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Archive for September, 2010

CHILD ATD RECONSTRUCTION OF A FATAL PEDIATRIC FALL

Chris Van Ee

Design Research Engineering
Novi, MI, USA

David Raymond

Vector Scientific, Inc.
Los Angeles, CA, USA

Kirk Thibault

Biomechanics, Inc.
Essington, PA, USA

Warren Hardy

Virginia Polytechnic Institute and State University
Blacksburg, VA, USA

John Plunkett

Regina Medical Center
Hastings, MN, USA

ABSTRACT

The current head Injury Assessment Reference Values (IARVs) for the child dummies are based in part on scaling adult and animal data and on reconstructions of real world accident scenarios. Reconstruction of well-documented accident scenarios provides critical data in the evaluation of proposed IARV values, but relatively few accidents are sufficiently documented to allow for accurate reconstructions. This reconstruction of a well documented fatal-fall involving a 23-month old child supplies additional data for IARV assessment. The videotaped fatal-fall resulted in a frontal head impact onto a carpet-covered cement floor. The child suffered an acute right temporal parietal subdural hematoma without skull fracture. The fall dynamics were reconstructed in the laboratory and the head linear and angular accelerations were quantified using the CRABI-18 Anthropomorphic Test Device (ATD). Peak linear acceleration was 125 ± 7 g (range 114-139), HIC15 was 335 ± 115 (Range 257-616), peak angular velocity was 57± 16 (Range 26-74), and peak angular acceleration was 32 ± 12 krad/s2 (Range 15-56). The results of the CRABI-18 fatal fall reconstruction were consistent with the linear and rotational tolerances reported in the literature. This study investigates the usefulness of the CRABI-18 anthropomorphic testing device in forensic investigations of child head injury and aids in the evaluation of proposed IARVs for head injury.

INTRODUCTION

Defining the mechanisms of injury and the associated tolerance of the pediatric head to trauma has been the focus of a great deal of research and effort. In contrast to the multiple cadaver experimental studies of adult head trauma published in the literature, there exist only a few experimental studies of infant head injury using human pediatric cadaveric tissue [1-6]. While these few studies have been very informative, due to limitations in sample size, experimental equipment, and study objectives, current estimates of the tolerance of the pediatric head are based on relatively few pediatric cadaver data points combined with the use of scaled adult and animal data. In effort to assess and refine these tolerance estimates, a number of researchers have performed detailed accident reconstructions of well-documented injury scenarios [7-11] . The reliability of the reconstruction data are predicated on the ability to accurately reconstruct the actual accident and quantify the result in a useful injury metric(s). These resulting injury metrics can then be related to the injuries of the child and this, when combined with other reliable reconstructions, can form an important component in evaluating pediatric injury mechanisms and tolerance. Due to limitations in case identification, data collection, and resources, relatively few reconstructions of pediatric accidents have been performed. In this study, we report the results of the reconstruction of an uncharacteristically well documented fall resulting in a fatal head injury of a 23 month old child. The case study was previously reported as case #5 by Plunkett [12].

CONCLUSIONS

The results of this reconstruction are consistent with the current injury criteria based on both linear and angular acceleration. The CRABI-18 test device is an important tool in the assessment and evaluation of injury prevention and forensic investigation. This study further underscores the efficacy of this device.

For full PDF paper please see medicalmisdiagnosisresearch BoxNet files for same title or view online from source:

http://profbriefings.co.uk/lse/Plunkett%20No%205.pdf

Thousands Of USA Pregnant Women Miscarry After The H1N1 Vaccine

Christina England


September 27, 2010

A new report by the National Coalition of Organized Women (NCOW), states, that as many as 3,587 cases, may of either miscarried or had a stillbirth after receiving the H1N1 vaccine.

In an exceptionally strong and well executed report, written on the Child Health Safety Website entitled ‘Flu Vaccine Caused 3,587 US Miscarriages from H1N1 Vaccine,’ they say :-

“The corrected estimate for the total number of 2009-A-H1N1-flu-shot-associated miscarriages and stillbirths during the 2009/10-flu season is 1,588 (95% goodness-of-fit confidence interval, 946 to 3587). That is, the lower and upper range-probability of miscarriage and stillbirths due to the H1N1 vaccine was as low as 946 and as high as 3,587.

Eileen Dannemann, Director of NCOW, presented the findings for the second time to Dr. Marie McCormick, chair of the Vaccine Risk and Assessment Working Group, during the Advisory Commission on Childhood Vaccines (ACCV) meeting, Sept 3, 2010. Just prior to Ms. Dannemann´s presentation Dr. McCormick, had pronounced that there were absolutely no H1N1 vaccine-related adverse events in pregnant women in 2009/10, directly contradicting the evidence publicly available.”

Despite these alarmingly high figures being made public, which have been fully backed up with reports taken from the Vaccine Adverse Events Reporting System (VAERS), the Government still strongly recommends that this potentially dangerous vaccine, reported to have killed thousands of developing fetuses, to pregnant women of the USA.

On 22nd September 2010 Reuters had this to say :-

“NEW YORK (Reuters Health) – Despite landing in the hospital more often if they catch the flu, no more than a quarter of pregnant women in the U.S. get vaccinated against it.

That’s according to the American College of Obstetricians and Gynecologists, which has issued a recommendation urging all pregnant women to get the flu shot.

While the recommendation itself isn’t new, the statement, published in the journal Obstetrics and Gynecology, adds evidence on the safety and effectiveness of the vaccine, said Dr. William M. Callaghan of the Centers for Disease Control and Prevention in Atlanta.

He said the CDC and several medical associations back the statement, which notes that the shot not only protects the woman, but also her baby.

Flu vaccines aren’t approved by the Food and Drug Administration for infants younger than six months of age, but babies can get the protective antibodies naturally through breast milk if their mother got the vaccine.”

Note the sentence “Flu vaccines aren’t approved by the Food and Drug Administration for infants younger than six months of age” By recommending this vaccine to pregnant women this is exactly what the FDA, are doing, they are actively promoting a vaccine for use in babies of less than 6 months old.

The Bloomberg Business week agrees with the Governments recommendations saying:-

“Based on expert medical opinion, we urge all pregnant women, and women who expect to become pregnant, to get their influenza immunization because the flu poses a serious risk of illness and death during pregnancy,” Dr. Jennifer L. Howse, president of the March of Dimes, said in a news release from the organization.

“The flu vaccine has been shown to be safe and effective,” she noted. “As an added bonus, during pregnancy, mothers pass on their immunity, protecting babies until they are old enough to receive their own vaccinations.”

However, Elileen Dannemann is not alone in her concerns relating to the new H1N1 vaccine. The citizens of India have been very reluctant to have this vaccine. On September 5th I wrote the article The public of India boycott the H1N1 vaccine because they fear side effects I stated that Prison Planet had said that the Indian public were rejecting the H1N1 vaccine through the fear of side effects. In their article ‘India Rejects H1N1 shots after vaccines kill children’ by Paul Joseph Watkins, Watkins reported that the rejections of the vaccine en masse, followed reports that the measles vaccine killed four children in the village of Lucknow.

The H1N1 vaccine has already been rejected by Finland and Sweden, who have suspended the vaccine, whilst Poland banned the vaccine totally. The Hindu stated:-

“Poland has become the only country to reject H1N1 vaccines, in a decision fraught with risk amid worldwide warnings of a spreading epidemic. The country rejected the vaccines over safety fears and distrust in the drug companies producing them – concerns international health experts reject as unfounded.”

This is the information leaflet for the H1N1 vaccine Pandemix and what the USA Government have decided not to tell the citizens of the USA. This information can be found on ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS – Product information

“There are currently no data available on the use of Pandemrix in pregnancy. Data from pregnant women vaccinated with different inactivated non-adjuvanted seasonal vaccines do not suggest malformations or fetal or neonatal toxicity.

There are no safety and immunogenicity data available from clinical studies with Pandemrix (H1N1) in children aged less than 6 months.

There are limited data available from a clinical study with Pandemrix (H1N1) in healthy children aged from 10 to 17 years, very limited data available from a clinical study with Pandemrix (H1N1) in healthy children aged from 6 to 35 months and limited data from a study with a version of Pandemrix containing H5N1 antigens in children aged from 3 to 9 years.

Very limited data in children aged 6 to 35 months (N=51) who received two doses of 0.25 ml (half of the adult dose) with an interval of 3 weeks between doses indicate an increase in the rates of injection site reactions and general symptoms (see section 4.8). In particular rates of fever (axillary temperature ≥38°C) may increase considerably after the second dose. Therefore, monitoring of temperature and measures to lower the fever (such as antipyretic medication as seems clinically necessary) are recommended in young children (e.g. up to approximately 6 years of age) after each vaccination.

There are limited data available from clinical studies with Pandemrix (H1N1) in adults aged over 60 years and very limited data with Pandemrix”

In other words this vaccine is untested and should be taken with extreme caution. There is a serious lack of data on adverse reactions in several key groups of the population including pregnant women.

