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Deadly Choices: How the Anti-Vaccine Movement Threatens Us All

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In 2010, California suffered the largest and deadliest outbreak of pertussis, also known as “whooping cough,” in more than fifty years. This tragedy was avoidable. An effective vaccine has been available since the 1940s. In recent years other diseases, like measles and mumps, have also made a comeback. The reason for these epidemics can be traced to a group whose vocal proponents insist, despite evidence to the contrary, that vaccines are poison. As a consequence, parents and caretakers are rejecting vaccines for themselves and their families.In Deadly Choices, infectious-disease expert Paul Offit takes a look behind the curtain of the anti-vaccine movement. What he finds is a reminder of the power of scientific knowledge, and the harm we risk if we ignore it.

288 pages, Paperback

First published November 17, 2010

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About the author

Paul A. Offit

26 books480 followers
Paul A. Offit, MD is the Chief of the Division of Infectious Diseases and the Director of the Vaccine Education Center at the Children’s Hospital of Philadelphia. Dr. Offit is also the Maurice R. Hilleman Professor of Vaccinology, and a Professor of Pediatrics at the University of Pennsylvania School of Medicine. He is a recipient of many awards including the J. Edmund Bradley Prize for Excellence in Pediatrics bestowed by the University of Maryland Medical School, the Young Investigator Award in Vaccine Development from the Infectious Disease Society of America, and a Research Career Development Award from the National Institutes of Health.

Dr. Paul A. Offit has published more than 130 papers in medical and scientific journals in the areas of rotavirus-specific immune responses and vaccine safety. He is also the co-inventor of the rotavirus vaccine, RotaTeq, recently recommended for universal use in infants by the CDC; for this achievement Dr. Offit received the Gold Medal from the Children’s Hospital of Philadelphia and the Jonas Salk Medal from the Association for Professionals in Infection Control and Epidemiology.

Dr Paul Offit was also a member of the Advisory Committee on Immunization Practices to the Centers for Disease Control and Prevention and is the author of multiple books.

from www.paul-offit.com

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Displaying 1 - 30 of 242 reviews
Profile Image for Matt.
4,763 reviews13.1k followers
July 18, 2020
To vaccinate or not to vaccinate, that is the question. But, is it really one that parents should be having after they have a child? Dr. Paul A. Offit leaps into the middle of the debate in this book, seeking to explore all avenues and convince the reader that the anti-vaccine movement is predicated on falsehoods and half-truths. The modern push against vaccination appears to have emerged from a 1982 documentary that sought to show a connection between the pertussis vaccine and severe brain damage, from the onset of seizures through to significant impairment that cannot be reversed. Those advocating that there was a direct correlation between vaccination and these injuries cite numerous families whose children suffered significantly soon after having their scheduled shots. Offit offers what seems to be a thorough explanation of the movement’s views before showing the studies that have been completed to diffuse these accusations, even if they are not convincing to those who feel they know best. Pertussis, more commonly known as whooping cough, is a horrible condition whose onset sounds gruesome when described and when it invades the body of young people, they are trapped to suffer and sometimes die. Offit tries his best to explain the theory of vaccination and how vaccines are created, in hopes of helping a large portion of the population. However, protection of the greater whole requires the immunization of a large portion of the population, something that seems to elude those who fear side effects. Offit also explores the origins of anti-vaccine movements, which began in Britain in the early 19th century and continues today. The focus appears to vary, from the ‘satanic’ nature of introducing things from outside the body (aluminium appears to be the biggest culprit), to the obvious triggering of autism, to a personal choice embedded in constitutional rights. The early anti-vaccination movement stemmed from government requirements rather than the medical issues, but things have morphed with the onset of mass communication of apparent side effects and death rates. Offit looks at more than just pertussis, taking time to explore smallpox, polio, and even measles, all of which has its own vaccine haters. While the anti-vaccine movement was based on personal choices or alternative medical information in the past, the 21st century mutation has turned militant, using celebrities to speak out and cut others down who even suggest vaccines are useful. This poisonous attack through the airwaves tends also to be meant to drum up fear rather than education, as Offit shows how many falsehoods appear while such advocates refuse to allow rebuttal of their points. The latter part of the book explores the interesting discussion of the graphing of immunisation rates and the explanation behind it. It is sobering and chilling at the same time, as the reader is pulled into the middle of the great cyclical debate, all while children continue to get sick or die while others play Russian Roulette with large portions of the population. A great piece that will surely educate many in an attempt to open eyes on this heated debate and an ever-evolving social movement.

