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The Crisis Deepens

  • Robert W. BalohEmail author
  • Robert E. Bartholomew
Chapter
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Abstract

This chapter documents the continuing political reaction to the outbreak of illness among American and Canadian embassy staff in Cuba between 2016 and 2018. We examine the controversial findings of American embassy patients in two medical journals. A study in the Journal of the American Medical Association involving specialists in head trauma, found evidence of mild brain damage. A second study, in the journal Laryngoscope Investigative Otolaryngology, was conducted by ear specialists who found evidence of inner ear vestibular injury, namely damage to the otolith organs which regulate balance, gravity perception and sense of linear motion. Both studies have critical flaws including the selection of inappropriate controls, inflated conclusions, and a lack of evidence for exposure to an energy source or toxin. Furthermore, they do not adequately test the hypotheses they propose, while promoting exotic explanations that are not grounded in conventional research methodology or supported by the evidence.

Keywords

The politics of illness diagnosis Peer review Ethics in medicine Mass psychogenic illness Mass sociogenic illness Collective unexplained symptoms Conversion disorder Mass hysteria Functional neurological symptom disorder Anxiety Public health Nocebo effect Contested diagnoses Cuba-American relations Social panics 

References

  1. 1.
    Richardson DJ. The complete midsummer night’s dream: an annotated edition of the Shakespeare play. Bloomington: Authorhouse; 2013. p. 155.Google Scholar
  2. 2.
    Attacks on U.S. diplomats in Cuba: response and oversight. US Senate Committee on Foreign Relations, Subcommittee on Western Hemisphere, Transnational Crime, Civilian Security, Democracy, Human Rights, and Global Women’s Issues. Attacks on US diplomats in Cuba. Video of the complete hearing published 2018 Jan 9. https://www.c-span.org/video/?439474-1/state-department-officials-testify-attacks-us-diplomats-cuba. Accessed 22 Oct 2019.
  3. 3.
    Weissenstein M. US senator says ‘no evidence’ of sonic attacks in Cuba. The Washington Post. 6 Jan 2018.Google Scholar
  4. 4.
    Oppmann P, Koran L. Senate holds hearing on Cuba ‘sonic attacks. CNN. 9 Jan 2018.Google Scholar
  5. 5.
    Official Twitter feed of Marco Rubio. https://twitter.com/marcorubio?lang=en. 7 Jan 2018.
  6. 6.
    Dorsey S. Pentagon turns focus to Cuba health ‘attacks’ amid new findings on American victims. CBS News. 2018 Sept 12. https://www.cbsnews.com/news/pentagon-turns-focus-to-cuba-attacks/. Accessed 22 Oct 2019.
  7. 7.
    Moore WW. Wise sayings: for your thoughtful consideration. Bloomington: Authorhouse; 2011. p. 1–2.Google Scholar
  8. 8.
    Lippmann W. Public opinion. Mineola: Dover; 2004. p. 7.Google Scholar
  9. 9.
    Oppmann P, Labott E. US diplomats, families in Cuba targeted nearly 50 times by sonic attacks, says US official. CNN News. 23 Sept 2017.Google Scholar
  10. 10.
    Interview between Robert Bartholomew and a U.S. Embassy employee who was stationed in Havana during the ‘attacks’ and wishes to remain anonymous.Google Scholar
  11. 11.
    Swanson R, Hampton S, Green-McKenzie J, Diaz-Arrastia R, Grady M, Ragini V, et al. Neurological manifestations among US government personnel reporting directional audible and sensory phenomena in Havana, Cuba. JAMA. 2018;319(11):1125–33.  https://doi.org/10.1001/jama.2018.1742.CrossRefGoogle Scholar
  12. 12.
    Fields RD. Sonic weapon attacks on U.S. embassy don’t add up – for anyone. Sci Am. 16 Feb 2018.Google Scholar
  13. 13.
    Muth C, Lewis SL. Editorial: neurological symptoms among US diplomats in Cuba. JAMA. 2018;319(11):1098–100.  https://doi.org/10.1001/jama.2018.1780.CrossRefGoogle Scholar
  14. 14.
    Della Sala S, Cubelli R. Alleged ‘sonic attack’ supported by poor neuropsychology. Cortex. 2018;103:387–8.  https://doi.org/10.1016/j.cortex.2018.03.006.CrossRefGoogle Scholar
