Anti-Vaxxers Shut Down Immunization Events

Immunize Nevada recently canceled two fundraiser events because of harassing social media posts made by anti-vaxxers.  Read on to learn why the anti vaccination movement has moved from a local concern to a top global threat. Nurses Activism News

A Nevada non-profit organization that promotes vaccination canceled two scheduled events after anti-vaccinators posted harassing comments to social media. The two December fundraising events were organized by Immunize Nevada to honor healthcare workers who help with vaccinations. immunize Nevada’s Executive Director, Heidi Parker, told CNN “We looked at the whole picture and because we knew these events were to be celebrations in honor of immunization champions in Nevada, we don’t want there to be any risk”.

According to Parker, the events typically have about 200 attendees and the organization lost thousands of dollars due to the cancellations.

The On-line Posts

The anti-vaccine messages were posted as reviews on the hosting venues’ Yelp and Facebook pages. Unfortunately, this caused a drop in the venues’ overall ratings, despite Yelp and Facebook promptly removing the harassing comments.

One post accused a restaurant of “supporting Big Pharma’s agenda by hosting a vaccine incentive program”, and another post alleged immunizations cause an “incredible amount of harm to the most vulnerable”. The posts contradict overwhelming medical consensus and decades of scientific research that support the need for vaccination

Immunize Nevada’s Parker reported to CNN the organization has experienced an increase in extremist behaviors by anti-vaxxers. She cites an incident on December 11th where she was speaking at a Nevada legislative health care committee meeting and anti-vaxxers spoke out.

Anti-Vaxxers Now A Top Global Threat

The World Health Organization (WHO) named vaccine hesitancy as one of the top global threats of 2019. WHO defines vaccine hesitancy as the “reluctance or refusal to vaccinate despite the availability”. This was the first year the anti-vaccination movement was listed among the top ten global threats, joining air pollution, climate change, expected global pandemic flu, diabetes, HIV and cancer. According to WHO, vaccines prevent 2 to 3 million deaths each year. But, an additional 1.5 million lives could be saved if coverage of vaccinations improved globally.

In The U.S.

The CDC released a report, in October 2019, that estimated 100,00 young children in the U.S. had not been vaccinated against any of the 14 diseases recommended for immunization. While 70 percent of children receive all their vaccinations, officials worry diseases like polio and diphtheria could re-emerge with 30 percent of children remain unvaccinated.

The report revealed a relevant minority of children didn’t have health insurance coverage. It’s surprising these children were not vaccinated since there are government programs that will pay for immunizations for the uninsured.

The 3 C’s- Complacency, Inconvenience and Confidence

A vaccine advisory group at WHO has identified 3 main reasons why people may forego vaccination in the U.S.

Vaccine Complacency

Because of vaccinations, the risk of many diseases is low and some people view immunization as unnecessary. Past vaccination programs have been so successful, vaccines are now under-valued and the risk of vaccination outweighs the benefit for some.

Vaccination Convenience

Some people are influenced by the real (or perceived) convenience of vaccination services when making a decision to have recommended shots. “Convenience” factors that play a role in the decision to vaccinate may include:

  • The time and place of vaccination
  • Affordability of vaccination
  • What individual priority is placed being vaccinated

Vaccination Confidence

Vaccination confidence is the trust placed in the effectiveness and safety of vaccines, as well as the competence of health professionals. People also base their decision to vaccinate on how much trust they have in the motivations of policymakers who decide what and when vaccines are needed.

Other Influencing Factors

Some may decide against vaccination for themselves or for their children because of religious beliefs or accepting incorrect information. According to the CDC, there is no scientific link between vaccines and autism, however, some do decide against vaccination based on this misinformation. You can learn more about this misconception and the overall safety of vaccines on the CDC website.

Immunize Nevada Moves Forward

Immunize Nevada decided to hold a virtual event, Big Shots Breakfast, instead of the planned live events. The online event was successful and raised $14,726 to go toward public education and providing free vaccines to vulnerable populations (senior citizens, homeless and uninsured families.

Do you think the anti-vaccination movement is a threat to your community? Let us hear from you.

Resources

Immunize Nevada

Event promoting vaccination called off in Nevada after harassing comments were posted on social media

1 hour ago, Hyperflycemia said:

Which countries exactly are you concerned about? Most of the South American countries have better vaccination rates then the United States. The statement above has existed since the pre-1900s as a lightning rod for anti-immigrant ideals.

Regardless, the way to combat epidemic spread of vaccine-preventable illness is to increase the vaccination rate over the critical threshold.

