MMR: A mother's victory. The vast majority of doctors say there is
no link between the triple jab and autism, but could an Italian court
case reignite this controversial debate?
- Landmark ruling in an Italian court has said Valentino Bocca's autism was provoked by the MMR jab he had at aged nine months
- His
parents have already been awarded £140,000 and could be paid an
additional £800,000 in their case against the Italian government
- The case could set a precedent for many similar civil proceedings
At nine months old, Valentino
Bocca was as bright as a button. In a favourite family photo, taken by
his father, the baby boy wriggles in his mother’s arms and laughs for
the camera.
His parents look at the precious
picture often these days. It is a reminder of their only son before
they took him on a sunny morning to the local public health clinic for a
routine childhood vaccination.
Valentino was never the same child
after the jab in his arm. He developed autism and, in a landmark
judgment, a judge has ruled that his devastating disability was
provoked by the inoculation against measles, mumps and rubella (MMR).
The case
of Valentino Bocca age nine from Rimini Italy has reignited the debate
over a possible link between the MMR and autism after a judge ruled
his disability was provoked by the jab
The judgment in a provincial
Italian court challenges the settled view of the majority of the
medical profession — and could have profound implications in Britain
and across the world.
Valentino’s parents, Antonella, 44, and Maurizio,
43, have been awarded £140,000, to be paid by Italy’s Ministry of
Health and they plan a civil action against the Italian government that
may get them £800,000 more.
‘But, of course, the money will never
bring back the perfect and beautiful child of 15 months that we had
before the doctors gave him the inoculation,’ said his mother this week
at the family’s small but beautifully designed flat near Rimini in
northern Italy.
‘We have a different Valentino today. We love him just as much, but our lives will never be the same again.
‘He is nine, but cannot speak, and only
sings a little to himself. He cannot hold a pencil. He has a special
teacher at school to help him and finds it difficult to mix with other
children. What the future holds for him, or for us, we do not know.’
The
story of Valentino Bocca is a tragic one. His family have agreed to
reveal their identity for the first time as the outcome of their case
became public last week. They spoke exclusively to the Mail because
they believe other parents all over the world should learn what has
happened to their son.
Autism covers a huge range of
developmental disorders which affect a child’s communication, social
skills, and ability to lead a normal life.
Families caring for severely autistic
children say their lives are blighted. Care of sufferers and related
disorders costs the British state billions of pounds a year.
The number of autism cases has soared
over the past four decades — at the last count researchers found one in
64 British children have some kind of autistic condition — and there
has been widespread speculation over the cause of this widespread curse
on so many families. In the Eighties, only four in every 10,000
children showed any signs of autism.
Bright
as a button: Valentino Bocca age nine years, left, before the MMR
triple jab, with his mother Antonella, and right, aged nine years.
Valentino has autism which a judge has ruled to have been provoked by
the jabSuspicion has
long been directed by some parents at the MMR vaccine, a triple
cocktail of the measles, mumps and rubella viruses, although the
Department of Health and NHS doctors have argued forcefully that better
diagnosis of autism and environmental factors are responsible for the
extraordinary rise in the number of cases.
In 1998, a highly controversial article
in the medical journal The Lancet written by Dr Andrew Wakefield
made a connection between the MMR jab and autism.
His research methods were later
discredited, but as a result of the article countless numbers of
parents in Britain refused to let their children have the jab, and
cases of measles — which is very occasionally fatal — went up
significantly.
In recent years, public confidence in
the MMR inoculation has returned, but the Italian court’s judgment
could reopen the controversy. This week, Luca Ventaloro, the Bocca
family’s lawyer who specialises in helping families with
vaccine-damaged children, proclaimed that the Rimini court judgment was
the ‘first public admission’ that the MMR vaccine could, in some
cases, lead to a healthy child developing autism.
Crucially, it came after Antonio
Barboni, a doctor of forensic medicine and appointed by the judge to
independently advise the court, wrote a report saying that ‘in the
absence of any other pre-existing conditions’ it is a ‘reasonable
scientific probability’ that Valentino’s autism can be ‘traced back to
the administration of the MMR vaccine . . . by the health authority’.
Dr
Barboni’s findings were endorsed by two other eminent doctors who
examined Valentino, investigated his medical background, and gave
evidence to the court hearing.
Valentino¿s
parents, Antonella, pictured, and Maritzo, have been awarded £140,000,
to be paid by Italy¿s Ministry of Health and they plan a civil action
against the Italian government that may get them £800,000 more.
Judge Lucio Ardigo, awarding
compensation to the family, agreed. He said it was ‘conclusively
established’ that Valentino had suffered from an ‘autistic disorder
associated with medium cognitive delay’ and his illness, as Dr Barboni
stated, was linked to receiving the jab.
Lawyer Mr Ventaloro explained
yesterday: ‘This is very significant for Britain which uses, and has
used, an MMR vaccine with the same components as the one given to
Valentino.
