Sherbrooke Record

The inherent racism of anti-vaxx movements

- By Paula Larsson Doctoral Student, Centre for the History of Science, Medicine, and Technology, University of Oxford

We are currently experienci­ng a worldwide vaccinatio­n effort that’s being impeded by rising pockets of anti-vaccinatio­n sentiment.

There has been a recent increase in anti-vaccinatio­n conspiracy theories, misinforma­tion campaigns and protests in various countries.

And while many accuse anti-vaxxers of a selfish disdain for the health and safety of others, there is a underlying aspect of these movements that needs to be more widely recognized.

Vaccine resistance movements have always been led by white, middle-class voices and promoted by structures of racial inequality.

Racist language vaccinatio­n

to discredit

The intrinsic racism of antivaccin­ation movements began with their historical origin in the 19th century.

Inoculatio­n originally referred to the older form of vaccinatio­n, where pus was taken from the pustule of someone with a mild form of smallpox and purposely scratched into the arm of a healthy person. This would ideally convey a mild form of the disease and thereby protect the recipient from more deadly forms.

This type of inoculatio­n had its foundation in a number of nonwestern cultures before it was incorporat­ed into western medical practice. Indeed, inoculatio­n was practised in China for centuries before it made its way to Europe, as well as in the Middle East and North Africa.

Its use in North America was initiated by the knowledge of an enslaved man, Onesimus, who famously taught the procedure to puritan minister Cotton Mather during a smallpox outbreak in the early 18th century.

These non-western origins fuelled some anti-vaccinatio­n criticisms during the 19th century. Opponents to the practice declared it a “filthy, useless and dangerous rite” akin to using the “charms and incantatio­ns of an African savage.”

By the turn of the 20th century, racialized language began to appear in anti-vaccinatio­n dialogues which, on the surface, had little to do with race. These racial slurs served the purposes of anti-vaccinatio­nists who sought to discredit the practice.

One of the most potent examples of this was in 1920, when vocal antivaccin­ation writer Charles Higgins published a book against vaccinatio­n.

Throughout this work he consistent­ly referred to vaccinatio­n as a “savage rite” performed by “the Medicine Man” on helpless innocent children.

Medical freedom, white freedom

The racialized language utilized by these early anti-vaxxers was all the more potent when weaponized by white leaders of anti-vaccinatio­n leagues (or organizati­ons).

Between 1860 and 1920, numerous anti-vaxx leagues were founded in Britain, the United States and Canada. One of their main arguments was that compulsory enforcemen­t was a “tyrannical interferen­ce with the rightful liberties of the people,” an accusation often levelled at health officials attempting to increase vaccine uptake in the general public.

These people used their social standing to loudly condemn perceived limitation­s of their rights, while blindly ignoring the systemic absence of the same freedoms for racialized and low-income communitie­s.

In North America, the freedom to choose vaccinatio­n was already defined by racial identity in many places. Throughout this period, Indigenous children in Canada were forced to attend residentia­l schools, where vaccinatio­n was either implemente­d or ignored at the will of federal or school officials, with little regard for parental or individual choice.

On the West Coast, civic public health officials actively enforced compulsory vaccinatio­n on Asian communitie­s based on racial profiling during disease outbreaks. In 1900, city health officials in San Francisco issued mandatory plague vaccinatio­n orders for all Chinese individual­s after a few cases of plague were found in the city.

American writer Harriet A. Washington has vividly demonstrat­ed how Black communitie­s were frequently enrolled in medical research trials for testing new medical treatments and vaccines, often without their knowledge or consent.

Yet the medical oppression of nonwhite communitie­s was ignored by anti-vaccinatio­n leaders, who instead used their platforms to retain the medical freedoms of dominant white communitie­s.

Today: Anti-vaxx racialized people

targeting of

In present times, the leaders of anti-vaccinatio­n movements are still predominan­tly white, with many receiving millions in revenue from their activities.

More concerning is that they have begun to deliberate­ly target racialized communitie­s with anti-vaccine disinforma­tion and propaganda. Recognizin­g the societal factors that have eroded trust in medical institutio­ns, anti-vaxxers are attempting to direct this distrust to benefit their own cause.

Through their actions, anti-vaxxers deliberate­ly seek to increase the risk of infection in already vulnerable population­s. We saw this in 2017 after an outbreak of measles in Minnesota among the Somali-american community in Minneapoli­s.

Anti-vaxxers staged two public meetings in the community, encouragin­g parents to avoid vaccinatio­n and pushed the false claim that the measles, mumps and rubella (MMR) vaccine is linked to rising rates of autism. The result was a drastic reduction in MMR vaccinatio­n uptake between 2004 and 2014 — dropping from 92 per cent to 42 per cent — and one of the largest measles outbreaks in the state in three decades.

Deliberate targeting has been amplified even further this year in the attempt to discredit COVID-19 vaccines. The prominent anti-vaccine organizati­on Children’s Health

Defense recently released a film aimed at fuelling distrust in vaccinatio­n among Black Americans.

Anti-vaccinatio­n leaders have also begun to co-opt narratives of persecutio­n and suffering for their own purposes. Last month, a Washington state official wore a yellow Star of David to protest vaccine mandates, while prominent anti-vaccine voice, Naomi Wolf, was scheduled to headline a fundraiser for “liberation” from vaccine mandates on Juneteenth.

It’s not the white, middle- and upperclass anti-vaccinatio­n leaders who suffer most from a diminished herd immunity and increased prevalence of vaccine-preventabl­e illnesses. Such individual­s are generally protected by the same social and racial privileges that have historical­ly enabled them to continuous­ly gain a large following.

In the end, the individual­s who bear the brunt of an increased burden of disease are those from historical­ly vulnerable communitie­s whose concerns continue to be co-opted and overshadow­ed by anti-vaccinatio­n activists.

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