I haven’t had the chance to write much here about vaccines recently, so I was delighted to participate in MHA@GW’s initiative to highlight vaccination for National Immunization Awareness Month with a series of posts from guest bloggers entitled “Why Immunize?” My post focused on science literacy, and how to communicate with others about this issue:
In all likelihood, parents have already made up their mind as to whether or not they’ll vaccinate themselves and their children. And in all likelihood, that decision was to vaccinate.
These parents are motivated by a shared concern for their children and community. They know that vaccines prevent many childhood diseases, and that by maintaining high vaccination rates in their community, they maintain herd immunity. Perhaps they’ve seen the comparison of morbidity rates in the pre- and post-vaccine era and understand the significant impact vaccines have made in preventing the worst childhood diseases. They may have been worried about the outbreak of measles among families who took their children to Disneyland earlier this year, which hit unvaccinated people the hardest . Regardless of how they came to this decision, the vast majority of parents understand that the risks of vaccines are low relative to their tremendous benefits.
This is good news for the health of our communities. It’s critical that we continue to talk about immunization, because vaccine opponents are relentless — see the comments on my piece here for many examples of the bad science and provocative rhetoric they employ.
Speaking up is the most important step, letting parents know that their decision to vaccinate is the safest and most common way people protect their children. The anti-vaccine minority is disproportionately loud, partly because vaccines are so safe, effective and ubiquitous that they become part of the background landscape of parenting. Fortunately, in reaction to harmful pseudoscientific scaremongering and events like the Disneyland outbreak, people are motivated to speak out in favor of vaccines.
But I was dismayed to see that just hours after my piece was posted, a mainstream news site posted an article purporting to give balanced coverage on “the vaccine debate”, but instead propagated the same old mistruths and pseudoscience that have been thoroughly debunked by the scientific community again and again. This article, which features comments from a “Montana mother” given the same weight as those from a trained physician, and concludes by telling parents how to get vaccine exemptions for their children before school starts, is utterly reprehensible journalism. It’s a depressing reminder that we can’t ever let up on our efforts to educate journalists, as well as the general public, on basic scientific and medical issues
So in honor of National Immunization Awareness Month, I’m asking all of you to make a small but meaningful contribution to this effort. Please share at least one example of good news coverage on vaccines with your online and in-person friends. Your voice makes a difference in this conversation.
I read Amanda Marcotte’s recent piece, Vaccination becomes a more partisan issue, with Republicans on the wrong side of it, despairingly. The only thing worse than someone trying to politicize ani-vaccine sentiment is someone doing it with a giant megaphone. With all due respect to the author, her piece has two giant flaws. First, its basic premise is wrong: anti-vax ideology is demonstrably not very well connected to basic left-right ideology or party affiliation. Second, her article is ironically more likely to be harmful than a dozen frothing anti-vax pieces.
Earlier this year, the California Immunization Coalition invited me to speak at their 2015 summit. They’d heard me on a conference call with Voices for Vaccines, discussing methods for helping parents make the best decisions about immunization. I was delighted to have the chance to work with the Coalition, which does exemplary work in protecting children from vaccine-preventable diseases.
Thanks to Jennifer and Violent Metaphors, I have a chance to share the same material I presented at the Summit with you. My speech wasn’t recorded, which is a shame because I’m sure it was a treat and delight for everyone in the audience. (Self-deprecating humor is a common persuasive tool. As is handsomeness.) Instead I’m putting up each of the slides with a brief explanation of what I discussed, where it isn’t obvious from the image.
Given recent measles outbreaks and the ravenous news cycle, it was inevitable that public attention would shift to politicians’ position on vaccination. Some commenters are reacting by politicizing the vaccine debate, painting conservatives or the tea party (or, in response to those messages, liberals) as anti-vaccine. Please don’t let this message take hold. It’s wrong, it’s dangerous, and it’s counterproductive.
The president set off a small chain reaction by advising parents to vaccinate, but Governor Chris Christie’s comments have drawn the most attention. His statement was almost meaningless; he told reporters that (of course) he vaccinated his own children, and “that parents need to have some measure of choice in things as well so that’s the balance that the government has to decide.” Vaccination is not strictly mandatory in any state, and most states permit exemptions for the few parents who have ideological objections to modern medicine, so as a matter of simple fact the government has already decided and given parents that choice. (He went on with a few more comments, but other than to say that obviously we disagree with them, there’s not much point in dissecting them here.)
Christie is a politician who wants to avoid unnecessary controversy. After the first negative reports of his comments emerged, he distanced himself from anti-vaxers by firmly stating, “there is no question kids should be vaccinated.” But it was too late. The public picked up on his initial remarks and fed him straight into the gnashing teeth of the news cycle. And once the meal started, other prominent politicians with an eye on 2016 staked out seats at the table. Rand Paul seemed to give credence to some anti-vax myths, although he, too, backed down a bit and clarified that vaccines are “a good thing.” His fellow conservative (and fellow physician) Ben Carson pushed back on those statements, backing vaccination and even comparing anti-vaxers to secondhand smokers. Hillary Clinton, the three conservatives’ bête noir, came out with her own strong, respectable and simple message: “The science is clear: The earth is round, the sky is blue, and #vaccineswork. Let’s protect all our kids.”
