Wilson 1
Table of Contents
Introduction 2
Creation of Vaccines.. 3
Rise of the Anti-Vaxxers4
Figure 1..5
Disproving the Link...6
Figure 2..8
Conclusion.9
Works Cited.10
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                                         The Missing Link
Introduction
       Because of the Anti-Vaxxer movements belief in a connection between infant
vaccination and autism, decades of medical progress are in jeopardy. The discovery of a
smallpox vaccine entered the world into a new era of modern medicine. Within decades, one of
the deadliest diseases on earth had been completely eradicated. Only twice in all of known
history have humans been able to target and drive a species to extinction, in this case, the variola
virus. Now, vaccines are available for dozens of previously devastating diseases: mumps,
smallpox, polio, and soon even the Zika Virus can be vaccinated against. Yet, there remains a
growing group of people who cry Foul! at the idea of vaccination.
       The origin of modern Anti-Vaxxers can be traced back to a single 1982 film. The
documentary, by Lea Thompson (Offit 2) connects infant vaccination with a variety of medical
conditions and, specifically, autism. Future peer-reviewed studies refuted claims made by
Thompson in the film, and multiple reputable articles exist that disprove any evidence of deadly
side effects associated with vaccines. The Anti-Vaccination movement threatens to reintroduce
dozens of preventable diseases that should never have to be feared.
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Creation of Vaccines
       For centuries, mankind was ravaged by an incurable disease: smallpox. Almost every
nation and tribe dealt with smallpox at some point in history. When Westerners began exploring
the Americas, the Native American population was devastated by the disease. Each culture had
its own was of inoculating against the disease, but most were ineffective.
       The first real step against smallpox appeared in 1796, when Edward Jenner developed a
vaccine for smallpox (Riedel). Jenner realized that there was a possible connection between
cowpox exposure and smallpox immunity. Milkmaids, Jenner had heard, that had been exposed
to cowpox rarely contracted smallpox. Consequently, Jenner located a milkmaid infected with
cowpox, and injected matter from the milkmaids sores into a young boy using a relatively new
tool: subcutaneous needles. Needles developed independently in several cultures, and before
vaccination, were relatively primitive. The development of vaccination is widely believed to be
the catalyst in refining the subcutaneous needle (Exchange Supplies). In the days following
injection, the boy displayed symptoms akin to a cold, but recovered in about a week. Next,
Jenner injected matter from a smallpox sore into the same boy. The boy never developed
smallpox, and Jenner concluded that protection was complete (Reidel).
       After facing resistance from the medical community, Edward Jenner conducted more
tests and gathered more evidence, and by the 1800s, vaccination was widespread throughout
Europe. As Jenner distributed his vaccine to colleagues and peers, some doses traveled with
Benjamin Waterhouse to the United States. There, Thomas Jefferson expressed his extreme
support of vaccination and founded the National Vaccine Institute (Reidel).
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       Edward Jenner began the process of eradicating the deadliest disease in human history. In
his article, Edward Jenner and the History of Smallpox and Vaccination, Reidel states that
Strictly speaking, [Edward Jenner] did not discover vaccination but was the first person to
confer scientific status on the procedure. Cultures, such as the Chinese and some African
tribes, had been inoculating in various ways for centuries, but for the first time, there was an
empirically proven method to inoculate. Jenner brought vaccination into the view of modern
medicine.
Rise of the Anti-Vaxxers
       A child infected with the highly contagious measles virus will at first develop a minor
cough and rash, mistakeable for a cold or mild allergy. However, within days, measles can cause
dangerously high fevers, severe rashes, and even death. If left unchecked, mumps, which is
highly contagious, can cause pancreatitis, meningitis, deafness, facial paralysis, and
inflammation of the ovaries (Offit xvi). Whooping cough is a bacterial infection that causes
thick mucus to block the airway of those infected, typically children. Even by coughing, the
victim finds that the mucus is difficult to clear. As a result of the coughing, those infected can
become lethargic, dehydrated, or malnourished (Offit xv). The loss of oxygen alone can cause
permanent developmental problems. These diseases have one factor in common: each is easily
preventable by vaccination. Nevertheless, a growing portion of the American population is
refusing vaccinations for themselves or their children. One of the most common excuses for
refusing to vaccinate is the belief that vaccines cause autism.
       Immediately after Jenner began distributing vaccines in Europe, there were groups who
opposed the process. As vaccination was a new procedure, some pushback was to be expected.
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Religious groups and politicians rejected the vaccines for various reasons. Some found it
repulsive to be injected with matter from cows; others believed that the vaccine was
unchristian because it came from an animal (The College of Physicians of Philadelphia).
Demagogues claimed to have definitive evidence of the dangers of this new technology,
spreading viewpoints that would hinder vaccination efforts for decades.
       In America, the Anti-Vaxxer movement gained traction with the release of Lea
Thompsons DPT: Vaccine Roulette. The documentary shows in vivid detail the disabilities that
6 children had experienced after receiving the DPT vaccine. At the beginning of the film,
Thompson reports that The controversy isnt really over the fact that [brain damage] happens,
but how often it happens and whether it happens often enough to deem the vaccine more
dangerous than the disease itself (Offit 3). Immediately after the documentary aired on The
Today Show on April 19, 1982, parents across the country began attributing any symptoms their
children had to the DPT vaccination. The documentary initiated a distrust of doctors and
vaccines, allowing diseases that could have been eradicated to continue. Since Jenners research,
the American population has largely adopted vaccines, but as of 2013, progress has largely
stagnated, as seen below (Child Trends).
