Vaccine preventable diseases – much scarier than vaccines

Debunking anti-vaccine myths are one of the goals of this blog, which has evolved from my original intent of mocking anti-evolution lies. Mostly, the tactics of both science deniers are the same, so most of what I write is interchangeable–it was a natural evolution to vaccines.

Yes, I went there.

There are several tactics to criticizing the anti vaccination cult. For me, it’s being pejorative (hey, I call them a cult), being rude, and mocking them with all the fervor I can find in my brain. Since ALL of the evidence supports the fact that vaccines are relatively safe and very effective, short of someone actually bring the same volume of science that disputes that fact, making fun of the cult is my reason to exist.

I know my tactics aren’t very popular in the pro-vaccine world–I really have fun doing it.

Just so all of you understand this clearly, I do not discriminate in my mockery of pseudoscience. I’ve done much worse to the anti-evolution gang. And don’t get me started on the purveyors of junk medicine, like chiropractic, acupuncture and homeopathy–I seriously enjoy making fun of them all.

However, most pro vaccine writers are much more civil. Dorit Rubinstein Reiss, who writes here frequently, is quite courteous towards the anti-vaccination movement, despite the bigoted hatred that they send her way. Some of us think that she’s treated so badly probably because she’s so polite and civil.

To be fair, most pro-vaccine writers range from snarky and pointed to civil and supportive. Some writers try to hit a balance between the two extremes by being both tough and supportive (especially to that group that we all call “fence-sitters” who are the parents who aren’t sure about vaccines).

Dan Kahan, a Yale University law professor, has authored research that delves into cultural cognition which is the study of how individuals form beliefs about the amount of risk in certain situations based on their preconceived cultural notions of good behavior. He has called me out personally for using the “anti-science” trope with respect to evolution, climate change and vaccines.

Kahan presents some very convincing evidence that more civil discussions with vaccine deniers can be more helpful–obviously, I disagree, but Professor Kahan makes extremely valid points. I’m glad that there are dozens of other pro-vaccine websites who meet or exceed his recommendations on civility. I’m too exhausted from decades of fighting against pseudoscience and straight out science denialism to change my methods now. Like I said, I’m having too much fun doing it my way.

However, there seems to be a third way to deal with the anti-vaccination crowd. It probably will not convince the true believers who think that evidence is only what supports their point of view, like the crackpots at Age of Lying about Autism who still think that MrAndy Wakefield is some sort of hero.

No, it’s the fence sitters who should know the facts about vaccine preventable diseases – it should scare the crap out of them.

What? Scare the vaccine deniers?

 

In a recent article published in the Proceedings of the National Academy of Sciences (one of the top peer reviewed journals in the world), the researchers examined methods to “persuade” someone that vaccines are necessary. Their conclusions are pretty clear:

[infobox icon=”quote-left”]Myths about the safety of vaccinations have led to a decline in vaccination rates and the reemergence of measles in the United States, calling for effective provaccine messages to curb this dangerous trend. Prior research on vaccine attitude change suggests that it is difficult to persuade vaccination skeptics and that direct attempts to do so can even backfire. Here, we successfully countered people’s antivaccination attitudes by making them appreciate the consequences of failing to vaccinate their children (using information provided by the Centers for Disease Control and Prevention). This intervention outperformed another that aimed to undermine widespread vaccination myths.[/infobox]

The study included 315 participants, about half of them were parents. They answered a series of questions about their attitudes toward several health care issues, including vaccines. (They used the other questions as red herrings so that the participants couldn’t guess what the actual study goals).

The researchers then showed some of the participants stories and photos from the CDC website about the effects of vaccine preventable diseases – a new direction in vaccine persuasion. Surprisingly, the participants in the group that saw these images and read the stories became more positive about vaccines, even if they were negative about them prior to the study.

Meanwhile, a control group was given the correct information that vaccines do not cause autism – they remained unconvinced, and their opinions about vaccines didn’t change at all.

I’m not a big fan of these kind of studies (there are so many confounding factors, and psychology just isn’t the type of scientific research that lends itself to an unbiased scientific analysis), but for the time being, I’ll take it as a suggestion.

