Medical ethics is about protecting society from medical malfeasance and the self-interest of the humans whom we trust to manage health. It is therefore disturbing when prominent people, in a prominent journal, tear up the concept of medical ethics and human rights norms. It is worse when they ignore broad swathes of evidence, and misrepresent their own sources to do so.
On July 8th 2022, The Lancet published a ‘Viewpoint’ article online: “Effectiveness of vaccination mandates in improving uptake of COVID-19 vaccines in the USA.” The article, which acknowledges the controversial nature of vaccine mandates, primarily concludes that coercing people to take a medical product, and reducing options for refusal, increases product uptake.
It further concludes that the best way to implement such mandates is for employers and educational institutions to threaten job security and the right to education.
The use of coercion goes against the established ethics and morals of Public Health, and could be argued to be anti-health. In this case, the article justifies it by stating that “the current evidence regarding the safety of COVID-19 vaccines in adults is sufficient to support mandates.” However, it offers scant evidence to back this assertion, and ignores all evidenceto the contrary. They apparently consider the ability to work and support a family, or gain formal education, as something that is to be granted or taken away, not a human right.
The Lancet was once a credible journal with a rigorous policy of peer review. However, in this article it appears to have dropped its former standards, promoting medical fascism (coercion, threat and division to achieve compliance with authority) without insisting on a rigorous evidence base to justify such an approach. This suggests an attempt to normalize such approaches in mainstream public health.
Past experience has shown us where fascism behind a façade of public health can lead. The sterilization campaigns aimed at coloured and low-income populations of the US Eugenicist era, and the extensions of similar programs under Nazism in 1930s and 1940s Europe, relied heavily on the normalization of such approaches.
Leading public health voices from Johns Hopkins School of Public Health and other institutions championed a public health approach of sanitizing populations rather than environments, encouraging the idea of a tiered society where health ‘experts’ determine the rights and medical management of those deemed less worthy.
Avoiding the discomfort of evidence
The authors of this Lancet paper, ranging from academics and medical consultants to the daughter of a prominent politician, attempt to rewrite human rights in medicine as if precedent never existed. Their argument for coercion in mass vaccination recognizes that ‘vaccine mandates,’ whether issued by governments, employers or schools, all involve a loss of rights. No serious attempt is made to provide a medical justification for mass vaccination with a non-transmission-blocking vaccine.
The paper focuses on the premise that coercion, commonly considered a form of force, makes humans do things they would not otherwise do. Banning fellow humans from making their own health choices on pain of loss of normal participation in society has an impact on increasing vaccine uptake. This is hardly a revelation to any thinking human, but clearly important enough to justify publication in The Lancet.
The article links to evidence of vaccine mandates used for state school entry that show higher compliance when the right of religious and personal belief exemption is removed, or where onerous requirements for exemptions are put in place. Leaving ethical questions aside, the obvious lack of similarity between the authors’ predicate childhood vaccinations that block transmission and COVID-19 vaccines that have minimal impact on transmission, and may even promote it, is ignored. The one mandated adult vaccine predicate referenced in the article, the influenza vaccine, provides only a 2.5% reduction in pneumonia ‘when the (mandated) vaccine was well matched to circulating strains’ in the reference quoted.
When raising the sacking of non-vaccinated workers, the authors seem comfortable with the approach but coy in admitting its consequences. Their admission that “a few large US employers have terminated hundreds of workers for non-compliance references an article in Money magazine which actually paints a bleaker picture, characterizing it as a ‘great resignation.’
The authors will also have been aware of mass layoffs by large employers such as New York City (over 9,000 sacked or placed on leave), the US Department of Defense (DoD, which sacked 3,400), Kaiser Permanente (laid off 2,200), and the tens of thousands of staff lost from the UK care-home sector . Extrapolated across countries and society to actually provide credible data may have been too uncomfortable for the authors and Lancet editors.
High efficacy and safety are an obvious (though on their own, insufficient) prerequisite for any mandated product. This entire area of safety is dealt with by stating; “The current evidence on the safety of COVID-19 vaccines in adults is sufficient to support mandates,” supported by a single study comparing vaccinated individuals 1-3 weeks and 3-6 weeks post-vaccination, revealing low levels of myocardial infarction, appendicitis and stroke.
