on many organ systems, particularly the brain, where it has been shown conclusively to destroy neurotubulin in the axons.  Some individuals are genetically predisposed to greater toxicity due to their inability to excrete the accumulating mercury via several metabolic pathways (metallothionein, glutathione reduction, and Apo-e protein removal).  The  testimony of Dr. Jeff Bradstreet at the February 2004 IOM Immunization Safety Review Committee hearing, pointed out that polymorphisms in the gene which produces the enzyme methyltetrahydrofolate reductase (MTHFR) have been shown to produce abnormally low generation of reduced folate, which, along with B12 is necessary for proper brain neurotransmitter function. Defects in this gene would predispose a subgroup of children to the neurodevelopmental disorders now called "autism spectrum disorders."  To see a graphical overview of these two defects in the biochemical pathway, click here.  Parts of this same biochemical pathway can also be damaged directly by mercury due to direct effects on methionine synthase as shown in the next study discussed below.

In February 2004, Dr. Richard Deth of Northeastern University and his colleagues at University of Nebraska, Tufts and Johns Hopkins University published a study in the Journal of Molecular Psychiatry titled Activation of methionine synthase by insulin-like growth factor-1 and dopamine: a target for neurodevelopmental toxins and thimerosal.  They outlined a novel growth factor signaling pathway that regulates methionine synthase activity and thereby modulates methylation reactions, including DNA methylation. The potent inhibition of this pathway by ethanol, lead, mercury, aluminum and particularly Thimerosal suggests that it may be an important target of neurodevelopmental toxins.

The work of Dr. Deth dovetails into the work of Dr. Jill James, a pediatric biochemist at the University of Arkansas for Medical Sciences and her colleague, Dr. William Slikker, III, a senior research scientist at Division of Biochemical Toxicology, National Center for Toxicological Research.  They found that:

 "Thimerosal-induced cytotoxicity was associated with depletion of intracellular GSH in both cell lines."

Dr. James, a former senior research scientist with the Food and Drug Administration and her colleagues published their findings in the Journal of NeuroToxicology Vol 26, Issue 1 , January 2005, Pgs 1-8 in a study titled Thimerosal Neurotoxicity is Associated with Glutathione Depletion: Protection with Glutathione Precursors

Any one or a combination of these genetic deficiencies can spell disaster for children resulting is mercury poisoning that manifests as neurodevelopmental disorders in children and neurodegenerative diseases, such as Alzheimer's, Parkinson's, ALS or "Lou Gerhig's disease", and MS in adults.  This information is contained in Professor Boyd Haley's video on this website.

Another good source of information regarding the comparison of ethyl and methyl mercury is found in the 2001 IOM Immunization Safety Review Committee presentation by George Lucier, Ph.D., a well-known toxicologist and former Director of the Environmental Toxicology Program at the National Institute for Environmental Health Sciences.  The audio of this presentation can be heard online here (requires Real Player Plug-in).  A quick graphic showing an overview of Thimerosal toxicity studies can be viewed here.  This slide came from a paper presented by the National Toxicology Program (NTP) on Thimerosal's nomination as a potentially toxic substance in April of 2001.

Thimerosal is not an effective preservative

Ironically, Thimerosal is not the best choice for a vaccine preservative because it often does not work.  Remember the 2004 Chiron flu vaccine debacle?  If you will recall, 50 millions doses of influenza vaccine had to be destroyed because of bacterial contamination by Serratia marscens, even though they contained Thimerosal.  The disaster was completely predictable given published science.

Numerous studies have shown Thimerosal is not an effective fungicide.  One such study titled Safety Considerations in Handling Exoantigen Extracts from Pathogenic Fungi by Standard and Kaufman, two microbiologists at the of the Centers for Disease Control (CDC) Mycology Division in Atlanta, Georgia was published in the Journal of Clinical Microbiology in April 1982.  It notes:

"...thimerosal (0.01 and 0.02%) was found not to be fungicidal for the yeast forms of these fungi."

A paper by A. E. Elkhouly and R. T. Yousef titled Antibacterial Efficiency of Mercurials  published in May 1974 in the Journal of Pharmaceutical Sciences clearly states:

"...thimerosal was the least [effective]".

However, it was not the only paper to point out that Thimerosal, specifically, is a poor antibacterial.  In 1985, Walter Orenstein, M.D. and his colleagues at the CDC in Atlanta published an article in Pediatrics titled Outbreaks of Group A Streptococcal Abscesses Following Diphtheria-Tetanus Toxoid-Pertussis Vaccination.  One statement in the article reads:

"At currently used concentrations, Thimerosal is not an ideal preservative.”
  “However, because Thimerosal is an organic mercurial compound, higher concentrations
 might reduce vaccine potency or pose a health hazard to recipients.”

It is interesting to note that Dr. Orenstein served as Director of the National Immunization Program from 1993 to March 2004 and has also served as Assistant Surgeon General of the U.S. Public Health Service.   He now works at Emory University where the vaccine program is largely funded by the pharmaceutical industry.  The "revolving door" between the CDC, universities and industry is common.

So why is Thimerosal still being used in vaccines?  The answer can be found in Dr. Orenstein's 1985 paper where it states:

“Single-unit packaging would approximately double the cost of DTP per dose. For example, one manufacturer charges $5.12 for a 15-dose vial of DTP vaccine or $0.34, per dose. If the $0.20 cost of a disposable syringe and needle are added, the total cost per dose to the physician would be about $0.54. The same manufacturer charges $10.40 for a package of ten single DTP doses (needle and syringe pre-packed) or $1.04 per dose."

"Even though the actual incidence rate of such occurrences is not known, they are clearly quite rare.  If we assume that there are as many as 100 cases per year, costing $678 per abscess, the cost of these theoretical occurrences would be approximately $68,000. Given the prices mentioned above and the fact that approximately 18 million doses of DTP are administered each year, the cost of switching to single-dose packaging might be approximately $9 million.”

While we realize financial aspects have to be considered in public policy-making, money should not take precedence over safety.  To place a child's life at risk for a difference of $0.54 is inexcusable.

Why Thimerosal seems to only affect some children

Why does mercury toxicity at levels found in vaccines seem to only affect a subgroup of children, predominantly males?  History provides the answer.  The same target subgroup was noted in the early 20th Century during the epidemic of Pink's Disease (Acrodynia) that was determined to be caused by mercury in teething powders given to children.  About 1 in 500 children were afflicted, and some died as a result of this toxic insult. 

Pink's Disease is still seen today, albeit less well recognized.  We suspect the clinical symptoms such as pink, desquamating rash on the hands and feet is not even thought of by most clinicians, much less considered a result of mercury exposure.  I can vouch that in the early 70's it was never taught in pathology or clinical pediatrics; I suspect it would be difficult to even find a clinician who would place the diagnosis on a roster of suspects (the "differential diagnosis").  When Pink's Disease is finally recognized clinically, it makes it into a case report in a medical  journal. It is our belief that during the last decade, the concerned parents of a child with pink rash on the hands and feet after a Thimerosal-laden vaccine were most likely given phone advice (Tylenol, “reassurance”, or "see a dermatologist"). 

