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  • Dissolving Illusions: Disease, Vaccines, and The Forgotten History

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Dissolving Illusions: Disease, Vaccines, and The Forgotten History Paperback – July 27, 2013

4.8 out of 5 stars (3,475)

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Not too long ago, lethal infections were feared in the Western world. Since that time, many countries have undergone a transformation from disease cesspools to much safer, healthier habitats. Starting in the mid-1800s, there was a steady drop in deaths from all infectious diseases, decreasing to relatively minor levels by the early 1900s. The history of that transformation involves famine, poverty, filth, lost cures, eugenicist doctrine, individual freedoms versus state might, protests and arrests over vaccine refusal, and much more.Today, we are told that medical interventions increased our lifespan and single-handedly prevented masses of deaths. But is this really true?Dissolving Illusions details facts and figures from long-overlooked medical journals, books, newspapers, and other sources. Using myth-shattering graphs, this book shows that vaccines, antibiotics, and other medical interventions are not responsible for the increase in lifespan and the decline in mortality from infectious diseases. If the medical profession could systematically misinterpret and ignore key historical information, the question must be asked, “What else is ignored and misinterpreted today?”Perhaps the best reason to know our history is so that the worst parts are never repeated.
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Product details

  • Publisher ‏ : ‎ CreateSpace Independent Publishing Platform
  • Publication date ‏ : ‎ July 27, 2013
  • Edition ‏ : ‎ 6/27/13
  • Language ‏ : ‎ English
  • Print length ‏ : ‎ 504 pages
  • ISBN-10 ‏ : ‎ 1480216895
  • ISBN-13 ‏ : ‎ 978-1480216891
  • Item Weight ‏ : ‎ 2.31 pounds
  • Dimensions ‏ : ‎ 6 x 1.2 x 9 inches
  • Best Sellers Rank: #27,864 in Books (See Top 100 in Books)
  • Customer Reviews:
    4.8 out of 5 stars (3,475)

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Customer reviews

4.8 out of 5 stars
3,475 global ratings
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Customers say