  15. 15.
    Hiltzik M. Is junk science adding to the mystery of the Havana embassy attacks? The Los Angeles Times. 12 June 2018.Google Scholar
  16. 16.
    Rubin R. More questions raised by concussion-like symptoms found in US diplomats who served in Havana. JAMA. 2018;319(11):1079.CrossRefGoogle Scholar
  17. 17.
    Reed G. What happened to the US diplomats in Havana? Mitchell Valdés MD PhD Director, Cuban Neuroscience Center. Int J Cuban Health Med. 2018;20(4):14–9.Google Scholar
  18. 18.
    Sample I. What happened to US diplomats in Cuba? The Guardian. Science weekly podcast. 2018 Feb 23. https://www.theguardian.com/science/audio/2018/feb/23/what-happened-to-us-diplomats-in-cuba-science-weekly-podcast. Accessed 21 Sept 2019.
  19. 19.
    Cortex Editorial Board. Responsibility of neuropsychologists: the case of the ‘sonic attack’. Cortex. 2018;108:A1–2.  https://doi.org/10.1016/j.cortex.2018.10.001.CrossRefGoogle Scholar
  20. 20.
    The statement in the JAMA rebuttal, which was considered confusing, ambiguous, and problematic, was as follows: “Within-individual deviations from an average performance are considered signs of brain dysfunction. Percentile scores in our report showed that all impaired patients had several scores that deviated by more than 1 SD from their respective means, some exceeding 2 SDs, which translates to more than 40 percentile points below their means (below 10th percentile relative to their average performance). This meets standard criteria for neuropsychological impairment …” (from Hampton S, Swanson R, Smith DH. In reply. JAMA. 2018;320(6):604–5.Google Scholar
  21. 21.
    Della Sala S, McIntosh RD, Cubelli R, Kacmarski JA, Miskey HM, Shura RD. Cognitive symptoms in US government personnel in Cuba: the mending is worse than the hole. Cortex. 2018;108:287–8.  https://doi.org/10.1016/j.cortex.2018.10.002.CrossRefGoogle Scholar
  22. 22.
    Golden T, Rotella S. The sound and the fury: inside the mystery of the Havana embassy. ProPublica. 2018 Feb 14. https://www.propublica.org/article/diplomats-in-cuba. Accessed 11 Nov 2019.
  23. 23.
    Hitt J. Hear no evil. Vanity Fair. 2019 Feb;61(2):48. https://www.vanityfair.com/news/2019/01/the-real-story-behind-the-havana-embassy-mystery. Accessed 22 Oct 2019.
  24. 24.
    Stone R. Sonic attack or mass paranoia? Science. 2018.  https://doi.org/10.1126/science.aau5386.
  25. 25.
    Hoffer ME, Levin BE, Snapp H, Buskirk J, Balaban C. Acute findings in an acquired neurosensory dysfunction. Laryngoscope Investig Otolaryngol. 2018;1–8 (12 Dec).Google Scholar
  26. 26.
    Burke P. Physicians announce clinical findings of ‘sonic’ attacks at US embassy in Cuba. WPLG Channel 10 News, Pembroke (FL). 12 Dec 2018.Google Scholar
  27. 27.
    University of Miami medical team reports acute findings from the Havana embassy phenomenon. Press release, University of Miami, Miller School of Medicine. 12 Dec 2018.Google Scholar
  28. 28.
    Lardieri A. U.S. diplomats show inner-ear damage after mysterious sonic attack in Cuba. U.S. News & World Report. 12 Dec 2018.Google Scholar
  29. 29.
    Stanglin D. US staff in Cuba suffered ear damage. USA Today. 14 Dec 2018;Sect. A3.Google Scholar
  30. 30.
    Robles F. U.S. diplomats with mysterious illness in Cuba had inner-ear damage, doctors say. The New York Times. 13 Dec 2018.Google Scholar
  31. 31.
    Hamilton J. Doubts about evidence that U.S. diplomats in Cuba were attacked. All Things Considered. National public radio program airing on March 25, 2019. https://www.npr.org/sections/health-shots/2019/03/25/704903613/doubts-rise-about-evidence-that-u-s-diplomats-in-cuba-were-attacked. Accessed 5 Apr 2019.
  32. 32.
    Gámez Torres N. Doctors who first tested diplomats after Cuba ‘health attacks’ doubt concussion theory. Miami Herald. 12 Dec 2018.Google Scholar
  33. 33.