However, despite this missing data and despite Eileen Dannemann’s damning evidence, Dr McCormick remains undeterred and sticks firmly to her views that there is absolutely no need for any concern. She continues to maintain that in 2009/10 there were absolutely no H1N1 vaccine- related adverse events in pregnant women. The Child Health Safety report said:-

“Just prior to Ms. Dannemann´s presentation Dr. McCormick, had pronounced that there were absolutely no H1N1 vaccine-related adverse events in pregnant women in 2009/10, directly contradicting the evidence publicly available.

The very next week at the Sept 14th National Vaccine Advisory Committee (NVAC) meeting Dr. McCormick, (despite having been informed on two previous occasions of the VAERS data) pronounced, once again, that there were no adverse events in pregnant women. At the conclusion of the NVAC meeting, during public comment, Dannemann submitted the data again”

// <![CDATA[//

However, there is evidence to suggest that this is not the first time that Dr McCormick has been less than honest with the USA citizens, perhaps McCormick is hired because, using US tax dollars she can be relied on to do the wrong thing for the American people but the "right thing" for her bosses. McCormick is a tool of those who hire her and apparently she is very effective. The Child Health Safety report continues:-

"McCormick has done this before.

If a criminal recklessly discharges a firearm in the street that can be an offence of reckless endangerment. If a Federal Health official recklessly ignores plain evidence putting women and unborn children at risk and also causing miscarriages and stillbirths what should the penalty be? Are life sentences or death penalties appropriate for McCormick and her bosses? They should all face stiff penalties.

Consider the following evidence from a Texas legal case and then ask yourself: "What is the difference between hiring Dr Marie McCormick to sit on one of these vaccine safety committees and hiring her to discharge indiscriminately an M240 machine gun into a baseball stadium crowd of pregnant school moms and kids.

Law firm Waters & Kraus produced in a Texas Court a closed session transcript of a US Institutes of Medicine Committee chaired by McCormick to investigate the link between vaccines and autism On file in the US District Court of Texas, Eastern District; Case #5:03-CV-141

Dr. McCormick stated, "we are not ever going to come down that it is a true side effect," before the committee had considered any evidence [page 97].

Dr. McCormick noted the US CDC “wants us to declare, well, these things are pretty safe on a population basis.” [page 33].

McCormick´s IoM committee colleague Dr. Stratton stated “the point of no return, the line we will not cross in public policy is to pull the vaccine, change the schedule. We could say it is time to revisit this but we will never recommend that level. Even recommending research is recommendations for policy. We wouldn´t say compensate, we wouldn´t say pull the vaccine, we wouldn´t say stop the program.[page 74]“

Perhaps Dr McCormick would be wise to read these tragic stories from Mom’s who have trusted the Government and people like her and have tragically lost their babies as a consequence, this is what bereaved mothers had to say, when they explained what had happened to them, after they decided to go ahead with the H1N1 vaccine. Organic Health reports

Is The H1N1 Vaccine Safe? Shocking Stories From Pregnant Women Who Have Had Miscarriages After Taking The Swine Flu Vaccine

“sioux falls, south dakota:

I received the H1N1 vaccine on October 16th and started experiencing cramping on the 22nd. I was nearly 17 weeks pregnant and gave birth to a stillborn baby boy on the 23rd. Like many of the other women here, the first thing I suspected was the H1N1 vaccine. I immediately asked a nurse at the hospital if that would have anything to do with it. Without hesitation, she told me “absolutely not.” I had reservations about getting the vaccine, but followed the advice of my long trusted family doctor. In a follow up appointment with my doctor 3 days after I lost my baby, I asked him if the vaccine would have had any adverse effects on my baby. He also said that it was not possible. I don´t believe that my doctor was necessarily lying to me, he was simply following the accepted practices and opinions of his field. I do, however, believe that as a nation, we are being lied to. This vaccine is NOT safe during pregnancy. There has not been enough testing done to determine this and there are far too many “coincidences” for this to be anything but a result of a vaccine that was hastily pushed into production and distribution in an effort to stop widespread panic. I have read so many stories in defense of the vaccine that will talk about how common miscarriages are, but I would challenge you to ask ANY health care professional how common second trimester miscarriages are. My baby was doing perfect developmentally and I had felt him move earlier that day. My heart goes out to all of you out there who have had to go through the same heartache and loss that I have had in the last couple of weeks. There is no reason that any woman or family should have to go through this. Get the word out to all of the pregnant women that you know. I know that if I had heard that women had been losing their babies shortly after they received the vaccine, I would have followed my gut and not gotten it myself. Maybe then Wyatt would have had a chance at life.

kathy-sd:

I´m from a town of 2000 in SD, there are several women pregnant and we are all due within a few weeks of each other. Four of us got the H1N1 vaccine 2 weeks ago and one by one each of us started to have preterm contractions. We are all due in Nov and Dec so we are further along than most of the people that lost their babies. There is no way you can tell us that our preterm labor was not caused by the H1N1 vaccine. It may look like a “fluke” to some people when these women are scattered all over the country but we are talking about 4 of us in our small community. My heart goes out to all of you that lost your babies.

Connie:

I also received the H1N1 vaccination on October 22nd, 2009 and went into labor on October 25th, at 16 weeks pregnant and we just heard the heartbeat and everything was fine with my pregnancy on October 16th, 2009, then on October 28th my water broke then on October 29th, I delivered a stillborn baby boy, and no one can tell me why…Everyone wants to say it did not come from the shot but I believe it did. My baby was growing at the correct pace and everyone wants to brush off the vaccination. I say if you have the vaccination and suffer a miscarriage if they are able to perform an autopsy have it done.

I also agree something needs to be done and looked more into with this vaccination because most women are being advised it´s just something that happens, but I also had two healthy children normal pregnancies and when I received this vaccination with my third pregnancy, my baby is gone.”

Ms Dannemann says in her report:-

“This baseless and fallacious assessment by the CDC assessment group” says, Dannemann,”has given the green light to the CDC’s Advisory Committee on Immunization Practices (ACIP) to continue their recommendation to give the 2010/11 flu shot to all people, including pregnant women. This upcoming 2010/11 flu vaccine contains the same elements that are implicated in the killing of these fetuses, the H1N1 viral component and the neurotoxin mercury (Thimerosal). Additionally, it contains 2 other viral strains- a 3 in 1 shot for all people”

When is this madness going to end? I was given a quote this morning which I would like to pass to Dr McCormick, The quote is one by Thomas Szasz who said:-

“Formally, when religion was strong and science was weak, men mistook magic for medicine; now, when science is strong and religion is weak , men mistake medicine for magic.”

Point very much made I feel.

Image by – Clare Bloomfield / FreeDigitalPhotos.net

Source:

http://www.americanchronicle.com/articles/view/188385

Authors Profile:

http://www.americanchronicle.com/authors/view/3735

Bruises In Suspected Abuse Cases

Norwegian University of Science and Technology

Optical technology can give the answer to when bruising happened and how. This can be important for cases of violent crime.

In court, a bruise can sometimes be important evidence. And the age of the bruise can be instrumental if a person is to be charged for the injuries in a crime. A cross-functional research team with the Norwegian University of Science and Technology (NTNU) is currently developing a method, based on optical technology, for dating bruises. The method will be quick and inexpensive. It does not involve incision in the body, and it would provide a reasonably accurate measurement of bruise’s age.

Today, a bruise’s age is decided by the naked eye. The method is subjective, based on the coroner’s personal knowledge and experience. It is, however, impossible to decide exactly the age of the bruise. The dating will therefore be very approximate. International research shows that coroners date approximately every second bruise incorrectly, and that the margin of error can be up to a week. The bruises are divided into three categories: The fresh that have occured in the last one to two days, bruises that are a “few days old”, and bruising that occured “several days ago”. Technology that is more accurate in determining the age of the skin bruises will in some cases be of importance to the outcome of a trial.

A bruise lasts from one to two weeks. At first it tends to be reddish, then blue-violet, then green, yellow and finally brownish. Researchers use the natural breakdown of the red-coloured material in the blood, haemoglobin, to find the age of the bruise. After a few days, the haemoglobin breaks down into other chemical combinations – that have other colours. “It is the yellow coloured material, bilirubin, that we measure the amount of,” explains project leader Lise Lyngsnes Randeberg at NTNU.

-The naked eye will not perceive this colour until after about two days, while with reflection spectropy we reveal bilirubin after about one day. After about four days the bilirubin amount in the bruise is at its maximum, and afterwards gradually decreases.” The theoretical base for the technology has been developed by Professor Lars Svaasand. The technology is in principle simple: a lamp sends out a white light towards the bruise. White light contains all the colours of the rainbow. The light that reflects from the skin is measured with a spectrometer. More precisely, the spectrometer measures how much of the different colours are reflected back. This will show how far along the bruise has come in its path. From the reflected light, the researchers can measure the amount of blood in the bruise and the oxygen in the blood. Based on these factors, Randeberg is developing an algorithm that will be the key to analysing bruises.