The idea of getting Neo’s vaccinations were never in question when he was young, nor will it be in the years to come. However, I have long heard about the ‘anti-vaxx’ movement that seeks to keep the body pure and natural, free from anti-freeze and aluminium poisoning and autism-free. This book not only strengthens my belief that vaccines are a good thing for children, but offers me a refreshing look, with some substantiation, why those who are against them feel the way they do. Offit could have used this piece as his own soapbox to deride those who are against him. However, he laid out their arguments throughout and offered them a great deal of ink as he tried to explain their foibles. Offit takes the discussion deeper than the modern version, delving into the history, science, religious arguments, political sentiments, and even legal ramifications of vaccination and parses through some of the rhetoric and falsehoods that seem to be spreading. Admittedly, all medical treatments have side effect and yes, there will be deaths, but ignorance or outright gambling with one’s child seems not to make sense in this modern day. Even those who follow the herd mentality that Offit discusses—whereby once a certain percentage of the population is inoculated, even those who are not stay safe because of so much protection around them—seem destined to pass the buck and leave it to others to do the work. Interestingly enough, the fewer who vaccinate, the less likely herds will protect those who seek to hide among them. Offit helps solidify my belief that many are being duped by a smaller faction who are too lazy to be responsible, which includes some inside the medical profession. That being said, if there are those who stand behind anti-vaccination and have something that I could read to try swaying me over to the other side, with thorough exploration of the topic, not simple blather about ‘Jennie got sick when she had her shot, so vaccines are crap’, I would be happy to read and review it here. Until then, I’ll rest easier knowing that I have done all I can to protect Neo from the ravages of diseases out there from which there are means of protecting him.

Kudos, Dr. Offit, for helping me better understand both sides of this argument. I can only hope that others will read this book and get the bigger picture for themselves.

This book fulfils Topic #1: Lead of the Equinox #11 Reading Challenge.

Love/hate the review? An ever-growing collection of others appears at:
http://pecheyponderings.wordpress.com/

A Book for All Seasons, a different sort of Book Challenge: https://www.goodreads.com/group/show/...
Profile Image for Mark.
1,176 reviews166 followers
January 15, 2011

This is a well-written polemic in favor of the safety of vaccines and the life-saving benefits they provide, and against those who oppose vaccines and accuse them of all sorts of ills that aren't supported by the scientific evidence.

As the chief of infectious diseases at Philadelphia Children's Hospital and an inventor of one of the rotavirus vaccines, Paul Offit not only knows what he is talking about, but has been on the front lines of the fight against those who blame vaccines for autism, ADHD, retardation, seizures, diabetes and all sorts of other maladies.

He also has a gift that many specialists lack of being able to tell good human-interest stories and anecdotes to buttress his case.

I call this a polemic because Offit makes no pretense of providing a dispassionate analysis. He is angry at the continuing claims of anti-vaccinationists and at the re-emergence of preventable diseases in places where greater percentages of parents don't vaccinate their children. His life has been threatened in the past, and so he has paid the price for his outspokenness.

Offit does a good job of telling the story of the anti-vaccine movement from its earliest days opposing smallpox vaccinations in England (opponents claimed sometimes that the cowpox inoculation would turn their children into cattle), up to the modern version of the movement, starting with the anti-pertussis vaccine activism of the 1970s to today's scare stories about the MMR vaccine and the mercury decontaminant thimerosal.

A few times, he goes off the rails a bit to take personal shots at people whose lack of evidence ought to be enough to condemn them. In discussing the anti-vaccine statements of actress Jenny McCarthy, for instance, he talks about her not wanting to inject "toxins" into children and then about her pleasure in getting botox injections for herself. Showing up a hypocrite? Sure. Necessary to make the point? Probably not.

More telling is his observation that comedian Bill Maher produced a documentary against religion in which he said people shouldn't believe anything science couldn't prove, and then turned around and opposed vaccines without scientific evidence for his position.

Two other small flaws: Although I realize the numbers shift, it would have been good to provide some sense of the numbers of preventable diseases that have sprung up. By using anecdotal numbers, he may have exaggerated the risk; and it would have been better if he had talked briefly about his own role developing a rotavirus vaccine and being paid for it, because it is the first argument opponents use against him.

On the other hand, he does an excellent job telling the stories of people who have stood up for vaccine safety, or whose children have been harmed by exposure to unvaccinated children.

So, polemic, yes. But well-argued and well-told, also yes.
Profile Image for Phil.
148 reviews2 followers
January 24, 2011
It's amazing what people do to convince themselves that they're right when all the evidence at hand points to the opposite. Vaccines do NOT cause autism. They don't cause diabetes, epilepsy, or any other disease. What they do is PREVENT the spread of deadly infections (both bacterial and viral).

Most of the anti-vac crowd seem to suffer from the Dunning-Kruger effect:

(http://en.wikipedia.org/wiki/Dunning%...)

The Dunning–Kruger effect is a cognitive bias in which unskilled people make poor decisions and reach erroneous conclusions, but their incompetence denies them the metacognitive ability to realize their mistakes.[1] The unskilled therefore suffer from illusory superiority, rating their ability as above average, much higher than it actually is, while the highly skilled underrate their own abilities, suffering from illusory inferiority. This leads to the situation in which less competent people rate their own ability higher than more competent people. It also explains why actual competence may weaken self-confidence. Competent individuals falsely assume that others have an equivalent understanding. "Thus, the miscalibration of the incompetent stems from an error about the self, whereas the miscalibration of the highly competent stems from an error about others."[2]
323 reviews7 followers
April 7, 2019
Pharma’s Paid Mouthpiece Mouths Off

I put a couple of Offit books on my TBR list, knowing how difficult it would be to actually read them. However, I found that in order to truly understand this issue and reaffirm my belief in medical freedom for all, no matter how prevalent the “theories” of herd immunity, community immunity, and blind adherence to public "health" may be. I don’t see evidence that Offit’s views are science-based simply because they are not. He would have us all scared to death of any disease for which there is a vaccine.

