Vaccine Waivers, Informed Consent and Public Health
In Defense of Science: An Interview with NCSE’s Eugenie Scott
Doubt and Denialism: Vaccine Myths Persist in the Face of Science
Facts are Facts
Clean Living, Brighter Children
Trust Building
Vaccines: One Small Risk for a Child, One Giant Benefit for Mankind
Sponsored
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(The image is colorized.) Bacteria cling to the cilia of the respiratory epithelial cells, paralyze cilia with toxins, and cause inflammation and dense mucus in the airways that induce coughing fits. Before a pertussis vaccine become available in the 1940s, pertussis was one of the most common childhood diseases and a major cause of death among children. Those who survive infection become immune to the disease, though public health officials think natural immunity, like vaccine-induced immunity, wears off. 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Before 1963, about 3 to 4 million people got measles each year and an average of 450 people died, mostly children. After the vaccine became available, the number of measles cases dropped by 98%. (Image: CDC/ Cynthia S. Goldsmith; William Bellini, PhD) \u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown has made it just a little bit harder for parents to refuse or skip vaccinations for their children. \u003c/p>\n\u003cp>By signing AB 2109 into law last month, Brown strengthened one of the nation's most permissive school immunization requirements. Under existing law, California parents could choose which vaccinations to reject simply by signing a form saying \u003ca href=\"http://www.cdph.ca.gov/pubsforms/forms/ctrldforms/pm286b.pdf\">“all or some immunizations are contrary to my beliefs.”\u003c/a>\u003c/p>\n\u003cp>Now, at least, their beliefs will need to be informed by actual science.\u003c/p>\n\u003cp>State laws require children entering private or public school to get immunized to reduce the risk of spreading infectious diseases to their classmates. All states allow medical exemptions for children with allergies, immunodeficiency or other conditions, and most allow exemptions on religious grounds.\u003c/p>\n\u003cp>California is one of 20 states that allow parents to opt out of laws requiring children to get vaccinated before they enter school simply because they choose not to. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Costs of easy exemptions\u003c/strong>\u003cbr>\nIn California, personal belief exemption rates rose slowly between 1996 and 2007, from half a percent to 1.5 percent. But between 2008 and 2010, according to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22698009\">study published in the American Journal of Public Health\u003c/a> in August, the number of children with one or more personal belief exemptions increased by 25%. \u003c/p>\n\u003cp>That means more than 11,500 kids showed up in classrooms, playgrounds, and after-school activities without their vaccinations in 2010. Even more troubling, the number of kindergartners who attended schools with more than 20 exempted classmates more than doubled. Exempt children are clustering within the same schools, putting themselves—and their peers—at greater risk of an epidemic. \u003c/p>\n\u003cp>The San Francisco Bay Area has among the highest clustering of exemptions in the state, while Santa Cruz County ranks in the top 10 counties for all three measures analyzed: prevalence (proportion of students with exemptions), exposure (the likelihood a child would interact with an exempt classmate) and vulnerability (a measure of the risk of disease outbreak resulting from compromised herd immunity).\u003c/p>\n\u003cfigure id=\"attachment_46122\" class=\"wp-caption alignleft\" style=\"max-width: 329px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/10/17/vaccine-waivers-informed-consent-and-public-health/nigeria-cropped/\" rel=\"attachment wp-att-46122\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/10/nigeria-cropped-329x360.jpg\" alt=\"\" title=\"nigeria measles victim\" width=\"329\" height=\"360\" class=\"size-large wp-image-46122\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\"> This late 1960s photograph shows a Nigerian mother and her child, who was recovering from measles. The child’s skin is peeling as his measles infection heals. Measles victims in poor countries where other diseases are prevalent often require intensive nursing to avoid complications, including subsequent infections. (Image: CDC) \u003c/figcaption>\u003c/figure>\n\u003cp>The resurgence of vaccine-preventable diseases, from pertussis to measles, implicates exemptions in the outbreaks. But without data on the incidence of these vaccine-preventable diseases, says public health researcher Alison Buttenheim, “we can’t say for certain that more personal belief exemptions cause higher disease risk.”\u003c/p>\n\u003cp>Yet Buttenheim, an assistant professor at the University of Pennsylvania School of Nursing who led the study, says there’s one thing she knows for sure. “Parents who choose not to vaccinate are free-riders, relying on herd immunity maintained by those who do vaccinate to protect their children.”\u003c/p>\n\u003cp>Though Buttenheim didn’t have the data to study the link, \u003ca href=\"http://www.kdheks.gov/testimony/download/HB2094_Testimony_DCHunt_2012.pdf\">other studies\u003c/a> have found that exemptions tend to cluster geographically, increasing the risk of local disease outbreaks. \u003c/p>\n\u003cp>And in a recent study in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMc1209037\">New England Journal of Medicine\u003c/a>, states with looser exemption policies also had more cases of pertussis (or \"whooping cough\"), a bacterial infection that \u003ca href=\"http://www.cdc.gov/pertussis/outbreaks.html\">killed 10 infants in California\u003c/a> in 2010. (\u003ca href=\"http://www.whoopingcough.net/cough-child-muchwhooping.wav\">Anyone who thinks babies don't suffer from pertussis never heard this cough.\u003c/a>)\u003c/p>\n\u003cp>“Vaccine-preventable diseases are going to start in places where people are refusing,” says Roger Baxter, a physician, infectious disease expert and co-director of the Kaiser Permanente Vaccine Study Center in Oakland. “We have lots of evidence of that around the world. We’ve seen it. We know it will happen.” \u003c/p>\n\u003cp>That’s why some states are requiring parents to think through the risks of leaving their children—and their neighbors’ children—vulnerable to deadly pathogens by refusing some or all pediatric vaccinations.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/Exemptions.aspx\">Washington\u003c/a> (and just last month \u003ca href=\"http://www.leg.state.vt.us/docs/2012/Acts/ACT157.pdf\">Vermont\u003c/a>) passed laws requiring parents to have a health care professional certify that they received information regarding the risks of immunization, as well as the risks of exposing their family and community to potentially deadly diseases by forgoing immunization. \u003c/p>\n\u003cp>Under California's new law, starting January 2014, parents seeking personal belief exemptions must do the same. \u003c/p>\n\u003cp>The bill, sponsored by state Assemblyman Richard Pan (D-Sacramento), a pediatrician and director of the UC Davis Pediatric Residency Program, is little more than an \u003ca href=\"http://www.ama-assn.org/ama/pub/physician-resources/legal-topics/patient-physician-relationship-topics/informed-consent.page\">informed consent law\u003c/a>. Anytime you undergo a medical procedure, your doctor is required by law to counsel you on its risks and benefits. The bill requires the same counseling for parents who want to avoid vaccination.\u003c/p>\n\u003cp>In signing the bill, Brown noted that those “whose religious beliefs preclude vaccinations” don’t need a health care practitioner’s signature. Until the new law takes effect, the state’s philosophical and personal belief exemptions cover religious objections, and parents’ signatures are sufficient in either case. \u003c/p>\n\u003cp>\u003cstrong>The myth of 100% safety\u003c/strong>\u003cbr>\nBut for Baxter, vaccine refusal has veered into religion, with people obsessed with “uber-protection” and vaccine safety. “There’s nothing in this world that’s 100 percent safe,” he says. \u003c/p>\n\u003cp>“With vaccines, we expect some reactions like fevers or sore arms. But for serious adverse events, where we might expect 1 in 1,000 for most medications, if we see 1 in 100,000 for vaccines, we think it’s too much. Yet many people are worried about things that happen as rarely as 1 in a million. The benefits of vaccines far outweigh that.”\u003c/p>\n\u003cp>There’s a 1 to 2 in a million risk that the measles-controlling MMR vaccine will cause a serious adverse reaction like encephalitis or pneumonia. By contrast, \u003ca href=\"http://www.cdc.gov/measles/about/overview.html\">1 to 2 of every 1,000 measles cases\u003c/a> ends in death. \u003c/p>\n\u003cp>Just as no vaccine is 100% safe, no vaccine is 100% effective. That’s why the concept of \u003ca href=\"http://www.historyofvaccines.org/content/herd-immunity-0\">“herd immunity”\u003c/a> is so important. When vaccination rates in a community reach a certain threshold (85% to 95% depending on the contagiousness of the disease), then those who can’t get vaccinated—because they’re too young, on immune-suppressing treatments like chemotherapy, or their immune system didn’t respond to the vaccine—are still protected. \u003c/p>\n\u003cp>But herd immunity relies on high-compliance with recommended pediatric vaccination schedules. \u003c/p>\n\u003cp>An the trouble is, you’re not likely to know if your child’s vaccination didn’t offer full protection until he comes home sick after going to school, soccer practice, or a play date with unvaccinated peers.\u003c/p>\n\u003cp>\u003cstrong>Opportunistic pathogens\u003c/strong>\u003cbr>\nIn February 2010, the SF Department of Public Health \u003ca href=\"http://www.sfbaypeds.com/storage/post-files/SFDPH_Measles%20Health%20Alert.2010.2.22.final.pdf\">issued a health alert\u003c/a> about a measles outbreak. How it started is unclear. But two years earlier, 11 cases of measles in San Diego were traced to a seven-year-old unvaccinated boy who had traveled to Switzerland with his parents and came home with the measles. Within 19 days, he had infected his two siblings, five classmates, and four children—including three infants who were too young to be vaccinated—at his pediatrician’s office. One of the infants had to be hospitalized for severe dehydration, which can be fatal for babies. \u003c/p>\n\u003cp>The child who started the epidemic went to a school where 36 of 376 children—nearly 1 in 10—had personal belief exemptions.\u003c/p>\n\u003cp>That’s why some doctors have decided not to see families who shun vaccination. Some regularly treat very sick children and don’t want to risk exposing them to infections that could cause complications and even death. But most doctors that Baxter works with see the informed consent law as an opportunity to explain the risks to parents who didn’t really understand them. \u003c/p>\n\u003cfigure id=\"attachment_46142\" class=\"wp-caption alignleft\" style=\"max-width: 614px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/10/17/vaccine-waivers-informed-consent-and-public-health/rubella-poster-smaller2/\" rel=\"attachment wp-att-46142\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/10/rubella-poster-smaller2-614x360.jpg\" alt=\"rubella vaccine poster\" title=\"rubella poster\" width=\"614\" height=\"360\" class=\"size-large wp-image-46142\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Typically a mild childhood illness, rubella (also known as “German measles”) can pose a serious threat to the developing fetus if the mother is infected during pregnancy. More than 20,000 babies were born with congenital rubella syndrome (CRS) during an outbreak in 1964-65, before the US vaccine was licensed in 1969. CRS can cause diverse symptoms ranging from deafness to seizures, encephalitis, and developmental delays. (Image: CDC)\u003c/figcaption>\u003c/figure>\n\u003cp>Before Brown signed the bill, anti-vaccination activists led by ex-SNL cast member Rob Schneider fought against the bill on the grounds of parental rights, child safety, and a \u003ca href=\"http://scienceblogs.com/insolence/2012/06/29/makin-copies-of-antivaccine-nonsense-against-california-bill-ab-2019/\">list of myths too numerous\u003c/a> to go into here. Incredibly, Sacramento-based TV News Channel 10 \u003ca href=\"http://www.news10.net/video/1824491466001/1/Rob-Schneider-discusses-his-stance-on-AB-2109-with-News10\">gave Schneider 11 minutes\u003c/a> to spread his misinformation. He was joined by die-hard anti-vaccination activist Dawn Winkler and Tony Amador, a candidate for the Assembly seat held by the author of AB 2109, Richard Pan. \u003c/p>\n\u003cp>Activists like Winkler and Schneider tell people that vaccines are dangerous and parents should have the right to decide what’s best for their children. What’s really dangerous, though, is giving people like Schneider — who have little grasp of the facts about vaccines, immunology, or public health — a platform to spread their misinformed beliefs. Infectious disease experts know what Schneider can't seem to grasp. Infectious pathogens are remarkably adaptable and will readily exploit any weaknesses in herd immunity to make a roaring comeback.\u003c/p>\n\u003cp>In 2008, a pertussis outbreak at an El Sobrante Waldorf school forced public health officials to close the school temporarily. According to data filed with the California Department of Public Health, 68% of children attending that school have personal belief exemptions on file this year. Only 6% of children there are fully vaccinated. \u003c/p>\n\u003cp>The San Francisco Waldorf School isn't far behind, with personal belief exemptions for 59% of children, leaving 22% of students without all their vaccinations. At the Greenwood School in Mill Valley, where 79% of students have personal belief exemptions, only 2% of children are fully vaccinated. \u003c/p>\n\u003cp>It’s bad enough that people who don’t want to vaccinate are putting they own children at risk, Baxter says. “But they’re also putting their children’s friends at risk, they’re putting little babies who are too young to be vaccinated at risk, they’re putting immune-compromised kids at risk, and they’re putting their classmates at risk.”\u003c/p>\n\u003cp>People shouldn’t lull themselves into complacency thinking that high vaccination rates in general will protect their kids. “If there’s a pertussis outbreak,” Baxter says, “it’s going to start in schools with high personal exemption rates. Same with measles, varicella, any vaccine-preventable disease. They’re going to start in places where people are refusing.”\u003c/p>\n\u003cp>Parents have the right to ask school administrators to disclose the exemption rates at their child’s school. You can also go to the California Department of Public Health’s web site to find each school’s exemption rates. \u003c/p>\n\u003cp>It would be a good thing if parents refused to send their kids to schools with high exemption rates, Baxter says, rather than choosing schools where “parental rights” are viewed as more important than public health. \u003c/p>\n\u003cp>In the end, he adds, it takes a mandate to bring vaccinations up to the levels that can protect people from these diseases. “It’s the only thing that works because people are busy, or lazy—or have weird ideas.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Or, in too many cases, they're getting medical advice from the likes of Rob Schneider instead of a doctor.\u003c/p>\n\n","blocks":[],"excerpt":"Starting in 2014, California will require parents to see a health practitioner to learn the risks and benefits of vaccination before opting out of the state's immunization requirements. Public health officials hope that when parents learn the difference between science-based evidence and the uninformed myths so prevalent online and in the mainstream media, they'll decide to protect their children from the real risks of infectious disease, rather than worry about unfounded theoretical risks. ","status":"publish","parent":0,"modified":1351578670,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":39,"wordCount":2009},"headData":{"title":"Vaccine Waivers, Informed Consent and Public Health | KQED","description":"Starting in 2014, California will require parents to see a health practitioner to learn the risks and benefits of vaccination before opting out of the state's immunization requirements. Public health officials hope that when parents learn the difference between science-based evidence and the uninformed myths so prevalent online and in the mainstream media, they'll decide to protect their children from the real risks of infectious disease, rather than worry about unfounded theoretical risks. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"46104 http://science.kqed.org/quest/?p=46104","disqusUrl":"https://ww2.kqed.org/quest/2012/10/17/vaccine-waivers-informed-consent-and-public-health/","disqusTitle":"Vaccine Waivers, Informed Consent and Public Health","path":"/quest/46104/vaccine-waivers-informed-consent-and-public-health","audioUrl":"http://www.whoopingcough.net/cough-child-muchwhooping.wav","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_46119\" class=\"wp-caption alignleft\" style=\"max-width: 450px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/10/17/vaccine-waivers-informed-consent-and-public-health/measles-micrograph-carousel/\" rel=\"attachment wp-att-46119\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/10/measles-micrograph-carousel-450x253.jpg\" alt=\"measles virus virion\" title=\"measles micrograph carousel\" width=\"450\" height=\"253\" class=\"size-medium wp-image-46119\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This electron micrograph image shows the structure of a single virus particle, or “virion,” of measles virus. Before 1963, about 3 to 4 million people got measles each year and an average of 450 people died, mostly children. After the vaccine became available, the number of measles cases dropped by 98%. (Image: CDC/ Cynthia S. Goldsmith; William Bellini, PhD) \u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown has made it just a little bit harder for parents to refuse or skip vaccinations for their children. \u003c/p>\n\u003cp>By signing AB 2109 into law last month, Brown strengthened one of the nation's most permissive school immunization requirements. Under existing law, California parents could choose which vaccinations to reject simply by signing a form saying \u003ca href=\"http://www.cdph.ca.gov/pubsforms/forms/ctrldforms/pm286b.pdf\">“all or some immunizations are contrary to my beliefs.”\u003c/a>\u003c/p>\n\u003cp>Now, at least, their beliefs will need to be informed by actual science.\u003c/p>\n\u003cp>State laws require children entering private or public school to get immunized to reduce the risk of spreading infectious diseases to their classmates. All states allow medical exemptions for children with allergies, immunodeficiency or other conditions, and most allow exemptions on religious grounds.\u003c/p>\n\u003cp>California is one of 20 states that allow parents to opt out of laws requiring children to get vaccinated before they enter school simply because they choose not to. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Costs of easy exemptions\u003c/strong>\u003cbr>\nIn California, personal belief exemption rates rose slowly between 1996 and 2007, from half a percent to 1.5 percent. But between 2008 and 2010, according to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22698009\">study published in the American Journal of Public Health\u003c/a> in August, the number of children with one or more personal belief exemptions increased by 25%. \u003c/p>\n\u003cp>That means more than 11,500 kids showed up in classrooms, playgrounds, and after-school activities without their vaccinations in 2010. Even more troubling, the number of kindergartners who attended schools with more than 20 exempted classmates more than doubled. Exempt children are clustering within the same schools, putting themselves—and their peers—at greater risk of an epidemic. \u003c/p>\n\u003cp>The San Francisco Bay Area has among the highest clustering of exemptions in the state, while Santa Cruz County ranks in the top 10 counties for all three measures analyzed: prevalence (proportion of students with exemptions), exposure (the likelihood a child would interact with an exempt classmate) and vulnerability (a measure of the risk of disease outbreak resulting from compromised herd immunity).\u003c/p>\n\u003cfigure id=\"attachment_46122\" class=\"wp-caption alignleft\" style=\"max-width: 329px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/10/17/vaccine-waivers-informed-consent-and-public-health/nigeria-cropped/\" rel=\"attachment wp-att-46122\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/10/nigeria-cropped-329x360.jpg\" alt=\"\" title=\"nigeria measles victim\" width=\"329\" height=\"360\" class=\"size-large wp-image-46122\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\"> This late 1960s photograph shows a Nigerian mother and her child, who was recovering from measles. The child’s skin is peeling as his measles infection heals. Measles victims in poor countries where other diseases are prevalent often require intensive nursing to avoid complications, including subsequent infections. (Image: CDC) \u003c/figcaption>\u003c/figure>\n\u003cp>The resurgence of vaccine-preventable diseases, from pertussis to measles, implicates exemptions in the outbreaks. But without data on the incidence of these vaccine-preventable diseases, says public health researcher Alison Buttenheim, “we can’t say for certain that more personal belief exemptions cause higher disease risk.”\u003c/p>\n\u003cp>Yet Buttenheim, an assistant professor at the University of Pennsylvania School of Nursing who led the study, says there’s one thing she knows for sure. “Parents who choose not to vaccinate are free-riders, relying on herd immunity maintained by those who do vaccinate to protect their children.”\u003c/p>\n\u003cp>Though Buttenheim didn’t have the data to study the link, \u003ca href=\"http://www.kdheks.gov/testimony/download/HB2094_Testimony_DCHunt_2012.pdf\">other studies\u003c/a> have found that exemptions tend to cluster geographically, increasing the risk of local disease outbreaks. \u003c/p>\n\u003cp>And in a recent study in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMc1209037\">New England Journal of Medicine\u003c/a>, states with looser exemption policies also had more cases of pertussis (or \"whooping cough\"), a bacterial infection that \u003ca href=\"http://www.cdc.gov/pertussis/outbreaks.html\">killed 10 infants in California\u003c/a> in 2010. (\u003ca href=\"http://www.whoopingcough.net/cough-child-muchwhooping.wav\">Anyone who thinks babies don't suffer from pertussis never heard this cough.\u003c/a>)\u003c/p>\n\u003cp>“Vaccine-preventable diseases are going to start in places where people are refusing,” says Roger Baxter, a physician, infectious disease expert and co-director of the Kaiser Permanente Vaccine Study Center in Oakland. “We have lots of evidence of that around the world. We’ve seen it. We know it will happen.” \u003c/p>\n\u003cp>That’s why some states are requiring parents to think through the risks of leaving their children—and their neighbors’ children—vulnerable to deadly pathogens by refusing some or all pediatric vaccinations.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/Exemptions.aspx\">Washington\u003c/a> (and just last month \u003ca href=\"http://www.leg.state.vt.us/docs/2012/Acts/ACT157.pdf\">Vermont\u003c/a>) passed laws requiring parents to have a health care professional certify that they received information regarding the risks of immunization, as well as the risks of exposing their family and community to potentially deadly diseases by forgoing immunization. \u003c/p>\n\u003cp>Under California's new law, starting January 2014, parents seeking personal belief exemptions must do the same. \u003c/p>\n\u003cp>The bill, sponsored by state Assemblyman Richard Pan (D-Sacramento), a pediatrician and director of the UC Davis Pediatric Residency Program, is little more than an \u003ca href=\"http://www.ama-assn.org/ama/pub/physician-resources/legal-topics/patient-physician-relationship-topics/informed-consent.page\">informed consent law\u003c/a>. Anytime you undergo a medical procedure, your doctor is required by law to counsel you on its risks and benefits. The bill requires the same counseling for parents who want to avoid vaccination.\u003c/p>\n\u003cp>In signing the bill, Brown noted that those “whose religious beliefs preclude vaccinations” don’t need a health care practitioner’s signature. Until the new law takes effect, the state’s philosophical and personal belief exemptions cover religious objections, and parents’ signatures are sufficient in either case. \u003c/p>\n\u003cp>\u003cstrong>The myth of 100% safety\u003c/strong>\u003cbr>\nBut for Baxter, vaccine refusal has veered into religion, with people obsessed with “uber-protection” and vaccine safety. “There’s nothing in this world that’s 100 percent safe,” he says. \u003c/p>\n\u003cp>“With vaccines, we expect some reactions like fevers or sore arms. But for serious adverse events, where we might expect 1 in 1,000 for most medications, if we see 1 in 100,000 for vaccines, we think it’s too much. Yet many people are worried about things that happen as rarely as 1 in a million. The benefits of vaccines far outweigh that.”\u003c/p>\n\u003cp>There’s a 1 to 2 in a million risk that the measles-controlling MMR vaccine will cause a serious adverse reaction like encephalitis or pneumonia. By contrast, \u003ca href=\"http://www.cdc.gov/measles/about/overview.html\">1 to 2 of every 1,000 measles cases\u003c/a> ends in death. \u003c/p>\n\u003cp>Just as no vaccine is 100% safe, no vaccine is 100% effective. That’s why the concept of \u003ca href=\"http://www.historyofvaccines.org/content/herd-immunity-0\">“herd immunity”\u003c/a> is so important. When vaccination rates in a community reach a certain threshold (85% to 95% depending on the contagiousness of the disease), then those who can’t get vaccinated—because they’re too young, on immune-suppressing treatments like chemotherapy, or their immune system didn’t respond to the vaccine—are still protected. \u003c/p>\n\u003cp>But herd immunity relies on high-compliance with recommended pediatric vaccination schedules. \u003c/p>\n\u003cp>An the trouble is, you’re not likely to know if your child’s vaccination didn’t offer full protection until he comes home sick after going to school, soccer practice, or a play date with unvaccinated peers.\u003c/p>\n\u003cp>\u003cstrong>Opportunistic pathogens\u003c/strong>\u003cbr>\nIn February 2010, the SF Department of Public Health \u003ca href=\"http://www.sfbaypeds.com/storage/post-files/SFDPH_Measles%20Health%20Alert.2010.2.22.final.pdf\">issued a health alert\u003c/a> about a measles outbreak. How it started is unclear. But two years earlier, 11 cases of measles in San Diego were traced to a seven-year-old unvaccinated boy who had traveled to Switzerland with his parents and came home with the measles. Within 19 days, he had infected his two siblings, five classmates, and four children—including three infants who were too young to be vaccinated—at his pediatrician’s office. One of the infants had to be hospitalized for severe dehydration, which can be fatal for babies. \u003c/p>\n\u003cp>The child who started the epidemic went to a school where 36 of 376 children—nearly 1 in 10—had personal belief exemptions.\u003c/p>\n\u003cp>That’s why some doctors have decided not to see families who shun vaccination. Some regularly treat very sick children and don’t want to risk exposing them to infections that could cause complications and even death. But most doctors that Baxter works with see the informed consent law as an opportunity to explain the risks to parents who didn’t really understand them. \u003c/p>\n\u003cfigure id=\"attachment_46142\" class=\"wp-caption alignleft\" style=\"max-width: 614px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/10/17/vaccine-waivers-informed-consent-and-public-health/rubella-poster-smaller2/\" rel=\"attachment wp-att-46142\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/10/rubella-poster-smaller2-614x360.jpg\" alt=\"rubella vaccine poster\" title=\"rubella poster\" width=\"614\" height=\"360\" class=\"size-large wp-image-46142\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Typically a mild childhood illness, rubella (also known as “German measles”) can pose a serious threat to the developing fetus if the mother is infected during pregnancy. More than 20,000 babies were born with congenital rubella syndrome (CRS) during an outbreak in 1964-65, before the US vaccine was licensed in 1969. CRS can cause diverse symptoms ranging from deafness to seizures, encephalitis, and developmental delays. (Image: CDC)\u003c/figcaption>\u003c/figure>\n\u003cp>Before Brown signed the bill, anti-vaccination activists led by ex-SNL cast member Rob Schneider fought against the bill on the grounds of parental rights, child safety, and a \u003ca href=\"http://scienceblogs.com/insolence/2012/06/29/makin-copies-of-antivaccine-nonsense-against-california-bill-ab-2019/\">list of myths too numerous\u003c/a> to go into here. Incredibly, Sacramento-based TV News Channel 10 \u003ca href=\"http://www.news10.net/video/1824491466001/1/Rob-Schneider-discusses-his-stance-on-AB-2109-with-News10\">gave Schneider 11 minutes\u003c/a> to spread his misinformation. He was joined by die-hard anti-vaccination activist Dawn Winkler and Tony Amador, a candidate for the Assembly seat held by the author of AB 2109, Richard Pan. \u003c/p>\n\u003cp>Activists like Winkler and Schneider tell people that vaccines are dangerous and parents should have the right to decide what’s best for their children. What’s really dangerous, though, is giving people like Schneider — who have little grasp of the facts about vaccines, immunology, or public health — a platform to spread their misinformed beliefs. Infectious disease experts know what Schneider can't seem to grasp. Infectious pathogens are remarkably adaptable and will readily exploit any weaknesses in herd immunity to make a roaring comeback.\u003c/p>\n\u003cp>In 2008, a pertussis outbreak at an El Sobrante Waldorf school forced public health officials to close the school temporarily. According to data filed with the California Department of Public Health, 68% of children attending that school have personal belief exemptions on file this year. Only 6% of children there are fully vaccinated. \u003c/p>\n\u003cp>The San Francisco Waldorf School isn't far behind, with personal belief exemptions for 59% of children, leaving 22% of students without all their vaccinations. At the Greenwood School in Mill Valley, where 79% of students have personal belief exemptions, only 2% of children are fully vaccinated. \u003c/p>\n\u003cp>It’s bad enough that people who don’t want to vaccinate are putting they own children at risk, Baxter says. “But they’re also putting their children’s friends at risk, they’re putting little babies who are too young to be vaccinated at risk, they’re putting immune-compromised kids at risk, and they’re putting their classmates at risk.”\u003c/p>\n\u003cp>People shouldn’t lull themselves into complacency thinking that high vaccination rates in general will protect their kids. “If there’s a pertussis outbreak,” Baxter says, “it’s going to start in schools with high personal exemption rates. Same with measles, varicella, any vaccine-preventable disease. They’re going to start in places where people are refusing.”\u003c/p>\n\u003cp>Parents have the right to ask school administrators to disclose the exemption rates at their child’s school. You can also go to the California Department of Public Health’s web site to find each school’s exemption rates. \u003c/p>\n\u003cp>It would be a good thing if parents refused to send their kids to schools with high exemption rates, Baxter says, rather than choosing schools where “parental rights” are viewed as more important than public health. \u003c/p>\n\u003cp>In the end, he adds, it takes a mandate to bring vaccinations up to the levels that can protect people from these diseases. “It’s the only thing that works because people are busy, or lazy—or have weird ideas.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Or, in too many cases, they're getting medical advice from the likes of Rob Schneider instead of a doctor.