It is possible that bruise technology can be used in several areas. Researchers say that this may come to be used to determine more precisely the time of a victim’s death. International firms in medical technology find this research very interesting, and the team hopes that in a few years the technological results of their work will be common in, among other places, hospital emergency rooms.

Lise Randeberg | Quelle: alphagalileo
Weitere Informationen: www.ime.ntnu.no/eng/

Source:

http://www.innovations-report.de/html/berichte/medizin_gesundheit/bericht-35752.html

Lack of Transparency In Irish Family Law Leads To Breaches Of Human Rights

Breaking down children through trauma.

Are women and children not human beings in Ireland in 2010.?

Most people worldwide look at Ireland and think it is a modern progressive country, yet hidden from public view are the family courts where abuses of human rights are taking place on a regular basis.

Here in Ireland battered and abused mothers and children are treated as they were in the dark ages of the 16th century. Solicitors are being told by learned men and women of the bench not to bring cases of domestic abuse and child abuse before them as they are sick to death of it. Judges have been trained over the years to believe that all women fabricate domestic abuse and child abuse. The only abuse the judges etc admit that exists is physical abuse, yet professionals fully educated in domestic abuse have full knowledge of the 8 forms of domestic terrorism and that the mental, psychological, financial abuse and control are equal forms of abuse, but because they leave no visible scars, the judges and court assessors fail in their role to protect these women and their children.

Recently in USA, research has shown that everything these battered and abused women and their children have been saying is true. The very system designed to protect them, abuses them over and over and even removes the children from the protective parent and places them with violent one and sometimes excludes the protector totally from the lives of the children.


In Ireland, in order that the child has contact with both parents, children are being broken down by various state agents in the knowledge that once the child is broken he/she will then bond with the abuser. Locking children in rooms with known abusers is abuse and a crime. Yet it is done in the name of the law. This trauma bonding is of course a crime in any other circumstance, except in family law. Even worse, the HSE will use Electric Shock Therapy on children if they cannot break them using other methods. As an added punishment these children then have their inheritance taken from them in more secret court proceedings. Their abuser often ordered not to pay a penny maintenance for them. The children end up totally confused by the judge rewarding the abuser and punishing them and the victim.


What must the children of Ireland think of the child protectors and the legal system? They know the law is in place to protect them, but that is not what actually happens in secret courts. The secrecy, the punishing of the innocent, the twisting of words, the lack of proof etc. The perpetrators of domestic abuse and child abuse are rarely if ever prosecuted or punished.Why? Abusers know the law is on their side and remind their victims of this fact and even taunt them with words like “you can never escape me”. The protective parent on the other hand is punished for daring to protect the children and for trying to break free from violence.

The institution of marriage in Ireland was designed to keep women and children in their place, that is under the control of the male patriarch. Who would believe such crimes against innocent children could be happening in secret in Ireland.? Yet I am reliably informed that children in Ireland in 2010 have their human rights breached regularly in family court proceedings.


What kind of a country is Ireland that we allowed the men of God to abuse and torture our precious children for hundreds of years,while being conditioned that suffering was good for their souls, and now in 2010 we have men and women of the law telling the children that fragmenting their souls through court ordered abuse and trauma bonding is good for them because the adult abuser must have contact with them in the eyes of the law.?


Trauma bonding often leads to Disassociative Identity Disorder and other mental problems, so why is it ordered legally in secret family courts? How many children have committed suicide due to being legally tortured by those paid to protect the children.? Is not Ireland now a signatory to the European Human Rights Laws? Are women and children not human beings in Ireland in 2010. Is the 16th century mentality of women and children being mere possessions still in existence.? Judging by the actions of family court judges and state agents this appears to be the case. All human beings have the human right to live in peace and safe from harm, but in Ireland that is not so when it pertains to women and children.

Abused women are often forced to remain under the same roof as their abusers for years, because of the law, where the couple must live apart for 4 out of the 5 years before applying for divorce. Many women in Ireland have not worked outside of the home since marriage or since having children, due to the extremely high cost of childcare. For these women they are financially dependent on their husbands and so are unable to move out independently until after the divorce. This means the children are also forced to live under the same roof and cope with all the daily stresses and hostile atmosphere, which of course deprives the children of their right to a peaceful and loving existence in a safe and secure home. Some of the abused women end up in mental hospitals unable to cope with the torment any longer.


Yet in divorce proceedings these abused women are deemed “mad” and loose custody of their children to the abuser. The perpetrator sneering and telling the judge “I told you she was mad”. This picture is an exact copy of 16th century Inquisition days where women were deemed mad and witches while being persecuted by their inquisitors. A woman who grows organic crops can be labelled a witch in Ireland and loose all assets and property to her abuser. No proof is required. No broomstick required, just old fashioned thinking of state agents whose minds are stuck in the dark ages. None of this is ever reported in the media due to the in camera rule.

Another aspect of the Irish Family Law proceedings which needs to be brought to light is, that reports prepared for the court by agencies like HSE, Probation Services, Psychologists, Psychiatrists etc are not always given to the clients or their solicitors to read thus breaching Act 6 of Human Rights, right to a fair trial. The clients have absolutely no idea what is written about them in these reports and get no opportunity to rebut any allegation therein.

In open court under common law, would any of the above be allowed to happen? If the media were invited into these courts, would the children be legally ordered into serious abuse where their souls are fragmented into a million pieces through trauma bonding and deliberate breaking down of their minds? Children are made into objects in the minds of professionals thus rendering them non human and so can easily be treated in an inhuman way without affecting the consciences of the adult court agents.

The world has every right to see Irish people for what we truly are as a nation. Until 1996, Ireland still had homes for unmarried mothers where they were kept away from “normal” people, simply because the church deemed them fallen women. Often their children were sold to rich couples from USA and their identifies changed. Our history shows little respect for our children and their mothers. We still do not have equal respect for women and children but allow our children to be legally abused in 2010 by perpetrators of abuse aided and abetted by various state agents and all rubber stamped by our learned judges who are fully aware of the consequences to the innocent children and the abused mothers.


Author: Portia

Source:

http://www.indymedia.ie/article/97713

http://www.fassit.co.uk/child_custody_reversal.htm

http://www.domesticviolenceabuseandchildcustody.com

Flu Vaccine Caused Over 1000 Adverse Reactions

Christina England

Vactruth.com
09/24/2010

Yesterday, the Sydney Herald reported an astounding 1000 plus reports of adverse reactions following the flu vaccine, Fluvax. These reports included 100 reports of febrile convulsions.

In her report, journalist Carol Bennett stated:

“It showed the CSL-produced Fluvax and Fluvax Junior may have caused two to three hospital admissions due to seizure for every admission from flu it prevented”.

Febrile convulsions are caused when a child’s body rapidly overheats resulting in a seizure. The NetDoctor website gives insight into what a child suffering from a febrile convulsion looks like:

  • The attack often begins with the child losing consciousness, and shortly afterwards the body, legs and arms go stiff.
  • The head is thrown backwards and the legs and arms begins to jerk.
  • The skin goes pale and may even turn blue briefly.
  • The attack ends after a few minutes and the shaking stops. The child goes limp, and then normal colour and consciousness slowly return.
  • Some children regain consciousness faster than others.

If the Sydney Herald is correct, the Fluvax vaccine has the potential to give a tiny baby (many are premature) a seizure so violent it causes them to throw their head backwards, in a jerk like movement. The jerking action has the potential to cause damage to the neck, head and brain. Isn’t this exactly opposite of what we, as parents, are taught NOT to let happen to babies?

Let us step away from the vaccine, for a brief moment and study Shaken Baby Syndrome.

Shaken Baby Syndrome is caused when a small child is shaken violently.  To give readers an accurate description of SBS, I went to the National Institute of Neurological Disorders and Stroke Website:

“What is Shaken Baby Syndrome?

Shaken baby syndrome is a type of inflicted traumatic brain injury that happens when a baby is violently shaken.  A baby has weak neck muscles and a large, heavy head.  Shaking makes the fragile brain bounce back and forth inside the skull and causes bruising, swelling, and bleeding, which can lead to permanent, severe brain damage or death.  The characteristic injuries of shaken baby syndrome are subdural haemorrhages (bleeding in the brain), retinal haemorrhages (bleeding in the retina), damage to the spinal cord and neck, and fractures of the ribs and bones.  These injuries may not be immediately noticeable.  Symptoms of shaken baby syndrome include extreme irritability, lethargy, poor feeding, breathing problems, convulsions, vomiting, and pale or bluish skin.  Shaken baby injuries usually occur in children younger than 2 years old, but may be seen in children up to the age of 5.”

Let’s play devil’s advocate. Isn’t this what happens to a feverish and very young baby when it’s head is suddenly and violently jerked backwards? Is there any rule to denote how many times the fragile brain of an infant needs to bounce back and forth in the skull causing a hemorrhage? I’m willing to bet once is enough.

