COVID-19 Anti-Vaxxers Use the Same Arguments from 135 Years Ago

Ross decried the “senseless panic” caused by health officials and physicians over the epidemic, claiming that smallpox was not, in fact, epidemic, and that the city had “very few cases.” Official numbers for the epidemic would eventually rise to 9,600 reported cases with 3,234 deaths — nearly two per cent of Montréal’s population at the time. An additional 10,000 cases were recorded in the province of Québec, but historians believe the actual numbers were likely much higher. These numbers and the story of this epidemic have been narrated by historian Michael Bliss in his non-fiction account, Plague: A Story of Smallpox in Montreal.

The minimization of threat is a common tactic in contemporary debates as well. Many who promote the anti-vaccination agenda claim vaccines to be more dangerous than the disease.

Claim Vaccine Causes Illness, Is Ineffective, or Both
Although modern arguments have focused on the false claim that vaccines cause autism, historic arguments were much more varied in their allegations of infections from the smallpox vaccine. The anti-vaccinationists of the past claimed that vaccination caused a full spectrum of diseases, from smallpox itself to syphilis, typhoid, tuberculosis, cholera and “blood-poisoning.”

These claims were not always groundless, but their risks were consistently exaggerated. Cases had been known to occur of secondary disease transmission due to poor practice. Some physicians used arm-to-arm vaccination — meaning they would use the same instrument to vaccinate a whole line of people — or used vaccine prepared from a human source rather than a bovine source. The lack of sterile cleaning between operations or the use of vaccine prepared from an infected person could lead to rare cases of secondary disease transmissions.

The discovery of such transmissions (years earlier) sparked some of the first regulations around vaccine preparation and administration, and generated a keen concern within the medical community about vaccine safety — a concern which has continued to be a mainstay of vaccine production to this day.

Declare Vaccination Is Part of a Larger Conspiracy
Ross’s pamphlet was adamant about the role of both the press and the medical profession in stoking fears over infection as part of a “mad” campaign for gaining money. Much like today, epidemics created opportunities for both employment and research in the medical field. Yet this employment was painted as an unethical exploitation of the poor, worth “one million pounds sterling” to the profession, rather than an effort in combating the suffering and death of thousands.

Additionally, public health measures were depicted as an assault on personal rights and an overreach of government power. “Talk no longer of Russian Tyranny,” Ross declared, for there was “none so formidable” as the city health officials. His arguments are still echoed over a century later in the current pandemic, as we see continued support behind the belief in a conspiracy to limit freedoms (among other, more extreme, conspiracy theories).

Use Alternative Authorities That Legitimize Your Argument
Last but not least is an appeal to authorities that help legitimize the anti-vaccination argument. The modern anti-vaxxer movement has an abundance of these, led by Andrew Wakefield, the now discredited former physician who originally published the fraudulent study linking the MMR (measles, mumps, rubella) vaccine to autism.

But the anti-vaccination movement has had a long tradition of promoting the words of “experts” who support their narrative. In the 19th century, vaccination debates often brought in a similar small circle of medical men who spoke against vaccination, calling it a “filthy” and “evil” practice. Although their arguments were refuted by many in the medical community, they gained a lasting mantle of prestige amongst anti-vaccinationists as the authoritative voices that offered the “proof” that was needed.

This is not an exhaustive list of anti-vaccination strategies — either historical or contemporary. There have always been individuals who capitalize on medical crises to push their own agenda, and in the modern age of digital media, strategies of misinformation have evolved and expanded. Much like Ross, the leaders of these movements gain social power by painting themselves as lone crusaders.

As we get closer to a worldwide distribution of COVID-19 vaccine, we can expect to see more and more such crusaders publishing arguments against vaccination. Breaking down patterns of arguments seen repeatedly in the past can provide a useful lesson for combating them in the future.

Paula Larsson is Doctoral Student, Centre for the History of Science, Medicine, and Technology, University of Oxford.This articleis published courtesy of The Conversation.