Customers find this book well-researched and meticulously documented, with extensive references to original sources. They appreciate its readability, noting it reads like a textbook and is easy to follow, while also being written by an expert in the field. Customers value its educational content, describing it as encyclopedic, and find it eye-opening, particularly in explaining the history of disease and vaccination.
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394 customers mention informative, 384 positive, 10 negative
Customers find the book informative and well-researched, with one customer noting that all information is cited.
A very informative, eye opening read about the history of diseases that mandatory vaccination is based on & why it is a flawed system.Read more
...Will keep this in my library. Historical political medicinal. Well researched.Read more
A comprehensive, informative and intelligent account of the history of vaccination to today, written by a highly qualified doctor who is prepared to...Read more
This book is amazing! It is extremely informative. It gives references for all it's information. The Authors are extremely knowledgeable....Read more
387 customers mention content, 374 positive, 13 negative
Customers find the content of the book impressive and fascinating, describing it as an important and smart read.
This is a great book with good history and information about vaccination history and medical/pharmaceutical monopolization and control for profit.Read more
...All in all, I think this an excellent book, and would recommend it to readers who can look at the evidence with an open mind, and judge accordingly.Read more
A must read!!! Thank you so much! Every parent and grandparent must read this. I believe truth is revealed through this book.Read more
Excellent, well cited book. They left no stone unturned and provide pictures, PMID numbers and old archived news articles documenting the truth....Read more
113 customers mention hygiene, 101 positive, 12 negative
Customers appreciate the book's approach to hygiene, describing it as a landmark work that provides a comprehensive history of disease and vaccination, explaining how illnesses became less deadly over time.
...is a wealth of valuable information about the history and development of vaccines....Read more
This book makes a case for the effect of sanitation, hygiene, working conditions, and nutrition on human health against infectious diseases....Read more
...Improved sanitation through better engineered plumbing & housing, plus improved diet have done more to raise the level of wellness than all the...Read more
...This likely resulted from clean water supplies, better sanitation, nutritious food, pasteurization and refrigeration, less crowding and laws against...Read more
98 customers mention accuracy, 89 positive, 9 negative
Customers praise the book's accuracy, highlighting its use of true historical facts and data, with one customer noting how conclusions are drawn from these facts.
Factual, truthful history of v@ccines and the toll they have exacted on trusting people who believed their physicians....Read more
Wow! Sources, facts and indisputable truths! This will blow your mind on the illusion we call the healthcare system and vaccination.Read more
...It is remarkably easy to understand and relate to yet it is very factual and scientific. The graphs of data are very obvious in what they show....Read more
...Regardless, this IS a VERY informative, fact and history based book. Excellent and eye-opening read. Highly recommended.Read more
47 customers mention readability, 41 positive, 6 negative
Customers find the book easy to read and understand, with one customer noting it reads like a textbook.
...This book provides concrete numbers and historical quotes that are easy to read and digest....Read more
Everyone should read his book. Not only about the vaccine issue but clear and interesting history of disease and health.Read more
Excellent, easy to read book....Read more
...lays it all out with peer reviewed studies and charts that are easily understandable.Read more
47 customers mention writing style, 43 positive, 4 negative
Customers praise the writing style of the book, noting it is well-cited and written by an expert in the field, with one customer highlighting its clear and concise presentation.
Good look at some of the less known history of vaccines. Well written and informative.Read more
...Heavily documented, well researched and very well written. I haven’t read it all yet so may be able to offer a more detailed review at a later date.Read more
...It is very well documented and written...a must read if you are searching for answers or just wanting to know the truth.Read more
...If you are interested in a fact-based, well-cited, candid discussion of the history of infectious disease and medical trends in the past few...Read more
41 customers mention references, 40 positive, 1 negative
Customers appreciate the extensive references in the book, noting that it quotes extensively from original sources and provides citations on every page.
This book is remarkably well written and referenced....Read more
...It is so packed with good information, graphics, and references that I purchased a hard copy to add to my reference library....Read more
Meticulously well researched! There are over 700 excellent references that are used throughout the book to make a point....Read more
...The authors have given a very clear understanding of the history and examples! VERY EYE OPENING....Read more
35 customers mention educational, 31 positive, 4 negative
Customers find the book highly educational, describing it as almost encyclopedic, with one customer noting that knowledge can save lives.
...Knowledge is power and this is a must read if you care about your health and your family’s health....Read more
...Suzanne continues to amaze me. Such an amazing Doctor! Thank you so much Suzanne!Read more
Excellent resource for parents, doctors, scientists… for everyone....Read more
...Easy to read, great points, and the author seems to genuinely be on a mission to find the truth, rather than finding truth that fits an agenda.Read more
Must read for all Docotors and Parents!
5 out of 5 stars
Must read for all Docotors and Parents!
Dr. Suzanne Humphries deserves an award for bringing the load of vaccine record and history to a finely orchestrated; and lengthy, book. The parent of 4 children, I had never questioned vaccines before 2 of our children had a severe reaction to their shots at a joint appointment in which my daughter received her Kindergarten shots and our son (then not yet 3) received the shots required between 18m-3years, which was the DTaP & Hep A. Our son had immediate symptoms he wasn’t well but I was pregnant with our 4th child and thought he was just being a normal attention seeking kid. He kept complaining, “my legs.” And wouldn’t Assist when I carried him out and looked zoned out. When I put him down to walk himself he flopped and said he couldn’t and I assumed he was just babying it. He slept for three days straight which I called Abbie worried and they said it was Normal and then began a zoned out period in which he also lost control of his bowels, wouldn’t talk, seemed confused when asked anything and began to wAil and whine at every response. At the same time our daughter began to have manic behavioral symptoms, everything touching her she was frantic, couldn’t explain her thoughts before loosing her point and becoming irrational and angry, lost control of her Bowels and began complaining of back and leg pain so much she’d wake in the night screaming it hurt. Her reactions merited a few visits to the ER; one 4 days after the vaccine, in which each time they reasoned her symptoms away as a flu like symptom and didn’t think she had meningitis because she lacked some of the symptoms. I mentioned she had the MMR vaccine 4 days prior, so how could she have meningitis and they didn’t really answer me. It made me curious so upon a follow up the next morning my doctor didn’t really answer my question either, so I asked for some papers to take home to read on it and the shots, since Our son was still in lethargic/sick mode after his and she was very animated about his symptoms being normal. So much so it was overkill and I wasn’t incinerating his was abnormal, (he hadn’t lost his bowels or began any other behavior aside from Sleeping and being generally quiet and zoned out yet at that point). We began reading packet inserts online and I was appalled to see how many adverse reactions there could be. We decided to ask our doc again for information so we could make a rational choice seeing how our 4th son was to be born very soon ( he was born 14 days after their reaction), and one nurse said they had a nurse who dealt strictly with vaccine and medicine questions she’d send in to talk to me, but no one came. The next nurse I asked to remind them to get her looked confused like she had no clue who I was talking about. When my doc came in I asked her and she didn’t confirm there was any nurse and said she had papers I could have. When she came back she said the papers were from a book she forgot she loaned to another patient and hadn’t gotten back, but wasn’t able to tell me the name of it. It was way to many weird situations for us not to thing there was something there. As each kid got worse visits became shorter and no one Brothered to suggest we test anything, they just said it was normal and it happens at the age our son was at. He has since been diagnosed with Autism. Luckily for our newest son he has never been vaccinated and truly is healthy. He hasn’t had ear infections, respiratory issues like our other 3 children had. We read all the way through his first year, saying to ourselves, “ we’ll keep reading a little more then we can always get his vaccines next month after we know everything and can feel comfortable” The more we read the more we had to read more and more, and time just flew by, the literature we read along the way deterring us from vaccinating each time. He is now a year and a half old and runs, jumps off things, says over 40 words and has no allergies. We are happy with our decision and continue to learn as we are recovering our son from Autism with great success using diet, Dr Andy Cutlers Chelation Therapy Protocol and boosting his immune system so far and still weighing opinions for our daughter, who is still being looked at for issues that arose. So far she’s diagnosed with Emotional Disturbance Disorder, has a lot of set backs in her abilities in reading, so much so she’s in the lowest group now in school despite our nightly practice and teachers support. She has had several MRI’s, one of which we were refered to a neurosurgeon to correct nerve damage in her spine from the vaccine; although no one will admit it’s from the vaccine, not on paper anyways. It’s infuriating. Parents should all be informed of their doctors education on vaccine ingredients, reactions, law and vaccine approval processes. If they choose to vaccinate that is their choice, just like it is ours to no longer. Free from bullying, free from judgement, free from ignorance. Attached are images of some of the many books I’ve read that you may also find enjoyable. Emords book is extremely detailed, depressing in explaining specific laws and cases by which they were governed and very eloquent.
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Top reviews from the United States