‘It is wrong for governments and their
health authorities to exert strong pressure on parents to take children
for the MMR jab while ignoring that this vaccine can cause autism and
linked conditions.’
Claudio Simion, a leading member of the
lobby group Association for Freedom of Choice in Vaccination
(Comilva), adds: ‘The Rimini judgment is vitally important for children
everywhere. The numbers with autism are growing. It is a terrible
thing that the authorities turn a blind eye to the connection between
the MMR vaccination and this illness.’
No doubt the Bocca family would agree.
They turned to Comilva for advice on compensation after they were
finally told that their son had autism when he was five years old.
They had travelled to a world-renowned
children’s clinic in Milan, bewildered as to why their son screamed all
night, refused to eat anything but bread, could not keep still or
concentrate and refused to look them in the eye.
After 14 days of tests into his genetic
background to rule out a family connection for his illness, a
neurologist explained the diagnosis.
‘We were handed a big file with
Valentino’s name on it and stamped with the word ‘autism’,’ remembers
his mother Antonella. ‘Up to then, we had suspicions he had autism. But
the nurses, the doctors, and the specialists we had seen before said we
were dreaming up fairy tales.’
Father Maurizio adds: ‘When we
mentioned our suspicions about the MMR jab and how Valentino had been
an ordinary happy little boy until he had it, these medical people
looked at us as if we were crazy,’
As they talk in the park near their
home, with Valentino tightly holding each of their hands, Antonella and
Maurizio reveal how their nightmare began.
The
landmark case in Italy could set a precedent for future civil claims
against the Italian government for possible links between MMR and
autism.
The couple had been married
for a year before Valentino was born in 2003. His birth was normal and
they were thrilled to take their healthy baby home.
Antonella, who worked part-time in a
textile factory, and Maurizio, a civil engineer, went together with
Valentino for all his routine vaccination appointments.
It was on the last Friday of March,
2004, that the boy was given the MMR jab. The dark-haired toddler was
already saying ‘Mama’ and ‘Dada’, walking a few steps and enchanting
his two grandmothers because he would not stop chattering. His parents
had delayed for a month the triple MMR jab (normally given at 13
months) because Valentino had a bout of gastro-enteritis.
Antonella told the doctor about
the illness and asked if it was safe for Valentino to have the jab. The
doctor said there was ‘no problem’.
‘He cried when they gave him the
injection,’ remembers Maurizio. ‘We were asked to wait half an hour
afterwards at the clinic to make sure he was all right. When the
doctors said he was OK, we just went home.’
They drove away — not knowing their
lives had changed for ever. By the evening their normally hungry son
was refusing to eat very much. That night he had diarrhoea and was
restless. But neither of his parents attributed this to the jab.
Maurizio continues: ‘A few days after
that, Valentino stopped using his spoon to eat. We started having to
put food into his mouth. It was as though he was a baby again.
‘It was as if we’d gone to the
vaccination clinic with one child and had been given another to take
home. Valentino was not interested in what was happening around him any
more. He could not concentrate on a single thing.’
But worse was to follow. The little boy
stopped sleeping at night. He would wake up and scream in pain. During
the day he ran around in circles without stopping. His parents were
getting exhausted and were at their wits’ end.
Maurizio explains: ‘About two weeks
after the jab he began screaming every night. He woke up three or four
times each night and cried. It was like something out of The Exorcist.
He was obviously in pain and we could do nothing to comfort him.’
They went back to the vaccination clinic for advice. ‘We were not being over fussy but the medical staff did not seem to grasp the gravity of the situation,’ added Antonella.
The clinic just gave them some cream to
put on Valentino’s skin. After six months of no improvement in his
condition, they took Valentino to the casualty department of the local
hospital.
For the first time Antonella mentioned
that the MMR vaccine might be to blame. ‘They said it was not
possible,’ she says. Bewildered, the couple still looked for answers.
Valentino was still screaming at night and like a wild child during the
day.
When he was nearly two-and-a-half (14
months after the jab), they went to see an expert in neuropsychiatry
and told her that their son had changed after the jab.
Antonella says: ‘She did not even write
down what I was saying. She downplayed the situation, although she
said he was not developing normally for a child of his age. But she
could not offer any explanation and said it might be temporary in such a
young boy.’
Desperately, they started to do some
research on the internet. It suddenly occurred to them, after reading
of other parents’ experiences, that Valentino might have autism.
When this was confirmed by the Milan children’s clinic, he was put on a milk-free and gluten-free diet.
‘Within a week, Valentino was sleeping at night and not shouting out in pain,’ says Maurizio.
‘He started to look us in the eye for
the first time since the jab. He began to feed himself again. Progress
was slow, but at last there was some hope.’
But, sadly, it was too late to find a
complete cure for Valentino. At nine years old, he will never lead a
normal life, and may need care for the rest of his days.
However, the Rimini court judgment has
brought his parents some comfort because, for the first time, it
supports their long-held belief that the MMR jab caused their son’s
autism.
