** From: "Rudy Sutadi, MD" <[EMAIL PROTECTED]> ----- Original Message ----- From: IDAI Jaya <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: 11 Februari 2001 12:54 Subject: Re: [IDAI-OT] Fw: [diskusi-autis] FW: Why Japan Banned MMR Vaccin e/ BMJ Impugns the Motives of Dr W akefield > Anggota milis yth, > > Dengan tidak mengurangi rasa hormat saya thd kebebasan memberikan > pendapat dalam milis ini, ada baiknya memang untuk sementara berita ttg > Autism dan MMR di hentikan sambil menunggu tanggapan resmi dari IDAI dan > atau pemerintah. Disadari bahwa masalah ini telah menimbulkan kepanikan > dikalangan orang tua. MAri kita membatasi diskusi untuk hal2 lain dulu. > > Terima kasih. > Moderator. > > On Fri, 9 Feb 2001 07:44:45 -0000 > "Patria, Diah" <[EMAIL PROTECTED]> wrote: > > > Buat dokter Rudy, dengan tidak mengurangi rasa hormat karena sudah > > memberikan informasi mengenai autis kepada kami orang awam..mohon untuk > > tidak menambah ketakutan kami dengan terus menerus mengirim posting mengenai > > bahaya MMR dan Autis..terus terang saya jadi selalu cemas, berada dalam > > ketakutan, takut kalu suatu hari anak saya 19bln yang sudah bicara > > lancar..jalan diusia 11 bulan tiba-tiba menderita Autis..meskipun autis itu > > bisa disembuhkan menurut dokter..tapi tetap saja bagi saya posting dokter > > itu bikin saya cemas dan geram..geram karena bukan posting yang menghibur > > buat ibu-ibu yang terlanjur mengvaksinkan anaknya..tapi ibarat teror, ibarat > > bom waktu yang siap meledak..tolong dok..kalau bisa kirim posting mengenai > > bagaimana mencegah anak menjadi autis buat > > yang terlanjur divaksin..atau hal yang menghibur lainnya lah... > > > > > > > > Salam > > > > Bundanya Sulthan > > -----Original Message----- > > From: Sugiarti [mailto:[EMAIL PROTECTED]] > > Sent: 09 February 2001 12:20 > > To: [EMAIL PROTECTED] > > Subject: RE: [IDAI-OT] Fw: [diskusi-autis] FW: Why Japan Banned MMR > > Vaccine/ BMJ Impugns the Motives of Dr W akefield > > > > > > Halo dokter > > > > Terus terang saya makin lama makin resah kalau membaca email mengenai > > hubungan MMR dan autisme ini. > > Dokter juga sering posting tentang hal ini ke milis balita-anda, idai-ot, > > dan balita-kita. > > Apakah memang benar dok, hal ini akan terjadi sama anak saya juga, kan baru > > imunisasi MMr tgl 19 jan kemaren. > > Dengan catatan, anak saya sekarang udah bisa ngomong, udah bisa lari dan > > jalan, giginya juga sudah numbuh banyak. > > Saya mohon jawaban dari dokter, agar saya tidak cemas terus nih, dok. > > > > Terima kasih atas kesediaan waktu dokter untuk reply email dari saya ini. > > salam > > ibunya laras > > > > -----Original Message----- > > From: > > [EMAIL PROTECTED] > > [mailto:[EMAIL PROTECTED] > > .com]On Behalf Of Rudy Sutadi, MD > > Sent: Friday, February 09, 2001 11:20 AM > > To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; > > [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; > > [EMAIL PROTECTED] > > Subject: [IDAI-OT] Fw: [diskusi-autis] FW: Why Japan Banned MMR Vaccine/ > > BMJ Impugns the Motives of Dr W akefield > > > > > > ----- Original Message ----- > > From: ......dihapus.......... > > To: <[EMAIL PROTECTED]> > > Sent: 09 Februari 2001 10:20 > > Subject: [diskusi-autis] FW: Why Japan Banned MMR Vaccine/ BMJ Impugns the > > Motives of Dr W akefield > > > > > > > Ini informasi baru dari FEAT. > > > > > > Sesudah ortu di negara maju ribut mengenai MMR, aku balik ngecek medical > > > record si ...dihapus... dan ternyata dia sudah ngomong sampai usia 14 > > bulan. Lalu > > > dapat MMR usia 14 bulan, dan jadi sakit-sakitan...tapi saya pikir waktu > > itu > > > karena dia baru punya adik..karena cemburu adiknya yang baru lahir...Lalu > > > ternyata kemampuan berbahasanya hilang dan juga mempunyai dunia > > > sendiri....ciri-ciri autisma.... > > > > > > Saya tidak bisa memastikan sekali saat ini apakah ia jadi autis karena > > MMR, > > > selain karena vaksin Hep B yang dia dapat sampai 4 kali...