Robert Sears (physician)

Robert W. Sears
Nationality American
Occupation Pediatrician
Known for Authoring controversial book on vaccines & two alternative vaccine schedules.
Spouse(s) Cheryl Sears
Children Andrew, Alex, and Joshua Sears[1]
Parent(s) William and Martha Sears

Robert W. Sears, MD, FAAP — known as Dr. Bob — is an American pediatrician from Capistrano Beach, California, noted for his unorthodox views on childhood vaccination.[2] His best-selling book, The Vaccine Book: Making the Right Decision for your Child (2007), proposes two alternative vaccination schedules that depart from accepted medical recommendations. His proposals have enjoyed celebrity endorsement, but are not supported by medical evidence and have contributed to dangerous under-vaccination in the national child population.[3] In spite of his denial that he is "anti-vaccine",[4] he is characterized as an anti-vaccine doctor[5][6][7] and a vaccine delayer.[8][9] He does admit that vaccines work.[10]

Life

Sears is married and has three children. He is one of eight children born to William Sears, a well-known pediatrician and founder of the Sears Parenting Library, and Martha Sears, a registered nurse.[11] Sears received his medical degree from Georgetown University in 1995 and completed his pediatric training at Children's Hospital Los Angeles in 1998.[12] Sears credits his interest in vaccines to reading DPT: A Shot in the Dark (1985) as a medical student. It is an anti-vaccination book positing that the whooping cough vaccine was dangerous. It sparked "a backlash against vaccines."[13]

Views on vaccines

Sears is well-known for his views on vaccine scheduling.[2] He recommends that parents avoid or delay vaccinating their children, counter to the consensus recommendations of medical bodies,[3] and his book recommends that parents follow his two alternative vaccine schedules, rather than that of the American Academy of Pediatrics.[14] His proposals are popular with parents who are influenced by anti-vaccine propaganda to seek a "compromise" between embracing, or avoiding, vaccination. This has contributed to under-vaccination in the US child population, putting public health at risk.[15]

Sears has written about vaccines and autism for the The Huffington Post, stating, "...back in the 1990s, the party line within the medical community was that vaccines do not cause severe reactions...So the party line has changed to the opinion that such severe reactions are so rare that the general population doesn't (and shouldn't) need to worry about them."[16] In 2014, Sears said that he thinks "the disease danger is low enough where I think you can safely raise an unvaccinated child in today's society."[13]

Although he is characterized as an anti-vaccine doctor[5][6][7] and a vaccine delayer,[8][9] he does admit that vaccines work: "Chicken pox, measles, whooping cough, polio, diphtheria, all these diseases that we no longer see very much of anymore, I do say that the vaccines are responsible for getting rid of these."[10] Sears is against mandatory vaccination.[17]

Sears has encouraged those parents who choose not to vaccinate their children to not tell others of their decision. He writes, "I also warn them not to share their fears with their neighbors, because if too many people avoid the MMR, we'll likely see the diseases increase significantly."[18] He thus encourages "free riding" on the herd immunity created by others. His position has been criticized: "Such free-riding is immoral...because it demonstrates a willingness to make unfair use of the contributions others have made to social cooperation."[19]

Alternative vaccine schedules

In 2007, Sears published The Vaccine Book: Making the Right Decision For Your Child through the Sears Parenting Library, and, as of 2012, it had sold more than 180,000 copies,[20] and garnered support from celebrities including Oprah Winfrey.[3] The book includes his two alternative vaccine schedules: "Dr Bob’s Selective Vaccine Schedule" is for those "who want to decline or to delay vaccines." "Dr Bob's Alternative Vaccine Schedule" is for those "who worry that children are receiving too many vaccines too early."[21] This schedule involves spreading out the vaccines received by the child, and separating some vaccines that would otherwise be combined.[22] The book has been described as "basically a guide to skipping vaccines," and that "it may as well be called The Anti-Vaccine Book."[23]

Sears has said that he created his alternative vaccine schedules to allow parents to vaccinate their children "in a more gradual manner" than by following the CDC-recommended schedule.[24] His notions, for example that vaccination risks causing "antigenic overload", are, however, based on misconceptions and not sound scientific evidence.[3][25][26] On an episode of All In with Chris Hayes, Sears admitted that there was no published, peer-reviewed evidence to support the notion of vaccine overload, and that "my precautions about spreading out vaccines are theoretical, a theoretical benefit to kids..."[8] Health journalist Julia Belluz has stated: "From a scientific standpoint, Sears is a quack: while he claims to be a vaccines expert, he is not a researcher and has never conducted his own vaccine science." Regarding his theory of vaccine overload, "according to the data mustered by the scientific community, he's simply wrong."[9]

