Book cover of On Immunity by Eula Biss

Eula Biss

On Immunity

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Do vaccines protect us, or do they expose us to hidden dangers? Unravel the myths and realities surrounding one of the most controversial medical innovations in history.

1. Parents grapple with ancient fears of harm versus protection.

Throughout history, parents have struggled to protect their children while inadvertently exposing them to risk. Myths such as Thetis dipping Achilles in the Styx demonstrate the timeless tension between shielding children and the unintended consequences of those efforts. Whether it was seeking invulnerability for Achilles or locking Danae in a tower, these stories mirror modern parental concerns over vaccination.

These timeless tales resonate with today's vaccine debates. Just as Achilles' unprotected heel became his downfall, parents fear vaccinations might make their children vulnerable in ways they can't predict. Stories of harm caused by well-intentioned actions feed parental anxiety, adding to their reluctance around medical interventions.

Vaccinations carry a similar weight of uncertainty. Like the miller in The Girl Without Hands who exchanged his daughter's safety for perceived benefits, parents worry whether vaccinating will innocently harm their children. The tension lies in choosing between risking diseases and the imagined dangers of vaccines.

Examples

  • Many parents fear autism might become their child’s “Achilles heel” post-vaccination.
  • Mythological acts of protection often led to unintended harm, echoing parents' fears around vaccination effects.
  • Stories of contaminated vaccines historically exacerbated these protective instincts.

2. Vaccinations are fraught with historical risks and fears of harm.

Early vaccines often came with significant dangers. In the 1800s, rudimentary methods involved using pus from infected individuals, sometimes spreading other infections like syphilis or tetanus. By the 1900s, vaccine oversight improved, but the legacy of fear lingered.

Even today, a small but vocal group of people fears vaccinations could trigger health issues. The now-debunked study by Andrew Wakefield linking the MMR vaccine to autism made a lasting cultural impact despite its retraction. Concerns about mercury, aluminum, and other vaccine ingredients amplify parental hesitation.

Complicating things further, newer vaccines like the H1N1 flu shot raised narcolepsy concerns in Scandinavia, though such reactions are extremely rare. While vaccinations today are highly regulated and far safer, the shadow of past mistakes remains in public consciousness.

Examples

  • Early smallpox vaccinations with contaminated materials caused fatalities.
  • The Wakefield study, though discredited, caused measles vaccination rates to plummet.
  • Scandinavian studies highlighted rare but alarming narcolepsy cases tied to H1N1 vaccines.

3. Perceptions of vaccines intertwine with metaphors of violence and sin.

Vaccinations are often compared to acts of violence. Words like "jab" and "shot" evoke physical intrusion and pain. Historically, the scars left by primitive vaccines were seen as the devil's mark, linking the act to impurity and sinfulness.

This fear of pollution persists. The idea of injecting foreign substances, especially those produced from animals or other humans, makes people uncomfortable. In some cases, vaccines like HPV for young girls stirred moral debates, as some believed they encouraged early sexual activity.

Even when the risks of disease outweigh these concerns, rhetorical opposition remains strong. Vaccinations being framed as uncomfortable invasions or even moral contaminations creates a barrier for people trying to decide whether to vaccinate themselves or their children.

Examples

  • Terms like "jab" and "shot" feed into perceptions of aggression.
  • The scars vaccination left in the 19th century were linked to metaphors of sin.
  • The HPV vaccine faced cultural resistance for allegedly promoting promiscuity.

4. Societies reject vaccines tied to marginalized groups.

Medical treatments, including vaccines, are often stigmatized when associated with certain demographics. In the late 19th century, smallpox became stigmatized as "Italian itch" or "Mexican bump," reinforcing prejudices. Associating a disease with a demographic bred suspicion and rejection, a problem that persists today.

This pattern can have disastrous effects on public health. For instance, hepatitis B vaccinations were initially aimed at "high-risk" populations, such as drug users or prisoners. This narrow targeting failed to reduce hepatitis B rates until the vaccine was broadened for general public use.

Outside the U.S., this dynamic also impacts vaccination campaigns. In Nigeria, mass vaccinations were met with fear and suspicion due to their association with a perceived Western agenda, reflecting the lasting scars of colonialism.

Examples

  • Diseases like "Mexican bump" stigmatized minority groups during epidemics.
  • Hepatitis B vaccination succeeded only when applied universally, not just to "risk groups."
  • In Nigeria, polio vaccination campaigns were interpreted as Western plots.

