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people who persist in the belief that vaccines cause autism and autoimmune disease and epilepsy and SIDS and a great many other horrible things. Even when I present study after study demonstrating vaccines are far safer than diseases and nutrition doesn’t prevent or cure them, there are still people who won’t agree. And the debate grows more and more contentious as people have gotten caught up in the ideas from the film Vaxxed, which I have seen, and believe in them, despite them all being proven false. It is very frustrating. I wish I could convey to those opposed to vaccines that we all just want children to be healthy. Those of us who advocate for vaccines are parents, adults with autism, adults with injuries from vaccine preventable diseases, researchers, doctors, nurses, and scientists. We aren’t paid to advocate for vaccines. I get accused of that all the time and it makes me very sad. Even if I was paid, which I am not, how would that negate the value of the thousands of safety studies from all over the world, most not conducted by pharmaceutical companies, that demonstrate scientific consensus showing vaccines benefits far outweigh risks? I wish I understood why someone would believe a blog post from a holistic doctor selling an unproven treatment for autism but not a research scientist working for a children’s hospital. I wish I could help people opposed to vaccines understand that most “vaccine injuries” are really not caused by vaccines. I recently read a story of a child diagnosed with a tragic genetic condition that rarely enables the child to live past age two. The parents refused to believe the diagnosis and, instead, called it a vaccine injury. The child’s symptoms worsened, in keeping with the original diagnosis, and then she passed away shortly before age two. The story is tragic but I cannot understand how they can ignore the diagnosis. It doesn’t help anyone to blame vaccines for something that is genetic. For me, too, this decision to vaccinate is about being part of a community. We advocate environmental awareness, in our house, and try to tread gently on earth. We recently switched to having all our sources of energy come from renewable resources. We take the bus often instead of driving a lot. We buy local food so our food’s global footprint is not large. Vaccinating is part of not being a selfish person, in my opinion, and understanding we all breathe the same air. We must take care of each other as well as the environment. I teach my children this lesson, as I want them to understand that the community is important, than the individual’s needs never outweigh the group’s needs. I am not sure how we can bridge the divide between those who vaccinate and those who do not vaccinate. What I can do, however, is help those on the fence about vaccines understand that the rational argument is in favor of vaccines. In my online and local advocacy, I try to always be polite and rational. I hope that helps the science stand out clearly. I was the Washington State CDC Immunization champion for 2015 for my advocacy. When people post articles in which I am quoted or a stolen picture of my award, it is an opportunity to remind them they are proving I am not a paid advocate. To qualify for the award, I had to prove I have no financial ties to the pharmaceutical industry or government. I am proud of my advocacy and have never done anything disrespectful. I have read a great deal about vaccines in the last 13 years, both pro–and anti–vaccine. I fully understand the ingredients, the safety studies, the risks, and the benefits of vaccines. To that end, I have started blogging to share what I have learned.

Comorbidities: Pertussis and Moral Certainty