July is turning out to be Ethics Month at EverydayResearchMethods blog. Here's a great piece about the damage that was done by a case of data fabrication.
In 1998, a physician named Dr. Andrew Wakefield published a study on 12 sample of patients whose autism symptoms, he claimed, had appeared right after receiving the vaccine for measles mumps, and rubella (MMR). At the time, the study was criticized because it had some methodological problems:
Infographic courtesy of www.upworthy.com and www.healthcare-management-degree.net/autism-vaccines. Design credit: http://nowsourcing.com.
Researchers subsequently sought to rigorously test the study's main, disturbing claim: that vaccines cause autism. And every study that tested this claim with rigorous methods and large samples found absolutely no connection between the two.
Infographic courtesy of www.upworthy.com and www.healthcare-management-degree.net/autism-vaccines. Design credit: http://nowsourcing.com.
But the damage of that first study was already taking hold--some parents refused to vaccinate their children, and this means that many diseases on the rise.
Infographic courtesy of www.upworthy.com and www.healthcare-management-degree.net/autism-vaccines. Design credit: http://nowsourcing.com.
Even after the journal Lancet retracted Wakefield's paper, saying that Wakefield had fabricated the results of his original study, and even after all other studies showed a null result, a small percentage parents still refuse to vaccinate and have fears of vaccination. When parents refuse to vaccinate their healthy children, it makes it more likely that diseases will spread in a community, potentially harming people who are not healthy enough to receive vaccinations.
a) One lesson from this story is about how people come to believe what they believe. Chapter 2 explains that some people base their beliefs on intuition, authority, or experience. But good research is the only basis for belief that is truly data-driven, and free of bias.
Reflect here on the impact that both good and bad science seems to have on public opinion. Why do you think Wakefield's original study was so influential to some parents? Why are some parents so readily convinced that vaccines are dangerous? And why do you think the subsequent studies, all of which had null results, seem to have had so little influence on these same parents?
b) This story also illustrates why data fabrication is so harmful. It not only harms the progress of science and harms people's trust in science. In this case, fabricated data also led thousands of parents to put their children, and other people's children, in harm's way by not vaccinating them. What might scientists and physicians do to repair the harm caused by this falsified study?
For another dramatic take on the fallout of the vaccine argument, check this page out.
Many thanks to Carrie Smith of Ole Miss for this suggestion!