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Written by bronwyn
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Saturday, 10 April 2010 14:27 |
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Shaken Baby Syndrome Diagnosis On Shaky Ground
J. Aust. Coll. Nutr. & Env. Med. Vol. 20 No. 2 (August 2001) pages 5-8, 15 Viera Scheibner, PhD
Abstract An epidemic of accusations against parents and baby sitters of shaken baby syndrome is sweeping the developed world. The United States and the United Kingdom are in the forefront of such questionable practice. Brain (mainly subdural, less often subarachnoid) and retinal haemorrhages, retinal detachments, and rib and other bone ‘fractures’ are considered pathognomonic. However, the reality of these injuries is very different and well documented: the vast majority occur after the administration of childhood vaccines and a minority of cases are due to documented birth injuries and pre-eclamptic and eclamptic states of the mothers. Evidence that vaccines cause brain and retinal haemorrhages and increased fragility of bones, has been published in refereed medical journals. That this has been to a great extent due to the depletion of vitamin C reserves resulting in acute scurvy, has also been published. I refer to such articles and demonstrate that there is a viable differential diagnosis available explaining the observed injuries in what is called the Shaken Baby Syndrome (SBS) as non-traumatic injuries, and that the diagnosis of SBS is an incorrect evaluation of the cause of such injuries; it has resulted in unspeakable injustices and suffering for the affected individuals and their families, and deprived the surviving babies of their parental care by replacing it with foster care. It does not reflect well on the justice and medical systems in the developed world which are, sadly, characterised by blindness to the most obvious and victimisation of the innocent. Those who inject babies with great numbers of vaccines within short periods of time in the first months of life, often ignoring the observed serious reactions to the previous lots of vaccines, are not only the accusers of innocent carers, but are not prosecuted or brought to justice; quite to the contrary, they continue injecting babies with toxic cocktails of vaccines and creating further innumerable cases of grievous bodily harm and death.
Introduction A great number of parents and other carers are being accused of shaking their small babies and causing grievous bodily harm and death. Most USA, but also other countries’, hospitals have SBS squads who get hold of distraught carers rushing their seriously ill or dying babies to get help literally on entering the emergency units, often before any tests are done. In Australia, the affected babies are taken away from their parents, who are not always charged with any criminal offence, but have a hard time to prove that they did not harm their babies and have difficulty getting them back into their lawful custody. Nobody seems to listen to the carers’ stories, which are remarkably similar in the lack of evidence of any trauma and in that they are at a loss to understand what happened to their precious babies. Even though the administration of vaccines is recorded, their possible role in the observed injuries is not considered, or is deliberately ignored. The distraught carers are, as a rule, pressured into admitting that they shook their babies and some may ‘confess’ under duress or under a promise of leniency. It is only thanks to the Internet that a great number of carers subsequently learn that the vast majority of the affected babies developed their symptoms after and not before they were subjected to the routine vaccine injections. The most worrying element in this misplaced eagerness to ‘protect’ babies against abuse, is the ignorance of the medical ‘experts’ who adamantly, and under oath in court, will testify that there is no evidence (published or otherwise) or “no reputable evidence” that the observed injuries, considered pathognomonic of SBS, have other, viable, non-traumatic causes. In my experience, such experts adamantly reject any suggestion that the administered vaccines had anything to do with the observed injuries. I dare not say that eagerness to deliberately victimise carers is the motive in their unforgivable behaviour, even though this phenomenon has been described in refereed medical journals. Kirschner and Stein9 warned about mistaken diagnoses of child abuse based on the failure of treating physicians to make a correct diagnosis and that they mistake life-threatening illness or postmortem artifacts for inflicted injury. They wrote: “Not only lack of experience with severe childhood illness and death but also an attitude of suspicion and/or hostility probably contributed to these misdiagnoses”.9 I have also witnessed the ‘experts’ admitting that, of course, vaccines are not 100% safe or effective and can cause injuries, but not in the case under scrutiny! There are a number of benchmark articles referred to by the proponents of the SBS, Caffey’s 1972 article2 being the most quoted. Since other authors essentially repeat what was published by Caffey, I shall only elaborate on the data contained in the above publication of Caffey’s.
Analysis and comparison of the published data Caffey1 originally described six infants, 13 months or younger, with the combination of subdural haematomas and what he considered characteristic “bone lesions of battering”. In 1972, Caffey talked about the theory and practice of shaking infants as part of his Abraham Jacobi Awards Address. He ascertained that during the last 25 years substantial evidence, direct and circumstantial, “has gradually accumulated suggesting that the whiplash-shaking and jerking of abused infants are common causes of the skeletal as well as the cerebrovascular lesions”. He also wrote that “potentially pathogenic whip-lash shaking is commonly practised in a wide variety of ways, under a wide variety of circumstances, by a wide variety of persons, for a wide variety of reasons”. He considered that the most common motive for such action was an attempt to correct minor misbehaviour. However, he also wrote that the line of demarkation between pathogenic and nonpathogenic shaking is often vague. He maintained that the interpretations of such injuries must be done from the radiographic changes exclusively due to the lack of systematic studies of either surgical exploration or necropsy. Metaphyseal avulsions in the form of small fragments of cortical bone torn off the external edge of the cortical wall at the metaphyseal levels where the periosteum is most tightly bound down to the cortex were most common. In most cases they appeared to be small chunks of calcified cartilage which have been broken off the edges of the provisional zones of calcification at or near the sites of the attachments of the articular capsules. Bones on both the proximal and distal sides of a single joint were affected, especially at the knee. Then in 19722 Caffey proceeded to speculate that “all of these metaphyseal avulsions appeared to result from indirect traction, stretching, and shearing, acceleration-deceleration stresses on the periosteum and articular capsules, rather than direct, impact stresses such as smashing blows on the bone itself”. Then, without further evidence, he called these findings “traumatic involucra” which commonly accompany the metaphyseal avulsions and involve the same terminal segment of the same shaft. He thought that such injuries develop due to traction-rupture of the abundant normal perforating blood vessels, which occur between the periosteum and the medullary cavity and which are severed at the junction of the internal edge of the periosteum with the external edge of the cortex. The accumulated blood then lifts the periosteum off the wall for variable distances and forms subperiosteal haematomas of variable sizes and shapes. The position of such haematomas varies from either being symmetrical in analogous bones, or asymmetrical, affecting bones in one arm or leg only, or sometimes occurring only on the thighs and shanks. Frequently, they involve bones on both the distal and proximal sides of a single joint, especially the knees. First they appear as masses of water density superimposed on the shaft, but after four to ten days, a thin opaque shell of new fibrous bone forms around the external edge of the haematoma. The entrapped blood then gradually resorbs. Importantly, Caffey quoted several observers who noted associated diffuse sclerosis of the shafts of some of the affected bones of some ‘abused’ infants.2 Importantly, he wrote that some radiologists described them as excessively fragile, brittle, chalk-like bones. He then continued: “In recent biopsies, however, the microscopic examination disclosed the lamellae to be laid down in an irregular woven pattern. This, in my opinion, indicates that the sclerosis is caused by excessive newly-formed primitive fibrous or woven bone, which forms regularly under the periosteum following traumatic subperiosteal oedema or bleeding or both. Traumatic thickenings of the external subperiosteal edge of the cortical wall are the cause of the sclerosis. The epiphyseal ossification centers and round bones are probably stronger than normal shafts. Traumatic metaphyseal cupping is due to traumatic obstructive injury to the epiphyseal arterioles in the neighbouring cartilage plate; and the metaphyseal ‘loop’ deformities are due to stretching and extension of the traumatic involucra terminally. Both of these lesions are best explained on the causal basis of the grabbing, squeezing the extremities by the assailant’s hands, and whiplash-shaking the infant’s head”.2 It is obvious from these quotations, that Caffey was preoccupied with presumed but unsubstantiated, let alone proved, traumatic origin of such injuries and he ignored the available evidence to the contrary. Indeed, Caffey’s contemporary, Hiller, published a very important article in 1972 (“Battered Or Not - A Reappraisal Of Metaphyseal Fragility”)6 in which he demonstrated that the ‘typical’ epiphyseal plate fractures - usually involving a flake of metaphysis, with or without displacement of the epiphysis, and considered virtually diagnostic of battering - are something else: a sign of acute scurvy. Hiller wrote that such fractures often produce periosteal stripping up of the shafts of the bones, with added subperiosteal haematoma formation, which later shows extensive ossification. Hiller also mentioned that this type of fracture was originally described by Caffey in 1946, who noted the occurrence of such fractures in infants with subdural haematomas, but drew no conclusion at that time. Indeed, Caffey at that time even coined the term “metaphyseal fragility” and for a long time afterwards infants presenting with these types of bone fractures were fully investigated to exclude blood dyscrasias, clotting abnormalities and abnormalities of calcium metabolism. However, nothing ever came of these investigations and subsequent authors simply accepted such fractures as being the result of inflicted trauma. By 1965, Silverman published that such bizarre fractures should now be accepted generally as strong evidence of battering.19 Hiller maintained his reservations about the validity of such hypothesis. He had many reasons for such hesitation:
1. the inability on many occasions to elicit, even by most careful and thorough cross-questioning, any evidence of maltreatment (indeed one of such infants was a doctor’s son);
2.the type of trauma (when any had occurred) reported by proponents of the SBS was so minimal, that it could occur in a high percentage of normal home environments, and we should definitely see more of it; in actual fact, this did not occur;
3.in a number of infants with multiple epiphyseal plate fractures, all bones, including those in no way involved with the fractures, show a dense chalky appearance on the x-ray, which, in fact suggests a degree of osteopetrosis. Both Caffey and Silverman19 recorded these findings but did not draw the correct conclusion from them;
4.Hiller drew attention to the occurrence of epiphyseal plate fractures on both sides of a joint - often appearing at the same time on x-rays and therefore almost certainly being sustained at the same time. If any twisting or torsion had occurred, as Caffey and his followers hypothesised, such a fracture might occur at one side of the joint, but “how could it possibly occur at both sides?” asks Hiller.
