From The Roman To
                                     
    The Wakefield Inquisition
                                                                 By: Mark Blaxill
                                                                     Editor: Age of Autism 2008

                                                    
      As the year draws to a close, all of us at the  
                                                    
     Age of Autism are very pleased to honor
                                                    
     Dr. Andrew Wakefield.  As we’ve reported here
                                                    
     many times during the past year, Dr. Wakefield
                                                   
      has been the subject of a remarkable and
                                                  
       unprecedented campaign to discredit his work
                                                  
       and character, most notably in a show trial that
                                                   
      is still underway in London, in hearings of the
                                                   
      General Medical Council.  

In the face of extraordinary attempts to silence him, Wakefield has stood up to
these attacks with grace and determination and has continued his research
and clinical work on behalf of children and families suffering from autism.  

That makes him our first Age of Autism Galileo Award recipient.  

Like many of our awards this year, this wasn’t a difficult decision.  In fact, this
may be one of those unusual cases where the recipient of an award in some
ways outshines its namesake.  

To understand why that might be so, you need to understand a bit more about
why we chose to name the award after the Italian scientist Galileo, what he
represents to the history of science and how his experience compares with
Wakefield’s.  

Galileo Galilei was born in Pisa, Italy in 1564.  And while he was a physicist and
mathematician of some note, Galileo was as much a practical mechanic as he
was a grand theorist; indeed it was his tinkering with convex and concave
lenses that gave him the tools to leave his lasting mark on the world.  

As a skilled inventor of early working telescopes, he did not design the world’
s first telescope, but he was the first to make them powerful enough for
scientific use.  

In fact, the word telescope (derived from the Greek roots skopein,
“to see” and
tele for
“far”) was coined in 1611 to describe one of Galileo’s first instruments.  

For the accomplishments that flowed from his pioneering work, he has been
described by many as
The Father of Modern Physics; Albert Einstein even
went so far as to name him
The Father of Modern Science.  

But Galileo is celebrated today not as much for his engineering talent as for
the suffering he endured in support of an unpopular scientific theory.  

Because it was Galileo’s work with telescopes in the early 17th century that
lent critical support to the theory of heliocentrism, the idea that the earth
revolved around the sun and not the other way around.  

As with his telescope technology, Galileo was not the first to propose the
heliocentric theory: that distinction belongs to Nicolai Copernicus.  

Yet Copernicus, a Polish mathematician, was well aware of the personal risk of
disseminating his ideas and delayed their publication for many years.  
Copernicus’ major work,
De revolutionibus orbium coelestium, was published
only shortly before his death at age 70 in 1543.  

Galileo, by contrast, was an aggressive advocate for the truth as he saw it.  He
used his telescope to provide clear visual evidence that the sun occupied the
center of the solar system.  

He then published his evidence fearlessly in the prime of his life, starting while
in his 40s.  And although for a while he obtained the approval of the Vatican to
publish some of his work, he was eventually forced to spend most his later life
defending himself and his findings.  

For as the significance of his observations for the prevailing Catholic
orthodoxy became increasingly clear, Galileo was derided as a heretic,
denounced publicly and finally given an ultimatum: renounce your theory or
else.  

In 1633, he was put on trial by the
"Supreme Sacred Congregation of the
Universal Inquisition"
known today as the Roman Inquisition, and convicted of
heresy.  

Barely escaping prison, Galileo spent the rest of his life under house arrest,
where he died nearly ten years later.  

The many parallels between the
Roman Inquisition and the Wakefield
Inquisition
are uncanny.  Like Galileo, Wakefield came to autism both as a
practical man and a scientist; his initial involvement in autism was simply in
response to a group of parents who approached him as a specialist in
pediatric gastroenterology.  

They told him,
“Our children are not defective, they are sick” and Wakefield
listened.  Also like Galileo, Wakefield didn’t originate the idea that vaccines
might play a role in autism, but has become the most prominent developer of
the idea.  

As Galileo’s telescopes allowed him to discover the moons of Jupiter, so did
Wakefield’s use of new ways of seeing, in this case an endoscope to see into
a child’s intestines, allowing him to discover a distinctive gut pathology in
autism.  

He named what he saw
autistic enterocolitis, and it was a finding that quite
literally turned the brain-centric view of autism upside down.  

But this was no ordinary finding, for Wakefield’s specific challenge to the
orthodox view of autism science made him a target for the medical
establishment.  

He published his first major work in the prestigious journal
The Lancet, where
the editor Richard Horton had full awareness of its controversial potential.  

But when the controversy turned too hot to handle, Horton lost his nerve and
in a perfidious betrayal that history should remember (see John Stone’s
wonderful essay on Horton), Horton turned on Wakefield.  

Thanks to Horton’s perfidy, and again like Galileo, Wakefield now finds himself
on trial for his license to practice medicine in front of the
General Medical
Council
(GMC).  

And although the GMC might defend the validity of its allegations, it is plain to
all who have followed the case closely that the trumped up charges hold little
merit.  

Still, the outcome of the proceedings lies in considerable doubt, for Wakefield
has not been subjected to these months of review on the basis of any actual
medical misconduct (not surprisingly, no parent with whom he worked
supports the GMC’s case).  

Quite clearly, and again like Galileo in the face of the
Roman Inquisition, the
offense for which Wakefield is really on trial is heresy.  

