How to Change an Anti-Vaxxer’s Mind

12 minute read
Ideas
Jeffrey Kluger is an editor at large at TIME. He covers space, climate, and science. He is the author of 12 books, including Apollo 13, which served as the basis for the 1995 film, and was nominated for an Emmy Award for TIME's series A Year in Space.

Let’s take a moment and praise anti-vaccine parents. Really. They’re wrong on the science, wrong on the politics, and deeply, morally wrong to deny their own children a simple disease preventive that they themselves likely enjoyed growing up. But like all parents everywhere, they’re acting on a simple, powerful impulse: to keep their children healthy.

That’s a very noble goal, but it’s also one of the things that makes it so bloody hard to change their minds on the topic of vaccines. Public service campaigns don’t work; nor do one-on-one explanations of why the rumors about a vaccine-autism link are wrong. In some cases, there is even a backfire effect: the greater the effort expended to persuade the anti-vaxxers, the more convinced they become that they’re right.

So it’s extremely good news that researchers at the University of Illinois Urbana-Champaign may at last have come up with a way to cut through the misinformation and get the truth across: Don’t just tell parents to vaccinate their children, show them what happens if they don’t.

In a study published in the Proceedings of the National Academy of Sciences, a team led by graduate student Zachary Horne recruited a sample group of 315 people—both parents and non-parents—and first conducted a simple survey designed to measure their pre-existing attitudes to vaccines. The subjects were asked to respond on a six-point scale, from “strongly agree” to “strongly disagree,” to five statements that included, “The risks of side effects outweighs any potential benefits of vaccines” and “I plan to vaccinate my children.”

All of the subjects were then divided into three groups: One group was given material to read about the latest research showing that autism and vaccines are in no way related. The second group was given a paragraph to read written in the voice of a mother describing what it was like when her child contracted measles; three pictures of children with measles, mumps and rubella; and written warnings about the importance of vaccinating children. The third group, serving as a control, read material on an unrelated science topic.

When the three groups’ attitudes to vaccines were tested again, the results were striking. Both the control and the so-called “autism correction” group showed a slight uptick in their approval of vaccines, but in neither case were the numbers terribly significant. The group that had learned about the wages of vaccine denialism changed markedly, however, with increased approval rates five times larger than those in the autism correction group and six times larger than in the control group.

“Rather than attempting to dispel myths about the dangers of vaccinations,” the researchers wrote, “we recommend that the very real dangers posed by serious diseases like measles, mumps and rubella be emphasized.”

As TIME reported in the Oct. 6, 2014 issue, this is precisely the approach that worked during the mumps outbreak in Columbus, Ohio last year. College students were nonchalant about getting vaccinated, but when they learned that the disease can lead to sterility in both men and women, they were a lot more inclined to step up for their shots. “I was pretty freaked out,” one Ohio State University student said. “I didn’t know mumps could lead to any of that.”

The power of the show-don’t-tell approach is nothing new. It’s the reason behind the anti-tobacco shock ads showing people dying of lung cancer, as well as the surgery fund-raising ads showing photos of babies with cleft lips. The trick in all of these cases is getting people to act fast. If too much time elapses between image and potential action, the power of the message is lost.

For that reason, Horne and his co-authors suggest that future research should look at the effectiveness of including the kind of counseling that was used in their study during routine well-baby visits, when vaccinating the child on the spot is an option. After all, the effect of scaring a parent straight may be temporary, but the damage done to a child who contracts a vaccine-preventable disease can be for life.

Edward Jenner

Edward Jenner Vaccines
Edward JennerPopperfoto/Getty Images

No one knows the name of the dairy maid 13-year old Edward Jenner overheard speaking in Sodbury, England in 1762, but everyone knows what she said: “I shall never have smallpox for I have had cowpox. I shall never have an ugly pockmarked face.” Jenner was already a student of medicine at the time, apprenticed to a country surgeon, and the remark stayed with him. But it was not until 34 years later, in 1796, that he first tried to act on the dairy maid’s wisdom, vaccinating an 8-year-old boy with a small sample from another dairy maid’s cowpox lesion, and two months later exposing the same boy to smallpox. The experiment was unethical by almost any standard—except perhaps the standards of its time—but it worked. Jenner became the creator of the world’s first vaccine, and 184 years later, in 1980, smallpox became the first—and so far only—disease to have been vaccinated out of existence.