If the governments continue to promote dangerous and seizure causing vaccines, such as Fluvax (for ingredients please read Fluvax insert), then it is high time the laws governing SBS and SIDS were reviewed. Parents around the world are being falsely accused of killing and maiming their babies. Many cases are occurring just hours after a vaccine has been given.

I would like to mention the case of Sally Clark. She was jailed when her baby died shortly after a cocktail of vaccines were injected. What killed Sally Clark’s child? Spectator opens up by saying:

“Sally Clark spent three and a half years in jail wrongly convicted of murdering two of her babies after a jury was assured there was no other explanation for their sudden deaths than that she had deliberately smothered them. Yet five hours before her second child, Harry, was found lifeless in his baby chair, he had been injected with a combined vaccine with a long history of serious adverse reactions.

Harry was eight weeks old, the regulation age for the first of three injections against diphtheria, tetanus, pertussis (DTP) and Hib (a bacterial infection that can cause meningitis). He was also given an oral polio vaccine. His biological age was five weeks, as he had been born three weeks premature. Because of the previous sudden death of his brother, Christopher, his breathing was being monitored. He was uncharacteristically dozy from the time of his jabs to the time he died.”

We have reached a situation where the vaccines given to our children are causing great harm. Governments and the pharmaceutical industries who manufacture the vaccines are ignoring it and are not man enough to take responsibility for their actions. Instead, it is more convenient and profitable to lay blame on the parent who took their advice in the first place.

Source:

http://vactruth.com/2010/09/24/flu-vaccine-caused-over-1000-adverse-reactions/

A Parent’s Nightmare: Shaken Baby Syndrome

An interview with innocent parents and medical experts.

TRANSCRIPT – PART ONE
HELEN DALLEY, REPORTER: It’s a parent’s worst nightmare. Your young baby appears to suffer a fit, has breathing difficulties, perhaps goes limp, is suddenly seriously unwell. An ambulance rushes the baby to hospital where it undergoes tests and assessment by paediatric specialists. But your nightmare is only just beginning. Within as little as 24 hours, the diagnosis is your baby’s probably been severely shaken. And you, the parent, are directly in the firing line as the culprit.

CHRIS TAYLOR, PARENT: Like a living nightmare. Absolutely. Totally helpless. Nothing we could do or say would make them believe that what we were saying was right.

SHARON TAYLOR, PARENT: It was just all pointed towards us proving we were innocent. We were branded guilty right from the word go.

DONNA MEADS-BARLOW, PARENT: There was no innocent until proven guilty, at all. It was guilty until proven innocent.

HELEN DALLEY: These parents have all been accused of vigorously shaking their babies.

STUART LEE: Emotionally I think it wrecks people. Oh well, I know it wrecked myself.

HELEN DALLEY: Stuart Lee had to stand trial for recklessly inflicting grievous bodily harm and assault on his de facto wife’s 3-week-old daughter, Charlie.

KELLY LEE, PARENT: He was gentle with the kids, he was loving with the kids, and I think what they were trying to make him out to be was just not right. It was not who he is.

HELEN DALLEY: This man, Craig Court, was accused and tried for murdering his baby son by shaking him to death.

CRAIG COURT, PARENT: I just lost my son, and then I was told I was a killer. It’s just… I don’t know what to say.

HELEN DALLEY: The parents you’ll meet in this story all say they’ve suffered. Their babies, they say, were misdiagnosed as having been violently shaken. Around the world thousands of people are accused of this each year. But even within the medical establishment there is emerging disagreement about the diagnosis of shaken baby syndrome, or SBS, as it’s known. The view accepted by most paediatricians working in major hospitals is that when a baby is found to have bleeding around the brain, extensive bleeding behind the eyes and brain swelling, then that collection of symptoms means the baby has been shaken.

DR KIERAN MORAN, CPU SYDNEY CHILDREN’S HOSPITAL: One of the common things to do would be a CT scan of the head. A CT scan of the head might show up a subdural haemorrhage and some swelling of the brain substance. Subdural haemorrhage is a haemorrhage over the surface of the brain. And usually at that stage, one would look into the baby’s eyes, and if one saw um, a lot of haemorrhages in the retina, then I think that one of the first things that would come to your mind was that the baby had been shaken.

HELEN DALLEY: In what percentage of cases where there are subdural haemorrhages and retinal haemorrhages, is it definitely shaken baby syndrome?

DR PAUL TAIT, CPU WESTMEAD CHILDREN’S HOSPITAL: I guess it’s hard to put a number on that because we haven’t got a way of screening all those cases but I’d say you are sort of looking at 99 per cent of cases. I guess my position would be it was shaken baby until proven otherwise.

HELEN DALLEY: But other medical experts are now seriously questioning that 99 per cent certainty.

DR WANEY SQUIER, RADCLIFFE INFIRMARY, UK: I think this is very much open to question. Because we don’t have any evidence that babies with this constellation of findings, that is, retinal haemorrhage, subdural haemorrhage and brain swelling, have been shaken.

HELEN DALLEY: Eminent neuropathologist Dr Waney Squier has spent the last 20 years studying babies’ brains. She and other specialists believe that a small percentage of cases with that particular group of symptoms may be wrongly diagnosed as shaken baby.

DR WANEY SQUIER: I’m sure in a small percentage of cases, there is misdiagnosis. It could be more than 5 per cent who are not shaken. I think 5 per cent is a conservative estimate.

PROFESSOR HELEN WHITWELL, UNIVERSITY OF SHEFFIELD: What we shouldn’t do is assume that in all cases the subdurals, the retinals and the brain swelling, have been due to violent shaking.

HELEN DALLEY: That then raises doubts about accusations of baby shaking made against parents and carers. There’s no argument that the majority of cases are genuinely shaken baby, and that some do harm their infants.

DR WANEY SQUIER: We’ve no doubt at all that children do get injured by carers, but it’s the small minority where we don’t have definite evidence that causes us the greatest concern.

DR MARK DONOHOE, GP: Here’s the problem. We call it shaken baby syndrome. You’ve already predetermined the cause by the very naming of it, and that happened 25 years ago, so that changes the mindset of doctors who hear the term. We think retinal haemorrhages, bleeding into the brain, shaken baby syndrome. It’s become such a common part of our training that we don’t doubt it.

DR WANEY SQUIER: Well, I think there are people being wrongly accused, because the history they give has not been taken into account. It’s been a knee-jerk response to say, well, this is shaken baby syndrome, so we ignore everything the family is saying.

HELEN DALLEY: One problem is there is no specific diagnostic test that definitely determines shaken baby syndrome and there’s still much about this condition that is unknown. However, the majority of paediatricians working in child protection units in hospitals claim experience proves them right. How do you know you’re right – that 99 per cent-100 per cent are shaken?

DR PAUL TAIT: Well, because of the depth of reports, the vast clinical experience around the world, the number of people who’ve actually admitted to having been perpetrators of that sort of violent crime. The reality of human nature, the correlation that we know exists between the child being extremely well one minute and then someone getting very angry with the child and then finding them very unwell, you know, an hour later.

DR KIERAN MORAN: It’s based on the, on the common experience of practising clinicians around the world. The American Academy of Paediatrics believes this and has a position paper on it. The medical examiners or the forensic pathologists of the United States have a position on it. Every neurologist that I know here believes in it, neurosurgeon and so forth. So if you are making a diagnosis of shaken baby syndrome on the basis that you have got a particular kind of subdural haemorrhage, that you’ve got brain swelling, and that you have the typical retinal haemorrhages, then there is nothing else that mimics exactly that.

DR PAUL TAIT: Well I think usually there’s a trigger that sets off some distress – they might be crying or something has happened – and the parent would pick the baby up and shake them quite vigorously and often that will result in the child going quiet, so that might be a good outcome, if you like.

HELEN DALLEY: Paediatrician Dr Paul Tait is head of the child protection unit at Sydney’s Westmead Children’s Hospital. It’s his job to assess injuries and report suspected shaken baby cases.

DR PAUL TAIT: Most of them grab the baby around the torso…

HELEN DALLEY: So quite firmly?

DR PAUL TAIT: … either with the shoulders like that…

HELEN DALLEY: Around the chest.

DR PAUL TAIT: … or around the chest like that and shake, some quite vigorously. It’s a sustained rhythmic backwards and forward motion, Usually averages around three or four cycles per second and may go on for several seconds. Particularly quite hard to sustain that sort of violent sort of injury, or movement for too long.

HELEN DALLEY: But an ad campaign running in Western Australia appears to contradict that view that excessive and violent force is needed to cause the injuries.

TV AD: That shaking them, even for a few seconds, can cause serious brain damage.

HELEN DALLEY: It was this sort of contradictory opinion about the amount of force necessary to produce serious injury that was at the heart of a recent criminal trial in Western Australia.

CAROLINE COURT, PARENT: We are glad that it’s over.

