The
MMR vaccine controversy centered around the 1998 publication of a fraudulent research paper in the medical journal
The Lancet that lent support to the subsequently discredited theory that
colitis and
autism spectrum disorders could be caused by the
combined measles, mumps and rubella (MMR) vaccine. The media has been heavily criticized for its naive reporting and for lending undue credibility to the architect of the fraud,
Andrew Wakefield.
Investigations by
Sunday Times journalist
Brian Deer revealed that Wakefield had multiple undeclared
conflicts of interest, had manipulated evidence, and had broken other ethical codes. The
Lancet paper was partially retracted in 2004 and fully retracted in 2010, and Wakefield was found guilty by the
General Medical Council of serious professional misconduct in May 2010 and was struck off the Medical Register, meaning he could no longer practice as a doctor. In 2011, Deer provided further information on Wakefield's improper research practices to the British medical journal,
BMJ, which in a signed editorial described the original paper as fraudulent. The
scientific consensus is that no
evidence links the vaccine to the development of autism, and that the vaccine's benefits greatly outweigh its risks.
Following the initial claims in 1998, multiple large
epidemiological studies were undertaken. Reviews of the evidence by the
Centers for Disease Control and Prevention, the
American Academy of Pediatrics, the
Institute of Medicine of the
US National Academy of Sciences, the UK
National Health Service, and the
Cochrane Library all found no link between the vaccine and autism. While the Cochrane review expressed a need for improved design and reporting of safety outcomes in MMR vaccine studies, it concluded that the evidence of the safety and effectiveness of MMR in the prevention of diseases that still carry a heavy burden of
morbidity and
mortality justifies its global use, and that the lack of confidence in the vaccine has damaged public health. A special court convened in the United States to review claims under the
National Vaccine Injury Compensation Program rejected compensation claims from parents of autistic children.
The claims in Wakefield's 1998
The Lancet article were widely reported; vaccination rates in the UK and Ireland dropped sharply, which was followed by significantly increased incidence of measles and mumps, resulting in deaths and severe and permanent injuries. Physicians, medical journals, and editors have described Wakefield's actions as fraudulent and tied them to epidemics and deaths, and a 2011 journal article described the vaccine-autism connection as "the most damaging medical hoax of the last 100 years".