MMR Controversy Doctor Faces Disciplinary Charges

The doctor who caused a worldwide drop in childhoodethics committee".
immunisation nearly ten years ago by suggesting thereMany of the charges against Wakefield, Murch and
was a link between the measles, mumps rubellaWalker Smith involve giving children medical
(MMR) vaccine and autism is facing a disciplinaryinterventions they did not need, including colonoscopies,
hearing with his two fellow researchers. Dr Andrewlumbar punctures and barium meal tests. The panel
Wakefield, Professors Simon Murch and John Walkerwas told they did not have the requisite pediatric
Smith, are accused of serious professional misconductqualification to do this and that the procedures were
in relation to ethical aspects of their research.not "clinically indicated, when the Ethics Committee had
The charges relate to the time when Wakefield andbeen assured that they were all clinically indicated".
his two colleagues were employed by the Royal FreeOutside the hearing, campaigners and parents of
Hospital School of Medicine with Honorary Clinicalchildren with autism waved placards and chanted in
contracts at the Royal Free Hospital, in the yearssupport of Wakefield and his colleagues. One large
leading up to the publication of their research in thebanner read "We're with Wakefield - crucified for
Lancet in 1998. Dr Wakefield has since left the UK andhelping sick kids". Flowers lining the pavement were
lives in Texas, in the US. Murch and Walker Smith stillsent by supporters from the US.
work at the Royal Free, an NHS hospital based inAnother allegation mentions that Wakefield gave one
northwest London.of the 12 children at the centre of the research paper,
The three doctors have been summoned before thechild number 10, an experimental drug being tested as
General Medical Council's fitness to practise panel ina measles vaccine when he was not qualified to
London to answer over 40 charges of seriousadminister it and did not have the requisite ethical
professional misconduct in relation to vaccine research.approval. The father of the boy, a colleague of
When the hearing opened yesterday it was madeWakefield, was going to set up a company, with
clear that it was the doctors' conduct that was underWakefield, to make and sell the vaccine, it was alleged.
scrutiny, and not the link between autism and MMR.Wakefield admitted that there was a plan to set up a
Wakefield, a 50-year old former surgeon who becamejoint company with the child's father and other parties,
a gastroenterologist, was accused of taking bloodbut he denied giving the child the drug as an
samples from children at his son's fifth birthday partyexperiment and failing to get approval, not being
and paying them 5 pounds.qualified to administer it, not informing the child's GP,
The allegation centres on the fact that he chose anand not recording the dose.
inappropriate social setting in which to collect theAnother allegation against Wakefield involves a
samples, and showed "callous disregard for thedonation of 50,000 pounds from the Legal Aid Board
distress and pain" he may have caused to the children,to support claims by parents who were trying to get
while offering them a financial inducement.compensation. The money was paid into an account
The blood samples were used in the research that ledused by the hospital to pay for Wakefield's research,
to the paper published in the Lancet in February 1998but the allegation is that he applied for it to pay for five
claiming a link between the MMR vaccine, childhoodchildren to stay in the hospital during tests when those
autism and inflammatory bowel disease. The title ofcosts would have been met by the NHS. Wakefield
the paper was "Ileal-Lymphoid-Nodular Hyperplasia,was accused of dishonesty and misleading conduct,
Non-Specific Colitis and Pervasive Developmentalbecause he used the money "for purposes other than
Disorder in Children".those for which he said it was needed".
The allegations state that "the three practitionersAll three doctors deny the charges. If found guilty, they
inaccurately stated in the Lancet paper that thecould be struck off the medical register. The hearing is
investigations reported in it were approved by thedue to take 15 weeks.