The claim that “widespread administration in adults has quickly generated a large evidence base supporting the vaccines’ safety, including evidence from active surveillance studies” suggests that both the authors and The Lancet are unaware of the VAERS and Eudravigilance databases set up for exactly this purpose. No mention is made of growing data on myocarditis, menstrual irregularities, or the excess all-cause mortality and severe outcomes in vaccinated groups in the Pfizer randomised control trials on which the FDA emergency registration was based. Were The Lancet’s reviewers unaware of these sources?
The sole reference to vaccine efficacy discusses COVID-19 ventilated patient outcomes, It ignores the period to 14 days post-previous dose that Pfizer acknowledges can be associated with immune suppression. Fenton et al. have noted that classing a vaccinated person as unvaccinated in the first 14 days post-injection has profound impacts on vaccine effectiveness data.
Ignoring the awkwardness of reality
Post-infection immunity in the unvaccinated is a threat to arguments for mandates. The authors disingenuously state that “evidence suggests that the immunity produced by natural infection varies by individual, and that people with previous infection benefit from vaccination. New variants further undercut the case for adequacy of previous infection.
Two references are used here: one from a study in Qatar and the other a study from Kentucky. The Qatar study finds that “the protection of previous infection against hospitalization or death caused by reinfection appeared to be robust, regardless of variant,” whilst the Kentucky study found Covid reinfection was reduced by vaccination over a 2-month period in the months soon after vaccination, prior to the waning and then reversal of this protection as demonstrated in studies of longer duration elsewhere.
The vast breadth of evidence on relative effectiveness of post-infection immunity is ignored. Either the authors failed to read their references and are unaware of waning and of the vast literature on post-infection immunity, or they do not consider demonstration of efficacy important for coerced medical treatments.
In a previous era, or in a previously credible medical journal, an argument for coercion to support a medical procedure would have required very high standards of evidence of efficacy and safety. It is arguing for the abrogation of fundamental principles such as informed consent that are at the core of modern medical ethics. Failure to address well-known contrary data should prevent an article from even reaching the peer-review stage.
Degrading public health degrades society
We are left with a paper stating that coercion is a good path to increase compliance for a product that does not reduce community infection risk, and has potentially serious side effects. Ignoring both of these aspects of COVID-19 vaccines is a poor approach to justifying mass vaccination. The sole nod to any human rights concern – “Some objectors argue mandates represent undue encroachment on individual liberty” – is an interesting way to characterize removal of the right to income, education and the ability to socialize with others.
Although all these rights are recognized under the Universal Declaration for Human Rights, the authors and The Lancetconsider them insufficiently serious to dwell upon.
Public health has been down this road before. We have seen the path society takes when basic public health principles are subverted to achieve an aim that some perceive as ‘good.’ We have also seen how most health professionals will comply, however horrific the actions involved. There is no reason to believe that this round of medical fascism will end differently.
We rely on medical journals such as The Lancet to apply at least the same standards to the purveyors of such doctrines as they do to others and demand a rational and honest evidence base. Anything less would raise legitimate questions as to the role the journal is taking in promoting these doctrines, and their place in a free, evidence-based and rights-respecting society.
This piece written in cooperation with Domini Gordon who coordinates the Open Science program for PANDA.
How the Dutch Failed their Children – A Cautionary Tale
One of the best places to raise children is The Netherlands. In several consecutive UNICEF reports the Netherlands ranked first for raising the happiest children among wealthy countries (2008, 2013, 2020). However, in the spring of 2020, The Netherlands became a harsh place for children and young people. The Dutch government adopted a one-size-fits-all policy handling the covid-19 pandemic, which did not spare the youngest and took a great toll on Dutch children. The Nobel Laureate Michael Levitt remarked that the Dutch policies would ‘set the record for worst covid-response ever.’
Unable to withstand the rising global panic, the Dutch government on March 16th 2020 announced an “intelligent” lockdown, a phrase coined by Prime Minister Mark Rutte.
Dutch society came to a halt. Offices, shops, restaurants and bars, libraries, sport facilities, as well as daycare centers, schools and universities were closed. The closure of schools was unexpected since the government’s official advisory group, the medics-dominated Outbreak Management Team (OMT), advised against it, for a school closure would have a minimal effect on the spread of the coronavirus.
A reconstruction of events showed that the main reason the Dutch government closed schools was that the educational field started to panic about keeping schools open. Closing schools was a political decision to follow the panic, not a medical decision. Schools supposedly closed for three weeks. Three weeks became three months. Research by The University of Oxford (Engzell, et al. 2021) shows that during the first wave the average Dutch student learned next to nothing during homeschooling. Moreover, students whose parents were not well-educated suffered up to 60% more learning losses.
