Transcript · English → Indonesian
Thimerosal and Autism Risk Investigation
Untuk mengumpulkan
panel pakar eksternal di bidang ini guna mencoba
dan meninjau, eh, temuan sejauh ini yang telah dikumpulkan,
untuk
meninjau diskusi yang telah berlangsung di CDC pada
saat itu.
Pada saat ini, risiko autisme telah diperlunak menjadi
1,69.
Namun, Verstraeten menemukan kaitan antara thimerosal dan berbagai
gangguan perkembangan.
Aku bahkan tak yakin mereka tahu itu sedang direkam, tapi direkam, dan
transkripnya di-, di-, dibuat.
Mereka mengambil langkah luar biasa dengan mengumpulkan panel eksternal ini,
yang biasanya tak pernah
terjadi.
Transkrip tersebut menegaskan bahwa ini adalah hubungan
linear, bahwa mereka menghadapi masalah di sini.
Ada spesialis perkembangan saraf, ada dokter anak, ada
ahli biostatistik, dan seorang ahli epidemiologi, yaitu aku.
Thomas Verstraeten dikutip mengatakan,
"Secara pribadi, saya punya tiga hipotesis.
Hipotesis pertama saya adalah adanya bias orang tua.
Anak-anak yang lebih mungkin divaksinasi
lebih mungkin terpantau
dan didiagnosis.
Hipotesis kedua, entahlah. Ada bias yang belum
saya sadari,
dan belum ada yang memberitahukannya. Hipotesis ketiga, ini benar.
Ini karena timerosal."
Dr. Weil dari American Academy of Pediatrics
berkata, "Anda bisa mengutak-atiknya
sesuka hati. Hasilnya nyata. Signifikan secara statistik."
Bukan tak bisa diduga, terduga.
Bukan tak terduga. Orang lain seperti, eh, Dr.
Clements dari World Health Organization berkata, "Kita bisa saja memprediksi
hasil ini sebelum k- kita melakukan penelitiannya,
dan kini kita dibiarkan menggantung, dan kita
harus—"
Seharusnya kita tidak pernah melakukan penelitian itu.
"Seharusnya kita tidak pernah melakukan penelitian ini."
Kini, para ilmuwan lain merasa khawatir, bukan dari sudut pandang
medis, melainkan dari sudut pandang hukum.
Mereka mengkhawatirkan tuntutan hukum.
Mereka khawatir orang-orang akan menuntut perusahaan farmasi.
Ada cukup, cukup, um, um,
bukti di sana.
Menjelang akhir diskusi, para peserta
diminta menilai dalam skala
satu sampai enam seberapa serius temuan ini menurut mereka.
Sebagian besar orang yang memilih, memilih satu atau dua.
Dengan kata lain, tidak begitu serius. Tentu saja, mereka adalah anggota
lembaga kesehatan masyarakat dengan kepentingan besar
dalam program vaksin tersebut.
Salah satu yang memilih nilai satu adalah ketua panel itu sendiri.
Aku ingat saat cucu laki-laki ketua panel itu lahir, eh,
atau pengumuman
yang terjadi tepat saat kami sedang berdiskusi.
Berdiri dan berkata bahwa pagi itu,
dia sempat dipanggil keluar ke
lorong
karena cucu laki-laki pertamanya baru saja lahir,
dan tak mungkin mereka akan memvaksin
bayi itu dengan thimerosal.
Pak, tolong Anda sekalian angkat tangan kanan.
Apakah Anda bersumpah untuk mengatakan yang sebenarnya dan hanya kebenaran,
demi Tuhan?
Saya bersumpah.
Silakan duduk.
Saya adalah ketua Komite Reformasi dan Pengawasan Pemerintah, dan kami melakukan,
eh, penyelidikan sekitar empat tahun terhadap
vaksin. Saya mengundang ilmuwan dari seluruh
dunia
d- dan dokter dari seluruh dunia untuk, eh, untuk, eh, berdiskusi di depan
komite saya, dan begitulah kami, eh, sampai pada kesimpulan kami.
Jika ada keraguan sedikit pun mengenai merkuri dalam vaksin, jika memang ada
keraguan, kenapa Anda terus mengimunisasi anak-anak dengan
sesuatu yang meragukan? Anda tak bisa… Saya… Beri saya jawaban.
Saya tidak memahaminya.
Hingga kini, Anda tahu, tidak ada, kami tidak memiliki bukti,
bukti meyakinkan tentang bahaya dari
thimerosal.
Saya, saya tahu, Dokter.
Itu karena di, di dalam vaksin.
Tidak, saya akan menyudahi. Dokter, saya paham. Anda sudah mengatakannya, dan saya paham.
Inilah Anggota Kongres Burton dari Komite Reformasi Pemerintah, sebagai
ketuanya, yang menyelidiki masalah thimerosal dalam
obat-obatan,
dan mereka tidak memberi tahu apa pun kepada komite.
Bisakah Anda membayangkan bagaimana rasanya?
