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Morning Briefing

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Monday, Feb 9 2015

Full Issue

Debate On Vaccines: Politicians' Statements Backfire; Doctors Need To Be Held Accountable

Commentators take Sen. Rand Paul, R-Ky., and N.J. Gov. Chris Christie to task for failing to strongly advocate for immunizations, and one medical ethics expert says that a few doctors have muddled the debate.

In a few backward parts of the world, extremists resist universal childhood vaccinations. The Taliban in tribal areas of Pakistan. Boko Haram militants in Northern Nigeria. Oh, yes, one more: Some politicians in the United States. Senator Rand Paul 鈥 a doctor! 鈥 told CNBC that he had delayed his own children鈥檚 immunizations and cited 鈥渕any tragic cases of walking, talking, normal children who wound up with profound mental disorders after vaccines.鈥 After an uproar, Paul walked back his remarks and tweeted a photo of himself getting a Hepatitis A vaccination. After that irresponsible scaremongering, I鈥檇 say he deserves to get shots daily for a decade. With really long needles. (Nicholas Kristof, 2/7)

Sadly, Governor Chris Christie and Senator Rand Paul, leading Republican lights and likely presidential candidates, didn't get the memo soon enough. They suffered a bout of hoof-in-mouth disease that led them to try to play nice with the activist anti-vaccine crowd (also known as: those most likely to vote in early 2016 caucuses and primaries). As they both now know, there's no vaccination against pandering going viral. The ensuing kerfuffle over their sympathy for those who would jeopardize the health of all to indulge a few is a lesson in the dangers of blowing a dog whistle. It is also a reminder of an older, simpler lesson: It pays to tell the truth. (Margaret Carlson, 2/6)

The dust appears to be settling after a couple politicians stepped into the national discussion about vaccination last week鈥攁nd that鈥檚 something anyone who cares about public health should be cheering. ... If anything, the question of mandatory vaccination splits along generational lines rather than political ones. A recent Pew Research survey found that 41 percent of 18 to 29-year-olds believe vaccinating children should be up to the parents, compared to only 20 percent of adults over age 65鈥攁lso those most likely to have lived through outbreaks of the diseases children now avoid with vaccinations. Given that older adults are more likely to show up to the polls, that makes Christie鈥檚 and Paul鈥檚 statements appear even more off-base. (Tara Haelle, 2/8)

The measles outbreak that has spread from California to Arizona and beyond has renewed debate over whether parents should be required to vaccinate their children. Medical professionals almost unanimously agree that doing so prevents the spread of dangerous diseases with little or no risk, while some parents on the left and the right are concerned about autism and big-government interference. In Mississippi, the debate has long been settled. Since the 1970s, the state has required parents to vaccinate any child attending public or private schools, and it鈥檚 very difficult for anyone to claim an exemption. (Reid Wilson, 2/6)

Amateurs and hucksters are not the only people telling parents not to vaccinate their children. Unfortunately some doctors 鈥 men and women sworn to the Hippocratic Oath 鈥 are purveying junk science. ... Doctors who purvey views based on anecdote, myth, hearsay, rumor, ideology, fraud or some combination of all of these, particularly during an epidemic, should have their medical licenses revoked. Thankfully, states have the right tools to do so. It鈥檚 time to use them. (Arthur L. Caplan, 2/6)

It wasn鈥檛 until I read Eula Biss鈥檚 January 2013 essay on vaccinations in Harper鈥檚 magazine that I understood, for the first time, how herd immunity works. ... I was reminded of a voice 鈥 my own voice from years before, when my first daughter was a baby 鈥 saying, 鈥淪he鈥檚 safe even without her shots because everyone around her is vaccinated.鈥 I actually said that, several times, to several people. Friends said the same thing to me about their unvaccinated children. We had that luxury 鈥 we could count on herd immunity to protect our children. I can鈥檛 say exactly why the idea of protecting others hadn鈥檛 hit me before. (Gal Adam Spinrad, 2/6)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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