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Stuck: How Vaccine Rumors Start -- and Why They Don't Go Away

4.5 4.5 out of 5 stars 125 ratings

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Vaccine reluctance and refusal are no longer limited to the margins of society. Debates around vaccines' necessity -- along with questions around their side effects -- have gone mainstream, blending with geopolitical conflicts, political campaigns, celebrity causes, and "natural" lifestyles to win a growing number of hearts and minds. Today's anti-vaccine positions find audiences where they've never existed previously.

Stuck examines how the issues surrounding vaccine hesitancy are, more than anything, about people feeling left out of the conversation. A new dialogue is long overdue, one that addresses the many types of vaccine hesitancy and the social factors that perpetuate them. To do this, Stuck provides a clear-eyed examination of the social vectors that transmit vaccine rumors, their manifestations around the globe, and how these individual threads are all connected.

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Editorial Reviews

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"In Stuck, anthropologist Heidi Larson explains why debunking vaccine misinformation with logic, reason, and scientific facts are not nearly enough. By viewing vaccine refusal as a cultural movement, Larson explains how it is only through understanding the root causes of false beliefs about vaccines that we can begin to change them. A compelling guide on how to treat the disease and not the symptoms." -- Paul A. Offit, MD, Professor of Pediatrics, Children's Hospital of Philadelphia

"Vaccine hesitancy has emerged as a major 21st-century public health threat, resulting in declines in vaccine coverage and the return of serious or even deadly infections such as measles or pertussis. Now more than ever we have to be concerned about the impact of misinformation and rumors on the acceptance of new vaccines for these conditions. Heidi Larson's book provides important insights to help us navigate these difficulties." -- Peter Hotez, MD, PhD, Professor of Pediatrics and Dean, National School of Tropical Medicine, Baylor College of Medicine

"Heidi Larson's excellent new book looks at why vaccine rumors cannot simply be put to rest with more evidence and debunking. As she compellingly argues, emotions and sentiments take on lives of their own, spreading between sympathetic individuals and propagating. Fear, mistrust, and anger all play key roles in vaccine denialism, and to ignore these factors is to badly misdiagnose why people do not vaccinate. To change the denier, Larson argues, one must change the ecosystem of doubt and mistrust they live in." -- Cailin O'Connor, Associate Professor of Logic and Philosophy of Science, University of California, Irvine

"Stuck offers an examination of vaccine rumors―the narratives, the social vectors that transmit them, and how they manifest in different contexts...the characterization of Stuck as a helpful addition to misinformation studies." -- Maya J. Goldenberg, Journal of Medical Humanities

About the Author

HEIDI J. LARSON, PhD, is Professor of Anthropology, Risk, and Decision Science and Director of the Vaccine Confidence Project at the London School of Hygiene & Tropical Medicine; she holds a concurrent position as Clinical Professor of Health Metrics Sciences at the University of Washington. She was previously an Associate Professor in International Development at Clark University and a Research Fellow at the Harvard School of Public Health's Center for Population and Development Studies.

Product details

  • Publisher ‏ : ‎ Oxford University Press (July 16, 2020)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 200 pages
  • ISBN-10 ‏ : ‎ 0190077247
  • ISBN-13 ‏ : ‎ 978-0190077242
  • Item Weight ‏ : ‎ 11.9 ounces
  • Dimensions ‏ : ‎ 8.3 x 0.9 x 5.7 inches
  • Customer Reviews:
    4.5 4.5 out of 5 stars 125 ratings

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4.5 out of 5 stars
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Top reviews from the United States

  • Reviewed in the United States on August 14, 2023
    While using people's decisions about vaccinations as a theme, this book is really about where people get their information and how they decide what to believe and then how to act. We are inundated by a mishmash of truth, lies, and propaganda that each of us needs to sort out. This book is about how people manage this. All around the world.
  • Reviewed in the United States on December 20, 2020
    Dr Larson unravels the complicated, global, web of vaccine history, events and emotions that have touched and will continue to influence all of our lives. While reviewing various geographical events, committee and scientific responses, she also manages to compassionately grasp and portray the human element on all sides of varying emotions. She offers insights that are essential considerations for all of those many agencies of vaccine policy, success and implementation to integrate into their views, agendas and policies. This is a must read for just about anyone and it is written clearly in a manner that all can understand. This book is based on years of experience and observation and is a highly timely tour de force.
    4 people found this helpful
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  • Reviewed in the United States on December 20, 2020
    Gray book
  • Reviewed in the United States on August 15, 2020
    I loved this book. I enjoyed Heidi Larson’s engaging writing style and her clear, conversational tone. The book had started out slowly, with Larson citing research into rumors, but the book rapidly picked up the pace and became difficult to put down. This is one of those books where I was sad when the book ended and I had to say goodbye to the author. This book is well worth the read.
    Disclosure: I received a complimentary copy of this book via Edelweiss for review purposes.
    4 people found this helpful
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  • Reviewed in the United States on October 18, 2021
    Another collection of anecdotes describing the problem with no concrete steps to take to help resolve anything. Very disappointing.
  • Reviewed in the United States on August 4, 2020
    A casual perusal of social media will demonstrate an active debate about vaccines in contemporary society. Many cite (relatively rare) side effects and disregard abundant scientific studies about vaccines’ effectiveness; these people argue that they should have a “choice” over whether to admit a vaccine in their bodies. They do not heed arguments that herd immunity protects the herd better – that eschewing vaccines hurt us all.

    In this sociological work, Larson addresses how these rumors take root and why they persist. She looks at the historical roots of these arguments, which date back to the earliest vaccines by Jenner. These arguments have only multiplied in the cyber age, where social media blindly amplifies any message, regardless of its truthfulness. Despite the overwhelming support of science and evidence, vaccines questions persist, and Larson finds that this persistence stems from people feeling “talked down to” by the medical establishment.

    At times, this book can appear encyclopedic – that is, it describes event after event without a corresponding narrative of ideas. It tends to report and list instead of expositing and dissecting. However, Larson does a thorough job and makes a broad argument. She argues that social media tend to make rumors a social “contagion” that quickly take root among people. This contagion combines with existing belief systems (like religion or politics) to take abiding root.

    I would also like to see Larson dive deeper into the psychology of anti-vaccine sentiment. Why are people so opposed to something that mainstream science has reported as good and that human history has shown to be good? “Natural” anti-modernism has wedded itself to modern media to distort reality. Larson shows instance after instance where this takes place, but I wonder why she doesn’t dive deeper about how it persists.

    Overall, this is a relevant topic worthy of academic exploration. It’s nice to have all the history compiled in one place. However, the theoretical analysis is somewhat lacking. I’d like to see Larson take more courage to share her individual perspective while poring through these events. The policy proposals, abbreviated though they appear, are not presented until the very end of the book. Why not empower the reader to see the application earlier? This topic is important and needs a direct voice to address the reading public.
    11 people found this helpful
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Top reviews from other countries

  • D. Allen
    5.0 out of 5 stars Important book
    Reviewed in the United Kingdom on February 27, 2021
    Short but insightful
  • B Scott
    2.0 out of 5 stars Disappointing!
    Reviewed in the United Kingdom on October 26, 2020
    I was greatly looking forward to reading this as I'm involved in a charity where vaccination is an important tool in the armoury. Sadly, the book consists of a series of anecdotes illustrating the crazy rumours and beliefs circulating in the popular mind all over the world. What was missing was a coherent approach to dealing with what the author considers are the underlying reasons for these widespread and unwarranted fears about vaccines so amply illustrated.