Suatu hari, di balik pintu tertutup, "Kami menemukan semua dampak ini.
"Ya Tuhan, apa yang akan kita lakukan?" Keesokan harinya,
bersaksi di hadapan Kongres, "Tidak ada
kaitan, tidak ada data. Kita perlu menelitinya di masa depan."
Semuanya baik-baik saja.
Jika saja dia berkata jujur dan mengeluarkan draf dari Simpsonwood tentang
penelitian
itu, bayangkan berapa ribu, mungkin puluhan ribu
anak yang bisa terselamatkan.
Saat kami mengadakan dengar pendapat,
eh, ada seseorang dari FDA yang bersaksi,
dan aku, eh, berkata
bahwa, "Cucuku disuntik tujuh kali bermerkuri,
eh, dan menjadi
autis tak l- tak lama kemudian." Lalu dia berkata, "Yah,
ti-, tidak ada, tidak ada bukti bahwa itu penyebabnya." Dan aku berkata,
"Apakah Anda mau
saya beri kandungan merkuri yang ada di sana, sebanyak tujuh
suntikan penuh? Maukah Anda saya suntikkan itu ke lengan Anda?" Dan dia memandang
kepadaku seolah tertembak, dan berkata, "Ya, tidak."
Dan aku berkata, "Lalu, kenapa?
Jika cucuku boleh menerima tujuh suntikan yang mengandung merkuri, kenapa
tidak, tidak boleh bagimu menerima satu suntikan
dengan kadar merkuri yang sama seperti yang dia
dapatkan?"
Sebulan setelah konferensi Simpsonwood,
Thomas Verstraeten mengirim email untuk
menyuarakan frustrasinya atas tekanan yang dialaminya demi mengurangi risiko
relatif. "Aku tidak ingin menjadi pembela
lobi antivaksin dan terdengar seolah
yakin bahwa thimerosal berbahaya, tetapi setidaknya kurasa kita harus
memakai argumentasi ilmiah yang sahih dan tidak membiarkan standar kita didikte oleh
keinginan
kita untuk membantah teori yang tak menyenangkan."
Pada dasarnya itu akhir dari masa kerja Verstraeten di CDC.
Begitu mengatakannya, tamatlah riwayatnya.
Lalu setahun kemudian, generasi keempat dipresentasikan di
rapat komite Institute of Medicine yang diadakan pada
2001. Ada dua pertemuan IOM tentang vaksin.
Institute of Medicine, yang dikenal sebagai IOM,
dibayar oleh CDC untuk melakukan
dua tinjauan terpisah atas bukti terkait vaksin dan autisme.
Yang pertama adalah IOM 2001, dan saat ini, generasi keempat
Verstraeten menunjukkan risiko relatif autisme yang sekali lagi diturunkan,
kali
ini menjadi 1,52.
Saat Verstraeten
mempresentasikan datanya pagi itu di IOM, dia berkata,
"Mulai pukul 08.00 pagi ini, saya tidak lagi bekerja untuk CDC.
Saya kini karyawan GlaxoSmithKline, dan saya akan kembali
ke Belgia untuk bekerja di kantor Brussels mereka." Nah, Glaxo, tentu saja, adalah
pembuat vaksin, memakai timerosal, dan menjadi tergugat dalam banyak
gugatan hukum.
IOM tahun 2001 menyimpulkan hubungan antara autisme dan timerosal itu
masuk akal secara biologis.
Mereka menekankan perlunya melakukan penelitian biologi dan klinis.
Setelah laporan IOM '01 yang menemukan kemungkinan biologis,
para pengacara litigasi
bermunculan dan mengajukan gugatan kelompok di pengadilan perdata
dan seakan
mempersiapkan seluruh mesin litigasi untuk mengincar pihak industri,
dan Eli Lilly
hadir membawa klausul tambahan, UU Keamanan Tollman, yang akan
memberi perusahaan vaksin kekebalan permanen dari tuntutan hukum.
Sepuluh tahun lalu, rasionya satu dari 10.000.
Sekarang, satu dari 250, peningkatan 40 kali lipat dalam sepuluh
tahun, dan kita tega merampas satu-satunya
alat
yang dimiliki orang tua ini dari tangan mereka.
End of transcript · 1,018 words · machine translated
Original transcript (English)
To convene an outside panel of experts in this area to try and review the, the, uh, the findings so far that had been gleaned, to review the discussions that had taken place within CDC at
that point By this time, the autism risk had been watered down to 1.69. But Verstraeten had been finding a link between thimerosal and a whole array of developmental disorders.
I'm not even sure if they knew it was being, uh, recorded, but it was, and a transcript was, was, was made. They took the extraordinary step of convening this external panel, which doesn't happen.
The transcript were quite adamant that, that this was a linear relationship, that they had a problem here. There were neurodevelopmental specialists, there were pediatricians, there were biostatisticians, there was an epidemiologist, me. Thomas Verstraeten is quoted as saying,
"Personally, I have three hypotheses. My first hypothesis is that it's parental bias. The children that are more likely to be vaccinated are more likely to be picked up and diagnosed.
