Tag: regret

Vaccines and Social Media

Believe it or not, social media isn’t all bad, not even when it comes to talking about vaccines.

Of course, social media does amplify the bad players and does seem to help scare many parents away from vaccinating and protecting their kids.

But the anti-vaccine movement pre-dates social media. Social media simply helps a minority of folks who don’t trust vaccines become even more vocal.

Vaccines and Social Media

So that we are on the same page, do you know what folks are talking about when they mention social media?

Social media is the interactive parts of the Internet, so places like Facebook, Instagram, Twitter, Reddit, Snapchat, Pinterest, and YouTube, etc.

What are you going to find if you go on social media and want to talk about vaccines?

It depends.

“The semantic network of positive vaccine sentiment demonstrated greater cohesiveness in discourse compared to the larger, less-connected network of negative vaccine sentiment.”

Kang et al on Semantic Network Analysis of Vaccine Sentiment in Online Social Media

It depends on who your friends are, what groups you are in, and who you follow.

“Measures of information exposure derived from Twitter explained differences in coverage that were not explained by socioeconomic factors. Vaccine coverage was lower in states where safety concerns, misinformation, and conspiracies made up higher proportions of exposures, suggesting that negative representations of vaccines in the media may reflect or influence vaccine acceptance.”

Dunn et al on Mapping information exposure on social media to explain differences in HPV vaccine coverage in the United States.

And unfortunately, that likely influences whether or not your kids are going to be vaccinated and protected.

Social media can be a strong tool to combat vaccine hesitancy too though and can help educate folks that vaccines are safe, with few risks, and necessary.

“Given the ‘viral’ rates of anti-vaccination campaign dispersion through these same media, public health departments working in tandem with community groups, clinicians, hospitals and federal officials can leverage strong coalitions to prevent and treat infectious disease in their communities.”

Warren et al on Measles, social media and surveillance in Baltimore City

It is especially important that local and state health departments learn to use social media during outbreaks to educate the public on the importance of getting vaccinated and protected and combat propaganda and new conspiracy theories that sometimes arise when they don’t put out enough information about an outbreak.

“Our results indicate that users of Twitter (OR4.41, 95%CI: 1.43-13.60) and Facebook (OR 1.66, 95%CI: 1.01-2.72) as sources of health information were more likely to be vaccinated in comparison to users who do not use Twitter or Facebook as a source of health information.”

Ahmed et al on Social media use and influenza vaccine uptake among White and African American adults.

More than a few studies have shown that social media interventions improve vaccine acceptance.

Posting a #flushotselfie on social media can help others get vaccinated and protected too.
Posting a #flushotselfie on social media can help others get vaccinated and protected too.

Unfortunately, studies have shown that it is the folks who are against vaccines that are more likely to talk to others about vaccines on social media.

“To summarize the results, mothers who generally support childhood vaccinations are less likely to engage in communicative action about the issue, including information seeking, attending, forefending, permitting, forwarding, and sharing.”

McKeever et al on Silent Majority: Childhood Vaccinations and Antecedents to Communicative Action

So what should we do?

Instead of worrying about getting Larry Cook and a few other anti-vaccine heroes off social media, let’s get more vaccine advocates on social media!

“By targeting those who are in support of childhood vaccinations with simple, fact-based information that is easy to share online, media and health organizations could create a contagion effect on social media, which could help change perceptions, attitudes, and possibly even vaccine-related behaviors, and might have implications for years to come.”

McKeever et al on Silent Majority: Childhood Vaccinations and Antecedents to Communicative Action

And not just during outbreaks of measles!

More on Vaccines and Social Media

Why Are Anti-Vaccine Folks Panicking over the Measles Outbreaks?

Do you sense something in the air?

No, it’s not measles.

Ever notice that it is folks who don't vaccinate who use words like epidemic and panic whenever we have large measles outbreaks?
Ever notice that it is folks who don’t vaccinate who use words like epidemic and panic whenever we have large measles outbreaks?

It is talk of panic about measles.

Why Are Anti-Vaccine Folks Panicking over the Measles Outbreaks?