Dr. Thomas Clarkson, in his famous report, "The Three Modern Faces of Mercury," made a remarkable comment on page 6:

 “It is interesting that not a single case of Acrodynia has been reported from exposure to vaccines despite the propensity of thimerosal to produce this syndrome when given in sufficient amounts.” 

That remark is quite interesting in the face of many parental reports of just such a rash occurring in their child after a bolus of Thimerosal-laden vaccines in the 1990's.  Perhaps the real clue in Clarkson's observation of "not a single case of Acrodynia has been reported from exposure to vaccines" is due primarily to physician's lack of training to recognize the true etiology and in the rush to lump these children into psychiatric DSM-IV Autistic Spectrum Disorders - a no-man's land where biochemical and toxicological causation has been set adrift in the sea of ignorance and/or expediency.  According to the foreword by Dr. Leo Kanner, in the book , Infantile Autism: The Syndrome and its Implications for a Neural Theory of Behavior by Dr. Bernard Rimland, he seems to agree...and has since 1963.  Dr. Kanner is considered the most recognized expert in "autism"  yet he wrote the following:

“The concept of early infantile autism (I could not think of a better name) was diluted by some to deprive it of its specificity, so that the term was used as a pseudo-diagnostic wastebasket for a variety of unrelated conditions, and a nothing-but psychodynamic etiology was decreed by some as the only valid explanation, so that further curiosity was stifled or even scorned.”  Leo Kanner, M.D.,   November 24, 1963
 

Dr. Leo Kanner was a professor of Child Psychiatry at Johns Hopkins University in Baltimore when he first described "autism" in 1943.  It is interesting to note the oldest "autistic" child described by Dr. Kanner in his land-mark paper was born in September of 1931.  The first use of Thimerosal in vaccines was in 1931.  What a coincidence...or perhaps not.  Others have theorized about the connection between the psychiatric symptoms that are often associated with mercury poisoning and their close correlation to the diagnosis of autism.

Acrodynia is probably the most widely recognized form of mercury poisoning.  Its symptoms have been documented as early as 1931 by Bancroft, Grant, Tanner, et al (Journal Lancet 71:56, 1931) and studied more extensively in the 1950's by Warkany and Hubbard.  In fact, a statement in some of their earlier work is almost eerily predictive of the symptoms we are seeing today since the iatrogenic exposure to mercury was increased significantly by the rapidly expanded immunization schedule beginning around the early 1990's.  Have their words from 1953 come back to haunt the medical community because mercury was left in vaccines?

"In several children of our series and in some recently reported, various immunization procedures
preceded the onset of acrodynia in addition to mercurial exposure."

Acrodynia is the model of mercury poisoning which closely mimics the changes seen in autism and autism spectrum disorders.  Indeed, Bernard, Enayati, Redwood, Roger, and Binstock published a review article, Autism: a novel form of mercury poisoning in Medical Hypothesis in 2001 detailing the similarities between classical mercury poisoning and regressive autism.  While this review article is a compelling glance into the mercury/autism correlation, it pales in comparison to their comprehensive report, Autism: A Unique Type of Mercury Poisoning examining this hypothesis.  The conclude:

“The history of acrodynia illustrates that a severe disorder, afflicting a small but significant percentage of children, can arise from a seemingly benign application of low doses of mercury.”

“This review establishes the likelihood that Hg [mercury] may likewise be etiologically significant in ASD,
with the Hg [mercury] derived from thimerosal in vaccines rather than teething powders.”


“Due to the extensive parallels between autism and HgP [mercury poisoning], the likelihood of a causal relationship is great.”

Current media pundits write prolifically about the safety of ethyl mercury, but none of the industry sponsored "scientists" will admit to a recent study by Burbacher et al .  In this NIH sponsored primate study they found that while brain concentrations of total mercury were lower in the Thimerosal group, a higher percentage of the total mercury in the brain was in the form of inorganic mercury (Hg) for the thimerosal-exposed primate infants (34% vs 7%).  The half life of this highly toxic form of mercury could not be determined because the full amounts persisted in the brains of the primates 200 days into the study. Further, this study clearly showed that methyl mercury is not a suitable reference for risk assessment from exposure to thimerosal derived mercury. Personal communication with Dr. Burbacher, vis-à-vis the EPA Mercury Symposium in the Spring of 2004, confirmed this finding prior to this study's publication.

Needless to say, this study set off a firestorm of controversy and created a public relations nightmare for vaccine program officials and pediatricians.  To make matters worse, the October 2001 IOM Immunizations Safety Review Committee agreed the hypothesis was "biologically plausible" but there was insufficient evidence to accept or reject a causal connection and recommended further research. 

In an effort to once again, do public relations damage control, a "commentary" was published by Karin Nelson of the NIH/NINDS and Margaret Bauman of Boston University in the Journal Pediatrics in 2002.  It is often "cited" as evidence against the Thimerosal/Autism connection yet it never went through peer-review and it was submitted as their opinion or comments.  An interesting side note is that NIH gave Bauman's department at Boston University a $8.4 million dollar grant to study autism in 2003 after her "commentary" was published.  Puts a whole new spin on the old adage of "publish or perish"...seems it would be more appropriate to say "publish and flourish" in this instance.

To address the erroneous conclusions of the Nelson and Bauman commentary, a subsequent article by Blaxil, Redwood and Bernard titled the Toxicology of Neurodevelopmental Disorders - the role of mercury in the pathogenesis of autism was published in Molecular Psychiatry in 2002.  Bernard, et al once again conclude:

"These findings support a hypothesis that mercury in vaccines may be a factor in the pathogenesis of autism."

In our present vaccinated population of children, the rate of autism is now about 1 in 166 according to the CDC.  Indeed, the incidence of neurodevelopmental disorders and behavioral disorders in children has now been documented in the Autism A.L.A.R.M. by the American Academy of Pediatrics and the CDC to be at an unprecedented incidence of 1 out of every 6 children.

This recent report was issued by the American Academy of Pediatrics' National Center of Medical Home Initiatives for Children with Special Needs in conjunction with the CDC and US Public Health & Human Services Department. If you clicked on this last link, you will note that the link to that site no longer exists.  It was taken down after parents began sending the Autism A.L.A.R.M. to their Congressmen and Senators calling for an investigation into the possibility of a connection between Thimerosal and 1 in 6 children having neurodevelopmental disorders.   One can only guess why was it taken down? Here is a cached copy of this page (courtesy of Google) to prove its existence.

As previously mentioned, the work by Waly, Deth et al  regarding the alteration in methylation pathways in mercury poisoning details part of the answer to "why only some children."  Furthermore, in the subgroup of children who have a genetic deficiency in the enzyme MTHFR (methyltetrahydrofolate reductase), it has been established that they are unable to regenerate the needed co-factors for methylation reactions.  This was eloquently presented by  Dr. Jeff Bradstreet at the February 9, 2004 Institute of Medicine Vaccine Safety Committee hearing in Washington, DC.

