- Joined
- Mar 13, 2014
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Certainly, there are anti-vaxxers in developing countries. A section of the militarized north of Nigeria staged a boycott of vaccines for complicated reasons, some having to do with superstitious fears of a sterilization/AIDS spreading conspiracy, and more legitimately to do with concurrent deaths involving the testing of an unlicensed fluoroquinolone. Northern Nigerian militants have made the world news in more recent years with even more astounding acts of small mindedness.
In related news, the Taliban have taken a prominent role in the anti-vax world stage by murdering vaccination workers in Pakistan. This is for a combination of ideological and practical reasons (if your goal in life is to subvert the modern world into a medieval theocracy).
So yes, there are people in the developing world who are championing the cause of their religious exemption, if you will.
In the United States, the anti-vaccination movement is predominantly white, middle class, educated (though not in biological sciences), and largely sequestered from disease. By and large, it a population with the good health derived from adequate nutrition and a functioning public health system, combined with the disposable income to seek "alternative" therapies to indulge their ennui and treat their non-illnesses. With this, there is also the luxury of combining centuries abandoned hypotheses of vitalism with a foggy grasp of "new paradigm shifting sciences" such as epigenetics and nutrigenomics to create an appealing set of mantras and self reinforcing belief systems that have little to do do with objective reality.
What do these disparate groups have in common? Willful ignorance. It is called ignorance because it is ignorance.
Certainly, dismissing concerns as ignorant will alienate patients. I doubt most people here would do that to their patients, be they gum smacking 24 y/o yoga instructors bloviating about nutrition or impoverished Nigerian or Pakistani families. Being able to express dismay on an anonymous internet forum is a different thing.
However, when you make queries like "Heard of Pandemrix? Causes narcolepsy." expect an acerbic response. A blithe statement like that could have come straight from LivingWhole, VacTruth, or AgeofAutism. I am sure that you know that "associated with an increased risk of" is not the same as "causes", yet you said it anyway. Were you interested in discussing adverse neurological sequelae of vaccination? Not a productive way to initiate the conversation.
However, I too find the sociology of the anti-vax movement interesting. Most of my perspective comes from articles published in Pediatrics and Vaccine, as well as my own internet forays and personal observations from living in Woo-ville, along with an interest in global health. Feel free to PM me if you have any other interesting sources.
Salaam,
Brick
Strong vocabulary