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Deadly Choices: How the Anti-Vaccine Movement Threatens Us All Hardcover – December 28, 2010
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How did anyone come to view vaccines with horror? The answer is rooted in one of the most powerful citizen activist movements in our nation's history. In Deadly Choices, infectious disease expert Paul Offit relates the shocking story of anti-vaccine America--its origins, leaders, influences, and impact. Offering strategies to keep us from returning to an era when children routinely died from infections, Deadly Choices is a vigorous and definitive rebuttal of the powerful anti-vaccine movement.
- Print length288 pages
- LanguageEnglish
- PublisherBasic Books
- Publication dateDecember 28, 2010
- Grade level11 and up
- Reading age18 years and up
- Dimensions6.5 x 1 x 9.75 inches
- ISBN-100465021492
- ISBN-13978-0465021499
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Perri Klass, Professor of Journalism and Pediatrics, New York University; author of Treatment Kind and Fair
“Deadly Choices carries a very important message for parents, journalists, physicians, and everyone who cares about children and health. It is a passionate, but also compassionate, call for civil discourse and rational conversation on a subject which matters so much to each of us individually and to us all as a society. It is a fascinating account of society and science, politics, publicity, and public health.”
David Oshinsky, Professor of History at the University of Texas at Austin; author of the Pulitzer Prize-winning Polio: An American Story
“A medical crisis has come to America. Diseases of our grandparents’ generation are making a deadly comeback as more and more parents choose not to vaccinate their children. How did this happen? Who is responsible? And what can be done to reverse this unconscionable assault upon our nation’s public health? For the answers, provided in clear, common sense, page-turning fashion, I recommend Deadly Choices by Dr. Paul Offit—a timely and courageous call to arms by the nation’s foremost expert on pediatric infectious disease.”
Michael Specter, Staff Writer, The New Yorker; author of
Denialism
“With Deadly Choices, Paul Offit has once again brought clarity and reason to a subject that desperately needs them both. If you care about the health of your children – or the health of anybody’s children – you need to read this book as soon as you can.”
Robert M. Goldberg, Ph.D., Vice President, Center for Medicine in the Public Interest and author of
Tabloid Medicine: How the Internet is Being Used to Hijack Medical Science for Fear and Profit
“This is a courageous book by a courageous researcher and physician. Paul Offit’s new book tells the truth about the anti-vaccine movement, its unquestioning followers in the media and about the deadly consequences of their campaign of fear. Deadly Choices demonstrates that the enemies of immunizations are successful because too many of us have remained silent in the face of their falsehoods and intimidation. Dr. Offit shows that by standing up for science we can win the war against those who would leave our children defenseless against infectious disease.”
Steven Novella, Assistant Professor and Director of General Neurology, Yale University School of Medicine
“Dr. Offit brings to life in careful and compelling detail the story of misguided and dangerous activists using bad science to attack one of the most effective public health interventions ever devised. It is a must-read cautionary tale of the abuse of celebrity, the media, misinformation and fear.”
Chris Mooney, author of
About the Author
Product details
- Publisher : Basic Books; 1st edition (December 28, 2010)
- Language : English
- Hardcover : 288 pages
- ISBN-10 : 0465021492
- ISBN-13 : 978-0465021499
- Reading age : 18 years and up
- Grade level : 11 and up
- Item Weight : 1.06 pounds
- Dimensions : 6.5 x 1 x 9.75 inches
- Best Sellers Rank: #756,093 in Books (See Top 100 in Books)
- #363 in Epidemiology (Books)
- #371 in Health Policy (Books)
- #2,546 in History & Philosophy of Science (Books)
- Customer Reviews:
About the author

Paul A. Offit, M.D., is a professor of pediatrics in the Division of Infectious Diseases and Director of the Vaccine Education Center at the Children’s Hospital of Philadelphia, as well as the Maurice R. Hilleman Professor of Vaccinology and Professor of Pediatrics at the University of Pennsylvania School of Medicine. An expert in the field of vaccines, he is a recipient of many awards, including the J. Edmund Bradley Prize for Excellence in Pediatrics from 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. His books include the recent Autism's False Prophets: Bad Science, Risky Medicine, and the Search for a Cure, and Pandora's Lab: Seven Stories of Science Gone Wrong. Visit his website at www.paul-offit.com.
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Dr. Offit illustrates how misconceptions and mistrust have dogged vaccines from the very beginning. In the early 1800's, some folk were convinced that the smallpox vaccine (then derived from cowpox blisters) would turn their children into bovines. Dr. Jenner (who popularized the approach) was burned in effigy despite the millions of people whose lives he saved. Thanks to the WHO and governments around the world, smallpox (the disease that killed more people than all other diseases combined) was finally eradicated in the wild around 1980. Hence, no more need to vaccinate against smallpox.