In June 2004, a study by Hornig, Chian and Lipkin published in the Journal of Molecular Psychiatry showed for the first time that autistic symptoms could be duplicated in the mouse model.  Using a strain of immunologically suppressed mice (much like our children were after their vaccines containing mercury), Dr. Hornig duplicated the thimerosal dosing schedule of the 1990s and reproduced a host of abnormal behaviors in the experimental animals.  The mice showed growth delay, reduced locomotion, and exaggerated response to novelty, just to name a few. Brain sections of these animals revealed densely packed, hyperchromic hippocampal neurons with altered glutamate receptors and transporters. In short - the autistic model was replicated based upon the premise of mercury-induced neuronal damage!

In December 2004, former Food and Drug Administration senior research scientist, Dr. Jill James published two landmark studies regarding the relationship between methylcobalamine, glutathione and thimerosal.

One of the studies, published in the American Journal of Clinical Nutrition, titled "Metabolic biomarkers of increased oxidative stress and impaired methylation capacity in children with autism" detailed the actual levels of these biochemical deficiencies in autistic children.  She and her colleagues set out to evaluate plasma concentrations of metabolites in the methionine transmethylation and transsulfuration pathways in children with autism. Not surprisingly, these children had significantly lower baseline plasma concentrations of methionine, SAM, homocysteine, cystathionine, cysteine, and total glutathione and significantly higher concentrations of SAH, adenosine, and oxidized glutathione. In other words, they found a metabolic profile that is consistent with impaired capacity for methylation (shown by the significantly lower ratio of SAM to SAH) and increased oxidative stress (significantly lower redox ratio of reduced glutathione to oxidized glutathione). Even more interesting was that supplementation with methyl B12 and folinic acid normalized these biochemical markers. The next step, of course, is to document the clinical improvement in these children based upon such intervention.  Many parents already know the answer to this one...the treatment protocol works!

Dr. James joined with Dr. William Slikker, III of the Division of Biochemical Toxicology at the National Center for Toxicological Research in Jefferson, Arkansas to further look at Thimerosal.  The results of their ground-breaking study Thimerosal Neurotoxicity is Associated with Glutathione Depletion: Protection with Glutathione Precursors was published in Vol. 26 of NeuroToxicology in January 2005

The work of Dr. James along with the rapidly mounting clinical, toxicological and pharmacokinetic evidence mounting against Thimerosal prompted the powerful Washington, D.C. environmental group, EWG to issue a white paper titled "Overloaded? New science, new insights about mercury and autism in susceptible children" and to hold a press conference releasing its findings and conclusions after an 18 month investigation.

Credit should go to Dan Olmsted, Senior Editor of UPI  and Bob Miller of the SE Missourian for accurately reporting this late-breaking development and the subsequent findings of the Environmental Working Group.

Thimerosal and The FDA

Most of us, when first presented with this information, are bemused as to how and why such a problem could be kept from public knowledge. While we cannot speak for their motives, we can present the actual timeline...and this is where it gets interesting.

Congress mandated the FDA and other health agencies under its purview to determine the levels of mercury in pharmaceutical agents under the 1997 FDA Modernization Act.  The FDA officials were apparently disturbed to learn that children were receiving mercury in levels that exceeded Federal safety guidelines.

The FDA, along with others held a two day meeting in August of 1999 to discuss Thimerosal and formulate a plan for expedited removal.  The transcripts of the Thimerosal Workshop - Day 1 and Thimerosal Workshop - Day 2 are well-worth reading.  One of those who attended the meeting, Dr. Martin Myers, Director of the National Vaccine Program Office with the Department of Health and Human Services offered his insights from the Workshop at a similar meeting held for aluminum a few months later.  He said:

"Perhaps the most important thing that I took away from the last meeting [Thimerosal Workshop] was that
 those of us who deal with vaccines have really very little applicable background with metals and toxicological research."

 

On November 15, 1999 the FDA nominated Thimerosal to the Center for the Evaluation of Risks to Human Reproduction and on at least two occasions the core Scientific Advisory Board recommended further evaluation.   On March 20, 2000 the Federal Register Notice  shows that the Center for the Evaluation of Risks to Human Reproduction (CERHR) recommended further study on Thimerosal

Even as recently as August 2002, the Federal Register still had Thimerosal on its list of recommended products to be studied. It is still a mystery why this table from the CERHR website has continued to place Thimerosal in a deferred category (as of July, 2000) stating that other chemicals had a higher priority.  In our opinion, July 2000 seems to be a significant turning point regarding the actions (or inactions) taken on Thimerosal. This is also less than one month after the CDC, FDA and vaccine manufacturers met at Simpsonwood to review the first analysis on Thimerosal's role in childhood neurodevelopmental disorders. Simpsonwood is the turning point on the Thimerosal issue and there is more information included herein. (See CDC and Simpsonwood below).

The CDC and Simpsonwood

When the FDA alerted CDC officials in early 1999 of their findings from the pharmaceutical mercury survey, they realized the need to determine if the increased levels of Thimerosal children received in the 1990's had caused harm. To their horror, the results were not good.

During this time period, the CDC began to do an epidemiological study on Thimerosal toxicity from vaccines in children.  The CDC's first written draft (unpublished) analysis by Dr. Thomas Verstraeten obtained by SafeMinds under the Freedom of Information Act must have been terribly disturbing to them.  It showed a 2.48 relative risk increase (a 248 percent increase) of autism in children who had received the mercury laced vaccines (see graph 3 at the top of page 15 of the above report). 

These results were so disquieting to the CDC they apparently felt the need to revise the data by including younger infants (not yet diagnosed) and pulled in data from a financially faltering Massachusetts HMO that dramatically under reported autism rates (due to a poorly designed database) and used these "new" calculations in the second and third drafts of this report.  Internal e-mails from the Centers for Disease Control in Atlanta, obtained by SafeMinds under FOIA, appear to confirm this suspicion.

All of these numerical permutations dramatically decreased the relationship of Thimerosal to the risk of neurodevelopmental disorders, including autism. Unfortunately for millions of children around the world, the published analysis of the VSD (Vaccine Safety Datalink) data had eliminated the risk, never informing others of their initial findings that were of great significance.  Sadly, this version would be repeatedly cited by other authors in many medical publications and news stories over the next few years, even today.  The various manipulations the dataset went through of the course of 4 years prior to publication is discussed in detail in the paragraphs below.

Even more troubling than the first written, yet unpublished, analysis of February 29, 2000 by Dr. Verstraeten and the CDC is the initial analysis which has been dubbed "Generation Zero" and was never compiled into a formal report.  In this analysis, done in November  and December of 1999, CDC researchers found a relative risk of 11.35 for autism for those infants with >25 mcg exposure at one month.  In other words, children exposed to thimerosal levels as low as those found in the flu vaccine of today were over 11 times more likely to acquire a neurodevelopmental disorder.

Some of their findings, but not the more troubling findings of the early datasets were discussed at a meeting in June 2000 at the Simpsonwood Resort in Norcross, Georgia.  The transcript of the Simpsonwood meeting, obtained by SafeMinds under the Freedom of Information Act (FOIA) is a disturbing look behind the closed door meeting and the subsequent actions of public health officials colluding with vaccine manufacturers to do public relations and liability damage control.  If you have listened to the WXYZ report online, you are already familiar with some of the startling quotes contained within.

While this 259 page transcript is anything but light reading, the very telling comments reported by the Detroit news (WXYZ) have been distilled into a short form here along with other pertinent highlights of this landmark meeting.

