Annnnnnd the conversation is back. With cases of the measles being confirmed, we’re seeing an influx of memes and other such posts about vaccinations flooding our social media newsfeeds.
There have now been 12 confirmed cases of measles in Vancouver so far this year (12 people out of 2.4 million living in the greater Vancouver area, but I digress) that is stirring up the predictable outcry to ostracize all children who aren’t up to date on their immunizations.
(For a strong dose of snark and exasperation, you can check out my previous post I’m So Sick of the Vaccine Debate.)
And in the conversation takeover around vaccines, there seems to be very little room to have an actual discussion. You either vaccinate your children or you’re an idiot who doesn’t deserve to breed. You don’t ask questions, you don’t get to feel concerned, and you certainly don’t try to challenge anyone on the internet. The conviction from pro-vaxxers about a) why anti-vaxxers don’t vaccinate, b) the intelligence level of parents who choose not to vaccinate, and c) the absolute infallibility of modern science, is nothing short of ironic given the common accusation that vaccine hesitation comes from hasty Google searches.
As Lindsay B. put it, “Okay so I’m gathering we should all vaccinate our kids (read something about this on oh… EVERY SINGLE FB FRIEND’S WALL, we get it already!). Asking for a friend — is this every single vaccine? If we are selective (say… with the flu or chicken pox or Gardasil or something) will we be taken out back and shot straight away? Is there any room to ask questions or have any concerns whatsoever? …what about adult vaccines? I haven’t gotten Gardasil. Not because I think it’s going to kill me, I just hadn’t really thought about it TBH. I try to stay on top of the others but I am not great at staying on top of healthcare maintenance in general. Will we be unfriended/shot/jailed for our own vaccine laziness or only that of our children?”
Here’s the thing: the reasons parents feel hesitant to vaccinate are so nuanced. The media loves to boil it down to a fear of autism (which… no, but okay) and dismiss all concerns as uneducated drivel—but when you refuse to allow room for honest, open discussion about real concerns, you completely shut out people genuinely wanting their questions answered with something more than just “you’re stupid, go get vaccinated.”
So let’s talk about the experience into parenthood, the support we get from our medical teams, and why the advice to just listen to our doctors doesn’t always feel so black and white.
*This content is cis and heteronormative. I would love to hear additional voices from more experiences*
Vaccine Reactions are Real
Reactions are real. There is a real, actual database for them. The product monographs list them. We know the reporting system is underutilized, and we know that doctors often dismiss a reaction, even if it was very close to when immunizations were administered. There were 902 reports received in the last quarter of 2016 alone.
Yes, reactions are relatively rare. But they DO happen. 902 reports out of all the people immunized in Canada is tiny, and even if that number quadrupled with proper reporting it’s still tiny. But so is 12 cases of measles in a population of 2.4 million, yet there is no hesitation to freak out over that. To dismiss concerns of a reaction while simultaneously losing your mind over a dozen measles cases feels, to an anti-vaxxer, hypocritical.
Doctors Aren’t Educated in Vaccines
They’re just not. They’re told in school that they’re great and they’re safe, and that’s about it. Unless they go out of their way to get additional education, they can’t answer the nuanced questions about how vaccines are manufactured or why a concern isn’t a huge deal.
And you know what? I don’t actually expect my GP to know all the things about all the things. I do expect that they do more than tell me my concerns are unfounded while patting my head when I bring them up, though. Doctors are routinely dismissive of many parent concerns, appointments are rushed, and *gasp* sometimes my doctor has been just plain wrong. Every time a concerned parent is told they’re being ridiculous erodes trust, and makes them far less likely to turn to their doctors for help the next time.
A mother recounted her experience dealing with postpartum anxiety and depression, and how a public health nurse yelled and scolded her for asking questions about the vaccine schedule. Then, her baby got sick and needed a specialist. When she explained to the nurse that they were waiting for the specialist appointment and approval before proceeding, she was yelled at again. She wanted to vaccinate her kids, she just also wanted to be able to ask questions. Instead, she felt like she was being forced into compliance. And on that topic…
Pregnancy and Birth Support Sucks
As Lindsay put it, “The vaccination decision comes for parents at a point in their life when their trust of the medical community, and doctors, is at its all-time lowest.
The experience of going through pregnancy and birth in a medical setting is generally not a positive one. If you have a doctor while pregnant, chances are quite high that you become accustomed to any questions or concerns you have being brushed off and even scoffed at. You become accustomed to being viewed as unqualified to handle your own healthcare. You become accustomed to doctors giving you incomplete, misleading and often just plain wrong information in response to your questions. The doctor’s office becomes an adversarial place, for many, many parents.
Then, within eight weeks of this experience, you get to inject 7 (or is it 9?) different vaccines into your tiny baby. This injection is administered by the same people who have been discounting your every concern and experience for almost a year now.
I can’t overstate this — I actually think this might be the #1 reason that any parent hesitates when it comes to vaccines. Not because they don’t trust the vaccines, or because they don’t believe in science, but because they have learned that the medical community does not, indeed, have their best interests or that of their child in mind. (PLEASE NOTE: I’m not saying the medical community doesn’t have our best interests in mind. I’m saying that is what you learn while pregnant — for many, many people.) And they have learned that their questions will be brushed off or scoffed at, so they don’t ask them. If they do ask them, they don’t trust that they are being given a thorough or accurate answer.
