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Needle Points: Why so many are hesitant to get the COVID vaccine and what we can do about it

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  • Needle Points: Why so many are hesitant to get the COVID vaccine and what we can do about it

    Needle Points
    Why so many are hesitant to get the Covid vaccines and what we can do about it
    By Norman Dodge
    October 21, 2021

    ‘Needle Points,’ Tablet’s exploration into the sources and nature of vaccine hesitancy, is presented in four parts. Chapter I begins below. Continue to Chapter II, III, or IV . To download a free, printer-friendly version of the complete article, click here.

    S
    ince my days in medical school, I have had a fascination with the kernel insight behind vaccination: that one could successfully expose a person to an attenuated version of a microbe that would prepare and protect them for a potentially lethal encounter with the actual microbe. I marveled at how it tutors an immune system that, like the brain, has memory and a kind of intelligence, and even something akin to “foresight.” But I loved it for a broader reason too. At times modern science and modern medicine seem based on a fantasy that imagines the role of medicine is to conquer nature, as though we can wage a war against all microbes with “antimicrobials” to create a world where we will no longer suffer from infectious disease. Vaccination is not based on that sterile vision but its opposite; it works with our educable immune system, which evolved millions of years ago to deal with the fact that we must always coexist with microbes; it helps us to use our own resources to protect ourselves. Doing so is in accord with the essential insight of Hippocrates, who understood that the major part of healing comes from within, that it is best to work with nature and not against it.


    And yet, ever since they were made available, vaccines have been controversial, and it has almost always been difficult to have a nonemotionally charged discussion about them. One reason is that in humans (and other animals), any infection can trigger an archaic brain circuit in most of us called the behavioral immune system (BIS). It’s a circuit that is triggered when we sense we may be near a potential carrier of disease, causing disgust, fear, and avoidance. It is involuntary, and not easy to shut off once it’s been turned on...
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