In the November 5, 2003 issue of Pediatrics, Verstraeten, et al published data based upon the manipulated figures from the VSD study as discussed at the now infamous Simpsonwood meeting.  Ironically, even Neal Halsey, M.D., a staunch supporter of the National Vaccine Program, and former Chairman of the CDC Advisory Committee on Immunization Practices (ACIP), raised credibility issues as evidenced in his December 17, 2003 letter to Pediatrics.   Safe Minds also did an in-depth analysis of this data and all of the "generations" of this "numerical evolution". Beginning about page 20 of this critique, one can easily see the progression of how the original data was altered. The datasets morphed over 4 generations of reports all based upon the original (and correctly done report) from Feb 2000 that was presented at the Simpsonwood meeting. The original autism risk was 2.48 and data "changes" brought it down to 1.69 using a type of numerical "black box" method known as "Cox Model adjusted" For an in-depth analysis of these numerical generations, click here.

In February 2004, Geier and Geier published a
letter to the editor in Pediatrics which detailed the serious errors in the Verstraeten study.

Most telling is the letter from Dr. Verstraeten himself to Pediatrics about the allegation that his study "cleared" thimerosal.

Congressman David Weldon, M.D. (R-FL) has detailed his concerns about the credibility of the these studies and suspected statistical cover-ups in his letter to Judy Gerberding, M.D., Director of the Centers for Disease Control, in his letter to her dated October 31, 2003.  Congressman Weldon stated:

“I am very concerned about activities that have taken place in the National Immunization Program (NIP) in the development of this study, and I believe the issues raised need your personal attention.”

“I found a disturbing pattern which merits a thorough, open, timely, and independent review by researchers outside of the CDC, HHS, the vaccine industry, and others with a conflict of interest in vaccine related issues (including many in University settings who may have conflicts).”

“A review of these documents leaves me very concerned that rather than seeking to understand whether or not some children were exposed to harmful levels of mercury in childhood vaccines in the 1990s, there may have been a selective use of the data to make the associations in the earliest study disappear.”

To date, there has been no corrective action taken at the CDC by Dr. Gerberding, in fact, the pattern of behavior continues to be reflected the their ongoing studies and published papers.

One example of their ongoing pattern of questionable data stratifications is by Dr. Paul Stehr-Green of the CDC and colleagues titled "Autism and Thimerosal-containing vaccines: lack of consistent evidence for an association" published in the American Journal of Preventive Medicine in August of 2003.  There are four major defects in the Stehr-Green analysis. The authors relied heavily on shifting data sources and an incomplete time series in their epidemiological analysis.  It is our opinion that primary research is the answer to this question, not vague epidemiology and statistical permutations.

Unfortunately, much of this published data is simply a re-statement of the erroneous numbers from the older studies previously mentioned.  In some cases, some information from within these articles actually makes the anti-thimerosal case stronger. For example the recent study by Mandell, DeStefano et al in the journal Psychiatric Services (56;56-65. 2005). They basically were looking at discharge rates from psychiatric institutions for the diagnosis codes of autism and ADHD (among others) and came to the conclusion that the reason for the increase in the numbers of these disorders was that there have been changes in diagnostic practices over time, increases in community prevalence of these disorders, and increased likelihood of hospitalizations for different mental disorders. We can certainly agree with the increase in community "presence".  But one comment from the study in particular is also quite telling of the real story.  DeStefano and colleagues remark,

"diagnosis of autism and ADHD followed a very different pattern, with peaks in rates at ages 7 and 12.”

for the study period 1989 to 2000.  The dissected data when presented in graphical form clearly demonstrates a "bump" in autism rates at ages 7 and 12 (click picture on the right for a larger view) and the relationship to the routine childhood immunization schedules.  It is interesting to note between the ages of 4 and 6  and again between the ages of 11 and 12, children received multiple immunization boosters including thimerosal-containing vaccines.  Similar bumps were seen for ADHD.  How fascinating that these rapid rises in diagnosis tend to coincide with the immunization schedules. 


Special thanks to Dr. Richard Deth for his generosity in preparing the slide and allowing us to share it with you.

Studies by Geier and Geier

In late 2003, Dr. Mark Geier and his researcher son, David were allowed (after considerable efforts in time and paperwork) to view the VSD database in the CDC computers housed in Maryland.  As mentioned by Dr. Geier in the WXYZ report, their analysis revealed a 27 fold relative risk increase in autism in the data set that received DTP containing Thimerosal versus a similar subset of the DTP Thimerosal free version. Their paper on this analysis is awaiting publication. 

However, Dr. Geier has published numerous other studies showing the positive association of Thimerosal containing vaccines and autism using the database known as the Vaccine Adverse Events Reporting System (VAERS). One such study was published in Experimental Biology and Medicine titled Neurodevelopmental Disorders after Thimerosal-Containing Vaccines: A Brief Communication and specifically, found that the VAERS database showed statistical increases in the incidence rate of autism (relative risk [RR] = 6.0), mental retardation (RR = 6.1), and speech disorders (RR = 2.2) after Thimerosal containing diphtheria, tetanus, and acellular pertussis (DTaP) vaccines in comparison with Thimerosal-free DTaP vaccines.

The have continued to publish on the the adverse effects of Thimerosal.  A few of their studies are cited below:

Thimerosal in childhood vaccines, neurodevelopment disorders, and heart disease in the United States published in the Journal of American Physicians &  Surgeons in 2003 where their analyses showed:

 "...increasing relative risks for neurodevelopment disorders and heart disease with increasing doses of mercury."

"This study provides strong epidemiological evidence for a link between mercury exposure from
thimerosal-containing childhood vaccines and neurodevelopment disorders."

Geier & Geier: An assessment of the impact of thimerosal on neurodevelopmental disorders. Pediatric Rehabilitation 2003; 6: 97-102

Neurodevelopmental Disorders after Thimerosal-Containing Vaccines: A Follow-Up Analysis was published by the Geiers in the International Journal of Toxicology in 2004 where they concluded:

"...children exposed to these greater levels of mercury through Thimerosal in vaccinations are at a much greater risk of neurodevelopmental disorders evidenced by analysis of the VAERS database."

A comparative evaluation of the effects of MMR immunization and mercury doses from thimerosal-containing childhood vaccines on the population prevalence of autism. Med Sci Monit, 2004; 10(3): PI33-39

When you watch the WXYZ news video  from the links below, you will see Mark Geier, M.D., Ph.D. (an obstetrical geneticist) and his son, David, who have published extensively on the dangers of Thimerosal-containing vaccines.  They recently published this article, evaluating the doses of mercury from Thimerosal-containing childhood immunizations in comparison to US Federal Safety Guidelines and the effects of increasing doses of mercury on the incidence of neurodevelopment disorders and heart disease.

Dr. Geier showed that children received mercury from this source in excess of the Federal Safety Guidelines for the oral ingestion of mercury. Additionally, the analyses showed increasing relative risks for neurodevelopment disorders and heart disease with increasing doses of mercury.
 

In February 2004,
 the California Environmental Protection Agency ruled that, under Proposition 65, Thimerosal was both a reproductive and developmental toxin.