School Closure ‘No Effect’
According to the Dutch equivalent of Fauci – Jaap van Dissel, chief scientist of the Dutch Health Agency (RIVM) and chairman of the Dutch OMT – the closure of schools in the spring of 2020 had “no effect.” Media, experts and politicians paid no attention to evidence though. Children were portrayed as ‘virus factories’ and schools were depicted as ’unsafe’ environments. Fear had a strong grip on the field of education and teaching unions exaggerated the risks of teachers in schools resulting in a drastic increase in safety demands.
The data was clear that not only did children not run any significant risk, but also that there was ‘no evidence that children play an important role in SARS-CoV-2 transmission.’ Still, a second lockdown would hit children. That second lockdown – now called a ‘hard lockdown’ – was announced on December 15th 2020. Schools closed again, this time advised by the OMT who had increased the number of areas it deemed itself expert on, on the basis of models, of course, proving Martin Kulldorff’s point that lab scientists are no public health scientists.
Dutch minister of Health Hugo de Jonge caused a stir by explaining this intervention was meant to coerce parents to stay at home. The international children’s rights organization KidsRights harshly criticized this policy: “The Netherlands has set a bad example internationally by closing schools during the corona pandemic to keep parents at home.” This children’s rights organization concluded that children were not a priority in Dutch corona policy and warned for the possible consequences.
As new insights on the negative impact of closing schools on children’s lives emerged, governments from countries all over the world decided not to close them again in the future. Undeterred, the Dutch government closed schools again on December 18 2021, just long enough to deny children their traditional Christmas dinner at school with their classmates, a big event in the childhood of Dutch children.
The deteriorating mental health of Dutch children was striking. The Dutch Health Authorities (RIVM) published a disturbing report which stated that more than one in five (22%) teenagers and young adults between the ages of 12 and 25 seriously considered taking their own life between December 2021 and February 2022 during the third lockdown. From happiest in the world to suicidal in a matter of three lockdowns.
Record Low in Sports Participation
Not only were schools closed by diktat. For two years, sports facilities were also repeatedly forced to close. The restrictions were constantly changing, with as a low point banning parents from watching their child play sports outdoors. Once again, there was no scientific evidence that this would help minimize the spread of the virus. The result is a record low in sports participation nationwide. The Dutch Olympic Committee and the Dutch Sports Federation (NOC*NSF) were ‘particularly’ worried by the negative effect on young people’s sports participation.
The Corona Pass
So no school and no sports. Another low point with regard to children was the corona pass (Coronatoegangsbewijs) that was mandatory from September 25th, 2021 for every Dutch citizen above 12. The corona pass was required for most social activities, such as going to the movies, attending a sports game with parents, or entering the canteen at sports club with teammates to drink tea or lemonade after the match.
Unsurprisingly, there was no scientific evidence that this intervention would reduce the spread of covid-19, but the Dutch government enforced it anyway. Crucially, the corona pass required vaccination, recovery from covid-19 or a negative result from a coronavirus test taken less than 24 hours before entry. So essentially, access to social life was used by the government to blackmail Dutch children into invasive medical procedures.
The madness continued, unsupported by evidence. At one point in time, outside playgrounds for children were closed. Parents were not allowed to enter swimming pools to dress their preschoolers before and after swimming lessons. In the winter of 2020-2021 the Dutch government even went as far as trying to regulate snowball fights, by dictating that only those from the same household were allowed to participate, and that their group could not exceed a certain number.
Neither sex nor the sea were exempt from the regulators. Young adults were advised which forms of sex were recommended, bearing the 1.5 m distance rule in mind. Drones were used to prevent people from gathering on the beach. To restrict the movements of young people even further, an evening curfew was introduced. It was not supported by any scientific explanation, just “boerenverstand” (common sense) as the advisory group OMT called it.
Restricting the lives of children and young people during the pandemic should require a great deal of evidence, as well as a risk-benefit evaluation. The Swedish government decided early in January 2020 that the measures in Sweden should be evidence-based. So it kept schools open, a decision supported by the evaluation of the Swedish Corona Commission in 2022. In Norway – where schools only closed briefly – the corona commission concluded in April 2022 that the Norwegian government had not done enough to protect children and that the measures regarding children had been excessive. The Norwegians essentially took the unethical initial decision to harm children without evidence and its authorities recognized that afterwards.
