Was Zika – Microcephaly a Scam to change abortion laws in Brazil?

Is changing Brazil’s abortion laws the real purpose for the claims of a Zika and microcephaly link?

See previous post The Truth About Zika Virus and Microcephaly for summary of the analysis showing failure to establish a cause and effect link between Zika & Microcephaly, and a broadening of the definition of Microcephaly.  WHO, other agencies and activists have ignored the original Latin American Collaborative Study of Congenital Malformations (ECLAMC) analysis invalidating the original research. See English translation at http://www.nature.com/polopoly_fs/7.33594!/file/NS-724-2015_ECLAMC-ZIKA%20VIRUS_V-FINAL_012516.pdf

Brazil, a Catholic nation, has allowed abortion only to save the life of the mother or rape, but recently allowed it for anencephaly (missing brain birth defect).  Was this a first step that prompted or preceded the bogus study and the alarming press releases?  The UN has gotten involved and is urging changing the abortion laws across Latin and South America.  Most of these countries are Catholic, so it could be considered an attack on the Church’s strict abortion stand.

See articles from the Guardian below about the campaign to change Brazil’s abortion laws and my notes in blue.


Zika emergency pushes women to challenge Brazil’s abortion law                  

Sarah Boseley, The Guardian, Tuesday 19 July 2016

Women’s groups are set to challenge the law in the hope of making termination possible for women at risk of delivering a baby born with Zika-related defects. Women’s rights and gender equality supported by Women’s groups in Brazil are set to challenge the abortion laws this summer in the hope of making a safe and legal termination possible for women at risk of delivering a baby born with defects after exposure to the Zika virus.

“Women should be able to decide and have the means to terminate pregnancies because they are facing serious risks of having babies with microcephaly and also suffering huge mental distress during their pregnancies. They should not be forced to carry on their pregnancies under the circumstances,” said Beatriz Galli, a lawyer on bioethics and human rights who works for Ipas, a group dedicated to ending unsafe abortion.  (IPAS is an international abortion advocacy NGO.)

Lawyers for the organisations will present a legal challenge at the supreme court in the first week of August, when the court sits again after the winter break. They are coordinated by Anis Instituto de Bioética, which campaigns for women’s equality and reproductive rights. (founder of Anis worked with the group cited below)

The groups have obtained an opinion from lawyers at Yale University in the US, who argue that the Brazilian government’s policies on Zika and microcephaly have breached women’s human rights. The government “has failed to enact adequate measures to ensure that all women have access to comprehensive reproductive health information and options, as required by Brazil’s public health and human rights commitments”, says a review from the Global Health Justice Partnership, which is a joint initiative of the Yale Law School and the Yale School of Public Health. (“Health Justice” gives away the leftist, extreme position on “sexuality, gender and reproductive issues” of this group)

It is also critical of Brazil’s handling of the epidemic. Its “failure to ensure adequate infrastructure, public health resources and mosquito control programmes in certain areas has greatly exacerbated the Zika and Zika-related microcephaly epidemics, particularly among poor women of racial minorities”, the review says.

As of 7 July, there have been1,638 cases of reported microcephaly – an abnormally small head – and other brain defects in Brazil, according to the World Health Organisation. (almost all of these cases were in a small area in the northeast, but the Zika virus epidemic was country wide – a smoking gun against cause and effect) Women who do not want to continue their pregnancy because they have been infected, even if they have had a scan confirming brain defects in the baby, are unable to choose a legal termination. There is evidence of a rise in early abortions using pills obtainable online and fears that unsafe, illegal abortions will be rising too.

Galli said there were already about 200,000 hospitalisations of women who have undergone a clandestine termination every year, and a suspected 1 million illegal abortions before the epidemic. “We know that there are clinics operating in the very low-income poor settings in Rio and women are paying a lot of money and are risking their lives,” she said. (This appears to be an estimate based on a small number  of hospitals extrapolated to the entire country and scaled up by some arbitrary factor. From various sources the estimates vary widely.)

Campaigners who want to change the law are encouraged by a ruling the supreme court handed down in the case of babies with anencephaly in 2012. This is a condition where the foetus develops without a brain, making it impossible for the baby to be born alive. The case took eight years, but eventually the court voted eight to two in favour of making abortion legal in those circumstances. (Is this the precedent prompting the Zika-microcephaly scam?)

