âWell, not immediately. It was about twenty minutes after. I saw it happen,' Wendy Whitehead takes over the story. âWe always asked parents to wait half an hour after any injection before taking their babies home, so that we could check all was well. Five minutes after she'd left my room, Ray burst back in with Marcella in her arms, insisting something was wrong â Marcella wasn't breathing normally. I wasn't sure what she meant. The baby was breathing, I couldn't see any problems, and I had someone else in with me, another mother and baby. I asked Ray to wait, and when I'd finished with my other patient, I asked her and Marcella to come back in. I was about to examine Marcella again when she had a seizure. Ray and I watched helplessly as her little body bent and twisted . . . I'm sorry.' She presses her hand against her mouth.
âLess than five hours later, Marcella was dead,' says Lance. âRay and Angus were told definitively that the DTP-Hib vaccine couldn't have caused her death.'
âAll the doctors they spoke to said, “We've no idea why your daughter died, Mr and Mrs Hines, but we know it wasn't the DTP-Hib jab that killed her.” “How do you know?” “We just do â because our vaccines are safe, because they don't kill.”'
âThe timing had to be a coincidence, they were told,' says Lance.
âRubbish,' Wendy Whitehead says vehemently. âEven if Marcella hadn't been prem, even if there hadn't been a history in Angus Hines' family of auto-immune problems . . .'
âHis mother suffers from Lupus, doesn't she?' I ask. I've got a vague memory of having read that somewhere, perhaps in Laurie's article.
âThat's right. And there's a history of crib death in several branches of his family, which strongly suggests a genetic auto-immune disorder. Yes, these vaccines are mostly safe if you take babies with vulnerabilities out of the equation, but some babies
have
vulnerabilities. I wanted to yellow-card Marcella's death . . .'
âThat means report it to the MHRA as a possible adverse reaction to a vaccine,' Lance explains. I have no idea what the MHRA is; I make a mental note to look it up later.
â. . . but my colleagues put pressure on me not to. The practice manager hinted I'd be out of a job if I did. I listened to them all, and I shouldn't have. I suppose I wanted to believe them â if they were right, and Marcella dying five hours after having the jab was a coincidence, then it wasn't my fault, was it? It wasn't me that had done it to her. I did as I was told and tried to put it behind me. It sounds feeble and cowardly and it was, but . . . well, if everybody's telling you with great assurance that something's safe, you start to believe them. Over the next few weeks and months I vaccinated babies who reacted normally â screamed a bit but then were fine, and certainly didn't die â and I convinced myself that it wouldn't have done anyone any good if I'd yellow-carded Marcella's death. Ray and Angus would only have blamed themselves, and the last thing anyone wants is negative publicity for inoculations, in case it puts parents off. Herd immunity has to be preserved at all costs â that was what I thought at the time.
âWhen Ray rang me at work four years later, telling me she'd had another baby and asking my advice about whether to vaccinate him, I opened my mouth to tell her that DTP-Hib was perfectly safe, and I found I couldn't say it. I couldn't make the words come out. I told her it was her decision, that I didn't want to sway her one way or the other. She asked me if a tendency to react badly to vaccines could run in families.'
âSeveral studies have shown that it does,' Julian Lance leans his head towards me in a slow nod. Is he wondering why I'm not taking notes? Does he disapprove? Something about him makes me feel as if I'm doing something wrong. Come to think of it, I feel that way most of the time â maybe it's nothing to do with Lance.
Several studies have shown
. Isn't that what people always say when, basically, they've got no evidence? Isn't it a bit like writing, âIt has been argued that . . .' in an A-level essay, when you're not sure who said what but you want to give the impression of substantial support for the point you're about to make?