Paul Offit is a pediatrician affiliated with the Children’s Hospital of Philadelphia who claims to specialize in infectious disease. I am unsure what that expertise entails. He also refers to himself as an expert in vaccines. There is evidence that he has misrepresented his various titles in the past. He is one of the co-developers and patent holders on the RotaTeq vaccine, the vaccine that is supposed to protect against Rotavirus, a very mild disease here in the United States. His vaccine was also pulled from the schedule due to a dangerous condition called intussusception. He made an untold sum when that patent was sold. Offit was also part of the Advisory Committee of Immunization Practices (ACIP) which advises the CDC on what vaccines to add to the childhood schedule. He served during the time that his RotaTeq vaccine was up for vote to be added to the childhood immunization schedule. Offit should have recused himself from serving on this committee however he did not. Instead he was granted an exemption and voted to have his own vaccine added to the schedule. Offit is a big proponent of vaccines and one of the vaccine industry’s biggest voice.

So what is this book about?

In a nutshell, it is an admonishment of all who have ever questioned the safety and effectiveness of vaccines, specifically those on the childhood vaccination schedule. Offit flatly denies a correlation between an injury such as a traumatic brain injury and any vaccine. There is a temporal association, meaning that these two events, vaccinination and subsequent injury, happened to have occurred at the same time but bear no relation. Parental stories hold no weight whatsoever. Parents are not experts. Offit is. This book is addressed to all parents as well as anyone who has ever questioned, or expressed concern about a vaccine or whether they are necessary. All of us are told that the science has been done and broaches no further question. All scientific studies showing a possible correlation are deemed junk science. Vaccine safety has been secured by the “real” scientists. They are also immune to conflicts of interest, and data fraud and manipulation. No matter how bloated the childhood schedule becomes, there is no question as to the continued "safety" of more shots and combining more vaccines. In other words, whatever Offit says goes, without question.

According to Offit, you do not have the right to choose which vaccines your child will receive or when. You must adhere to the CDC schedule and never ever ever question it. It isn’t just your child at risk for vaccine preventable diseases but every other child as well. Herd immunity, community immunity, public health, and responsibility are all concepts bandied about as Offit slaps down those who refuse to comply or who believe differently.

Pasteur’s germ theory is Offit’s driving force and these microbes are just lying in wait to jump out, attack and wipe innocent children right off this planet. No mention is ever made about supporting the immune system. All alternative therapies and supplements are scientifically unproven and seen as quackery. Vaccines are the ONLY way to infer protection. Your health is dependent on a filled syringe. It’s science folks, plain and simple. Nothing more to talk about.

His vaccine history glosses over significant details so that vaccines are put on a pedestal and shown only in the most flattering light. The real history tells a much darker story about vaccines. He beleieves that the vaccine adverse events reporting system in its early days has paid out large sums of money to families that should not have been eligible because the vaccines did not cause the injuries they were said to cause, even though the injuries are listed on the vaccine manufactureres OWN list of side effects.

He uses this book as a major axe to grind with several people including Barbara Leo Fisher of the National Vaccine Information Center (NVIC) whom he states could have had a much loftier career as a vaccine advocate if she had only focused on the vaccines that did have actual problems such as the oral polio vaccine (OPV), Pediatrician Bob Sears who had the audacity to offer his patients an alternative vaccine schedule. Offit really takes him to task for not being the expert that he hismself obviously is. Jenny McCarthy whom he calls the parental poster child for the anti-vaccine movement, Jim Carrey, Jenny’s boyfriend at the time Offit wrote this book, J. B. Handley whom he portrays as an angry hit man, and most surprisingly Bernadette Healy, former head of the NIH who stated that the jury is still out on whether or not vaccines cause autism.

Some other Offit gems include:

Autism is caused by a structural abnormality already existing in the brain. In other words, it’s hereditary. It's never been proven. Could a vaccine trigger a predisposition that might never have been triggered otherwise? Offit fails to mention this possibility at all.

He never once offers an alternative cause for the regression, fevers, seizures, SIDS that occur in the wake of vaccines. He only states that it’s never the vaccine and that by insisting on more studies looking at the possible link between injury and vaccines, including what is diagnosed as autism, we are taking money away from finding the real cause of these ailments.

He states that if Vioxx were made as safely as all vaccines, then perhaps we could have prevented those 50,000 deaths when Vioxx hit the market. This infers that Merck had no prior knowledge that their heart attack in a pill caused the death. Yes, they knew ahead of time that Vioxx caused heart attacks. They didn't care. Merck makes vaccines as well.

He mentions throughout the book how impeccably safe vaccines are but the fact remains that zero safety studies have ever been done. Zero! Nor has the current schedule now or at any time been tested for safety.

He only tells the stories about kids dying from vaccine preventable deaths, Hib meningitis is a favorite of his along with Rotavirus. Offit wants so badly to lauded a hero for creating this useless vaccine. God-complex? Read his books and decide for yourself. Not a single vaccine-injury story is given credence in this book. He simply does not believe those stories exist. That’s right parents, your observations do not exist plus since you’re not “experts”. What the hell do you know?