  • Reviewed in the United States on April 21, 2015
    Format: PaperbackVerified Purchase
    Vaccines have long been considered to be one of the greatest medical innovations of all time. It's common knowledge that vaccines greatly reduced or eliminated most infectious diseases that ravaged populations during the 19th century and into the first half of the 20th century… or so we are told.

    According to the authors of Dissolving Illusions, vaccines played a very minimal role in the reduction of infectious diseases. But why then would nearly everyone, including most medical doctors, be so much in favor of vaccines? Therein lies a fascinating story. Truth is, indeed, stranger than fiction!

    Author Dr. Suzanne Humphries was a very highly paid MD (as a kidney specialist) in a hospital, and for years was in synch with the hospital's pro-vaccine agenda. But then she began see problems in some of her patients that seemed to be connected to their vaccines. Her attempts to do something about this were brushed off by the hospital authorities. This eventually led to her voluntary resignation in 2011. She spent the next few years doing full-time research of the scientific literature and on the history related to vaccines. She then began to teach the shocking truths she had discovered, bucking threats and being called a "quack" in the process.

    Coauthor Roman Dystrianyk is a father of three children. He had researched vaccines and tried unsuccessfully to convince his wife that they were unsafe. She was a nurse who sided with the medical authorities. She had their kids vaccinated with multiple shots all in one visit, without Roman's knowledge. All three kids got sick and Roman found out what had happened. This led him to do much further research.

    It is apparent that money was a not a motivator for either Suzanne or Roman. (However, as we can see from other sources, money in the multi-billions is likely a motivator for the vaccine industry. And there is evidence of enormous conflicts-of-interest within and between Big Pharma, the CDC, FDA, and academia.)

    The formatting of this book is brilliant. Generally throughout we have a few paragraphs of authors' commentary followed by a supportive brief excerpt from an authoritative source (all sources identified), a bit more commentary, another referenced excerpt etc. This makes for enjoyable easy reading and maximum comprehension. Photos and graphs are appropriately inserted.

