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We have tried fun, relatable analogies, like the fact that there are more antigens—the foreign triggers that stimulate the body to make protective antibodies—on a single doorknob than there are in today’s entire childhood vaccine series combined.
The most striking finding from a review of the past decade of pro-vaccination efforts is that nothing has been proven to be more than marginally effective.
The questions that have been raised about vaccine safety, efficacy, and necessity have already been asked and answered.
The science is sound, and the immense benefits, accompanied by minimal and well-described risks, have been demonstrated.
These well-meaning studies and initiatives have remained too far removed from the issues at the core of this public health crisis, and as a result, have produced little actionable insight.
Cases like this are particularly painful for us because they stand in stark contrast to another situation of, we would argue, more serious parental neglect: Parents who deny their children the basic and essential medical care vaccinations provide.
And yet, our current system asks physicians to accept vaccine refusal with impunity because it is a matter of personal belief.
As doctors, we are asked to abandon both our duty to our individual patients, and our collective responsibility to protect and promote the health of all children irrespective of their parents’ beliefs, skin color, or bank accounts.
However, the current attitudes of public health officials about vaccine mandates and exemptions are arrogant and patronizing.
In the US all 50 states and the District of Columbia require children and adolescents to be vaccinated before they attend school, college, or preschool programs.
Medical exemptions are granted in all jurisdictions, and religious exemptions are granted everywhere but Mississippi and West Virginia. The recent US measles outbreak has given rise to a lot of media hyperventilation about vaccine exemptions.