Similarly, in the 1970's a charismatic doctor made startling claims throughout the popular media regarding the pertussis vaccine. As with autism today, the cause of the condition allegedly caused by the pertussis vaccine was not understood. But eventually several large studies (with 200k+ participants) established that the vaccine was not the cause (the issues falsely reported as side effects of pertussis turned out to be a spontaneous genetic mutation at conception). There are obvious parallels between the current autism scare and the pertussis scare in the 1970's. Spectacular allegations regarding any vaccine are hence nothing new. Too many parents are prone to allowing powerful anecdotes to trump careful causal analysis, which can lead to tragic results. Hundreds of British children needlessly died of pertussis in 1978 thanks to the pertussis vaccine scare mentioned above causing vaccination rates to plummet. Similarly, California is currently experiencing an pertussis epidemic that has sickened thousands, hospitalized hundreds, and killed several infants.
Dr. Offit readily acknowledges safety issues with vaccines and also identifies improvement opportunities, such as alternative manufacturing methods that may not be as prone to causing allergic reactions (to egg proteins, for example). Furthermore, he highlights the accomplishments of citizens like John Salamone to improve vaccine safety. The reporting system used by the CDC today was inspired by the public and identified rare by serious issues with the first Rotavirus and Hepatitis B vaccines. So you get a balanced viewpoint regarding vaccination risks and benefits. Based on extensive research, the rewards associated with vaccines far outweigh their risks for the general population and Dr. Offit has 40 pages of end-notes referencing studies, etc. to prove it.
One of the very important points Dr. Offit makes is that choosing not to vaccinate has ramifications beyond ones own family. Sick kids can spread their disease to children too young to have received protective vaccinations, for example. Dr. Offit also lists examples of children with leukemia or other immune issues that are at risk from the inconsiderate members of the larger community around them. A parent whose child almost died thanks to the above suggested that folk who want to avoid vaccinations quarantine themselves on an island. Some doctors have even gone as far as banning un-vaccinated children from their practices since they don't want their offices to become epicenters of preventable disease transmission.
Dr. Offit also reserves scorn for fellow doctors like Dr. Sears that come up with alternative immunization schedules... which have not been reviewed by peers, which are likely to increase the risk of children getting infected with preventable diseases, and which offer no benefit to the patient. Dr. Sears also apparently has no issues with a set of parents choosing not to immunize their child, the child getting the disease that the vaccine would have prevented, the child almost dying, and the child only surviving thanks to heroic medical measures in the hospital. Cases like this are perfect examples why personal or belief exemptions to vaccinations should not be allowed.
Even if you don't initially agree with Dr. Offit, compare his arguments (and the research that backs them up) to those made by the anti-vaccine folk - especially if those folk have something financial to gain in the process (such as selling books, 'treatments', and other revenue sources). Tarring Dr. Offit for having developed a rotavirus vaccine while ignoring the income that the anti-vaccine folk derive as part of their crusade is thus pretty hypocritical. Dr. Offit hasn't given up his day job and retired to a private island... In particular, let us acknowledge that it would be much easier for him (like many others) to simply keep his mouth shut, collect his paycheck, and get on with his life instead of putting himself and his family at risk by speaking out.
As I see it, neither communal interests nor factual science are sexy media topics, while sensationalized drama is - it's what gets the ratings. Not often enough does the media do its homework to identify cranks, falsehoods, and other issues associated with the anti-vaccine movement ( Frontline-Vaccine War is a notable exception). Until credible, peer-reviewed, and reproducible data shows otherwise, parents should be reminded that vaccines are much safer than allowing children to get diseases like chicken pox, measles, pertussis, meningitis, or polio, for example. For the time being, I am afraid that Dr. Offit's quest is doomed since the media in particular profits too much from stirring up drama, and is not being held accountable for it.
On facebook and social media I would see these fear-mongering posts from friends both in support of and against vaccinating kids. I felt brow beaten and like people were making fun of me for being concerned about my child's well being. "Sure" I thought, "the risk of permanent damage may be small, but if it's MY child, it doesn't matter how small the risk is - I want to avoid it!" Still, this book sat on my shelf.
Originally, I had planned to re-evaulate vaccinating when my daughter turn two. By then, if she was going to develop a neurological disorder on her own, she would have developed it and I wouldn't have to wonder if it had been caused by vaccination. But I was pregnant with my second child and didn't have time. Now she's 3 and I have a 9 month old crawling around. But, every time they got the sniffles or a fever, I would have this sinking worry "Is it measles? whooping cough? Should I risk taking her to the pediatrician and infecting other kids?" Then looking down the road - "would I rather home school my daughter than vaccinate?"
Finally, last week, I brushed the dust off this book and decided to read it.. Given the warning on the book's cover, I was afraid that it was going to be full of vitriol, that I would be yelled at from the pages of "Deadly Choices" for my concern. Instead, I found a compassionate and clear headed explanation of the facts. I feel like Dr. Offit understood and appreciated my concern as a parent wanting to make the right choice for my daughters.
Dr. Offit explains the science and not science in a way that puts the information in context and helps you make a truly informed decision about vaccinating your kids. I think that there is a lot of misinformation and fear out there, and I think that this book helps correct a lot of it. If you're willing to read Dr. Sears or other vaccine books, you should read this one too, before you delay vaccinating and risk your kids getting sick.
Top reviews from other countries
While it may be hard to change some people's minds around vaccinations, this book may help convince many who come to the topic with an honest and open mind, and will likely strengthen the resolve of those who continue to advocate for strong vaccination programs and policies.