I’m not panicking.

I am definitively concerned about these outbreaks, because I understand that they put a lot of folks at unnecessary risk for getting a life-threatening disease. And I understand that these outbreaks are getting harder and harder to control, but ultimately, since more and more people get vaccinated during an outbreak, they will eventually end.

So why are anti-vaccine folks panicking?

Yes, your immune system gets to a whole new level after a natural measles infection - it resets.
Yes, your immune system gets to a whole new level after a natural measles infection – it resets.

It’s easier to be anti-vaccine and leave your kids unvaccinated and unprotected when you don’t think that you are taking much of a risk.

You likely still know it’s wrong, so cognitive dissonance pushes you to believe that vaccines don’t work, vaccine-preventable diseases aren’t that bad, vaccines are full of poison, or that you can just hide in the herd.

It gets much harder during an outbreak, when you realize that it is almost all intentionally unvaccinated kids getting sick. And typically an intentionally unvaccinated child or adult who starts the outbreak.

Why wait until an outbreak starts to get your kids vaccinated and protected or to start recommending that your patients be vaccinated and protected?
Why wait until an outbreak starts to get your kids vaccinated and protected or to start recommending that your patients be vaccinated and protected?

Is my child going to start an outbreak?

If measles is so mild, why do so many of these folks go to the ER multiple times and why do some of them get hospitalized. Why do people still die with measles?

Full Stop! Someone did die during the 2015 measles outbreaks in Washington.
Full Stop! Someone did die during the 2015 measles outbreaks in Washington.

That’s when the panic starts to set in.

Are you really doing what’s right for your child?

Who are these people I’m getting advice from and what’s their motivation?

The only "mass hysteria" is in anti-vaccine Facebook groups. Is Larry Cook using it to raise money for himself?
The only “mass hysteria” is in anti-vaccine Facebook groups. Is Larry Cook using it to raise money for himself?

Am I really supposed to skip my kid’s MMR because they did a Brady Bunch episode about all of the Brady kids getting measles?

Will I regret not vaccinating my child?

Why don’t any of the people in my Facebook groups who talk about how marvelous measles used to be in the old days talk about how they called it a “harmless killer?”

Of course, there is an easy way to stop worrying and panicking about measles and other vaccine-preventable diseases – get your kids vaccinated and protected. Vaccines are safe and necessary.

More on Measles Panic

What Are Anti-Vaccine Folks Saying About the Measles Outbreaks?

If your kids are intentionally not vaccinated and you live in an area where there is a big measles outbreak, then you are hopefully saying, “where can I get an MMR for my child.”

There were 23 measles cases in Orange County in 2014 and an additional 35 cases in 2015.

And you hope that your “vaccine friendly” pediatrician has vaccines and will actually vaccinate your kids…

What Are Anti-Vaccine Folks Saying About the Measles Outbreaks?

And while many parents change their minds and ending up vaccinating their kids when faced with an outbreak, you likely won’t be surprised about what some folks think or say during an outbreak of measles.

Actually, the CDC said that there was no ongoing, single, multi-state outbreak of measles. Instead, there were lots and lots of little outbreaks.

Yes, these are the things anti-vaccine folks say to try and reassure themselves that they made a good decision to intentionally leave their kids unvaccinated and at risk for a life-threatening disease. One that their kids are even more at risk of getting, because there is an outbreak in their community.

Of course, most folks in measles outbreaks are unvaccinated. It isn’t spread by those who are vaccinated.
And these outbreaks are never caused by shedding or a vaccine strain of measles.
Reporting about outbreaks to help get them under control is not media hysteria. And yes, measles made the headlines in the pre-vaccine era.
That’s because measles didn’t kill everyone who got sick. But there were about 500 measles deaths each year in the United States in the pre-vaccine era. Those folks all had stories, whether or not you ever heard them.
Vitamin A as a treatment for measles is typically helpful if you have a vitamin deficiency. It is probably not going to be very helpful in a developed country.
And yet measles was referred to as a harmless killer, because while many kids didn’t recover, others died or had complications, like encephalitis.
Measles is not a deadly disease if you don’t ever get it. And are you really not going to vaccinate your kids because the Brady Bunch had an episode about the measles?
This copypasta links to a post that left out the part of the article that told folks to get vaccinated…
God I hope that measles parties aren’t going to become a thing.
What scares folks about measles? Anti-vaccine misinformation about vaccines.