I can not find exact numbers on those who have not been vaccinated, that is why I said "many". Most of my information is from the CDC, although this is nothing new. The TB resistant strains are well known to the CDC. My statements are not "anti-immigration" they are pro-health.

https://www.cdc.gov/immigrantrefugeehealth/index.html

https://www.cdc.gov/tb/publications/factsheets/specpop/tuberculosis_in_hispanics_latinos.htm

Specializes in Adult Internal Medicine.
6 hours ago, juniper222 said:

I can not find exact numbers on those who have not been vaccinated, that is why I said "many". Most of my information is from the CDC, although this is nothing new. The TB resistant strains are well known to the CDC. My statements are not "anti-immigration" they are pro-health.

https://www.cdc.gov/immigrantrefugeehealth/index.html

https://www.cdc.gov/tb/publications/factsheets/specpop/tuberculosis_in_hispanics_latinos.htm

A few important things to correct here because it is important.

1. While vaccination is available for TB, citizens of the US are not regularly vaccinated against it while many countries across the globe do vaccinate for it, so not a great argument for or against vaccines

2. The vast majority of TB wordwide is diagnosed in one of the 30 designated high burden countries (HBC). Only one of those 30 countries is in the Americas. Further, MDR TB is not endemic to any country in the Americas.

3. Your first link is related to immigrant refugees. Immigrant refugees are not “undocumented workers coming over the border” and that is an important thing to be clear about, least of all from a healthcare perspective .

4. Your second link is about the TB burden in the Hispanic population within the US. Hispanics living in the United States are not “undocumented workers coming over the border”. That CDC brief is very clear that the burden of TB in that population is related to the associated poor access and barriers to care and socioeconomic status, something all healthcare providers should be working to fix rather than using it as evidence of immigrants bringing diseases into the US.

5. To use as an example, so we can be clear about vaccines, the childhood vaccination rate for measles in Mexico is 97% while the US is 92%. There are now pockets in some states in the US where that rate has dipped to as low as 19% due to exemptions. The critical threshold for measles is 93-95%.

6. The fear-mongering of “diseased immigrants” is not routed in fact; far more people travel in and out of the country then immigration. Moreover, there are far more dangerous countries from a communicable disease-burden perspective that people travel to for vacation on a regular basis.

Specializes in Anesthesia.
15 hours ago, juniper222 said:

I can not find exact numbers on those who have not been vaccinated, that is why I said "many". Most of my information is from the CDC, although this is nothing new. The TB resistant strains are well known to the CDC. My statements are not "anti-immigration" they are pro-health.

https://www.cdc.gov/immigrantrefugeehealth/index.html

https://www.cdc.gov/tb/publications/factsheets/specpop/tuberculosis_in_hispanics_latinos.htm

There are two countries south of the US border that had higher rates of measles than the US in the last year (Brazil and Venezuela). The majority of countries, besides the two mentioned, have basic immunization rates higher than the US. There is definitely problems with TB in certain sections and it is mostly caused by keeping in close confines (ie migrant farm workers/prisons/detention centers etc).

Although, zero of measles epidemics this last year originated south of the US border and were almost exclusively the result of legal unvaccinated US residents traveling abroad catching measles and then bringing it back to largely unvaccinated US communities. Measles is 100% preventable whereas TB and other communicable diseases are not at least at this point.

https://data.unicef.org/topic/child-health/immunization/

https://www.cdc.gov/mmwr/volumes/68/wr/mm6817e1.htm

https://www.snopes.com/fact-check/immigrants-measles/

Specializes in Adult Internal Medicine.

If using the CDC's 3C's nomenclature, the vast majority of the anti-vaccination problem sits squarely in the "confidence" category. But there is a problem with trying to address the issue with the anti-vaccine movement using confidence: vaccine confidence is a pseudo-argument for the majority of anti-vaxxers based on pseudo-science and confirmation bias.

Clinicians can not convince (the majority of) anti-vaxxers to immunize by presenting them with objective facts/truths, at least in the way we have traditionally done it. It seems the greatest success in convincing the vaccine-hesitant to immunize comes from presenting visual and personal evidence of the consequences of not vaccinating. In some ways this makes sense with the nature of the anti-vaccination movement, which is largely based on reactions to personal stories of adverse reaction to vaccines paired with the incorrect assumption that the only purpose of a vaccine is to protect against a disease which may be mild. Using personal stories/photos/letters to covey the consequences of not vaccinating may be as powerful.

I think a lot in practice about Tom Nichols' book "The Death of Expertise" in which he opens: “It is a new Declaration of Independence: No longer do we hold these truths to be self-evident, we hold all truths to be self-evident, even the ones that aren't true. All things are knowable and every opinion on any subject is as good as any other.”. We joke in practice about "Dr. Google" but this is a dangerous trend, especially in medicine/nursing. If we are going to combat the anti-vaccine movement, part of that has to be finding a way for the public to trust in us as experts.

On 1/9/2020 at 5:05 PM, adventure_rn said:

Strongly agree.

This is the reason why it's great that state legislatures are cracking down on all non-medical exemptions. I'm usually in favor of less government regulation on people's personal choices, but when those choices affect the rest of the public, then things like vaccines need to be mandated.

Slippery slope.

Someone might decide to start mandating your religious choice, your voting choice, your choices in other areas that they figure affect the rest of the public.

I guess you appreciate the Constitution and our Bill of Rights. Someone else might decide to mandate when or if you get to keep these and the beautiful, precious protections they give you.