In 2008, an "intentionally undervaccinated" seven-year-old boy— [27] a patient of Sears — [28][29] was identified as the index patient who started a measles epidemic in 2008,[30] an epidemic which was the largest outbreak in San Diego since 1991.[31] The epidemic "resulted in 839 exposed persons, 11 additional cases (all in unvaccinated children), and the hospitalization of an infant too young to be vaccinated....[with] a net public-sector cost of $10,376 per case.... 48 children too young to be vaccinated were quarantined, at an average family cost of $775 per child."[27]

Reception

Sears' viewpoints and The Vaccine Book have been criticized. Paul Offit wrote that "Sears sounds many antivaccine messages" in the book.[21] Sears has been criticized by David Gorski, who wrote that Sears is anti-vaccine,[5] and by Emily Willingham, who has dismissed The Vaccine Book as "non-evidence-based."[32] Steven Novella criticized the book's attempt to tell both sides of, and assume a moderate position in, the vaccine debate as like "trying to compromise between mutually exclusive positions, like young-earth creationism and evolution."[20]

Pediatrician Rahul Parikh has described Sears as someone whose "understanding of vaccines is deeply flawed," that his Vaccine Book "is a nightmare for pediatricians like me," and "is peppered with misleading innuendo and factual errors." He also writes that "Sears misleads parents," using "tactics [like] soft science, circular logic, reporting rumors and outright falsehoods."[18]

Peter Lipson, a physician who writes about the intersection of science and the media, states that "...Sears is a useful (although hardly unique) example of a dangerous doctor.... Despite his protestations that he is not 'anti-vaccine', his language and his recommendations very clearly guide parents to be suspicious of vaccination and to avoid the safe and effective recommended vaccination schedule." Lipson also considers it less than coincidental that Orange County, California, the same county where Sears practices, has "reported the highest rate of measles in the state last year. It’s also home to some of the state’s highest numbers of unvaccinated children. Of the 20 people infected by the current outbreak [at Disneyland], at least 15 were not vaccinated."[4] Lipson has also stated that "anti-vaccine doctors should lose their licenses," just like Andrew Wakefield did, and named three doctors in that connection: Sears, Jay Gordon, and Jack Wolfson.[6] Sears responded to Lipson's article in an email. Lipson's response was an extensive point-by-point refutation of each point in the email, a technique known as fisking.[33]

Arthur Caplan calls Sears an "anti-vaxx pediatrician who favors alternative medicine." He also discusses Sears and similar physicians, calling for the revocation of "the license of any doctor who opposes vaccination." He believes they are purveyors of "junk science" who are in violation of the American Medical Association's Code of Ethics. He also states that "California’s medical licensing board frowns on doctors who endanger the public health, and says that 'the board shall take action against any licensee' charged with unprofessional conduct, incompetence or dishonesty. That unprofessionalism is not, the courts have said, limited to 'the actual treatment of a patient.' Sears is squarely in violation."[7]

