Vaccination and religion

Vaccination and religion have interrelations of varying kinds, with some opposing and others supporting the use of vaccinations.

Historical

The influential Massachusetts preacher Cotton Mather was the first known person to attempt smallpox inoculation on a large scale, inoculating himself and over 200 members of his congregation with the help of a local doctor. While his pro-health view became standard, he also caused the first reaction against the practice.

Rowland Hill (1744–1833) was a popular English preacher acquainted with Edward Jenner, the pioneer of smallpox vaccination, and he encouraged the vaccination of the congregations he visited or preached to.^[1] He published a tract on the subject in 1806,^[2] at a time when many medical men refused to sanction it. Later he became a member of the Royal Jennererian Society, which was established when vaccination was accepted in Britain, India, the USA, and elsewhere. John C. Lettsom, an eminent Quaker physician of the day wrote to Rowland Hill commenting:

"You have done more good than you imagine; and for everyone you may have saved by your actual operation, you have saved ten by your example; and perhaps, next to Jenner, have been the means of saving more lives than any other individual."^[3]

Several Boston clergymen and devout physicians formed a society that opposed vaccination in 1798.^[4] Others complained that the practice was dangerous, going so far as to demand that doctors who carried out these procedures be tried for attempted murder.^[5]

The Commonwealth of Massachusetts was the first state in America to make vaccination mandatory, in 1809.^[6]

Iceland in 1816 made the clergy responsible for smallpox vaccination and gave them the responsibility of keeping vaccination records for their parishes; Sweden also had similar practices.^[7]

When vaccination was introduced into UK public policy, and adoption followed overseas, there was opposition from social cranks and trade unionists, including sectarian ministers and those interested in self-help and alternative medicines like homeopathy.^[8]

Timothy Dwight IV was an opponent of vaccination.

Anti-vaccination proponents were most common in Protestant countries. Those that were religious often came from minority religious movements outside of mainstream Protestantism, including Quakers in England and Baptists in Sweden.^[9]

Catholic and Anglican missionaries vaccinated Northwest Coast Indians during an 1862 smallpox epidemic.^[10]

In the UK, a number of Vaccination Acts were introduced to control vaccination, starting in 1840, when smallpox inoculation was banned. The 1853 Act introduced compulsory free infant vaccination enforced by local authorities. By 1871, infant vaccination was compulsory and parents refusing to have their child vaccinated were fined and imprisoned if the fines were not paid. Resistance to compulsion grew, and in 1889—after riots in Leicester—a Royal Commission was appointed and issued six reports between 1892 and 1896. It recommended the abolition of cumulative penalties. This was accomplished in the 1898 Act, which also introduced a conscience clause that exempted parents who did not believe vaccination was efficacious or safe. This extended the concept of the "conscientious objector" in English law. A further Act in 1907 made it easier to obtain exemption.

Jehovah's Witnesses banned their members from having vaccinations from 1931 to 1952. They have since reversed their position. The decision of whether to vaccinate themselves or their family is left to the individual Witness. Some more recent Jehovah's Witness publications have mentioned the success of vaccination programs.^[11]

Current

Christian Science selectively rejects various forms of medical care including vaccination.^[12][13] The Congregation of Universal Wisdom, a religion based on belief in chiropractic spinal adjustments and Universal Intelligence, forbids vaccinations.^[14][15] The New York Times covered the Congregation of Universal Wisdom and noted that many families have used these religious memberships to avoid vaccination requirements.^[16] In a court case citing the Congregation of Universal Wisdom, Turner v. Liverpool Cent. School, the United States District Court in New York affirmed the permissibility of claiming religious exemption from vaccination on the basis of such membership.^[17]

Some conservative U.S. Christian groups oppose mandatory vaccination for diseases typically spread via sexual contact, arguing that the possibility of disease deters risky sexual contact. For example, the Family Research Council opposes mandatory use of vaccines against the human papillomavirus, writing, "Our primary concern is with the message that would be delivered to nine- to 12-year-olds with the administration of the vaccines. Care must be taken not to communicate that such an intervention makes all sex 'safe'."^[18][19]

The Church of Jesus Christ of Latter-day Saints has made vaccination an official initiative in its humanitarian relief program.^[20] The Church has also called on its members to see that their own children are properly vaccinated.^[21]

Islam and Judaism, religions with dietary prohibitions that regard particular animals as unclean, make exceptions for medical treatments derived from those animals.^[22][23]

In Aceh Province, an autonomous province of Indonesia with its own Islamic Sharia Law, 80 percent of people refuse all vaccinations due to concerns about pig, or its derivatives, being used to make some vaccines (eating pig is considered haram).^[24]