Second hypothesis, I don't know. There's a bias that I've not yet recognized, and nobody has yet told me about it. Third hypothesis, it's true. It's thimerosal." Dr. Weil from American Academy of Pediatrics
said, "You can play with it all you want. The results are real. They're statistically significant." They're not unexpectable, expected. Not unexpected. Other people like, uh, Dr. Clements from World Health Organization said, "You know, we could have predicted
this outcome before the d- we did the study, and now we're left hanging, and we should-" We should have never done the study. "We should have never done this study."
Now, other scientists were worried, not so much from a medical point of view, but from a legal point of view. They were worried about lawsuits. They were worried about people suing the drug companies. There was enough, enough, um, um,
evidence there. Toward the end of discussions, the participants were asked to vote on a scale of one to six how serious they felt these findings were. Most of the people who did vote, voted one or two.
In other words, not very serious. Of course, they were members of the public health establishment with a big vested interest in the vaccine program. One of those who voted a one was the chair of the panel himself. I remember the chair of the panel's grandson being born, uh,
or the announcement happening literally as we were in the middle of discussions. Stood up and said that earlier that morning, he had been called out into the hall
because his first male grandson had just been born, and there was no way that they were gonna vaccinate that baby with thimerosal. Sir, would you all raise your right hand, please? Do you solemnly swear to tell the whole truth and nothing but the truth, so help
you God? I do. Seated. I was chairman of the Government Reform and Oversight Committee, and we did, uh, about four years of investigation into
vaccines. I had scientists come from all over the world a- and doctors from all over the world to, uh, to, uh, discuss it before my committee, and that's how we, uh, came to the conclusions we did. If there's any question whatsoever about mercury in vaccine, if there's even a
question, why in the world are you continuing to immunize kids with something that's questionable? You can't... I... Give me an answer. I don't understand it. To date, you know, there is no, we have no evidence, convincing evidence of harm from the
thimerosal. I, I know, doctor. That's because in, in vaccines. No, I'm gonna yield. Doctor, I understand. You said that, and I understand that. Here was Congressman Burton from the Government Reform Committee, as the
chairperson, investigating the issue of thimerosal in medicine, and they didn't tell the committee anything. Can you imagine what that was like? One day, they're behind closed doors, "We found all these effects.
Oh my God, what are we gonna do about it?" Next day, testify before Congress, "No links, no data. We need to do studies in the future." Everything's fine. If he had told the truth and pulled out from Simpsonwood a draft of
that study, just think of how many thousands, probably tens of thousands of children would've been spared. When we had our hearings, uh, we had somebody from the FDA testifying,
and I, uh, said that, "My grandson got seven shots with mercury in them, uh, and became autistic very s- very shortly." And he said, "Well, the, there's no, no evidence that that caused it." And I said,
"Would you like for me to give you the content that was in there of mercury, seven shots full? Would you let me shoot that into your arm?" And he looked at me like he was shot, and said, "Well, no." And I said, "Well, why?
If it's all right for my grandson to get seven shots with mercury in it, why is it not, not all right for you to take one shot with the same amount of mercury that he got?" One month after the Simpsonwood conference,
Thomas Verstraeten sent an email to voice his frustrations over the pressure he was under to reduce the relative risks. "I do not wish to be the advocate of the anti-vaccine lobby and sound like being convinced that thimerosal is or was harmful, but at least I feel we should
use sound scientific argumentation and not let our standards be dictated by our desire to disprove an unpleasant theory." That was basically the end of Verstraeten's tenure at CDC. Once he said that, he was doomed.
Then a year later, the fourth generation was presented at the Institute of Medicine committee meeting that was held in 2001. There were two IOM meetings on vaccines. The Institute of Medicine, known as the IOM, was paid by the CDC to perform
two separate reviews of the evidence in relation to vaccines and autism. The first was the 2001 IOM, and by this time, Verstraeten's fourth generation showed a relative risk for autism that had once again been lowered, this time to 1.52.
When Verstraeten presented his data that morning at the IOM, he said, "As of 8:00 this morning, I no longer work for the CDC. I am now an employee of GlaxoSmithKline, and I'll be going back to Belgium to work for their Brussels office." Well, Glaxo, of course, is a
vaccine maker, uses thimerosal, and is a defendant in a lot of lawsuits. The 2001 IOM concluded the link between autism and thimerosal is biologically plausible. They emphasized the need to perform biological and clinical science.
After the IOM '01 report that found biologic plausibility, the trial lawyers came out of the woodwork and were filing class actions in civil court and were kind of gearing up the whole litigation machinery to go after industry,
and Eli Lilly came along with a rider, Tollman Security Act, that would have given the vaccine companies permanent immunity from suit. 10 years ago, it was 1 in 10,000. Now, it's 1 in 250, a 40-fold increase in 10
years, and we had the audacity to take the only tool that these parents had out of their hands