HELEN DALLEY: Earlier this month Craig Court was acquitted in the Supreme Court of deliberately shaking his baby son, Cameron, to death.

CAROLINE COURT: I was shocked that they could make an accusation like that because I know the type of person Craig is and we both would do anything, we’d give our own life for our children.

HELEN DALLEY: In May 2001, 9-month-old baby Cameron was hospitalised, put on life support, then died three days later of severe brain injury. Their other child was removed from the family and Craig Court was later detained. The Crown alleged the baby’s injuries were consistent with violent shaking.

CRAIG COURT: We lost Cammie, and in no time we got Courtney taken away and then I was shoved into prison for something I didn’t do from the beginning.

HELEN DALLEY: When Craig Court was arrested and charged with murdering his baby son, he was sent here to Hakea Prison on the outskirts of Perth. He was locked up for over 20 months while awaiting his trial. Labelled a baby killer – the worst possible crime in the eyes of other prisoners – Craig Court says he was pelted with rocks and subjected to an attempted stabbing and other assaults. Supported throughout by wife Caroline, Craig Court strongly denied the allegation, saying the boy had gone into a fit and he had been trying to resuscitate him. Robin Napper, lecturer at Perth’s Centre for Forensic Science, observed the trial.

ROBIN NAPPER, CENTRE FOR FORENSIC SCIENCE, PERTH: The prosecution case was, of course, that this was a deliberate shaking act which killed the child.

HELEN DALLEY: A malicious, kind of violent shaking, picking it up and shaking it?

ROBIN NAPPER: A malicious, malicious, violent shaking.

HELEN DALLEY: What having lost the plot, or angry?

ROBIN NAPPER: That was the allegation and the defence quite clearly showed that this could just purely have been a father trying to resuscitate his dying child.

HELEN DALLEY: In 2001 Professor Helen Whitwell, head of Forensic Pathology at the University of Sheffield in the UK, co-authored with Dr Jennian Geddes a research study that challenged assumptions that violent force was needed to produce the brain injuries.

PROFESSOR HELEN WHITWELL: What we particularly identified in the young age group was that where as before the brain damage had been thought to be due to trauma, severe trauma, as you would get in a road traffic accident or a fall from a height, what we found was that the brain damage, when you look down a microscope at the brains, what a significant proportion showed was damage due to lack of oxygen getting to the brain, not damage to the nerve fibres caused by severe trauma.

DR WANEY SQUIER: She has hypothesised it could be less than an intentional, malicious aim to injure that child. But just simply a quick hyperflexion or extension of the neck, maybe one or two shakes, would be sufficient to produce this injury. Although she was at pains to point out that it would be more than happens in normal caring of a child.

HELEN DALLEY: But senior Sydney paediatrician and shaken baby expert Dr Kieran Moran rejects some of the conclusions of the UK research.

DR KIERAN MORAN: What I would reject is the notion that somehow Geddes has suggested or has shown, that she knows what degree of forces are involved to produce retinal haemorrhages, subdural haemorrhages and brain swelling. There is nothing in any of Geddes papers to support that notion.

HELEN DALLEY: In the case against Craig Court, the Crown presented several eminent specialists saying the baby was violently shaken. But by the end of the trial, two key prosecution medical experts expressed doubt that deliberate shaking caused Cameron’s injury. The prosecution in this case had to convince a judge alone, not a jury, that Craig Court was guilty. After hearing experts from both sides, the judge, Justice Graeme Scott, in his judgement, found that after reviewing all the evidence he was unable to conclude that the death of the baby was caused by the baby being shaken by Craig Court in the manner alleged by the prosecution. Hence the judge acquitted Craig Court of murder and manslaughter.

CAROLINE COURT: It’s been a nightmare. To any young parent, we wouldn’t want them to go through what we’ve been through. It’s been an absolute nightmare, even for our daughter.

CRAIG COURT: We’ve lost everything. Money’s gone, I’ve been away from Caroline for two years, I haven’t lived with Courtney for 2.5 years.

CAROLINE COURT: We lost our house, I’ve lost my job after 15 years.

DR MARK DONOHOE: I believe that there are families there who have done nothing, who have found a child injured in a way that is inexplicable by medicine, suddenly have their lives torn apart, not just by the loss of the child and the injury but by the consequences that they are forever labelled child abusers and murderers.

CRAIG COURT: At the moment I just want to deal with Family Services and get my family back together and we’ll deal with whatever comes later on.

HELEN DALLEY: And they will have more to deal with, as the Crown has this week lodged an appeal against Craig’s acquittal in the criminal case. The Crown is still alleging the baby was shaken to death, reopening the question of whether this was or wasn’t shaken baby syndrome.

KELLY LEE: There’s no words that can describe it at all. How do you describe 2.5 years?

HELEN DALLEY: 2.5 years of what?

KELLY LEE: Of hell.

HELEN DALLEY: In December 2001, Stuart Lee also stood trial for recklessly inflicting grievous bodily harm on his partner’s 3-week-old baby. He vehemently denied violently shaking the baby, saying he tried to revive the child after it had difficulty breathing.

STUART LEE: After I took her in the shower, which I was advised by a mid-wife who came to the house that that was OK, she started having breathing difficulties after we got out of the shower and that’s when I rang Kelly’s aunt to say what, what had caused it, what was causing it, how could I fix it.

HELEN DALLEY: Stuart and now wife Kelly Lee say that within 24 to 48 hours of baby Charlie’s admission to hospital in Canberra, they were suspected of child abuse. From MRI and CT scans the doctors said there was a subdural haemorrhage, retinal haemorrhages and some brain damage.

STUART LEE: We both got sat down by the paediatrician who was looking after Charlie at the time, and he said to us the child had been injured in a violent shaking. The baby was shaken. Which basically said whoever was with the child at that specific time that the child experienced problems, was the culprit of what had happened to her.

BERNARD COLLAERY, STUART LEE’S SOLICITOR: I think there is a rush to judgement in some of these case. In this particular case there was an unparalleled rush to judgement.

HELEN DALLEY: The police were very quickly called in.

BERNARD COLLAERY: Within days of the baby being taken to hospital, whilst you had two grieving parents and a whole enlarged family there, the police were busy out at the house putting listening devices into their home. There were hundreds of cassettes of tapes. The prosecution has a duty to present to the court incriminating evidence. The answer is in the tapes – there was none.

HELEN DALLEY: There were no fractures and the only bruise to be found was on Charlie’s buttock, which the defence claimed was the result of resuscitation attempts. The Lees say there was inadequate investigation of the baby’s full medical history.

STUART LEE: They had their idea and they were sticking with it, and anything that was suggested was not really listened to at all.

HELEN DALLEY: For more than two years awaiting trial Stuart Lee was not allowed to be alone with Charlie, who was by then back home with no apparent ill-effects, He had to have special permission to see her at Christmas.

STUART LEE: For 2.5 years I couldn’t be at home in the environment that I was in because some public servant had decided, or deemed me not be fit, and that the family unit would still function without me being there. So, it takes a part of you away, an emotional part.

ROSS LEE, FATHER: He became very, very angry and he was a frightened young man.

HELEN DALLEY: Why did you stick by him through all this time?

ROSS LEE: Obviously because he is my son. I love him dearly… ..and I guess you just have to trust your kids and I knew Stuart couldn’t have done what he was accused of. I just knew he couldn’t have done it.

HELEN DALLEY: At trial, the prosecution presented doctor after doctor, saying it looked like Charlie had been violently shaken.

KELLY LEE: He was never ever violent at all, he never yelled at the children or anything like that. And I think what they were trying to make him out to be was just not right. It was not who he is.

HELEN DALLEY: In the end Justice Ken Crispin acquitted Stuart Lee, stating: “The case for the Crown has been comprehensively and competently argued but I have found it far from compelling.” Judge Crispin said he was not satisfied the prosecution had proved that Stuart had shaken the baby in the manner alleged. He concluded that: “The well meaning but perhaps overly vigorous application of force in an attempt to resuscitate her was one factor.”

DR SUE PACKER, CANBERRA HOSPITAL: You accept the court verdict as one always accepts the court verdict.

HELEN DALLEY: Dr Sue Packer gave evidence for the prosecution in this case, as one of the hospital specialists who had assessed baby Charlie.

DR SUE PACKER: The more I have to do with courts the more I realise that we speak two different languages and we really work in our two different languages with two different rule systems and come to different conclusions in our different games.

HELEN DALLEY: So it doesn’t make you think that perhaps we got the initial diagnosis wrong?

DR SUE PACKER: No.

HELEN DALLEY: While the Lees were told Charlie’s injuries could cause blindness and intellectual disability, today she’s a happy, apparently healthy 4-year-old. In part two, other families tell of the trauma they face once child protection authorities step in and how the system can swallow up parents who claim they’re innocent.