(karena emaknya > > > percaya banget dengan program vaksinasi). Yang jelas...di DAN 2000 > > > conference ...70-80% ortu yang hadir percaya anaknya jadi autis gara-gara > > > vaksin...dan ternyata MMR itu belum pernah lolos FDA....gile nggak.... > > > > > > Tapi ...dihapus... akan di periksa sampel darahnya di lab Vijendra Singh > > bulan > > > Maret ini dan let'see whether si vaksin monyong MMR itu yang bikin > > > gara-gara. > > > > > > Hal yang positif...saya jadi rajin berdoa supaya otak anak saya > > disembuhkan > > > Tuhan...abis mau bikin apa lagi..iya kan..selain itu juga mengampuni > > tragedi > > > vaksin yang terjadi ...dan mendoakan tidak ada korban-korban baru....apa > > > bisa ya...kalau MMR tetap diberikan ke anak-anak... > > > > > > Ya...yang penting doa dulu deh... > > > > > > Salam, > > > > > > ........dihapus (nama orangtua).............. > > > > > > -----Original Message----- > > > From: FEAT News [mailto:[EMAIL PROTECTED]] > > > Sent: Thursday, February 08, 2001 6:40 AM > > > To: [EMAIL PROTECTED] > > > Subject: Why Japan Banned MMR Vaccine/ BMJ Impugns the Motives of Dr > > > Wakefield > > > > > > > > > FEAT DAILY NEWSLETTER Sacramento, California http://www.feat.org > > > "Healing Autism: No Finer a Cause on the Planet" > > > ______________________________________________________ > > > February 7, 2001 Search www.feat.org/search/news.asp > > > > > > Also: BMJ Impugns the Motives of Dr Wakefield > > > > > > > > > Why Japan Banned MMR Vaccine > > > > > > [By Jenny Hope, Daily Mail.] > > > > > http://www.femail.co.uk/pages/standard/article.html?in_article_id=17509&in_p > > > age_id=25 < -- address ends here. > > > > > > Japan stopped using the MMR vaccine seven years ago virtually the > > only > > > developed nation to turn its back on the jab. > > > Government health chiefs claim a four-year experiment with it has > > had > > > serious financial and human costs. > > > Of the 3,969 medical compensation claims relating to vaccines in the > > > last 30 years, a quarter had been made by those badly affected by the > > > combined measles, mumps and rubella vaccine, they say. > > > The triple jab was banned in Japan in 1993 after 1.8 million > > children > > > had been given two types of MMR and a record number developed non-viral > > > meningitis and other adverse reactions. > > > Official figures show there were three deaths while eight children > > > were left with permanent handicaps ranging from damaged hearing and > > > blindness to loss of control of limbs. > > > The government reconsidered using MMR in 1999 but decided it was > > safer > > > to keep the ban and continue using individual vaccines for measles, mumps > > > and rubella. > > > The British Department of Health said Japan had used a type of MMR > > > which included a strain of mumps vaccine that had particular problems and > > > was discontinued in the UK because of safety concerns. > > > The Japanese government realised there was a problem with MMR soon > > > after its introduction in April 1989 when vaccination was compulsory. > > > Parents who refused had to pay a small fine. > > > An analysis of vaccinations over a three-month period showed one in > > > every 900 children was experiencing problems. This was over 2,000 times > > > higher than the expected rate of one child in every 100,000 to 200,000. > > > The ministry switched to another MMR vaccine in October 1991 but the > > > incidence was still high with one in 1,755 children affected. No separate > > > record has been kept of claims involving autism. > > > Tests on the spinal fluid of 125 children affected were carried out > > to > > > see if the vaccine had got into the children's nervous systems. They found > > > one confirmed case and two further suspected cases. > > > In 1993, after a public outcry fuelled by worries over the flu > > > vaccine, the government dropped the requirement for children to be > > > vaccinated against measles or rubella. > > > Dr Hiroki Nakatani, director of the