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Figure 1: Percentage of Children Ages 19-35 Months Receiving the Combined Series
Vaccination
Source: "Immunization - Child Trends." Child Trends. Child Trends, 2015. Web. 04 Dec. 2016.
       However, Paul Offit states that By 2007, researchers had published several studies
showing that MMR [measles-mumps-rubella] didnt cause autism, (150-151). Despite this
research, celebrities and television programs continued to spread misinformation through the
media. In a digital age, information continuously cycles through news outlets and websites.
People read and share pieces of opinionated information without being aware of where it
originated. As a result, questionable facts and other theories become the accepted truth. The
belief in incorrect information has built a foundation of fear and distrust not backed by science,
despite evidence supporting the safety of vaccines.
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Disproving the Link
       As the movement against vaccines has grown, major studies and scientific organizations
have repeatedly attempted to educate the public with empirical evidence. One such organization
is the Center for Disease Control and Prevention (CDC). If a person searches Do vaccines cause
autism? the first result takes the user to a CDC webpage on vaccine safety. CDC personnel have
conducted over 10 studies testing vaccines and vaccine ingredients for a link to autism. Each
study has disproven a link (CDC).
       For many years, a major concern of Anti-Vaxxers was the presence of thimerosal, a
preservative containing mercury. A molecule containing a harmful atom will not necessarily
have the same effects as the lone atom. The CDC conducted studies specifically on thimerosal,
and found no increase in birth defects or disabilities from a population unexposed to thimerosal
(CDC). The substance has since been removed, as a precautionary measure, as other
preservatives without mercury can be used. (CDC).
       In 2012, the Journal of Pediatrics published an article testing the active ingredient in
vaccines; the antigens. These antigens are produced either directly from the agent being
vaccinated against, or an agent from the same family. When these proteins are introduced into a
persons immune system, the body produces white blood cells to fight the infection and can
recognize future infections. The safety of having multiple types of antigens in the body at once
(infants often receive multiple vaccines at one time) has been cause for concern to many parents.
The study, Increasing Exposure to Antibody-Stimulating Proteins and Polysaccharides in
Vaccines Is Not Associated with Risk of Autism, concludes that no statistically significant
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difference in autism rates existed between infants who received vaccines on the recommended
schedule and those who had delayed or refused vaccination.
       The graph below, from the same study, compares how many antigens an infant received
in a time frame to the percentage of test cases that had or had not displayed ASD (autism
spectrum disorder). For both cases and controls in all 3 age groups, the cumulative exposures
exhibited a bimodal distribution depending on receipt of whole-cell vaccines (Destefano, Price,
Weintraub). If data is bimodal, it has two peaks. The bimodality indicates that an infant receiving
all recommended vaccines at once has no significantly greater chance of developing autism than
one whose vaccines are distributed. These results were peer-reviewed and confirmed, ensuring
the studys validity.
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Figure 2: Distribution of total cumulative antigen exposure among ASD cases and controls, by
age range.
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Source: Destefano, Frank, Cristofer S. Price, and Eric S. Weintraub. "Increasing Exposure to
Antibody- Stimulating Proteins and Polysaccharides in Vaccines Is Not Associated with Risk of
Autism." Pediatria Polska 89.5 (2014): n. pag. Print.
Conclusion
       Edward Jenners development of vaccination allowed humans to enter a new era in
modern medicine. Smallpox, mumps, diphtheria, tetanus, measles, and whooping cough were
once pervasive. With vaccination, they are entirely avoidable. Despite the proven benefits, a
growing portion of the American population is unvaccinated or not vaccinating their children.
Major scientific organizations have studied and tested the effects of the major vaccine
components and found no causality between vaccines and autism. Vaccines allow humans to
function without fearing dozens of diseases. Anti-Vaxxers perceived link between vaccines and
autism has been completely disproven.
                                          Works Cited
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       Destefano, Frank, Cristofer S. Price, and Eric S. Weintraub. "Increasing Exposure to
Antibody- Stimulating Proteins and Polysaccharides in Vaccines Is Not Associated with Risk of
Autism." Pediatria Polska 89.5 (2014): n. pag. Print.
       "The History of Injecting and the Development of the Syringe." Exchange Supplies. N.p.,
n.d. Web. 2 Dec. 2016.
       "Immunization - Child Trends." Child Trends. Child Trends, 2015. Web. 04 Dec. 2016.
       Offit, Paul A. Deadly Choices: How the Anti-vaccine Movement Threatens Us All. New
York: Basic, 2011. Print.
       Riedel, Stefan. "Edward Jenner and the History of Smallpox and
Vaccination." Proceedings (Baylor University. Medical Center). Baylor Health Care System,
Jan. 2005. Web. 04 Dec. 2016.
       "Vaccines Do Not Cause Autism." Centers for Disease Control and Prevention. Centers
for Disease Control and Prevention, 23 Nov. 2015. Web. 04 Dec. 2016.