Evidence, Please.

Anti-Vaccination Advocates on the Front Line of Public Health

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I have a confession to make, people. Sometimes I read the comments. And sometimes I even join in.

Earlier today, ABC News posted a news article on their Facebook page regarding Federal Health Minister Peter Dutton’s meeting with his state counterparts to discuss a possible decision to withhold Family Tax Benefit payments from parents who refuse to vaccinate their children, for non-medical reasons. It’s a complicated issue and one that Dr Julie Leask has addressed in the news article itself.

ABC News’ Facebook moderator invited comments from Facebook users on the topic, prompting much discussion, both advocating and opposing vaccination itself, and agreeing with or criticising the proposal to withhold benefits from families who choose not to vaccinate their children. Having a little free time on my hands, I had a look over the comments and made a few myself; predominantly providing rebuttals to anti-vaccination rhetoric and suggesting that people discuss any concerns that they may have about immunisation with a qualified health professional.

Here’s a fairly typical example of the sort of comment that those who oppose vaccination make on such threads:

Usually I’ll respond to this sort of statement with an explanation of herd immunity, that unimmunised children increase the risk of vaccine preventable diseases entering our community, the importance of protecting children for whom vaccines are medically contraindicated (be it due to medically diagnosed allergy, an immunocompromised state due to cancer therapy or organ transplant, or being too young to yet be immunised), that vaccines aren’t one hundred percent effective (often noting that seatbelts aren’t either, but it’s sensible to take the high level of protection that we can get over none at all).

We’ve got a couple more fallacies here. “Straight up poisons” sounds fairly terrifying, but doesn’t take into account the rigorous testing vaccines go through, nor the doses at which vaccine ingredients are administered. Break down our foodstuffs and you’ll find scary sounding chemicals in many fruits and vegetables in minute amounts; some of which also occur naturally in our own systems.

To suggest that anybody is proposing that parents will be “forced” to immunise children is also disingenuous. The current proposal is to withhold a payment as an incentive, the option to refuse to vaccinate would still be available.

Earlier, I mentioned that I often suggest to people that if they have concerns about immunisation, they should discuss them with a qualified health professional. Here, Deb has informed us that she is indeed speaking as a health professional.

In fact, she is a nurse. The sort of person we should reasonably be able to trust for sound advice and information on vaccines. A practitioner of evidence based medicine.

Here are some odd generalisations regarding lifestyle choices! Thankfully, many parents who ensure that their kids get outside and play and give them… food stuff that is actually food stuff… also choose to vaccinate.

Which epidemics? Were vaccinations around during these epidemics also?

Sanitation is a marvel for public health, but it is not responsible for the significant lowering of vaccine preventable diseases. More information on this frequently repeated myth from WHO.

A healthcare practitioner who buys into the “Big Pharma” business?

It troubles me. Out of curiosity, and using publicly available data, I found Deb’s LinkedIn profile. Her name (she uses a pseudonym on Facebook, but her Facebook URL contained her surname), photo and job description matched, so I am quite confident that I’ve identified her correctly. She works as a clinical nurse in what she describes as a “large, busy, Metro ED Department”.

Her refusal to have the influenza vaccine leaves her prone to contracting it… and working in an emergency department, she is likely to have a high risk of exposure to the virus. If she is at work while contagious, there’s potential for her to pass it on to some very ill and vulnerable patients under her care.

What is also deeply disturbing to me though, is that somebody on the front line of public health – in a position of authority on healthcare – would hold views that so strongly reject many tenets of evidence based medicine. We should be able to trust clinical nurses to know better.

 

 

19:20 – 12/04/2014 Edited to add: Two more of Deb’s posts on the ABC News thread, presented without comment.

 

 

 

Although the discussion on ABC News’ Facebook page is a public one and Deb uses a pseudonym, I have chosen to pixelate her photograph and surname for this post, as I am noting her as an example of a health professional who espouses anti-vaccination views, rather than an individual to be exposed.

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