âRay was terrified of something happening to Nathaniel after what had happened to Marcella,' says Wendy. âShe wanted to do what was best for him, but she didn't know what that was. Should she give him the very same jab that she was certain had killed her daughter, even though dozens of professionals had assured her it couldn't have, or should she steer clear of it, and risk Nathaniel dying of diphtheria or tetanus? The chance of her son contracting either disease was extremely small, but she was understandably paranoid and semi-hysterical. I advised her to take plenty of time to make her decision, and speak to as many immunisation experts as she could. Privately, I hoped she'd decide not to give Nathaniel the jab â partly, selfishly, because I knew there was a good chance I'd be the one who'd have to give it to him. The ridiculous thing was, I'd still have said, if asked at that point, that the jabs were entirely safe, that all babies ought to have them at two, four and six months, just as the government advised â I'd have
said
that, but I didn't believe it, not deep down.'
A waiter arrives with a tray: my tea, and a coffee each for Lance and Wendy.
âIn the end, Ray and Angus decided to immunise Nathaniel, but later,' Lance takes up the story. âA doctor friend they trusted had told them that even a week could make a huge difference in terms of the strength of a baby's immune system. They're so much tougher every day, their systems so much better able to cope. That made sense to Ray and Angus, and seemed like a good compromise, so they waited until Nathaniel was eleven weeks old. He wasn't prem, and, although they were a little bit apprehensive, they trusted that he'd be fine. Their doctor friend had convinced them that to let a child go unvaccinated was dangerously irresponsible.'
Wendy Whitehead presses her hand against her mouth again.
âBut Nathaniel wasn't fine,' I say.
âTwenty, twenty-five minutes after having the jab, his body convulsed, just like Marcella's,' she says, blinking away tears. âThen he perked up a bit, and we thought, “Please, God”, but he died a week later. Ray and I knew what had killed him, but we couldn't get anyone to back us up. I yellow-carded Nathaniel's death and was made redundant soon afterwards.' She lets out a bitter, throaty laugh. âEven Angus wouldn't acknowledge that there was a clear cause of death for both his children â though he's big enough now to admit it was guilt that made him side with the doctors â for allowing both babies to have the jab, for the auto-immune problem that was on his side of the family . . .'
âYou'll have heard that Angus didn't stand by Ray when she was convicted of murder,' says Lance. It's a question presented as a statement.
I nod.
âThe trouble between them started long before she was convicted, or even accused. Angus was angry with her, and with Wendy, for insisting on a truth he wasn't ready to face up to.' Lance takes a sip of his coffee. âBy the time the police turned up at the door, he and Ray were close to splitting up.'
I wait. Politely at first, then, after a few seconds of silence, allowing my incredulity to show. Lance and Wendy are both looking as if that's it, end of story. âI don't get it,' I say, in case it's a test and they're waiting for me to bring up the very obvious gaping hole in what they've told me. âIf there was a suspected cause of death for both babies, even if it was controversial â why wasn't it mentioned in court? I've looked through the trial transcript and there's nothing.'
âWe tried,' says Lance. âWendy was ready to testify . . .'
âReady, willing, eager,' she says, nodding.
â. . . but we were told in no uncertain terms not to refer to a possible adverse reaction to the DTP-Hib vaccine.'
âBy whom?' I ask.
âBy our four stellar defence witnesses.' Lance smiles. âFour hugely respected medical experts, all ready to say that there was no evidence of foul play in the case of either baby's death, no medical evidence that couldn't just as easily be attributed to natural causes as to anything more sinister. Quite independently of one another, they each made it abundantly clear to me that if counsel for the defence so much as whispered the word “thiomersal”, we'd have a fight on our hands. I couldn't risk it, couldn't let the jury hear our own witnesses calling our story a lie. That wouldn't have helped Ray at all.'
I can hardly believe what I'm hearing. I don't want to believe it; it's too horrendous. âBut . . .'
Ray Hines went to prison for murder. She was locked up for four years
.
âYes,' says Wendy. âThat was how I felt too.'
âSurely there were other medical experts who'dâ'
âI'm afraid not.' Lance frowns. âI tried, believe me. Most doctors are terrified of speaking out about vaccine damage. Any who do tend to see their careers come crashing down around their ears.'
âIf you've got a spare hour or two for Googling, you should read about what happened to Dr Andrew Wakefield and his colleagues,' says Wendy. Again, Lance leans forward and stares pointedly at the table in front of me, where I'm now certain he thinks my notebook ought to be. As if I'm going to forget any of this. I'll probably be able to recite what they're telling me word for word when I'm eighty.
