So, Andrew Wakefield has been struck off by the GMC. Brian Deer has covered the story extensively and uncovered details about the trials that proved to be Wakefield's downfall - details about payments from the legal aid fund, a patent for a vaccine, and the questionable way in which the trials were carried out. His determined investigations show how good journalism can function as a counterbalance to poor judgment by a whole host of agencies from ethics committees to the Lancet which unintentionally promoted the spread of the MMR-autism belief.
But a great deal of blame has also been directed at the newspaper stories that covered the initial findings (based it has to be said on a press conference at the Royal Free Hospital chaired by its professor of medicine, and then on a paper in the Lancet, - both of which most journalists would regard as reasonable sources).
While it would be impossible to defend all the coverage, it is worth noting the historical context.
The UK had recently emerged from the BSE crisis. The medical establishment had been found to be over-sanguine about the threat, ministers had dissembled, and the chief medical officer chose not to correct unfortunate ambiguously reassuring statements. It took much longer than it should have for the real risks to be identified and for preventive action to be taken.
In this context, the pursuit of the MMR-autism hypothesis, in the face of establishment opposition, looks less contrary, and more like the pursuit of the public interest against an orthodoxy that had recently been found to be less than open. What is not defensible is the subsequent highly selective reporting of studies that gave some weight to the hypothesis while ignoring the numerous, better, bigger, more statistically significant studies that did not.
The 'swine flu' pandemic last year shows that an open attitude and a recognition of uncertainty is the right response to take. Most people are sympathetic to the 'damned if you do, damned if you don't' tightrope of a response to a potential health threat. What they find less forgivable is the realisation that information, albeit imperfect information, is being concealed, or finessed.
BSE was a bad enough scandal by itself. The bad taste it left in the mouths of journalists and others was a contributory factor in the wildfire spread of the belief, however unsupported by evidence, that MMR might contribute to autism.
Showing posts with label journalism. Show all posts
Showing posts with label journalism. Show all posts
Monday, 24 May 2010
Tuesday, 20 April 2010
This stuff shouldn't irritate me, but it does
Things reporters get wrong but shouldn't part45...
This report on abdominal obesity on the BBC health news website says 'Excess weight around the middle generates oestrogen and excess chemicals in the stomach, which put people at higher risk of killer diseases.'
I haven't checked the source materials, but I'm pretty sure the excess chemicals they are talking about are inflammatory cytokines. Which would be hydrolysed and destroyed if they were in the stomach, and so not in a position to do any damage. It's when the cytokines produced by the metabolically active fat gets into the blood that the trouble starts (and it's fair enough not to go into too much detail on the immunology...)
The BBC would not let a political or sport story containing such a howler to get through. Its reporters and editors are complete geeks about the different stages of a parliamentary bill or the Liverpool back four from 1974.
Didn't an editor somewhere along the line, wonder how chemicals in abdominal fat cells were transported to the stomach, and how they would then be in a position to increase the risk of heart disease, diabetes and cancer? Did no one in the news room have A level understanding of digestion?
Just looked up the source for the story. It's a churnalism classic: amplifying a badly written and ambiguous phrase in the press release and turning it into an error.
Lazy, careless and ignorant.
This report on abdominal obesity on the BBC health news website says 'Excess weight around the middle generates oestrogen and excess chemicals in the stomach, which put people at higher risk of killer diseases.'
I haven't checked the source materials, but I'm pretty sure the excess chemicals they are talking about are inflammatory cytokines. Which would be hydrolysed and destroyed if they were in the stomach, and so not in a position to do any damage. It's when the cytokines produced by the metabolically active fat gets into the blood that the trouble starts (and it's fair enough not to go into too much detail on the immunology...)
The BBC would not let a political or sport story containing such a howler to get through. Its reporters and editors are complete geeks about the different stages of a parliamentary bill or the Liverpool back four from 1974.
Didn't an editor somewhere along the line, wonder how chemicals in abdominal fat cells were transported to the stomach, and how they would then be in a position to increase the risk of heart disease, diabetes and cancer? Did no one in the news room have A level understanding of digestion?
Just looked up the source for the story. It's a churnalism classic: amplifying a badly written and ambiguous phrase in the press release and turning it into an error.
Lazy, careless and ignorant.
Subscribe to:
Posts (Atom)