Before the ruling, there were two exceptions to the ban on termination in Brazil – when the pregnant woman’s life was at risk and when she had been raped. Anencephaly became the third, but campaigners acknowledge that it is not a simple precedent.

Debora Diniz, co-founder of Anis and professor of law at the University of Brasilia, said she was confident the court would understand that the situation is an emergency. They were not asking for the legalisation of abortion, she said, but “to have the right to abortion in the case of Zika infection during the epidemic”.

“It is not an abortion in the case of foetal malformation. It is the right to abortion in case of being infected by the Zika virus, suffering mental stress because you have this horrible situation and so few answers on how to plan and have a safe pregnancy,” she said. (emphasis added)

Campaigners have five demands: good information for women in pregnancy, improvements in access to family planning, giving women mosquito repellents, better social policies to help children born with birth defects because of Zika and financial support for parents.

Diniz points out that the worst hit are the poor. “The feeling in my well-to-do neighbourhood [in Brasilia] is that everything is fine,” she said. People have never met a woman with Zika or seen a baby with neurological defects. But when she goes to clinics in hard-hit areas such as Campina Grande in the north-east, everything revolves around Zika. (Zika is a mild disease with low fever and rash, and is often not even recognized. Zika has been seen in other countries for 40+ years with no birth defects.  Note the admission of limited area “affected.”)

“We have two countries in one country,” she said. “This is an emergency of unknown women. The trouble is they were unknown before the epidemic. I’m not being an opportunist. We have an epidemic and the epidemic shows the face of Brazilian inequality.”

https://www.theguardian.com/global-development/2016/jul/19/zika-emergency-pushes-women-to-challenge-brazil-abortion-law


UN tells Latin American countries hit by Zika to allow women access to abortion

Jonathan Watts in Rio de Janeiro, The Guardian, Friday 5 February 2016 (Note that the article above is 6 months after this one, but is still touting the same line)

Strict curbs on contraception and abortion are common in hard-hit nations but UN says women should have choice about degree of risk they’re willing to take

Women protest anti-abortion laws in El Salvador, which has one of the highest rates of Zika infection – and where even miscarriages can be treated as murder.

The United Nations high commissioner for human rights has called on Latin American countries hit by the Zika epidemic to allow women access to abortion and birth control, reigniting debate about reproductive rights in the predominantly Catholic region.

The rapidly spreading virus is suspected to have caused an uptick in foetal brain defects. Although this is not yet scientifically proven, many campaigners say women should have a choice about the degree of risk they are willing to take. (emphasis added. Note that this author at least admits the lack of scientific proof.)

This is currently very limited in Latin America due to strict controls on birth control and abortion, which range widely from country to country. On one extreme is El Salvador – which has one of the highest rates of Zika infection in the continent – where even miscarriages can be treated as murder.  On the other is Uruguay, where pregnancies can be terminated in any circumstances up to 12 weeks.

The UN commissioner is asking governments in Zika-affected areas to repeal policies that break with international standards on access to sexual and reproductive health services, including abortion.

“We are asking those governments to go back and change those laws,” said spokeswoman Cecile Pouilly on Friday. “Because how can they ask those women to become pregnant but also not offer them first information that is available, but the possibility to stop their pregnancies if they wish?”

The commissioner’s initiative was welcomed by the US-based NGO the Center for Reproductive Rights.

“Women cannot solely bear the burden of curbing the Zika virus,” said Charles Abbott, the group’s legal adviser for Latin America & the Caribbean. “We agree with the OHCHR that these governments must fulfil their international human rights obligations and cannot shirk that responsibility or pass it off to women. This includes adopting laws and policies to respect and protect women’s reproductive rights.”

Health authorities in at least five affected countries have advised women to avoid getting pregnant, with Colombia telling called on women to delay pregnancy for six to eight months, and El Salvador, suggesting women avoid getting pregnant for at least two years. (emphasis added)

Reproductive rights advocates say the recommendations to avoid pregnancy are irresponsible and do not take into account that most pregnancies in the region are unplanned.