While you’re researching measles, do a little research about vaccines too.

Yes, a woman who got caught up in the 2015 measles outbreaks in Washington died.
Yes, a woman who got caught up in the 2015 measles outbreaks in Washington died.

Your kids will feel better if they are vaccinated and protected and don’t have measles.

More on What Anti-Vaccine Folks Are Saying About the Measles Outbreaks

Why Are We Worried About 60,000 Unvaccinated Kids?

In the recent New York Times OpEd, How to Inoculate Against Anti-Vaxxers, the editorial board mentioned the 60,000 children in Texas who “remain wholly unvaccinated thanks in part to an aggressive anti-vaccine lobby.”

“But there’s like 74 million children, so I think that’s a pretty small number. I don’t know why you guys are freaking out about 60,000 really healthy babies running around. Do you know?

Hillary Simpson

Hillary Simpson obviously doesn’t understand how herd immunity works.

Do you?

Why Are We Worried About 60,000 Unvaccinated Kids?

First things first, though.

Just how many unvaccinated kids are there in Texas? How about the United States?

It is actually hard to know exactly.

It's easy to forget, with so much talk about anti-vaxxers these days, but the great majority of parents vaccinate and protect their kids!
It’s easy to forget, with so much talk about anti-vaxxers these days, but the great majority of parents vaccinate and protect their kids!

In Texas, for instance, while only a small percentage of kids get non-medical vaccine exemptions, with about 7 million children in the state (yes, there are 74 million children in the United States, but that’s not how you measure herd immunity), that adds up to a lot of unvaccinated kids.

In addition to about 60,000 unvaccinated kids in school, there are homeschooled children who aren’t vaccinated.

“We’re probably looking at more than 100,000 kids in the state of Texas who are not getting their vaccines.”

Dr. Peter J. Hotez: “A Scary Anti-Science Movement Has Become Very Strong in Texas”

But still, should we be worried about 100,000 unvaccinated kids, when there are 7 million kids in Texas?

Don’t those immunization levels still keep us above herd immunity levels of protection?

Well, they likely would, and this would indeed be less concerning if the unvaccinated children were spread out randomly throughout the entire state. Of course, that’s not what happens and we instead get clusters of unvaccinated children (and adults) in very specific schools, neighborhoods, and even churches.

There are higher numbers of unvaccinated kids in very specific parts of the states, leading to pockets where it is more likely that an outbreak could happen.
There are higher numbers of unvaccinated kids in very specific parts of the states, leading to pockets where it is more likely that an outbreak could happen.

So while it can seem like we have herd immunity levels of protection at the state or city level because of high average vaccination levels, these pockets of susceptibles who are unvaccinated and live in the same neighborhood or go to the same school (where is the Waldorf school in Texas?) can mean that we don’t have herd immunity in those places, leading to outbreaks.

And that’s why we get concerned about 60 to 100,000 unvaccinated children who:

Still, remember that the great majority of parents understand the benefits of vaccines, are not scared by anti-vaccine propaganda, and vaccinate their kids.

In 2015, for example, only 1.3% of children in the United States had received no vaccines by age 24 months. And more than 90% of children completed their primary series of vaccines.

That doesn’t mean that we shouldn’t be concerned about those who don’t, but maybe you should be a little bit more concerned about your decision to not vaccinate your kids.

More on Clusters of Unvaccinated Kids

How Do You Get Caught up If You Have Never Been Vaccinated?

Why would someone have never gotten any vaccines and need to catch up?

Getting caught up on your vaccines is easy.
Getting caught up on your vaccines is easy.

The usual story is that a child’s vaccines were delayed or skipped for some reason, typically over fears of anti-vaccine propaganda.

You can always get caught up though, right?