Hiller then discussed the occurrence of other fractures accompanying the above typical fractures of scurvy, such as multiple rib fractures and skull vault fractures. He wrote that the occurrence on more than one occasion of a fracture of the acromion and of spinous processes, causes some difficulty in accepting the trauma-alone theory. Also, greenstick fractures of a number of metatarsals in a 4-month-old infant are difficult to explain as being caused by inflicted trauma. Indeed, Hiller instigated a two year retrospective study at the Royal Children’s Hospital, Melbourne, of all long bone fractures seen in infants and children under the age of 3 years, in whom no stigmata of battering were found. The study included three groups of children: those with no known injury, those who sustained severe falls from heights or had been involved in automobile accidents, and those who had less severe falls, being dropped or having been subjected to the playful actions of parents. The results showed that out of a total of 145 fractures reviewed, not one was of the epiphyseal plate type. They were invariably greenstick, oblique or spinal shaft fractures. At the same time it was decided to make a 12-month survey at the Royal Children’s Hospital, Melbourne, of all children and infants suspected of having been battered, and to ascertain how many of these demonstrated the typical epiphyseal plate fractures. Out of the total of 25 children, 5 were found to have these typical fractures. All 5 showed the chalky bone structure to a greater or a lesser extent and all showed multiple fractures not only of the epiphyseal plates, but also shaft fractures and, in one case, a linear skull fracture. In 2 of the 5 patients, a bone biopsy was performed which showed an abnormal trabecular structure. “The lamellae were found to be laid down in an irregular woven pattern, i.e. the collagen framework showed a crisscross basket weave of bundles”. Hiller stated that this irregular collagen pattern resembled that of immature woven bone, and contrasted with normal controls which showed a more regular lamellar pattern. Long before both Caffey and Hiller, Hess published a book Scurvy, Past and Present7 in which he elaborated on many typical signs of scurvy involving many types of haemorrhages which may take place in any organ and vary from small petechiae to very extensive extravasations. The hair follicles and sweat glands are particularly susceptible to such bleeding, as some authors noticed in inmates of French prisons. Relatively small trauma may result in bleeding into the skin, the lower extremities being the commonest sites, between the knee and ankle, and in children the inner aspect of the thighs due to trauma of the nappies. The deeper haemorrhages may be very extensive and tend to follow the connective-tissue strata. The blood surrounds the muscle fibres, which appear quite intact. The neighhbouring blood vessels are congested and may contain thrombi, both venous and arterial. Such thrombi are found also in areas where extravasation has not taken place, and conversely, haemorrhages occur where no thrombi are demonstrable. Brownish pigment (no doubt haemosiderin, my comment) is frequently found in the neighbourhood of the haemorrhagic areas. In the healing areas a marked formation of the scar tissue will be found. Bizarre forms of haemorrhage may occur in the right lower abdomen and in the region of the transverse colon. Certain organs are more and others less predisposed to bleeding. Haemorrhages are commonly seen in the adrenals, (mainly the medullary portion), bladder and urethra. Haemorrhages may occur into the brain substance, into the cord or into the membranes surrounding them. What Hess called “pachymeningitis haemorrhagica interna” has been described frequently, and may give rise to the symptoms of meningitis. The optic nerve and peripheral nerves may also be affected. With modern technology, such haemorrhages are now identified as subdural or subarachnoid and can be described in great detail. Even though they may occur separately from brain haemorrhages, retinal haemorrhages occur frequently when the brain haemorrhages are present, because of the close anatomical connection between the eyes and the brain. Bones are affected by subperiosteal haemorrhages, especially in the distal end of the femur or of the tibia, which may be evident and surrounded by unusually large calluses. The blood may extend along the long bones under the periosteum. The clot forms, readily demonstrating that the nature of the haemorrhage is not a defect in coagulation and the callus constitutes more or less firm connective tissue containing fibrin, pigment and granulation tissue. Epiphyses may be entirely separated from the bones. In some cases the cartilage is telescoped into the crushed end of the bone. Typically, ‘beading’ of the ribs occurs, the counterpart of the ‘rhachitic rosary’. There may be fractures at the costochondral junctions, or a separation of the cartilage from the sternum, as described by Lind and many others in soldiers suffering scurvy. The subperiosteal haemorrhage has long been recognised as a lesion characteristic of scurvy and may involve almost any of the bones, such as scapula, cranial vault, orbital plate of the frontal bone, ribs, etc. The most frequent sites of fracture or separation in the epiphysis is the lower end of the femur. On sectioning the bones longitudinally, the cortex is noted to be exceedingly thin (a mere shell) and very brittle. The trabeculae are so thin and reduced in number that the bone has become a very fragile structure. The marrow is no longer deep red at the ends of the long bones, but yellowish, frequently presenting a patchy appearance. It has a gelatinous consistency. The bone structure is irregular with osseous trabeculae few in number and those remaining are slender and irregular and frequently appear as isolated islets. The line of junction with the cartilage becomes zigzag. Retinal haemorrhages and pallor of the optic disc, found in SBS, were also considered pathognomonic of scurvy. Enlargement of the heart was cited by Hess7 as one of the symptoms of acute scurvy. Pericarditis, hydrothorax, pleurisy with effusion, diarrhoea, bleeding into the gums and pneumonia are common complications of scurvy. In babies, the signs of scurvy may be overlooked even though it is indicated by a large number of symptoms such as irritability, tachycardia and tachypnea, slight weight gain, pale complexion and slight oedema of the eyelids and periorbital area. Petechial haemorrhages on the face, around the eyes and on the upper torso are one of the typical signs of scurvy in infants. In this connection, it is appropriate to mention petechial haemorrhages into the thymus, pericardium, lungs, and other organs as the most typical (and often only) pathology found in the babies who die suddenly (SIDS). These may well be signs of acute scurvy precipitated by the administration of a multitude of vaccines containing a number of toxins. The petechiae were well-described in 1978 by Hans Selye16 (and elsewhere), as part of the pathology of his non-specific stress syndrome (or general adaptation syndrome) in rats injected with formaldehyde, and also in 1959 by Pekarek and Rezabek in rats after the administration of the DPT vaccines.11 All examples of what Caffey considered “typical battered baby” fractures and periosteal bleedings in his papers, are in fact typical scurvy fractures and bleedings. These days, people generally think that nobody suffers scurvy, which used to be identified with long sea voyages during which the sailors were deprived of any fresh fruit and vegetables. The reality is far from such idealised perceptions. Most people probably have only marginal reserves of vitamin C and this applies particularly to babies and small children. Administration of vaccines depletes the marginal vitamin C reserves very quickly and this results in acute scurvy. Vaccines of the kind given to babies as early as at birth and then one month later (hepatitis B vaccine) and DPT, Polio and Hib at 6 to 8 weeks of age, contain a number of toxins. The DPT (three in one vaccine), being the toxoid vaccine, contains pertussis, diphtheria and tetanus toxins which are treated with formaldehyde to decrease their toxicity. However, all of these treated toxins (toxoids) have the ability to revert back to their original toxicity by passage in the injected individuals, as demonstrated by Samore and Siber.13 These toxins are capable of causing, and they demonstrably cause, serious immunological, vascular and metabolic injuries, of which scurvy is one of many documented mechanisms. Weiss and Hewlett17 elaborated on virulence factors of Bordetella pertussis, the causative organism in the disease pertussis and the active ingredient in all pertussis vaccine, whether the whole-cell or acellular. They enumerated the following virulence factors of Bordetella pertussis: agglutinogens, adenylate cyclase toxin, dermonecrotic toxin, filamentous haemagglutinin, haemolysin, lipopolysaccharide, pertussis toxin and tracheal cytotoxin. Importantly, dermonecrotic toxin causes necrotic lesions and elicits vasoconstriction of peripheral blood vessels, followed by ischemia, diapedesis of leucocytes and petechial haemorrhage. The lipopolysaccharide is pyrogenic and is comparable to endotoxin from Salmonella or Escherichia coli in the Limulus amaebocyte lysate essay and in promoting hypersensitivity to histamine. Pertussis toxin is the most extensively studied product of B. pertussis and is undoubtedly a major virulence factor. It is known under a number of names such as histamine-sensitising factor, lymphocytosis-promoting factor, islet-activating protein and pertussigen. Pertussis toxin is not cytolytic but rather alters cellular responsiveness to regulatory molecules. It blocks the stimulation of phosphatyl inositol hydrolysis, arachidonate release, and calcium mobilisation by some mediator cells, such as immune effector cells, including neutrophils, monocytes, macrophages, basophils, bone marrow stem cells, and natural killer lymphocytes. This explains the range of reactions to the pertussis vaccines. Other vaccines contain toxins, such as the diphtheria and tetanus vaccines, which may and do cause injuries of the kind seen in the SBS babies. However, even vaccines which are not toxin-based, such as the hepatitis B vaccine, cause reactions seen in the SBS babies, particularly retinal haemorrhages (Devin et al.3). Perhaps the most important effect of such toxins is arteritis affecting medium and small arteries, particularly at the point of bifurcation and branching. Segmental inflammation, infiltration with fibrinoid and necrosis of the blood vessel lining and walls leads to diminished blood flow to the areas normally supplied by these arteries (Taber’s Cyclopedic Medical Dictionary, 1981). There is another aspect to the observed brain and retinal haemorrhages in a great number of