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Quackometer lists Don’t Get Fooled Again among the best books of 2008

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From Quackometer

Whereas Goldacre looked at the dangers of nonsense more from a personal and UK point of view, Wilson takes on a more global and political perspective. He tells us how whole areas of Russian science were hijacked by fake experts during the Soviet era who were more adept at playing political games than honestly seeking truth. Lysenko was the master at this as he held back Russian and Chinese biology and agriculture for decades as ideology became more important than evidence. The consequences of this were the death of millions through starvation.

Rath is portrayed as a modern Lysenko as his ideas have enraptured South African politicians. Again hundreds of thousand have died as a result of ideological AIDS denialist nonsense.

Wilson offers a partial solution to some of the problem by suggesting that the regulation of politicians is too light and that we should be holding them to account through the law not just the ballot box. The self regulation of politicians fails. Lying to us should be punishable in court. In the UK, this suggestion was put forward to MPs, most of whom thought is somehow naive. Only 37 out of 646 MPs backed a proposed law saying that it would be an offense for a politician to knowingly lie or deceive.

An “unmitigated tragedy”: Los Angeles Times reports the death of leading HIV-positive AIDS-denialist Christine Maggiore

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From the Los Angeles Times

Until the end, Christine Maggiore remained defiant.

On national television and in a blistering book, she denounced research showing that HIV causes AIDS. She refused to take medications to treat her own virus. She gave birth to two children and breast-fed them, denying any risk to their health. And when her 3-year-old child, Eliza Jane, died of what the coroner determined to be AIDS-related pneumonia, she protested the findings and sued the county.

On Saturday, Maggiore died at her Van Nuys home, leaving a husband, a son and many unanswered questions. She was 52…

Jay Gordon, a pediatrician whom the family consulted when Eliza Jane was sick, said Monday that Maggiore’s death was an “unmitigated tragedy.”

“In the event that she died of AIDS-related complications, there are medications to prevent this,” said Gordon, who disagrees with Maggiore’s views and believes HIV causes AIDS. “There are medications that enable people who are HIV-positive to lead healthy, normal, long lives.”

Diagnosed with HIV in 1992, Maggiore plunged into AIDS volunteer work — at AIDS Project Los Angeles, L.A. Shanti and Women at Risk. Her background commanded attention. A well-spoken, middle-class woman, she was soon being asked to speak about the risks of HIV at local schools and health fairs. “At the time,” Maggiore told The Times in 2005, “I felt like I was doing a good thing.”

All that changed in 1994, she said, when she spoke to UC Berkeley biology professor Peter Duesberg, whose well-publicized views on AIDS — including assertions that its symptoms can be caused by recreational drug use and malnutrition — place him well outside the scientific mainstream.

Intrigued, Maggiore began scouring the literature about the underlying science of HIV. She came to believe that flu shots, pregnancy and common viral infections could lead to a positive test result. She later detailed those claims in her book, “What if Everything You Thought You Knew About AIDS Was Wrong?”

Maggiore started Alive & Well AIDS Alternatives, a nonprofit that challenges “common assumptions” about AIDS. She also had a regular podcast about the topic.

Her supporters expressed shock Monday over her death but were highly skeptical that it was caused by AIDS. And they said it would not stop them from questioning mainstream thinking…

Scienceblogs and Neurologica have more background on this tragic case.

See also: “Against the evidence”

The parallels between AIDS denial and Holocaust negationism

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In “Don’t Get Fooled Again” I look at the twin delusions of AIDS denial and Holocaust negationism, and examine some of the parallels between them.

AIDS denialists – who will often describe themselves as “AIDS dissidents” or “AIDS sceptics” – are those who deny the overwhelming scientific evidence that HIV causes AIDS. They may believe that HIV is harmless, or deny that there is evidence the virus even exists. In the early 1980s, soon after AIDS was discovered, the psychiatrist Casper Schmidt suggested that the disease was a “group fantasy”, the product of an ” epidemic of shame-induced depression” among gay men, caused by “a vast, society-wide conservative swing” culminating in the election of Ronald Reagan. “One can only hope”, Schmidt concluded, “that we wake up from the trance, and soon”. As with many of the most vocal “dissidents”, Schmidt’s denial seems to have motivated, in part, by a refusal to acknowledge his own illness. Tragically, Casper Schmidt died from AIDS in the mid-1990s – yet even now some die-hard denialists continue to cite his work in support of their claims.