    The book starts with an overview of what life was like in "The Not So Good Ol' Days," (1700s and 1800s). Life was much harder than many of us can imagine. Disease was common, life spans were shorter.

    Crude inoculations against Smallpox were used in the 1700s and through the 1800s. Death rates remained high despite periods of mandatory vaccination until sanitation measures began to be employed in the late 1800s. The Smallpox story is discussed in great detail.

    Most infectious diseases declined markedly in the late 1800s and especially during the early decades of the 1900s before vaccines had even been invented for most to them. This was due to vast improvements in sanitation, sewage systems, better water, plumbing, the gasoline engine enabling trucking and better transportation, electricity, better farming and nutrition, refrigeration, and higher standard of living.

    The polio story is especially intriguing. Pictures of people encased in iron lungs and kids wearing braces hooked people emotionally. (I was 12 years old in 1954 when the Salk Vaccine was announced and I still remember the jubilation in my school.) Eventually reports of vaccine success against polio were reported. But research of the facts reveals that this was due to fudging of statistics and changing disease definitions to give the appearance of success.

    A modern version of the iron lung is still with us which is called a ventilator. It is a much smaller and far less dramatic-looking device for treating cases of breathing paralysis stemming from "transverse myelitis" – which still occurs, and which results from many possible causes usually NOT related to the polio virus, but which would historically have been generalized as "polio."

    Seventy pages of the book are devoted to the very complex and twisted story of the supposed "disappearance" of polio. The bottom line is that the wild polio virus itself was never as serious a threat as was assumed. Polio vaccines (Salk and Sabin) did much more harm than good for several reasons – the authors explain how so in detail. By the way, Franklin Roosevelt probably did not have polio, but Guilain-Bair syndrome (GBS).

    The story of vaccines against whooping cough (pertussis) is also involved and dramatic, as is the measles story, both of which are covered in detail.

    The authors explain why "herd immunity" for most diseases (if any) cannot be achieved through vaccinations no matter how high the percentage of people vaccinated. It is clear that vaccines in general are not nearly as effective as the authorities claim, and they are far more dangerous than is generally believed.

    The final chapter is on "Belief and Fear" – fear of disease leading to reliance on those considered to be knowledgeable authorities. Hopeful thinking along with big money have had much to do with the "authorities" becoming conditioned to believe the mythology of "safe and effective" vaccines. The effectiveness of the vaccine approach has long been greatly exaggerated, the science corrupted, and vaccine risk "continuously denied and underplayed." We humans have the ability to deceive ourselves, especially when fear or money is involved.

    Dissolving Illusions is a wonderful tool for educating people on the truth regarding vaccines.
    374 people found this helpful
    Report
  • Reviewed in the United States on October 12, 2018
    Format: PaperbackVerified Purchase
    Dr. Suzanne Humphries deserves an award for bringing the load of vaccine record and history to a finely orchestrated; and lengthy, book.

    The parent of 4 children, I had never questioned vaccines before 2 of our children had a severe reaction to their shots at a joint appointment in which my daughter received her Kindergarten shots and our son (then not yet 3) received the shots required between 18m-3years, which was the DTaP & Hep A.

    Our son had immediate symptoms he wasn’t well but I was pregnant with our 4th child and thought he was just being a normal attention seeking kid. He kept complaining, “my legs.” And wouldn’t Assist when I carried him out and looked zoned out. When I put him down to walk himself he flopped and said he couldn’t and I assumed he was just babying it.
    He slept for three days straight which I called Abbie worried and they said it was Normal and then began a zoned out period in which he also lost control of his bowels, wouldn’t talk, seemed confused when asked anything and began to wAil and whine at every response. At the same time our daughter began to have manic behavioral symptoms, everything touching her she was frantic, couldn’t explain her thoughts before loosing her point and becoming irrational and angry, lost control of her Bowels and began complaining of back and leg pain so much she’d wake in the night screaming it hurt.

    Her reactions merited a few visits to the ER; one 4 days after the vaccine, in which each time they reasoned her symptoms away as a flu like symptom and didn’t think she had meningitis because she lacked some of the symptoms. I mentioned she had the MMR vaccine 4 days prior, so how could she have meningitis and they didn’t really answer me. It made me curious so upon a follow up the next morning my doctor didn’t really answer my question either, so I asked for some papers to take home to read on it and the shots, since Our son was still in lethargic/sick mode after his and she was very animated about his symptoms being normal. So much so it was overkill and I wasn’t incinerating his was abnormal, (he hadn’t lost his bowels or began any other behavior aside from
    Sleeping and being generally quiet and zoned out yet at that point).