particularly newborn babies: the iatrogenic effect of inductions. Schoenfeld et al. (1985)20 studied the retinal haemorrhages following labour induced by oxytocin or dinoprostone. They observed retinal haemorrhages in 40% of neonates in the dinoprostone treatment group, compared with 28% in the oxytocin group. They concluded that accumulation of prostaglandins in the foetal circulation may be responsible for the haemorrhages. They wrote that other organ systems must be carefully examined in the neonates to detect other possible untoward effects. Considering that large numbers of neonates are now not only induced, but are also injected with hepatitis B vaccine within hours or a few days of birth, it is not surprising that so many of them are diagnosed with extensive brain and retinal haemorrhages; the haemorrhagic birth injuries caused by the overload of prostaglandins used to induce or speed up so many births, are aggravated by the vasculopathic toxic effect of these vaccines. The haemorrhages have hardly had time to start healing and the next dose of multiple vaccines is administered at 6 to 8 weeks of age. Tragically, the presence of haemosiderin, indicating old haemorrhages, is not appropriately correlated with the vaccine administration, but is incorrectly used as further ‘evidence’ that the child was assaulted repeatedly. Gilliland et al. warned that such interpretation represents an opportunity for medicolegal confusion and miscarriage of justice.5 Leadbeater et al.10, in a letter to the editor of BMJ, commenting on Carty and Ratcliffe’s article (“The Shaken Infant Syndrome”),18 warned about the unproven concept of the SBS as a result of violent shaking and quoted Duhaime et al.,4 who raised the question whether the forces generated by shaking are sufficient to cause brain damage. Leadbeater et al.10 also justly criticised the way a lack of precision in citation by some authors (proponents of the SBS) is raising false hopes of an objective account of an unbiased witness, “but on studying the cited reference one finds only an unsubstantiated statement of belief that describes the act of ‘shaking/slamming’”. Leadbeater et al. concluded that “It seems premature to warn against an act of violence when its precise mechanism of action is not clearly defined, its potential for serious trauma in the absence of concomitant impact is not supported by existing experimental data, and the clinical findings said to result from it are not in themselves specific”. This agrees with my experience of SBS from court cases in which the unfortunate parents become victims of such unsubstantiated ‘beliefs’. The accused carers are presumed guilty when they are steadfast in proclaiming their innocence and presumed guilty when they ‘confess’ to shaking, without the court establishing just how strong and when the alleged shaking should have occurred. The courts are often deaf to the fact that the accused only admitted to slightly shaking the baby after finding it unconscious or fitting, in their legitimate effort to revive the baby. “You just don’t stand there and watch your baby die.” Hess’7 and Hiller’s6 findings cast very serious and considerable doubt on the acceptance of Caffey’s multiple epiphyseal plate, rib and skull fractures as definite radiological evidence of battering. Both authors ascertained that such fractures are common in scurvy without undue trauma to the child beyond normal handling and that greenstick fractures are equally common in rickets. Both conditions result in increased temporary bone fragility, which may result in fractures due to normal handling. It has been amply demonstrated that administration of vaccines, such as DPT, results in depletion of vitamin C reserves, leading to acute scurvy. Pittman, in her landmark paper on “The Concept of Pertussis as a Toxin-Mediated Disease”,12 quoted Pekarek & Rezabek11 who reported that toxic pertussis vaccine, as reflected by the mouse weight gain test, causes a temporary decrease in the level of ascorbic acid in the adrenals of the rat. Considering that in contrast to rats, the human species does not produce its own vitamin C, which must daily be replenished by oral intake, the administration of vaccines may result in serious long-term depletion of vitamin C, unless large doses are administered before and after such vaccines are given. Proper investigation of the vitamin C status is imperative in establishing the cause of the observed bone fragility.
Conclusions. The above brief review of the perceived benchmark publications dealing with issues directly related to the diagnosis of Shaken Baby Syndrome, demonstrates that the SBS diagnosis is on very shaky ground indeed. The pathology, considered currently to be foolproof evidence of inflicted trauma, may be caused by inductions and other birth injuries, temporary increased fragility of the bones due to acute scurvy caused by the toxic effect of vaccines and the observed brain and retinal haemorrhages may also be a result of vascular injuries due to the toxic effect of the administered vaccines. Indeed, the only documented facts in the vast majority of cases of SBS are the administered routine vaccines, while the evidence of any shaking, other than slight shaking as part of resuscitation efforts by the carers who found the affected infants in distress, is missing. There are more plausible mechanisms than shaking which explain the increased bleeding tendency without the standard tests revealing the usual blood clotting disorder due to low platelet count. Hans Selye16 postulated the presence of liquid unclotting blood due to decreased viscosity of blood as one of the characteristics of the second stage of his non-specific stress syndrome which is caused by the stress dynamics of retention of water rather than changed platelet count. Indeed, shaking is the most unlikely cause of such injuries. The practice of accusing innocent carers of injuring vaccine-damaged children should cease forthwith. All past cases of SBS should be revised and the victims released from prison and compensated for their mental suffering, financial losses and emotional trauma. The practice of administering toxic substances such as vaccines should be looked into and there must be an independent enquiry, which should include the critics of vaccines, and which should investigate vaccines’ proven dangers. And last but not least: the unjustifiable accusations of innocent parties and harassment of the vaccine victims should serve as a serious warning about the shortcomings of the Western medical and legal systems and their susceptibility to serious errors.
References
1.Caffey J, 1946. “Multiple fractures in the long bones of infants suffering from subdural hematoma.” Am J Roentgenol, 1946, 56: 163-173. 2.Caffey J, “On theory and practice of shaking infants.” Am J Dis Child, 1972, 124(2): 161-169. 3.Devin F, Roques G, Rodor P and Weiller PJ, “Occlusion of central retinal vein after hepatitis B vaccination.” Lancet, 1996, 347: 1626. 4.Duhaime A-C, Gennarelli TA, Thibault LE, Bruce DA, Margulies SS and Wiser R, “The shaken baby syndrome. A clinical, pathological, and biomechanical study.” J Neurosurg, 1987, 66: 409-415. 5.Gilliland MGF, Luckenbach MW and Massicotte SJ. “The medicolegal implications of detecting hemosiderin in the eyes of children who are suspected of being abused.” Arch Ophthalmol, 1991, 109: 321-322. 6.Hiller HG, “Battered or not - the reappraisal of metaphyseal fragility.” Am J Roentgenol, Radiol Therapy & Nuclear Medicine, 1972, 114(2): 241-245. 7.Hess AF, Scurvy, Past and Present J.B. Lippincott Company, Philadelphia and London, 1920 8.Kalokerinos A, “How medical evidence freed one man.” J Aust Coll Nutr & Env Med, (ACNEM) 1998; 17.1: 27-28. 9.Kirschner RH and Stein RJ, “The mistaken diagnosis of child abuse.” Am J Dis Child, 1985, 139: 873-975. 10.Leadbeater 5, “The shaken infant syndrome. Shaking alone may not be responsible for damage.” Br Med J, 1995, 310: 1600 (letter). 11.Pekarek J and Rezabek K, “An endocrinological test for innocuity of the pertussis vaccine.” J. Hyg Epidemiol Microbiol Immunol, 1959, 3: 79-84. 12.Pittman M. “The concept of pertussis as a toxin-mediated disease.” Ped Infect Dis J, 1984, 3(5): 467-486. 13.Samore MH and Siber CR, “Effect of pertussis toxin on susceptibility of infant rats to Haemophilus influenzae type B.” J Infect Dis, 1992, 165: 945-948. 14.Scheibner V, “Evidence of the association between non-specific stress syndrome, DPT injections and cot death.” Proc 2nd National Immunisation Conference, The Public Health Association of Australia, 1992. Canberra, Australia. 27-29 May 1991: 90-91. 15.Scheibncr V. “The Shaken Baby Syndrome - the link to vaccination.” Nexus. 1998 (Aug-Sep): 35-38 & 87. 16.Selye H, The Stress of Life. McGill University Press, Montreal, 1978. 17.Weiss AA and Hewlett EL, “Virulence factors of Bordetella pertussis.” Ann Rev Microbiol, 1986, 40: 661-686. 18.Carty and Ratcliffe, “The Shaken Infant Syndrome”, BMJ 1995: 319:344 345. 19.Silverman FN. “Presentation of the John Howland Medal and Award of the American Pediatric Society to Dr. John Caffey.” J of Ped 1965; 67(5) P.2:1000-1007. 20.Schoenfeld MD, Buckman G, Nissenkorn MD, Cohen S, Ben-Sira I, Ovadia J, “Retinal Hemorrhages on the Newborn Following Labor Induced by Oxytocin or Dinoprostone.” Arch Opthalmol July 1985, Vol 103:932
Author contact details:
Dr Viera Scheibner 178 Govetts Leap Road, Blackheath NSW 2785, Australia Tel: +61 247 878 203 Fax: +61 247 878 988 Email:
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Last Updated ( Sunday, 11 April 2010 07:54 )
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Dynamics of Critical Days. |
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Written by bronwyn
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Saturday, 10 April 2010 12:52 |