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/46104/vaccine-waivers-informed-consent-and-public-health","authors":["6322"],"categories":["quest_4","quest_12"],"tags":["quest_11538","quest_13201","quest_11537","quest_2163","quest_13202","quest_3054","quest_3056"],"featImg":"quest_46119","label":"quest"},"quest_42879":{"type":"posts","id":"quest_42879","meta":{"index":"posts_1591205157","site":"quest","id":"42879","score":null,"sort":[1345652832000]},"guestAuthors":[],"slug":"in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott","title":"In Defense of Science: An Interview with NCSE’s Eugenie Scott","publishDate":1345652832,"format":"standard","headTitle":"QUEST | KQED Science","labelTerm":{"site":"quest"},"content":"\u003cfigure id=\"attachment_42894\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/22/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott/p1020007-2/\" rel=\"attachment wp-att-42894\">\u003cimg class=\"size-thumbnail wp-image-42894\" title=\"Eugenie Scott\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/genie2-300x169.jpg\" alt=\"Eugenie Scott\" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Eugenie Scott, president of the Bay Area Skeptics and executive director of the National Center for Science Education. A physical anthropologist by training, Scott has spent the past three decades defending sound science and the teaching of evolution in schools. (Photo: Liza Gross)\u003c/figcaption>\u003c/figure>\n\u003cp>A few weeks ago \u003ca href=\"http://ww2.kqed.org/quest/2012/08/08/doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science/\">I wrote about what happens\u003c/a> when people respond to well-established science with disbelief or mistrust. As I noted, this is an occupational risk for researchers who work on vaccines (and journalists who write about them), which is why I told a cautionary tale about rejecting science in the face of super-bugs. The piece resonated with readers, but not in the way I’d hoped. Of nearly 220 comments, the vast majority opposed vaccination, for various reasons, rejecting the science.\u003c/p>\n\u003cp>As I considered how to respond, I wondered how science educators might deal with the chasm between scientific facts and public opinion. Then it struck me: who better to consider rebukes of mainstream science than the Bay Area’s own \u003ca href=\"http://ncse.com/evolution/eugenie-scott-wins-stephen-jay-gould-prize\">Eugenie Scott\u003c/a>?\u003c/p>\n\u003cp>One of America’s most revered science guardians, Scott has long taught rational thought and “science as a way of knowing” as president of the \u003ca href=\"http://www.baskeptics.org/about\">Bay Area Skeptics \u003c/a>and as executive director of the Oakland-based \u003ca href=\"http://ncse.com/about\">National Center for Science Education\u003c/a>.\u003c/p>\n\u003cp>Best-known for defending the teaching of evolution in public schools, Scott led NCSE into the climate wars in January, when the center launched its \u003ca href=\"http://ncse.com/about\">climate change education initiative\u003c/a> to help educators under attack for teaching students about climate change.\u003c/p>\n\u003cp>I spoke with Scott last week about the challenges of communicating science when evidence runs headlong into ideology, belief, and denial.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> One thing I noticed in some of the comments last week was a tendency to glom onto rare events, like adverse reactions to vaccines, to reject an entire body of science. NCSE hasn’t taken on the anti-vaccination issue, but do you see something similar with those who reject evolution and climate change?\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> This kind of anomaly mongering is something that we’ve dealt with for decades with evolution. We’re starting to learn more about it with climate change. One such anomaly is the fact that 1998 was an unusually warm year. So if you measure from 1998 to 2008--the line goes down--cooling has happened, therefore global warming is not taking place. Now, this is exactly parallel to the kind of anomaly mongering you get with creationism. Where they’ll point to the live mollusk that carbon 14 dating indicated had been dead for 3,000 years, and say, therefore radioisotopic dating is not valid, therefore the Earth is young, therefore, evolution didn’t take place. It’s a logical series of arguments in one sense except the premises are all wrong because these are anomalies.\u003c/p>\n\u003cfigure id=\"attachment_42909\" class=\"wp-caption alignleft\" style=\"max-width: 267px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/22/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott/editorial_cartoon_depicting_charles_darwin_as_an_ape_1871/\" rel=\"attachment wp-att-42909\">\u003cimg class=\"size-large wp-image-42909\" title=\"Editorial_cartoon_depicting_Charles_Darwin_as_an_ape_(1871)\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/Editorial_cartoon_depicting_Charles_Darwin_as_an_ape_1871-267x360.jpg\" alt=\"Darwin as ape\" width=\"267\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This satirical cartoon depicting Charles Darwin as an ape, published in 1871, following the publication of Darwin's \"The Descent of Man,\" typified reactions of those who rejected Darwin's contention that humans and apes shared common ancestry.\u003c/figcaption>\u003c/figure>\n\u003cp>In the case of the 1998 year, that’s cherry picking the data in a most egregious fashion, because if you pick just about any other year, you’ll find that the climate is getting warmer. And with the living mollusk, \u003ca href=\"http://www.bcin.ca/Interface/openbcin.cgi?submit=submit&Chinkey=64152\">that article was not an attack upon radioisotopic dating\u003c/a>, but a methodology article showing the difference between carbon absorption in lacustrine [lake] versus riverine environments and how you must consider the source of your sample.\u003c/p>\n\u003cp>You find the same thing with people who object to vaccines. They’ll pick some anomalous observation and say, “See, see, we told you vaccines are dangerous,” or “We told you they’re ineffective,” or something along those lines.\u003c/p>\n\u003cp>To understand this phenomenon you really have to dig deeper into what is motivating people. First of all, I’d like to distinguish between the people who lead these movements versus the people who follow them. They’re not the ones generating the vaccine anomaly, so to speak, but they’ve read this literature and they’re parroting what they’ve heard. And your heart goes out to them. They’re concerned about their children. They don’t want their kids to get sick. But as many admit, they don’t fully understand the science. And your decisions are obviously going to be influenced by your emotions. We’re human beings, not automatons. But you need to temper them with good information, empirical information, dare I say scientific information, in order to make the best decisions.\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> Another parallel with the evolution and climate change denial narrative, which seems to relate to motivation, is the changing rationale for doubting the science. The reasons change but the doubt doesn’t, as if doubt itself is a motivation. How do you counter doubt with science?\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> Well, I think one of the things to remember is that, like Gaul [\u003ca href=\"http://classics.mit.edu/Caesar/gallic.1.1.html\">Julius Caesar’s Gallic conquest\u003c/a>], the public is divided into three parts. You have the people who are perfectly okay with vaccines. You have the people who are really, really concerned about vaccines, and you have the vast majority of Americans who are in the middle. They haven’t thought about it very much. They are reachable with information.\u003c/p>\n\u003cp>I think we are unwise as scientists or as people who want to help the public understand science to ignore motivation. But we have to remember that different audiences are open to a different kinds of information. And I just can’t imagine that knowledge and information and the empirical evidence and the results of good studies are immaterial, especially for that middle group. They may be less likely to persuade the people in the category of, “I’ve got my fingers stuck in my ears and I don’t want to listen,” who have a really strong emotional, ideological investment in a position.\u003c/p>\n\u003cp>NCSE has always aimed at that big middle. In the case of evolution, the people who are not conservative Christians, who don’t have a religious or ideological reason to object to evolution but who just don’t know very much about it and who are reachable. I think with vaccines that should be the target for those of us who want to improve the understanding of vaccines and help communicate the importance of why you need to vaccinate your child.\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> How do you reach the people in the middle when organized groups routinely perpetuate the myths? For a nonscientist it’s very difficult to figure out what to think, especially when the so-called “debates” on these issues become so emotionally charged. How do you cut through the emotions to help people think rationally?\u003c/p>\n\u003cfigure id=\"attachment_42942\" class=\"wp-caption alignleft\" style=\"max-width: 340px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/22/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott/misconceptions_flawedtheory/\" rel=\"attachment wp-att-42942\">\u003cimg class=\"size-large wp-image-42942\" title=\"misconceptions_flawedtheory\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/misconceptions_flawedtheory-340x360.gif\" alt=\"UCMP evolution creationism cartoon\" width=\"340\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Credit: University of California Museum of Paleontology - Understanding Evolution - www.berkeley.edu)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Scott:\u003c/strong> Our experience with the evolution and climate change issues has been to recognize that there is a huge amount of dichotomous thinking going on. In the case of evolution you’re either a good guy Christian creationist or you’re a bad guy evolutionist atheist. Those are the packages that many students come into classrooms with. So breaking apart these dichotomies is very important because they’re false dichotomies.\u003c/p>\n\u003cp>With Christians, there’s really a huge range of views about evolution from the most extreme creationists to theistic evolution, which is a position that God created [humans] through evolution. This is actually mainstream Christianity. The most extreme creationism goes from flat-Earthism through geocentrism to young-Earth creationism to old-Earth creationism to theistic evolution.\u003c/p>\n\u003cp>There’s also dichotomous thinking going on in terms of climate change that doesn’t have anything to do with the science but with ideologies that prevent people from listening to the science. You’re either a good Republican, anti-global-warming person or you’re a pro-big-government, political liberal, global warming accepter.\u003c/p>\n\u003cp>Finding the people who think ideologically but still accept the science is what we would like to do. Our job at NCSE, at least in global warming and evolution, has been to point out that these dichotomies are false. And to find the people in intermediate positions who hold those ideological positions, find the conservative Christians who accept evolution, find the Republicans who accept global warming, find the libertarians who accept global warming and say, “See, you don’t need to let ideology get in the way to accept the science.”\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> There seems to be a similar dichotomy with vaccination.\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> Well, it’s different. It’s people protecting their kids. That’s the ideology. Go back to motivation. Why is it that people are rejecting vaccination for their kids? It’s obviously an emotional thing, I’m not criticizing that. People love their kids but they’re just hyper, hyper worried. I think that’s probably the motivator. So, when they hear something that is on the other side of standard science, they don’t know whether it’s credible or not but the more things they read they talk themselves into believing it. And, yes, there’s this kind of dichotomous reasoning: \"You’re either a good guy who really loves your kid or you’re a dogmatic scientist trying to cram this stuff down our throats.\"\u003c/p>\n\u003cp>The intermediate position that we try to invoke in the other two controversies we deal with is in this case people whose children have autism or perhaps other conditions people ascribe to vaccines but who still support vaccination. They have a credibility with other parents that scientists don’t. A scientist who is a parent can obviously wear two hats, but parents who can speak the language, so to speak, parents who are coping with an autistic child or a child who has suffered one of the diseases that are attributed to vaccinations can have more credibility.\u003c/p>\n\u003cp>Again, I think we shouldn’t abandon the people who are in that one segment of society who are bound and determined not to accept vaccinations but we should really focus our attention more on keeping people from slipping down into that category. Certainly, that’s what we’ve done with evolution and that’s what we are likely to be doing with climate change as well.\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> Do you think the fact that scientists argue over some aspects of science, like when to get mammograms, feeds into people’s doubts, so they think scientists don’t really know any more than they do?\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> I think so much of what people misunderstand about science is this balance between science being very reliable in explaining the natural world yet it’s expandable. It’s the idea of core ideas of science, of frontier ideas, and then fringe ideas. We can expand our understanding of nature by testing new ideas against nature and throwing out the ones that don’t work, tentatively keeping the ones that do work because we need more and more tests before that tentative explanation goes into the core. But once we get that consensus, once scientists have arm wrestled over this new explanation and we’ve tested it up one side and down another and it goes into that core, then we stop arguing about it. This is where we are with evolution and climate change and the basic theory of vaccination—the basic understanding of antigens and antibodies and how you can prevent antigens from causing disease by zapping them with antibodies, which you acquire by getting a vaccination or getting the disease. Which do you want? Believe me, a vaccination is much more benign.\u003c/p>\n\u003cp>That basic understanding about what makes vaccinations work is a core idea of science. We’re just not debating whether that works or not any more than we’re debating whether living things have common ancestors or the planet’s getting warmer.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[youtube=http://www.youtube.com/watch?v=4GXPQzY58bs]\u003c/p>\n\n","blocks":[],"excerpt":"Eugenie Scott, longtime director of Oakland's National Center for Science Education, has won numerous awards for helping the public understand science and defending evolution, especially against threats to replace it with “creation science” in public schools. She shares her thoughts on the challenges of communicating science in a climate of denial.","status":"publish","parent":0,"modified":1366826182,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":2056},"headData":{"title":"In Defense of Science: An Interview with NCSE’s Eugenie Scott | KQED","description":"Eugenie Scott, longtime director of Oakland's National Center for Science Education, has won numerous awards for helping the public understand science and defending evolution, especially against threats to replace it with “creation science” in public schools. She shares her thoughts on the challenges of communicating science in a climate of denial.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"42879 http://science.kqed.org/quest/?p=42879","disqusUrl":"https://ww2.kqed.org/quest/2012/08/22/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott/","disqusTitle":"In Defense of Science: An Interview with NCSE’s Eugenie Scott","path":"/quest/42879/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_42894\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/22/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott/p1020007-2/\" rel=\"attachment wp-att-42894\">\u003cimg class=\"size-thumbnail wp-image-42894\" title=\"Eugenie Scott\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/genie2-300x169.jpg\" alt=\"Eugenie Scott\" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Eugenie Scott, president of the Bay Area Skeptics and executive director of the National Center for Science Education. A physical anthropologist by training, Scott has spent the past three decades defending sound science and the teaching of evolution in schools. (Photo: Liza Gross)\u003c/figcaption>\u003c/figure>\n\u003cp>A few weeks ago \u003ca href=\"http://ww2.kqed.org/quest/2012/08/08/doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science/\">I wrote about what happens\u003c/a> when people respond to well-established science with disbelief or mistrust. As I noted, this is an occupational risk for researchers who work on vaccines (and journalists who write about them), which is why I told a cautionary tale about rejecting science in the face of super-bugs. The piece resonated with readers, but not in the way I’d hoped. Of nearly 220 comments, the vast majority opposed vaccination, for various reasons, rejecting the science.