One pro-vaccine writer, Tara Haelle, who reviewed this research, commented that:

[infobox icon=”quote-left”]Again, however, this is one study, with one third the number of participants as the previous one in which a similar experiment failed to affect participants’ vaccine attitudes much. And there’s still a lot we don’t know, such as how long a participant’s attitude change might last. We have a lot more to learn about reaching vaccine-hesitant parents.[/infobox]

So, let’s say that this is the first bit of data that might convince us to try a different tactic. I’ll go with it. Let’s talk about these vaccine preventable diseases.

 
 

Vaccine preventable diseases ARE scary

 

I’m not going to post photos. I’m not going to tell you my personal story of how I had to deal the long term effects of chicken pox. I’m not going to tell reprint a story about a parent burying a child who died of a vaccine preventable diseases.

I’m just going to give you the facts about three diseases that are, sadly, still prevalent in the USA and many parts of the world.

Measles

According to the CDC, here are the minor complications and associated risk from measles

  • Ear infections–1 in 10 children.
  • Diarrhea–slightly less than 1 in 10.

Major complications include:

  • Pneumonia–approximately 1 in 20 children contract pneumonia as a result of measles. And it is the most common measles related death in young children.
  • Encephalitis (a swelling of the brain)–about 1 in 1,000 developed this dangerous condition after measles, which can lead to convulsions, deafness or an intellectual disability.
  • Death–1-2 children out every 1000 children who contract measles will die.

Human papillomavirus

 According to the CDC, here are the statistical facts about HPV, a sexually transmitted infection:

  • Infection–about 79 million Americans are infected with one or more forms of HPV (more detailed information can be found here). Each year, about 14 million Americans become newly infected.
  • Genital warts–about 360,000 people in the USA are diagnosed with it every year.
  • Cervical cancer–more than 11,000 women in the United States contract this cancer, caused by HPV, each year.

Whooping cough (pertussis)

According to the CDC, these complications are the most common and scary:

  • Pneumonia–1 in 4 (23%) get pneumonia (lung infection)
  • Convulsions–1 or 2 in 100 (1.6%)
  • Apnea (slowed or stopped breathing)–2 in 3 (67%)
  • Encephalopathy (a disease of the brain)–1 in 300 (0.4%)
  • Death–1 or 2 in 100 (1.6%)

In case you were wondering, there are vaccines that prevent measles, that prevent HPV infections, and that prevent whooping cough.

The simple math

 

I don’t know why this happens, but many people seem to round up the risk of using vaccines to 100% while rounding down the risk of diseases to 0%.

Part of it is that we don’t see massive epidemics of these diseases (well, except for HPV). It wasn’t that long ago when hundreds of children died of measles every year. That pretty much scared the crap out of parents, prompting massive immunizations.

Part of it is that the benefits of vaccinations are not immediately apparent. For example, HPV may lead to cancer decades later. The HPV vaccine prevents those cancers, but the cause and effect is so far into the future, it’s hard to see the benefit of the vaccine.

But here’s the scary and simple math:

  • The risk of dying of measles is about 1 in 1000 children infected with measles.
  • The risk of dying of the measles vaccine is 0 in 1000.

Mathematically, dying of measles is infinitely (literally) higher than it is to be vaccinated.

Of course, death is not the only potential adverse event from MMR vaccines (pdf), nor is it the only one for the disease itself. Here are some of the other risks from the MMR vaccine:

  • Febrile seizures (a minor event, though to a parent it might not appear so)–about 1 in 3000.
  • Severe allergic reaction–about 1 in 3-10 million.
  • Thrombocytopenia (a decrease in platelets–about 1 in 30-40 thousand. However, research has not shown a causal relationship.

Yet, the “risk” of getting the vaccine is substantially smaller than the actual risk of one complication to the disease itself–death. If we throw in all of the other serious complications to measles, like encephalitis or pneumonia, it’s not even close. Vaccines are substantially safer than the disease.