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Dynamics of critical days as part of the dynamics of non-specific stress syndrome discovered during monitoring with Cotwatch breathing monitor. Recent Editorials in British Medical Journal by a number of authors have motivated me to publish the results of research into babies’ breathing that myself and the late Leif Karlsson (a Swedish biomedical electronics engineer living in Australia) conducted with Cotwatch breathing monitor developed by Leif at my suggestion in 1985/86. Leif died in 1994 and the Cotwatch breathing monitor died with him: I had it de-listed with TGA (Therapeutic Goods Administration) and it has not been distributed since 1994. Cotwatch was a true breathing monitor, meaning its electronics separated heartbeat and breathing and only breathing delayed the alarm. The feedback on breathing from the standard home monitor were alarms (Figure 1), while the microprocessor-based unit provided computer printouts of the record of breathing in the form of histograms stacked-up at an angle (Figure 2) or vertical bars (Figures 3-4) the length of which directly reflected the stress level as integrals of the weighted apnoea-hypopnoea density (WAHD). Record of alarms in a baby over a period of 5 and half months (from October 1987 to March 1988; Figure 1) reveals that the stress-induced breathing pattern did not subside after 21 days after vaccine administration: it was still continuing on and off (following the critical days) two and a half to three months later, and before the child had really recovered from the first lot it was given the second injection of DPT and oral polio vaccines. Cotwatch recorded events in breathing: apnoeas (pauses in breathing) and hypopnoeas (low volume breathing = below 5% of the volume of normal unstressed breathing). The events were logarithmically weighted (WAHD=weighted apnoea/hypopnoea density: the figures on the vertical axis of the computer printouts are integrals of the WAHD). The first two charts in Figure 3 are computer printouts of the record of events in breathing in two babies - baby one who was given the third DPT (diphtheria-pertussis-tetanus) and OPV (oral polio) vaccines and baby two who was given the first DPT and OPV. The higher the vertical bar, the higher the stress level in breathing; the Figure 3 shows flare-ups of stress-induced breathing day by day from day 0 when the vaccines were administered and up to day 17. It is obvious that even though baby one reacted much more than baby two, the flare ups of stressed breathing followed the same pattern of critical days, the most important of these being day 2, after which day the stress level went down and started rising again between days 5 and 7, when the stress level subsided and started increasing again between 14-16 days, subsided again and rose again between 19-24 days, after which day it subsided and rose again towards the 28th day and so on, following closely the pattern of alarms as recorded by a mother of one baby (Figure 1). Days 10 or 11 also emerged as critical days in babies who reacted strongly, such as baby one. Needless to say, the increased intensity of reactions after the third DPT injection and OPV reflects the phenomenon of sensitisation (sensitisation in this context means increased deranged immunological response or anaphylaxis; and in the case of vaccines also increased susceptibility to the diseases that the vaccines are supposed to prevent and also to a host of unrelated bacterial and viral infections (Parfentjev 1955; Craighead 1975; Daum et al. 1989).  The third chart in Figure 3 is of 41 actual randomly listed deaths after DPT and OPV. It can be seen that the distribution of deaths closely follows the dynamics of the flare-ups of stressed breathing of babies one and two after the administration of the DPT vaccine. Figure 4 illustrates that in our research every baby was its own control (the data measures the stress level in every baby before and after vaccination): for a number of days there was no stress level in breathing, then comes day 0 when the vaccine was administered and one can see how the babies reacted day-by-day. Figure 4 represents two babies (baby one and baby three) and one can see the individual differences in response, since baby three reacted within the first 24 hours, and also that the highest stress level occurred for baby one on days 5-6, while for baby three it occurred on day 7, but this is to be expected since babies are individuals in their own right. One must also take into consideration that in statistics you always have a slight spread (of a day or two before or after the critical days). One can also rephrase it that nature does not necessarily operate in a sudden cut-off fashion, but in a build-up and tapering-off way. Figure 4 also illustrates the individuality of stress response after the 16th day: baby three had a significant delayed reaction towards the 24th day, while baby one had only a slightly increased stress level towards the 24th day.  Immunological research (Takacs et al. 1997) unwittingly provided another explanation for the observed and recorded slight differences in the daily dynamics of maximum stress response. Takacs et al. (1997) studied the possible underlying mechanisms of the cyclic pattern of relapsing/remitting experimental allergic encephalomyelitis (EAE). Their approach was to conduct a longitudinal study correlating epitope recognition and cytokine production by draining lymph node cells, splenocytes and central nervous system (CNS)-infiltrating cells with disease during relapsing and remitting EAE. Responses of lymph node cells and splenocytes were uniformative with respect to epitope spread. However, there were interesting day-by-day dynamics as far as time-course of T cell responses in lymph nodes were concerned. EAE was induced with 200 micrograms PLP (proeolipid protein) 139-151, PLP 178-191 or MBP (myelin basic protein) 87-106 emulsified in IFA supplemented with 200 micrograms Mycobacterium tuberculosis and M. butyricum 8:1 and given s.c. (subcutaneously) on days 0 and 7. Immediately after this (“immunisation”) and 48 hours later mice received 200 nannograms Bordetella pertussis toxin (intraperitoneally) in PBS (protein baseline serum). Relapse was defined as a weight loss and clinical worsening characterised by at least one full grade clinical score after stable recovery indicated by weight gain and at least one full clinical score. Without going into great detail, strong proliferation to the PLP 178-191 peptide used to induce disease was detected as early as day 4 after “immunisation”, reaching a peak by day 9-11. At the time of remission, day 15-16, a considerable decrease in proliferative capacity of lymph node cells was detected. IFN-gamma (interferon gamma) production followed the same pattern; some variability was observed between individual mice, but a relatively high concentration was measured during the first 11 days, decreasing thereafter. The highest concentration of IFN-gamma was measured at the time of disease onset, on day 11. The response to PLP 178-191 gradually waned and was lowest at day 17, which in almost all mice is a silent period of the disease. Day 22-25 was characterised by an increase in IFN-gamma production again: this is the time point which in most mice precedes detectable relapse. Equally interesting are Takacs et al’s (1997) immunological time dynamics from days 42 to 48, as established by our monitoring of stress response to vaccination in babies. These are the days with increased stress level in breathing and increased numbers of deaths after vaccination. The weight loss/weight gain dynamics accompanying the above immunological challenge is equally relevant to babies after vaccination.  Leif’s and my studies confirmed the validity of Hans Selye’s concept of non-specific (or general adaptation) stress syndrome as a characteristic but non-specific response in mammals to any noxious substance or insult or injury of any kind (Selye 1978). However, since our recording of breathing was done with a non-touch medical technology (Cotwatch had a sensor pad positioned under the mattress and nothing was attached to the body of the monitored person or an animal), we could record longitudinally for long periods of time hour-by-hour or day-by-day recording of stress dynamics in breathing, while Selye studied the dynamics of adreno-cortical activity and had to perform invasive blood tests which had limited the density of his record. His research only demonstrated the dynamics of stress response in very general terms as an alarm reaction (48 hours after the insult), a stage of resistance (an undetermined number of days after the first 48 hours) and the stage of exhaustion (another alarm-like reaction) following the stage of resistance (of undetermined duration) approximately corresponding to day 16. Our much more detailed recording of stress response established that the alarm reaction is biphasic and includes two flare-ups of stressed breathing, one on day 2 and another between days 5 and 7, then followed by about 7 days corresponding to the stage of resistance and the increased stress level around the 16th day representing the stage of exhaustion. Figure 5 represents tabulation of raw data on deaths after DPT and polio vaccination published by Mitchell et al. (1995).  These NZ authors concluded that “there was a reduced chance of SIDS in the four day period after immunisation” and hence that immunisation “may even lower the risk of SIDS” (though also saying that they cannot confidently state it as a certainty). However, far from showing protection against cot death by vaccination, Mitchell et al.’s (1995) data show that all those babies they studied died as a direct consequence of their DPT and OPV vaccination, showing perfect clustering along the critical days. The “reduced” risk of SIDS in the “immunised” group is misleading, because only those who received vaccines on schedule were categorised as “immunised”. Obviously this biases this group to be relatively healthier children, because a, or the, major reason for vaccines not being given on time, and sometimes not ever again, is the child being unwell, at least when the shots are due, if not constantly. So ironically, a child who suffered visible adverse effects from previous vaccines is likely to be in the “non-immunised” category in this study even if it received further vaccines. Generally speaking, the most fundamental error of judgement displayed by cot death researchers is that they do not look at what happened to the babies who succumbed to SIDS days before they died, and instead they are trying to identify the elusive entity of “at risk” babies. The pneumographic studies are done without any regard to what happens to babies in the first 6 months and/or one year or 18 months of life when the initial DPT and Hib and polio vaccines, the first MMR and/or booster vaccines are given. Vaccinations are mostly ignored in cot death studies. In our experience, the timing of pneumographic studies is determined by the availability of a bed in the overnight study unit rather than by looking at what happened to the baby just before it developed symptoms of stress or started having alarms on its monitor. The notion of false alarms widely used by those who conduct monitoring of babies’ breathing has also delayed the understanding of the situation. Alarms which happen when the monitored baby did not stop breathing, but is breathing very shallowly are considered false alarms. Leif and myself called them warning alarms because they sounded when the monitored babies started having longer and longer episodes of low volume breathing, which is the true stress-induced breathing pattern. A baby who developed pneumonia experienced such “false” alarms for 2 weeks before going down with typical symptoms of pneumonia. This happened about six weeks after the 6 months vaccination with DPT and polio vaccines. When reactions or deaths occur six weeks after vaccination, they would not be considered as caused by vaccination. Yet our records of alarms with microprocessor Cotwatch computer printouts demonstrate increased stress level in breathing more than 6 weeks after vaccination. Griffin et al. (1988) data on deaths after vaccination are of interest as well, because even though the authors concluded that their data do not show the causal link, a proper tabulation of their own raw data (Figure 6), looking at 4 groups of babies who died after DPT and Polio vaccination shows the following: Group 1 included babies aged 1.5-2.5 months (in the USA they start vaccinating at 6-8 weeks) . The majority of these babies died within 8-14 days and they died after the first dose. Group 2 included babies aged 2.5-4 months, who died after the second dose of DPT and OPV; the majority died between 15 and 30 days. Group 3 included babies aged 4-8 months who died after the third dose. The majority died more 31 days after vaccination. Group 4 included babies who died aged 8-12 months; these are the residue of delayed deaths after the third dose. Far from showing no evidence of the causal link between the administration of DPT and OPV vaccines, the tabulated raw data by Griffin et al. (1988) show three important observed phenomena: 1. Younger babies die earlier than older, bigger babies who take longer to die. 2, Sensitisation: increased immunological reaction (anaphylaxis) after subsequent doses of vaccines, 3. Increased numbers of deaths with the increasing interval from vaccination -- delayed reactions, which are a rule rather than an exception.  