Sweden’s approach to the pandemic contains inconvenient truths for the Dutch, which is why Dutch authorities ignored the evidence from Sweden (and from Norway). As the Swedish journalist and author Johan Anderberg states in the epilogue of his book The Herd:
“From a human perspective, it was easy to understand why so many were reluctant to face the numbers from Sweden. For the inevitable conclusion must be that millions of people had been denied their freedom, and millions of children had had their education disrupted, all for nothing. Who would want to be complicit in that?”
This year, my wife and I decided to spend our summer holidays in Sweden and after two years of often doubtful restrictions in our home country, the Swedish summer and the beaches of Skåne were a breath of fresh air. As a parent and a Special Needs Education Generalist (and former teacher of Physical Education) I am greatly impressed by the path chosen by The Swedish Public Health Agency and the Swedish Government as they remained focused on the health, well-being, and education of children in the process of policy-making. Anders Tegnell and his predecessor Johan Giesecke have tirelessly advocated for not disturbing the lives of children, and they have been proven right.
A very outspoken Giesecke gave his frank opinion on Swedish television: “I am a father and grandfather myself, and I feel if children are given the opportunity to receive a good education and that the risk for me to become infected with covid-19 would increase slightly, it is worth it. Their future is worth more than my future, and it’s not just about my grandchildren, it’s about all the children.”
The successful Swedish approach shows that in many countries government policies met the criteria of child abuse. A key lesson for the future is that schools should not close again in similar circumstances. The Dutch government and the OMT failed the children of their country, a dark and shameful chapter in our history that future historians will surely not look favorably upon.
All expert knowledge and wisdom that has contributed to the health and well-being of Dutch children was thrown out of the window overnight in the spring of 2020. Children and young people were made to carry the burden in order to ‘supposedly’ protect adults.
As Sunetra Gupta and many others have stated, that is the precautionary principle turned upside down. The Danish-American epidemiologist Tracy Beth Høeg rightly condemned such policies, which were also pursued in the US, by calling them: Sacrificing children’s health in the name of Health.
After two years of closing down children’s lives, I firmly believe we owe it to children and their parents to make amends for the wrongs that were done to Dutch children. Above all, Article 3 of the Convention on the Rights of the Child should never be forgotten: “In all measures concerning children, the best interests of the child must come first.” It is mind-boggling how quickly children’s rights have gone out of the window worldwide. With disastrous consequences.
For children and young people a recovery plan should focus on repairing the damage done in education, recovering sports participation, and restoring the trust in the government and institutions that they can traditionally rely on for their health and their well-being. The Netherlands should be a safe haven for children, as it used to be. Pandemic preparedness also includes watching over children’s health and well-being and in this regard the Dutch failed their children and young people. We should do better in the future. Much better.
Another Flub by the Fact Checkers
Recently, Danish health authorities decided to stop making Covid vaccines and boosters available to the general population under the age of 50. Note, the general population, not absolutely everyone under 50.
This interesting development, and the fact that the rationale for this decision has not been properly explained, has clearly wrought havoc among those whose day job it is to protect the reputation of these medications.
Flora Teoh, the Science Editor of the “fact checking” website Health Feedback, has now written an article which supposedly refutes the standard summary of this decision, i.e., the Danish health authorities have banned vaccines and boosters for nearly everyone under 50. Teoh‘s article is a typical fact-checking piece. She starts by stating a claim – “Denmark banned COVID-19 vaccines for anyone under 50” – which she then proceeds to refute, but the problem is no one has made that claim.
Two sources are listed, although the “facts” being “checked” are both supposedly contained in a headline above a video and a tweet linking back to an article, not in the YouTube video and article themselves.
The first headline, which refers to a video by Clay Travis, reads: “Denmark Bans Covid Shot For People Under 50 Years Old.“ The second, which is a tweet posted on Toby Young’s account linking to a piece by me in the Daily Sceptic, reads: “Denmark has banned the use of COVID-19 vaccines for people under 50 saying the benefits are too low. What it conspicuously fails to mention (though surely knows it) is that the risks are also too high.”
Unfortunately, neither the headline or the tweet state what Teoh claims they state, namely, that Denmark has banned the covid shots for anyone under 50. The word “anyone“ is crucial here. Instead, all that’s being claimed is that the vaccines have been banned in general for people under 50 and the discussion that follows in both cases contains details on which under-50s are exempt from this ban.
And those are, in effect, headlines. Headlines routinely generalise and exaggerate the contents of the videos and articles they’re flagging up. Let‘s take some examples:
“Food crisis if we ditch Russian oil,” The Times claimed on September 19th, 2022, while the article itself details that this is in fact the opinion of one central banking institute. In other words, it is not a fact that ditching Russian oil means food crisis, it is the opinion of some.
