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Part 3 - Meryl Dorey and pertussis vaccination - Poland and The USA

How Meryl Dorey plagiarised a WHO publication: Global Epidemiology of


Infectious Diseases - Chapter 2, Pertussis: by Arthur M Galazka and Susan E
Robertson, presented graphed data without the explanatory text and thus,
misrepresented three more authors, when submitting to the HCCC;
http://whqlibdoc.who.int/publications/2004/9241592303_chap2.pdf

Returning to page 7 of Ms. Doreyʼs reply to the HCCC we can pursue the origin of Figure
2.1 as Ms. Dorey presented it. Dorey submits;

A closer read of pages 34-35 of the source document reveals the graph indicates no such
thing. Vaccine induced immunity for pertussis is gained in the first year of life. Hence “< 1
year” includes non-vaccinated and partially vaccinated babies. The immediate preceding
and following text reflects this and refutes Doreyʼs claim - bordered in red above. It
beggars belief that Ms. Dorey screen snapped this graph yet missed the text circled in red
below - that just happens to contradict her claim;
Part 3 - Meryl Dorey and pertussis vaccination - Poland and The USA

Oh my, what a mess. Well, surely the contributing authors must be the key to this world
wide failure of mass pertussis vaccination that Meryl Dorey has discovered. Ms. Dorey has
presented a graphical representation of their data. Cropped from a WHO report, no less.
But does it represent increased infection for vulnerable (non-vaccinated) age groups, or
comparatively reduced infection in other age groups that are fully vaccinated? What else
can be gleaned from these authors? Letʼs check....
Part 3 - Meryl Dorey and pertussis vaccination - Poland and The USA

Galazka and Robertson continue on page 35, with the next paragraph;

“The scope of these changes differs depending on the schedule of vaccine delivery and
the coverage rates achieved. In Poland, for example, the most noticeable reduction of
pertussis morbidity has been among children 1–4 years of age and the peak incidence has
shifted to infants. Infants represented only 12 per cent of all pertussis cases in Poland
1973, compared with 49 per cent in 1993 (Adonajlo 1975, 1993).

In the United States of America during 1980–1989, children under one year of age
accounted for nearly 50 per cent of all cases; the incidence rate among infants was nearly
10 times higher than that among children of 1–4 years of age, and more than one hundred
times higher than that among adolescents or adults (Farizo et al. 1992).

On page 33 under Epidemiological Aspects - communicability we read [bold mine];

“Pertussis is a highly communicable disease. It is likely that no one escapes pertussis


in the absence of immunization. By the age of 16 years, almost 100 per cent of children
have suffered an episode of pertussis but about 25 per cent of episodes are unrecognized
(Thomas 1989). This has been demonstrated by data from epidemic investigations,
studies of secondary spread within families, and serological surveys.

In pertussis epidemics, attack rates in unimmunized children are high, ranging


between 11 per cent and 81 per cent depending on age (Table 2.1). The high degree of
communicability has been repeatedly demonstrated by secondary attack rates of 70 to 100
per cent among susceptibles within families (Gordon & Hood 1951).

On page 20 Galazka and Robertson write, under Impact of immunisation against


pertussis [bold mine];

“Immunization is the key to preventing pertussis. Whole cell pertussis vaccines, widely
used in industrialized countries since the late 1950s and 1960s, and introduced in
developing countries within the WHO Expanded Programme on Immunization in the 1970s
and 1980s, are of proven efficacy.”

It doesnʼt seem from the above that outbreaks, epidemics, morbidity or mortality are
causally related to vaccine induced pertussis immunity or vaccination with acellular or
whole-cell preparations. The schedule of delivery (by what age), coverage rates (herd
immunity) and a reduction of pertussis amongst vaccinated children (vaccine prevention)
all contribute to the fact “vulnerable” under one year olds are presenting with increased
infection. Generally speaking, < 1 year = non-vaccinated. 1 year plus = vaccinated.

Ms. Dorey has gone to extreme lengths, doctoring graphs, ignoring pages and pages of
text, plagiarising and mis-quoting a WHO publication, denying the import of figures and
recommendations right before her eyes, to convey a false impression about pertussis and
vaccination to the NSW HCCC. So, is it “just a bad cough” as Dorey argues? You donʼt die
from it, despite what health authorities claim, Dorey insists. Whatʼs the harm? Letʼs see...
Part 3 - Meryl Dorey and pertussis vaccination - Poland and The USA

On page 37 Galazka and Robertson write;

Farizo et al 1992, is mentioned in the following table of complications - page 38.