    We began reading packet inserts online and I was appalled to see how many adverse reactions there could be. We decided to ask our doc again for information so we could make a rational choice seeing how our 4th son was to be born very soon ( he was born 14 days after their reaction), and one nurse said they had a nurse who dealt strictly with vaccine and medicine questions she’d send in to talk to me, but no one came. The next nurse I asked to remind them to get her looked confused like she had no clue who I was talking about. When my doc came in I asked her and she didn’t confirm there was any nurse and said she had papers I could have. When she came back she said the papers were from a book she forgot she loaned to another patient and hadn’t gotten back, but wasn’t able to tell me the name of it.

    It was way to many weird situations for us not to thing there was something there. As each kid got worse visits became shorter and no one Brothered to suggest we test anything, they just said it was normal and it happens at the age our son was at. He has since been diagnosed with Autism.

    Luckily for our newest son he has never been vaccinated and truly is healthy. He hasn’t had ear infections, respiratory issues like our other 3 children had. We read all the way through his first year, saying to ourselves, “ we’ll keep reading a little more then we can always get his vaccines next month after we know everything and can feel comfortable”

    The more we read the more we had to read more and more, and time just flew by, the literature we read along the way deterring us from vaccinating each time. He is now a year and a half old and runs, jumps off things, says over 40 words and has no allergies.

    We are happy with our decision and continue to learn as we are recovering our son from Autism with great success using diet, Dr Andy Cutlers Chelation Therapy Protocol and boosting his immune system so far and still weighing opinions for our daughter, who is still being looked at for issues that arose. So far she’s diagnosed with Emotional Disturbance Disorder, has a lot of set backs in her abilities in reading, so much so she’s in the lowest group now in school despite our nightly practice and teachers support. She has had several MRI’s, one of which we were refered to a neurosurgeon to correct nerve damage in her spine from the vaccine; although no one will admit it’s from the vaccine, not on paper anyways. It’s infuriating.

    Parents should all be informed of their doctors education on vaccine ingredients, reactions, law and vaccine approval processes.
    If they choose to vaccinate that is their choice, just like it is ours to no longer.
    Free from bullying, free from judgement, free from ignorance.

    Attached are images of some of the many books I’ve read that you may also find enjoyable. Emords book is extremely detailed, depressing in explaining specific laws and cases by which they were governed and very eloquent.
    Customer image
    5.0 out of 5 stars
    Must read for all Docotors and Parents!

    Reviewed in the United States on October 12, 2018
    Dr. Suzanne Humphries deserves an award for bringing the load of vaccine record and history to a finely orchestrated; and lengthy, book.

    The parent of 4 children, I had never questioned vaccines before 2 of our children had a severe reaction to their shots at a joint appointment in which my daughter received her Kindergarten shots and our son (then not yet 3) received the shots required between 18m-3years, which was the DTaP & Hep A.

    Our son had immediate symptoms he wasn’t well but I was pregnant with our 4th child and thought he was just being a normal attention seeking kid. He kept complaining, “my legs.” And wouldn’t Assist when I carried him out and looked zoned out. When I put him down to walk himself he flopped and said he couldn’t and I assumed he was just babying it.
    He slept for three days straight which I called Abbie worried and they said it was Normal and then began a zoned out period in which he also lost control of his bowels, wouldn’t talk, seemed confused when asked anything and began to wAil and whine at every response. At the same time our daughter began to have manic behavioral symptoms, everything touching her she was frantic, couldn’t explain her thoughts before loosing her point and becoming irrational and angry, lost control of her Bowels and began complaining of back and leg pain so much she’d wake in the night screaming it hurt.

    Her reactions merited a few visits to the ER; one 4 days after the vaccine, in which each time they reasoned her symptoms away as a flu like symptom and didn’t think she had meningitis because she lacked some of the symptoms. I mentioned she had the MMR vaccine 4 days prior, so how could she have meningitis and they didn’t really answer me. It made me curious so upon a follow up the next morning my doctor didn’t really answer my question either, so I asked for some papers to take home to read on it and the shots, since Our son was still in lethargic/sick mode after his and she was very animated about his symptoms being normal. So much so it was overkill and I wasn’t incinerating his was abnormal, (he hadn’t lost his bowels or began any other behavior aside from
    Sleeping and being generally quiet and zoned out yet at that point).