 Click here to read the document

Thimerosal and the World Health Organization

The World Health Organization initially issued a policy calling for the reduction and removal of thiomersal (as spelled in Europe) similar to the joint statement of the US Public Health Service and American Academy of Pediatrics.  However, there has been a dramatic push since 2002 to rapidly publish data to exonerate Thimerosal and even the presence of an autism epidemic by the World Health Organization (WHO), CDC, pharmaceutical industry and others with a financial stake in vaccines, such as researchers and universities who are paid to study vaccines and often hold patents to vaccines.  Evidence indicates vaccine manufacturers where largely behind this dramatic reversal of policy.  That impact is being felt worldwide in medicine and research.

They go so far as to formulate "working groups" such as Intercluster Vaccine Research Initiative (IVR) under the auspices of the World Health Organization. Their inaugural meeting was held June 16-18, 1999.  One of the missions is settling controversies whereby they determined that:

 “WHO should coordinate studies to address consumer fears regarding the safety of vaccines
 and assess the risk of adverse events and evaluate risk-benefit relation”
.

Evidence from the June 14, 2001 meeting of WHO SAGE (Strategic Group of Experts) indicates that in early 2001 vaccine manufacturers began pressuring the World Health Organization, the United States and others to continue the use of thimerosal by intimating it could threaten the production and availability.  The quote below is taken directly from that meeting report.

“WHO was extremely anxious to preserve the production and availability of vaccines.
  Industry was expecting clear signals from WHO on the thiomersal issue, as had been
 confirmed by informal consultations with some manufacturers during the first half of 2001.”

This meeting was attended by some high ranking United States vaccine officials:

US Centers for Disease Control (CDC) – Dr. Claire Broome (voting member); Dr. Walter Orenstein; Dr. Steve Cochi
Advisory Committee on Immunization Practices (ACIP/CDC) – Dr. Myron Levine
US Food & Drug Administration (CBER) – Dr. Kathryn Zoon (voting member)
National Institutes of Health (NIAID) – Dr. John LaMontagne (voting member); Dr. George Curlin; Dr. Mark Miller

By 2002, the vaccine manufacturers had applied enough pressure to get what they wanted and at an informal meeting with vaccine manufacturers ; high ranking vaccine officials from WHO, CDC, FDA, EMEA (UK's version of the FDA) and other countries formalized the intent whereupon they decided on May 21, 2002, largely for financial reasons to:

 "Develop a strong advocacy campaign to support ongoing use of thiomersal"

Although the WHO memo from May 21, 2002 appears to be the first time they solidified their intent to have a “strong advocacy campaign” for thimerosal, obviously the manufacturers had been pursuing the issue earlier. Some vaccine manufacturing executives, such as Dr. Ann-Marie Georges of GlaxoSmithKline, were so proud of that accomplishment; they were willing to brag about it in trade magazine interviews.  Dr. Georges stated:

"So it was not an easy situation to resolve, but manufacturers addressed the issue and it has ceased to be a problem."

As recent events in the news have revealed, the behavior and decisions of pharmaceutical companies, FDA and CDC officials are not always in the best interest of the public; rather the priority for a number of years has been profits and cronyism.  So it is not surprising to learn that medical journals, medical societies and researchers have been heavily and negatively influenced by pharmaceutical money as outlined in an article in the UK Telegraph where testimony in the House of Commons recently revealed the pharmaceutical industry routinely bribes doctors and "ghostwrites" articles about drugs in major medical journals.  The article went on to state that Professor David Healy, of the University of Wales, told the Commons health select committee that as many as half the articles published in journals such as the British Medical Journal and The Lancet were written by members of the industry who had a vested interest in selling the drugs involved.  One of the most distressing comments in the article was by a spokesman for the Association of the British Pharmaceutical Industry by claiming there was "nothing wrong" with articles in major medical journals being written up for a clinician by a company "as long as the person has seen the article and signed it off".

Something's Rotten in Denmark

Many physicians and health care workers are aware of what has become known as the "Denmark study" published in October 2003 Journal of American Medical Association (JAMA), which led many to believe the vaccine-autism association was finally disproved to everyone's satisfaction.  Unfortunately, the study (which incidentally was funded and produced by a Danish vaccine manufacturer) was severely flawed. Two recent letters to the editor by Dr. Bernard Rimland and Sallie Bernard in the January 14, 2004 issue of JAMA document these troubling analytical flaws.  Because this study is the one most frequently quoted by well-meaning physicians and public health officials to allay parents questions about the mercury-autism association, it is essential to understand the serious errors:

1) The entire findings of Hviid et al were based on finding fewer older children (born from 1990-1992) exposed to Thimerosal than younger children (born 1992-1996).

2) A significant number of autism cases (predominately in older children) were dropped from this registry every year (e.g., twenty-three percent of the autism-diagnosed 1995 cohort were lost in the 2000 registry analysis).

3) Questions about author bias began to surface when it was discovered that the authors did not disclose that they worked for a for-profit company that did about $120 million/year in vaccine revenues, which included exports of Thimerosal laden vaccines to the United States and serve as the sole contract vaccine manufacturer for the Danish government.

Review an in-depth analysis of the Denmark study and the numerous conflicts of interest and dataset manipulations.

While most of us find it disturbing that anyone, particularly scientists, would manipulate data in an effort to reach a pre-determined outcome or promote a particular agenda for financial or professional gain, it is actually quite common.  It is even more disconcerting to realize that many of these data manipulations are done at the hands of academia and/or government scientists.  Numerous books have been written on this very subject, such as Science, Money, and Politics : Political Triumph and Ethical Erosion by Daniel S. Greenberg; Science in the Private Interest : Has the Lure of Profits Corrupted Biomedical Research? by Sheldon Krimsky; Hazardous to Our Health? FDA Regulation of Health Care Products by Robert Higgs; Bitter Pills : Inside the Hazardous World of Legal Drugs by Stephen Fried; On The Take: How Medicine's Complicity with Big Business Can Endanger Your Health by Jerome Kassirer, M.D. or The Truth About the Drug Companies: How They Deceive Us and What to Do About It by Dr. Marcia Angell.  It is interesting to note that both Dr. Kassirer and Dr. Angell are former editors of the prestigious New England Journal of Medical.  Countless articles and studies appearing in other prestigious medical journals, such as the British Medical Journal, have bemoaned the numerous financial conflicts of interest in medical research but little has been done to rectify the deplorable situation.

Government and Thimerosal

If Thimerosal is ineffective as a antibacterial and has a questionable safety record, it begs the question: why has the general public not been better informed?  After all, if mercury is a potential factor in the causation of autism and Alzheimer's disease (just to name a few neurodegenerative conditions under suspicion), shouldn't the health care provider or the patient be made aware of the choice between mercury and non-mercury containing vaccines?  Our attempts to alert local and State health departments on this issue have been unsuccessful, particularly during the 2003 flu season where the public was admonished to obtain a vaccine laced with 25 micrograms of mercury and not told of a much safer alternative containing only 0.5 micrograms of mercury from the same company. In the 2004-2005 flu season, the CDC was so worried about not having a record-selling flu vaccine season, they came up with the "Recipe" for an effective flu campaign. (Note: The "Recipe" is also available on www.NoMercury.org ).  An overview of the 2004-2005 flu season debacle and other facts about the flu vaccine is available on our website.