Selected works

See also

References

  1. ↑ "Dr. Bob". Askdrsears.com. Retrieved 31 August 2013.
  2. ↑ 2.0 2.1 Kirkland A (2012). "The legitimacy of vaccine critics: what is left after the autism hypothesis?". J Health Polit Policy Law 37 (1): 69–97. doi:10.1215/03616878-1496020. PMID 22003097.
  3. ↑ 3.0 3.1 3.2 3.3 Poland GA, Jacobson RM (2012). "The clinician's guide to the anti-vaccinationists' galaxy". Hum. Immunol. (Review) 73 (8): 859–66. doi:10.1016/j.humimm.2012.03.014. PMID 22504410. Sears' alternative vaccination schedule has resulted in significant under-vaccination, putting children at risk from infectious diseases, which is measurable in terms of increased rates of measles and pertussis ...
  4. ↑ 4.0 4.1 Lipson, Peter (January 14, 2015), Measles Spreads From Southern California, Sickens Dozens, Forbes, retrieved January 20, 2015
  5. ↑ 5.0 5.1 5.2 Gorski, David (September 10, 2009). "After all this time, Dr. Bob Sears finally tips his hand on vaccines, part III". ScienceBlogs. Retrieved 18 July 2013.
  6. ↑ 6.0 6.1 6.2 Lipson, Peter (January 30, 2015), Anti-Vaccine Doctors Should Lose Their Licenses, Forbes, retrieved January 31, 2015
  7. ↑ 7.0 7.1 7.2 Caplan, Arthur (February 6, 2015), Revoke the license of any doctor who opposes vaccination, The Washington Post, retrieved February 11, 2015
  8. ↑ 8.0 8.1 8.2 Hayes, Chris (February 12, 2015), Challenging vaccine delayers, All In with Chris Hayes, MSNBC, retrieved February 15, 2015
  9. ↑ 9.0 9.1 9.2 Belluz, Julia (February 6, 2015), The vaccine delayers, Vox Media, retrieved February 11, 2015
  10. ↑ 10.0 10.1 KNX 1070 Newsradio (February 17, 2015), KNX Spotlight: The Vaccine Dilemma, CBS, KNX 1070 Newsradio, retrieved February 19, 2015
  11. ↑ Meet the Sears
  12. ↑ "Entries by Dr. Bob Sears". Huffington Post. Retrieved 18 July 2013.
  13. ↑ 13.0 13.1 Esquivel, Paloma (September 6, 2014), Vaccination controversy swirls around O.C.'s 'Dr. Bob', Los Angeles Times, retrieved January 27, 2015
  14. ↑ Hendrick, Bill (December 29, 2008). "Alternative Vaccine Schedule Stirs Debate". WebMD. Retrieved 18 July 2013.
  15. ↑ Jacobson RM (2010). "Vaccination refusal and parental education: lessons learnt and future challenges". Pediatric Health 4 (3): 239–242. doi:10.2217/phe.10.27. ISSN 1745-5111. the delays leave the child and others at risk for vaccine-preventable diseases.
  16. ↑ Sears, Bob (September 9, 2009). "Vaccines and Autism: What Can Parents Do During This Controversy?". Huffington Post. Retrieved 18 July 2013.
  17. ↑ Sears, Robert (February 18, 2015), Mandatory vaccination is not the answer to measles, Orange County Register, retrieved February 20, 2015
  18. ↑ 18.0 18.1 Parikh, Rahul (October 13, 2010), Face off with the best-selling vaccine guru, Salon, retrieved January 25, 2015
  19. ↑ Navin, Mark (January 1, 2013), Resisting Moral Permissiveness about Vaccine Refusal, Public Affairs Quarterly, Volume 27, Number 1, January 2013, retrieved February 22, 2015
  20. ↑ 20.0 20.1 Woo, Michelle (9 August 2012). "Dr. Robert Sears Takes on Both Sides of the Great Vaccination Divide". OC Weekly. Retrieved 5 April 2014.
  21. ↑ 21.0 21.1 Offit, Paul (2009). "The Problem With Dr Bob's Alternative Vaccine Schedule". Pediatrics 123 (1): 164–169. doi:10.1542/peds.2008-2189. PMID 19117838.
  22. ↑ Cohen, Elizabeth (19 June 2008). "Should I vaccinate my baby?". CNN. Retrieved 10 February 2015.
  23. ↑ Belluz, Julia (February 9, 2015), The number one kid's health book on Amazon is basically a guide to skipping vaccines, Vox Media, retrieved February 11, 2015
  24. ↑ "The Vaccine War". PBS. 7 January 2010. Retrieved 5 February 2015.
  25. ↑ Ołpiński, Marian (July 2012), Anti-Vaccination Movement and Parental Refusals of Immunization of Children in USA, Pediatria Polska, retrieved January 28, 2015
  26. ↑ Kam, Katherine (July 2, 2012), What Is the Alternative Vaccine Schedule? Experts debate the pros and cons of the alternative vaccine schedule and what it means for parents., WebMD, retrieved January 29, 2015
  27. ↑ 27.0 27.1 Sugarman, DE (April 2010), Measles outbreak in a highly vaccinated population, San Diego, 2008: role of the intentionally undervaccinated., Pediatrics, retrieved January 22, 2015
    "The importation resulted in 839 exposed persons, 11 additional cases (all in unvaccinated children), and the hospitalization of an infant too young to be vaccinated. Two-dose vaccination coverage of 95%, absence of vaccine failure, and a vigorous outbreak response halted spread beyond the third generation, at a net public-sector cost of $10 376 per case. Although 75% of the cases were of persons who were intentionally unvaccinated, 48 children too young to be vaccinated were quarantined, at an average family cost of $775 per child."
  28. ↑ Sears, Robert (March 25, 2012), Response by Dr. Bob Sears: In reply to lilady, 25 Mar 2012 9:56 AM, The Huffington Post, retrieved January 22, 2015 "She simply stated that that child was my patient (which is correct,..."
  29. ↑ Perkes, Courtney (December 29, 2008), OC's Dr. Bob Sears discusses measle outbreak on NPR, Orange County Register, retrieved January 22, 2015 "As it turns out, the boy who spread measles is a patient of Dr. Bob Sears,..."
  30. ↑ CDC (February 29, 2008), Outbreak of Measles --- San Diego, California, January--February 2008, CDC, retrieved January 22, 2015
  31. ↑ Haelle, Tara (January 20, 2015), Five Things To Know About The Disneyland Measles Outbreak, Forbes, retrieved January 22, 2015
  32. ↑ Willingham, Emily (23 March 2014). "Worried About Measles? Don't Call Dr. Bob Sears". Forbes. Retrieved 5 April 2014.
  33. ↑ Lipson, Peter (February 2, 2015), Measles Vaccination: A Response From Dr. Bob Sears, retrieved February 3, 2015

External links