Vaccinating Controversy: Disneyland Measles Outbreak

The argument encompassing whether or not parents should vaccinate their children is ongoing. It is a very interesting matter to learn about and I possess some strong feelings about the case. This issue interests me because there are parents who don’t have their children vaccinated, and there are parents who do have them vaccinated. But all these parents share one particular quality: they all would like for their kids to be safe.

Between 1924 and 2013, vaccinations prevented 103 million cases of polio, measles, rubella, mumps, hepatitis A, diphtheria, and pertussis (Bailey). Vaccinating is “the process by which pathogenic cells are injected into a healthy person in an attempt to cause the body to develop antibodies to a particular virus or bacterium—successful creation of antibodies is referred to as immunity to the disease caused by the particular pathogen” (Introduction to Should Vaccinations be Mandatory). Popular conflicts regarding vaccination include the worry that this form of immunization isn’t natural, the idea that vaccination schedule for children in the U.S. takes away parents’ rights to make decisions for their children, and the concern that vaccinations aren’t safe for all children. Most doctors and scientists advocate for vaccinations in the name of herd immunity, protection against foreign diseases and prevention against pockets of disease outbreaks. Vaccinations should be mandatory for all children in the United States for who they are deemed safe and effective.

Parents face many different decisions when raising a child; some decisions are trivial, and others can be controversial. Whether or not to vaccinate a child is one of the most controversial choices. So controversial, in fact, that there is a political conversation of making immunizations a requirement. Many people support the movement of making vaccinations mandatory. Proponents argue that vaccines save lives, vaccine-preventable diseases have not been eradicated, and vaccines protect herd immunity. Many people also disagree with the possibility of required vaccinations. Opponents argue that vaccines cause harm, immunity by vaccinations is inferior to natural immunity, and government policies should not dictate personal medical choices.

Although the negative claims behind anti-immunization stances are deceptive and discredited, some parents find it difficult to accept that vaccines are necessary and safe. Many of these reasons are due to personal or religious beliefs that have persuaded parents to bypass immunizations for their children. Consequently, health officials are seeing disquieting rises of diseases that are easily preventable. The CDC (Center for Disease Control and Prevention) has reported hundreds of measles cases in the United States in 2011, the largest number in 15 years (Ben-Joseph, Elana). Essentially, almost all of these cases were in individuals who had not received a vaccine shot. Also found in the article was that a great amount of the quarrel over the shots comes from a 1998 study that tried to connect autism to a type of vaccine that defends against measles. However, there has been no scientific evidence that a vaccine or a combination of any of the shots induces autism. Undoubtedly, the doctor that wrote the article, calling vaccines a “deliberate fraud” ,lost his license for not submitting any evidence of his claim and causing people to neglect shots for that year. Sadly, due to that article, 1 in 4 parents still believe that vaccines are

​Over the past decade, the concern among parents regarding the safety and effectiveness of childhood vaccinations has become a concern in the United States and other countries around the world. A survey of physicians showed that 89% of the physicians who were surveyed reported at least one refusal of childhood vaccinations by parents each month (Gowda & Dempsey, 2013). Other researchers have noted that as many as 77% of parents have concerned about one or more of the childhood vaccinations that are recommended for children (McKee & Bohannon, 2016). However, organizations such as the World Health Organization (2017) note that not only are childhood vaccinations safe, the reduction in children receiving childhood vaccinations has brought back diseases such as measles that had been completely wiped out in the United States. It is clear that there are opposing viewpoints about childhood vaccinations that need to be understood and examined to determine which side has a better argument.

Controversy concerning the risks of vaccinations will always exist. As is the nature of a preventative intervention, it is difficult to rationalize giving a completely healthy child an injection that is known to have varying degrees of sides affects5. Additionally, these injections are to provide immunity to children for diseases that have an extremely low risk of circulating within a population. Since these vaccines have been able to protect so many individuals from experiencing these dangerous infections, most parents do not even have personal experiences regarding the impact of these diseases. As such, many parents do not see the vaccine-preventable disease as a threat to their child. This often causes parents to not fully understand the risk their child has for contracting a disease and the subsequent danger of a vaccine-preventable disease infection verses the potential side effect of a vaccine which is normally only mild to moderate discomfort for their child15.

Vaccinations are not without controversy. Some parents worry about the possible side effects of vaccines can potentially harm their children.

As parents are refusing to vaccinate their children against these “long-gone” diseases due to the concern for the vaccine’s safety, they are opening the doors for those diseases like polio and measles to devastate the whole American community once again. These parents react this way because they have different realities. For example, every american back when Franklin D Roosevelt was alive knew what polio was and what it was capable of due to the effect that it had on a nation's president. Nowadays, parents are drawn to campaigns on the safety of vaccinations because of celebrities or other personalities that are protesting against vaccinations due to personal negative experience with expressed vaccine. Since many parents nowadays have not had any personal experiences with most vaccine-preventable diseases they are quick to act when, for example, Jenny McCarthy speaks up about the possibility that autism can be caused by today's vaccinations because many americans have had personal experiences with this disease or are more familiar with this disease since it is widely covered in recent media.