Infectious Disease Division at > > > Japan's Ministry of Health and Welfare said that giving individual > > vaccines > > > cost twice as much as MMR 'but we believe it is worth it'. > > > In some areas parents have to pay, while in others health > > authorities > > > foot the bill. > > > However, he admitted the MMR scare has left its mark. With > > vaccination > > > rates low, there have been measles outbreaks which have claimed 94 lives > > in > > > the last five years. > > > > > > > > > >> DO SOMETHING ABOUT AUTISM NOW << > > > > > > Subscribe, Read, then Forward the FEAT Daily Newsletter. > > > To Subscribe go to www.feat.org/FEATnews No Cost! > > > > > > * * * > > > > > > British Medical Journal Impugns the Motives of Dr Wakefield > > > > > > [BMJ 2001;322:306 ( 3 February ).] > > > Reviews Press - Man, mission, rumpus > > > > > > One method of measuring a journal's influence is by counting the > > > number of times it is mentioned in the general media. Last week, much to > > its > > > surprise, a little known publication called Adverse Drug Reactions and > > > Toxicology Reviews (circulation 350) topped the list. Oxford University > > > Press, the publisher, readily admits that this is one of the smallest and > > > least influential journals in its stable. But it reckoned without Andrew > > > Wakefield, consultant gastroenterologist at the Royal Free Hospital, > > London, > > > the main advocate for a link between the mumps, measles, and rubella > > triple > > > vaccine (MMR) and autism (Lancet 1998;351:637-41). > > > Wakefield's latest offering, "Mumps, measles, rubella vaccine: > > through > > > a glass darkly," was published on 22 January 2001 (Adverse Drug React > > > Toxicol Review 2000;19(4):265-83). The vaccine had, it is claimed, been > > > introduced without sufficient evaluation, and this claim was swept up by a > > > media storm that sucked in the UK's Department of Health, the World Health > > > Organization, and most broadcast and print media for several days either > > > side of publication. This was a remarkable response to an unsystematic > > > review published in an obscure journal that had no intention of issuing a > > > press release. > > > You are wondering how the media got hold of the article? Wakefield > > is > > > a trustee of a medical research charity called Visceral, whose stated aim > > is > > > to support research on intestinal disease. On 19 January, Visceral issued > > a > > > press release on Wakefield's latest work. "There is growing parental and > > > professional concern about the safety of the trivalent MMR vaccine," began > > > the press release, and it went on to outline Wakefield's reservations. > > > Journals often issue press releases on controversial articles to > > > explain the implications to journalists so that the message isn't lost > > amid > > > the media hype. Visceral's press release does not seem to have been > > designed > > > with that in mind. Although this is a charge denied by Visceral's chief > > > executive, Robert Sawyer, his discussions with Oxford University Press > > were > > > certainly too little too late. > > > "There are two reasons [for the press release]," claimed Sawyer. > > > "After consideration it was agreed that this article, in this journal, was > > > likely to be noticed by any of the many well qualified media watchers > > among > > > the tens of thousands of people and families affected by either autistic > > > enterocolitis or inflammatory bowel disease. > > > "Additionally, in the light of an unprecedented pre-emptive press > > > campaign by members of the Department of Health, material was prepared and > > > sent to a few well informed journalists and to a press agency. Second, as > > a > > > medical research charity, Visceral is under a general duty to disseminate > > > results of research funded by charitable grants and contributions." > > > It is difficult to be persuaded by Sawyer. For an article in Adverse > > > Drug Reactions and Toxicology