Has Congress been asleep at the proverbial switch on this issue?  Not completely.  Congressman Dan Burton (R-Indiana), Chairman of the Committee on Government Reform initiated an investigation into Federal vaccine policy in August of 1999.  The investigation led to the numerous congressional hearings and a staff report.  The Majority Staff report of August 2000, on the conflicts of interest in vaccine policy making is quite informative.

Over the course of three years, the Committee would hold almost a dozen hearings regarding vaccines and vaccine policy.  We have made available within this document a few of the hearings dealing with Thimerosal.  The following documents are quite voluminous but well worth the time invested to read them:

On June 15, 2000 on FACA: Conflicts of Interest and Vaccine Development - Preserving the Integrity of the Progress.

On July 18, 2000 the Committee heard testimony on Mercury in Medicine - Are We Taking Unnecessary Risks?

Among the statements from the "Mercury in Medicine - Are We Taking Unnecessary Risks?" hearing held on July 18, 2000 are these by respected toxicologist Dr. H. Vasken Aposhian:

"There's no question that mercury does not belong in vaccines."

"There are other compounds that could be used as preservatives. "

"Everything we know about childhood susceptibility, neurotoxicity of mercury at the fetus and at the infant level, points out that we should not have these fetuses and infants exposed to mercury."

" There's no need of it in the vaccines."

On April 25-26, 2001 the Committee heard testimony on Autism - Why The Increased Rates?  One Year Update.

On April 18, 2002 the Committee heard testimony on The Autism Epidemic - Is NIH and CDC Response Adequate?

On June 19, 2002 the Committee heard testimony on The Status of Research Into Vaccine Safety and Autism.

On December 10, 2002 the Committee heard testimony on Vaccines and the Autism Epidemic: Reviewing the Federal Governments Track Record and Charting a Course for the Future.

A summary report prepared by the staff of the Subcommittee on Human Rights and Wellness, Committee on Government Reform, United States House of Representatives was published in The Congressional Record of May 21, 2003 detailing the results of the three year investigation.  This report and its conclusions are most troubling:

"...However, the Committee, upon a thorough review of the scientific literature and internal documents from government and industry, did find evidence that thimerosal did pose a risk.  Thimerosal used as a preservative in vaccines in likely related to the autism epidemic.  This epidemic in all probability may have been prevented or curtailed had the FDA not been asleep at the switch regarding the lack of safety data regarding injected thimerosal and the sharp rise of infant exposure to this known neurotoxin.  Our public health agencies’ failure to act is indicative of institutional malfeasance for self-protection and misplaced protectionism of the pharmaceutical industry."

Given the number of hearings and depth of the concern raised by the Congressional Reports as outlined above, one could reasonably expect Congress to take action and protect citizens or at least demand that FDA and CDC ensure the safety of vaccines.

Instead one of them, unbeknownst to most members of Congress and presumably at the direction of the White House, inserted a provision in the Homeland Security Bill to provide protection from litigation for Eli Lilly, makers and patent holders of Thimerosal. The public and the press were outraged, forcing Congress to repeal the liability protection provision.

The Government Reform Committee is not the only one to voice concerns.  On May 20, 2004, just two days after the IOM report was released which supposedly "rejected" a causal relationship between vaccines and autism, the Office of Special Counsel, sent a letter to Congress and issued an unprecedented press release calling for an investigation.  To date, Congress has not responded to the concerns raised by Congressman Burton, Congressman Weldon or Special Counsel Bloch.

However, some in Washington are quick to respond to the concerns of the pharmaceutical industry, some of the largest campaign contributors in the Presidential and Congressional races.  Many suspect this is yet another Gift to Drug Makers, including some at the New York Times.

The Institute of Medicine report of May 2004

On February 9, 2004, the Institute of Medicine's Immunization Safety Review Committee held a hearing on the issue of vaccine safety, specifically in regards to the link between Thimerosal and autism. The authors of this document attended that meeting and testified during the public comment period at the end.  Some observations from that meeting:

1) The scientific evidence presented by many respected physicians, scientists and researchers (biochemical, clinical, molecular and toxicological) was overwhelming in regards to the causality of mercury poisoning and autism/neurodevelopmental disorders.

2)  Epidemiological studies presented by Hviid, DeStefano of the CDC, Kumanan Wilson, M.D. of the Toronto General Research Institute, Dr. Elizabeth Miller of the UK Immunization Division, and Robert Davis, M.D. of the University of Washington were essentially the same ones mentioned above (with the same design flaws, questionable datasets and conflicts of interest).

3) In our opinion, the bias towards the pro-Thimerosal forces by several members of the Immunization Safety Committee was palpable.

4) Several of the press reports (e.g. Wall Street Journal, Washington Post) made little or no mention of the pro-vaccine safety research which convincingly linked Thimerosal to neurodevelopmental disorders in children.

A television news report of the meeting, and follow-up to his previous investigation, was done by Steve Wilson at WXYZ.

When their report was release in May 2004, it was clear the IOM ignored all the documented clinical and toxicological evidence against the thimerosal-autism link; and their final published report remains as an indictment against them.  Let's take a closer look at what really transpired and why the findings in the report are suspect.

What if the austere Institute of Medicine Immunization Safety Committee had known about the research of Dr. Mady Hornig or the research of Dr. David Baskin, Dr. Boyd Haley or Dr. Vas Aposhian during their February 9, 2004 meeting?  Certainly this would have driven the final nail in the coffin for doubters of thimerosal toxicity.  Well, Dr. Hornig was the first presenter of that meeting and detailed her soon-to-be published findings in the preceding paragraph.  If you are on-line, click here to view the IOM website and you will note that Dr. Hornig's presentation is listed (and linked) in the 8:30 am time slot. And, yes, she did present to the full committee.  As did Dr. Baskin, Dr. Haley, Dr. Aposhian and Dr. Geier.  We were present at that meeting and the evidence was voluminous and compelling.

How did the IOM explain away Dr. Hornig's findings in their report or the other toxicological, biochemical and pharmacokinetic evidence?  They stated that the rodent model in this instance was "theoretical".  In our opinion, "theoretical" is better applied as a descriptive term for the poorly done and hurriedly published mathematical models from the hands of the vaccine manufacturers' own researchers.

The epidemiological flaws in the studies the IOM relied upon, as outlined above, are among the reasons, according to Dr. David Baskin in his comments at the February 9, 2004 IOM Vaccine Committee, that the relationship of neural tube defects and folic acid deficiency were initially missed.  Nonetheless, there is ample good epidemiological data that does show the increased risk of neurodevelopmental disorders. In February 2004, Geier and Geier published this article which found there were statistically significant odds ratios for the development of autism following increasing doses of mercury from Thimerosal-containing vaccines (birth cohorts: 1985 and 1990–1995) in comparison to a baseline measurement (birth cohort: 1984). This article, which appeared in the Medical Science Monitor.

We are not the only ones to believe it is not prudent to reply upon or give due weight to epidemiological studies in rejecting a causal link between Thimerosal and Autism.  Although, this is exactly what the Immunization Safety Review Committee did in their May 2004 IOM report because its conclusions (page 36 of the report) are based, by their own admission, on epidemiological studies alone.