Those asking for safer vaccines, are still considered by him to be anti-vaxxers because since vaccines cause no side effects, including the ones listed on the manufacturers package inserts, safer vaccines cannot be made.

An unvaccinated child would have far better protection in a fully vaccinated community opposed to a fully vaccinated child in a non-vaccinated community. Perhaps the best illustration of this is his story about the mother whose fifteen month old girl died of Hib meningitis despite being fully vaccinated against it. Guess who was blamed for the child’s death? It was the unvaccinated in her community. Vaccine failure was never considered and the mother actually spoke to Congress, stressing the importance of vaccines. The book ends with this tragic story and another jab at Jenny McCarthy having a voice while this girl had none.

The only takeaway from this book is a lesson in the imperativeness to trust your intuition, always question the “experts”, continuously seek out knowledge in all its forms, and use critical thinking skills to make as fully formed an opinion as possible.


BRB Rating: Skip It
Profile Image for Sharon.
95 reviews2 followers
March 10, 2011
*Disclaimer* My husband is an Immunologist so I was already convinced before starting the book.

I think EVERY parent should read this. Seth has gotten asked on numerous occasions about vaccines and how he feels about their risks. He honestly answers them that he hasn't studied much with vaccines but from everything he has read, vaccines do great things without much scientific evidence of the contrary. Now he has a book to point them to.

Offit explains the history of the anti-vaccine movement going back to England when many people thought the small pox vaccine would turn their kids into cattle. He didn't shy away from discussing polio vaccines that did actually cause polio and the protocol that has been implemented since that time.

It was difficult reading about parents who chose not to immunize their kids and then their kids getting sick and even dying because of it.

The big fad now is to have "spaced out" immunizations because parents are concerned about little babies receiving six vaccines at one time. I myself was weary about watching my child go through that. Offit went into the science about how our bodies have no struggle with the amount of vaccines now given and could actually handle THOUSANDS of vaccines at once.


Profile Image for Molly.
207 reviews1 follower
September 16, 2011
I read this book for ammo in the vaccinate/don't vaccinate argument. I got plenty of it, thought this book is one-sided for sure. Paul Offit, as a prominent figure on the "vaccinate" side, has lots of enemies in the world (jenny mccarthy, barbara loe fisher) and so a lot of this book it just spent defaming the loudest voices in the anti-vaccination movement, which gets old. I wish parts of it had been a little more scientific, like when he made claims about certain statistics or outbreaks he didn't necessarily present all the facts from every side, but he sure had a thorough bibliography so I suppose I could go get it all myself. Also, I can't really hold it against Offit that he sounds so angry and exasperated because (from my experience) the idiots on the anti-vaccination side don't do their research and it is very frustrating to have people constantly throwing out emotional claims like, "MMR made my baby retarded and have seizures" with zero scientific evidence, and in fact multiple studies to the contrary. I always assumed I would vaccinate my own children, but this makes me want to keep them from socializing or interacting with unvaccinated kids because it is so selfish and irresponsible to think that choosing not to vaccinate your kids is a personal (not community) choice, and indicates either extreme narcissism or stupidity or both on the part of the parents. I'm not advocating blind trust in medicine, but for well-tested vaccines the track record is excellent and the benefits to society are clear.
Profile Image for Jessica.
222 reviews9 followers
September 17, 2015
If you opt to read this book, and then accept what he says as gold, please take the time to research Mt Offit himself. His conflict of interest on this subject virtually defeats his entire argument.

Some Vaccines are absolutely medical miracles, but there are issues, and demanding a one size fits all schedule for all children is irresponsible and dangerous. especially without considering possible allergies and family history. Offit makes billions promoting Vaccines by the vaccine industry, there is another side to this debate that isn't against Vaccines, but against a mandated one size fits all approach. dismissing those concerns and lumping them with Jenny McCarthy only works to alienate parents. there are other books on this subject far more balanced and less hostile.
Profile Image for mar.
180 reviews99 followers
May 17, 2017
This isn't exactly a book I can write a real review for.

It was certainly informing and engaging. But I was also already pro-vaccine, so this book didn't need to convince me of anything. However, it is undeniable that this book was thoroughly researched and sourced, and that Offit knows what he is talking about.

Obviously, this is not my typical read. I read it for a research paper I am writing for school, and I am definitely satisfied with it, and I know have gained a lot of reliable information and testimonial from this. It's a four star rating though because even though I had no problems with it, I couldn't say I love this book, if that makes sense.

Profile Image for Todd Martin.
Author 4 books83 followers
April 13, 2015
Vaccines have proven to be one of the most successful public health measures ever undertaken. They have virtually eliminated terrible diseases such as polio and small pox and have prevented untold illness, suffering and death from such scourges as measles, mumps, rubella, rotavirus, hepatitis, and Meningococcal Hib. One might go so far as to call them miraculous … except there’s no supernatural agent involved, it's all thanks to science.

Yet here we are in 2015 with our smart phones and cloud servers and wifi and flat screen tvs with video on demand and imbeciles who seek to exempt their children from vaccinations do to their primitive, unfounded, irrational fears and religious superstition. This might be funny, if it weren’t costing people their health and their lives.

