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Increasing numbers of Western parents question childhood vaccines, but why? SteadyHealth asked an Indian doctor and an American pro-vaccine campaigner to share their views.

Dr Khatri's brief description makes it clear that a lack of education and financial resources are the most common reasons Indian parents don't vaccinate their children. The picture in the West couldn't be more different. Is vaccine rejectionism, like obesity, a first-world luxury disease? 

Voices For Vaccines is a parent-driven organization supported by scientists, doctors, and public health officials that provides science-based information about vaccines and the diseases they prevent in clear language. This project was born from the observation that the loudest voices in the so-called "vaccine debate" come from those opposed to vaccines. There is a real need to counter the misinformation presented all over the internet with real, evidence-based information. 

Just why do Western parents question childhood vaccines? "The thought of vaccinating their baby is daunting for many parents," Karen Ernst from Voices For Vaccines told SteadyHealth. "Their babies seem perfect and the idea of a painful injection seems almost cruel — after all, it will hurt. Since these parents are not faced with the immediate threat of disease, the threat of the injection looms bigger in their minds. After all, most parents of babies have never seen measles, polio, rubella, diphtheria, and so forth."

While they may remember some childhood diseases from when they were younger, they may not have seen the debilitating complications that can come with these diseases, Ernst adds.

"They may never have met someone who died from chickenpox or who was hospitalized with rotavirus. Instead, they try to find out more about the vaccines."

"They are encouraged to learn about the ingredients, but in doing so, they are faced with more misinformation than solid information. The list includes multi-syllabic words that ring a faint bell from school science labs long ago, but plenty of websites will gladly connect these ingredients — some real and some imagined — to all manner of threat and danger without any evidence."

Internet Misinformation: A Real Danger

Indeed, a study conducted by Anna Kata, a professor of anthropology at McMaster University, showed that a full 100 percent of anti-vaccine websites she investigated contained factually incorrect information. Popular anti-vaccine websites make completely unfounded claims, including:

  • Vaccines are poison. (Despite the fact that ingredients that could be toxic in large quantities, such as formaldehyde, don't appear in vaccines in quantities that are toxic to humans.)
  • Vaccine ingredients cause illnesses ranging from autism and diabetes to cancer and AIDS.
  • Vaccines are a conspiracy to keep pharmaceutical companies in profits.
  • The general public is deliberately kept from real information about the dangers of vaccines.
  • Vaccine-preventable diseases are not dangerous. 

After being bombarded with claims like those, it's "easy for parents to get the risks and benefits of vaccines turned upside down," Karen Ernst says. "Take a vial of something they don't understand and couple it with disease rates that are low or non-existent — thanks to vaccines — and parents think refusal is the smart choice. But as I said, this is risk analysis turned on its head. Measles is everywhere in our world. It kills over a dozen people every hour in the world."

"The only thing keeping diseases like measles away is everyone's participation in immunization. And the reason so many of us have agreed to vaccinating our children is that the vaccines and their ingredients are safe and well-regulated and far less scary than dealing with a very ill child."

The simple fact is that the science behind vaccines is terribly hard to understand. A true understanding requires all kinds of knowledge — about the immune system, chemistry, diseases, how epidemics occur, and indeed higher mathematics. As a parent, I'm the first to admit that I don't understand these things enough to make a truly informed decision on my own. 

That leaves a fairly crude decision-making process, then. The fact that scientific consensus considers the risks of vaccine-preventable diseases to be greater than the risk of vaccines is an excellent starting point. I concluded that vaccine-preventable diseases killed and permanently crippled many more people than vaccines do today. Therefore, vaccinating is a safer choice. It will only remain so as long as vaccination rates stay up, because herd-immunity is real. By not vaccinating, parents put others at risk as well as their own children.

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