    We began reading packet inserts online and I was appalled to see how many adverse reactions there could be. We decided to ask our doc again for information so we could make a rational choice seeing how our 4th son was to be born very soon ( he was born 14 days after their reaction), and one nurse said they had a nurse who dealt strictly with vaccine and medicine questions she’d send in to talk to me, but no one came. The next nurse I asked to remind them to get her looked confused like she had no clue who I was talking about. When my doc came in I asked her and she didn’t confirm there was any nurse and said she had papers I could have. When she came back she said the papers were from a book she forgot she loaned to another patient and hadn’t gotten back, but wasn’t able to tell me the name of it.

    It was way to many weird situations for us not to thing there was something there. As each kid got worse visits became shorter and no one Brothered to suggest we test anything, they just said it was normal and it happens at the age our son was at. He has since been diagnosed with Autism.

    Luckily for our newest son he has never been vaccinated and truly is healthy. He hasn’t had ear infections, respiratory issues like our other 3 children had. We read all the way through his first year, saying to ourselves, “ we’ll keep reading a little more then we can always get his vaccines next month after we know everything and can feel comfortable”

    The more we read the more we had to read more and more, and time just flew by, the literature we read along the way deterring us from vaccinating each time. He is now a year and a half old and runs, jumps off things, says over 40 words and has no allergies.

    We are happy with our decision and continue to learn as we are recovering our son from Autism with great success using diet, Dr Andy Cutlers Chelation Therapy Protocol and boosting his immune system so far and still weighing opinions for our daughter, who is still being looked at for issues that arose. So far she’s diagnosed with Emotional Disturbance Disorder, has a lot of set backs in her abilities in reading, so much so she’s in the lowest group now in school despite our nightly practice and teachers support. She has had several MRI’s, one of which we were refered to a neurosurgeon to correct nerve damage in her spine from the vaccine; although no one will admit it’s from the vaccine, not on paper anyways. It’s infuriating.

    Parents should all be informed of their doctors education on vaccine ingredients, reactions, law and vaccine approval processes.
    If they choose to vaccinate that is their choice, just like it is ours to no longer.
    Free from bullying, free from judgement, free from ignorance.

    Attached are images of some of the many books I’ve read that you may also find enjoyable. Emords book is extremely detailed, depressing in explaining specific laws and cases by which they were governed and very eloquent.
    Images in this review
    Customer image Customer image Customer image
    2,097 people found this helpful
    Report

Top reviews from other countries

Translate all reviews to English
  • Touil
    5.0 out of 5 stars Très intéressant livre
    Reviewed in France on June 13, 2021
    Format: PaperbackVerified Purchase
    Je recommande
    Report
  • Paul Neilson
    5.0 out of 5 stars Educate yourself on an important subject
    Reviewed in Australia on April 5, 2026
    Format: PaperbackVerified Purchase
    A well written eye opening book.
    What do do you know about vaccines verses your conditioned belief. Before you call someone an Anti vaxxer, with no more than a conditioned belief system, read this book and then you'll think again. A great book.
  • clever
    5.0 out of 5 stars Em inglês, a verdade sobre as causas das doenças e vacinas que ninguém ousa falar.
    Reviewed in Brazil on December 13, 2025
    Format: PaperbackVerified Purchase
    Excelente livro, com graficos e detalhado, bem explicado, recomendo o livro , me surpreeendeu com a qualidade das informações.
  • Christine Howard
    5.0 out of 5 stars A really good informative read
    Reviewed in Germany on April 9, 2026
    Format: KindleVerified Purchase
    Excellent informative book on the fallacies of the benefits of vaccines.
  • Ab
    5.0 out of 5 stars Such an apt title! Literally dissolving long perpetrated illusions!
    Reviewed in India on December 24, 2024
    Format: KindleVerified Purchase
    Would recommend to anybody who needs clarity regarding the healthcare of their kids and family. Lots of well documented data and information shared. Simple language used benefitting anybody with basic english language skills.