Many people seem to think that the typical anti-vaxxer is a left leaning, granola eating, crystal waving, hippy wanna-be who doesn’t want their kids exposed to unnatural non-organic chemicals. But nothing could be further from the truth. Vaccine denialism is a bi-partisan issue.
"There is evidence that vaccinations have become more of a political issue in recent years. Pew Research Center polls show that in 2009, 71 percent of both Republicans and Democrats favored requiring the vaccination of children. Five years later, Democratic support had grown to 76 percent, but Republican support had fallen to 65 percent."
http://www.nytimes.com/2015/02/03/us/...

Then you have the irresponsible, anti-science proclamations of ignorant presidential hopefuls (note – they are all republicans and they will never be president).
Gov. Chris Christie said that parents “need to have some measure of choice” about vaccinating their children against measles.
Senator Rand Paul thinks vaccines are “a personal decision for individuals”.
Brilliant. The US public should lose its herd immunity and we should doom crippled children to live out their lives in iron lungs ... because freedom.

In Deadly Choices: How the Anti-Vaccine Movement Threatens Us All Paul Offit (Professor in the Division of Infectious Diseases and the Director of the Vaccine Education Center at the Children’s Hospital of Philadelphia) outlines the history of vaccines as well as the anti-vaccination movement. What he shows are that the claims of the anti-vaxxers are specious and that the benefits of vaccines greatly outweigh the risks involved. All of which is no surprise to anyone half paying attention to the issue, but Offit does a great job outlining the evidence in support of his claims and in debunking the claims of the denialists.

All of this boils down to the question of whether an individual’s rights trump the rights of society as a whole. They don’t. There are certain standards of behavior associated with maintaining a civilized nation. You aren’t allowed to drive drunkenly at high speeds through a crowded shopping mall. You aren’t allowed scream racial obscenities while indiscriminately waiving a loaded gun in someone’s face. You also should not be allowed to threaten the health and well-being of a population by sending your unvaccinated child to public school. This should be a minimum expectation of citizenship and good manners.
Profile Image for Lauren.
556 reviews
Want to read
April 8, 2014
Please, vaccinate your children. If you're thinking about not doing it, please read this book and realize it's much, much riskier to not vaccinate.
Profile Image for Julie.
329 reviews10 followers
May 24, 2011
Preaching to the choir here in this book, because I'm pro-vaccine (and very anti-anti-vaxxers!), so I didn't learn a ton of new things. But there are excellent examples of how some "doctors" support false science and hurt children (and adults), usually for their own ends, and how some anti-vaxxers refuse to use logic and reason because their emotion really gets in the way. It's just sad. Also a lot of great explanations about herd immunity and the effect non-immunized children have on this. Some children CAN'T get vaccinated for various reasons (like they have leukemia), and the parents who choose not to immunize their children based on belief in pseudoscience or pure lies not only can hurt their own children, but others as well. It's just a very scary thought, and people who question vaccines would do well to read this.
Profile Image for Alex Givant.
287 reviews39 followers
September 18, 2025
Отличная книга о вреде незнания и тупости, о том, как родители ставят жизнь своих и чужих детей не делая прививок.
Profile Image for Rama.
169 reviews3 followers
March 6, 2023
“The liberty secured by the Constitution of the United States to every person within its jurisdiction does not import an absolute right to each person to be, at all times and in all circumstances, wholly freed from restraint.
There are manifold restraints to which every person is necessarily subject for the common good. Society based on the rule that each one is a law unto himself would soon be confronted with disorder and anarchy."

Perfectly summarizes the general idea that the book is attempting to drive home.

Remainder of review to come
Profile Image for Nicky.
114 reviews45 followers
October 12, 2020
Dnf. Though an interesting topic, this was not (I repeat: NOT) my book. I love reading about media influencing medical and biological research but this book was just all over the place. No clear timeline, no clear display of causal correlations, or whatsoever.
Profile Image for Ed.
18 reviews43 followers
January 28, 2011
This book is a comprehensive look at the history of the battles between vaccine advocates and anti-vaccine proponents dating all the way back to the 1850's(Edward Jenner's smallpox vaccine). Offit, often antagonized for profiting from his patent on a Rotavirus vaccine, takes on his opponents with patience, controlled passion, and science.

It's not mentioned in the book, but after reviewing a lot of the websites out there about people trying to undercut Dr. Offit's work by insinuating that money was his motivation in all of his work, it is really a pathetic route to go. Dr. Offit promotes science and efficacy. A good example that money has very little to do with his motivations can be his promotion of the CDC recommended scheduling of vaccines and not an alternative schedule which spaces out vaccines. His denouncing of Dr. Bob Sears and Dr. Hehmet Oz's promotion of an alternative schedule really has no monetary motivation. His defense is based on science and his knowledge of the science of vaccines is probably unmatched by any other doctor.

