Those of us who identify as what is called "pro-vax"--parents who not only vaccinate their children, but who feel passionately about it--are not exactly shrinking violets. Frankly, we can't afford to be--although the vast majority of parents vaccinate their children, we do it as a matter of course for the most part, and do not feel a driving need to speak up about having done so, any more than we brag about taking our kids to the dentist. However, this silence has allowed a vocal and dangerous minority of no-vax, slow-vax, and anti-vax parents to dominate the conversation about immunization, to disastrous effects. We're faced now with measles outbreaks, pertussis clusters which have killed infants, even mumps outbreaks in college kids this year. Because we're so passionate, and because the other side is equally passionate, debates can devolve into shouting matches. One side braying about "science and research" while the other side spouts nonsense about a worldwide conspiracy of silence and "vaccine injuries." It's rarely productive.
Although she vaccinates her children, no one would mistake author Eula Biss as a "pro-vax" parent. And in some ways, that's exactly what this conversation needs. I consider Eula Biss the closest thing we have to our generation's Joan Didion. She shares many of the same stylistic tics, has the same careful, analytic mind, the same elegant literary sensibility, and, most markedly, the same ability to take current anxieties, identify with them, even experience them herself, and them step back and examine them like an archaeologist might examine a shard of Minoan pottery. From bloodletting and bloodsucking (pre-twentieth century medicine and Bram Stoker's Dracula, respectively) to the politics of wealth and education when it comes to the decision to vaccinate, Biss carefully weaves the fears of vaccines, and more broadly, parenthood itself with timeless themes of chaos and lack of control.
There were times I felt Eula Biss was too careful. She refers to the country's most vocal and, in my opinion, dangerous fearmongerer, Barbara Loe Fisher, as a "consumer advocate." There is an endnote that describes in more detail Fisher's role in the anti-vaccine movement, but I was disappointed to see her described in this positive manner in the body of the book. BIss's father, a doctor, at one point dismisses anti-vaxxers as idiots, and Eula Biss states unequivocally that they're not. No doubt there are those who are intelligent but misguided. But there is a deep vein of paranoid, conspiracy-mindedness that goes along with anti-vaccine ideas, and she doesn't touch this. In fact, she doesn't address the fact that the most common arguments anti-vaxxers use to sway parents from vaccinating are not based in science. In fact, they are mostly proved incorrect by science. There was a conversation about the catastrophic effect the fraudulent Wakefield study had on the vaccination rates in the U.S and the U.K., and she mentions that the IOM did an exhaustive review of the literature and found absolutely no connection between vaccines and autism. But I was concerned with the lack of acknowledgment about the scientific illiteracy question, particularly because it ties in so naturally with other dangerous belief systems that can or will cause real and lasting damage to humanity (i.e. climate change denialism).
That being said, I was enraptured as I read this book, which felt--and perhaps intentionally so--addressed to me specifically. In fact, Biss says in one of her endnotes (and be sure to read the endnotes straight through--they're an integral part of the book) that she chose to write the book to mothers, not because fathers are any less important as caregivers, but because she feels many of the anxieties about which she writes are specific to mothers. An interesting approach. A brilliant writer.