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The importance of vaccination
MSUBioNerd Posts: 1430
Oct 20, 2009 6:26 PM GMT
For those who have been living under a rock for the past decade, it may come as a bit of a surprise that in the US a large (though thankfully still definitely minority) number of parents have become convinced that childhood vaccination leads to autism. There is absolutely no scientific evidence for this, and, in fact, there are numerous large well-designed studies that refute this claim. Nonetheless, under the stellar public health thought doled out by such luminaries as Jenny McCarthy, a growing number of parents are choosing not to vaccinate their children.

So, of course, their children are more likely to contract these childhood illnesses that the rest of the first world has essentially conquered -- measles, mumps, rubella, whooping cough, etc. It's bad for these children, but ultimately, many children suffer in various different ways from the stupid actions of their parents.

What's lost in this discussion, though, is how these parents are actually putting other people's children at risk. One of the major concepts in public health is that of herd immunity; essentially, if enough individuals in the population are immune to a particular disease, then even those individuals who would be susceptible to it are protected, because there aren't enough vulnerable individuals for an epidemic to take hold and spread. Those parents who don't vaccinate their kids are exploiting this herd immunity, betting on the fact that if enough other kids are immunized, their kids won't be exposed to the disease in the first place. * But the more parents who exploit this herd immunity, the less protection it becomes. And that is a major problem for those children who have to depend on herd immunity, because they are too young to be vaccinated, or because their immune systems are compromised for other reasons. The anti-vaccine fundamentalists rely on the sympathy people feel for the autistic children they claim are the result of vaccination programs, and sick children are a great way to gain sympathy.

To that end,
MSUBioNerd Posts: 1430
Oct 21, 2009 1:56 PM GMT
(odd, the rest of it got cut off)

To that end, this article is a good personal account of how parents refusing to vaccinate their children places others at risk. This woman's son has lukemia, and the chemotherapy has made it so that he cannot be effectively vaccinated against several standard childhood diseases. He also can't attend a preschool if even one child hasn't been vaccinated against whooping cough, as there's a good chance that a case of that would be fatal to him. Instead, the author and her husband have had to hire a sitter to come to their home to watch him, and he misses out on the socialization aspects of preschool. When the time for kindergarten comes around, they'll have to hope that none of those philosophically unvaccinated kids is harboring some disease which is annoying to most children but deadly to those with a compromised immune system.

* Essentially, this is the free rider problem from game theory. If enough others are vaccinated, you can choose not to vaccinate your child, and the slight but non zero risk of vaccine complications (which do NOT include autism, the medical brilliance of a certain actress notwithstanding) can be larger than the increased risk of catching that disease because you child is not vaccinated. Except that the more people who make this tradeoff, the riskier it becomes, until you reach a point where it is significantly more dangerous to not be vaccinated.
Oct 21, 2009 2:43 PM GMT
This is very true! I used to treat a large number of autistic children. The parents were convinced vaccinations and dental amalgam were to blame. They would present to me these "scientific articles" written by private dentist who would be trying to promote their practice as being amalgam free. Recently the ADA and FDA stated there is no correlation or risk between amalgam and autism. God those parents were a pain the butt! It's one thing to care about your childs condition but some go too far.

http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DentalProducts/DentalAmalgam/ucm171094.htm