Notice something about these statements? Even the most ant-vax statement isn’t all that opposed to vaccination, compared to what you read online. That’s no surprise. The overwhelming majority of parents vaccinate their kids, and politicians who offend overwhelming majorities retire early. But you’re going to read a lot of headlines and tweets about how Rand Paul and Chris Christie are anti-vaxers because they’re pandering to the voters; you may even see people promoting the meme that Republicans (or conservatives or Tea Partiers) are anti-vax now. Don’t buy it.
UPDATE: Looks like Natural News intercepted the “DoNotLink” link and redirected to an old article bragging about their supposed scientific prowess. I’ve replaced it with a direct link to the article.
Mike Adams, who calls himself the “Health Ranger,” has an ugly reputation for incompetence when it comes to scientific questions. That shouldn’t be a surprise. He’s a relentless self-promoter and a talented salesman who has discovered that wearing a lab coat and using four-dollar words moves product. He hawks supplements, housewares, CDs and DVDs, tinctures, powders, lotions and potions that will cure what ails you! People are more likely to buy his wares if they don’t trust their doctor, and if they’re full of fear for their own health. So it’s probably no coincidence that Adams’s Natural News site also pushes frightful misinformation about how awful, terrible, and corrupt those scheming doctors and scientists are.
It’s a very savvy marketing strategy, because people who feel like mainstream doctors and scientists are out to get them will probably identify more strongly with Adams’s Natural News community as a way to feel like they’re fighting back. That would make them more likely to trust him, and more likely to fork over $40 for ten ounces of freeze-dried apples (a little over $25 on Amazon).
If Adams is a world-class salesman, he’s strictly an amateur when it comes to science and, it appears, the law. A few days ago Adams posted an article screaming, “MMR measles vaccine clinical trial results FAKED by Big Pharma – shocking U.S. court documents reveal all”. Meh. The article is beyond misleading. Anyone reading just that, and not digging further, would walk away with a profound misunderstanding of what’s going on in the case. It could be just rank incompetence, but nothing about the article give me the impression that Adams gives a damn whether the contents are true or not, as long as the audience gets good and angry at those evil government scientists and corporate doctors. (And if his description of the case gets you angry enough, you can fight back! Just click on the “Store” button conveniently located right above the article and buy yourself an herbal medicine kit, or some essential oils, or an immunity-boosting candle, or all-natural salt, or even a $100 pack of iodine. Just the sort of thing they don’t want you to buy!)
The good fight is that special argument where you know you’re right, and just can’t imagine how anyone could possibly disagree. But they do, even when the disagreement is about something fundamental and irreconcilable. Did we evolve? Is the climate changing? Are vaccines safe? Do I really have to pay my taxes? The answers matter, but so do the arguments. Let’s try to improve them.
This is Part I in a series about how and why we have those difficult conversations, online and in the real world. We’ll explore ways to make them more persuasive, more fun, and more rewarding. For a practical example of where we’re going with this, see my earlier piece, The Most Important Playground Conversation: How to Persuade a Friend to Vaccinate. Going forward we’ll focus particularly on arguments with people who have irrational ideas, like anti-vaxers or creationists, but some topics apply in every conversation. This is one of them, because in every conversation you have to remember: you are talking to a person.They are as real, as smart, and as decent as you are. You’re having a conversation, not a battle. That’s the hardest thing to remember for all of us some of the time, and for some of us all of the time.
I was going to start this series by writing about goals and strategies, but then I got bogged down in a conversation on global warming that reminded me of that more fundamental rule. It doesn’t matter what your goal is if you let yourself forget that you’re talking to a real person. Personalizing an argument, making it about the people instead of the issues, poisons conversations. Once you start to think of the conversation as just another blunt object to apply to the other person’s head, you’ve already lost. So what happened, and what can we do about it?
I usually don’t respond to many comments on my blog, preferring instead to encourage conversation between readers. I also don’t typically close comments on any of my pieces, so conversations and reactions continue for a long time. Sometimes that takes the discussion in an interesting direction. I think that a few recent comments on my “Dear parents…” piece are worth highlighting, as they provide an excellent window into an ongoing discussion of a very common anti-vaccine argument. Continue reading →
I haven’t written here about the CDC “whistleblower” issue, because I was in Shanghai when the story broke with both limited internet access and limited desire to take time away from adventures to write. Orac did an excellent job of staying on top of the story, and I refer the interested reader to his series of posts on the subject, as well as this excellent summary by Todd W. at Harpocrates Speaks, and this one by Retraction Watch.
However, as many people who read Violent Metaphors have a specific interest in vaccine/anti-vaccine issues, I thought it would be worth talking about the most recent development in the story; specifically, the retraction of Brian Hooker’s journal article purporting to show an increased risk of autism among African American boys who receive the MMR vaccine.
You may have seen the news about a Texas court throwing out Andrew Wakefield‘s lawsuit against Brian Deer, the investigative journalist who did so much to uncover Wakefield’s fraudulentanti-vaccine study. You can read the court’s opinion for yourself, but I’ve already seen some inaccurate commentary on it. Here’s a little background on the case, and a quick explanation of what happened last week for non-lawyers.