Actually, the paper by Wakefield established that the connection between autism and the gastrointestinal pathologies was real, but said it did not prove an association between the MMR vaccine and autism - only suggested that it may be an environmental trigger, and called for further investigation into the connection.
This report was a 'case series report', essentially detailing the clinical report of 12 individuals over a period of time. Such reports are usually not very interesting, they're only interesting if they come back with something unusual. For something as common as the MMR vaccine and autism, finding 12 people with both is not very unusual.
However, it was the media reports that spun this non-event into a hysteria. Emotive anecdotes from distressed parents were pitted against old men in corduroy with no media training. Newspapers and celebrities began to use the vaccine as an opportunity to attack the government and the health service, using Wakefield as some charismatic maverick figurehead.
The biggest player in this entire health scare was actually little baby Leo Blair. In December 2001 the Blairs were asked if their infant son had been given the MMR vaccine, and refused to answer, on the grounds that this would invade their child’s right to privacy. This stance was not entirely unreasonable, but its validity was somewhat undermined by Cherie Blair when she chose to reveal Leo’s vaccination history, in the process of promoting her autobiography (and also described the specific act of sexual intercourse which conceived him).
While that alone may not be unusual, you can see why the Blairs were the sort of family to not have their children vaccinated. They surrounded themselves by cranks and quacks. There was Cherie Blair’s closest friend and aide, Carole Caplin, a new age guru and “life coach”. Cherie was reported to visit Carole’s mum, Sylvia Caplin, a spiritual guru who was viciously anti-MMR
They were also prominently associated with a new age healer called Jack Temple, who offered crystal dowsing, homeopathy, neolithic-circle healing in his suburban back garden, and some special breastfeeding technique which he reckoned made vaccines unnecessary.
You may not think that the views of a Prime Minister or his wife directly influence your own, but it gives valuable talking points for the media which in turn serve to legitimise pseudoscience as an 'alternative' to science, with commentary from token celebrities. We were getting comments and advice on complex matters of immunology and epidemiology from Nigella Lawson, Libby Purves, Suzanne Moore and Carol Vorderman.
The actual scientific content of the media reports was very poor because the anti-MMR lobby fed stories to generalist journalists rather than the science journalists, who were much more likely to write an uninformed piece with statements from 'both sides' of the debate - rather than an accurate analysis of what was actually going on.
There were
various reports that carefully reproduced the conditions and found no evidence of any link between the MMR vaccine and autism. It was entirely ignored in the media.
People make decisions about health based on what they read in the media, and MMR uptake has dropped from 92% to 73% (in some places in London, even lower). After this, incidents of mumps and measles increased rapidly. In 1998 there were 56 confirmed cases of measles in the UK; in 2006 there were 449 in the first five months of the year, with the first death since 1992; cases occurred in inadequately vaccinated children. Mumps cases began rising in 1999 after years of very few cases, and by 2005 the United Kingdom was in a mumps epidemic with almost 5000 notifications in the first month of 2005 alone.
And of course the media now look for someone to blame for their own crime, and Wakefield is their scapegoat. It is madness to imagine that one single man can create a 10-year scare story. It is also dangerous to imply that academics should be policed not to speak their minds, no matter how poorly evidenced their claims. Individuals like Wakefield must be free to have bad ideas.
The media created the MMR hoax, and they maintained it diligently for 10 years. Their failure to recognise that fact demonstrates that they have learned nothing, and until they do, journalists and editors will continue to perpetrate the very same crimes, repeatedly, with increasingly grave consequences.