This is not the only area of contention sparked by the rapid spread of the virus. Scientists in Brazil are also in disagreement about the significance of new studies – revealed on Friday – that show Zika is present in saliva, which some say should prompt warnings against kissing. (emphasis added)

The Fiocruz research institute in Rio de Janeiro said on Friday it had identified live samples of Zika in saliva and urine, which merited further research into whether these two fluids could be a source of contagion.

Until the outcome is known, Paulo Gadelha, president of the institute, suggested pregnant women should think twice about kissing anyone other than their partners or sharing drinking glasses or cutlery with people who might be infected.

Although he said this was “not a generalized public health measure”, the proposed precaution has been met with a mixture of fear and derision. Other scientists argue that it is extremely unlikely for the disease to spread in this way.

“The warning is crazy and unnecessary,” said Rubio Soares Campos, who co-identified the first case of Zika in Brazil.  “Just because the virus is present in saliva does not mean it can be transmitted that way.”

He argued that it was more likely to behave like dengue, another mosquito-borne disease that is found in human bodily fluids but cannot be spread that way.

But the latest news has increased the unease of the Brazilian public, who have watched with alarm as Zika has come from nowhere to infect an estimated 1.5 million people with an apparently growing range of suspected – but not yet scientifically proven – side-effects, including immune system disorders and brain defects in newborns. (emphasis added)

“It’s starting to scare the hell out of me,” said one Rio resident, Maria Teixeira. “At first everybody thought is was just a mild fever. Then, we were told it could develop into Guillain-Barré syndrome, and then that it was associated with horrible side-effects such as deformed babies. What’s next?”

https://www.theguardian.com/world/2016/feb/05/zika-virus-epidemic-abortion-birth-control-access-latin-america-united-nations

The Truth About Zika Virus and Microcephaly

 

Facts about Zika virus and Microcephalymicrocephaly

Is there a cause and effect link or merely a correlation of unrelated events? Here is the story and the facts so far.  In October 2015 an increase in microcephaly was reported in Brazil. A Brazilian doctor, Adriana Melo, at IPESQ, a research insti­tute in Campina Grande, was the first to report a firm link between Zika and microcephaly. Several months before, there had been an outbreak of Zika virus throughout Brazil. The increase in microcephaly cases occurred only in a coastal state in the northeast of the country.

90% of the 1709 cases of microcephaly and birth defects were concentrated in this limited area. Of this number 1153 were diagnosed as microcephaly. There was no increase in other parts of the country, including an adjoining coastal state with a similar population, which only had 3 cases. This suggests there may be other contributing factors. Socio-economic factors may contribute since most of the mothers of the microcephalic babies were young, single, black and poor, living in small cities near larger cities. Additionally, this same northeastern region has always had the highest incidence of microcephaly in Brazil.

A study by the Latin American Collaborative Study of Congenital Malformations (ECLAMC) called for more controlled studies, and concluded that the data so far is inconclusive of a cause and effect link between Zika infection in the first trimester of pregnancy and microcephaly and similar nervous system defects. For an English translation of the original Portugese summary of the ECLAMC studies, see http://www.nature.com/polopoly_fs/7.33594!/file/NS-724-2015_ECLAMC-ZIKA%20VIRUS_V-FINAL_012516.pdf

This report discusses weaknesses in the methods used by IPESQ, recommendations for further studies and several other factors that may have caused or contributed to the birth defects as listed below.