5. Vaccinations conflict with the ideal of natural living.

In developed nations, many equate "natural" with "better." Vaccines are seen by some as unnatural interventions into an infant's pristine, untainted body. This view is fueled by the modern obsession with organic living and mistrust of synthetic products.

Parents worried about their children's health may instead turn to dubious alternatives, such as chickenpox-laced lollipops to build immunity "naturally." The concept of natural immunity appears less threatening than a chemically injected vaccine, despite the risks of disease.

Ironically, vaccines depend on the body’s natural systems to work. The immune system reacts naturally to the vaccine's weakened or inactive virus, generating antibodies that provide protection against future infections. So while framed as unnatural, vaccination is aligned with the body’s natural defenses.

Examples

  • The natural living movement influences some parents to reject vaccinations.
  • Cases emerged of parents opting for "chickenpox parties" over vaccination.
  • Vaccines simulate natural disease exposure, working with the immune system.

6. Distrust in vaccinations reflects a history of exploitation.

Colonial history and medical exploitation fuel vaccine hesitancy in some nations. Communities once exploited by imperial powers now view Western health initiatives with skepticism. Events such as unethical vaccine trials deepen this distrust.

In Nigeria, rumors linked polio vaccines to sterilization plots, halting mass immunizations. Similarly, a fake vaccination campaign by the CIA in Pakistan to locate Osama Bin Laden further eroded trust.

This distrust often escalates into resistance. In extreme cases like Nigeria, violence erupted; health workers offering polio vaccines were murdered. These events show how historical grievances shape attitudes toward present medical initiatives.

Examples

  • Distrust in Nigeria linked polio vaccination efforts with anti-Muslim conspiracies.
  • The CIA’s use of vaccination campaigns in Pakistan damaged trust in genuine efforts.
  • Leaders in former colonies often perceive Western health programs as threats.

7. Language shapes the way we think about vaccinations.

The words used to describe immunity often evoke war. Terms like "fight" or "combat" frame vaccination as part of an ongoing battle, aligning with media tropes of viruses as enemies and immune cells as soldiers.

This combat-based perspective can alienate some parents, especially those seeking gentle, non-aggressive approaches to child-rearing. Words matter — equating vaccines with war can diminish trust in the process, making parents hesitant to adopt them.

Researchers found even scientists tend to use these war metaphors, reflecting how deeply ingrained such imagery is in our culture. Reframing vaccination in peaceful, cooperative terms could influence people’s willingness to accept them.

Examples

  • Media narratives liken vaccination to "arming" the body's defenses.
  • Scientists use war metaphors freely when explaining immune responses.
  • Education reframed without militaristic language might ease vaccine concerns.

8. Vaccinations protect communities, not just individuals.

Vaccination plays a dual role: it protects the individual and the larger society. When enough people are immunized, herd immunity occurs. This prevents outbreaks from spreading, guarding even those who cannot be vaccinated.

Unvaccinated people in highly vaccinated communities face much lower risks than vaccinated individuals in unvaccinated areas. However, widespread refusal to vaccinate erodes this communal shield, putting vulnerable members — such as infants or immunocompromised individuals — at risk.

The decision to vaccinate isn’t just personal. It’s a shared responsibility, similar to voting in an election. Individual choices have widespread implications for everyone’s safety.

Examples

  • Herd immunity protects babies who are too young to be vaccinated.
  • Cancer patients rely on community vaccination to avoid preventable diseases.
  • The anti-vaccine movement risks the collapse of herd immunity in many areas.

9. The risk of infection far exceeds the risk of vaccination.

While vaccination fears persist, the consequences of infections like measles, rubella, and diphtheria are far worse. Deadly complications, including encephalitis and paralysis, are far more common than severe vaccine reactions.

Even seemingly mild diseases like chickenpox pose serious harm. Pre-vaccine, thousands of U.S. children were hospitalized annually due to chickenpox-related complications. Vaccines significantly reduce such risks.

Vaccinations eliminate or drastically reduce dangers posed by these infections, offering far greater safety than the diseases themselves. The comparisons make a strong argument in favor of widespread immunization.

Examples

  • Measles can cause encephalitis in 1 out of 1,000 cases, but vaccine reactions are far rarer.
  • Rubella in pregnant women can cause devastating birth defects.
  • The chickenpox vaccine slashed hospitalizations and deaths due to the virus.

Takeaways

  1. Reframe how you talk about vaccines using peaceful, cooperative language to encourage their acceptance.
  2. Understand and empathize with vaccine hesitancy rooted in cultural history while advocating for informed decision-making.
  3. Focus on the communal benefits of vaccination, emphasizing the role of herd immunity in protecting vulnerable populations.

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