Interestingly, Torch (1982 and 1986) independently also made the same observation as Leif Karlson and myself: increasing numbers of deaths with the increasing interval from the vaccine administration, increasing number of injections and increasing age. He wrote (Torch 1982) that “Preliminary data on the first 70 cases studied shows that 2/3 had been immunized within 21 days prior to death… In the DPT SIDS group 6.5% died within 12 hours of inoculation, 13% within 24 hours, 26% within 3 days, and 37%, 61% and 70% within 1, 2 and 3 weeks respectively. Significant SIDS clustering occurred within the first 2 to 3 weeks of DTP #1, 2, 3 or 4, The age range in the DTP group was 59 days to 3 years…” One of many points I am making here is that the recipients of a vaccine such as DPT and OPV may react for more than 21 days after the vaccines are administered, this being additional information to that published by Innis (2004). Innis (op cit.) puts emphasis on the period of under 21 days from vaccination as a risk period for the onset of symptoms that can lead to allegations of child abuse, based on the 22 cases that he has analysed to date. Vaccines, such as the pertussis, are actually used to induce so-called experimental allergic encephalomyelitis (Levine et al 1966, Levine and Sowinski 1979, Steinman et al 1982 and many others). Steinman et al (1982) described an animal model for pertussis vaccination encephalopathy. They vaccinated mice with the heat-killed Bordetella pertussis vaccine combined with bovine serum albumin (BSA). They concluded that neuropathology in their mouse model resembles that of human cases in which death has occurred after DPT vaccination: diffuse vascular congestion and parenchymal haemorrhage in both the cortex and white matter. Cortical neurons showed ischemic changes, and areas of hypercellularity were evident in the meninges. B. pertussis has a wide range of physiological effects including increased IgE production, increased sensitivity to anaphylactic shock, lymphocytosis and hyperinsulinaemia. Its ability to induce increased vascular permeability may account for the tendency to produce haemorrhages. The relevance of the murine model of pertussis vaccine encephalopathy is demonstrated by most babies being exposed to cow’s milk (even in breast fed babies) due to pre-existing anti-BSA antibody. This sensitisation to BSA may lead to a similar chain of events following pertussis vaccination in genetically susceptible human babies. When babies were only given 4 vaccines at one session (DPT and OPV) they developed the so-called minimal pathology: petechial (spot-like) bleeding into the thymus, pericardium, lungs and other organs) and their deaths were classified as SIDS (Sudden Infant Death Syndrome, should read: Sudden Immunisation Death Syndrome). Such pathology was considered insufficient to cause death even though it was obviously sufficient, considering that tens of thousands of babies have died this way. According to Hess (1920) and many others, one of the symptoms of acute scurvy are petechial haemorrhages. Why consider scurvy in post-vaccinal death? Vaccines are a cocktail of toxic substances such as formaldehyde (interestingly, when Selye discovered non-specific stress syndrome, the first “noxious substance” that he injected into his laboratory rats was formaldehyde), aluminium phosphate and aluminium hydroxide, mercury compounds (thiomersal, merthiolate, containing up to 49% mercury), phenol, coolant (propylene glycol), peanut oil, and of course foreign proteins (antigens) - viruses and bacteria or their protein envelopes (such as pertussigen, an active toxic ingredient in all pertussis vaccines, whether whole cell or acellular), to mention just a few of the most common standard ingredients in a variety of vaccines. As Dr Innis repeatedly stated in his comments to a variety of BMJ articles on shaken baby syndrome, all of the SBS cases he studied were vaccinated within 21 days of the appearance of symptoms of SBS or death. I second this with a slightly qualified statement that among some 70-odd cases of SBS for which I have prepared a report, only 2 were cases of birth injury, and were unvaccinated. Also, a few of the SBS babies died more than 21 days after their last vaccinations. Indeed, days 42 to 48 after vaccination represent important critical days with increasing numbers of death (as discussed above). Most of those who have been involved in the study of SIDS or SBS and including those who have participated in the present very much needed BMJ.com cathartic debate on SBS have been rather shy or silent about the administered vaccines, even though those vaccine injections are as a rule the only documented facts. The act of shaking is undocumented and it is indeed (as Dr Innis correctly states) a little more than a figment of bizarre imagination by the accusing doctors, child protection agencies and the police. Some responders in this debate have questioned whether doctors are out to victimise innocent carers: the simple answer is that they are. As pointed out by Kirchner and Stein (1985), “…the treating physicians in the emergency room mistook life-threatening illness or postmortem artifacts for inflicted injury...Although the histories related by the parents in the emergency room were in all cases truthful and consistent with the results of physical examinations of the child, the involved physicians failed to make a correct diagnosis. Not only lack of experience with severe childhood illness and death but also an attitude of suspicion and/or hostility probably contributed to these misdiagnoses.” So what are the causes and mechanisms of what is considered the pathognomic triade of symptoms by the proponents of SBS, such as subdural and retinal haemorrhages and broken bones? As I wrote in my previous papers on this subject (J ACNEM 2002; bmj.com April 2 2004 Rapid Responses and elsewhere), the whole idea of subdural haematomas and bizarre bone fractures as a result of child abuse was started by Caffey in 1946. He considered fractures in the long bones as a complication of the infantile subdural haematoma associated with the fractures of the cranium. Even though his own illustrations show what is generally considered typical scurvy fractures, he denied any “roentgen signs of scurvy”. Without going into any more detail, Caffey (1946) concluded that “The fractures appear to be of traumatic origin but the traumatic episodes and the causal mechanism remain obscure”. It is difficult to understand why such classical scurvy fractures as shown on his own photographs were misinterpreted, however, Caffey admitted in his 1965 article “Significance of the history in the diagnosis of traumatic injury in children” that “it is still a wonder to me that Ross Golden welcomed me, a pediatrician without either formal or informal training or experience in radiology, into his department of traditionally and highly trained expert radiologists”. Indeed, why? The fact remains that Caffey made a mess of things which will take years to rectify. The sooner the rectification begins, the better for not only all those thousands of victims of Caffey’s obvious ignorance and closed mind but also for those formally trained radiologists who blindly followed misinterpretations of formally untrained Caffey. Moreover, Silverman (1965) attested to Caffey’s close-mindedness when he wrote about Caffey: “A classic example of his attitude…occurred at the end of a hot discussion at an 11 o’clock conference at Babies Hospital... when he was heard to remark to someone with whom he had been debating a point, “I wouldn’t believe it even if you proved it to me”. Hiller (1972), a formally-trained Australian radiologist, demonstrated that Caffey’s bizarre fractures are in fact caused by scurvy, even though he did not explain what actually caused scurvy in the affected babies. It was Hess (1920) in his elegant and much ahead of his time almost 300 page tome on scurvy who pointed out inadequacies of “antiscorbutic vitamine” (vitamin C) contents of the usual infant food and later on Pekarek and Rezabek (1959) who demonstrated that the administration of DPT vaccine to rats caused them to develop acute scurvy which rectified itself within 24 hours. However, human babies do not have the advantage the rats have of being able to produce their own vitamin C within their bodies - humans and other primates, fruit bats, Guinea pigs, to mention the most important examples, do not produce their own vitamin C and depend for it on their food having adequate contents of this important essential vitamin. When human babies are given the same DPT vaccine as Pekarek & Rezabek’s rats, they develop acute scurvy which does not rectify itself unless the babies are given sufficiently large amounts of vitamin C. This of course never happens because when babies with vaccine reactions are admitted in hospitals they are given antibiotics instead, which further aggravates their vitamin C deficiency. Scurvy affects all systems in the body and results in depletion of collagen, resulting in vascular wall fragility and blood clotting and other haematological derangements resulting in bruising, and brain, retinal and other organ bleeding and many other malfunctions of all systems of the body, including derangement of the central control of temperature, blood pressure etc. Injecting foreign antigens (and other proteins) directly into the bloodstream cause immunological derangements - among others, the reversal of T4 and TB cells ratio (Jefferys 2001) which results in the whole cascade of untoward events resulting in death. I am surprised that any babies survive the intense vaccination they are subjected to these days. Others have mentioned haemophagocytic lymphohistiocytosis (HLH) as the syndrome which is accompanied by the same symptoms as SBS, without going into details as to what actually causes HLH. Medicine is known for repeatedly introducing new names for old diseases. It is probably due to the well-known failure of medical researchers to study medical literature (yes, I’ve heard American medicos bragging in court that they don’t study “that stuff”, meaning medical research, and in particular the foreign journals: as a matter of interest they considered BMJ not worthy of their scientific curiosity) . This situation is relevant to the study of subdural and retinal haemorrhages of SBS. Sparacio et al (1971) described acute subdural haematoma in infancy. They described 6 cases in infants aged 3 months, ten months, one year, ten months, six months and nine months of which two had a documented fall, while the rest did not. Hart and Earle (1975) described haemorrhagic and perivenous encephalitis - a clinical-pathological review of 38 cases. They wrote that haemorrhagic leucoencephalitis (AHL) and post-infectious perivenous encephalitis (PVS) associated with childhood mumps, measles, chickenpox and vaccination are important diseases of the central nervous system. Graham et al (1979) described acute haemorrhagic (and also known as necrotising) leucoencephalitis as a complication of the generalised Schwartzman reaction which may occur after sensitisation (anaphylaxis) to drugs - such as sulphonamides and para-amino salicylic acid and it has also followed pertussis vaccination and the administration of the anti-tetanus serum. Levin et al (1983) described haemorrhagic shock and encephalopathy as a new syndrome with a high mortality in young children. Interestingly, the children from whom polio virus was isolated had all been recently vaccinated. This means that other cases could have been vaccinated longer than a few days before developing symptoms of haemorrhagic shock. In the seventies and eighties a number of authors described so-called haemophagocytic syndrome or lymphohistiocytosis syndrome. The symptoms in both haemorrhagic shock and encephalopathy and haemophagocytic lymphohistiocytosis are very similar: general feeling of malaise, fever, listlessness and vomiting, pallor, tachycardia, tachypnoea, convulsions, low blood pressure, glove and sock syndrome (hot body and cold extremities). distended abdomen, enlarged liver, tense fontanelle, hypotonia, watery, blood-stained diarrhoea, haematemesis, liquid unclotting blood (bleeding from venipuncture sites), deranged coagulation with deranged prothrombin and thromboplastin time, very low fibrinogen and fibrin-degradation products very elevated, indicating severe disseminated intravascular coagulation. Other characteristic findings are severe metabolic acidosis (pH less than 7.35 or even less than 7), low bicarbonate, base deficit with compensatory respiratory alkalosis, impaired renal function, raised plasma urea and creatinine and especially hyperglycaemia, indicating central diabetes insipidus, cerebral oedema and internal haemorrhaging into the brain, retina, lungs and other organs, and diffuse macular cutaneous haemorrhages. All organs may be infiltrated with lymphocytes and histiocytes. At necropsy the brain is oedematous, soft and virtually liquid. More severe cases have meningeal and perivascular infiltration of lymphoid cells in the brain. Akima and Sumi (1984) described a number of cases of babies aged 6 months, 4 months, 4 and a half months (readmitted at 6 and half months and died 11 days after admission), 5 months (readmitted at 8 months and died 2 months later), six weeks of age with recurrence of symptoms at 4 and a half months of age (died at 5 and a half months) and seven weeks (died 4 days after admission to hospital); all cases clearly developed their symptoms after vaccination, based on their ages at the first admissions and the time of readmission. Some authors called HLH a familial disease, however, it was a reflection of familial habit of vaccinating all children rather than some special familial genetic predisposition other than predisposition to react violently to vaccines (Henter and Elinder 1991). Liao and Thompson (1997) described retinal haemorrhages as ophthalmic manifestations of virus-induced haemophagocytic syndrome. Henter and Elinder (1992) described cerebromeningeal haemophagocytic lymphohistiocytosis as an immunological disorder and Sperling (1997) described it as a “runaway” immune system. Rosen (1997) quoted a number of vaccines (vaccinia, polio, measles and BCG) as the causal agents in HLH as a severe combined immunodeficiency. Comans-Bitter et al (1997) described immunotyping of blood lymphocytes in childhood to be used as a yardstick in the diagnosis of haematological and immunological disorders. Bonilla and Oettgen (1997) analysed the above article and wrote that T cells, B cells, and natural killer (NK) cells interact with each other and with a diverse array of “accessory cells” such as monocyte-derived cells to generate an immune response. T cells may be identified by the CD3 marker associated with the antigen receptor and are further divided into two populations: CD4+ and CD8+. CD4+ T cells, (also known as “cytotoxic” or “suppressor” cells) execute important effector functions such as the lysis of infected host cells (part of the cellular immune response). After interaction with CD4+ T cells, B cells give rise to plasma cells, which produce antibodies (the humoral immune response). The NK cells are important in the early phases of immune responses to viruses and malignancy. Since vaccines derange these elements of the immune system, it is not difficult to understand why they are implicated as causal agents in all those modern ills of children, such as asthma and allergies, a number of cancers, gastrointestinal problems, autism and other behavioural problems to mention just a few so-called new diseases. In summary, there is a wealth of scientific data to demonstrate that vaccines cause serious derangements of all systems of the body which result in serious injuries, including deaths, and in babies in particular, being misinterpreted as being caused by inflicted trauma. Dr Viera ScheibnerPrincipal Research Scientist (Rtd) 178 Govetts Leap Rd Blackheath NSW 2785 Australia Ph: +61 (0) 2 4787 8203 Fax: +61 (0) 2 4787 8988 Email:
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> References Selye H, 1978. The Stress of Life, McGill University Press, Montreal. Parventjev IA, 1955. Bacterial allergy increases susceptibility to influena virus in mice. Proc Soc Exp Biol Med: 90: 373-375. Craighead JE. 1975. Report of a workshop: disease accentuation after immunisation with inactivated microbial vaccines. J infect Dis 1312 (6): 749-54. Daum RS, Sood SK, Osterhholm MT, et al. 1989. Decline in serum antibody to the capsule of Haemophilus influenzae type b in the immediate post-immunization period. J. Pediatrics; 114: 742-747. Takacs K, Chandler P, and Altmann DM. 1997. Relapsing and remitting experimental allergic encephalomyelitis: a focused response to the encephalitogenic peptide rather than epitope spread. Eur J Immunology; 27: 2927-2934. Bernier RH, Frank JA, Dondero T, and Nolan TF, 1982. Diphtheria-tetanus-pertussis vaccination and sudden infant deaths in Tennessee. J Pediatrics; 105(5): 419-421. Walker AM, Jick H, Perera DR, Thompson RS, Knauss TA, 1987. Diphtheria-tetanus-pertussis immunization and sudden infant death syndrome. Am J pub Health; 77:945-951. Coulter HL, & Fisher, BL, 1991. A shot in the dark. Avery Publishing Group Inc. N.Y. 246 pp. Mitchell EA, Stewart AW, Clementa M. et al. 1995. Immunisation and sudden infant death syndrome. Arch Dis Child; 73: 498-501. Scheibner V. 1991. Evidence of the association between non-specific stress syndrome, DPT injections and cot death. Proc Second National Immunisation Conference Canberra, 27-29 May 1991: 90-91. Levine S, Wenk EJ, Devlin HB et al. 1966. Hyperacute allergic encephalomyelitis: adjuvant effect of pertussis vaccine and extracts. J Immunology: 97(3): 363-368. Levine S, and Sowinski R, 1973. Hyperacute allergic encephalomyelitis. Am J Pathology; 73: 247-260. Munoz JJ, Arai H, Bergman RK et al. 1981. Biological activities of crystalline pertussigen from Bordetella pertussis. Infection and Immunity; 33(3): 820-826. Steinman L, Sriram S. Adelman NE. et al. 1982. Murine model for pertussis vaccine encephalopathy: linkage to H-2. Nature: 299:738-740. Hess AF. 1920. Scurvy Past and Present, JB Lippincott Company: 279pp. Kirschner RH, and Stein RJ. 1985. The mistaken diagnosis of child abuse. A form of medical abuse? Arch Dis Child; 139: 873-875. Caffey J. 1946. Multiple fractures in the long bones of infants suffering from chronic subdural hematoma. Am J Roentgenol & Radium Therapy 56(2): 163-173. Caffey J. 1965. Significance of the history in the diagnosis of traumatic injury in children. J Pediatr: 67(5) part 2: 1008-1014. Silverman FN. 1965. Presentation of the John Howland Medal and Award of the American Pediatric Society to Dr John Caffey. J Pediatr; 67(5) part 2: 1000-1007. Hiller HG. 1972. Battered or not - a reappraisal of metaphyseal fragility. Am J Roentgenol & Radium Therapy & nuclear Med; 114(2): 241-246. Pekarek J and Rezabek K. 1959. An endocrinological test for innocuity of the pertussis vaccine. J Hyg Epidemiol Microbiol Immunol; 3: 79-84. Jeffery |
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Last Updated ( Tuesday, 27 April 2010 10:47 )
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Viera on Vaccines-Youtube Video |
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Wednesday, 18 June 2008 00:44 |
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Welcome to our new website! It has the purpose of making available direct to the public the writings of Viera Scheibner, Ph.D.
Please call back soon, as it is under rapid construction! |
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Dr Viera Scheibner (Principal Research Scientist – Retired)
Dr Viera Scheibner is Principal Research Scientist (Retired) with a doctorate in Natural Sciences from Comenius University in Bratislava. After an eminent scientific career in micropalaeontology during which she published 3 books and some 90 scientific papers in refereed scientific journals in Australia and overseas, she studied babies’ breathing patterns with the Cotwatch breathing monitor developed by her late husband Leif Karlsson in the mid 1980s. Babies had alarms after vaccination, indicating stress. This introduced her to the subject of vaccination. She then started systematically studying orthodox medical papers dealing with vaccination issues. To this day she has collected and studied more than 100000 pages of medical papers.
