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In 200 pages, Dr. Offit summarizes the history of the anti-vaccine movement and the current and future consequences of refusing these life-saving shots. Dr. Offit relies on statistics and medical research to make his arguments but he also illustrates them with stories of individuals whose children have suffered, and sometimes died, because they or their peers were not vaccinated.
Vaccination alone will not protect all children. Vaccination is a social compact; there will always be babies too young to receive vaccines, and some people's bodies will never develop the appropriate antibodies even with vaccination. Immunocompromised patients, such as those in chemotherapy, lose the immunity they developed from past vaccines.
One of the most heartbreaking sections of the book is a long list of cases in which parents were acquitted after withholding life-saving medical treatment from their children. Apparently, you can't leave your kid in the car while you run into the grocery store, but it is fine to let a diabetic child die because you don't believe in insulin treatment. Why is this relevant to vaccines? Offit believes that in light of these legal cases, the courts will never deny parents the right to refuse vaccines on religious or philosophical grounds. He sees two possible scenarios that will increase vaccination rates back to safe levels. One is for parents to talk to each other about the absolute necessity of vaccination. Science and stats don't convince anti-vaxxers but sometimes parental encouragement is successful.
The other scenario is to wait. Wait until vaccination rates drop even lower and the United States experiences an epidemic and hundreds or even thousands of children die from a preventable disease. Then, maybe, the anti-vaxxers will realize the value of immunization. Let's try not to get there.
Vaccination alone will not protect all children. Vaccination is a social compact; there will always be babies too young to receive vaccines, and some people's bodies will never develop the appropriate antibodies even with vaccination. Immunocompromised patients, such as those in chemotherapy, lose the immunity they developed from past vaccines.
One of the most heartbreaking sections of the book is a long list of cases in which parents were acquitted after withholding life-saving medical treatment from their children. Apparently, you can't leave your kid in the car while you run into the grocery store, but it is fine to let a diabetic child die because you don't believe in insulin treatment. Why is this relevant to vaccines? Offit believes that in light of these legal cases, the courts will never deny parents the right to refuse vaccines on religious or philosophical grounds. He sees two possible scenarios that will increase vaccination rates back to safe levels. One is for parents to talk to each other about the absolute necessity of vaccination. Science and stats don't convince anti-vaxxers but sometimes parental encouragement is successful.
The other scenario is to wait. Wait until vaccination rates drop even lower and the United States experiences an epidemic and hundreds or even thousands of children die from a preventable disease. Then, maybe, the anti-vaxxers will realize the value of immunization. Let's try not to get there.
This book was VERY well-done. I just wish we could have it read out loud to prospective parents persuaded by the credentials of Playboy bunnies who frighten them away from vaccines. This book clearly lays out where the scaremongers are wrong, WHY they are wrong, and why it matters to all of us. This has been an issue becoming increasingly worrying to me recently, since every year, as more and more parents refuse to vaccinate, the yearly pertussis outbreaks in my area get worse and worse. And my asthmatic son may some day pay the price for someone else's parenting choice. Scary. The science is clear, the issue is black and white, and it's high time someone like Dr. Offut had the courage to say so.
An even-handed look at the modern anti-vaccine movement that gives credit where it is due to improvements to vaccine safety, but also does not hesitate to debunk spurious claims. It also includes an overview of similar historical anti-vaccine movements, and some new scientific research about infant seizures. I also suggest Panic Virus if you are interested in this topic.