Review: The Panic Virus by Seth Mnookin

 

The Panic Virus by Seth Mnookin

In the 21st century we have more access to information than at any other time in history. A simple internet search for almost any term yields tens of thousands, sometimes even millions, of hits, with each website listed in the search results purporting to be an authority on the topic in question. While this often makes life easier and eliminates the need for painstaking research of a given issue, it has the unfortunate side effect of conferring legitimacy on these sources where, in many cases, it is undeserved.

Compounding the problem is that these claims to expertise regularly go unchallenged. This phenomenon is quite harmless when it pertains to the best way to make an omelette or to clean granite countertops, but when the subject at hand is literally a matter of life and death, the stakes are as high as they could possibly be.

In The Panic Virus (Simon & Schuster, $26.99), Seth Mnookin, author and contributing editor to Vanity Fair, investigates this issue as it relates to the recent controversy over the administration of the Measles, Mumps and Rubella (MMR) vaccine, and its rumored link to the onset of autism. Mnookin challenges the anti-vaccine groups, led by British gastroenterologist Andrew Wakefield, that their claims about a causal relationship between the vaccine and autism are baseless and, even worse, the result of a deliberate campaign of misinformation.

Mnookin uses contemporary and historical examples of the human race’s penchant for hysteria to make the case against Wakefield and his colleagues, and performs a damning dissection of the sloppy methods, questionable results and scathing peer reviews of his research. For his part, Wakefield, in the face of all the evidence to the contrary, still today insists his theories are valid.

There is also a broader point to be made, Mnookin tells us, and it is that the preponderant trend of 21st century thinking is that feelings have as much value, and sometimes even more, than propositions supported by empirical evidence.  There is a widespread undercurrent of mistrust of both the government and the medical establishment that is reinforcing the idea that only “the people” know what’s best for themselves in all areas of their lives, even in medical treatment.

The internet is in large part responsible for the spread of this sensibility, self-perpetuating as it is, as people scour the web for information that supports the position they already believe to be true. As social networking proliferates, so does the quick and easy connection of mutually supportive groups: Rather than truly trying to determine the validity of their opinion, people naturally seek out others who feel the same way they do and this instills them with a certainty that is almost unassailable.

Further, our modern press does nothing to foster a more rational conversation, in fact it seems intent on doing quite the opposite. In reporting the MMR controversy, many journalists did precious little of their own research and just regurgitated Wakefield’s claims, all the while hiding behind the dubious assertion that all sides of an argument deserve to be heard. This is, of course, not true if one side cannot prove that their position has any merit. Our press, it seems, is entirely too eager to give credit where it is not necessarily due.

The Panic Virus is the kind of book that is extremely difficult to put down once you start reading. In part because Mnookin’s writing style is effortless; he engages the reader from the opening paragraph and has the ability to simplify complex concepts while never appearing to underestimate his audience. The other thing that makes this book so fascinating is that it is a factual account of a very recent controversy which threw decades of medical practice into doubt, pitting suffering parents against the medical establishment, and a self-styled lone voice of dissent against government agencies that he alleges are determined to silence him.

I cannot recommend this book highly enough, it is an indictment of not just Andrew Wakefield and his cohorts, but also of the government and its dismally ineffective response to their accusations. Moreover, it serves as a ringing alarm to a sleeping public – we can have our own opinions, but we cannot have our own facts.

The Panic Virus will be on bookshelves on January 11th. Pre-order now at Simonandschuster.com.

 
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  • bpatient

    Thanks for that. Now that Wakefield’s “MMR causes ASD” work has been exposed as fraudulent and recent work yet again confirms that dramatic reductions in exposure to thimerosal-containing vaccines does not affect the prevalence of ASD, you’d expect that even true believers in the vaccines-are-reponsible-for-the-increase-in-ASD meme would be convinced.

    OK, maybe not. Nine hundred of Jim Jones’ disciples drank cyanide when he ordered the People’s Temple members to commit suicide. True believers don’t necessarily believe in anything reasonable.

    However, it’s clear that two-thirds of the apparent increase in ASD prevalence is due to a handful of factors such as changing diagnostic practices. About 11% of the ascribed to increased parental age at the time of conception (rather like Down syndrome is more common among older mothers); a paper from Peter Bearman’s group at Columbia due out this week will also show that closer spacing of siblings (somewhat related to increased parental age in that older parents may be somewhat less likely to wait prolonged periods before having additional children) increases the risk of ASD. Some other environmental factors such as exposure to air pollution (proximity to freeways) might be pertinent.

    But vaccines? Really, it seems that researchers accept that if in fact there are additional factors that increase the probability of ASD, they are prenatal factors and not vaccines. Check the program for the recent International Meeting For Autism Research: The research that involves vaccines is essentially limited to asking why parents still wrongly believe that vaccines are responsible for an increase in ASD.

  • Dan Sampson

    Hi Bpatient, thanks for commenting.

    Hopefully Mnookin’s book will bring the required attention to this issue. It’s amazing how quickly this kind of thing can become accepted thought, and we all need to make sure we’re properly informed…particularly when it comes to the health of our children.

    DS

  • Twyla

    I don’t have time to write a lenthy comment, but here are some of the reasons why I disagree:

    http://www.ageofautism.com/2010/03/the-autism-vaccine-controversy-continues.html

  • Dan Sampson

    Hi Twyla,

    Thanks for commenting, and for posting that link. If you have time, The Panic Virus is more than worth reading as it investigates the basis on which the causal link between vaccines and autism is based, and the evidence against this link is very persuasive.

    Obviously, when it comes to children’s health every measure should to be taken to find cures, but vaccine-autism connection has been refuted by almost every official independent study for the last 10 years, and it seems at this point in time that continuing this line of inquiry is only taking time and resources away from other research that might yield a cure.

    Anyway, it’s always best to read a variety of opinions on a given topic, and Mnookin’s book is outstanding.

    DS

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