Despite such extensive research of orthodox medical papers published on vaccines over the past 100 years, she established that there is no scientific evidence that these injections of highly noxious substances prevent diseases, quite to the contrary, that they increase susceptibility to the diseases which the vaccines are supposed to prevent and also to a host of related and unrelated viral and bacterial infections. Vaccines are involved in a great number of modern ills of childhood such as immunoreactive diseases (asthma, allergies), autoimmune diseases (diabetes, multiple sclerosis, lupus erythematosis), cancers, leukaemia, degenerative diseases of bone and cartilage, behavioural and learning problems, to mention just the most important conditions.
Her research into vaccination has culminated so far in two books and a number of shorter and longer individual papers published in a variety of scientific and medical publications. She has also conducted frequent international lecture tours to present the results of her research to parents, health and medical professionals and anyone else who is interested. She has also provided a great number of expert witness reports for court cases relating to deaths and injuries caused by vaccines, such as so-called "shaken baby” syndrome.
Curriculum Vitae
Revised December 2009
1. CONTACT DETAILS
Address: 178 Govetts Leap Rd. Blackheath NSW 2785
Telephone: +61 247 878-203
Fax: +61 247 878-988
Email:
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Web site: www.vierascheibner.com
2. PERSONAL DETAILS
Born 27 March 1935 in Bratislava (former Czechoslovakia, now Slovak Republic). Both parents (now departed) were employed in Law Courts. First married in 1954, two daughters. Divorced in 1976. Married for the second time in 1987. Widowed in 1994. Lived in a de facto relationship between 1975-1985 and 1994-2002. Widowed in 2002.
3. UNIVERSITY EDUCATION
1953: studied medicine at the Medical Faculty of Jan Masaryk University in Brno. Later changed to the faculty of Natural Sciences of the same university. In 1954 transferred to the Faculty of Natural Sciences of the Jan Amos Comenius University in Bratislava.
1958: Graduated from the Faculty of Natural Sciences, JA Comenius University in Bratislava.
1964: Awarded doctorate in Natural Sciences (RNDR), JA Comenius University in Bratislava.
1967: Habilitated as Docent (this being equivalent to the position of Senior Associate Professor in Australian and US universities), JA Comenius University, Bratislava.
4. EMPLOYMENT
1958-1961: Employed as Lecturer at the Department of Geology and Palaeontology of JA Comenius University, Bratislava. Lectured in Biology and Micropalaeontology.
1962-1967: Employed as Senior Lecturer at the Department of Geology and Palaeontology of JA Comenius University, Bratislava.
1967-1968: Employed as Docent (equal to Senior Associate Professor) at the Department of Geology and Palaentology of JA Comenius University, Bratislava.
1968-1987: Left former Czechoslovakia with husband and family, settled in Sydney, Australia. Employed as a Micropalaeontologist by the Geological Survey of New South Wales, Department of Mines (later re-named Department of Mineral Resources).
1971-1973: Research Scientist (Department of Mineral Resources).
1973-1976: Senior Research Scientist (Department of Mineral Resources).
1976-1978: Principal Research Scientist, category I.
1978-1981: Principal Research Scientist, category II.
1981-1987: Principal Research Scientist, category III.
1987: retired from the Department of Mineral Resources based on the “Voluntary Redundancy Scheme”.
The pre-requisite for the above appointments, more particularly to that of Principal Research Scientist, required “Demonstration of a considerable world standing in one’s research specialty”.
5. PREVIOUS RESEARCH INTEREST AND PUBLICATIONS: 1953-1986
My first scientific paper in Micropalaeontology of the Cretaceous Sequences of the Carpathian Klippen Belt in Slovakia was published whilst I was still a student at the JA Comenius University in Bratislava in 1958.
Between 1958-1968 I published some 35 scientific papers (and one monograph) dealing with the Cretaceous and Jurassic Foraminifera of the Carpathian Klippen Belt in Slovakia.
Between 1968-1987 studied Cretaceous and Permian Foraminifera of the Great Australian Basin in New South Wales, and South Australian and the Carnarvon Basins in Western Australia; South Africa and the Indian Peninsula; and Permian Foraminifera of the Sydney Basin.
Between 1972-1976 invited to participate in the highly prestigious Deep Sea Drilling Project (DSDP) conducted under the auspices of the Scripps Institution of Oceanography (USA), in the Atlantic and Indian Oceans. Results of these studies are published in the Initial Reports of the DSDP. Was invited to write a Synopsis of Cretaceous Foraminifera of the Indian Ocean, published in a monograph “Synopsis of the DSDP in the Indian Ocean”.
Results of my scientific findings spanning almost 30 years of research have been published in further 47 papers and 2 books (monographs) in Australian and overseas (especially USA) refereed scientific journals.
Lectured extensively at Australian and overseas conferences.
* * *
6. PROFESSIONAL AND RESEARCH ACTIVITIES: 1987-PRESENT
In 1985 I met my second husband, the late Leif Karlsson, a Swedish biomedical electronics engineer specialising in patient monitoring systems, whom I suggested to develop a breathing monitor for babies.
Since 1987 we were both engaged in the study of babies’ breathing with a microprocessor breathing monitor Cotwatch developed by the late Leif Karlsson.
1990-1993: published a series of articles on vaccination and cot death in Natural Health Magazine.
1991: Invited to present the results of the data collection on babies’ breathing to the Second Immunisation Conference, a pro-vaccination conference organised by the Public Health Association of Australia (Canberra May 1991). An abstract of my presentation is published in the Proceedings of this conference (“Evidence of the Association between non-specific stress syndrome, DPT injections and cot death”.
Some results of these and allied studies, in which Cotwatch breathing monitor was used as a research tool collecting information on stress response in breathing, were published in a referred medical journal ”Reproductive Toxicology” (1993; 7: 449-452).
1993: Published the book “Vaccination” (296 pp) which is based on an extensive study of vaccination issues as published in refereed medical journals. This book has been published in German by Hirthammer Verlag, in Dutch by Lemniscaat Publishers and in Finnish by Kustantaja Lasse Vajaranta.
1994: Produced a 2-hour video of my lecture on the dangers and ineffectiveness of vaccination.
1994: The article “Embracing vaccination…lamentably wrong” published in the Chiropractic Journal (USA). Similar articles were published in other chiropractic journals. Lectured for students of chiropractic at a number of chiropractic colleges in the USA.
1995: Invited and accepted as an expert on vaccination and cot death by the College of Physicians Montreal (Canada) and on 11 December 1995 gave evidence on the subject of “Vaccination and Cot Death” before the Disciplinary Committee of the College of Physicians Montreal (Canada) as an expert for Dr Guillaine Lanctot.
Since 1996 I provide expert reports for Court cases of vaccine injuries and deaths. To this day I have been asked and prepared some 90 reports for Shaken Baby Syndrome (SBS) cases and/or vaccine injury compensation cases in the USA, UK, Germany, Iceland, Sweden and Australia.
1996: Invited to deliver a luncheon talk on dangers and ineffectiveness of vaccination to the medical staff of the Research Hospital in Kansas City, MO, USA.
1996-1997: Several lectures at Chiropractic Colleges in the USA.
In 1996 I participated in the Maroochydore (Queensland, Australia) hearing of the Equal Opportunity and Anti-discrimination Commission as an expert on the dangers and ineffectiveness of vaccination, and the link between vaccination and cot death.
1997: Followed an invitation to deliver a lecture at a seminar organised by a professional organization of Dutch medical doctors in Utrecht, Holland “Vaccination, yes or no?”
1997: Invited to present a lecture on the Dangers of Vaccination by the Faculty of Nursing, Sydney University.
1997: Participated in a public debate on vaccination at Sydney University in Sydney.
1997-1998: Invited to participate in the Training Program of the Royal Australian College of General Practitioners (RACGP), Sydney, New South Wales, as one of two expert panelists in debates on whether immunisation should or should not be mandatory, presenting the case against vaccination based on the study of published orthodox medical research.
1991 to 2005 published series of articles “The SIDS and Vaccination Link”, “The Brain Eating Bugs, the Vaccine Connection”, “Shaken Baby Syndrome – The Vaccination Link”, and a 2-part article on “Preservatives and Adjuvants in Vaccines” in the Nexus Magazine (Australia). In 2005 The Nexus Magazine in Australia and other countries reprinted my article “Dynamics of Critical Days as part of the Dynamics of Non-specific Stress Syndrome discovered during monitoring with Cotwatch Breathing Monitor”, first published in Journal of Australasian College of Nutritional and Environmental Medicine (J ACNEM), December 2004.
1998: Invited to address the Medical (MBOG) Congress in Utrecht (Holland) on the “Effect of Vaccination on the Immune System”.
1998: Invited to participate in a debate on vaccination convened by the organization WDDTY (“What Doctors Don’t Tell you”) in London, UK.
1999-2003: a number of Letters to the Editor, critical of vaccines, published in Medical Observer and Australian Doctor, two prominent weekly publications for Australian orthodox medical doctors.
2000: Published the book “Behavioural Problems in Childhood – the Link To Vaccination”. The book has been translated into Swedish by an organisation of parents dealing with children’s health.
2001: Published a paper “Shaken Baby Syndrome Diagnosis on Shaky Ground” in the Journal of Australasian College of Nutritional and Environmental Medicine (J ACNEM); 20(2): 5-8&15.
2003: Published a Letter requested by the Editor of the Journal “Vaccine” (1993; 22:VI-IX) countering the personal attack on myself as a public opponent of vaccination by Leask and McIntyre.