And unless you ascribe to some nirvana fallacy, that the medical procedure needs to be perfectly safe or it’s useless, the risk of the vaccine is far far lower than the benefit (preventing disease).

Vaccine preventable diseases are scary, very scary. Vaccines are not. This is a simple equation that I hope becomes a meme.

Key citations

 

The Original Skeptical Raptor
Chief Executive Officer at SkepticalRaptor

Lifetime lover of science, especially biomedical research. Spent years in academics, business development, research, and traveling the world shilling for Big Pharma. I love sports, mostly college basketball and football, hockey, and baseball. I enjoy great food and intelligent conversation. And a delicious morning coffee!


  • Diddly doo

    “Since ALL of the evidence supports the fact that vaccines are relatively safe and very effective” Septic mystic meme generator.

    This is a simple anti science sentence that has as much weight in reality as a peer reviewed medical paper on vaccine efficacy. Did you write this all yourself or did it just come to you in a dream? What authority are you appealing to this time, the Wiggles or Wags the dog or maybe the Cookie monster, could be Kermit ahh I know, it’s Miss Piggy.

    Now children, are you sitting comfortably, Mr dinosaur is going to tell you some complete bullshit about how the mmmmmmmmmmr saved the world and paid for a few people to have nice holidays as a result.

  • Diddly doo

    “I’m too exhausted from decades of fighting against pseudoscience and
    straight out science denialism to change my methods now. Like I said,
    I’m having too much fun doing it my way.” Septic rantor

    There is so much vaccine mythology on this thread it is difficult to know where to start. Japan’s health authority no longer recommends HPV vaccine because its safety record has not been established. Everyone I knew had measles when I was a child, not one of them died. You can’t include mortality from malnourished third world countries in the stats, it’s dodgy data.

    I mean for Pete’s sake, why don’t you include flu vaccine in the pseudoscience, now the new attempts to make it compulsory in California for kiddy workers etc. is nigh on bull.

    Your average American eats processed pap, of course you wouldn’t think that would affect their ability to stay healthy. Have you seen ‘Supersize me’? What happened when a healthy young man eats McDonald’s for a month.

  • Proponent

    A suggestion, if I may.. and in case you were unawares.

    And I will use an excerpt from your article above as an example..

    “It probably will not convince the true believers who think that evidence is only what supports their point of view, like the crackpots
    at Age of Lying about Autism who still think that Mr. Andy Wakefield is some sort of hero.”

    / Take note of the change for the embedded link to the AoA website.

    … …

    DoNotLink

    “What is donotlink?”

    “Linking to dubious websites

    You’ve all heard there’s no such thing as bad publicity. On the internet this is doubly true. When you link to a website — regardless of the reason — this strengthens its position in search engines. This means that a bad review of a website makes it more popular.

    When you are discussing or alerting others to a website that promotes a fraud, scam, cult or other questionable business and you link to that site, search engines will (after a while) improve the offending site’s rank. Therefore, more people will find these shady websites, and will be exposed to their content without getting the proper context.

    That’s where donotlink comes in.

    With donotlink.com, you can link to sites without giving them “Google juice”.

    Donotlink uses three different ways to block search engines from crawling a link. So you can post the link on forums, message boards, facebook, twitter, reddit, and other public places without giving shady websites any undue credibility.”

    • Cathy

      Sorry, Pro. Got a message from a friend who asks that you delete this message with screenshot.

      “Wondering why Tim Donnelly has now set his SB Referendum’s group YouTube petitioners signing training…” — Proponent http://disq.us/8o9jz4

      She’s being harassed by the SB277 Referendum asshattery.

      Can you help me out?

    • Diddly doo

      “Meanwhile, a control group was given the correct information that vaccines do not cause autism – they remained unconvinced, and their opinions about vaccines didn’t change at all.” Duhhhh

      Why do you think the CDC showing their version of correct information would convince anyone they were telling the truth! I mean they fanned the flames of the fake flu pandemic and expect to have credibility. Either they are so arrogant they can’t see it or they are just grade A idiots? Not a good outlook either way.

      Perhaps they could pay me to do a study and give them the harsh reality answer instead of the septic spin.