Implementing childhood vaccination policy in the United States has sparked controversy among parents and public health officials in determining the ethical implications of immunization mandates. The arguments of parents who refuse vaccinations for their children are multidimensional and tend to include a lack of clear understanding of safety measures and how their decisions affect society. In order to effectively communicate with parents with opposing perspectives while respecting their personal autonomy, it is important to intensify informational sessions that include the dangers of viruses that are preventable.

In December of 2014, an outbreak of measles, which started in Disneyland, resulted in nearly two hundred people being sickened across the United States, Mexico, and Canada. The highly contagious respiratory disease spread for three months. Among those who contracted the illness, one developed severe pneumonia and multiple organ injury, while another suffered acute respiratory distress syndrome. So, why did an illness, which was purportedly eliminated sixteen years ago, experience a surge so dramatic that it caused more cases in 2014 than in the five preceding years combined? According to the CDC, the outbreak could be boiled down to one simple reason: “The majority of people were unvaccinated.” So while the California measles outbreak is a thing of the past, the fight to increase compliance with vaccinations continues. Although the benefits and safety of vaccinations are undisputed by the medical and scientific community, there are still sizeable groups of “anti-vaxxers” who refuse to vaccinate their children. These groups spread misconceptions, sometimes unknowingly, and become even more influential when coupled with the power of the internet and social media. Therefore, in order to increase compliance with routine vaccinations, the misconceptions of parents should be targeted, and legislation should be changed in order to prevent leniency and loopholes regarding vaccine exemptions.

Moreover, a preventable disease such as four strands of HPV can be prevented. HPV is a sexually transmitted disease that, if not treated with the vaccination, “HPV infection is a major cause of oropharyngeal cancer, which affects the base of the tongue, the tonsils, and the walls of the pharynx.” (Dana-Farber). The fact that a simple two second vaccination can prevent something as serious and deadly as cancer should be more than enough for anti-vaccinators to open their eyes. However, parents argue that vaccines hold harmful chemicals and, although they do, the dosage of any chemical in a vaccine is not harmful. “Chemical doses in vaccines are negligible. For example, vaccines that include aluminum, which are included to make the vaccine more effective, contain 0.152 milligrams per dose. The average person actually takes in an estimated 30 to 50 milligrams through food and drink. Way more than one vaccination on a daily basis.” (AsapSCIENCE). Although to some it may be hard to believe, the government would not allow an invention meant to save lives, take them away. Some parents give the argument “What is the true purpose of vaccines and how

Millions of lives have been saved thanks to a global effort to vaccinate for deadly diseases. Peter Yeo reports “Immunizations have saved more children than any other medical intervention in the last 50 years” (Reforming the U.N. 118). Yet, a new trend for parents is opting out of vaccinating their children for personal beliefs or religious exemptions. Although, the majority of Americans believe vaccines protect children, and conclusive evidence has proven vaccines can prevent the spread of deadly diseases. Still, a few parents believe vaccinating children is not essential for their health, additionally, they believe an increase in mandatory vaccines has insufficient scientific research to prevent serious medical side effects.

Parents all across the United States have an issue with vaccinations for their children. Parents as of today do not have the option whether or not to immunize their children. These vaccinations are potentially harmful for children, but they also help and prevent life threatening illnesses. Parents should be allowed to choose to vaccinate their children because at times, the vaccine might harm the child, and because the parents simply just have right.

Since this vaccine debate, “about 40 percent of American parents today has chosen to delay certain vaccines or outright refuse to allow their children’s physicians to vaccinate their children with one or more of the recommended or mandated vaccines” (Largent). As the rates of being vaccinated go down, it is putting not only that child in danger but also the whole community. Diseases that were once gone are on the rise.” A 2013 study published in the journal Pediatrics reports that California’s worst whooping-cough outbreak, which infected more than 9,000 people (Rothstein)”. Also “the CDC reports that from Jan. 1 to Feb. 28, 2014, 54 people in the U.S. have reported being infected with measles” (Sifferlin).

Despite vaccinations being credited for the control and elimination of several childhood diseases, there are still many critics who raise concerns about the necessity of vaccination. In a national study of parents performed in 2000, 19% indicated they had “concerns about vaccines” whereas in a subsequent survey performed in 2009 this number had risen to 50%. There has also been a rise in non-medical vaccine exemptions that has occurred over the last several years. In a 2010 national survey of physicians, 89% of respondents reported at least one vaccine refusal by a parent each month (Dempsey & Gowda, 2013). Opposers argue that making school vaccination mandatory is against their right to make personal medical decisions. They feel that the government has no place to force parents to vaccinate their children if the parents decide it is not in their child’s best interest. Many parents are disagreeable about the multiple vaccinations received at one time, which results in possible pain and discomfort for the child. Another argument against vaccination is the safety and efficacy of vaccines. Critics are concerned about the unknown risks vaccines pose to children. Some parents noted their child acquiring a “high fever” or beginning to “act different” after the administration of a vaccine. There is a belief that there is a connection between the measles vaccination and autism. Another theory is that the influenza