\u003c/p>\n\u003cp>As I considered how to respond, I wondered how science educators might deal with the chasm between scientific facts and public opinion. Then it struck me: who better to consider rebukes of mainstream science than the Bay Area’s own \u003ca href=\"http://ncse.com/evolution/eugenie-scott-wins-stephen-jay-gould-prize\">Eugenie Scott\u003c/a>?\u003c/p>\n\u003cp>One of America’s most revered science guardians, Scott has long taught rational thought and “science as a way of knowing” as president of the \u003ca href=\"http://www.baskeptics.org/about\">Bay Area Skeptics \u003c/a>and as executive director of the Oakland-based \u003ca href=\"http://ncse.com/about\">National Center for Science Education\u003c/a>.\u003c/p>\n\u003cp>Best-known for defending the teaching of evolution in public schools, Scott led NCSE into the climate wars in January, when the center launched its \u003ca href=\"http://ncse.com/about\">climate change education initiative\u003c/a> to help educators under attack for teaching students about climate change.\u003c/p>\n\u003cp>I spoke with Scott last week about the challenges of communicating science when evidence runs headlong into ideology, belief, and denial.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> One thing I noticed in some of the comments last week was a tendency to glom onto rare events, like adverse reactions to vaccines, to reject an entire body of science. NCSE hasn’t taken on the anti-vaccination issue, but do you see something similar with those who reject evolution and climate change?\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> This kind of anomaly mongering is something that we’ve dealt with for decades with evolution. We’re starting to learn more about it with climate change. One such anomaly is the fact that 1998 was an unusually warm year. So if you measure from 1998 to 2008--the line goes down--cooling has happened, therefore global warming is not taking place. Now, this is exactly parallel to the kind of anomaly mongering you get with creationism. Where they’ll point to the live mollusk that carbon 14 dating indicated had been dead for 3,000 years, and say, therefore radioisotopic dating is not valid, therefore the Earth is young, therefore, evolution didn’t take place. It’s a logical series of arguments in one sense except the premises are all wrong because these are anomalies.\u003c/p>\n\u003cfigure id=\"attachment_42909\" class=\"wp-caption alignleft\" style=\"max-width: 267px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/22/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott/editorial_cartoon_depicting_charles_darwin_as_an_ape_1871/\" rel=\"attachment wp-att-42909\">\u003cimg class=\"size-large wp-image-42909\" title=\"Editorial_cartoon_depicting_Charles_Darwin_as_an_ape_(1871)\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/Editorial_cartoon_depicting_Charles_Darwin_as_an_ape_1871-267x360.jpg\" alt=\"Darwin as ape\" width=\"267\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This satirical cartoon depicting Charles Darwin as an ape, published in 1871, following the publication of Darwin's \"The Descent of Man,\" typified reactions of those who rejected Darwin's contention that humans and apes shared common ancestry.\u003c/figcaption>\u003c/figure>\n\u003cp>In the case of the 1998 year, that’s cherry picking the data in a most egregious fashion, because if you pick just about any other year, you’ll find that the climate is getting warmer. And with the living mollusk, \u003ca href=\"http://www.bcin.ca/Interface/openbcin.cgi?submit=submit&Chinkey=64152\">that article was not an attack upon radioisotopic dating\u003c/a>, but a methodology article showing the difference between carbon absorption in lacustrine [lake] versus riverine environments and how you must consider the source of your sample.\u003c/p>\n\u003cp>You find the same thing with people who object to vaccines. They’ll pick some anomalous observation and say, “See, see, we told you vaccines are dangerous,” or “We told you they’re ineffective,” or something along those lines.\u003c/p>\n\u003cp>To understand this phenomenon you really have to dig deeper into what is motivating people. First of all, I’d like to distinguish between the people who lead these movements versus the people who follow them. They’re not the ones generating the vaccine anomaly, so to speak, but they’ve read this literature and they’re parroting what they’ve heard. And your heart goes out to them. They’re concerned about their children. They don’t want their kids to get sick. But as many admit, they don’t fully understand the science. And your decisions are obviously going to be influenced by your emotions. We’re human beings, not automatons. But you need to temper them with good information, empirical information, dare I say scientific information, in order to make the best decisions.\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> Another parallel with the evolution and climate change denial narrative, which seems to relate to motivation, is the changing rationale for doubting the science. The reasons change but the doubt doesn’t, as if doubt itself is a motivation. How do you counter doubt with science?\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> Well, I think one of the things to remember is that, like Gaul [\u003ca href=\"http://classics.mit.edu/Caesar/gallic.1.1.html\">Julius Caesar’s Gallic conquest\u003c/a>], the public is divided into three parts. You have the people who are perfectly okay with vaccines. You have the people who are really, really concerned about vaccines, and you have the vast majority of Americans who are in the middle. They haven’t thought about it very much. They are reachable with information.\u003c/p>\n\u003cp>I think we are unwise as scientists or as people who want to help the public understand science to ignore motivation. But we have to remember that different audiences are open to a different kinds of information. And I just can’t imagine that knowledge and information and the empirical evidence and the results of good studies are immaterial, especially for that middle group. They may be less likely to persuade the people in the category of, “I’ve got my fingers stuck in my ears and I don’t want to listen,” who have a really strong emotional, ideological investment in a position.\u003c/p>\n\u003cp>NCSE has always aimed at that big middle. In the case of evolution, the people who are not conservative Christians, who don’t have a religious or ideological reason to object to evolution but who just don’t know very much about it and who are reachable. I think with vaccines that should be the target for those of us who want to improve the understanding of vaccines and help communicate the importance of why you need to vaccinate your child.\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> How do you reach the people in the middle when organized groups routinely perpetuate the myths? For a nonscientist it’s very difficult to figure out what to think, especially when the so-called “debates” on these issues become so emotionally charged. How do you cut through the emotions to help people think rationally?\u003c/p>\n\u003cfigure id=\"attachment_42942\" class=\"wp-caption alignleft\" style=\"max-width: 340px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/22/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott/misconceptions_flawedtheory/\" rel=\"attachment wp-att-42942\">\u003cimg class=\"size-large wp-image-42942\" title=\"misconceptions_flawedtheory\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/misconceptions_flawedtheory-340x360.gif\" alt=\"UCMP evolution creationism cartoon\" width=\"340\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Credit: University of California Museum of Paleontology - Understanding Evolution - www.berkeley.edu)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Scott:\u003c/strong> Our experience with the evolution and climate change issues has been to recognize that there is a huge amount of dichotomous thinking going on. In the case of evolution you’re either a good guy Christian creationist or you’re a bad guy evolutionist atheist. Those are the packages that many students come into classrooms with. So breaking apart these dichotomies is very important because they’re false dichotomies.\u003c/p>\n\u003cp>With Christians, there’s really a huge range of views about evolution from the most extreme creationists to theistic evolution, which is a position that God created [humans] through evolution. This is actually mainstream Christianity. The most extreme creationism goes from flat-Earthism through geocentrism to young-Earth creationism to old-Earth creationism to theistic evolution.\u003c/p>\n\u003cp>There’s also dichotomous thinking going on in terms of climate change that doesn’t have anything to do with the science but with ideologies that prevent people from listening to the science. You’re either a good Republican, anti-global-warming person or you’re a pro-big-government, political liberal, global warming accepter.\u003c/p>\n\u003cp>Finding the people who think ideologically but still accept the science is what we would like to do. Our job at NCSE, at least in global warming and evolution, has been to point out that these dichotomies are false. And to find the people in intermediate positions who hold those ideological positions, find the conservative Christians who accept evolution, find the Republicans who accept global warming, find the libertarians who accept global warming and say, “See, you don’t need to let ideology get in the way to accept the science.”\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> There seems to be a similar dichotomy with vaccination.\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> Well, it’s different. It’s people protecting their kids. That’s the ideology. Go back to motivation. Why is it that people are rejecting vaccination for their kids? It’s obviously an emotional thing, I’m not criticizing that. People love their kids but they’re just hyper, hyper worried. I think that’s probably the motivator. So, when they hear something that is on the other side of standard science, they don’t know whether it’s credible or not but the more things they read they talk themselves into believing it. And, yes, there’s this kind of dichotomous reasoning: \"You’re either a good guy who really loves your kid or you’re a dogmatic scientist trying to cram this stuff down our throats.\"\u003c/p>\n\u003cp>The intermediate position that we try to invoke in the other two controversies we deal with is in this case people whose children have autism or perhaps other conditions people ascribe to vaccines but who still support vaccination. They have a credibility with other parents that scientists don’t. A scientist who is a parent can obviously wear two hats, but parents who can speak the language, so to speak, parents who are coping with an autistic child or a child who has suffered one of the diseases that are attributed to vaccinations can have more credibility.\u003c/p>\n\u003cp>Again, I think we shouldn’t abandon the people who are in that one segment of society who are bound and determined not to accept vaccinations but we should really focus our attention more on keeping people from slipping down into that category. Certainly, that’s what we’ve done with evolution and that’s what we are likely to be doing with climate change as well.\u003c/p>\n\u003cp>\u003cstrong>Gross:\u003c/strong> Do you think the fact that scientists argue over some aspects of science, like when to get mammograms, feeds into people’s doubts, so they think scientists don’t really know any more than they do?\u003c/p>\n\u003cp>\u003cstrong>Scott:\u003c/strong> I think so much of what people misunderstand about science is this balance between science being very reliable in explaining the natural world yet it’s expandable. It’s the idea of core ideas of science, of frontier ideas, and then fringe ideas. We can expand our understanding of nature by testing new ideas against nature and throwing out the ones that don’t work, tentatively keeping the ones that do work because we need more and more tests before that tentative explanation goes into the core. But once we get that consensus, once scientists have arm wrestled over this new explanation and we’ve tested it up one side and down another and it goes into that core, then we stop arguing about it. This is where we are with evolution and climate change and the basic theory of vaccination—the basic understanding of antigens and antibodies and how you can prevent antigens from causing disease by zapping them with antibodies, which you acquire by getting a vaccination or getting the disease. Which do you want? Believe me, a vaccination is much more benign.\u003c/p>\n\u003cp>That basic understanding about what makes vaccinations work is a core idea of science. We’re just not debating whether that works or not any more than we’re debating whether living things have common ancestors or the planet’s getting warmer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/4GXPQzY58bs'\n title='//www.youtube.com/embed/4GXPQzY58bs'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/42879/in-defense-of-science-an-interview-with-ncse%e2%80%99s-eugenie-scott","authors":["6322"],"categories":["quest_4","quest_6","quest_12"],"tags":["quest_621","quest_622","quest_723","quest_11381","quest_1032","quest_11382","quest_13202","quest_2532","quest_13365","quest_3054"],"featImg":"quest_42894","label":"quest"},"quest_42176":{"type":"posts","id":"quest_42176","meta":{"index":"posts_1591205157","site":"quest","id":"42176","score":null,"sort":[1344438037000]},"guestAuthors":[],"slug":"doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science","title":"Doubt and Denialism: Vaccine Myths Persist in the Face of Science","publishDate":1344438037,"format":"standard","headTitle":"QUEST | KQED Science","labelTerm":{"site":"quest"},"content":"\u003cp>As a science journalist, I’m often confronted with the unsettling fact that a sizable portion of my audience rejects what scientists know is true.\u003c/p>\n\u003cp>Take two classic cases, climate change and evolution. Even though \u003ca href=\"http://environment.yale.edu/climate/files/Climate-Beliefs-March-2012.pdf\">two-thirds of Americans believe global warming is happening\u003c/a> (up 3% from last year), less than half think we’re to blame. Just 15% of Americans believe humans evolved over millions of years from archaic species, \u003ca href=\"http://www.gallup.com/poll/155003/Hold-Creationist-View-Human-Origins.aspx\">while 46% think God created us pretty much as-is\u003c/a> sometime within the past 10,000 years. That’s right, 46%—a figure that’s barely budged since Gallup started asking the question 30 years ago.\u003c/p>\n\u003cp>But it’s yet another evidence-impervious belief that I find most troubling. Last year, a Harris Interactive/HealthDay poll found that \u003ca href=\"http://www.harrisinteractive.com/newsroom/pressreleases/tabid/446/mid/1506/articleid/674/ctl/readcustom%20default/default.aspx\">18% of Americans think vaccines cause autism\u003c/a>—a theory that has no basis in scientific reality, doesn’t even have a plausible biological basis, and has been knocked down more times than a metal duck in a shooting gallery. (Nearly a third aren’t sure if there’s any connection, while just over half think none exists.)\u003c/p>\n\u003cp>The blithe rejection of scientific knowledge in favor of, well, fantasy has become so common that it now has a name: “denialism.”\u003c/p>\n\u003cp>Denialism can take many forms, but most scholars agree that simply raising doubt about an issue can undercut the legitimacy of an entire corpus of scientific evidence in the public’s mind. And \u003ca href=\"http://www.lastwordonnothing.com/2012/04/25/the-impasse-when-the-truth-wins-assumption-fails/\">tactics for raising doubt\u003c/a> abound. Those identified by infectious disease experts in a \u003ca href=\"http://eurpub.oxfordjournals.org/content/19/1/2.full\">2009 commentary\u003c/a> include charges of conspiracy—for example, accusing vaccine advocates of profiting from the “vaccine-industrial complex”—and creating impossible expectations of what science can do—“absolute proof” that vaccines are safe, most recently raised by one-time “Saturday Night Live” cut-up Rob Schneider in a \u003ca href=\"http://www.huffingtonpost.com/2012/07/01/rob-schneider-links-autism-vaccines_n_1641922.html\">bizarre interview\u003c/a>. I must point out that in \u003ca href=\"http://blogs.plos.org/thepanicvirus/2012/07/18/apparently-rob-schneider-thinks-all-caps-is-a-substitute-for-having-a-clue-a-lower-cased-fact-based-rebuttal/\">peddling his vaccine-autism insanity\u003c/a>, Schneider noted that autism was “nearly unheard of in the 1930s.” No joke. I guess he didn’t realize the syndrome wasn’t described until 1943.