Towards the end of the 80s, amid growing evidence that AIDS was killing thousands, the US virologist Peter Duesberg began challenging the scientific consensus that the disease was caused by a virus, HIV. Duesberg’s work with retroviruses – the class to which HIV belongs – had led him to conclude that all such viruses were essentially harmless. Rather than revise this view in the face of strong and growing epidemiological proof of a close correlation between the presence of AIDS and HIV infection, Duesberg chose instead to reject the new evidence and hang on to his old theory – a position he has stuck to ever since.

Duesberg’s arguably most poisonous claim is that AIDS can in fact be caused by the medications given to HIV sufferers to control the disease, such as the drug AZT. It was partly under Duesberg’s influence that the South African government of Thabo Mbeki chose to delay the public availability of anti-retroviral drugs – a decision which, according to a recent Harvard study – may have cost over 300,000 lives.

Holocaust negationists deny some or all of the established historical facts about Nazi atrocities during World War II. They may refuse to accept that the Holocaust happened at all, or they may – as David Irving has done – concede that atrocities took place but deny that the extermination of Jews and other minorities was a deliberate organisational policy, authorised at the highest level. They may, like Irving, significantly downplay the number of people who died at the hands of the Nazis. Or they may engage in “moral negationism”, acknowledging that Germany persecuted Jews but suggesting that the war-time abuses committed by Soviet or British forces could somehow cancel or diminish the moral gravity of Nazi crimes. Many of these kinds of arguments can be seen in the comment responses to the piece that I wrote about David Irving here.

David Irving has famously denied that he is a Holocaust denier – and went so far as to sue the writer Deborah Lipstadt for having described him in those terms. Some of this seems to come down to semantics. If we define a “Holocaust denier” as someone who is in denial about the established historical facts relating to the Holocaust, then even someone who acknowledges some level of atrocity – as David Irving does – would nonetheless fall into that category.

After a lengthy court battle in which Irving’s historical writings were examined in fine detail, the libel suit against Deborah Lipstadt famously failed, with the judge concluding that:

Irving has for his own ideological reasons persistently and deliberately misrepresented and manipulated historical evidence; that for the same reasons he has portrayed Hitler in an unwarrantedly favourable light, principally in relation to his attitude towards and responsibility for the treatment of the Jews; that he is an active Holocaust denier; that he is anti-Semitic and racist and that he associates with right-wing extremists who promote neo-Nazism.

Irving has sought to portray himself as a fearless and impartial historical investigator, motivated solely by a desire to establish the truth, bravely challenging the orthodox account of the events of World War II. But the Lipstadt libel trial revealed quite the opposite. Driven by a preconceived attachment to an extreme ideological position, Irving had systematically abused the truth, deliberately misrepresenting his historical sources in order to make them support his political views.

Appearing as an expert witness, the historian Richard Evans, who had painstakingly reviewed Irving’s work, confessed to being shocked at the “sheer depth of duplicity” he had found. Irving had, Evans concluded, “fallen so far short of the standards of scholarship customary among historians that he doesn’t deserve to be called a historian at all”, suggesting that Irving relied on his audience lacking “either the time or the expertise” to check up on his sources.

Another feature of Irving’s work is his tendency to seize on tenuous reinterpretations of the existing evidence and treat them as a knockdown refutation of the claim he is attacking. Irving has argued that forensic tests taken by an unqualified investigator on the walls of the Auschwitz gas chambers in the late 1980s proved that they could not have been used for mass-executions, later claiming that “more women died on the back seat of Edward Kennedy’s car at Chappaquiddick than ever died in a gas chamber in Auschwitz”.

Irving also applied a clear double-standard in his evaluation of the evidence. At the same time as he embraced tenuous forensic tests taken more than 40 years after the end of the World War II, he was dismissive of the detailed eyewitness testimonies of the thousands of Holocaust survivors still alive at the time.

We see a similar double-standard with many of those who deny the link between HIV and AIDS. A 3-month investigation by Science magazine found no evidence to back Duesberg’s claims. Mainstream AIDS researchers accused him of constructing his arguments through “selective reading of the scientific literature, dismissing evidence that contradicts his theses, requiring impossibly definitive proof, and dismissing outright studies marked by inconsequential weaknesses.”