In the UK, this much-debated link has
never been established in the courts. In 2010, a boy called Robert
Fletcher received £90,000, for severe brain damage provoked by the
MMR jab, under the Government’s Vaccine Damage Payment Scheme. But he
did not have autism.
In the U.S., nearly 5,000 families
blame the MMR jab for causing their children’s autism — despite
continuing protests from the medical and scientific world that there is
little evidence.
Dr Andrew Wakefield first reported a link between MMR and autism in 1998 but his evidence has since been discredited.
In 2008, a girl called
Hannah Poling was awarded $1.5 million damages by the U.S. government
when a court ruled that receiving nine vaccines in one day (including
the MMR) had caused her autistic condition.
But the court said that Hannah had an
underlying cell disorder, mitochondria, which had been aggravated by
the vaccinations and manifested itself as autism.
The Italian judgment has important implications for Britain for a number of reasons.
First, the jab given to Valentino —
called MMR 11 — contains the same active measles, mumps and rubella
viruses in the same quantities as MMR VaxPro, one of only two approved
MMR vaccines in the UK which is used on hundreds of thousands of
children every year. (Prior to the introduction of MMR VaxPro in 2006,
MMR II had been used in the UK since 1988).
This match of ingredients is confirmed
in the Department of Health Green Book — a guide for doctors on
inoculation against infectious disease — and by detailed data on MMR vaccines released by the European Medicines’ Agency.
Second, in the UK, like Italy, the MMR jab is not compulsory.
However, the judge in Valentino’s case
said that because the Italian government’s medical authorities so
strongly recommend child vaccination against measles, mumps and
rubella, the state should take responsibility for the devastating
damage to Valentino.
The judge’s view has since been
endorsed by Italy’s High Court of Law (the equivalent of our Supreme
Court) which ruled that the Italian government must pay compensation to
children damaged by any jabs given under the Ministry of Health
auspices — even if they are not compulsory ones.
Today, Antonella and Maurizio believe
this is only fair for families. ‘The medical authorities were really
pushing us to take Valentino for his childhood jabs,’ recalls
Antonella.
‘We were sent endless appointment
letters from the clinic. They started arriving when he was three months
old.There was huge pressure. The letters made us, and other parents,
feel obliged to have the MMR jab in order protect our beloved child
from a dreadful illness.’
Little did they know that, soon after
that jab, their son would suddenly develop a devastating condition from
which he would never recover. The consensus of medical opinion in
Britain remains that autism symptoms emerge suddenly and inexplicably
around the age at which MMR is administered — making it inevitable that
some cases will arise just after the jab.
Most doctors continue to argue that
this is merely coincidence and that no convincing mechanism to explain a
link has been set out.
The Department of Health has insisted:
‘MMR remains the best protection against measles, mumps and rubella. It
is recognised by the World Health Organisation as having an
outstanding safety record and there is a wealth of evidence showing
children who receive the MMR vaccine are no more at risk of autism than
those who don’t.’
However, the Italian judgment clearly suggests this important debate is far from over.
DR MARTIN SCURR: 'I WOULD STILL GIVE THE MMR JAB TO MY CHILD'As
we are all aware, there has been much debate about the safety or
otherwise of the MMR triple vaccine that protects against measles, mumps
and rubella. It is given to children after the first year of life, and
again just before starting school. Some research which implied there was
an association between the MMR and both inflammatory bowel disease and
autism has been discredited.
And the risk-benefit analysis (as with
many medical procedures, there is no such thing as an entirely safe
immunisation) is now that it’s safer to have an MMR shot than not.
Measles is potentially lethal, although
there have been only four childhood deaths in this country in the past
20 years, and two of these children had underlying health conditions.
But measles, mumps and rubella do have
significant complication rates. This ruling by a court in Italy has
re-opened the debate — though it is too early to decide if the judges
have got this right and found new evidence.
Meanwhile, we have been coping with a
recent increase in cases of measles in London, owing to the fact that
so many children were not immunised over the past few years due to
parental anxiety: there have been 1,000 cases this year in the UK so
far, and 15,000 in France.
More relevantly to my practice,
patients who have caught measles were initially misdiagnosed by the
doctors seeing them, because those much younger than me have little or
no experience in recognising and treating this severe childhood illness
— and late diagnosis is not ideal when it comes to minimising
complications.
It is true that the MMR vaccine can
cause brain problems — a response called encephalitis — in one child in
a million given the shot.
But the measles illness causes
encephalitis 1,000 times more frequently, and one child in 3,000 dies
of measles if they catch it.
So, in my view, it’s a no-brainer: all
my children had the MMR jab, and I work hard to make sure that my
patients are well and carefully instructed about its pros and cons. And
that is what I shall go on doing — despite the events in Italy.
Source:-
http://www.dailymail.co.uk/news/article-2160054/MMR-A-mothers-victory-The-vast-majority-doctors-say-link-triple-jab-autism-Italian-court-case-reignite-controversial-debate.html