Jonas Salk and Albert Sabin

Albert Sabin Jonas Salk Vaccines
Left: Albert Sabin in his laboratory in 1960; Right: Jonas SalkMondadori/Getty Images; PhotoQuest/Getty Images

Jonas Salk and Albert Sabin didn’t much care for each other. The older, arid Sabin and the younger, eager Salk would never have been good matches no matter what, but their differences in temperament were nothing compared to a disagreement they had over science. Both researchers were part of the National Foundation for Infantile Paralysis—later dubbed the March of Dimes—and both were trying to develop a polio vaccine. Sabin was convinced that only a live, weakened virus could do the trick; Salk was convinced a newer approach—using the remains of a killed virus—would be better and safer. Both men turned out to be right. Salk’s vaccine was proven successful in 1955; Sabin’s—which was easier to administer, especially in the developing world, but can cause the rare case of vaccine-induced polio due to viral mutations—followed in 1962. Both vaccines have pushed polio to the brink of eradication. It is now endemic in only three countries—Afghanistan, Pakistan and Nigeria—and appears, at last, destined to follow smallpox over the extinction cliff.

Dr. Maurice Hilleman

Dr. Maurice Hilleman Vaccines
Dr. Maurice Hilleman (center) talks with his research team as they study the flu virus in a lab at Walter Reed Army Institute of Research, Silver Springs, Md. in 1957.Ed Clark—Time & Life Pictures/Getty Image

Around the world, untold numbers of children owe their health to a single girl who woke up sick with mumps in the early morning hours of March 21, 1963. The girl was Jeryl Lynne Hilleman, who was then only 5; her father was a Merck pharmaceuticals scientist with an enduring interest in vaccines. Dr. Maurice Hilleman did what he could to comfort his daughter, knowing the disease would run its course; but he also bristled at the fact that a virus could have its way with his child. So he collected a saliva sample from the back of her throat, stored it in his office, and used it to begin his work on a mumps vaccine. He succeeded at that—and a whole lot more. Over the course of the next 15 years, Hilleman worked not only on protecting children against mumps, but also on refining existing measles and rubella vaccines and combining them into the three-in-one MMR shot that now routinely immunizes children against a trio of illnesses in one go. In the 21st century alone, the MMR has been administered to 1 billion children worldwide—not a bad outcome from a single case of a sickly girl.

Pearl Kendrick and Grace Eldering

Pearl Kendrick Vaccines
Pearl KendrickUniversity of Michigan School of Public Health

It was not easy to be a woman in the sciences in the 1930s, something that Pearl Kendrick and Grace Eldering knew well. Specialists in public health—one of the only scientific fields open to women at the time—they were employed by the Michigan Department of Health, working on the routine business of sampling milk and water supplies for safety. But in their free time they worried about pertussis—or whooping cough. The disease was, at the time, killing 6,000 children per year and sickening many, many more. The poor were the most susceptible—and in 1932, the third year of the Great Depression, there were plenty of poor people to go around. A pertussis vaccine did exist, but it was not a terribly effective one. Kendrick and Eldering set out to develop a better one, collecting pertussis samples from patients on “cough plates,” and researching how to incorporate the virus into a vaccine that would provide more robust immunity. They tested their vaccine first on mice, then on themselves and finally, in 1934, on 734 children. Of those, only four contracted whooping cough that year. Of the 880 unvaccinated children in a control group, 45 got sick. Within 15 years of the development of Kendrick and Eldering’s vaccine, the pertussis rate in the U.S. dropped by 75%. By 1960 it was 95%—and has continued to fall.

Dr. Richard Pan

Sacramento California News - June 30, 2015
Senator Richard Pan speaks during a press conference at William Land Park Elementary School in Sacramento on June 30, 2015 on Senate Bill 277, which eliminates personal and religious belief exemptions for vaccines.Madeline Lear—Sacramento Bee/Zuma Press

The work that’s done at the lab bench is not the only thing that makes vaccines possible; the work that’s done by policymakers matters a lot too. That is especially true in the case of California State Senator Richard Pan, a pediatrician by training who represents Sacramento and the surrounding communities. Pan was the lead sponsor of the recently enacted Senate Bill 277, designed to raise California’s falling vaccine rate by eliminating the religious and personal belief exemptions that many parents use to sidestep the responsibility for vaccinating their children. For Pan’s troubles, he now faces a possible recall election, with anti-vaccine activists trying to collect a needed 35,926 signatures by Dec. 31 to put the matter before the district’s voters. Pan is taking the danger of losing his Senate seat with equanimity—and counting on the people who elected him in the first place to keep him on the job. “I ran to be sure we keep our communities safe and healthy,” he told the Sacramento Bee. That is, at once, both a very simple and very ambitious goal, made all the harder by parents who ought to know better.

