A Critical Choice ■ 27
- The Lancet is a well-known peer- reviewed
medical journal and therefore a reputable source.
The paper was unremarkably titled “Ileal-
Lymphoid-Nodular Hyperplasia, Non-specific
Colitis, and Pervasive Developmental Disorder
in Children.” It was a study of 12 children rang-
ing in age from 3 to 10 years old who had expe-
rienced a loss of language skills—a symptom of
autism spectrum disorders—as well as diarrhea
and abdominal pain. Parents of 8 of the 12 chil-
dren said the onset of symptoms occurred shortly
after the child’s immunization with the measles,
mumps, and rubella (MMR) vaccine.
The authors of the paper, a team of 12
researchers, concluded that more research was
needed to study a possible relation between the
observed brain dysfunction, bowel problems, and
the MMR vaccine. In a press conference when
the paper was published, one of the authors, a
British doctor named Andrew Wakefield, stated
that he believed single vaccines, rather than the
MMR triple vaccine, were likely to be “safer”
for children. The study and press conference
sparked widespread fear among parents that the
MMR vaccine could cause autism.
The study was published around the same time
that officials began documenting an increase in
rates of autism. Since the early 1970s, when orga-
nizations started counting the number of people
with autism for the first time, the incidence of
autism has increased 20- to 30-fold in the United
States and other countries. In 2002, the estimate
was that one in 150 children aged eight years (the
age of peak prevalence) had the disorder. In 2004,
that number had risen to one in 125. In 2006, one
in 110. By the year 2012, the most recent year with
available data, an estimated one in every 68 eight-
year-olds had an autism spectrum disorder. The
CDC has said that the rise in rates is likely due
to heightened disease awareness, more screening
Increasing confidence of scientific claims
Increasingly challenging to read
Social media Secondary literature Primary literature
Figure 2.5
Scientific claims in the media and literature
It is easy to find and read scientific claims in social media. However, this is not a good source of
scientific information. For help in making important life choices, it is important to go to the secondary
literature or even the primary scientific literature for accurate and reliable information.
Q1: Why are we less confident of scientific claims made over social media?
Q2: Where would you place a blog in this figure? Would it matter whether or not it was written
by a practicing scientist? Explain your reasoning.
Q3: Give an example of when you would rely on secondary literature to evaluate a scientific
claim and an example of when you would go to the primary literature. What is the basis of that
decision?