"Epidemiological studies examining thimerosal-containing vaccines and autism, including three controlled observational studies (Hviid et al., 2003; Verstraeten et al., 2003; Miller, 2004) and two uncontrolled observational studies
 (Madsen et al., 2003; Stehr-Green et al., 2003), consistently provided evidence of no association between thimerosal-containing vaccines and autism, despite the fact that these studies utilized different methods and examined different populations (in Sweden, Denmark, the United States, and the United Kingdom) …"

"… Thus, based on this body of evidence, the committee concludes that the evidence favors rejection of a causal relationship between thimerosal-containing vaccines and autism."

Remember, Dr. Verstraeten wrote to Pediatrics to specifically state that his study could not be used to exonerate Thimerosal.

Even one of the most ardent supporters of vaccines and defenders of Thimerosal, such as Dr. John Clements, admit that epidemiology will not prove that Thimerosal is safe.  If you read the Simpsonwood meeting minutes, you will recall the statements of John Clements, M.D. and his admonishment to the others that the results of Verstraeten's early analysis of the Vaccine Safety DataLink regarding Thimerosal and Neurodevelopmental Disorders could have been predicted.  As you will see in his paper published in
Vaccine 22 (2004) 1854–1861 where he attempts to say Thimerosal is not dangerous at levels found in vaccines but finally admits the following:

"It is not possible to prove thiomersal is completely safe – epidemiology can only quantify a risk, not prove its absence."

1n 1997, the Mercury Review Subcommittee, a scientific advisory board,  made an important report to Congress known as the "SAB report."  In Section 5.6 of this report, found on page 111, the reviewers succinctly qualified the problem with doing epidemiological studies on a population subgroup of affected individuals with mercury toxicity.  The report summarized these thoughts on page 114 with this paragraph:

"All of these factors notwithstanding, the data regarding effect modification in human epidemiologic studies of mercury poisoning are currently too meager to base separate estimates of human health risks or establish different RFD’s for various subpopulations."

The current "meager" epidemiological analyses previously published using the altered Verstraeten dataset would certainly fall into this category.  Perhaps the most accurate assessment of epidemiological studies was given on December 8, 2004 in the House of Lords at Parliament by Countess of Mar:

“When the pressure becomes too great, the Government and their advisers retreat behind the curtain of epidemiological studies. Without concurrent clinical studies, I have concluded that they are the medico-scientific equivalent of the parliamentary filibuster. ”

The May 2004 IOM report also condemned as chelation of mercury as dangerous for children with autism and concomitant elevated body burdens of this toxic metal on challenge testing, writing that "Chelation is currently indicated only for high-dose, acute mercury poisoning."

Why would the IOM make such a finding when it is clearly in conflict with the known standard of care for mercury intoxification.  When pediatricians specializing in Environmental Medicine and experts in mercury intoxication met at the famous Bangkok Conference on Environmental Threats to Children in March of 2002 they felt strongly about the benefits of chelation.  Dr. Stephan Boese-O'Reilly gave a presentation at the Bangkok Conference titled, Multiple Manifestations of Mercury Intoxication and was quite clear on this subject:

“With chelating agents it is possible to reduce the body burden of mercury,
 and to improve some of the symptoms of a chronic mercury intoxication."

 "DMPS is an agent simple to use as an oral medication, with few side effects only.”

It is ludicrous to have the IOM conclude chelation is dangerous and inappropriate in light of mounting scientific evidence, such as presented at this conference. The IOM did not consider this evidence nor the expert opinions of those who specialized in this field. One must wonder why this evidence was not considered when this conference took place almost 2 years before the IOM hearing.

Of course, keep in mind the CDC contracted and paid the IOM for the study.  The specifications on which the reports were to rely upon were established by the CDC per Task Order number 74 of their contract with the Institute of Medicine.  The CDC indicated the IOM should rely solely on epidemiology and not clinical, toxicological or other studies. But why?

New evidence recently came to light the CDC apparently pressured the IOM to deny a causal relationship between vaccines and autism regardless of the evidence in an attempt to exonerate themselves and the National Immunization Program from the thimerosal debacle.  This transcript of the January 12, 2001 closed meeting of the IOM has been turned over to a U.S. District Court judge in Texas.

In another troubling indication of the bias of the IOM, listen to a brief audio exchange between Kathleen Stratton, Ph.D. and Andrew Wakefield, M.D. from the May 2004 Chicago Autism One conference.  Dr. Stratton is the Study Director of the IOM Immunization Safety Review Committee and Dr. Wakefield is the British gastroenterologist who discovered the presence of vaccine strain measles virus in the guts of many autistic children.  This audio file is a 9 minute and 46 second sound byte but the exchange becomes quite intense at 3 minutes and 19 seconds into this Windows Media sound file.  It is our opinion this new information will cast shadows of doubt, deception, delusion over their previous conclusions for other vaccine issues examined by the IOM committee.

Dr. Stratton's own words reflect the incongruence between the Committee's opinions and the final report:

 “The Committee never said mercury is good for you…certainly they don’t believe that.  Mercury is a known neurotoxin.
 Mercury can’t be good for the developing body.   The question was, ‘Is there evidence that the mercury in vaccines causes autism?’
The committee believes that that remains a theory.”

Even recent news articles indicate that many of the IOM Immunization Safety Review Committee members are backing away from the harsh recommendations in the report that call for no further research into the connection between vaccines and autism.  Such a statement took most of the medical and research community by surprise for it is the antithesis of all that medicine and research strives to promote...answers to questions and hypotheses.

Publications

Researchers are not the only ones probing into the possibility of a connection between the preservative and neurological damage to children.  In the January 3, 2004 issue of the prestigious National Journal, Neil Munro wrote a telling exposé on this issue titled "Missing the Mercury Menace"   However, this was certainly not the first journalistic examination of the potential harmful side effects of certain vaccines.  In 1996, Andrea Rock's article "The Lethal Dangers of the Billion-Dollar Vaccine Business" published in Money Magazine cast an unflattering shadow over the vaccine industry.  Although there have been numerous articles written surrounding the Thimerosal controversy in particular, a few are noteworthy for their in-depth inquiries into the mercury/autism connection.

By November 2002 when an article by Arthur Allen appeared in the NY Times Magazine called "The Not-So-Crackpot Autism Theory" some health officials sensed the public relations nightmare they feared since 1999 was on the horizon .  That highly visible article was followed by  "Vaccines May Fuel Autism" by Kelly O'Meara in the June 24, 2003 issue of Insight on the News.  Even Mark Benjamin, the award-winning investigations editor at United Press International conducted a four month investigation which culminated into the July 21, 2003 article entitled "UPI Investigates: The Vaccine Conflict" .  Unfortunately for the CDC and FDA, the public relations nightmare did not end there because other investigative journalists were also exploring this issue as seen in  "Autism in a Needle"  and "Eli Lilly and Thimerosal" by Annette Fuentes published in the November 2003 issue of In These Times.  This was followed by yet another article by Kelly O'Meara in the December 23, 2003 issue of Insight on the News titled "CDC Study Raises Suspicion"  Just after the Institute of Medicine's Immunization Safety Committee meeting in Washington, DC in February 2004, Andrea Rock published another extensively researched exposé  in Mother Jones' magazine entitled "Toxic Tipping Point"  in the March/April 2004 issue.  The intense scrutiny generated by Andrea Rock's article was barely waning when Seed Magazine published "The Rise Against Mercury" by Sarah Bridges.  The devastating impact mercury-containing vaccines have had on children and their families was poignantly portrayed in an article titled "A Family's Crusade" by Susan Redden of The Joplin Globe.