Profile Image for Martin.
Author 13 books57 followers
September 9, 2011
It continues to perplex and terrify me that there are people who live among us who don't vaccinate their children due to lies, misinformation and woeful, horrible ignorance. To these kinds of people I say, a) Stay the hell away from me, my family, my loved ones and anyone I hold dear, which includes all of humanity. b) Read this book, cover to cover, multiple times, until the information sets in. Unfortunately, many people won't, because they're idiots. Jenny McCarthy, by the way, should rot in hell, along with her ilk (people who bare their hoohas for a living, presumably to dispense medical advice from there). But what am I to do with Bill Maher? I agree with 95% of what he says, but that missing 5% includes anti-vaccination ideas, and that's just too big of a whopper. The book is very good, and so important, that I'll buy it so I can readily dispense it to those seeking information. But if you haven't vaccinated your children, let me bring the book to you, as I'm sorry, I just can't let you into my house. I have kids I care about. I doubt you have the same regard for your own.
2 reviews3 followers
August 5, 2017
Clear, respectful, strong science, easy to understand.
Profile Image for Gator.
275 reviews38 followers
January 22, 2015
Really well written, well researched book. Provides great pro vaccine facts about the dangers of choosing not to vaccinate. And how getting our children vaccinated makes the whole of society a safer and happier place for us all, while protecting those not fortunate enough because of medical reasons to be able to receive them. The doc suggests we work in a more collective society rather then being selfish and mis informed by anti vaxxers propaganda. While he insists that most of the information put out by anti vaccine groups is hog wash, he does have a target audience to convince on the efficacy of vaccinating.
Dr. Offit has a target audience that he caters to and he definitely omits information. The anti vaccine books which I have read as well have a target audience and also omit information. It is very important to be well rounded on this topic and know all sides of the story, try not to be narrow minded. Read all you can get your hands on, and make your own decision that you feel comfortable with, but don't be bullied into anything. Think for yourself don't rely on others to inform you with their opinions because there are facts omitted by both sides of this war.
Overall the book has helped me to see how pro vaccine groups perceive there decisions to vaccinate with such faithful conviction. Having said that I've read all sides of the vaccine debate and understand without judgement the fear on both sides. There needs to be a global reassuring discussion on vaccination for both sides and we need to call a truce. If we could just be kind and take the time to see the others sides arguments instead of thinking everyone's out to get us we could make a lot of progress. It's time to move forward and share all factual information positive and negative and improve humanity.
Profile Image for Artak Aleksanyan.
245 reviews95 followers
January 23, 2018
Դուք հաստատ հանդիպել եք Facebook-ում կամ ինտերնետում պատվաստման վտանգների մասին «բացահայտող» տեսանյութերի և «մերկացնող» հոդվածների։ Ու նյութերում խոսնակները շատ մտահոգիչ տեսքով խոսում են, թե ինչպես են կառավարություններն ու դեղագործական ընկերությունները փորձում Ձեզ ստիպել պատվաստել Ձեր երեխային՝ վտանգելով նրա առողջությունը։ Մինչդեռ, ըստ նրանց, պատվաստումները թուլացնում են երեխայի առողջությունը, կարող են առաջացնել աուտիզմ կամ հաշմանդամություն։

Ամերիկացի մանկաբույժ, վարակիչ հիվանդությունների մասնագետ և ռոտավիրուսի համահեղինակ Փոլ Օֆիթի գիրքը ներկայացնում է հենց «քաղաքային լեգենդների» պատճառները, պատվաստման դեմ հանդես եկողների փաստարկներն ու ներկայացնում գիտական, վիճակագրությամբ և թեստերով ապացուցված հակափաստարկներ։

Սա չափազանց կարևոր գիրք է բոլոր ծնողների համար, ովքեր մտահոգված են իրենց երեխաների առողջությամբ։ Բայց սա նաև գիրք է, որը ցույց է տալիս պոպուլիզմի պայքարն ընդդեմ ռացիոնալիզմի։ Ինչպե՞ս է պատահում, որ եզակի դեպքերն ավելի համոզիչ են դառնում, քան վիճակագրությունը, ինչպե՞ս է պատահում, որ ամենաչափազանցված ու լկտի սուտը, հոգեբանական գրավչության տեսանկյունից հաղթում է «ձանձրալի» ճշմարտությանը։

Փոլ Օֆիթի գիրքը պատմում է պատվաստումների դեմ պայքարի ամերիկյան «դառը» փորձը և թվերով, փաստերով, վիճակագրությամբ ու ամենակարևորը՝ հետևանքներով ներկայացնում է, թե ինչի՞ կարող է բերել այն շարժումը, որը մանիպուլացիայի է ենթարկում ծնողների ամենամեծ վախերը ու ինչպե՞ս հավաքական անպատասխանատվությունն ու մեդիապոպուլիզմը կարող է ճակատագրական դառնալ մի ամբողջ սերնդի համար։
Profile Image for Christine.
43 reviews1 follower
August 9, 2012
A very informative read, which makes a lot of sense.

I have heard every argument against vaccines, it's common ground when you have little ones. Everyone wants to tell you why they don't do it, or why they vaccinate on a different schedule. Trying to stay up on it, I have read the Vaccine Book by Dr. Sears and every other major source that comes along.

I always wondered though about all of the children who died of these infectious diseases, surely death is worse than autism, especially when you think about whole families in the past dying of flu or other epidemics. It seemed like at the turn of the 20th century every family lost a child to something or other.