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Opportunistic Pathogens\u003c/strong>\u003cbr>\nIn a way, that 18% still believe vaccines cause autism shows progress—down from 25% just two years ago. But unlike the idea that humans spontaneously appeared through an act of God, believing against all evidence that vaccines cause autism (or ill-defined harm) can have dangerous consequences.\u003c/p>\n\u003cp>Last month, CDC officials reported more than 18,000 cases of whooping cough (or pertussis) across the country—a rate of infection they hadn’t seen so early in the year since 1959. So far, nine babies have died.\u003c/p>\n\u003cp>California had its own epidemic in 2010, with more than 9,100 cases and 10 infant deaths.\u003c/p>\n\u003cp>Pertussis is a vaccine-preventable disease. But prevention depends on public compliance. And people like Schneider who doubt vaccine safety tend to consider their children’s vaccinations optional. In the 2011 poll, 86% of doubters opted out of some or all of their kids’ scheduled shots. That’s why some blame vaccine skeptics for the current epidemic. With just 84% of toddlers fully vaccinated, it’s likely skeptics play some role.\u003c/p>\n\u003cp>But CDC officials aren’t sure what’s behind the epidemic, or why even vaccinated teenagers are getting sick. It’s possible that the \u003ca href=\"http://www.wired.com/wiredscience/2012/08/pertussis-vax-effectiveness/\">vaccine isn’t as effective as researchers hoped\u003c/a> or has been \u003ca href=\"http://www.pbs.org/newshour/bb/health/jan-june11/pledge_03-16.html\">targeting the wrong pathogen strains\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_42266\" class=\"wp-caption alignleft\" style=\"max-width: 296px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/08/doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science/polio_vaccine_poster/\" rel=\"attachment wp-att-42266\">\u003cimg class=\"size-large wp-image-42266\" title=\"Polio_vaccine_poster\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/Polio_vaccine_poster-296x360.jpg\" alt=\"polio vaccine poster\" width=\"296\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The CDC’s national symbol of public health, the \"Wellbee\", appears in this 1963 poster to encourage the public to get the oral polio vaccine. (Image: CDC/ Mary Hilpertshauser)\u003c/figcaption>\u003c/figure>\n\u003cp>What officials do know is that \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6128a1.htm\">unvaccinated kids are eight times as likely to get pertussis as vaccinated kids\u003c/a>. And when vaccinated kids do contract the disease, it’s much milder, doesn’t last as long, and tends to be less infectious.\u003c/p>\n\u003cp>That’s why public officials are \u003ca href=\"http://blogs.plos.org/bodypolitic/2012/07/26/a-forgotten-but-crucial-cause-for-the-pertussis-epidemic/\">urging adults, especially pregnant women, to get boosters\u003c/a> to protect children still too young to be fully vaccinated. Kids get the first of five pertussis shots (plus a later booster) at 2 months. Most pertussis deaths claim children younger than 3 months old. Nine of the 10 children who died in California during the 2010 outbreak were under 8 weeks old.\u003c/p>\n\u003cp>\u003cstrong>Separating Fears from Facts\u003c/strong>\u003cbr>\nAll this weighed heavily on my mind last week, when I \u003ca href=\"http://blogs.plos.org/biologue/2012/07/31/could-vaccines-breed-super-virulent-malaria/\">wrote about new research\u003c/a> that could conceivably feed vaccine doubts. \u003ca href=\"http://www.plosbiology.org/article/info:doi/10.1371/journal.pbio.1001368\">The study\u003c/a>, a fascinating investigation of experimental evolution in lab mice, found that vaccines can favor the evolution of more virulent malaria parasites.\u003c/p>\n\u003cp>Vicki Barclay (a postdoc in evolutionary biologist \u003ca href=\"http://www.youtube.com/watch?v=cvXc9aMF6CA\">Andrew Read\u003c/a>’s group at Penn State University) vaccinated mice with a malaria protein found in several vaccines now in clinical trials. She mimicked natural disease transmission by using needles instead of mosquitoes and letting parasites grow in one mouse before infecting the next one. (She did the same thing with unvaccinated mice.) Parasites that evolved in immunized mice caused more severe disease symptoms than those that evolved in unvaccinated mice.\u003c/p>\n\u003cp>Inevitably, some will misconstrue these results to confirm their belief that vaccines aren’t safe. Except the findings don’t say anything about vaccine safety. They show that, from a pathogen’s point of view, medical technologies act like any other selective pressure. We spend billions to develop the most powerful drugs science can muster only to discover we’re outnumbered, outgunned, and outmaneuvered. Millions of years of evolution have endowed pathogens with survival strategies we’ve yet to imagine.\u003c/p>\n\u003cp>Lest you delude yourself into thinking we humans have an edge in this evolutionary battle, consider this: Scientists have managed to wipe out just one human pathogen. Ever. After Edward Jenner discovered a smallpox vaccine in 1798, it took nearly 200 years and an all-out international effort to eradicate this disfiguring disease.\u003c/p>\n\u003cp>As Read and Barclay’s study shows, when you try to kill pathogens, they fight back. And when vaccines don’t destroy all the parasites (like the \u003ca href=\"http://www.sciencenews.org/view/generic/id/335354/title/Malaria_vaccine_yields_protection\">malaria vaccine now in clinical trials)\u003c/a> or fail to provide lifelong immunity (like the pertussis vaccine), the survivors can evolve. And they might come back even stronger.\u003c/p>\n\u003cp>I know that most people who shun government vaccine schedules \u003ca href=\"http://www.plosbiology.org/article/info%3Adoi%2F10.1371%2Fjournal.pbio.1000114\">have their children’s best interests at heart\u003c/a>. Some truly worry that vaccines may somehow cause irreversible damage to their child—and if it happened, how could they ever forgive themselves?\u003c/p>\n\u003cp>But anyone who chooses not to vaccinate their kids is missing something critical: the pathogens vaccine researchers are trying so desperately to control are formidable opponents. And though scientists still have a lot to learn about how pathogens adapt to our efforts to control them, they’re sure of this much: vaccines aren’t the enemy.\u003c/p>\n\u003cp>Vaccines rarely provide 100% protection. But they’re the state-of-the-art defense against infectious disease.\u003c/p>\n\u003cp>What’s more, if vaccine-preventable diseases like pertussis become more virulent, and there’s \u003ca href=\"http://wwwnc.cdc.gov/eid/article/15/8/pdfs/08-1511.pdf\">some evidence that this may be true\u003c/a>, those who refuse vaccination will have little recourse when their kids—or their neighbors’ kids—take ill.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Public health officials often say that parents who reject vaccination will realize they’ve made a terrible mistake only when these once rare childhood diseases, long controlled by vaccination, return, with tragic consequences. Why on earth would anyone want to help a deadly agent hell-bent on survival get the upper hand?\u003c/p>\n\n","blocks":[],"excerpt":"Many people continue to doubt the evidence for climate change, evolution, and vaccine safety, even though the scientific consensus on these issues is rock solid. Among the most troubling evidence-resistant theories is the long-debunked yet persistent myth that vaccines cause autism—a completely unfounded belief--leading to general doubts about vaccine safety, with dangerous public health consequences.\r\n\r\n\r\n","status":"publish","parent":0,"modified":1478825957,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1278},"headData":{"title":"Doubt and Denialism: Vaccine Myths Persist in the Face of Science | KQED","description":"Many people continue to doubt the evidence for climate change, evolution, and vaccine safety, even though the scientific consensus on these issues is rock solid. Among the most troubling evidence-resistant theories is the long-debunked yet persistent myth that vaccines cause autism—a completely unfounded belief--leading to general doubts about vaccine safety, with dangerous public health consequences.\r\n\r\n\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"42176 http://science.kqed.org/quest/?p=42176","disqusUrl":"https://ww2.kqed.org/quest/2012/08/08/doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science/","disqusTitle":"Doubt and Denialism: Vaccine Myths Persist in the Face of Science","path":"/quest/42176/doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As a science journalist, I’m often confronted with the unsettling fact that a sizable portion of my audience rejects what scientists know is true.\u003c/p>\n\u003cp>Take two classic cases, climate change and evolution. Even though \u003ca href=\"http://environment.yale.edu/climate/files/Climate-Beliefs-March-2012.pdf\">two-thirds of Americans believe global warming is happening\u003c/a> (up 3% from last year), less than half think we’re to blame. Just 15% of Americans believe humans evolved over millions of years from archaic species, \u003ca href=\"http://www.gallup.com/poll/155003/Hold-Creationist-View-Human-Origins.aspx\">while 46% think God created us pretty much as-is\u003c/a> sometime within the past 10,000 years. That’s right, 46%—a figure that’s barely budged since Gallup started asking the question 30 years ago.\u003c/p>\n\u003cp>But it’s yet another evidence-impervious belief that I find most troubling. Last year, a Harris Interactive/HealthDay poll found that \u003ca href=\"http://www.harrisinteractive.com/newsroom/pressreleases/tabid/446/mid/1506/articleid/674/ctl/readcustom%20default/default.aspx\">18% of Americans think vaccines cause autism\u003c/a>—a theory that has no basis in scientific reality, doesn’t even have a plausible biological basis, and has been knocked down more times than a metal duck in a shooting gallery. (Nearly a third aren’t sure if there’s any connection, while just over half think none exists.)\u003c/p>\n\u003cp>The blithe rejection of scientific knowledge in favor of, well, fantasy has become so common that it now has a name: “denialism.”\u003c/p>\n\u003cp>Denialism can take many forms, but most scholars agree that simply raising doubt about an issue can undercut the legitimacy of an entire corpus of scientific evidence in the public’s mind. And \u003ca href=\"http://www.lastwordonnothing.com/2012/04/25/the-impasse-when-the-truth-wins-assumption-fails/\">tactics for raising doubt\u003c/a> abound. Those identified by infectious disease experts in a \u003ca href=\"http://eurpub.oxfordjournals.org/content/19/1/2.full\">2009 commentary\u003c/a> include charges of conspiracy—for example, accusing vaccine advocates of profiting from the “vaccine-industrial complex”—and creating impossible expectations of what science can do—“absolute proof” that vaccines are safe, most recently raised by one-time “Saturday Night Live” cut-up Rob Schneider in a \u003ca href=\"http://www.huffingtonpost.com/2012/07/01/rob-schneider-links-autism-vaccines_n_1641922.html\">bizarre interview\u003c/a>. I must point out that in \u003ca href=\"http://blogs.plos.org/thepanicvirus/2012/07/18/apparently-rob-schneider-thinks-all-caps-is-a-substitute-for-having-a-clue-a-lower-cased-fact-based-rebuttal/\">peddling his vaccine-autism insanity\u003c/a>, Schneider noted that autism was “nearly unheard of in the 1930s.” No joke. I guess he didn’t realize the syndrome wasn’t described until 1943.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Opportunistic Pathogens\u003c/strong>\u003cbr>\nIn a way, that 18% still believe vaccines cause autism shows progress—down from 25% just two years ago. But unlike the idea that humans spontaneously appeared through an act of God, believing against all evidence that vaccines cause autism (or ill-defined harm) can have dangerous consequences.\u003c/p>\n\u003cp>Last month, CDC officials reported more than 18,000 cases of whooping cough (or pertussis) across the country—a rate of infection they hadn’t seen so early in the year since 1959. So far, nine babies have died.\u003c/p>\n\u003cp>California had its own epidemic in 2010, with more than 9,100 cases and 10 infant deaths.\u003c/p>\n\u003cp>Pertussis is a vaccine-preventable disease. But prevention depends on public compliance. And people like Schneider who doubt vaccine safety tend to consider their children’s vaccinations optional. In the 2011 poll, 86% of doubters opted out of some or all of their kids’ scheduled shots. That’s why some blame vaccine skeptics for the current epidemic. With just 84% of toddlers fully vaccinated, it’s likely skeptics play some role.\u003c/p>\n\u003cp>But CDC officials aren’t sure what’s behind the epidemic, or why even vaccinated teenagers are getting sick. It’s possible that the \u003ca href=\"http://www.wired.com/wiredscience/2012/08/pertussis-vax-effectiveness/\">vaccine isn’t as effective as researchers hoped\u003c/a> or has been \u003ca href=\"http://www.pbs.org/newshour/bb/health/jan-june11/pledge_03-16.html\">targeting the wrong pathogen strains\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_42266\" class=\"wp-caption alignleft\" style=\"max-width: 296px\">\u003ca href=\"http://ww2.kqed.org/quest/2012/08/08/doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science/polio_vaccine_poster/\" rel=\"attachment wp-att-42266\">\u003cimg class=\"size-large wp-image-42266\" title=\"Polio_vaccine_poster\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2012/08/Polio_vaccine_poster-296x360.jpg\" alt=\"polio vaccine poster\" width=\"296\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The CDC’s national symbol of public health, the \"Wellbee\", appears in this 1963 poster to encourage the public to get the oral polio vaccine. (Image: CDC/ Mary Hilpertshauser)\u003c/figcaption>\u003c/figure>\n\u003cp>What officials do know is that \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6128a1.htm\">unvaccinated kids are eight times as likely to get pertussis as vaccinated kids\u003c/a>. And when vaccinated kids do contract the disease, it’s much milder, doesn’t last as long, and tends to be less infectious.\u003c/p>\n\u003cp>That’s why public officials are \u003ca href=\"http://blogs.plos.org/bodypolitic/2012/07/26/a-forgotten-but-crucial-cause-for-the-pertussis-epidemic/\">urging adults, especially pregnant women, to get boosters\u003c/a> to protect children still too young to be fully vaccinated. Kids get the first of five pertussis shots (plus a later booster) at 2 months. Most pertussis deaths claim children younger than 3 months old. Nine of the 10 children who died in California during the 2010 outbreak were under 8 weeks old.\u003c/p>\n\u003cp>\u003cstrong>Separating Fears from Facts\u003c/strong>\u003cbr>\nAll this weighed heavily on my mind last week, when I \u003ca href=\"http://blogs.plos.org/biologue/2012/07/31/could-vaccines-breed-super-virulent-malaria/\">wrote about new research\u003c/a> that could conceivably feed vaccine doubts. \u003ca href=\"http://www.plosbiology.org/article/info:doi/10.1371/journal.pbio.1001368\">The study\u003c/a>, a fascinating investigation of experimental evolution in lab mice, found that vaccines can favor the evolution of more virulent malaria parasites.\u003c/p>\n\u003cp>Vicki Barclay (a postdoc in evolutionary biologist \u003ca href=\"http://www.youtube.com/watch?v=cvXc9aMF6CA\">Andrew Read\u003c/a>’s group at Penn State University) vaccinated mice with a malaria protein found in several vaccines now in clinical trials. She mimicked natural disease transmission by using needles instead of mosquitoes and letting parasites grow in one mouse before infecting the next one. (She did the same thing with unvaccinated mice.) Parasites that evolved in immunized mice caused more severe disease symptoms than those that evolved in unvaccinated mice.\u003c/p>\n\u003cp>Inevitably, some will misconstrue these results to confirm their belief that vaccines aren’t safe. Except the findings don’t say anything about vaccine safety. They show that, from a pathogen’s point of view, medical technologies act like any other selective pressure. We spend billions to develop the most powerful drugs science can muster only to discover we’re outnumbered, outgunned, and outmaneuvered. Millions of years of evolution have endowed pathogens with survival strategies we’ve yet to imagine.