Dr. Andrew Wakefield

Dr. Andrew Wakefield Vaccines Autism
From right: Dr. Andrew Wakefield and his wife, Carmel arrive at the General Medical Council (GMC) in central London on Jan.28, 2010.Shaun Curry—AFP/Getty Images

Not every conspiracy theory has a bad guy. No one knows the name of the founding kooks who got the rumor started that the moon landings were faked or President Obama was born on a distant planet. But when it comes to the know-nothing tales that vaccines are dangerous, there’s one big bad guy—Andrew Wakefield, the U.K. doctor who in 1998 published a fraudulent study in The Lancet alleging that the MMR vaccine causes autism. The reaction from frightened parents was predictable, and vaccination rates began to fall, even as scientific authorities insisted that Wakefield was just plain wrong. In 2010, the Lancet retracted the study and Wakefield was stripped of his privilege to practice medicine in the U.K. But the damage was done and the rumors go on—and Wakefield, alas, remains unapologetic.

Jenny McCarthy and Jim Carrey

Jenny McCarthy Jim Carrey Vaccines Autism
Jim Carrey (center) carries Evan McCarthy, son of actress Jenny McCarthy (left) during a march calling for healthier vaccines on June 4, 2008 in Washington.Brendan Hoffman—Getty Images

If you’re looking for solid medical advice, you probably want to avoid getting it from a former Playboy model and talk show host, and a man who, in 1994’s Ace Ventura: Pet Detective, introduced the world to the comic stylings of his talking buttocks. But all the same, Jenny McCarthy and Jim Carrey are best known these days as the anti-vaccine community’s most high-profile scaremongers, doing even the disgraced Andrew Wakefield one better by alleging that vaccines cause a whole range of other ills beyond just autism. None of this is true, all of it is shameful, and unlike Wakefield, who was stripped of his medical privileges, Carry and McCarthy can’t have their megaphones revoked.

Rob Schneider

Rob Schneider Vaccines
Rob Schneider in 2014.Richard Shotwell—Invision/AP

What’s that you say? Need one more expert beyond Jenny McCarthy and Jim Carrey to weigh in on vaccines? How about Rob Schneider, the Saturday Night Live alum and star of the Deuce Bigalow, Male Gigolo films? Schneider has claimed that the effectiveness of vaccines has “not been proven,” that “We’re having more and more autism” as a result of vaccinations, and that mandating vaccines for kids attending public schools is “against the Nuremberg laws.” So, um, that’s all wrong. A vocal opponent of the new California law eliminating the religious and personal belief exemptions that allowed parents to opt out of vaccinating their kids, Schneider called the office of state legislator Lorena Gonzalez and left what Gonzalez described as a “disturbing message” with her staff, threatening to raise money against her in the coming election because of her support of the law. Gonzalez called him back and conceded that he was much more polite in person. Still, she wrote on her Facebook page, “that is 20 mins of my life I’ll never get back arguing that vaccines don’t cause autism with Deuce Bigalow, male gigolo.#vaccinateyourkids.”

Robert F. Kennedy, Jr.

Robert Kennedy, Jr. Vaccines
Robert F. Kennedy, Jr. speaks against a measure requiring California schoolchildren to get vaccinated during a rally at the Capitol in Sacramento, Calif., on April 8, 2015.Rich Pedroncelli—AP

If you’re looking for proof that smarts can skip a generation, look no further that Robert F. Kennedy, Jr., son of the late Bobby Kennedy. RFK Jr. has made something of a cottage industry out of warning people of the imagined dangers of thimerosal in vaccines. An organomercury compound, thimerosal is used as a preservative, and has been removed from all but the flu vaccine—principally because of the entirely untrue rumors that it causes brain damage. But facts haven’t silenced Kennedy who, as a child of the 1950s and ‘60s, surely got all of the vaccines his family doctor recommended. Children of parents who listen to what he has to say now will not be so fortunate.

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Write to Jeffrey Kluger at jeffrey.kluger@time.com

TIME Ideas hosts the world's leading voices, providing commentary on events in news, society, and culture. We welcome outside contributions. Opinions expressed do not necessarily reflect the views of TIME editors.