2004-2005: British Medical Journal (BMJ.com Rapid Responses) published a number of my letters to the Editor – see the enclosed list of publications.
Since 1994 I traveled extensively all over Australia, Europe, United Kingdom, Republic of Ireland, Scandinavia, the USA and Canada, holding seminars on the dangers and ineffectiveness of vaccination, as documented by orthodox medical research, for parents and health and medical professionals.
My task is perceived as that of liaising with paediatricians and other medical experts and of evaluation of the scientific research dealing with vaccination issues in general and more particularly with mass vaccination of infants and children. I have gathered a solid, extensive and irrefutable block of scientific evidence documenting vaccines as ineffective to prevent diseases, and which time and again issued warnings about a variety of real dangers, including brain haemorrhages and other brain damage, and retinal haemorrhages and other ophthalmological injuries and including death. The biological mechanisms of these injuries are principally immunological and toxic-chemical. My task is to analyse medical records and results of medical tests of the babies adversely affected or killed by vaccination and document the damage by case examples of the same vaccine damage described in orthodox medical literature.
An additional major subject of my research is immunological and other non-accidental injuries in babies who suffered medication (antibiotics and pain killers) and/or birth injuries and document the damage (including death) by case examples of identical non-accidental injuries as a result of iatrogenic (doctor-caused) immune or other disorders as described in medical literature.
7. PUBLICATIONS
Papers published in medical publications
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Scheibner V. 1991. Evidence of the association between non-specific stress syndrome, DPT injections and cot death. “Immunisation: The Old and the New”. Proceedings of the Second National Immunisation Conference. Canbera, Public Health Association of Australia; 27-29 May 1991: 90-91.
Tye K, Pollard I, Karlsson L and Scheibner V. 1993. Caffeine exposure in utero increases the incidence of apnea in adult rats. Reproductive Toxicology; 7: 449-452.
Scheibner V. 1993. Response to Leask and McIntyre’s attack on myself as a public opponent of vaccination. Vaccine; 22: VI-IX.
Scheibner V. 2007. Kawasaki Disease. Medical Veritas; 6: 1978-1996.
Papers published in the Natural Health Magazine
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Scheibner V. and Karlsson L. 1991. Cot death and vaccination Link. Natural Health Magazine; 4 (5-6) Aug/Sep and Oct/Nov 1991: 2-4.
Scheibner V and Karlsson L. 1991. The Vaccination debate. Natural Health Magazine; 4 (5-6) Aug/Sep and Oct-Nov 191: 5-8.
Scheibner V. 1992. Facts about Haemophilus influenzae B vaccines. What every doctor - and all parents – should know about. October/November 1992 :1-3.
Scheibner V. 1993. Cotwatch breathing monitor guards against cot death. Natural Health Magazine (December 1992-January 1993): 12e
Scheibner V. 1993. Should I vaccinate my child? December 1992/January 1993.
Scheibner V. 1993. Flu vaccination – is it safe? June/July 1993.
Papers published in chiropractic journals
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Scheibner V. 1994. Embracing vaccination…lamentably wrong! The Chiropractic Journal (USA); October 1994:41-45.
Scheibner V. 1996. Chiropractic attitudes towards immunization. International Chiropractic Association (USA); September/October 1996: 45-49.
Books and booklets on vaccination issues
----------------------------------------------------
Scheibner V. 1993. Vaccination (100 years of scientific research shows that vaccines represent a medical assault on the immune system) 296pp.
Scheibner V. 2000. Behavioural problems in childhood – the link to vaccination. pp297
Scheibner V. 1998. Answers to the CDC’s instructions how to counteract the anti-vaccination argument. pp. 22
Papers in journals dealing with health and children’s issues
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Scheibner V. 1996. Vaccination. Is prevention really the best cure? Conscious Living (Health): 36-37.
Scheibner V. 1995. Immunisation. The ‘No’ case. Totline (Australia): 35.
Letters to the Editor published in British Medical Journal.com (BMJ.com) Rapid Responses:
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Scheibner V. ‘Unreliability of scientific papers as evidence’. 24 March 2004.
Scheibner V. ‘Patterns of presentation of the shaken baby syndrome may not be caused by trauma at all’. 2 April 2004.
Scheibner V. ‘Study first, judge later’. 28 June 2004.
Scheibner V. ‘Study first, judge later’. 3 July 2004.
Scheibner V. ‘Some questions for Sam Davies or anyone’. 21 July 2004.
Scheibner V. ‘Medical folly damaging us all with support from an “ass” ’. 23 August 2004.
Scheibner V. ‘History repeats itself because people forget history’. 13 September 2004.
Scheibner V. ‘Gold standards’. 8 February 2005.
Scheibner V. ‘The Richardson Hypothesis’. 9 February 2005.
Scheibner V. ‘A Fatal Misdiagnosis’. 14 February 2005.
Scheibner V. ‘A Fatal misdiagnosis’. 21 February 2005.
Scheibner V. ‘Doctors don’t like the taste of their own medicine’. 5 March 2005.
Scheibner V. ‘Intramuscular, not intravenous’. 5 March 2005.
Scheibner V. ‘MMR and Japan: a commentary by Wakefield and Stott’. 10 March 2005.
Scheibner V. ‘Epidemiology ain’t epidemiology (just like oils ain’t oils)’. 18 March 2005.
Scheibner V. ‘Simply a concerned parent: Parents must do more research’. 24 March 2005.
Scheibner V. ‘Existing research is revealing and accessible’. 24 March 2005.
Scheibner V. ‘How clean is clean?’ 3 July 2008.
Scheibner V. ‘Jabbering about jabs’. 15 September 2008.
Scheibner V. ‘Poliomyelitis outbreaks after polio vaccination-medicine in practice should not ignore the past published research. 5 December 2008.
Scheibner V. ‘Measles outbreaks and epidemics occur in the vaccinated, not because chiropractors and homeopaths allegedly advising parents not to vaccinate their children’. 6 December 2008.
Scheibner V. ‘What is really the cause of deaths in newborn infants who usually contracted pertussis from their vaccinated family members suffering whooping cough at the time of these babies’ birth’. 9 December 2008.
Scheibner V. ‘Something wrong with the figures: there were many more reactions than 35 after 380 000 doses of Gardasil administered. 10 December 2008.
Scheibner V. ‘Unexplained fractures explained’. 12 December 2008.
Scheibner V. ‘Who discovered why Penicillin worked?’ 31 December 2008.
Scheibner V. ‘Obesity: A major problem of our times’. 12 January 2009.
Scheibner V. ‘Therapeutic use’. 8 January 2009
Scheibner V. “Is mandatory vaccination such a benign paternalism?’ 20 January 2009.
Scheibner V. Effectiveness of larval therapy in treatment of wounds. 23 March 2009.
Scheibner V. Just how healthy or sick? 6 May 2009.
Scheibner V. The temperature of human milk. 7 May 2009.
Scheibner V. Homeopathy and snake oil? Study first, judge later. 31 May 2009.
Scheibner V. Abuse by catholic priests only? 8 June 2009.
Scheibner V. “Easily” missed? None so blind as he who will not see. 8 June 2009.
Scheibner V. Vital need for perennial perianal research. 10 June 2009.
Scheibner V. A clear indication for HIV testing? 24 November 2009.
Papers on vaccination issues published in the Journal of the Australasian College of Nutritional and Environmental Medicine (J ACNEM)
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Scheibner V. 2001. Shaken Baby Syndrome Diagnosis – On Shaky Ground. J ACEM; 20(2): 5-8&15.
Scheibner V. 2004. Dynamics of critical days as part of the dynamics of non-specific stress syndrome discovered during monitoring with Cotwatch breathing monitor. J ACNEM; 23(3)10-14.
Papers on vaccination issues published in Nexus Magazine (Australia):
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Scheibner V. 1991. Cot Deaths linked to Vaccination. Vol 2 (5), October-November 1991.
Scheibner V. 1996. Brain-Eating Bugs: The Vaccination Connection. Vol 3 (3): April-May 1996.
Scheibner V. 1998. Shaken Baby Syndrome: The vaccination Link. Vol 5(5): August-September 1998.
Scheibner V. 2001. Adverse Effects of Adjuvants in Vaccines. Part 1. Vol 8(1): December 2000-January 2001.
Scheibner V. 2001. Adverse Effects of Adjuvants in Vaccines. Part 2. Vol 8(2): February-March 2001.
Scheibner V. 2005. Vaccinations and the Dynamics of Critical Days. Vol 12 (6): October-November 2005 (reprinted from J ACNEM).
Scheibner V. 2009. Little-known facts about poliomyelitis vaccinations. Part 1 and 2. Nexus: June-July (30-35&81) and October-November (27-31) 2009.
Nexus Magazine in France and other countries re-printed the above article.
Letters to the Editor of Medical Observer (MO) and Australian Doctor (AD), weekly newsletter/journals for orthodox general practitioners in Australia.
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Scheibner V. 1999. ‘Vaccination challenge’; MO; 19 March 1999: 24.
Scheibner V. 2001. ‘Why all the fear of the measles virus?’ MO; 9 March 2001: 33.
Scheibner V. 2001. ‘Unreal world of the pro-vaccinators’. MO 6 April 2001.
Scheibner V. 2003. ‘Study first, judge later’. AD; 2 May 2003.
Scheibner V. “Justified view”. AD; 9 May 2008:23.
Scheibner V. 2008. “GP’s views irrelevant”. MO; 27 June.
Scheibner V. 2008. “Super stoush”. AD; 4.July:23.
Scheibner V. 2008. “Middle Ages”. AD; 16 January: 15.
 
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