âWhen Dr Wakefield dared to suggest that a possible link between the MMR vaccine, regressive autism and a particular kind of bowel disorder was worth investigating, a lot of powerful people made it their mission to destroy his credibility and his career. They literally hounded him out of the country,' says Wendy.
This is all very well, but I'm not making a documentary about Dr Andrew Wakefield. âWhat's “thiomersal”?' I ask.
âMercury, essentially,' says Lance. âOne of the most poisonous substances in the world, if you're thinking of injecting it into your bloodstream, and present in the DTP-Hib vaccines given to babies until 2004, when they phased it out.'
Present in the jab given to Marcella in 1998, and the one given to Nathaniel in 2002.
âOf course, they didn't phase it out because it was a highly reactogenic neurotoxin. No, it was completely safe â that was the official story most doctors stuck to. Then why were they phasing it out? They just were â nothing to do with it being dangerous.' Wendy's talking so fast, I'm struggling to keep up. âSame with whole-cell pertussis â that's the “P” part of the DTP jab. They've phased that out too â the pertussis element is now strands, acellular â much less hazardous. And the polio vaccine, given orally at the same time as DTP-Hib â they now give the dead form instead of the live. But try getting anyone to admit any of these changes have been made because the old vaccines were too reactogenic and you come up against a brick wall.'
âYour tea's going cold,' Lance says to me.
Don't pick up the cup
. I beat down my natural impulse to do as I'm told, and say, âI like cold tea.'
âWhy the change of tack, if you don't mind my asking? On the part of Binary Star?'
I don't know what he's talking about. It must be apparent from my expression.
âI spoke to your colleague Laurie Nattrass a few months ago and tried to tell him everything I've just told you, and he didn't want to know.'
âLaurie's working for a different company now. If I'm going to be making a documentary about Ray, I need to know everything.'
âIt gladdens my heart to hear you say that,' says Lance. âI'm sure you'll do an excellent job. Ray's a good judge of character. She was sensible to give Nattrass a wide berth. Man's a coward, one who allies himself with fashionable causes. There's no risk to him in making a documentary about Judith Duffy, the doctor everyone loves to hate. He wants to destroy Duffy more than he wants to help Ray, and he made it clear he wouldn't touch with a bargepole an international health scandal involving governments, drug companies . . .'
â
You
didn't touch it with a bargepole when Ray was on trial,' I say. âIf Laurie's a coward, then so are you.'
For a second or two, as he stares down into his coffee, I think Lance is going to get up and walk out. He doesn't. âIt's slightly different,' he says coolly. âIf I took a risk and failed, that meant Ray getting two life sentences for murder.'
âThat happened anyway,' I point out.
âTrue, but . . .'
âWomen like Ray, Helen Yardley and Sarah Jaggard are only a fashionable cause, as you put it, because Laurie brought their predicament to people's attention. Judith Duffy wasn't the doctor everyone loved to hate until Laurie exposed her.'
Lance runs his tongue along the inside of his lower lip. âI can't argue with that,' he says eventually.
âI read an article Laurie wrote about Ray's case. He says you told Ray to pretend she was post-natally depressed and nearly threw herself off a window ledge, making her seem unstable to the jury.'
âThat's wholly untrue.'
I wait for him to elaborate, but he doesn't.
âDid Laurie
say
he was scared of the vaccine issue?' I ask. I can't believe he would be, however many governments and drug companies were involved. Laurie would take on anyone. âOr did he say he could only make one documentary at a time? You'd need about four hours to do justice to the whole jabs thing as well as tell three women's stories, and the story of how Judith Duffy shafted them. A documentary needs a focal point.'
âYour loyalty is touching, Fliss,' says Lance, âbut I remain convinced that Nattrass is a man who sees only what he wants to see. He had a troupe of doctors lined up to dish the dirt on Duffy. How do you think they'd have reacted if he'd introduced the vaccine issue? They'd have run a mile. Russell Meredew, the GMC's blue-eyed boy . . .' Lance laughs. âHe'd wet his pants at the mere suggestion, and Nattrass knows it.'