So we do our own research, try our best to make the very best, nuanced decision for our own child (because yes obviously we care about herd immunity but now this person is 100% our responsibility and they are SO TINY, my god), and good lord we NEVER speak up about it to our friends or family for fear of being completely torn apart.
Anyone who has ever experienced postpartum hormones can *feel* what I’m describing here.
And this is how we end up losing the opportunity for parents to get the information they need. And this is also how vaccination rates begin to drop.”
Amy C adds, “Women routinely have their pain and concerns discounted by mainstream health professionals. The women most likely to report maternal satisfaction after pregnant and birth are the ones who went through “alternative” routes. Why are we surprised when women decide to go through “alternative” routes after that?
Another friend, who is a pro-vax nurse but also says she 100% understands why mothers are hesitant once pointed out that mainstream medical doctors are the ones who pushed formula in the past, who pushed 1 cm/hour progress of labour, who pushed cesareans at an alarming rate—in all these cases, they were wrong. Why wouldn’t a mother, especially mothers that can point to bad doctor advice leading to a traumatic birth or poor breastfeeding success, trust medical professionals with their child’s healthcare after that? They learned their lesson—doctors can’t be trusted. When they take to the internet for answers, there are very few resources that aren’t “mainstream” or government-sponsored that give information about vaccines. We’re actually asking women to trust the same professionals that abused and ignored them to trust them now. In what world is that sensical?”
Science Isn’t Settled
The science for vaccines is sound, but it isn’t settled.
Science is never settled. If you think it is, you’re doing it wrong.
Science is always growing and evolving and adjusting what it thinks to be correct. Scientific studies are not without flaws, and often what gets the attention is what gets the funding. And, science has been unequivocally mistaken in the past. In 10, 15, 20 years we will know better about some things we think are absolute truth today.
Telling someone that vaccines are infallible because #science is completely dismissing the fact that science is a journey, not a destination. There was a time doctors thought a woman couldn’t travel more than 50 km/hr, lest her uterus fall out of her…
There are lots of sound studies that point to vaccines being effective. There are none that compare vaccinated populations to unvaccinated ones. And, the sheer cost of conducting large-scale studies means that the bulk of the ones out there were actually funded by pharmaceutical companies. That doesn’t mean they’re false, but it does introduce bias. And, quite frankly, companies don’t exactly have a stellar history on doing the right and moral thing, do they? When presented with a choice, companies have routinely chosen to cover up their problems—the United States Radium Corporation actually falsified studies to mask the fact that their radium watches were killing workers, for example. British stores sold products INFUSED WITH RADIUM because it was believed to be good for your health.
With many examples of corporate greed, scandals, and cover ups, is it really so “idiotic” that parents may question what’s in it for the companies that profit from vaccinations?
Abuse and Anger is Met with More of the Same
As mentioned, the conversation around vaccines isn’t exactly open-minded or kind. The memes shared and subsequent comments underneath really don’t serve to change minds—they’re there solely to make fun of and antagonize anyone with any concerns at all.
From jokes about how unvaccinated kids won’t grow old, to a false equivalency about fatal peanut allergies and vaccinations (which is all kinds of not cool, by the way), to ad hominem attacks, the circus that unfolds really, truly does nothing to foster discussion.
When you’re met with abuse and attack, it’s human to react with defensiveness and more of the same. Why would you want to engage in a real dialogue with someone who has not desire to do anything except tell you how dumb you are?
Unvaccinated Children are not Walking Cesspools of Disease
“If your children are unvaccinated, let me know so we can avoid you.”
“Unfriend me now if you’re more scared of autism than measles.”
“Schools should ban all unvaccinated kids!”
Okay, first of all… if your child is protected by immunizations and you feel like you’re not at risk, hanging out with an unvaccinated child should not be a concern for you.
If your child can’t get vaccinated because they’re immunocompromised and you’re concerned about exposure, pretty much everywhere you go is a risk for disease and exposure.
Most adults aren’t up to date on their boosters, so you’ll want to target them as well.
But can we talk about how unvaccinated children aren’t walking around carrying a bunch of eradicated diseases, ready to infect you at any given moment? Sure, they’re at higher risk of contracting illnesses when infection rates are present, but the chance of that being a thing is much, much lower than alarmists would have you believe. (12 in 2.4 million… just sayin’).
Would you also avoid those immunocompromised kids that literally can’t get vaccinated, who (by virtue of being immunocompromised) are actually much more likely to contract contagious things? Or are they still cool since their vaccination status is not a choice? Is it really the kids you’re worried about, or are you just interested in making your horse a little higher?
If you want more people to vaccinate or, more accurately, you’d like to reduce the number of people choosing not to vaccinate, you need to change your approach. Full stop. You need to listen to the concerns, quit it with the name calling, and find a way to have this conversation in a field that is failing new parents left and right. I suspect you won’t. I suspect you don’t actually care *that* much—it’s way more fun to jump on the latest bandwagon, vilifying any group that dares to challenge the mainstream. So keep on keepin’ on, and the on-the-fencers will continue to swing to the non-vaccination side. At least they’ll keep giving you something to talk about.