Perhaps one of the most troubling articles about Thimerosal was written by Myron Levin, an investigative journalist with The Los Angeles Times.  In the February 8, 2005 story, which appeared on the front page, it was revealed that Merck, a major vaccine manufacturer, admitted children would be exposed to 87 times the EPA "safe" limit of mercury in a
1991 internal Merck memo by Dr. Maurice Hilleman to company executives if the recommended childhood vaccine schedule was rapidly expanded as the CDC had planned.  It should be noted that Merck sought Dr. Hilleman's input and insight on Thimerosal in 1991 more than 6 years after he retired from the company because he had steered Merck through other scientific and political landmines on numerous occasions such as importing AIDS and SV-40 viruses in monkeys. 
A
t Merck, he had gained a reputation for his scientific intellect and cunning business acumen and it was probably for this reason they trusted him to understand the political, legal and public relations implications of Thimerosal.  According to an article in Slate Magazine, one former Merck employee testified to Congress in 1972 that he had attended meetings where Dr. Hilleman roared,

"Getting vaccine products licensed has nothing to do with science; it's politics, not science that gets products licensed!"

Ironically, in his memo, Dr. Hilleman mischaracterized Thimerosal as phenyl mercury, instead of ethyl mercury, stating it was less dangerous than methyl mercury despite having the correct classification listed elsewhere in the memo.  Was this a mistake or a calculated misstatement?  Dr. Hilleman , a world renown vaccinologist that retired from Merck as a senior Vice President in 1984, refused to be interviewed about Thimerosal or the memo.  Unfortunately, Dr. Hilleman died on April 11, 2005 leaving many questions unanswered. 

The memo indicates that Merck apparently had serious concerns about mercury in vaccines for almost a decade before beginning to remove it from their products.  Even after they stop producing vaccines containing the large levels of Thimerosal, they refused to recall their mercury-laden products which allowed them to stay in the market stream for a number of years and be injected into infants and children.  In fact, in a subsequent article by Mr. Levin of the Los Angeles Times confirmed that the FDA allowed Merck to continue to sell/distribute mercury-containing vaccines more than 11 years after the memo acknowledging the dangers to children.  A
letter from the FDA to Congressman Dave Weldon  in June 2003 revealed that several childhood vaccines contained up to 25 micrograms of mercury long after 1999.

Media

1) Online Investigative Report by WXYZ News in Detroit (click here for broadband) on Vaccines and Thimerosal - This 3 part series aired December 2003 and has received critical acclaim as a well researched investigation into this problem. An updated report was released on WXYZ on February 12, 2004 providing an overview of the February 9, 2004 IOM meeting in Washington.  This report can be viewed online here.

2) The University of Calgary video - This is a teaching video based upon Leong and Syed's publication in NeuroReport Volume 12, number 4, 733-737 (Click here to see online abstract). This seven-minute video is an incredible instructional tool that is actually a summary of the article.

3) Dr. Boyd Haley is Chairman and Professor of Chemistry at the University of Kentucky and is one of the world's premier experts on mercury toxicity. When time is available to you (one hour), please watch Dr. Haley's online streaming video lecture on Mercury and Autism/Alzheimer's disease. He developed the process of radio-nucleotide photo affinity labeling some years ago.  The presentation is set up to view in small time allotments if needed. Slides and video can be navigated by mouse clicks. This lecture will definitely change your thinking on the relationship of mercury to autism and our rapidly increasing epidemic of neurodegenerative disorders in adults.

4) Another excellent investigative news story was by Melissa Ross of First Coast News, titled CDC Knew of Potential Link Between Vaccines, Autism which aired in February 2004 on WJXX-TV & WTLV-TV, Jacksonville, Florida.

5) One of the first in-depth investigative news reports came from Valeri Williams of WFAA-TV in Dallas, Texas.  This two part series aired in May 2002 and explores Mercury in Childhood Vaccines: What did the Government Know?

As public scrutiny intensifies, we see more parents, educators and physicians struggle with the alarming rise in children with neurodevelopmental problems.  How embarrassing it must be for the National Immunization Program officials at the CDC, the FDA, the American Academy of Pediatrics and other institutions as child-advocate parents and researchers demonstrate how easy it would have been to prevent these diseases by removing Thimerosal in the 90's when the FDA discovered they had allowed children to be exposed to toxic levels of mercury.

 Mercury-free vaccines

It is important to have mercury free (or at most trace amounts of mercury) alternatives available to the population in order to comply with any future legislation.  This form will document that there are indeed mercury free and/or trace mercury vaccines available for the pediatric population.  There are, however, still several adult vaccines that are not presently mercury free. Obviously, any legislation will need to consider this reality and simply require that once these adult vaccines are available in a mercury free or trace mercury formulation, that they be the preferred injectables for adults patients.  Since not all vaccines are mercury free, some consideration will need to be included in the bill for a limited phase-in or short grace period to allow the manufacturers to produce a mercury free product.  A provision to call for their removal when suitable replacements are available seems to be a prudent action as well.

Recent statements made by well-meaning state legislators saying that a bill to ban mercury is not needed because industry is moving towards its removal are, unfortunately, dead wrong.  One need only to look at history to see why. Asbestos was banned in 1989 and everyone knows of its severe health consequences; however, a federal court overturned the ban on a technicality in 1991 and the ban was never re-filed.  Consequently, asbestos is now in over 3,000 products in the US. Is there any reason to think that industry would treat the profitable compound, Thimerosal, any differently?

Conclusion

It is disheartening to realize the damage this fiasco will ultimately inflict on the integrity of many in our public health profession, especially those in critical policy-making positions. The loss of credibility in the area of research alone, both to scientists and institutions will reverberate through the profession for many years. It will place such an undue burden on a medical profession already laboring to meet the needs of patients in an era of cost containment, risk management and pre-certification.

How daunting it seems for a truly dedicated medical professional to endure a loss of confidence in the very profession you have devoted so much time and effort while trying to mitigate the damage caused by the unrelenting efforts of various regulatory agencies, insurance companies, hospital administrations and others whose sole purpose in life seems to be to destroy the sacred physician/patient relationship. To what end…for what purpose?

It is difficult to fathom the reasoning of those individuals who willingly expose children to a KNOWN neurotoxin, risking the health and welfare of millions of children while unrepentantly manipulating data and research that will sacrifice the integrity of the entire medical profession to further their own interests. Have they NO moral or social conscience?

If you still have doubts about the toxicity of Thimerosal, please take a moment to read the Thimerosal Material Safety Data Sheet from Sigma, a manufacturer of Thimerosal.  Or view a vial of Thimerosal which features the international symbol for POISON (the skull and crossbones).

 

 

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