Vaccine hesitancyA History of the Anti-Vaxxer Movement

Published 23 September 2020

Vaccines are a documented success story, one of the most successful public health interventions in history. Yet there is a vocal anti-vaccination movement, featuring celebrity activists and the propagation of anti-vax claims through books, documentaries, and social media. A new book explores the phenomenon of the anti-vaccination movement, recounting its history from its nineteenth-century antecedents to today’s activism, examining its claims, and suggesting a strategy for countering them.

Vaccines are a documented success story, one of the most successful public health interventions in history. Yet there is a vocal anti-vaccination movement, featuring celebrity activists (including actress Jenny McCarthy and British rapper M.I.A., who attracted attention for tweeting during the pandemic “If I have to choose the vaccine or chip I’m gonna choose death”) and the propagation of anti-vax claims through books, documentaries, and social media.

In Anti-vaxxers: How to Challenge a Misinformed Movement (available this month from The MIT PRESS), Jonathan Berman explores the phenomenon of the anti-vaccination movement, recounting its history from its nineteenth-century antecedents to today’s activism, examining its claims, and suggesting a strategy for countering them.

After providing background information on vaccines and how they work, Berman describes resistance to Britain’s Vaccination Act of 1853, showing that the arguments anticipate those made by today’s anti-vaxxers. He discusses the development of new vaccines in the twentieth century, including those protecting against polio and MMR (measles, mumps, rubella), and the debunked paper that linked the MMR vaccine to autism; the CDC conspiracy theory promoted in the documentary Vaxxed; recommendations for an alternative vaccination schedule; Kennedy’s misinformed campaign against thimerosal; and the much-abused religious exemption to vaccination.

Anti-vaxxers have changed their minds, but rarely because someone has given them a list of facts. Berman argues that anti-vaccination activism is tied closely to how people see themselves as parents and community members. Effective pro-vaccination efforts should emphasize these cultural aspects rather than battling social media posts.

Jonathan M. Berman is Assistant Professor in the Department of Basic Sciences at NYITCOM-Arkansas.

In a review of the book, Nature writes: “Anti-vaxxers is a book that reminds us of the historical precedents to the odd alliances — anti-vaccine, anti-mask, anti-5G, for instance — that are getting in the way of public health right now…By taking the story of vaccine opposition back to its earliest examples, Anti-vaxxers cautions against simplistic solutions. In tracing the movement across three centuries, Berman underlines that is unlikely to be ended by keyboard warriors or the repetition of even the best scientific evidence.”