Slippery, slippery slope. It's slippery from the blood of patriots who have died defending those precious rights you so carelessly want to throw away. Slippery from the sweat and tears of said patriots.

Specializes in Anesthesia.
2 hours ago, Kooky Korky said:

Slippery slope.

Someone might decide to start mandating your religious choice, your voting choice, your choices in other areas that they figure affect the rest of the public.

I guess you appreciate the Constitution and our Bill of Rights. Someone else might decide to mandate when or if you get to keep these and the beautiful, precious protections they give you.

Slippery, slippery slope. It's slippery from the blood of patriots who have died defending those precious rights you so carelessly want to throw away. Slippery from the sweat and tears of said patriots.

Vaccine mandates in the USA have been around since the early 1800s. The US Supreme Court ruled in 1905 that states could mandate vaccines and that did not violate the constitution, so if this is a “slippery slope” it’s not very slippery and these laws existed prior to anyone’s great grandparents.

https://www.historyofvaccines.org/content/articles/government-regulation

https://www.historyofvaccines.org/content/blog/jacobson-v-massachusetts-reiss

Specializes in Adult Internal Medicine.
5 hours ago, Kooky Korky said:

Slippery slope.

Slippery slope is a logical fallacy.

Jacobson v. Massachusetts was in 1905. Zuct v. King was in 1922. This has been ruled on and confirmed by the Supreme Court a long time ago.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
On 1/14/2020 at 9:54 AM, BostonFNP said:

Which countries exactly are you concerned about? Most of the South American countries have better vaccination rates then the United States. The statement above has existed since the pre-1900s as a lightning rod for anti-immigrant ideals.

At my last job I assisted with setting up physical exams for those who were in the process of completing the legal requirements for immigration. Vaccination status review was part of the process. If any CDC-recommended vaccinations were missing, it was my responsibility to administer those so that the final submitted paperwork would pass muster.

Vaccination status is no reason to be anti-immigrant. The legal immigration requirements address this, as they do in other countries. Just one of the responsibilities of any federal government to protect its citizens.

Specializes in OB.
1 hour ago, TriciaJ said:

At my last job I assisted with setting up physical exams for those who were in the process of completing the legal requirements for immigration. Vaccination status review was part of the process. If any CDC-recommended vaccinations were missing, it was my responsibility to administer those so that the final submitted paperwork would pass muster.

Vaccination status is no reason to be anti-immigrant. The legal immigration requirements address this, as they do in other countries. Just one of the responsibilities of any federal government to protect its citizens.

I think the objection was not to verifying immigrants' vaccination status as a routine, but rather to juniper's assertion that immigrants are a large part of the anti-vaccination problem, without any data to back up that claim. As others have replied, Central and South American countries tend to have much better rates of vaccination than the U.S.

12 hours ago, Kooky Korky said:

Slippery slope.

Someone might decide to start mandating your religious choice, your voting choice, your choices in other areas that they figure affect the rest of the public.

I guess you appreciate the Constitution and our Bill of Rights. Someone else might decide to mandate when or if you get to keep these and the beautiful, precious protections they give you.

Slippery, slippery slope. It's slippery from the blood of patriots who have died defending those precious rights you so carelessly want to throw away. Slippery from the sweat and tears of said patriots.

Please do not use hyperbolic rhetoric to confuse clear issues of public health. Do you also object to laws about seatbelt use and think that they will lead to the loss of my beautiful, precious protections from the Constitution?

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
5 hours ago, LibraSunCNM said:

I think the objection was not to verifying immigrants' vaccination status as a routine, but rather to juniper's assertion that immigrants are a large part of the anti-vaccination problem, without any data to back up that claim. As others have replied, Central and South American countries tend to have much better rates of vaccination than the U.S.

I've not heard that immigrants are typically anti-vaxxers. Maybe the issue is with the undocumented, which means vaccination documents are also not available which makes them unverifiable.

Specializes in OB.
18 hours ago, TriciaJ said:

I've not heard that immigrants are typically anti-vaxxers. Maybe the issue is with the undocumented, which means vaccination documents are also not available which makes them unverifiable.

But that is a different issue than accusing undocumented workers of being more likely to be unvaccinated and spreading diseases rampantly in the U.S., a statement which was not backed up by evidence and which reads to me as fanning flames of anti-immigrant sentiment. Anyway, back to the topic at hand...

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
54 minutes ago, LibraSunCNM said:

But that is a different issue than accusing undocumented workers of being more likely to be unvaccinated and spreading diseases rampantly in the U.S., a statement which was not backed up by evidence and which reads to me as fanning flames of anti-immigrant sentiment. Anyway, back to the topic at hand...

Nope. The term "anti-immigrant" is a misnomer and an accusation in itself. Anyone is likely to be unvaccinated unless vaccination status is verified. That's why schools, employers and host countries require immunization documents. It is a public health issue, despite who you think is more or less likely to be vaccinated.