Dr. Offit presents that data. I feel like all parents should have to read this book to really make an informed decision. And I am happy to have a source to point people towards when they start spouting facts and figures on how bad vaccines are.
Profile Image for Michelle.
2,603 reviews54 followers
February 27, 2011
This book was VERY well-done. I just wish we could have it read out loud to prospective parents persuaded by the credentials of Playboy bunnies who frighten them away from vaccines. This book clearly lays out where the scaremongers are wrong, WHY they are wrong, and why it matters to all of us. This has been an issue becoming increasingly worrying to me recently, since every year, as more and more parents refuse to vaccinate, the yearly pertussis outbreaks in my area get worse and worse. And my asthmatic son may some day pay the price for someone else's parenting choice. Scary. The science is clear, the issue is black and white, and it's high time someone like Dr. Offut had the courage to say so.
Profile Image for Artak Aleksanyan.
245 reviews95 followers
January 3, 2020
Ինձ թվում է վերջին շրջանի ամենակարևոր գրքերից է։ Ի վերջո, պատվաստել երեխային թե ոչ հարցի պատասխանը իմանալու համար պարզապես պետք է կարդալ այս գիրքը։

Դետեկտիվ բժշկական թրիլեր է, որտեղ կետ առ կետ հեղինակն անդրադառնում է պատվաստանյութերի բոլոր հակափաստարկներին, դրան պատմությանը և ներկայացնում նաև վիճակագրություն։

Բոլոր թերահավատների համար յուրաքանչյուր փաստ ունի իր գիտական հղումը, որը կա նաև գրքի վերջում։
Profile Image for Sally.
1,244 reviews37 followers
May 21, 2011
Upon finishing: my stars are subjective! It *was* a well-written, well-cited book with good flow. So good, in fact, that I wonder an immunologist didn't need a ghost writer to create such a good production value. I learned a lot. I developed many new questions. I did lots of online research. I'll be reviewing in more detail on my blog. Links later.

********

Read this interview with Dr Bob Sears, where he addresses Offit's writings on Sears' vaccine ideas:
http://www.pbs.org/wgbh/pages/frontli...

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As the sister of a person who was changed by vaccines, who had physical symptoms of neurological distress which caused hospitalization, and became autistic, I believe that vaccines are not "for everyone." Herd theory aside.

I will take a look at "the other side" with an open mind, however, to see what it has to say.


***
I only read one chapter before having to turn it back in. Waiting to get it again. In the chapter I read he was refuting the general ideas behind Dr Sears' delayed vaccine schedule. Offit's reasoning went something like this: The amount of surfaces and people we interact with on a daily basis exposes us to hundreds if not thousands of pathogens every day, and we don't all succumb to all of it - in fact our immune systems "handle" it all so well that we succumb to very little of what we're exposed to. He then asserts that our children could theoretically "handle" thousands of vaccines at once, and would not be overly burdened or in danger.

That niggled me, of course, but I had to give it some thought and tease out the logic. --> he's comparing laboratory-derived, genetically-modified, chemically-stabilized, partial-cell pathogens to the kind we encounter pushing the grocery cart. (If you don't subject yourself to the toxic bleach wipes provided these days. I use them sometimes and others not... still on the fence about their benefit.) They're not AT ALL the same.

Does he feed his kids American cheese and hamburger helper and call it "nourishing?" Does he have a nanny raise his kids and tuck them in at night and call it "parenting?" Does he rely on the user comments beneath the news story and consider himself "informed?" Not at all the same.

I must admit that his aim is noble. He spent time as a child in a hospital ward recovering from an injury and watched kids suffer in iron lungs from polio. His intentions are good. I'm not convinced his science (which is the mainstream belief) is entirely sound. More later when I read more of the book.

***********
Reading again. From ch 1, imagine that. It has occurred to me that I may get out of this book what I expect to, which is to say, "he believes the evidence overwhelmingly supports vaccine safety, until proven otherwise," and I'm afraid my view is that they are not proven safe for *every* child, far from it. So far, in ch 1, he has quoted huge swaths of a documentary put out in 1982, and described in detail several families/children who claim vaccine injury. He's setting the stage to discredit them. Claiming "coincidence." My mind is struggling to remain open to this information. How can they be so sure that things like autism and epilepsy and brain damage happen in such numbers without vaccine, and how can the symptoms coincidentally become prominent just following inoculation, and not be connected?

Reading on...

**********

p. 44. In a study that solicited children whose parents asserted that the DTP vaccine caused seizures and mental retardation, it was found that 11 of the 14 children had a genetic defect that interfered with sodium use in brain cells. In 9 of those 11, the parents did not share the defective gene. The assumption made by the researcher and easily accepted by the author is that the genetic defect occurred "de novo," or in utero. Is that the *only* way genetic change can occur? (google, here I come.)

http://wiki.medpedia.com/Gene_Mutations
http://ghr.nlm.nih.gov/handbook/mutat...
Gene mutation can be acquired during life

Also p. 44. I understand the author's irritation that the media did not cover this discovery that a genetic mutation caused this particular type of seizures and mental retardation. In my mind, this does not *clear* vaccines, but offers more information to consider.

read later: http://www.freeyurko.bizland.com/vacg...
Profile Image for David.
2,547 reviews56 followers
April 25, 2013
Truthfully, I didn't read every bit of this, skimmed probably 40 percent of it, but only because (1) I'm persuaded of the author's point, and (2) It's all moot since I'm not a parent nor planning to be. I read this just because I know people who are very much on the anti-vaccine movement. The book's title is almost misleading. This book is only marginally interested in explaining how the anti-vaccine movement threatens us all, which is mostly does in the 8 page introduction, and hardly anywhere else for significant page time. The vast majority of this book explains the history of anti-vaccine sentiments and spends a snooze-worthy amount of time recapping news footage and legal hearings.