The cell culture media of some viral vaccines, and the virus of the rubella vaccine, are derived from tissues taken from therapeutic abortions performed in the 1960s, leading to moral questions. For example, the principle of double effect, originated by Thomas Aquinas, holds that actions with both good and bad consequences are morally acceptable in specific circumstances, and the question is how this principle applies to vaccination.^[25] The Vatican Curia has expressed concern about the rubella vaccine's embryonic cell origin, saying Catholics have "...a grave responsibility to use alternative vaccines and to make a conscientious objection with regard to those which have moral problems."^[26] The Vatican concluded that until an alternative becomes available it is acceptable for Catholics to use the existing vaccine, writing, "This is an unjust alternative choice, which must be eliminated as soon as possible."^[26]

Political opposition to vaccination by religious groups

Rabbi Shmuel Kamenetsky, a prominent Orthodox Jewish rabbi, denounced immunization as a hoax. However, the vast majority of Orthodox Rabbis view vaccination as a religious obligation.^[27] A magazine called P.E.A.C.H. that presented an anti-immunization message to Orthodox Jews was distributed in Brooklyn, New York in early 2014. This is not a widespread phenomenon though. 96% of students at Yeshivas (which are essentially all Orthodox Jewish) in New York City were immunized according to information obtained in 2014, although this is a lower than average rate.^[28]

In 2003 imams in northern Nigeria advised their followers not to have their children vaccinated with oral polio vaccine, perceived to be a plot by Westerners to decrease Muslim fertility.^[29] The boycott caused cases of polio to rise not only in Nigeria but also in neighboring countries. The followers were also wary of other vaccinations, and Nigeria reported over 20,000 measles cases and nearly 600 deaths from measles from January through March 2005.^[30] In 2006 Nigeria accounted for over half of all new polio cases worldwide.^[31] Outbreaks continued thereafter; for example, at least 200 children died in a late-2007 measles outbreak in Borno State.^[32] In 2013, nine health workers administering polio vaccine were targeted and killed by gunmen on motorcycles in Kano, but this was the first^[33] and last attack.^[34] Local traditional and religious leaders and polio survivors worked to support the vaccination campaign,^[35] and Nigeria has not had a polio case since July 24, 2014; in 2017, if no new cases appear, it will be declared polio-free.

In the 2000s, in Pakistan and Afghanistan, some Taliban issued fatwas opposing vaccination as an American plot to sterilize Muslims, and kidnapped, beat, and assassinated vaccination officials; the head of Pakistan's vaccination campaign in Bajaur Agency was assassinated in 2007, on his way back from a meeting with a religious leader.^[36][37] In 2011, a CIA spy ran a fake hepatitis vaccination campaign to search for Osama bin Laden; such actions were strongly condemned by US^[38] and international health NGOs,^[36] the doctor involved was jailed for ten years,^[39] and the CIA promised not to use vaccination as a cover again.^[40] A genuine polio vaccinator had previously vaccinated Osama bin Laden's children and grandchildren in his compound in Abbottabad.^[41] Both major sides of the Afghani civil war now support polio vaccination,^[42] and polio rates are declining rapidly in Afghanistan, with only five cases in Jan-July 2015.^[35] In Pakistan there were 28 cases in the same period.^[35] This is the last remaining region with active polio cases as of 2015.

In 2015, leaders of the Nation of Islam spoke out against a California Bill that would require vaccinating children.^[43] Saying that data suggests "that African American males who received the MMR vaccine before age 36 months were at increased risk for autism." They also claimed they believed that government mandated vaccines were another Tuskegee Syphilis Study.^[44]

Exemptions

In the U.S., all states except Mississippi, California and West Virginia allow parents to opt out of their children's otherwise-mandatory vaccinations for religious reasons. The number of religious exemptions rose greatly in the late 1990s and early 2000s; for example, in Massachusetts, the rate of those seeking exemptions rose from 0.24% in 1996 to 0.60% in 2006. 10,000 kindergarteners in the United States started the school year with vaccination exemption, which is twice as many as were reported in the last century.^[45] Some parents falsely claiming religious beliefs to get exemptions.^[46] The American Medical Association opposes such exemptions, on the grounds that they endanger health not only for the unvaccinated individual but also for neighbors and the community at large.^[47]

On January 1st 2016 Australia introduced legislation that removed eligibility for childcare and welfare benefits if parents refuse to vaccinate their children, removing religious exemptions at the same time as the only religion to apply for an exemption (Church of Christ Science) deemed their exemption to no longer be relevant. ^[48]

References

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