Reviews to be "noticed" would be unusual, an > > > observation that Oxford University Press would agree with. And it is > > unclear > > > from the published article what funding Wakefield received. Indeed it > > would > > > have been unusual for him to be funded for a review article of this kind. > > > A further objective, according to Sawyer, was to "limit the > > > interruption of the work and personal lives of the authors and to enable > > > further requests by the media to be refused on the grounds that enough had > > > been said." This was not borne out by subsequent media coverage. > > > The rest, as they say, is history. The Sunday Telegraph (21 January) > > > led the charge on Wakefield's behalf. "Shame on officials who say MMR is > > > safe," tut-tutted Lorraine Fraser, presumably one of the "well-informed > > > journalists" that Sawyer was referring to. She trumpeted an exclusive with > > > Wakefield, announcing that he had "diagnosed 170 cases of a new syndrome > > of > > > bowel disease and autism which defy the official wisdom." Fraser also > > > described Adverse Drug Reactions and Toxicology Reviews as a "respected > > > medical journal," which was news to most people, who had never heard of > > it. > > > Wakefield has a history of courting the press. The Lancet described > > > his behaviour at the press conference about his 1998 Lancet study as "a > > huge > > > blow to the efforts of measles eradication," and implied that his claims > > > were not shared by his co-authors (Lancet 2000;355:1379). He also > > attracted > > > attention by presenting unpublished data at a US Senate congressional > > > oversight committee in Washington last April. > > > Ignoring concerns over the safety of the MMR vaccine might be unwise > > > (the recent BSE inquiry springs to mind (BMJ 2000;321:1097)), but > > Wakefield > > > and his supporters have a long way to go to prove their case (BMJ > > > 2000;322:183). Regrettably, the media fallout of Wakefield's paper runs > > the > > > risk of causing more harm than good to child health. > > > Kamran Abbasi, BMJ. > > > > > > > > > Letter to the BMJ (electronic edition): > > > > > > BMJ impugns the motives of Dr Wakefield and the charity Visceral as > > > being driven by self-promotion with careless disregard for the health of > > > children. Your review asserts that without the promotional efforts of > > > Visceral, the media would not have known of Wakefield's research published > > > in an obscure journal. > > > I cannot comment on the attentions of the British lay press, but as > > > editor of the autism-focused FEAT Daily Newsletter on the Internet, I can > > > assure you that its 20,000 readers are keep abreast of the works, and the > > > criticisms of the works, of Dr Wakefield. Our readers include parents of > > > children with autism, caregiver professionals, researchers and members of > > > the American press. Dr. Wakefield is no secret to us, as much as the BMJ > > > may prefer him to be, and neither are the untoward attacks on his > > > character by his detractors. > > > > > > Lenny Schafer > > > Izak's dad > > > FEAT Daily Newsletter > > > Editor > > > _______________________________________________________ > > > > > > Please help us save a lifetime, your child's and ours' > > > > > > Send your United Way Contributions to FEAT: Put 16106 on your donor > > > form at work. Or send to: FEAT PO Box 255722 Sacramento CA 95865 > > > _______________________________________________________ > > > Lenny Schafer, Editor Catherine Johnson PhD Ron Sleith Kay Stammers > > > [EMAIL PROTECTED] Unsubscribe: [EMAIL PROTECTED] ----------------------------------------------------------------- MAILING LIST DOKTER INDONESIA (MLDI) Chatting, arsip, konsultasi pakar, info obat tradisional dapati di : http://www.mldi.or.id Untuk unsubscribe kirim email ke [EMAIL PROTECTED] dengan isi email: unsubscribe dokter <ganti dgn email anda> -----------------------------------------------------------------