DONNA MEADS-BARLOW: There’s no turning back. Once the notification is made it’s just like a roller-coaster nightmare.
END TRANSCRIPT – PART ONE

TRANSCRIPT – PART TWO
DONNA MEADS-BARLOW: We went through a complete and utter nightmare that I would never want any other family to ever have to go through. It was so unnecessary.

HELEN DALLEY: Donna and Brian Meads-Barlow’s nightmare began in July 2000 when their baby son, Codey, was around five months old. He’d been generally unwell, developing upper respiratory tract infection, runny nose, a cough, and was prescribed antibiotics. He had an apparent seizure a few weeks earlier. Then Codey had his second immunisation. The next day he apparently suffered another seizure, and was rushed to hospital.

DONNA MEADS-BARLOW: He was tested by a registrar who then spoke with the paediatrician and because he had a retinal haemorrhage that was seen that immediately indicated that he was a shaken baby.

HELEN DALLEY: So on the basis of only one symptom, the retinal haemorrhages alone, Codey was diagnosed as a shaken baby.

DONNA MEADS-BARLOW: That’s correct. And within minutes they picked up the telephone and phoned the Department of Community Services.

HELEN DALLEY: Donna Meads-Barlow claims while little more was done to fully investigate the baby’s medical history, the shaken baby syndrome ball started rolling.

DONNA MEADS-BARLOW: There’s no turning back. Once the notification is made, it’s just like a roller-coaster nightmare.

BRIAN MEADS-BARLOW, FATHER: You’re in a situation where you’re new to everything they’re trying to explain to you and you have no understanding of what’s going on and you don’t have any control over your life, suddenly.

HELEN DALLEY: They asked endless questions of the doctors.

DONNA MEADS-BARLOW: Have you ran all the tests? Are you absolutely sure?

BRIAN MEADS-BARLOW: It was that we were pretty well asking, “Are you absolutely sure? “Could it be something else?” And the answer was no.

HELEN DALLEY: The NSW Department of Community Services, or DOCS, stepped in, started investigating and immediately took care and custody of baby Codey away from Donna and Brian. The couple says they felt they were treated as guilty from then on.

ANNETTE GALLARD, EXECUTIVE DIRECTOR OF OPERATIONS, DOCS: I can have sympathy for parents in this situation, but our role is to protect children. We are talking about very young babies with very serious injuries.

DONNA MEADS-BARLOW: We walked into a room where basically we were ambushed, there was about seven or eight people around a table who stood up as we walked through the door and introduced themselves as joint investigation team – half police and half Department of Community Services – so we were not going to have a chat with a social worker at all. They then handed us a document which took temporary care of Codey and split us up immediately and did a full investigation.

HELEN DALLEY: How did that make you feel?

DONNA MEADS-BARLOW: Frightened, unknowing as to what was going on. Sorry. Horrible. Like we were criminals. Reliving it is horrible.

ANNETTE GALLARD: We proceeded according to our guidelines.

HELEN DALLEY: Do you think it’s fair for DOCS to take custody of a child, even in hospital, before even the final tests are done that may prove to the doctors that it was shaken?

ANNETTE GALLARD: We are talking about very vulnerable young babies. We’re concerned about the safety of the child. We can’t afford to take chances with children’s lives.

HELEN DALLEY: The law requires doctors to notify authorities of suspected shaken baby cases. DOCS says it has no option but to investigate thoroughly. But with almost farcical circular logic, it appears the entire child protection system could overwhelm innocent parents, without anyone accepting total responsibility. The doctors say they just diagnose, it’s then up to child welfare departments and the police to investigate. But those departments say they depend on the doctors’ expertise to initiate the case.

ANNETTE GALLARD: We’re not the medical experts. Our role is about protecting children. So we rely on the medical opinions of paediatricians who have expertise in this area, who work at top-tier hospitals.

DR PAUL TAIT: It’s not our job to investigate these cases. We have to work closely with the department, we also have to work closely with the parents and it’s not a comfortable relationship always, and unfortunately it becomes quite adversarial in the legal system.

HELEN DALLEY: In the Meads-Barlow case, an MRI test showed what doctors said was an old and a new subdural haemorrhage, further evidence, according to them, that Codey had been shaken. What did you find out down the track about those subdural haemorrhages that they’d apparently found?

DONNA MEADS-BARLOW: Oh, the evidence of old and new haemorrhage was actually a mistake and in fact there was only one and when…and it had dissolved virtually, it had virtually dissolved.

HELEN DALLEY: There was no other evidence of bruising, no fractures, no apparent brain swelling, no history of violence, no previous notifications to welfare authorities about their two older children. Nonetheless, DOCS persisted and eventually put Codey into foster care. What was it like to have DOCS, or the joint investigation team, take your little baby from you and put him into foster care?

DONNA MEADS-BARLOW: The worst day of our life. They rang at 4:30 in the afternoon and said that they’d made a decision to remove him to foster care the following morning to an unknown foster carer. At one stage they threatened to make him a ward of the State until the age of 18.

HELEN DALLEY: While still trying to run their small business and maintain normal family life for the sake of the other children, Donna and Brian faced several months of supervised access visits while Codey was fostered out.

DONNA MEADS-BARLOW: When Codey was taken into foster care, the only place we were allowed to see him was in a park.

HELEN DALLEY: So he couldn’t come to your house?

DONNA MEADS-BARLOW: No, no, no they wouldn’t let him…

HELEN DALLEY: To his home?

DONNA MEADS-BARLOW: No, they wouldn’t let him come to our house.

HELEN DALLEY: They’re not even allowed to bring him home on an access visit to his own home. They have to meet in a park or a shopping centre?

ANNETTE GALLARD: Our primary concern is about the safety of the child. The place for access can vary.

HELEN DALLEY: The couple was forced to fight through the Children’s Court over several months to get Codey back from the authorities.

DONNA MEADS-BARLOW: And $150,000 later we finally got him home, but when he came home he had to come home under a 24/7 supervision. During all that time we had several psychological assessments that were put up by the department, and, you know, to assess us for risk, and even the psychologist said send him home.

HELEN DALLEY: For a further two years, even with Codey back at home, the family were under the department’s supervision on a regular basis. Yet during that time Codey was actually given the all-clear by the paediatrician who first notified the department. He stated in writing, “Codey is not at risk of non-accidental injury.” Despite that, the department persisted with its supervision order. Do you think DOCS got the Meads-Barlow case wrong?

ANNETTE GALLARD: I think that we acted on the available evidence at the time. We did what we were supposed to do. We took it before the Children’s Court magistrate and the Children’s Court magistrate made the decisions in that case.

HELEN DALLEY: The Meads-Barlows are now attempting to put their family life back on track. In March this year, the department finally informed them that the 2-year supervision period had expired.

DONNA MEADS-BARLOW: You’re hungry? Hungry for something to eat or to drink.

DONNA’S SON: Um, to drink.

HELEN DALLEY: For the record, Codey appears to be developing normally. A day after this happy home video of baby Reece, the Taylor family’s world was turned upside down.

SHARON TAYLOR: He had a dirty nappy so I put him on the change table to change him, and when I picked up his legs, that was when he really started screaming, and then he started shaking and twitching. So I screamed for Chris, because I didn’t know what was going on. And then he came in and picked him up, and by that stage he’d gone limp.

HELEN DALLEY: Within a few days of admission to Westmead Children’s Hospital tests excluded serious infection, but the Taylors were told the baby had had a subdural bleed.

CHRIS TAYLOR: We were sort of saying, what type of force is required to cause these types of bleed, and they said to us that falling from a multi-story building, being involved in a car accident and being thrown from a vehicle, or from being shaken. Those were the options we were given. And we said, “Well, we know none of those is true, “so where does that leave us?” And they kind of shrugged and couldn’t give us an answer.

HELEN DALLEY: Where it left them was with a diagnosis that Reece had most likely been shaken.

CHRIS TAYLOR: Two subdural haemorrhages.

HELEN DALLEY: Two subdural haemorrhages?

SHARON TAYLOR: Possibility of two. It wasn’t a definite, it looked like it was two different-aged bloods.

HELEN DALLEY: But further tests showed no fractures, no bruises and most importantly no retinal haemorrhages. So on the basis of one symptom, you felt they were accusing you of shaken baby syndrome?

SHARON TAYLOR: Definitely.

HELEN DALLEY: Do we feel they were looking for the original cause of why Reece got sick?

CHRIS TAYLOR: No.

SHARON TAYLOR: No, we always felt his medical came second, it was purely putting on us, trying to find out, or proving if we’d shaken him.

HELEN DALLEY: The Department of Community Services was notified almost immediately. The department assumed care of Reece in the hospital, where he had to remain instead of going home for his first Christmas.

CHRIS TAYLOR: Oh we, we couldn’t have our first Christmas with our son.

SHARON TAYLOR: We were devastated, we said you know, you can never get your first Christmas back, that’s been and gone.

HELEN DALLEY: Dr Paul Tait was head of Westmead’s Child Protection Unit at the time. While not commenting on the Taylors specifically he says he has diagnosed shaken baby syndrome on the presence of subdural bleeding alone.