One big problem faced by both AIDS denialists and Holocaust denialists is the difficulty of explaining why their arguments are almost universally rejected. Here again, the rhetoric is often striking similar. Hardcore AIDS denialists insist that the disease is a “hoax”, a “myth”, and a “deceptive and deadly scam” perpetrated by the “medical industrial complex”, and offer us “Ten reasons HIV is not the cause of AIDS”. Hardcore negationists, meanwhile, talk dismissively about the “Holohoax”, which they describe as a “myth”, perpetrated by “Zionists” with an “agenda of world domination”, and offer us “Ten reasons why the Holocaust is a fraud”.

AIDS denial on the retreat…

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When I was writing “Don’t Get Fooled Again”, Thabo Mbeki was still President of South Africa, with the extraordinary Manto Tshabalala-Msimang as his minister of health. AIDS denial was still exerting its malign influence after reaching a high point in 2000, when Mbeki had – to the delight of AIDS denialists the world over – invited a number of self-described “dissidents” to join his advisory panel on HIV and AIDS.

Abrupt change came only this September, with Mbeki’s ignominious exit from office, and the replacement of many of his closest allies. South Africa’s new health minister Barbara Hogan has stated unequivocally that HIV is the cause of AIDS, and ordered decisive action to tackle the disease.

In October, to the further consternation of the small but vocal group who continue to deny that HIV exists, the virologist Luc Montagnier was awarded the Nobel Prize for Physiology and Medicine for his discovery of the virus during the early 1980s.

Workers in South Africa yesterday observed a minute’s silence on World AIDS Day, in memory of the hundreds of thousands who have died from the disease.

Written by Richard Wilson

December 2, 2008 at 2:10 pm

“Misinformed”, “substantially misleading” and “absurd” – the UK government’s verdict on Christopher Booker’s claims

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The Sunday Telegraph columnist Christopher Booker has been taking some flack this week over his latest bogus claims on global warming. This in turn has triggered renewed scrutiny of Booker’s denialism on other issues – particularly his assertions about white asbestos, which I examine in “Don’t Get Fooled Again”.

I thought it might be useful to collate some of the responses to Booker’s articles over the years from the UK government’s Health and Safety Executive. Most are letters to the editor, correcting false statements that Booker has made about the HSE and its work. Only the first appears to have been accepted by the Sunday Telegraph for publication – the newspaper usually refuses to print letters which contradict Booker’s bogus claims.

Christopher Booker’s articles on the dangers of white asbestos (Notebook, Jan 13, 27, Feb 10) are misinformed and do little to increase public understanding of a very important occupational health issue.

Timothy Walker, Director General, Health & Safety Executive, February 2002

The articles in the Sunday Telegraph by Christopher Booker entitled “Fatal cracks appear in asbestos scam as HSE shifts its ground” and “Booker wins asbestos battle” (11 December) highlighted aspects of the current Health and Safety Commission consultation on changes to the asbestos regulations.

While we welcome the emphasis in the articles on evidence-based policy making, I need to correct a comment about our views. While risks from white asbestos may be significantly lower than the risks from blue or brown, HSE does not agree that white asbestos poses no medical risk.

-Jonathan Rees, Deputy Chief Executive, Health and Safety Executive, December 2005

The Health and Safety Laboratory’s research does not confirm that white asbestos in textured coatings poses “no health risk” (Christopher Booker, 6 August). In its report for the Health and Safety Executive, the Laboratory found rather that the level of asbestos fibres in the air from work with textured coatings will not exceed the proposed new lower control limit when carried out using good practice.

Chrysotile asbestos, as found in many textured coatings, is classified as a category 1 carcinogen hazardous by inhalation by both the World Health Organisation and the EU.

-Geoffrey Podger, Chief Executive, Health and Safety Executive, August 2006

HSE does not exaggerate the risks of white asbestos cement fibres as claimed by Christopher Booker (Farmers face £6 bn bill for asbestos clean up’ 25 May). The article was substantially misleading…

The HSE paper quoted in the article in fact makes no specific statement about the risks of asbestos cement. It provides a summary of risk estimates for mesothelioma and lung cancer in relation to blue, brown and white asbestos across a range of exposures. Blue and brown asbestos are substantially more hazardous than white, but all three types can cause mesothelioma and lung cancer.