\u003c/p>\n\u003cp>Lest you delude yourself into thinking we humans have an edge in this evolutionary battle, consider this: Scientists have managed to wipe out just one human pathogen. Ever. After Edward Jenner discovered a smallpox vaccine in 1798, it took nearly 200 years and an all-out international effort to eradicate this disfiguring disease.\u003c/p>\n\u003cp>As Read and Barclay’s study shows, when you try to kill pathogens, they fight back. And when vaccines don’t destroy all the parasites (like the \u003ca href=\"http://www.sciencenews.org/view/generic/id/335354/title/Malaria_vaccine_yields_protection\">malaria vaccine now in clinical trials)\u003c/a> or fail to provide lifelong immunity (like the pertussis vaccine), the survivors can evolve. And they might come back even stronger.\u003c/p>\n\u003cp>I know that most people who shun government vaccine schedules \u003ca href=\"http://www.plosbiology.org/article/info%3Adoi%2F10.1371%2Fjournal.pbio.1000114\">have their children’s best interests at heart\u003c/a>. Some truly worry that vaccines may somehow cause irreversible damage to their child—and if it happened, how could they ever forgive themselves?\u003c/p>\n\u003cp>But anyone who chooses not to vaccinate their kids is missing something critical: the pathogens vaccine researchers are trying so desperately to control are formidable opponents. And though scientists still have a lot to learn about how pathogens adapt to our efforts to control them, they’re sure of this much: vaccines aren’t the enemy.\u003c/p>\n\u003cp>Vaccines rarely provide 100% protection. But they’re the state-of-the-art defense against infectious disease.\u003c/p>\n\u003cp>What’s more, if vaccine-preventable diseases like pertussis become more virulent, and there’s \u003ca href=\"http://wwwnc.cdc.gov/eid/article/15/8/pdfs/08-1511.pdf\">some evidence that this may be true\u003c/a>, those who refuse vaccination will have little recourse when their kids—or their neighbors’ kids—take ill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Public health officials often say that parents who reject vaccination will realize they’ve made a terrible mistake only when these once rare childhood diseases, long controlled by vaccination, return, with tragic consequences. Why on earth would anyone want to help a deadly agent hell-bent on survival get the upper hand?\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/42176/doubt-and-denialism-vaccine-myths-persist-in-the-face-of-science","authors":["6322"],"categories":["quest_4","quest_9","quest_12"],"tags":["quest_256","quest_11335","quest_2163","quest_13","quest_2532","quest_2538","quest_3054","quest_3056"],"featImg":"quest_42287","label":"quest"},"quest_10188":{"type":"posts","id":"quest_10188","meta":{"index":"posts_1591205157","site":"quest","id":"10188","score":null,"sort":[1289232525000]},"guestAuthors":[],"slug":"facts-are-facts","title":"Facts are Facts","publishDate":1289232525,"format":"standard","headTitle":"QUEST | KQED Science","labelTerm":{"site":"quest"},"content":"\u003cp>\u003cem>Everyone is entitled to his own opinion, but not his own facts.\u003c/em>\u003c/p>\n\u003cp>Daniel Patrick Moynihan\u003cbr>\n\u003cbr>\n\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/11/WildFire.jpg\" alt=\"\">\u003c/a>\u003cem>High numbers of vaccinated people act like a fire break\u003cbr>that keeps a disease from spreading.\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Because anyone can write anything on the web, it can be hard to know what is fact and what is not. I wrote about this in my last \u003ca href=\"http://ww2.kqed.org/quest/2010/10/25/tracing-bad-and-dangerous-internet-science/\">blog\u003c/a>. And this issue has become alarmingly apparent in a discussion going on in a recent QUEST \u003ca href=\"http://ww2.kqed.org/quest/2010/10/13/health-officials-to-consider-tightening-vaccine-exemptions/\">blog about vaccinations\u003c/a>.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>In the comments section of this blog, someone writes that herd immunity is a complete myth. This is wrong. Herd immunity is real and actually makes perfect sense.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Obviously for a disease to spread, it has to go from one person to another (either directly or indirectly). A man with measles on a deserted island won’t spread it to anyone because there is no one else who can catch it. Same thing with an infected man in the midst of a group of people immune to the disease.\u003c/p>\n\u003cp>If we start adding people to the island, then it can spread. And if we put the man with the measles into a group of susceptible people, then it will flare up into a bona fide epidemic (think America when the first Europeans landed).\u003c/p>\n\u003cp>Now imagine a city where most of the people are immune. If the man with the measles goes there, odds are he won’t meet anyone susceptible. When he gets better, the disease will disappear. This is herd immunity.\u003c/p>\n\u003cp>Basically the immune people shield the susceptible ones from the disease. They act as sort of a fire break that keeps the epidemic from spreading. Perfectly reasonable idea.\u003c/p>\n\u003cp>Of course, it is possible that even though this makes sense it doesn’t actually happen in the real world. I decided to look back at the literature and see if there are any real examples of herd immunity out there. There are lots of them. Here are two. \u003c/p>\n\u003cp>More than a hundred years ago, scientists were noting that not everyone had to be vaccinated against smallpox to stop an epidemic in its tracks*. Scientists also noticed that when they were wiping out smallpox, not everyone needed to be vaccinated to have the disease disappear. In many places, it was enough if 80% of the population could be vaccinated and revaccinated in a 4-5 year period. So smallpox definitely provides evidence for herd immunity. \u003c/p>\n\u003cp>A common argument against statistics like these is that the decrease in disease came not from vaccines but from better hygiene. To try to counter this argument, I decided to look at mumps.\u003c/p>\n\u003cp>A mumps vaccine wasn’t really widely available in the U.S. until 1968. Here is a quote from a really thorough review \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/8174658\">article \u003c/a>from 1993 in the journal \u003cem>Epidemiological Review\u003c/em> : \u003c/p>\n\u003cp>\u003cem>\"Mumps notifications have now fallen by more than 95 percent since the introduction of vaccination. Given that vaccine uptake has only recently reached that level among school entrants, that uptake among preschoolers is far below that level, and that mumps vaccine efficacy is probably below 90 percent, this decline in incidence is appreciably greater than would be predicted by direct protection alone. Assuming that the decline in reported cases reflects incidence and not a decline in notification efficiency, then this is evidence for indirect protection of susceptibles by herd immunity.\"\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>Since mumps vaccinations didn’t start until 1968, it is pretty unlikely that its decrease has been due to better sewers and washing our hands more thoroughly. No, this is a direct result of vaccines and herd immunity. \u003c/p>\n\u003cp>In fact the whooping cough epidemic can be explained by herd immunity too. It isn’t that not enough people are vaccinated (at least not yet). Instead, it is that the vaccine has worn off for older kids increasing the number of susceptible people. We now have too few people to have a solid fire break and so flare ups of whooping cough are starting to happen.\u003c/p>\n\u003cp>So despite what you might read on the web (including in the comments section of this blog), herd immunity is real. There is an overwhelming amount of data out there to support the idea that it protects us from the diseases that used to sweep through our population. Herd immunity is a fact and therefore real whether you believe in it or not.\u003c/p>\n\u003cp>\u003cem>*Farr W. Second annual report of the Registrar-General of Births, Deaths and Marriages of England and Wales, 1840.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7749295 -122.4194155\u003c/p>\n\n","blocks":[],"excerpt":"Despite what you might read on the web (including in the comments section of this blog), herd immunity is real. There is an overwhelming amount of data out there to support the idea that it protects us from the diseases that used to sweep through our population. Herd immunity is a fact and therefore real whether you believe in it or not.","status":"publish","parent":0,"modified":1289232525,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":756},"headData":{"title":"Facts are Facts | KQED","description":"Despite what you might read on the web (including in the comments section of this blog), herd immunity is real. There is an overwhelming amount of data out there to support the idea that it protects us from the diseases that used to sweep through our population. Herd immunity is a fact and therefore real whether you believe in it or not.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"10188 http://www.kqed.org/quest/blog/2010/11/08/facts-are-facts/","disqusUrl":"https://ww2.kqed.org/quest/2010/11/08/facts-are-facts/","disqusTitle":"Facts are Facts","path":"/quest/10188/facts-are-facts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Everyone is entitled to his own opinion, but not his own facts.\u003c/em>\u003c/p>\n\u003cp>Daniel Patrick Moynihan\u003cbr>\n\u003cbr>\n\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/11/WildFire.jpg\" alt=\"\">\u003c/a>\u003cem>High numbers of vaccinated people act like a fire break\u003cbr>that keeps a disease from spreading.\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Because anyone can write anything on the web, it can be hard to know what is fact and what is not. I wrote about this in my last \u003ca href=\"http://ww2.kqed.org/quest/2010/10/25/tracing-bad-and-dangerous-internet-science/\">blog\u003c/a>. And this issue has become alarmingly apparent in a discussion going on in a recent QUEST \u003ca href=\"http://ww2.kqed.org/quest/2010/10/13/health-officials-to-consider-tightening-vaccine-exemptions/\">blog about vaccinations\u003c/a>.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>In the comments section of this blog, someone writes that herd immunity is a complete myth. This is wrong. Herd immunity is real and actually makes perfect sense.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Obviously for a disease to spread, it has to go from one person to another (either directly or indirectly). A man with measles on a deserted island won’t spread it to anyone because there is no one else who can catch it. Same thing with an infected man in the midst of a group of people immune to the disease.\u003c/p>\n\u003cp>If we start adding people to the island, then it can spread. And if we put the man with the measles into a group of susceptible people, then it will flare up into a bona fide epidemic (think America when the first Europeans landed).\u003c/p>\n\u003cp>Now imagine a city where most of the people are immune. If the man with the measles goes there, odds are he won’t meet anyone susceptible. When he gets better, the disease will disappear. This is herd immunity.\u003c/p>\n\u003cp>Basically the immune people shield the susceptible ones from the disease. They act as sort of a fire break that keeps the epidemic from spreading. Perfectly reasonable idea.\u003c/p>\n\u003cp>Of course, it is possible that even though this makes sense it doesn’t actually happen in the real world. I decided to look back at the literature and see if there are any real examples of herd immunity out there. There are lots of them. Here are two. \u003c/p>\n\u003cp>More than a hundred years ago, scientists were noting that not everyone had to be vaccinated against smallpox to stop an epidemic in its tracks*. Scientists also noticed that when they were wiping out smallpox, not everyone needed to be vaccinated to have the disease disappear. In many places, it was enough if 80% of the population could be vaccinated and revaccinated in a 4-5 year period. So smallpox definitely provides evidence for herd immunity. \u003c/p>\n\u003cp>A common argument against statistics like these is that the decrease in disease came not from vaccines but from better hygiene. To try to counter this argument, I decided to look at mumps.\u003c/p>\n\u003cp>A mumps vaccine wasn’t really widely available in the U.S. until 1968. Here is a quote from a really thorough review \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/8174658\">article \u003c/a>from 1993 in the journal \u003cem>Epidemiological Review\u003c/em> : \u003c/p>\n\u003cp>\u003cem>\"Mumps notifications have now fallen by more than 95 percent since the introduction of vaccination. Given that vaccine uptake has only recently reached that level among school entrants, that uptake among preschoolers is far below that level, and that mumps vaccine efficacy is probably below 90 percent, this decline in incidence is appreciably greater than would be predicted by direct protection alone. Assuming that the decline in reported cases reflects incidence and not a decline in notification efficiency, then this is evidence for indirect protection of susceptibles by herd immunity.\"\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>Since mumps vaccinations didn’t start until 1968, it is pretty unlikely that its decrease has been due to better sewers and washing our hands more thoroughly. No, this is a direct result of vaccines and herd immunity. \u003c/p>\n\u003cp>In fact the whooping cough epidemic can be explained by herd immunity too. It isn’t that not enough people are vaccinated (at least not yet). Instead, it is that the vaccine has worn off for older kids increasing the number of susceptible people. We now have too few people to have a solid fire break and so flare ups of whooping cough are starting to happen.\u003c/p>\n\u003cp>So despite what you might read on the web (including in the comments section of this blog), herd immunity is real. There is an overwhelming amount of data out there to support the idea that it protects us from the diseases that used to sweep through our population. Herd immunity is a fact and therefore real whether you believe in it or not.\u003c/p>\n\u003cp>\u003cem>*Farr W. Second annual report of the Registrar-General of Births, Deaths and Marriages of England and Wales, 1840.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7749295 -122.4194155\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/10188/facts-are-facts","authors":["6177"],"categories":["quest_4"],"tags":["quest_1356","quest_2163","quest_3054","quest_3055","quest_3147","quest_3152"],"featImg":"quest_10190","label":"quest"},"quest_6514":{"type":"posts","id":"quest_6514","meta":{"index":"posts_1591205157","site":"quest","id":"6514","score":null,"sort":[1279558840000]},"guestAuthors":[],"slug":"clean-living-brighter-children","title":"Clean Living, Brighter Children","publishDate":1279558840,"format":"standard","headTitle":"QUEST | KQED Science","labelTerm":{"site":"quest"},"content":"\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/07/FileVaccineBySandraRugio.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/07/FileVaccineBySandraRugio.jpg\" alt=\"\">\u003c/a>\u003cem>Who would have thought that vaccines would make us smarter?\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Vaccines, clean water and freely available medicines may be good for more than your child’s health. They might actually make her smarter.\u003c/p>\n\u003cp>The idea is that brains take an awful lot of energy to develop and infections sap some of that energy. If someone has a lot of infections, this lost energy will mean less brain development which will mean a lower IQ.\u003c/p>\n\u003cp>Infections invariably affect the amount of energy a person gets. Think about how rundown you feel when you’re sick.