DR PAUL TAIT: Yes, I have, and usually there are some other issues around the clinical presentation, or the actual nature of the subdural, or…

HELEN DALLEY: Such as what?

DR PAUL TAIT: Maybe that there are two subdurals or they seem to be different ages.

SHARON TAYLOR: We even gave them dates of when he’d fallen off the bed, and when he’d flipped himself out of a rocker and hit his head on a box. And we said, you know, could that do it? No, that’s not a strong enough force for a child to have a brain bleed. And we even queried with the shape of his head and said, you know, “Could he be more susceptible to a brain bleed?”

HELEN DALLEY: Have you diagnosed shaken baby on the basis of subdural haemorrhages alone?

DR KIERAN MORAN: I think probably not, no. On the basis of subdural haemorrhage alone, without any evidence of injury to the brain or the eye, I would be loathe to call that shaken baby syndrome.

HELEN DALLEY: If there’s no other corroborating evidence, how can you be sure that it’s shaken baby?

DR PAUL TAIT: I can’t be 100 per cent sure. All I can say is that I think this is, on the basis of what I know about this sort of thing, it is unusual and needs to be investigated more fully.

HELEN DALLEY: Where does that leave the family if you can’t really determine?

DR PAUL TAIT: Yeah, no, it’s a tough decision, it’s a tough role and I understand that it would be quite distressing for families.

HELEN DALLEY: The Taylors say it became even more distressing when the Department of Community Services pointed out their worst-case scenario – that Reece could only return to the parents’ care if they were under 24-hour supervision and not necessarily in their own family home.

SHARON TAYLOR: I went into hysterics. I mean I was five months pregnant at the time. Chris just sat there and shook.

HELEN DALLEY: DOCS executive director of operations, Annette Gallard, maintains the department had no other option.

ANNETTE GALLARD: If the medical authorities tell us that they suspect shaken baby syndrome, then we are required to go in there and do an investigation.

HELEN DALLEY: It seems because of the uncertainty around the case, the investigation petered out. Yet the Taylors say they were still left hanging for months, uninformed and anxious.

SHARON TAYLOR: A few months of sheer hell at the beginning, and then we were just left wondering for the next so many months – every time the phone rang, every time someone knocked on the door, is it DOCS telling us, or coming to remove him.

HELEN DALLEY: These days Reece Taylor appears a normal healthy boy and the family is now trying to put the distress behind them.

CHRIS TAYLOR: We can understand them having to be vigilant, don’t have a problem with that. The last thing we would want is for someone who shakes their child to get away with it. Um, but there is obviously a very, very rigid protocol that they need to go through to ensure that they don’t track people who are innocent. Because the effects on you are absolutely devastating, totally devastating. And you never get an apology. They won’t sit there and say, you know, “We’re sorry, we got it wrong.” It just sort of goes away, but it’s still there always for us.

HELEN DALLEY: There’s no doubt the community’s first instinct and duty must be to protect the child, but perhaps the pendulum has swung too far from failing to recognise shaken baby cases to over-diagnosing them and hurting the families in the process.

DR MARK DONOHOE: In trying to make sure we never miss an abuser, we are abusing families who have done nothing wrong. Who have done nothing. And we are abusing them simply because we are pretending certainty where we don’t have it in our medical science.
END TRANSCRIPT – PART TWO

Source:

http://sgp1.paddington.ninemsn.com.au/sunday/cover_stories/transcript_1316.asp

Junk Science Serves Junk Justice: We Can Do Better

Thursday, September 23, 2010

More than once I have heard a prosecutor in trial urge a judge to admit contested evidence: “The state cannot prove its case without this evidence, your honor,” the argument goes. To which I typically respond: “So what?” The rules of evidence require reliable evidence. The trial deck is not supposed to be stacked in favor of conviction.

But the deck is so stacked. And few judges seem prepared to do much about it.

This is rarely so clear as in the case of expert testimony in cases with no victims, or victims who cannot testify. In such cases, the evidence of a crime must be circumstantial: There are no eyewitnesses who can describe the event. Circumstantial evidence, evidence of things seen permitting an inference about things unseen, is, despite television warnings to the contrary, as probative as eyewitness evidence.

But this business of drawing inferences is dangerous. A jury can draw the wrong conclusion and send an innocent man or woman to jail.

Consider the case of so-called “shaken baby syndrome.” In such sad and tragic cases, an infant dies. A medical examiner finds burst blood vessels in the infant’s eyes, bleeding around the brain, and a swollen brain. This fateful trio is a sure sign that the child came to violence at the hand of a person who had cared for it, the prosecution contends.

Each year, more than a thousand infants die and present with such symptoms. Their mothers, fathers and babysitters are then investigated, and often prosecuted. Hundreds of custodial care givers are now in prison because of the presence of these symptoms.

The sad fact is that many of these folks are innocent. These symptoms can occur in the absence of criminal conduct.

Last year, the American Academy of Pediatrics recommended that the diagnosis of “shaken baby syndrome” no longer be used. In the language of the law, the diagnosis is a result of junk science: flawed methodological premises yielding unreliable conclusions. Uncannily, the pediatricians’ findings reflect a general tendency on the scientific community to reject much of the science that is routinely admitted in a courtroom to prove a defendant guilty. The National Academy of Sciences published a comprehensive report recently noting that much of what passes for reliable evidence in a courtroom would not pass muster in a laboratory. Among the areas of evidence suspect by the Academy: bite-mark analysis, firearms evidence and even fingerprint evidence. Only DNA evidence passed rigid methodological muster.

So why are the courts so quick to admit questionable scientific evidence?

I suspect the answer is that the state could not prove many of its cases without junk science. In others words, we sacrifice the presumption of innocence on the altar of something akin to scientific voodoo. We do this because of a concept with which psychologists are familiar: act hunger.

Only stones are unmoved by the sight of another’s suffering. Every heart is inspired to act in the face of life’s great tragedies. A deep-seated hope harbored by all is that of an orderly universe. We want things to happen for a reason. When things occur that inspire pity or horror, we want to restore the hoped for balance. That requires righting what was done wrong. In the criminal courts, that means assigning blame. Thus, when a child dies, there must be a culprit. In a secular age, we prefer a defendant as many of us have long since retired the Devil as an efficacious moral agent.

But acting merely to relieve an inchoate sense of threat is not justice. We should care as deeply about assigning legal guilt to people who have done nothing wrong. A disciplined criminal justice system would refuse to admit junk science at trial and leave the human tragedies that serve as the fodder for criminal trials unresolved. In other words, good courts reject junk science but frustrate the innate impulse to find a villain in every sorrow. The urge to act all too often yields an over reaction.

The next time a prosecutor intones that evidence is necessary to prove the state’s case, I’d like a judge to say, simply: “What has that to do with justice?” Let’s face it: sending a person to prison for decades rarely accomplishes anything.

Reprinted courtesy of the Connecticut Law Tribune.

Source:

http://normpattis.blogspot.com/2010/09/junk-science-serves-junk-justice-we-can.html

Anatomy Of A Misdiagnosis

By DEBORAH TUERKHEIMER

Published: September 20, 2010

A WOMAN calls 911 to report that a baby in her care has gone limp. Rescue workers respond immediately, but the infant dies that night. Though there are no external injuries or witnesses to any abuse, a jury convicts the woman of shaking the baby to death.

More than 1,000 babies a year in the United States are given a diagnosis of shaken baby syndrome. And since the early 1990s, many hundreds of people — mothers, fathers and babysitters — have been imprisoned on suspicion of murder by shaking. The diagnosis is so rooted in the public consciousness that, this year, the Senate unanimously declared the third week of April “National Shaken Baby Syndrome Awareness Week.”

Yet experts are questioning the scientific basis for shaken baby syndrome. Increasingly, it appears that a good number of the people charged with and convicted of homicide may be innocent.

For the past 30 years, doctors have diagnosed the syndrome on the basis of three key symptoms known as the “triad”: retinal hemorrhages, bleeding around the brain and brain swelling. The presence of these three signs (and sometimes just one or two of them) has long been assumed to establish beyond a reasonable doubt that the person who was last taking care of the baby shook him so forcefully as to fatally injure his brain.

But closer scrutiny of the body of research that is said to support the diagnosis of shaken baby syndrome has revealed methodological shortcomings. Scientists are now willing to accept that the symptoms once equated with shaking can be caused in other ways. Indeed, studies of infants’ brains using magnetic resonance imaging have revealed that triad symptoms sometimes exist in infants who have not suffered injuries caused by abuse. Bleeding in the brain can have many causes, including a fall, an infection, an illness like sickle-cell anemia or birth trauma.

What’s more, doctors have learned that in many cases in which infants have triad symptoms, there can be a lag of hours or even days between the time of the injury and the point when the baby loses consciousness. This contradicts the idea that it’s possible to identify the person responsible by looking to the baby’s most recent caregiver.

