Sunday, April 19, 2015

Anti-vaxxers


Vaccines: helping to eradicate terrifying, fatal diseases since 1796
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The largest measles and whooping cough outbreaks in the past 50 years are taking place in California and 17 other states thanks to the anti-vaxxer movement.[1]  Ironically, these diseases are especially prevalent in rich areas of the state.  As Jeb Lund opines in his Rolling Stone editorial, “if you're doing well enough, your bad decisions will probably only hurt someone else.”[2]  And he’s exactly right: choosing not to vaccinate your child against historically common, dangerous, and costly epidemic diseases comes from a position of privilege in which one’s opinion is weighed against and valued over others’ safety.  That’s what makes this movement especially insidious.  Beyond all the misplaced paranoia regarding “Big Pharma,” completely refuted claims of autism risks,[3] or aspirations for “natural” parenting, this problem is rooted in a very dearly-held American value.  Anti-vaxxer’s personal freedom of choice has led to a public health nightmare that affects not just their own children but children of others.  Interestingly, the insistence of personal freedom outweighing the public good was the impetus for previous waves of the anti-vaccination movement. 
This issue has continually reared its ugly head ever since Edward Jenner’s first vaccine in 1796.[4]  England’s medical community quickly realized the potential that compulsory vaccination had for public health initiatives and in 1853 the country instituted The Vaccination Act.  Arguments against it along with occasionally violent protests immediately erupted.  This original anti-vaccination movement employed rhetoric uncannily similar to today.  Likewise, the medical experts of the day reacted similarly to today.  Expressing frustration, the editorial staff of the British Medical Journal published this in 1869:

                “We fear it is not possible for any argument or any form of suasion to stay the tide of folly and ignorance which is now raging against one the most beneficent discoveries ever permitted to man. The chief actors in the anti-vaccination movement are men upon whom all statements of fact and argument would be wasted.

    The platform spouters on this question are beyond our hope, and almost beyond our pity. They must be left to hug their darling folly; but for their deluded followers we do feel real commiseration. The arguments which the agitators so boldly state are very specious; they refer to matters concerning which their hearers have no real experience; and they seem to be supported by a certain class of facts.

    Numerous excellent pamphlets and tracts have been published, with the hope of enlightening the public mind. It is most unfair to those who have readily adopted the chance of immunity which vaccination gives, that they should be exposed to risk on account of their less careful or crotchety neighbours. If the immunity were absolute and life-long, we might perhaps afford to let the foolish part of the community do as it likes; but, unfortunately, such is not the case.”   

Many of the anti-vaxxers were concerned with intrusive government action on civil liberty.  Misinformation abounded, faulty statistics quickly spread, and irrational distrust of the medical government grew.[5]  Hmm, sounds familiar…
There’s one glaring difference between then and today.  The “Big Pharma” that today’s detractors continually cite was not present in mid-19th century England, yet the same fears plagued the country.  Right or wrong, the anti-vaccination movement predates large drug companies.  This is indicative of the movement’s shoddy logic base.  Lynchpin arguments of the contemporary movement, like “Big Pharma,” are completely absent from the original movement yet today’s abstaining parents hold the same apprehensions and haughty claims of medical concurrence.  In an anti-vaxxer’s mind,  one’s personal fears, misguided or not, should or at least be allowed to take precedence over statistically proven society benefits.  And so the modern United States is facing outbreaks of once conquered diseases.  Let’s hope polio and smallpox don’t come back like the measles and whooping cough has.     


[1] http://www.theatlantic.com/politics/archive/2015/02/should-anti-vaxxers-be-shamed-or-persuaded/385109/
[2] http://www.rollingstone.com/culture/features/anti-vaxxers-enjoying-the-privilege-of-putting-everyone-at-risk-20150219
[3] http://www.vocativ.com/culture/science/no-link-autism-and-vaccines-mmr/
[4] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1200696/
[5] http://io9.com/19th-century-documents-show-how-little-the-anti-vaxxers-1658381223
 

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