Well, not always…

Tragically, kids can get sick and catch these vaccine-preventable diseases before they have time to get vaccinated and protected. You can wait too long to get vaccinated!

How Do You Get Caught up If You Have Never Been Vaccinated?

That’s why it is important to get caught up as soon as possible.

How does that work?

The first step is figuring out which vaccines you need, considering that:

  • rotavirus vaccines are only given up to age 9-months
  • Hib and Prevnar are typically only given up to age 5-years, unless someone has specific conditions that put them at high risk for disease, although Prevnar becomes routine again at age 65-years
  • the polio vaccine is typically only given up to age 18-years
  • the meningococcal vaccines (MenACWY and MenB) are routinely given to teens and young adults through age 16 to 23-years, but older high-risk adults can also be vaccinated if necessary
  • the HPV vaccines are routinely given up to age 26-years, although they are FDA approved to be given through age 45 years
  • hepatitis A vaccines are routinely given to children and teens, but are recommended for high-risk adults, including those who travel out of the country or just want to be protected
  • hepatitis B vaccines are routinely given to children and teens, but are recommended for high-risk adults, including those who travel out of the country or just want to be protected
  • the Pneumovax (PPSV23) and shingles vaccines are given to seniors
  • if you already had a natural case of chicken pox, while you won’t need to be vaccinated, some folks might need a varicella titer to confirm that they are immune

So, depending on your age when you are starting your catch-up, there may be some vaccines that you don’t need anymore.

Still, unless you have a contraindication, you will likely at least need:

  • a yearly flu vaccine
  • 1 to 2 doses (high risk groups) of MMR
  • 2 doses of the chicken pox vaccine (Varivax)
  • 1 dose of Tdap, followed by 2 doses of Td

What’s next?

Once you have an idea of which vaccines you need, you should schedule an appointment with your health care provider and get vaccinated and protected.

A local pharmacy or health department are other places that might offer vaccines to older teens and adults.

More on Getting Caught up on Vaccines

People with Cancer Are at Risk from Unvaccinated Kids

We know that kids with cancer aren’t at risk from shedding if someone has recently been vaccinated.

Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.
Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.

The real risk comes from those who are unvaccinated.

People with Cancer Are at Risk from Unvaccinated Kids

Confused on how that works?

Kids with cancer typically have a compromised immune system, so are at greater risk for getting sick and catching infectious diseases. This includes a risk from vaccine-preventable diseases because they often can’t be vaccinated and any vaccines they had in the past might no longer provide protection.

Don’t believe me?

Want some examples?

  • a 6-year-old girl who was in remission for ALL and had just received her final dose of chemotherapy was admitted with fever and neutropenia, found to have measles, and died after 28 days of intense therapy (1989)
  • an 8-year-old being treated for leukemia developed chicken pox and died two weeks later (1998)
  • a partially vaccinated 4-year-old girl who was being treated for acute lymphoblastic leukemia (ALL) was exposed to a cousin with chicken pox and later developed multi-organ failure and died (2012)
  • a 26-year-old man who was being treated for chronic lymphocytic leukemia died in Switzerland after he became infected with measles (2017)
  • a 6-year-old boy with leukemia died in Italy after catching measles from his intentionally unvaccinated sibling (2017)

Of course, there are many more, including many kids with cancer who get exposed to a vaccine-preventable disease and have to get treated with immunoglobulin and hope they don’t get sick. And many more who do get sick and are treated in the hospital for weeks and months and thankfully, get better.

And there are even more who get caught up in quarantines because they have true medical contraindications to getting vaccinated, and so have to stay home from school with the intentionally unvaccinated kids whenever there is an outbreak of measles or chicken pox, etc.

What can we do about this?

Vaccinate our kids! We have a choice. These kids with cancer don’t.

More on People with Cancer at Risk from Unvaccinated Kids

This Is the Modern Anti-Vaccine Movement

We often like to think that we know how anti-vaccine folks think.

They are just scared and trying to do the right thing for their kids, right? Just like all of the rest of us?