“High-profile Dems silent when asked about housing migrants,“ Fox News said in a headline the same day. But if you read the main text it turns out this does not at apply to all high-profile Democrats, only a handful. If Fox had said “All high-profile Dems silent…” its headline would be wrong. But it doesn‘t, thus it isn’t wrong. By the same token, while Denmark’s ban on Covid shots for people under 50 applies to almost everyone, there are a few exceptions.
Headlines are headlines. Branding a video description or a tweet as “misinformation” because they contain condensed and generalised information, with a more detailed discussion in what follows, has nothing to do with checking facts. It’s just about creating strawmen, especially when the “fact-checker” even distorts the quoted headline to make it fit her narrative. This is what Flora Teoh does in her article by adding the crucial word “anyone“.
Teoh then moves on, claiming the Danish ban on vaccinations only applies to boosters. This is incorrect. The first section of the Q&A on the official website explains to whom COVID-19 vaccines should be made available in general, not just boosters:
Question: Who will be offered vaccination against COVID-19?
Answer: People aged 50 years and over will be offered vaccination. People aged under 50 who are at a higher risk of becoming severely ill from COVID-19 will also be offered vaccination against COVID-19.
Staff in the healthcare and elderly care sector as well as in selected parts of the social services sector who have close contact with patients or citizens who are at higher risk of becoming severely ill from COVID-19 will also be offered booster vaccination against COVID-19.
In addition, we recommend that relatives of persons at particularly higher risk accept the offer of vaccination to protect their relatives who are at particularly higher risk.
Before the start of the vaccination programme, the Danish Health Authority will publish guidelines for which persons aged under 50 are recommended booster vaccination.
This is the full list of the groups to whom the vaccination will be available. People under 50 who neither work in the service sectors mentioned, nor are at high risk of severe illness from COVID-19, are NOT eligible for vaccination. Vaccinating them is banned.
Then on to the boosters:
Question: Why are people under 50 not to be re-vaccinated?
Answer: The purpose of the vaccination programme is to prevent severe illness, hospitalisation and death. Therefore, people at the highest risk of becoming severely ill will be offered booster vaccination. The purpose of vaccination is not to prevent infection with COVID-19, and people aged under 50 are therefore currently not being offered booster vaccination.
People aged under 50 are generally not at particularly higher risk of becoming severely ill from COVID-19. In addition, younger people aged under 50 are well protected against becoming severely ill from COVID-19, as a very large number of them have already been vaccinated and have previously been infected with COVID-19, and there is consequently good immunity among this part of the population.
It is important that the population also remembers the guidance on how to prevent the spread of infection, including staying at home in case of illness, frequent aeration or ventilation, social distancing, good coughing etiquette, hand hygiene and cleaning.
Notice the words in the first question: “not to be re-vaccinated“. This is a pretty definitive prohibition.
Flora Teoh then moves on with a number of claims which appear to be unsubstantiated or false:
She explicitly claims, referring to general vaccination, not boosters, that people “can still choose to get the vaccine if they wish”. While this may have been the message last April, it is clear from the Q&A quoted above that for the general population under 50 this is no longer the case.
She claims the “benefits” of the COVID-19 vaccine “outweigh their risks”, without providing any reference to support this statement, let alone acknowledge how research and real-life data already show how the risks in fact outweigh the benefits for younger age-groups, especially young males.
Discussing the reason the vaccination programme was halted last spring, Teoh says: “It was this level of high vaccine coverage, coupled with falling numbers of COVID-19 cases that enabled Denmark to stop broad vaccination efforts,” quoting a CNBC story. The CNBC story, however explains that the immunity rested on not only vaccination, but also on natural immunity. Teoh fails to mention this crucial fact.
Claiming the COVID-19 vaccines are dangerous is a “false narrative” Teoh says. This is wrong. As studies have already shown, there are multiple risks associated with those vaccines, and for many groups the risk of vaccination is higher than the risk of the disease. Thus, they are dangerous for people in those groups.
Flora Teoh‘s article has nothing to do with checking facts or correcting wrong statements. All it has to do with is creating and then attacking strawmen, by distorting headlines, ignoring the crucial difference between headlines and the text they refer to, and presenting a number of unsubstantiated or false statements. Her “key takeaway” does not even address the issue in question – it is simply pure propaganda for the vaccines.
Republished from the DailySceptic
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