And whenever an Inquisition has begun to confront the conflicts between
religious orthodoxy and inconvenient evidence, one can never predict how
the High Inquisitors will render their judgment.  

The only thing we can predict is that a process like the
Wakefield Inquisition is
always more concerned with appearances than justice.  

Wakefield’s heresy comes at a particularly difficult time for the medical
profession that has placed him on trial.  

The twin pillars of its quest for the causes of human disease, germs and
genes, have failed for years to explain the scourge of chronic disease: a
scourge that has replaced infectious disease as the main public health
problem of the developed world.  

In the face of a simmering disquiet over what has become an increasingly
embarrassing scientific failure, it has become ever more important to the
profession’s high priests to distract attention from the crumbling bulwarks of
their belief system and take action to defend the tools and targets of those
pillars: the germ theory of disease that was medicine’s greatest contribution
to human civilization and provided its two principle tools, vaccines and
antibiotics; and the genetic model of human disease that has been medicine’s
great hope to succeed germ theory and the precious disease targets such as
autism that it hopes to explain.  

Seen in this context, Wakefield’s heresies have been unusually threatening
because they operate on both fronts: they compete with the genetic
explanations of autism with a causal model that threatens to tarnish the heroic
triumphs of the germ theory.  

So like Galileo’s compelling work in support of heliocentrism, Wakefield’s dual
challenge to vaccine development and autism science has evoked a strong
response from the highest levels of authority.  

In Wakefield’s case, his prosecutors have determined not only that he must be
shown to be wrong, he must also be punished.  

That means his work on autism (as well as others doing supportive work)
must be stopped while he must also be stripped of his credentials as a
member of the medical profession.  

The modern punishment for heresy may not include death, but it can be exile
and excommunication.  

Casting the treatment of Wakefield as a religious response is the only way to
make sense of the behavior of the medical establishment over the last several
years.  

If it were not so serious, its escalating absurdity would begin to resemble
farce.  One example is the latest defense of the ever-expanding childhood
immunization program.  

Instead of embracing the importance of improving vaccine safety, the program’
s defenders have now declared that the temple of the sacred program must
never be defiled, and certainly must not be subjected to conventional safety
research.  

So the obvious research project of comparing the total health outcomes in
vaccinated vs. unvaccinated individuals has been rejected not merely as too
expensive, now it simply must not be done.  

In the Orwellian logic of the CDC, such studies in humans would be
“prospectively unethical” and “retrospectively impossible.”  

Let’s be frank here.  This is an epistemological obscenity: It’s not just that we
don’t know some very basic things about the safety of the sacred program, we
also cannot know and should not seek to know.  This stance should offend
even the most skeptical scientists.  

Still, the farce continues.
In the meantime, there remains a body of published evidence that must be
dealt with.  And for this, since the retraction of every published study is well
nigh impossible (some of Wakefield’s less courageous co-authors famously
“retracted the interpretation” of the Lancet paper, but they couldn’t retract the
evidence) there is only one answer left.  Nullify the source of the heresy itself.  

Practically speaking, when establishment voices can no longer claim the
absence of causal evidence, the fallback position must be that there is
“no
credible evidence”
linking vaccines and autism.  

Removing credibility from the evidence requires that the high priests get
personal: they must mount a systematic attack on the personal reputations
and integrity of scientists who pursue and publish heretical lines of
investigation.  

And this is why; decades after Stalin and Mao, we now have the travesty of a
21st century show trial in London, the
Wakefield Inquisition.  It’s also why the
passionate call on a U.K. parents' website, Cry Shame, is so deeply correct.  

I wouldn’t in any way diminish the importance of Galileo, but in an interesting
way, Wakefield’s steadfastness in the face of adversity outshines the man in
whose name we honor him.  

For, although Galileo finally agreed to recant his support for heliocentrism,
Wakefield has never buckled under the pressure.  Instead he has stuck to his
guns and continued to fight for families with autism.  

Supported by private funding, his research work has continued (stay tuned for
some more blockbuster results next year).  

And along with the terrific medical team at
Thoughtful House, courageous
doctors like Arthur Krigsman, Bryan Jepson and Doreen Granpeesheh, he
also continues his clinical practice.  

In the meantime, the heresy trial staggers onward towards its uncertain
conclusion the GMC’s verdict may well come shortly in the New Year.  But our
judgment at the
Age of Autism is clear.  

Andrew Wakefield represents the very best of the scientific tradition.  He has
persevered in the face of obstacles that would have stopped lesser men in
their tracks.  He has published continuously and fearlessly.

He has pushed important research projects forward despite countless
attempts to declare the work irrelevant, the issues
“settled.”  He has dealt with
opposing evidence with the professional spirit of a scientist while also
following the advice of Karl Popper that
“he who gives up his theory too easily
in the face of apparent refutations will never discover the possibilities inherent
in his theory.”  

Along the way, he has unfailingly represented the issues in autism and the
best principles of the scientific method with dignity and restraint.  Most
important of all, he has refused to be intimidated.  

For all this and more, we would like to honor Dr. Andrew Wakefield with our
first
Galileo Award. And like so many others in our community, I feel proud to
call him my friend.  Let’s be sure to stand behind him in the uncertain times
ahead.  

By: Mark Blaxill, Editor at Large for: Age of Autism.

Link to article: Defense of Wakefield
www.ageofautism.com/2010/01/from-the-roman-to-the-wakefield-inquisition.
html  
Mark Blaxill