As a history book, it's pretty good. As an overview of how both sides see things, it's good. Unfortunately, I don't see it winning converts. The biggest problem the author faces is that M.D. at the end of his name. It's just too easy to say, "He's a doctor, so OF COURSE we know which side he's on." Jenny McCarthy is shown in a way that, fair or not, makes her look like a very flaky choice for the most prominent spokesperson of the anti-vaccine movement. If you can wade through the reenactments of the news, there's some good science here and there.
1,587 reviews40 followers
January 28, 2011
passionate brief in favor of the utility of vaccines for kids, countering the view that they cause autism etc. Very convincing, though I didn't need much convincing on these points, and we did get all recommended vaccinations for our kids, and the main study initiating the autism scare has been recently exposed as not just wrong but fraudulent, so it would not have taken much to convince me.

What I hadn't known well before, but is covered thoroughly in the book, is the whole history of anti-vaccine activism, which apparently dates back to the start of vaccines. For example, the term "conscientious objector" derives from late 19th century English parents who opted out of getting smallpox vaccine for their kids. Goes on to review the case of "typhoid Mary", the religious exemptions introduced to appease Christian Scientists, etc.

Good discussion of the concept of "herd immunity" too -- how our individual decisions about vaccinating kids affect the likelihood of everyone else's getting sick as well.

Individual freedom vs. society's needs is an eternal theme and I know the subject of umpteen billion novels, but this is really a fascinating medium in which it plays outl.
Profile Image for Susan.
2,028 reviews62 followers
July 11, 2016
Offit's Deadly Choices is a fantastic read about why the anti-vaccination movement is not only without merit scientifically, but truly dangerous to our national and global society. Offit, an immunologist, and thus a reliable source himself (though he certainly has a plethora of research and sources to document all of his information) does not pretend to be objective- his tone is an angry one, and rightfully so. He specifically calls out the celebrity proponents of the anti-vaccine movement for scorn, pointing out their hypocrisies in their views regarding science and medicine in their own personal lives versus what they espouse publicly, and calling them out for using their influence in speaking about inactions which end up with the consequences of needlessly killing babies, children, and adults each year. The frustrating things with books like these, though (and this is probably the best one I've read on the topic), is that very few people who actually SHOULD read them, ever do. Four stars. Important read for parents, especially parents who are nervous about immunizations for their children.
Profile Image for Tonya Sh.
400 reviews15 followers
December 20, 2021
I did not expect to find this an easy read, but it is definitely written in very accessible language and interesting in terms of history of vaccines and vaccine resistance.

I can't say that the book achived its goal with me, a lot of circular arguments, and what seems like intentionally vague statements that are easy to misinterpret in favor of vaccines (see section about HPV vaccine).

What I found strange was how the same numbers are interpreted differently to win the argument. For example, 5 deaths from a (preventable) illness is too much, but 5 deaths or severe disabilities from vaccine are presented as extremely rare.

No attention whatsoever is paid to natural immunity, which is somewhat disheartening.

One important point that the book brings up is issue of trust. And unfortunately, what we've seen with the way COVID-19 has been treated by health departments and the government in general has generated a lot of DIStrust, the effect that spills over all vaccines not just Covid and flu.
Profile Image for Sandra.
1,008 reviews57 followers
October 12, 2011
Amazing, simply amazing. For the record, I was on this side of the argument before I read the book but I still learned so much. After the vivid descriptions of some of these diseases I don't understand why any parent wouldn't vaccinate against them. When I was growing up none of those diseases were on my radar because friends and I were vaccinated, so I didn't really know what the diseases entailed. The description of whooping cough with stay with me forever. I have no respect for parents who do not vaccinate. That's a strong statement, I know, but that's how this book makes me feel.

A must read for anyone and everyone. It's time for American to ditch Jenny McCarthy's ignorance an get their facts straight once and for all.
3 reviews1 follower
October 30, 2011
I was agonizing over the decision to vaccinate my children during the 2009 Swine Flu pandemic when I first read about Dr. Paul Offit. The article assuaged my fears and changed my outlook on vaccination. Some people (including Bill Maher)claim that the H1N1 epidemic was overblown. Dr. Offit pointed out in the book that the CDC estimates 61 million people were infected with the swine flu that year, 274,000 were hospitalized, and 12,470 people died (1,280 of whom were children). http://www.cdc.gov/h1n1flu/estimates_... Perhaps some people are comfortable with those statistics, but I am not.
I feel extremely fortunate to live in an era (and a country) where vaccines are readily available. Keep up the good fight, Dr. Offit. Some of us are listening.
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