Finally, HSE in no way promotes the interests of the asbestos removal industry and it is absurd to suggest otherwise.

-Geoffrey Podger, Chief Executive, Health and Safety Executive, May 2008

Harvard study blames Mbeki’s AIDS denial for 330,000 deaths

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In “Don’t Get Fooled Again” I trace the growth of the insidious cult of AIDS denial, from its origins in the US in the early 1980s, to the moment it was embraced by the South African government of Thabo Mbeki.

The economist Nicoli Nattrass has estimated that 340,000 lives could have been saved had Mbeki not blocked the distribution of lifesaving drugs, under the influence of AIDS “dissidents” including the virologist Peter Duesberg, who insists that HIV does not cause AIDS and is harmless.

Now a study by the Harvard School of Public Health has arrived at a very similar figure, estimating the death toll resulting from Mbeki’s decision to withhold the drugs as “more than 330,000”. The prominent South African HIV treatment access campaigner Zackie Achmat has called for Mbeki to be held to account for his government’s failure, either through a judicial inquiry, or a revived “Truth and Reconciliation Commission”.

In his 41st article on the subject, Booker accuses the BBC of “moral corruption” for highlighting the health risks of asbestos

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Earlier this week the BBC’s Today Programme reported a rise in the number of teachers, doctors and nurses dying from the incurable cancer mesothelioma, having been exposed to asbestos in schools and hospitals. The programme highlighted the case of Mary Artherton, a former nurse who had been diagnosed with the disease after working in three hospitals where asbestos was present.

“I was absolutely horrified when I heard the news”, she told the BBC. “I’d nursed people with mesothelioma in the past. I know the prognosis was very poor and it just frightened me, completely.”

The BBC had previously highlighted a new campaign by the Health and Safety Executive to raise awareness of the risks of asbestos exposure among plumbers, electricians and other tradespeople:

The HSE says research suggests exposure kills on average six electricians, three plumbers and six joiners every week and it fears those numbers could grow in the future because of complacency.

It believes only one in 10 current tradesmen recognises the danger and is launching a campaign to raise awareness.

The HSE’s new campaign was also publicised by the UK’s largest cancer charity, Cancer Research UK:

When a person comes into contact with asbestos, they breathe in tiny fibres of the substance and these can irritate and damage the cells lining the lung. Up to 80 per cent of people diagnosed with mesothelioma have been in contact with asbestos, and the risk is greatest among tradesmen who can be exposed to the substance at work. According to the HSE, at least 4,000 people die as a result of asbestos every year. But scientists believe this rate could rise, since people who have been exposed usually do not develop mesothelioma for between 15 and 40 years. The organisation’s new campaign, ‘Asbestos: The hidden killer’, is designed to improve awareness among tradesmen, many of whom underestimate the risk that asbestos still poses despite the ban.

In response to the BBC’s coverage, the Sunday Telegraph columnist Christopher Booker has written his 41st article misrepresenting the science around asbestos, and accusing the BBC of “moral corruption” for highlighting the health risks of asbestos exposure:

Last week, the BBC was again publicising the latest scare over asbestos, launched by the Health and Safety Executive and supported by all those who stand to benefit by it, from asbestos removal contractors to ambulance-chasing lawyers (and the trade unions which get £250 for every referral to solicitors specialising in compensation claims).

In the article, Booker also repeats his false claim that the HSE had previously described the risks of white asbestos cement as “insignificant or zero”.

In previous articles he has repeatedly misrepresented one paper by two HSE statisticians, Hodgson and Darnton, which he says drew such a conclusion. The editor of the journal which published that study recently commented here that:

“The paper does not say that the risks from asbestos cement are probably insignificant – it uses this phrase for the chrysotile risks at the lowest exposures. At higher (but still low) exposures, the authors gave estimates of lung cancer risk about 30-40 times lower than those from crocidolite, and did not regard this as insignificant..

The 500 times difference… may apply to the relative risk of mesothelioma, a much less important disease than lung cancer in chrysotile exposure…”