  • Rumor may have caused over reporting due to active searches and over diagnosis. Brazil health authorities estimate that as many as 2/3 of cases are normally not reported to authorities. If the estimate is correct, this would partially account for an increase, but not the degree reported, so other factors must be involved. However, Brazil reports a rate of 0.5 per 10,000 births compared to EUROCAT of 2.85 per 10,000 births, indicating a gross under reporting.
  • Broadened criteria for microcephaly diagnosis from 3 standard deviations to 2 standard deviations below normal average age and sex adjusted head circumference, and no confirming follow up brain scans or autopsies in most cases.
  • Zika infection in the first trimester of pregnancy cannot be confirmed at the time of birth because the virus is short-lived in the body and will not be present in the mother. Unless the mother was diagnosed early in her pregnancy, occurrence and connection cannot be confirmed.
  • In the original studies other known causes were not ruled out such as STORCH (syphilis, toxoplasmosis, “other,” rubella, cytomegalovirus, herpes simplex), prematurity, diabetes of the mother and fetal alcohol syndrome, a major cause of microcephaly in Brazil.
  • Also not ruled out are possible co-infections with dengue or chikungunya, both present in the population in recent outbreaks. The dengue virus is similar to the Zika virus and difficult to differentiate in tests.
  • A low rate of yellow fever vaccination also seems to correlate to this incident. Yellow fever virus is similar to Zika virus and vaccination may offer some immunity to it.
  • At IPESQ Bovine diarrheal virus (BVDV) was found in brain tissue of 3 fetuses in a later study. This virus does not usually infect humans but is known to cause birth defects in cattle. If true, this may be significant, but Dr. Adriana Melo suspects it may be a contaminant in the sampling or testing procedures.
  • Contaminated water was not considered, although it is common for small cities without proper sanitation and water purification to have biologically contaminated water.
  • Nutrition was not considered in this study other than a mention of general socio-economic influences, although the CDC, NIH and other agencies recognize folic acid (a B vitamin) deficiency as one of the leading causes of neural tube defects (NTD), including microcephaly, anencephaly, and spina bifida. In a recent NIH study they found that other micronutrients may decrease the risk of NTD occurrence, including thiamin (B1), riboflavin (B2), niacin (B3), pyridoxine (B6), betaine (a B vitamin), vitamin A, retinol (A1), vitamin C, vitamin E and iron.

In conclusion, the “link” between Zika virus and microcephaly is far from proven because the original studies lacked scientific discipline and controls. More studies are needed to clarify what role the virus may play in these birth defects. However, it is probably best to take a precautionary approach until more is known.

Is it time to bring back DDT to eradicate the mosquitos that carry Zika and other diseases such as malaria, dengue fever, chikungunya, yellow fever and other diseases? Over 80% of infectious diseases are caused by insects. Assumed adverse environmental and health effects of this important insecticide have failed to materialize in many repeated controlled studies over the last 40 years. See “DDT: A Case Study in Scientific Fraud,” by J. Gordon Edwards, PhD entomology, Journal of American Physicians and Surgeons Volume 9 Number 3 Fall 2004, at http://www.jpands.org/vol9no3/edwards.pdf

References:

“Eclamc Final Document – V.3, Summary and conclusions of Documents 1-5,” December 30th, 2015 http://www.nature.com/polopoly_fs/7.33594!/file/NS-724-2015_ECLAMC-ZIKA%20VIRUS_V-FINAL_012516.pdf

“Neural Tube Defects and Maternal Intake of Micronutrients Related to One-Carbon Metabolism or Antioxidant Activity,” US National Institute of Health, Angela L. Chandler1, Charlotte A. Hobbs1, Bridget S. Mosley1, Robert J. Berry2, Mark A.Canfield3, Yan Ping Qi2, Anna Maria Siega-Riz4, Gary M. Shaw5, and National Birth Defects Prevention Study, in Birth Defects Res A Clin Mol Teratol. 2012 November ; 94(11): 864–874. doi:10.1002/bdra.23068.

  1. Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Arkansas Children’s Hospital Research Institute, Little Rock, AR 72202
  2. Centers for Disease Control and Prevention, Atlanta, Georgia
  3. Birth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas
  4. Departments of Epidemiology and Nutrition, University of North Carolina School of Public Health, Chapel Hill, North Carolina
  5. Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Palo Alto, California

“Brazil’s birth-defects puzzle, Zika virus might not be only factor in reported microcephaly surge.” By Declan Butler, 28 July 2016, Nature, Vol. 535, Page 475-6.

“Zika epidemic uncovers Brazil’s hidden birth defect problem,” by Alex Cuadros, March 1, 2016, Washington Post

Disease Transmission by Arthropods,” E. J. L. Soulsby and William R. Harvey, Science 176, no. 4039 (1972): 1153–1155.

“DDT: A Case Study in Scientific Fraud,” by J. Gordon Edwards, PhD entomology, Journal of American Physicians and Surgeons Volume 9 Number 3 Fall 2004, at http://www.jpands.org/vol9no3/edwards.pdf