Maybe some of them…

This Is the Modern Anti-Vaccine Movement

Of course, you can’t group all anti-vaccine folks together, as many vaccine-hesitant or on-the-fence parents are truly just scared about the things they see and read about vaccines.

But they should know what they are getting into when they follow their favorite anti-vaccine hero, celebrity or Facebook group.

The modern anti-vaccine movement goes far deeper than worries about possible vaccine side effects.

Don’t believe me?

Hillary Simpson may not share the anti-Semitic views of one of her admins, but many of her followers do...
Hillary Simpson may not share the anti-Semitic views of one of her admins, but many of her followers do…

It is hopefully clear to everyone by now that the modern anti-vaccine movement:

Don’t believe me?

Why should this family have to come out and give an explanation for how their child died?
Why should this family have to come out and give an explanation for how their child died?

After a 4-month-old died of bacterial meningitis, anti-vaccine folks pushed the idea that it was a vaccine injury instead of an infection.

An anti-vaccine parenting group helping spread misinformation about this baby's death.
An anti-vaccine parenting group helped spread misinformation about this baby’s death.

And they push their views that everything is a vaccine injury on everyone, even though most folks understand that vaccines are not associated with SIDS, shaken baby syndrome, autism, and most other things.

There is no connection between vaccines and acute flaccid myelitis, no matter how hard anti-vaccine folks are trying to make one.
To be clear, there is no connection between vaccines and acute flaccid myelitis, no matter how hard anti-vaccine folks are trying to make one.

Award winning?

Please.

Sure, everyone and everything in anti-vaccine world is the very best, except if they are, then why are they trying so hard to convince you of that… So maybe you will agree with some of their more far-out claims, suggestions, and conspiracy theories?

Learn the risks of following bad advice. Are you really going to say no to chemotherapy if your child has cancer?
Learn the risks of following bad advice.

After all, it’s one thing to consider skipping or delaying your child’s vaccines when you think you can get away with hiding in the herd or to buy some essential oils and supplements, but are you really going to say no to chemotherapy if your child has cancer? Brandy Vaughan seems to think you should.

If there is a RISK, there must be a CHOICE.

Do you think it is okay to put infants who are too young to be vaccinated at risk for measles and other vaccine-preventable diseases because you don’t like the choices you have been given between getting your kids vaccinated and protected or keeping them out of school?

What about the parents of the kid who is being treated for cancer who gets exposed to chicken pox because someone else made the choice to not vaccinate their kid? Do you think that’s fair?

The modern anti-vaccine movement is only about choice when it is about their choices and doesn’t seem to care about the risks their unvaccinated kids pose to others.

Believe it or not, the modern anti-vaccine movement also equates getting vaccinated with rape…

Don’t believe me?

Meryl Dorey has also claimed that vaccination is rape.
Meryl Dorey has also claimed that vaccination is rape.

Do you agree?

What else do most folks in the modern anti-vaccine movement believe?

They believe that:

And of course, they believe that vaccine advocates are behind a big conspiracy, are lying to you, and are trying to force everyone to get vaccinated.

Is that what you believe?

Some nurses and doctors are refusing to get a flu shot and have to wear masks at work.
Some nurses and doctors are refusing to get a flu shot and have to wear masks at work.

Even though these and every other anti-vaccine point you have heard has already been refuted a thousand times already.

The RhoGAM shot helps prevent hemolytic disease of the newborn. It is not a vaccine and is not part of a Big Pharma profit ploy...
The RhoGAM shot helps prevent hemolytic disease of the newborn. It is not a vaccine and is not part of a Big Pharma profit ploy…

Do you believe in chemtrails or that Bill Gates has a plan to depopulate the world using vaccines?

“As a result, multiple breakouts of measles have occurred throughout different parts of the Western world, infecting dozens of patients and even causing deaths.”

Hussain et al on The Anti-vaccination Movement: A Regression in Modern Medicine

If you do, understand that you have been fooled by the propaganda of the modern anti-vaccine movement. If you don’t, understand that many of the folks in your anti-vaccine groups probably do.

More on the Modern Anti-Vaccine Movement