\u003c/p>\n\u003cp>They can decrease your energy through symptoms like vomiting and diarrhea that affect nutrition absorption. And in every case infections activate the immune system which takes a lot of energy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The brain is an obvious place from which to get that energy because it is such an energy hog. For example, newborns put 87% of their energy towards brain development and kids and adults use 44% and 25%, respectively. \u003c/p>\n\u003cp>The connection between lost energy and brain development makes intuitive sense, but where’s the proof? The main evidence for this idea comes from a recent study where the authors try to explain why average IQ varies across the world the way it does. Some countries have higher average IQs than other countries. Same thing with \u003ca href=\"http://rspb.royalsocietypublishing.org/content/early/2010/06/29/rspb.2010.0973.long\">different regions of the world\u003c/a>. \u003c/p>\n\u003cp>Lots of reasons have been put forth to explain these findings but none has really panned out. For example, one idea is that people who settled in cold places needed more brainpower to survive than did people in tropical places. As if finding a cave and lighting a fire is more taxing than surviving lions, leopards, cheetahs and who knows what else. Clearly a bit of Caucasian bias there…\u003c/p>\n\u003cp>The authors looked at lots of explanations like this and none of them came close to explaining the disparities as well as infection rates. They found that countries with higher chronic infection rates had a lower average IQ.\u003c/p>\n\u003cp>Not only that, but the authors argue that a continuing decrease in infections explains the Flynn effect. Dr. Flynn noticed that \u003ca href=\"http://en.wikipedia.org/wiki/Flynn_effect\">average IQs keep rising\u003c/a> after industrialization (although ours may have leveled off in the mid-1990’s). So the idea is that a country’s IQ continues to increase as more and more of its people gain easy access to vaccinations, clean water and medicines. \u003c/p>\n\u003cp>If it ends up being true that infection rates and IQ are related, it raises some interesting questions for us here in the U.S. Will areas with lower vaccination rates that suffer more disease outbreaks eventually see a decline in IQ? Will the spread of parasites like the West Nile Virus because of global warming lower the national IQ?\u003c/p>\n\u003cp>Before ending, I should mention that having a higher IQ isn’t all sunshine and roses. Some studies are noting that countries with a higher average IQ also have more cases of allergies and asthma. One idea is that the immune system has to battle something and if there are no infections, it will turn on itself.\u003c/p>\n\u003cp>So there may be a trade off between IQ and allergies and asthma. If true, we may want to find that sweet spot where people get just enough infections to keep allergies and asthma at bay but maximize IQ. Or we may just want to go for maximal IQ…\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7749295 -122.4194155\u003c/p>\n\n","blocks":[],"excerpt":"Vaccines, clean water and freely available medicines may be good for more than your child’s health. They might actually make her smarter.","status":"publish","parent":0,"modified":1279558840,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":577},"headData":{"title":"Clean Living, Brighter Children | KQED","description":"Vaccines, clean water and freely available medicines may be good for more than your child’s health. They might actually make her smarter.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"6514 http://www.kqed.org/quest/blog/2010/07/19/clean-living-brighter-children/","disqusUrl":"https://ww2.kqed.org/quest/2010/07/19/clean-living-brighter-children/","disqusTitle":"Clean Living, Brighter Children","path":"/quest/6514/clean-living-brighter-children","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/07/FileVaccineBySandraRugio.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/07/FileVaccineBySandraRugio.jpg\" alt=\"\">\u003c/a>\u003cem>Who would have thought that vaccines would make us smarter?\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Vaccines, clean water and freely available medicines may be good for more than your child’s health. They might actually make her smarter.\u003c/p>\n\u003cp>The idea is that brains take an awful lot of energy to develop and infections sap some of that energy. If someone has a lot of infections, this lost energy will mean less brain development which will mean a lower IQ.\u003c/p>\n\u003cp>Infections invariably affect the amount of energy a person gets. Think about how rundown you feel when you’re sick.\u003c/p>\n\u003cp>They can decrease your energy through symptoms like vomiting and diarrhea that affect nutrition absorption. And in every case infections activate the immune system which takes a lot of energy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The brain is an obvious place from which to get that energy because it is such an energy hog. For example, newborns put 87% of their energy towards brain development and kids and adults use 44% and 25%, respectively. \u003c/p>\n\u003cp>The connection between lost energy and brain development makes intuitive sense, but where’s the proof? The main evidence for this idea comes from a recent study where the authors try to explain why average IQ varies across the world the way it does. Some countries have higher average IQs than other countries. Same thing with \u003ca href=\"http://rspb.royalsocietypublishing.org/content/early/2010/06/29/rspb.2010.0973.long\">different regions of the world\u003c/a>. \u003c/p>\n\u003cp>Lots of reasons have been put forth to explain these findings but none has really panned out. For example, one idea is that people who settled in cold places needed more brainpower to survive than did people in tropical places. As if finding a cave and lighting a fire is more taxing than surviving lions, leopards, cheetahs and who knows what else. Clearly a bit of Caucasian bias there…\u003c/p>\n\u003cp>The authors looked at lots of explanations like this and none of them came close to explaining the disparities as well as infection rates. They found that countries with higher chronic infection rates had a lower average IQ.\u003c/p>\n\u003cp>Not only that, but the authors argue that a continuing decrease in infections explains the Flynn effect. Dr. Flynn noticed that \u003ca href=\"http://en.wikipedia.org/wiki/Flynn_effect\">average IQs keep rising\u003c/a> after industrialization (although ours may have leveled off in the mid-1990’s). So the idea is that a country’s IQ continues to increase as more and more of its people gain easy access to vaccinations, clean water and medicines. \u003c/p>\n\u003cp>If it ends up being true that infection rates and IQ are related, it raises some interesting questions for us here in the U.S. Will areas with lower vaccination rates that suffer more disease outbreaks eventually see a decline in IQ? Will the spread of parasites like the West Nile Virus because of global warming lower the national IQ?\u003c/p>\n\u003cp>Before ending, I should mention that having a higher IQ isn’t all sunshine and roses. Some studies are noting that countries with a higher average IQ also have more cases of allergies and asthma. One idea is that the immune system has to battle something and if there are no infections, it will turn on itself.\u003c/p>\n\u003cp>So there may be a trade off between IQ and allergies and asthma. If true, we may want to find that sweet spot where people get just enough infections to keep allergies and asthma at bay but maximize IQ. Or we may just want to go for maximal IQ…\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7749295 -122.4194155\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/6514/clean-living-brighter-children","authors":["6177"],"categories":["quest_4"],"tags":["quest_1500","quest_3054","quest_3055"],"label":"quest"},"quest_6427":{"type":"posts","id":"quest_6427","meta":{"index":"posts_1591205157","site":"quest","id":"6427","score":null,"sort":[1278349231000]},"guestAuthors":[],"slug":"trust-building","title":"Trust Building","publishDate":1278349231,"format":"standard","headTitle":"QUEST | KQED Science","labelTerm":{"site":"quest"},"content":"\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/07/FileVaccination-of-girl300l.jpg\" alt=\"\">\u003c/a>\u003cem>Why aren’t more parents vaccinating their kids?\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Whooping cough has reached epidemic proportions in the state of California. And it is hard to know who to be the maddest at.\u003c/p>\n\u003cp>Should we be mad at the parents who refuse to have their children vaccinated? Or the scientists who have failed to communicate the safety of vaccines to these parents? Or the bacterium itself since it tends to follow a cycle and get worse every 2-5 years? Or the state of California for being too cheap to provide booster shots for 11 and 12 year olds? Or the insurance companies for refusing to adequately reimburse the cost of a vaccine? As you can see, there is plenty of blame to go around.\u003c/p>\n\u003cp>I can’t do anything about the bacterium itself and little or nothing about the last two. Penny-wise and pound-foolish seems to be the modus operandi of government and the insurance industry. But it seems like other scientists and I should be able to do something about the first two. The question is what…\u003c/p>\n\u003cp>The facts are out there. Vaccines are very safe and they do not cause autism. All the follow up studies have failed to find a link between autism and vaccines. And the doctor in the U.K. who published the original paper on the subject has had his license taken away because of the unethical way he did the original study. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There is some risk of adverse side effects from a vaccine but they tend to be small. For example, the whooping cough or pertussis vaccine can sometimes lead to severe side effects like shock or brain inflammation. These only happen 1 in 10,000 and less than I in one million respectively. These are much better odds than the \u003ca href=\"http://www.kidsgrowth.com/resources/articledetail.cfm?id=248\">1 in 200 kids\u003c/a> who died from whooping cough before the vaccine. \u003c/p>\n\u003cp>So why aren’t more parents vaccinating their kids? I have always thought that if people have the facts, then they will come to the “right” conclusion. But this is only true if someone can tell good facts from bad. And without training, this can be very difficult which means most folks need to trust the authorities who are reporting the facts. Unfortunately, as our UK doctor and countless others have shown, not all authorities can be trusted. \u003c/p>\n\u003cp>Chris Mooney is someone who thinks an awful lot about this stuff and in a recent \u003ca href=\"http://www.washingtonpost.com/wp-dyn/content/article/2010/06/25/AR2010062502158.html?wprss=rss_technology\">Washington Post op-ed \u003c/a>he concluded that, “…based upon my observation, vaccine skepticism seems closely connected to distrust of the pharmaceutical industry and of the federal government's medical research establishment.” What this means is that the facts are out there and the people who don’t vaccinate their kids know about them, they just don’t trust the folks who did the work.\u003c/p>\n\u003cp>So we don’t necessarily need more facts or getting the facts out there more comprehensively. We need some out-of-the-box thinking to get around this impasse. Here are three possibilities off the top of my head (note that I didn’t even try to come up with a way to gain trust in the pharmaceutical industry): \u003c/p>\n\u003cp>1)\tBuild up trust in government agencies\u003c/p>\n\u003cp>2)\tCircumvent government agencies by creating new scientifically reliable nongovernmental study groups \u003c/p>\n\u003cp>3)\tIncrease the public’s scientific literacy\u003c/p>\n\u003cp>Of the three, the best short term solution is probably to create some reliable alternative to government agencies on controversial sorts of issues like vaccinations. Perhaps something like the Bill and Melinda Gates Foundation could fund a group who would try to build consensus on the need for vaccinations and their relative safety compared to the diseases they protect us from. The group would include people opposed to vaccines like Jenny McCarthy, parents whose children have died from whooping cough, scientists with no stake in the discussion, etc. \u003c/p>\n\u003cp>Maybe these people get together and start the discussion with the fact that, “In 1920 prior to the development of the ‘DPT’ vaccine, one in 200 children died of whooping cough.” Then they propose ways to solve this problem.\u003c/p>\n\u003cp>Most likely the solution will be vaccines but who knows, maybe people can come up with something better. If vaccines end up as the solution, then the next step is to figure out how to get more buy in for vaccination. Find out why people aren’t getting vaccinated and then build studies or policy suggestions around that.\u003c/p>\n\u003cp>If people think kids get too many vaccines too close together, then maybe alternative vaccination strategies should be made available. Maybe some people just get vaccines to the real killers and vaccines like chicken pox and maybe even the measles become optional. Would this get more people on board? Would this provide adequate safety for the public? \u003c/p>\n\u003cp>Also find out what scientific studies this group wants done and by whom to show that vaccines do not cause autism. Then fund those studies and have people that Jenny McCarthy trusts to do the studies. The study would obviously need to be done by someone qualified to conduct such a study but still, get everyone as involved as possible.\u003c/p>\n\u003cp>Maybe we could push the pharmaceutical industry to create even safer vaccines. Or maybe have nongovernmental organization make the vaccine instead. If we have Pharma do it, then we’ll have to give them incentives. More profits (since profits on vaccines tend to be mighty low) or maybe some protection from lawsuits.\u003c/p>\n\u003cp>Anyway, the take home message here is that unlike Joe Friday, most people need more than just the facts. They need for the facts to come from someone they trust.\u003c/p>\n\u003cp>Here's a recent \u003ca href=\"http://www.kqed.org/epArchive/R201006250931\">Forum\u003c/a> discussion of the whooping cough epidemic.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7749295 -122.4194155\u003c/p>\n\n","blocks":[],"excerpt":"Whooping cough has reached epidemic proportions in the state of California. And it is hard to know who to be the maddest at.","status":"publish","parent":0,"modified":1278349231,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":975},"headData":{"title":"Trust Building | KQED","description":"Whooping cough has reached epidemic proportions in the state of California. And it is hard to know who to be the maddest at.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"6427 http://www.kqed.org/quest/blog/2010/07/01/trust-building/","disqusUrl":"https://ww2.kqed.org/quest/2010/07/05/trust-building/","disqusTitle":"Trust Building","path":"/quest/6427/trust-building","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/07/FileVaccination-of-girl300l.jpg\" alt=\"\">\u003c/a>\u003cem>Why aren’t more parents vaccinating their kids?\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Whooping cough has reached epidemic proportions in the state of California. And it is hard to know who to be the maddest at.\u003c/p>\n\u003cp>Should we be mad at the parents who refuse to have their children vaccinated? Or the scientists who have failed to communicate the safety of vaccines to these parents? Or the bacterium itself since it tends to follow a cycle and get worse every 2-5 years? Or the state of California for being too cheap to provide booster shots for 11 and 12 year olds? Or the insurance companies for refusing to adequately reimburse the cost of a vaccine? As you can see, there is plenty of blame to go around.\u003c/p>\n\u003cp>I can’t do anything about the bacterium itself and little or nothing about the last two. Penny-wise and pound-foolish seems to be the modus operandi of government and the insurance industry. But it seems like other scientists and I should be able to do something about the first two. The question is what…\u003c/p>\n\u003cp>The facts are out there. Vaccines are very safe and they do not cause autism. All the follow up studies have failed to find a link between autism and vaccines. And the doctor in the U.K. who published the original paper on the subject has had his license taken away because of the unethical way he did the original study. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There is some risk of adverse side effects from a vaccine but they tend to be small. For example, the whooping cough or pertussis vaccine can sometimes lead to severe side effects like shock or brain inflammation. These only happen 1 in 10,000 and less than I in one million respectively. These are much better odds than the \u003ca href=\"http://www.kidsgrowth.com/resources/articledetail.cfm?id=248\">1 in 200 kids\u003c/a> who died from whooping cough before the vaccine. \u003c/p>\n\u003cp>So why aren’t more parents vaccinating their kids? I have always thought that if people have the facts, then they will come to the “right” conclusion. But this is only true if someone can tell good facts from bad. And without training, this can be very difficult which means most folks need to trust the authorities who are reporting the facts. Unfortunately, as our UK doctor and countless others have shown, not all authorities can be trusted. \u003c/p>\n\u003cp>Chris Mooney is someone who thinks an awful lot about this stuff and in a recent \u003ca href=\"http://www.washingtonpost.com/wp-dyn/content/article/2010/06/25/AR2010062502158.html?wprss=rss_technology\">Washington Post op-ed \u003c/a>he concluded that, “…based upon my observation, vaccine skepticism seems closely connected to distrust of the pharmaceutical industry and of the federal government's medical research establishment.” What this means is that the facts are out there and the people who don’t vaccinate their kids know about them, they just don’t trust the folks who did the work.\u003c/p>\n\u003cp>So we don’t necessarily need more facts or getting the facts out there more comprehensively. We need some out-of-the-box thinking to get around this impasse. Here are three possibilities off the top of my head (note that I didn’t even try to come up with a way to gain trust in the pharmaceutical industry): \u003c/p>\n\u003cp>1)\tBuild up trust in government agencies\u003c/p>\n\u003cp>2)\tCircumvent government agencies by creating new scientifically reliable nongovernmental study groups \u003c/p>\n\u003cp>3)\tIncrease the public’s scientific literacy\u003c/p>\n\u003cp>Of the three, the best short term solution is probably to create some reliable alternative to government agencies on controversial sorts of issues like vaccinations. Perhaps something like the Bill and Melinda Gates Foundation could fund a group who would try to build consensus on the need for vaccinations and their relative safety compared to the diseases they protect us from. The group would include people opposed to vaccines like Jenny McCarthy, parents whose children have died from whooping cough, scientists with no stake in the discussion, etc. \u003c/p>\n\u003cp>Maybe these people get together and start the discussion with the fact that, “In 1920 prior to the development of the ‘DPT’ vaccine, one in 200 children died of whooping cough.” Then they propose ways to solve this problem.\u003c/p>\n\u003cp>Most likely the solution will be vaccines but who knows, maybe people can come up with something better. If vaccines end up as the solution, then the next step is to figure out how to get more buy in for vaccination. Find out why people aren’t getting vaccinated and then build studies or policy suggestions around that.\u003c/p>\n\u003cp>If people think kids get too many vaccines too close together, then maybe alternative vaccination strategies should be made available. Maybe some people just get vaccines to the real killers and vaccines like chicken pox and maybe even the measles become optional. Would this get more people on board? Would this provide adequate safety for the public? \u003c/p>\n\u003cp>Also find out what scientific studies this group wants done and by whom to show that vaccines do not cause autism. Then fund those studies and have people that Jenny McCarthy trusts to do the studies. The study would obviously need to be done by someone qualified to conduct such a study but still, get everyone as involved as possible.\u003c/p>\n\u003cp>Maybe we could push the pharmaceutical industry to create even safer vaccines. Or maybe have nongovernmental organization make the vaccine instead. If we have Pharma do it, then we’ll have to give them incentives. More profits (since profits on vaccines tend to be mighty low) or maybe some protection from lawsuits.\u003c/p>\n\u003cp>Anyway, the take home message here is that unlike Joe Friday, most people need more than just the facts. They need for the facts to come from someone they trust.\u003c/p>\n\u003cp>Here's a recent \u003ca href=\"http://www.kqed.org/epArchive/R201006250931\">Forum\u003c/a> discussion of the whooping cough epidemic.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7749295 -122.4194155\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/6427/trust-building","authors":["6177"],"categories":["quest_4","quest_12"],"tags":["quest_256","quest_3054","quest_3055","quest_3147"],"label":"quest"},"quest_635":{"type":"posts","id":"quest_635","meta":{"index":"posts_1591205157","site":"quest","id":"635","score":null,"sort":[1212785951000]},"guestAuthors":[],"slug":"vaccines-one-small-risk-for-a-child-one-giant-benefit-for-mankind","title":"Vaccines: One Small Risk for a Child, One Giant Benefit for Mankind","publishDate":1212785951,"format":"standard","headTitle":"QUEST | KQED Science","labelTerm":{"site":"quest"},"content":"\u003cfigure class=\"wp-caption alignnone\" style=\"max-width: 300px\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2008/06/lightningstrike1.jpg\" width=\"300\" height=\"198\">\u003cfigcaption class=\"wp-caption-text\">You're as likely to be struck by lightning as to have a severe reaction to a vaccine.\u003c/figcaption>\u003c/figure>\n\u003cp>I was reading an \u003ca href=\"http://www.time.com/time/health/article/0,8599,1721109,00.html\">article in Time\u003c/a> last week about parents not vaccinating their children. The story was about how this phenomenon is becoming more widespread.\u003c/p>\n\u003cp>These kinds of stories are weird to me because vaccines are pretty safe. The risk of an adverse side effect is incredibly small. For example, the \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/00046738.htm\">risk for anaphylaxis\u003c/a> from the Hepatitis B Virus vaccination is around 1 in 600,000. This is about the same risk as being struck by lightning (1 in 700,000).\u003c/p>\n\u003cp>Of course, the article wasn't talking about known risks. Instead, it was referring to a hypothesized link between vaccines and autism.\u003c/p>\n\u003cp>People proposed this link when they noticed that cases of autism and the number of vaccinations were rising at the same time. Of course, just because two things happen to occur at the same time, this does not mean they are causally linked. For example, the increase in global temperature is not related to the decrease in the world's populations of pirates (despite what the \u003ca href=\"http://www.venganza.org/about/open-letter/\">Pastafarians\u003c/a> say).\u003c/p>\n\u003cp>So how could an increased number of vaccinations cause an increase in the number of cases of autism? I have seen two ideas put forth. The first is that thimerosal is to blame. The second is that there are so many vaccinations now that we are stressing out the body's immune system. Most likely neither idea is valid.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Thimerosal is a mercury-based preservative that used to be used in vaccines. Even though there haven't been any good studies on the effects of thimerosal on brain development, everyone knows mercury is bad for the brain. So the idea behind thimerosal makes some sense.\u003c/p>\n\u003cp>Back in 2001, vaccine manufacturers decided to eliminate thimerosal from their vaccines. We would predict, then, that cases of autism should go down significantly if thimerosal was linked to autism. They haven't. In fact, in one \u003ca href=\"http://www.webmd.com/brain/autism/news/20080107/thimerosal-down-but-autism-rising\">California study\u003c/a>, cases have continued to climb. So thimerosal is most likely not to blame.\u003c/p>\n\u003cp>Another point that has been made is that there are so many vaccines now that we are stressing out our bodies' immune systems. Again, this concern is unfounded.\u003c/p>\n\u003cp>Vaccines are injections of viral proteins. Our bodies see the proteins and raise antibodies to them. Then when a virus invades, we have antibodies that recognize the virus and target it for destruction.\u003c/p>\n\u003cp>It is the number of viral proteins that matter in terms of taxing the body's immune system and not the number of vaccinations. All of the current vaccines put together do not have as many viral proteins as the old smallpox vaccine (150 vs. 200). So the number of vaccines is unlikely to be the issue.\u003c/p>\n\u003cp>What all of this means is that vaccines are probably not responsible for the significant increase in the number of cases of autism. What is responsible? No one knows for sure.\u003c/p>\n\u003cp>It may be that the rise just comes from all of us recognizing the symptoms more. Or it could be due to some cause we don't know about or understand.\u003c/p>\n\u003cp>What we do know is that vaccines save many lives. I assume no one wants to go back to the early 20th century when polio epidemics swept the country. For example, 2,500 cases of \u003ca title=\"polio\" href=\"http://en.wikipedia.org/wiki/Polio\" target=\"_blank\">polio\u003c/a> ended up at one Los Angeles hospital between May and November of 1934. And in 1952, the U.S. had 21,000 cases of paralytic polio.\u003c/p>\n\u003cp>We can prevent this sort of thing from happening by making sure everyone is vaccinated. And yet there are people who choose to hide behind the people who take the miniscule risk of getting vaccinated.\u003c/p>\n\u003cp>Is this a matter of free choice? Should parents be allowed to opt out of vaccinating their children even if it risks society at large?\u003c/p>\n\u003cp>One idea, I suppose, is to have people who choose not to be vaccinated to sign a waiver saying they accept full responsibility for their actions. In practice this would mean that health insurance and the government would not be responsible for their children's health care bills if they become ill with one of the diseases they refused to be vaccinated against.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And if your infant, grandma, or immuno-suppressed cousin came down with a disease these folks refused to be vaccinated against, then you could sue the un-vaccinated for damages. The common good isn't enough to encourage these folks. Perhaps threats to their pocketbook will be.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1478825924,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":761},"headData":{"title":"Vaccines: One Small Risk for a Child, One Giant Benefit for Mankind | KQED","description":"I was reading an article in Time last week about parents not vaccinating their children. The story was about how this phenomenon is becoming more widespread. These kinds of stories are weird to me because vaccines are pretty safe. The risk of an adverse side effect is incredibly small. For example, the risk for anaphylaxis","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"635 http://www.kqed.org/quest/blog/?p=635","disqusUrl":"https://ww2.kqed.org/quest/2008/06/06/vaccines-one-small-risk-for-a-child-one-giant-benefit-for-mankind/","disqusTitle":"Vaccines: One Small Risk for a Child, One Giant Benefit for Mankind","path":"/quest/635/vaccines-one-small-risk-for-a-child-one-giant-benefit-for-mankind","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure class=\"wp-caption alignnone\" style=\"max-width: 300px\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2008/06/lightningstrike1.jpg\" width=\"300\" height=\"198\">\u003cfigcaption class=\"wp-caption-text\">You're as likely to be struck by lightning as to have a severe reaction to a vaccine.\u003c/figcaption>\u003c/figure>\n\u003cp>I was reading an \u003ca href=\"http://www.time.com/time/health/article/0,8599,1721109,00.html\">article in Time\u003c/a> last week about parents not vaccinating their children. The story was about how this phenomenon is becoming more widespread.\u003c/p>\n\u003cp>These kinds of stories are weird to me because vaccines are pretty safe. The risk of an adverse side effect is incredibly small. For example, the \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/00046738.htm\">risk for anaphylaxis\u003c/a> from the Hepatitis B Virus vaccination is around 1 in 600,000. This is about the same risk as being struck by lightning (1 in 700,000).\u003c/p>\n\u003cp>Of course, the article wasn't talking about known risks. Instead, it was referring to a hypothesized link between vaccines and autism.\u003c/p>\n\u003cp>People proposed this link when they noticed that cases of autism and the number of vaccinations were rising at the same time. Of course, just because two things happen to occur at the same time, this does not mean they are causally linked. For example, the increase in global temperature is not related to the decrease in the world's populations of pirates (despite what the \u003ca href=\"http://www.venganza.org/about/open-letter/\">Pastafarians\u003c/a> say).\u003c/p>\n\u003cp>So how could an increased number of vaccinations cause an increase in the number of cases of autism? I have seen two ideas put forth. The first is that thimerosal is to blame. The second is that there are so many vaccinations now that we are stressing out the body's immune system. Most likely neither idea is valid.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Thimerosal is a mercury-based preservative that used to be used in vaccines. Even though there haven't been any good studies on the effects of thimerosal on brain development, everyone knows mercury is bad for the brain. So the idea behind thimerosal makes some sense.\u003c/p>\n\u003cp>Back in 2001, vaccine manufacturers decided to eliminate thimerosal from their vaccines. We would predict, then, that cases of autism should go down significantly if thimerosal was linked to autism. They haven't. In fact, in one \u003ca href=\"http://www.webmd.com/brain/autism/news/20080107/thimerosal-down-but-autism-rising\">California study\u003c/a>, cases have continued to climb. So thimerosal is most likely not to blame.\u003c/p>\n\u003cp>Another point that has been made is that there are so many vaccines now that we are stressing out our bodies' immune systems. Again, this concern is unfounded.\u003c/p>\n\u003cp>Vaccines are injections of viral proteins. Our bodies see the proteins and raise antibodies to them. Then when a virus invades, we have antibodies that recognize the virus and target it for destruction.\u003c/p>\n\u003cp>It is the number of viral proteins that matter in terms of taxing the body's immune system and not the number of vaccinations. All of the current vaccines put together do not have as many viral proteins as the old smallpox vaccine (150 vs. 200). So the number of vaccines is unlikely to be the issue.\u003c/p>\n\u003cp>What all of this means is that vaccines are probably not responsible for the significant increase in the number of cases of autism. What is responsible? No one knows for sure.\u003c/p>\n\u003cp>It may be that the rise just comes from all of us recognizing the symptoms more. Or it could be due to some cause we don't know about or understand.\u003c/p>\n\u003cp>What we do know is that vaccines save many lives. I assume no one wants to go back to the early 20th century when polio epidemics swept the country. For example, 2,500 cases of \u003ca title=\"polio\" href=\"http://en.wikipedia.org/wiki/Polio\" target=\"_blank\">polio\u003c/a> ended up at one Los Angeles hospital between May and November of 1934. And in 1952, the U.S. had 21,000 cases of paralytic polio.\u003c/p>\n\u003cp>We can prevent this sort of thing from happening by making sure everyone is vaccinated. And yet there are people who choose to hide behind the people who take the miniscule risk of getting vaccinated.\u003c/p>\n\u003cp>Is this a matter of free choice? Should parents be allowed to opt out of vaccinating their children even if it risks society at large?\u003c/p>\n\u003cp>One idea, I suppose, is to have people who choose not to be vaccinated to sign a waiver saying they accept full responsibility for their actions. In practice this would mean that health insurance and the government would not be responsible for their children's health care bills if they become ill with one of the diseases they refused to be vaccinated against.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And if your infant, grandma, or immuno-suppressed cousin came down with a disease these folks refused to be vaccinated against, then you could sue the un-vaccinated for damages. The common good isn't enough to encourage these folks. Perhaps threats to their pocketbook will be.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/635/vaccines-one-small-risk-for-a-child-one-giant-benefit-for-mankind","authors":["6177"],"categories":["quest_4","quest_5","quest_12"],"tags":["quest_256","quest_378","quest_575","quest_1328","quest_1451","quest_3351","quest_1791","quest_2011","quest_2133","quest_2252","quest_2349","quest_2931","quest_3054","quest_3055","quest_3056","quest_3078"],"label":"quest"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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