Last year, the American Academy of Pediatrics recommended that the diagnosis of shaken baby syndrome be discarded and replaced with “abusive head trauma,” which does not imply that only shaking could have caused the injury.

The new understanding of this diagnosis has only just begun to penetrate the legal realm. In 2008, a Wisconsin appeals court recognized that “a shift in mainstream medical opinion” had eroded the medical basis of shaken baby syndrome. The court granted a new trial to Audrey Edmunds, herself a mother of three, who had spent a decade in prison for murdering an infant in her care. Prosecutors later dismissed all charges.

Troublingly, though, Ms. Edmunds’s case has been a rare exception. Most shaken baby convictions have yet to be revisited. New cases are still being prosecuted based on the outdated science.

Despite the shift in scientific consensus, debate about the legitimacy of the shaken baby syndrome diagnosis continues. Some scientists point to studies using dummies modeled on the anatomy of infants as evidence that shaking cannot possibly generate sufficient force to cause the triad of symptoms — or that it could not do so without also causing injury to the infant’s neck or spinal cord. But others challenge the validity of these studies and maintain the belief that shaking alone can (though it need not) cause the triad.

What’s needed is a comprehensive study of shaken baby syndrome to resolve the outstanding areas of disagreement. The National Academy of Sciences, which last year issued a comprehensive report on the scientific underpinnings of forensic science, would be the ideal institution to undertake such a study.

In the meantime, however, there remains the question of justice. In Ontario, an official investigation concluded that there are deep concerns about the science underlying the triad, and now the province is reviewing all convictions based on shaken baby syndrome. Similar inquiries should be conducted on a statewide level here in the United States.

For decades, shaken baby syndrome has been, in essence, a medical diagnosis of murder. But going forward, prosecutors, judges and juries should exercise greater skepticism. The triad of symptoms alone cannot prove beyond a reasonable doubt that an infant has been fatally shaken.

Deborah Tuerkheimer, a professor of law at DePaul University, is a former assistant district attorney in Manhattan.

A version of this op-ed appeared in print on September 21, 2010, on page A31 of the New York edition.

Source:

http://www.nytimes.com/2010/09/21/opinion/21tuerkheimer.html?_r=1

Extensive Retinal Haemorrhages In Infancy An Innocent Cause

Extensive retinal haemorrhages in babies other than neonates are
recognised as an important sign of child abuse,’ being associated with
violent shaking and the development of subdural haematomas,’ and
sometimes with thoracic compression.3 We report such haemorrhages
in a baby who had patently not been a victim of abuse.

Case report

A previously well 2-month-old boy was left asleep in his pram in the
garden protected by a cat net. After 30 minutes his father discovered him
lying undisturbed but not breathing. He picked him up and found him
pallid and limp, and thought he was dead. He called his wife, who came at
once and held the baby to her shoulder and slapped him repeatedly on the
back to try and revive him. Eventually he choked and spluttered, and at last
began to breathe again. There was a little blood staining his face and the
pillow, and some bloody mucus was expelled from his nostrils.
On arrival in hospital 10 minutes later he was still gravely ill, being barely
conscious, shocked, and cyanosed, with erratic and inadequate respiration
and a pulse rate of 160/min. He was afebrile. He was well-nourished, with
no evidence of neglect or trauma, but there was blood caked in his nostrils.
The eyes had no external injury and the media were clear, but we could see
extensive fresh haemorrhages in the nerve-fibre layer of both fundi. There
was bilateral macular oedema but no swelling of the optic discs.
His haemoglobin was 8-2 g/dl and chest radiography showed patchy
bilateral perihilar shadowing. All other investigation results were negative

or normal (blood film; leucocyte and platelet counts; clotting studies;
concentrations of serum electrolytes, calcium, and urea; cultures of blood
and cerebrospinal fluid (CSF); CSF biochemistry and cytology; viral
culture of nasopharyngeal secretions; skeletal survey; and subdural taps).
He rapidly improved after treatment with oxygen, intravenous fluids, and
antibiotics. He remained irritable and hyperreflexive at first but after three
days he was back to normal. He could fixate and follow a light, and opticokinetic
nystagmus was readily elicited. Electroretinography and measurement
of visually evoked responses showed satisfactory function of both retinas
and of the higher pathways. A repeat chest radiograph was clear. When
reviewed two months later he appeared entirely unscathed by the experience.
His eyesight seemed normal, and the retinal haemorrhages had completely
resolved.
Because of initial suspicion of child abuse the parents were questioned
with particular care on the child’s admission and were later interviewed by a
senior paediatrician. Their answers throughout were frank, consistent, and
entirely convincing, and the family doctor and health visitor attested to their
excellent parenthood. Not a single feature emerged from the social background,
the history, or the physical findings to support this suspicion.

Comment

Retinal haemorrhages can be produced by thoracic compression
that is insufficient to cause detectable damage to the chest itself.4 The
retinal vessels of infants may be particularly vulnerable, for many
babies have extensive fundal haemorrhages after an apparently normal
birth.5 We think that this baby became apnoeic after aspirating blood
from an epistaxis, and that his mother’s life-saving measures transmitted
pressure from the thorax to retinal veins that were already
compromised by hypoxia.
To avoid accusing innocent parents of battering their babies
vigilance for child abuse must be balanced by open-mindedness to
alternative explanations for its typical features: extensive fundal
haemorrhages are not invariably diagnostic.

We thank Professor J K G Webb for his encouragement in reporting this
case.
Gilkes, M J, and Mann, T P, Lancet, 1967, 2, 468.
2 Caffey, J, American Journal of Diseases of Children, 1972, 124, 161.
3 Tomasi, L G, and Rosman, N P, American Journal of Diseases of Children,
1975, 129, 1335.
4 Morgan, 0 G, Transactions of the Ophthalmological Society of the United
Kingdom, 1945, 65, 366.
5 Baum, J D, and Bulpitt, C J, Archives of Disease in Childhood, 1970, 45, 344.

University of Newcastle upon Tyne, Newcastle upon Tyne NE1 7RU
C J BACON, MRCP, first assistant, department of child health
G C SAYER, MRCP, registrar, department of child health
J W HOWE, FRCS, consultant ophthalmologist

Source:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1602733/pdf/brmedj00111-0029a.pdf

Qualified Immunity In Misdiagnosed Child Abuse Cases

Thursday, March 25, 2010

Qualified immunity attaches in child neglect case

Over the last few months, the Second Circuit has reminded us how difficult it is to sue state child welfare caseworkers who mistakenly remove children from their parents. Cases in point are Cornejo v. Bell, 592 F.3d 121 (2d Cir. Jan. 4, 2010) and Graham v. Mattingly, 2009 U.S. App. LEXIS 22908 (2d Cir. Oct. 19, 2009).

This time around it’s V.S. v. Muhammad, decided on February 17. Caseworkers took V.S.’s child away after infant T.S. had a swollen leg and a fractured femur. When caseworker Muhammad and Dr. Esernio-Jenssen investigated, V.S. and her mother could not explain away these injuries. The mother eventually admitted that she dropped the baby, but even that did not explain all the injuries. The doctor concluded that T.S. was the victim of “shaken baby syndrome,” and Family Court took away the baby after a hearing in which Muhammad did not advise the court about the mother’s negligence in dropping the baby or other exculpatory information. Plaintiff’s expert opined that the injuries were more consistent with childbirth injuries, and in the end, V.S. got her baby back when the agency withdrew the petition.

The Court of Appeals (Miner, Cabranes and Rakoff, D.J.) finds that defendants have qualified immunity from suit. Qualified immunity is a creature of the federal civil rights laws; it gives public officials benefit of the doubt in close cases requiring discretionary judgment. Not all civil rights cases warrant qualified immunity, but Judge Rakoff says this one does in light of the information known to the defendants when they made their initial decisions about child abuse. That initial decision was not unreasonable, particularly since some of the injuries were not sufficiently explained.

V.S. had some interesting arguments in her favor, but the Court of Appeals sees it differently. While Muhammad did not tell the Family Court certain facts which may have cleared the plaintiff, the Court of Appeals notes that plaintiff’s attorneys were in Family Court as well and could have easily apprised the judge in that proceeding the same information. While the doctor in this case allegedly had “repeatedly misdiagnosed child injuries as evidence of child abuse,” the Court of Appeals doesn’t find this a sufficient reason to reject immunity:

She based her diagnosis of T.S. on determinations made by another doctor, Dr. Sylvia Kodsi, of retinal hemorrhages, a common indicator of shaken baby syndrome, and her opinion was shared by another well qualified physician, Dr. Shakin. Even if the ACS personnel here involved had been aware of Dr. Esernio-Jenssen’s alleged “reputation” for overdiagnosing child abuse, it still would not have been unreasonable for them to rely on Dr. Esernio-Jenssen’s diagnosis of T.S. in these circumstances.

Source:

http://secondcircuitcivilrights.blogspot.com/2010/02/qualified-immunity-attaches-in-child.html

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