The government, GMC and Sunday Times seem bent on removing Andrew Wakefield and his work from the medical record, in a manner unparallel in the UK but not unlike the way Stalin purged his critics from Soviet history. The Sunday Times accuses Wakefield of 'fixing' his findings, the GMC of serious professional misconduct, the DoH of lowering MMR uptake and increasing measles outbreaks. And one by one his published works are retracted by leading scientific journals. His many detractors speak with one voice that the GMC's removal of his medical license is justly-deserved and long-overdue. Yet if ever there was a story needing to be told to counter this grand narrative then 'Callous Disregard' is it.
Wakefield provides a robust and cogent rebuttal, always factually based, of the wide-ranging attacks against him. Chapters focus on the validity of the 1998 Lancet paper (which the GMC claimed was not ethically approved); the press conference where Wakefield advised parents to opt for the three separate vaccines, then available on the NHS, instead of the MMR; the machinations of senior managers at the Royal Free Hospital; Wakefield's research on behalf of autistic children litigating against MMR manufacturers and whether this amounted to undisclosed conflict of interest. Much of the GMC evidence is now available on public websites for people to decide for themselves if Wakefield's detractors and the GMC are right.
The implications of the 'Wakefield affair' extend way beyond the bounds of medical research to cover medical ethics, the role of medical regulators and policymakers, vaccine safety and what really lies behind the rise in autism. This book gives Wakefield's own account of this wide-ranging controversy that has ensnared him, which he does without trace of bitterness but with a detached sense of irony.
Whilst his detractors claim yet again that Wakefield's professional career is over and the MMR safe, it is likely that the controversy will continue. This book will certainly play a part in this. But more important is the wider story behind the book of the unending growth in the numbers of children now diagnosed as autistic and the mounting costs of their social, educational and medical care that sooner or later will demand a public inquiry into what is causing this epidemic, with its tragic consequences for one in a hundred UK families.