    de Graff M. It was not just hysteria: doctors claim Cuba sonic attack victims were exposed to something that damaged their ears and brains - but the cause remains a mystery. The Daily Mail (London). 13 Dec 2018.Google Scholar
  34. 34.
    Balaban C. Probable use of a neuroweapon to affect personnel of US embassy in Havana: findings, pathology, possible causes and disruptive effects. Teleconference, Strategic Multi-Layer Assessment for the United States Joint Chiefs of Staff and Department of Defense. 7 Sept 2018.Google Scholar
  35. 35.
    Weinberger S. Scientists say ‘neuroweapons’ were behind Cuba attacks. Yahoo News. 10 Sept 2018.Google Scholar
  36. 36.
    Hurley D. The diplomat’s disorder. The New York Times Magazine. 19 May 2019, p. 40–5, 71.Google Scholar
  37. 37.
    Vergano D. The US government botched its investigation into the mysterious ‘sonic attack’ in Cuba, emails reveal. BuzzFeed News. 29 May 2019. We are grateful to Mr. Vergano for sharing some of these emails.Google Scholar
  38. 38.
    Re: in or out. Email from Carey Balaban to Douglas Smith. 9 Feb 2018.Google Scholar
  39. 39.
    Re: in or out. Email from Douglas Smith to Carey Balaban. 9 Feb 2018.Google Scholar
  40. 40.
    The ethics investigation was confirmed to Dan Vergano by Joe Miksch, Director of Media Relations at the University of Pittsburgh. Personal communication with Dan Vergano. 1 Nov 2019.Google Scholar
  41. 41.
    Breaking: medical findings in U.S. government personnel… E-mail from Carey Balaban to Kurt Yankaskas. 16 Feb 2018.Google Scholar
  42. 42.
    See the following advertisement for the goggles. 2015 Nov 26. https://neuro-kinetics.com/project/game-changing-technology-concussion-goggles/. Accessed 30 Oct 2019.
  43. 43.
    Cugno M. Game-changing technology: concussion goggles. Miami (FL): CBS4 News TV. 5 Nov 2015.Google Scholar
  44. 44.
    McClelland E. Voice recognition within a closed set of family members. Paper presented at the International Association for Forensic phonetics and Acoustics (IAFPA) Conference, Swiss Federal Institute of Technology Lausanne. Lausanne, Switzerland, July 2008.Google Scholar
  45. 45.
    Öhman L. All ears: adults’ and children’s earwitness testimony. Sweden: Department of Psychology, University of Gothenburg; 2013, piii.Google Scholar
  46. 46.
    Campbell D. Close but no cigar: how America failed to kill Fidel Castro. The Guardian 26 Nov 2016.Google Scholar
  47. 47.
    Robles F, Semple K. ‘Health attacks’ on U.S. diplomats in Cuba baffle both countries. The New York Times. 11 Aug 2017.Google Scholar
  48. 48.
    Bruno J. The foreign circus. Canastota: Bittersweet House Press; 2004.Google Scholar
  49. 49.
    Weissenstein W, Lee M. Tillerson says diplomats in Havana suffered ‘health attacks.’ The Associated Press News. 12 Aug 2017.Google Scholar
  50. 50.
    Entous A. Exploding mojitos: the first ‘sonic attacks’ targeting American diplomats in Cuba may have taken place thirty years ago. The New Yorker. 12 Nov 2018.Google Scholar
  51. 51.
    Rosenberg C. U.S. details harassment of diplomats in Cuba. Miami Herald. 6 Feb 2003.Google Scholar
  52. 52.
    Golden T, Rotella S. The strange case of American diplomats in Cuba: as the mystery deepens, so do divisions in Washington. 9 Nov 2018.Google Scholar
  53. 53.
    Mosbergen D. Microwave weapons could be the culprit behind the mysterious U.S. embassy attacks. The Huffington Post. 2 Sept 2018.Google Scholar
  54. 54.
    Weinberger S. Wasted energy. Nature. 2012;489:198–200. (13 Sept)CrossRefGoogle Scholar
  55. 55.
    Weinberger S. The imagineers of war: the untold story of DARPA, the pentagon agency that changed the world. New York: Vintage; 2018.Google Scholar
  56. 56.
    Weinberger S. Tweet dated 2018 Sept 2 from @weinbergersa.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Neurology and Head and Neck SurgeryDavid Geffen School of Medicine at UCLALos AngelesUSA
  2. 2.Psychological MedicineUniversity of AucklandAucklandNew Zealand

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